Most people don't realise long-term opioid use can make pain worse, research finds
By medical reporter Sophie Scott and the Specialist Reporting Team's Celina Edmonds and Loretta Florance
When doctors prescribed pain medication for Stuart Leamer's back injury, he never imagined the drugs would almost ruin his life.
"I missed kids' birthdays, I missed grandkids' birthdays, fishing, going out in the garden," he said. "I was virtually numb, it got to the stage where nothing really mattered." "It was pretty much limiting me on anything. It was a major event even to go shopping." The great grandfather had injured his back while building a friend's house. Mr Leamer had to give up work and in the mid-90s began taking pain relievers with codeine in them. Within 18 months, he had moved onto oxycodone and finally, morphine. |
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"It got to the stage that I couldn't function properly. I couldn't make a coherent sentence," he said.
Mr Leamer had been on opioid painkillers for more than two decades and had been visiting his doctor every month for prescriptions.
For the last six years, he was mostly bed-ridden — and cared for by his wife and partner of 48 years, Tammy.
"He couldn't move. Even the kids would say I'm not coming around anymore because Dad's always in bed," she said.
The Victorian man was at his lowest point when Tammy went away to visit family.
He felt so low he contemplated suicide.
"I was really down," he said. "I was fed up with everything."
But the 67-year-old did not realise the morphine was causing many of his problems.
"I just thought it was the gradual deterioration of me," he said.
A life-changing trip to emergency
Rushed to hospital with pneumonia in September last year, Mr Leamer had to be resuscitated twice and spent time in intensive care.
Doctors told him he had to come off the opioids and he would only be able to take paracetamol.
"I was really mad at the time, really angry," Mr Leamer said.
"We know about a quarter of long-term opioid users in Australia went into hospital not on opioids, and they never came off them afterwards," Associate Professor Vagg said.
Addiction not the only side effect
Dr Jill Thistlethwaite, a consultant GP to NPS MedicineWise, said people could become dependent in as little as two weeks.
"The number of prescriptions for opioid medications has gone up markedly in the last 10 years," she said.
"And the more people that take opioids, the more risk of dependency there will be."
Mr Leamer has been off opioid medications altogether for the last eight months.
"I knew that they were addictive but what I didn't know were the other side effects besides addiction," he said.
"The slowing of your mental capacity and the impact it has on your body."
With Mr Leamer now up and about, the couple can enjoy gardening and fishing together.
He is able to drive and can spend time with his four children, 13 grandchildren and seven great-grandchildren.
"I've still got pain but I'm starting to learn to live with it and to own it," Mr Leamer said.
"It's not controlling me; I'm trying to control it now."