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APRIL 2021
How to talk to your kids about prescription drug misuse
by Colin Groundwater
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Until recently, the term “drug use” typically referred to illegal substances like cocaine, heroin or crystal meth. Today’s teens are more likely to get hooked on prescription medication, especially painkillers. Opioids are a class of highly effective pain relievers that includes oxycodone (brand names: OxyContin, Percocet), hydrocodone (brand name: Vicodin) and fentanyl. Teens most often receive opioid prescriptions after dental procedures ― like wisdom tooth removal ― and sports injuries.
But prescription opioids have downsides that make them prone to misuse. They can produce feelings of euphoria, like their chemical cousins heroin and morphine. And their effectiveness fades quickly. Within months, a patient can be taking dangerously high doses to feel the same relief.
If your child is prescribed opioids for pain relief after an injury or surgery, it’s important to be aware of the facts and to take an active role in their recovery. Here’s how you can help:


Alternative pain-management techniques can boost the effectiveness of over-the-counter drugs, especially in young people. Options include ice packs, distraction (video games, TV), massage, mindfulness and even old-fashioned TLC.

- Calmly explain the dangers. Many teens assume that drugs that are prescribed by a doctor and come from a pharmacy must be safe. But opioids pose special risks. The difference between the prescribed dose and an overdose can be very small. (Even with opioids prescribed by a trusted doctor, there’s always a risk of dependency.) Opioids also seriously impair your ability to drive. And it’s hard for doctors and patients to know when regular use switches to addiction ― until you try to quit. “That is when they realize they have a problem,” says Lynne Kain, an Aetna case manager who counsels young drug users. “They had never tried to stop before and thought it was just ‘recreational’ use up to that point.”
- Urge them not to share medication. Dosage is highly individual: What’s safe for one person can be dangerous for another. And opioids can be deadly when mixed with other common medications, such as anti-anxiety and insomnia drugs.
- Use your own words, not clichés. “I feel that catch phrases like ‘Just say no’ are outdated with the teen population of today,” says Kain. “Concrete facts and examples resonate more and show you are respecting their intelligence.”

Source: “How to talk to your kids about prescription drug abuse,” Aetna