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Addiction and Substance Abuse

After an Dilaudid Addiction.

10/19/2009

Question:

If someone needed a serious/ strong pain med after recoverying from a dilaudid addiction about a year ago, what would you be recommending? No pain meds, something weaker?

Thanks.

Answer:

Sometimes it is impossible to go with "no pain meds." Where possible, I would recommend non-addictive pain meds such as Non-Steroidal anti-inflammatory meds (NSAIDs) like ibuprofen and others. Tylenol is another option.

If you must use an addictive pain medication, I would recommend a consultation with an addiction medicine specialist to discuss your case. There are medications that are less likely to be addicting, such as buprenorphine and long-acting opiates such as extended-release oxycodone. These are only examples. This is a difficult situation that requires consultation.

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Response by:

Christina M Delos Reyes, MD Christina M Delos Reyes, MD
Assistant Professor of Psychiatry
School of Medicine
Case Western Reserve University