Opiate Addiction: Recovery Statistics
An estimated 26-36 million people worldwide abuse natural opiates or synthetic opioids. Americans are said to consume about 80% of the world’s supply of opium-derived painkillers, with more than 2 million Americans addicted to prescription opioid painkillers such as oxycodone and hydrocodone, and another 460,000 addicted to opioids like heroin or fentanyl. Many also are addicted to opiates like morphine and codeine, contributing to the nationwide addiction crisis. Overcoming opioid or opiate abuse can be challenging, but is possible with appropriate addiction treatment and ongoing support for long-term recovery.
Opioid or opiate addiction often begins with a prescription painkiller from the doctor, though studies show that more than 50% of opioid users get these medications from friends, family or the medicine cabinet.
Both opiates and opioids are prescribed as analgesics for pain associated with injuries, musculoskeletal problems, surgery and other health procedures. Due to the addictive properties of opioids and opiates, these medications are intended for short-term use to combat acute pain. To help prevent opiate addiction, doctors in several states restrict first-time opiate prescriptions to a maximum course of 5-7 days.
After a short-term opiate prescription, a person should be transitioned to a non-addictive painkiller combined with complementary therapies that help relieve chronic pain. Unfortunately, a person can become dependent on opiates or opioids after a few short days, making it more likely they will refill their opioid/opiate prescription — thereby raising their risk for addiction — instead of transitioning to an alternative, non-addictive pain medication.
How Opiate Addiction Happens
Opioids and opiates relieve pain by changing the way pain is perceived in our brain and nervous system. As opposed to making the pain go away, opiates attach to the molecules of nerve cells called opioid receptors that transmit messages along nerve pathways to our brain’s reward center, telling it to release more pleasure chemicals or neurotransmitters like dopamine to override the pain. In response to an opioid or opiate, the brain and nervous system are flushed with higher-than-normal levels of pleasure chemicals, so the person taking the drug experiences less pain. For many people, this perceived relief from pain is also accompanied by a sense of euphoria or deep relaxation, particularly if their opioid prescription is at a relatively high or of longer duration.
Opioid or opiate addiction happens when a person develops physical tolerance to the medication, and begins to require increased doses in order to feel the same level of pain relief they initially experienced. Pain levels may start spiking higher between doses — a withdrawal response as the drug alters the brain’s natural response to pain — and soon a person starts taking two pills instead of one or taking them more frequently than prescribed just to keep the pain at bay. So begins a vicious cycle where more opiates actually result in more pain and other negative symptoms as soon as the drug is stopped. If the painkillers also deliver euphoria or relaxation, the person may begin to crave these effects as well, making addiction more likely. As withdrawal symptoms and cravings become more pronounced, a person typically refills their prescription. When refills run out, they may turn to other opiates like fentanyl or heroin to achieve the same pain relief or high.
Opiate and Opioid Addiction by the Numbers
Opiate and Opioid Addiction Statistics:
- Painkiller-related issues result in more than 360,000 visits to U.S. emergency rooms each year.
- In 2015, more than 63% of all drug overdoses involved an opioid.
- Roughly 62% of the 10.6 million Americans who reported misusing prescription opioids in 2016 were taking the medication to relieve physical pain.
- In 2016, there were more than 50,000 opiate-related deaths in the United States, making overdose the leading cause of death for Americans under age 50.
- The opiate known as fentanyl now kills more Americans than heroin.
Opiate and Opioid Recovery Statistics:
- Research studies show that relapse rates for people with addiction are comparable to the relapse rates for people with hypertension and diabetes. Like other chronic diseases, addiction requires continuing care to manage and prevent relapse.
- People who complete an addiction treatment program of at least 30 days have a higher degree of success in achieving sobriety and remaining abstinent long-term.
- People who leave rehab with a comprehensive continuing care plan that provides tools for living a sober life will transition to abstinence more successfully and have better rates of sustained recovery.
- Healthy alternatives to pain management are critical to overcoming opiate addiction. More than 90% of people recovering from opiate addiction say they used heroin because it was cheaper and easier to get than prescription painkillers.
