Signs of Prescription Drug Abuse: What to Look For

Prescription drug abuse often goes undetected because the substances are legal and medically prescribed. Recognizing warning signs early can help someone get the treatment they need.

Key Signs of Prescription Drug Abuse

Physical Changes

Observable physical indicators include:

• Bloodshot or glazed eyes
• Pinpoint or dilated pupils
• Frequent nosebleeds (stimulants)
• Neglected personal hygiene
• Sudden weight changes
• Changes in sleep patterns
• Slurred speech
• Coordination problems

Behavioral Shifts

Watch for changes in behavior:

• Mood swings and irritability
• Secretive behavior
• Dishonesty about medication use
• Social withdrawal
• Neglecting responsibilities
• Loss of interest in activities
• Changes in social circles
• Defensive when questioned

Financial Red Flags

Money-related warning signs:

• Unexplained expenses
• Doctor shopping (visiting multiple doctors)
• Missing money or valuables
• Selling possessions
• Financial problems despite income
• Requests for money without explanation

Relationship Changes

Impact on relationships:

• Withdrawal from family
• Conflicts with loved ones
• Neglecting important relationships
• New associations with substance users
• Loss of trust
• Secretive behavior

Drug-Specific Indicators

Opioid Abuse Signs

Prescription opioids (Oxycodone, Hydrocodone, Fentanyl):

• Pinpoint pupils
• Drowsiness and nodding off
• Constipation
• Slowed breathing
• Mood changes
• Taking more than prescribed
• Running out early

Benzodiazepine Abuse Signs

Anti-anxiety medications (Xanax, Valium, Klonopin):

• Excessive drowsiness
• Confusion
• Memory problems
• Slurred speech
• Coordination issues
• Combining with alcohol
• Doctor shopping

Stimulant Abuse Signs

ADHD medications (Adderall, Ritalin):

• Increased energy and alertness
• Decreased appetite
• Weight loss
• Insomnia
• Anxiety and paranoia
• Rapid heartbeat
• Mood swings

Sedative Abuse Signs

Sleep medications (Ambien, Lunesta):

• Daytime drowsiness
• Memory gaps
• Confusion
• Strange behaviors while "asleep"
• Taking more than prescribed
• Difficulty functioning without medication

How to Help

Approaching the Conversation

When you suspect abuse:

• Choose a private, calm setting
• Express concern without judgment
• Use "I" statements
• Avoid accusations
• Have information ready
• Be prepared for denial

Getting Professional Help

Resources available:

• SAMHSA's 988 Crisis Lifeline
• FindTreatment.gov
• FindSupport.gov
• Local addiction specialists
• Primary care physician
• Emergency services if immediate danger

Supporting Recovery

How to help someone in treatment:

• Learn about addiction
• Attend family therapy if offered
• Set healthy boundaries
• Offer emotional support
• Avoid enabling behaviors
• Take care of yourself too

Final Thoughts

Recognizing the signs of prescription drug abuse early can save lives. Physical changes, behavioral shifts, and financial red flags all indicate potential problems. Professional treatment provides the best path to recovery.

Amity Behavioral Health offers comprehensive assessment and treatment for prescription drug addiction. Contact us for confidential help.