Prescription drug abuse

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Symptoms

By Mayo Clinic staff

Signs and symptoms of prescription drug abuse depend on the particular drug. The most commonly abused prescription drugs are:

  • Opioid painkillers, such as oxycodone (OxyContin) and those containing hydrocodone (Vicodin)
  • Sedatives and tranquilizers, such as diazepam (Valium) and lorazepam (Ativan)
  • Stimulants, such as methylphenidate (Ritalin), that are used to treat attention-deficit/hyperactivity disorder (ADHD) and sleep disorders

Prescription drug abuse symptoms

Opioid painkillersSedatives and tranquilizers Stimulants
  • Constipation
  • Depression
  • Low blood pressure
  • Decreased respiration rate
  • Confusion
  • Drowsiness
  • Confusion
  • Unsteady gait
  • Poor judgment
  • Involuntary and rapid movement of the eyeball
  • Weight loss
  • Agitation
  • Irritability
  • Insomnia
  • High blood pressure
  • Irregular heartbeat

Other prescription drug abuse symptoms include:

  • Stealing, forging or selling prescriptions
  • Taking higher doses than prescribed
  • Excessive mood swings
  • Increase or decrease in sleep
  • Poor decision making
  • Appearing to be high, unusually energetic or revved up, or sedated
  • Continually "losing" prescriptions, so more prescriptions must be written
  • Seeking prescriptions from more than one doctor

When to see a doctor
Talk to your doctor if you think you may have a problem with prescription drug use. You may feel embarrassed to talk to your doctor about it — but remember that medical professionals are trained to help you, not judge you. Identifying prescription drug abuse as soon as possible is important. It's easier to tackle the problem early before it becomes an addiction and leads to more serious problems.

Helping a loved one
It can be difficult to approach your teen, family member or friend about prescription drug abuse. Denial and anger are common reactions, and you may be concerned about creating conflict or damaging your relationship with that person. Be understanding and patient. Let the person know that you care about his or her wellbeing. Encourage your loved one to be honest about his or her drug use and to accept help if needed.

References
  1. Parran TV. Prescription drug abuse. http://www.uptodate.com/home/index.html. Accessed May 11, 2010.
  2. NIDA InfoFacts: Prescription and over-the-counter medications. National Institute on Drug Abuse. http://www.drugabuse.gov/infofacts/PainMed.html. Accessed May 11, 2010.
  3. Prescription drugs facts and figures. Office of National Drug Control Policy. http://www.whitehousedrugpolicy.gov/drugfact/prescrptn_drgs/rx_ff.html. Accessed May 17, 2010.
  4. Prescription drug abuse chart. Office of National Drug Control Policy. http://www.drugabuse.gov/DrugPages/PrescripDrugsChart.html. Accessed May 11, 2010.
  5. Preventing and recognizing prescription drug abuse. National Institute on Drug Abuse. http://www.drugabuse.gov/researchreports/prescription/prescription6.html. Accessed May 11, 2010.
  6. McCabe SE, et al. Motives for nonmedical use of prescription opioids among high school seniors in the United States. Archives of Pediatric and Adolescent Medicine. 2009;163:739.
  7. Prescription drug abuse. Nemours. http://kidshealth.org/teen/drug_alcohol/drugs/prescription_drug_abuse.html. Accessed May 17, 2010.
  8. Youth risk behavior surveillance - United States, 2009. Center for Disease Control and Prevention. http://www.cdc.gov/mmwr/pdf/ss/ss5905.pdf. Accessed June 8, 2010.
  9. Proper disposal of prescription drugs. Office of National Drug Control Policy. http://www.whitehousedrugpolicy.gov/publications/pdf/prescrip_disposal.pdf. Accessed May 11, 2010.
DS01079 June 25, 2010

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