Opioids: Recognizing the Signs
Substance use disorder is a progressive disease. No one starts using heroin without warning signs. It may start with alcohol, tobacco, recreational drugs, and most commonly prescription pain killers.
Substance abuse can happen to anyone. Anyone can use drugs, anyone can become addicted, and anyone can overdose. Know the warning signs before it's too late.
Pay attention to significant changes in the physical appearance, attitude and/or behavior of the individual.
Warning Signs and Symptoms
Physical Signs
- Physical appearance
- Small pupils
- Decreased respiratory rate
- Non responsiveness
- Drowsy
- Loss or increase in appetite
- Weight loss or weight gain
- Intense flu-like symptoms (nausea, vomiting, sweating, shaky hands, feet or head, large pupils)
- Wearing long-sleeves or hiding arms
Behavioral Signs
- Change in attitude and/or personality
- Tendency to avoid contact with family and/or friends
- Change in friends, hobbies, activities and/or sports
- Drops in grades or performance at work
- Isolation and secretive behavior
- Moodiness, irritability, nervousness, giddiness
- Tendency to steal
Advanced Warning Signs
- Missing medications
- Burnt or missing spoons and/or bottle caps
- Syringes
- Small bags with powder residue
- Missing shoe laces and/or belts
