Opioid Misuse in Older Adults

Potential Signs and Symptoms of Opioid Misuse

Falls and fractures

Early refill requests

Frequent reports of lost or stolen medications

Escalating doses without doctor’s approval; shortening time between each dose

Taking for symptoms other than pain: to relieve/cope with feelings and problems

Trouble thinking clearly; memory problems; not completing necessary tasks

“Doctor shopping”; increasing visits to the ER

Filling prescriptions at multiple pharmacies

Borrowing, stealing pain medications/forging prescriptions

Feeling a buzz/high after taking

Observable intoxication or withdrawal

Increased Isolation

Depression

Hyperalgesia (increased sensitivity to pain)

Memory problems and confusion

Chronic headaches

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Opioid Misuse in Older Adults

Potential Side Effects of Opioid Use

In addition to the serious risks of misuse and dependence the use of prescription opioids can have a number of side effects, even when taken as directed:

Tolerance: One might need to take more of the medication for the same pain relief.

Physical dependence: One may have symptoms of withdrawal when the medication is stopped.

Excessive Sedation

Increased Sensitivity to Pain

Breathing Problems

Constipation

Nausea, Vomiting

Dry Mouth

Sleepiness and dizziness

Confusion

Poor Motor Control

Impaired Vision and Attention

Depression

Itching and Sweating

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