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Can anyone offer me any advice on what to tell him?

Question:
A good friend of mine has recently started using Hydrocodone and some oxycodone. He is using it all day, taking 10-20 mg at a time. He understands the problems with the APAP in it, and uses an extraction method to get rid of it. He also seems to have very easy access to it. I was talking with him about my concerns around his use. He tells me there is no negative long term physical effect, and if he can easily obtain it and afford it, he does not see why he should not use.

I'm having hard time coming up with reasons to tell him why he shouldn't be using like this other than he's walking around in a state of 'being high' all day long. Can anyone offer me any advice on what to tell him? I'm pretty worried.


Answer:
Based on what you have posted, he is well aware of the only concerns about opiate abuse: acetaminophen and physical addiction. He extracts the acetaminophen so that is not a worry. As long as he is prepared to deal with withdrawal if and when he decides to stop using, addiction is nothing to worry about either. The bottom line is that, as long as he doesn't try to drive or operate heavy machinery while high, you should probably leave him alone.


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