this post was submitted on 01 Jun 2025
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No Stupid Questions

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I'm not looking for medical advice, but more understanding. I have chronic back pain. I can alleviate it completely with only 2 things - alcohol and a heating pad. Ibuprofen lessens it but it's still present. Muscle relaxers do nothing (which makes sense because it's not muscle related, it's spinal disk degeneration).

A tall glass of whiskey makes my back relax and I can move normally. Once it wears off tho, it's right back to tense and painful.

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[–] givesomefucks@lemmy.world 16 points 5 days ago (3 children)

Might be neuropathic.

If so, they give gabapentin out like candy, it is addictive tho so you may want to consider it "as needed" even tho they'll want you to take it on a schedule.

[–] Nurse_Robot@lemmy.world 8 points 5 days ago

Gabapentin isn't addictive as far as I'm aware, but pregabalin aka lyrica is. Both do similar things

[–] sunbrrnslapper@lemmy.world 3 points 5 days ago

I have neuropathic pain and acupuncture has helped manage it so I can stay away from these kinds of medicine. Might be worth giving a shot (if nothing else you get a nap, which I always welcome).

[–] rc__buggy@sh.itjust.works 2 points 5 days ago (2 children)

If gabapentin is addictive it must be psychological because I've been on and off of it for years now and there isn't any withdrawal I can discern.

[–] givesomefucks@lemmy.world 2 points 5 days ago

Everybody is different.

I can't metabolize most painkillers, they do literally nothing to me because I'm missing a liver enzyme. I could eat a handful of percacet every day for months and quit cold turkey easy, because I was never really getting anything out of to begin with.

There are countless reasons why people react differently to medication, that's why doctors just try random shit till something seems to work.

It might be educated guesswork, but it's still guesswork. And there's very little effort put into why/how one thing worked over others, if it works that's the end of it.

[–] OrteilGenou@lemmy.world 1 points 5 days ago (2 children)

Is withdrawal a requirement for a substance to be defined as addictive?

[–] Dasus@lemmy.world 5 points 5 days ago

Addiction and dependence are two different things. You can be dependent without addiction or addicted without dependence. For one cannabis can make people addicted, but the myth from that is because it doesn't really cause any sort of physical dependence.

On the other hand lyrica etc benzos for example and especially opiates will cause physical dependence, and even if you don't like want to take the pills, as in you don't crave them, you're not addicted to them, you may be dependent and then get withdrawal from quitting.

Addiction can also cause withdrawal, but psychological withdrawal is a bit different than physical.

[–] rc__buggy@sh.itjust.works 0 points 5 days ago (1 children)

well, addiction is dependence with harm. Every time I've been prescribed a narcotic I've felt withdrawal pains and gabapentin does not do that to me.

[–] Dasus@lemmy.world 1 points 5 days ago (1 children)

Addiction and dependence are two different things. You can be dependent without addiction or addicted without dependence. For one cannabis can make people addicted, but the myth from that is because it doesn't really cause any sort of physical dependence.

On the other hand lyrica etc benzos for example and especially opiates will cause physical dependence, and even if you don't like want to take the pills, as in you don't crave them, you're not addicted to them, you may be dependent and then get withdrawal from quitting.

Addiction can also cause withdrawal, but psychological withdrawal is a bit different than physical.

[–] rc__buggy@sh.itjust.works 0 points 5 days ago (1 children)
[–] Dasus@lemmy.world 3 points 5 days ago (1 children)

I laugh at your puny knowledge of the subject

https://en.m.wikipedia.org/wiki/Addiction

Addiction is a neuropsychological disorder characterized by a persistent and intense urge to use a drug or engage in a behavior that produces natural reward, despite substantial harm and other negative consequences.

neuropsychological disorder

https://en.m.wikipedia.org/wiki/Substance_dependence

Substance dependence, also known as drug dependence, is a biopsychological situation whereby an individual's functionality is dependent on the necessitated re-consumption of a psychoactive substance because of an adaptive state that has developed within the individual from psychoactive substance consumption that results in the experience of withdrawal and that necessitates the re-consumption of the drug.[1][2] A drug addiction, a distinct concept from substance dependence, is defined as compulsive, out-of-control drug use, despite negative consequences.[1][2] An addictive drug is a drug which is both rewarding and reinforcing.[

biopsychological situation

#A drug addiction, a distinct concept from substance dependence

[–] rc__buggy@sh.itjust.works 0 points 5 days ago (1 children)

despite substantial harm

laugh at what now?

[–] Dasus@lemmy.world 3 points 5 days ago

At your puny knowledge of the subject; conflating addiction and dependence, which I just proved to you — with sources — are two distinct medical concepts. Addiction is a neuropsychological disorder, and dependence is a biopsychological situation.

Did you miss this part here:

A drug addiction, a distinct concept from substance dependence