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I've spent a good deal of time reading opioid users forums and I think that statement only half tracks. The way opioid users describe the high of slower release opioids (i.e. oxycotin pills), and to some degree snorting/smoking opioids, is not radically different from other drugs. The way opioid users talk the high of injection opioids is totally different: they describe an immediately obsession-inducing experience. As one user said, injection "fundamentally changes your relationship with your self."

Non-injection administration dominates illicit opioid use* overall[1], but injection causes most overdoses[2]. Illicit use and overdoses are two related but separate aspects of the opioid crisis, so I think it's fair to say that many illicit users would be addicted to something else anyway, but the same cannot necessarily be said for injection users.

*I say illicit opioid use instead of opioid addiction or abuse because this study includes users who might not be addicted or might be using it for medical purposes

[1]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2967505/ [2]https://www.ncbi.nlm.nih.gov/pubmed/11964108






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