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Signs and Symptoms of Opiate Addiction
The signs and symptoms of opiate addiction include:
- Changes in customary behavior or habits such as withdrawal from favorite activities or deterioration of personal hygiene
- Increased drowsiness and nodding off during daytime hours
- Euphoria or high and/or changing moods
- Poor focus or confusion
- Constricted (small) pupils
- Slowed breathing (opioids can inhibit respiration, thus causing overdose)
- Intense withdrawal symptoms when opioid medication is stopped, such as increased pain and/or flu-like symptoms such as headache, vomiting and diarrhea, sweating, fatigue, anxiety and insomnia
Even when the signs and symptoms of opiate addiction are there, you or a loved one may deny there is a problem. It can be particularly difficult to recognize or admit a problem if you or loved one don’t fit the stereotype or “profile” of an addict. However, opioid addiction happens to people of all ages and walks of life. Denial of a problem is actually another hallmark sign of addiction.
For this reason, many people find their way to treatment through an intervention because they are in too much denial to recognize their own addiction.
An obstacle to treatment for many people is their belief that opiate medications are the best way to relieve pain, and alternatives won’t be as effective. Alternative therapies can be very effective, but until opiates are safely eliminated through detox and the addiction treatment process has been underway for a few weeks, it can be challenging to accept alternative approaches to pain treatment or to recognize the pattern of behaviors that accompanied addiction.
Opiate Addiction Treatment and Recovery
Treatment of opiate addiction typically begins with medically assisted detoxification to help manage pain spikes and other difficult withdrawal symptoms like anxiety, insomnia and nausea.
Once a person completes several days of detox and their symptoms have been stabilized, they are typically transitioned into a residential drug rehab program to receive professional counseling, peer-group support, education on the process of addiction and how to manage addictive behaviors, prevent relapse and use healthy, alternative therapies for relieving pain.
Some of the therapies used to help people overcome opiate addiction include individual and group talk therapy, holistic treatments for body and mind, spiritual counseling, and other modalities as decided with your addiction counselor and care team.
Recovery from opiates can be particularly challenging because of the physiological changes that occur in the brain and nervous system in response to opiate drugs. It can take several weeks before a person’s neurotransmitter levels begin returning to a pre-addiction state and the brain and nervous system readjust to a healthy or “normal” state. Residential addiction treatment programs of 30 days or longer are considered the surest path to recovery as they can provide a healing environment with ongoing recovery support and psychotherapy or counseling to address feelings of anxiety and distress about pain recurrence. A comprehensive addiction treatment program will also provide education on managing addictive behaviors, preventing relapse, and coping strategies for managing other issues that have arisen as a result of opiate addiction.
Many people in recovery from opiate addiction do well on a follow-up care program that includes continuing treatment through outpatient care and attending local peer support groups, such as community 12-step programs.
Outlook for Opioid and Opiate Addiction Recovery
The outlook for recovery from opioid and opiate addiction is good if you can have an honest conversation with yourself about your drug misuse and how it is negatively impacting you and everyone around you.
How long does it take to recover from an opiate addiction? Your chances for recovery are highest if you can enroll in a long-term residential treatment program of 30 to 90 days. Opiate relapse rates tend to be higher than the 40%-60% relapse rates seen with other addictions. Recent studies show that opiate-dependent individuals who stay in residential treatment for at least six weeks followed by outpatient treatment or aftercare have the highest recovery rates and lowest relapse rates.
Once in treatment, your willingness to be involved in the healing process is key to your success. Do what you can to adhere to your treatment program and, once treatment is completed, to commit to your aftercare plan. Pursue ongoing pain management using non-addictive medications and alternative approaches, and seek out long-term therapy through community resources to help you address issues that led to addiction or arose from it. For some people who have struggled with longstanding dependency on opiates, the risk of post-treatment relapse can be reduced through medical supervision by an addiction specialist who administers an opiate agonist like buprenorphine at regular intervals during recovery. As time in recovery continues, the dosage of buprenorphine or other medication can be tapered down.
It is not yet known what percentage of opiate addicts recover. Remember, opioid addiction recovery statistics don’t tell the whole story — opiate addiction recovery success rates are higher for people who receive comprehensive addiction treatment and make a long-term commitment to a sober lifestyle.
We invite you to contact us anytime to learn more about opioid or opiate addictions and the treatment options available to help you begin your journey towards recovery.