Methadone Heroin

Question by john: is oxycontin like using heroin?
my daughter is taking oxycontin & oxycodone for pain. She has a tear in her rectum. Someone told me this is like taking heroin and is addicting

Best answer:

Answer by Mathieu
Here is a tip, anyone who says “opiates are synthetic heroin” is wrong- it is just a fact.

By most definitions oxycodone is NOT an opiate, it is an opioid.
Opioids are natural or synthetic compounds that produce morphine-like effects primarily by binding to mu opioid receptors. [Note: The term opiate is reserved for drugs, such as morphine or codeine, obtained from the sap of the opium poppy].

Also diacetylmorphine (heroin) is a semi-synthetic opioid, it is NOT natural. Oxycodone is also a semi-synthetic opioid. They are both equally as natural and equally as synthetic.

Having said that both heroin and oxycodone are full opioid agonists.

All full opioid agonists including morphine, oxycodone, oxymorphone, diacetylmorphine (heroin), hydromorphone, fentanyl, pethidine (aka meperidine), and methadone are used for pain, they are all addictive and they can also cause physical dependency (not the same as addiction).

Whoever told you that oxycodone like heroin is, to some extent, correct but it is miss represented.

All full opioid agonists have an equal risk of addiction however the only source of prescription opioids are from doctors, heroin is available on the street, it is cheaper than prescription drugs, and when injecting is causes a very rapid high. However an equivalent amount of other opioids would produce the same effects.

Also heroin has no pharmacological actions, it does nothing however it is highly lipophilic (fat loving) so it can enter the brain like a bullet train but once it is there is almost instantly (within 3-6 min) deacetylates into morphine and it is the morphine that produces the euphoria.

They made heroin by adding an acetyl group (a small chemical functional group), adding acetyl is called acetylation so when heroin deacetylates it is removing the group leaving only morphine.

Heroin is just faster, more efficient morphine. And I assume you have heard of morphine, a legal prescription drug.

Also pain can be and often is severe and that requires powerful drugs like morphine and oxycodone. So oxycodone is certainly a drug of abuse, it is a schedule II controlled substance in The US and a schedule I controlled substance in Canada so yes addiction can happen. However using opioids for a legitimate has almost no risk of causing addiction.

In this case a doctor has examined your daughter and he feels that the use of oxycodone is appropriate. Would you rather have your daughter in agony? Of course not.

Also cocaine, amphetamines (speed), methamphetamine, GHB are LEGAL prescription drugs. In The UK heroin is a prescription drug called diamorphine. Many countries like Canada have limited access programmes that provide pharmaceutical grade heroin to AIDS and cancer patients in severe pain who have not responded well to other drugs and Rohypnol is legal in about half the world.

Opioids are used all the time, after a surgery, for a terrible migraine, for a heart attack, and anything that causes significant pain. It is also considered medically unethical to not prescribe opioids to people who need them. And people who need pain control and don’t get it have a HIGHER risk of developing substance abuse, developing a disability, having psychiatric problems like insomnia, anxiety, and depression, and there is a higher risk of having chronic pain.

If I still have not convinced you that it is fine for her to be on oxycodone I take MS Contin (morphine continuous-release) for chronic pain and OxyIR (oxycodone) for break threw pain. I also am a medical resident (I think that is the US term)- do you think I would be allowed to do that if I was acting like a heroin addict?

Also OxyContin is a brand name drug that is oxycodone, the opioid, in a continuous-release form (Oxy = Oxycodone and Contin = continuous-release). That drugs is taken every 12hrs for people who need continuous pain relief. If she also takes a separate drug with oxycodone that is a fast acting drug.

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