There's basically no difference. Chronic pain users will end up on ever higher doses and get rx's with amounts that'll make junkies jealous. Severe pain might make them even more tolerant to the drug.
Even then: I've had IV morphine at the hospital after getting my knee run through. I was high as hell. I've had hydrocodone given to me after hurting my back. Totally high, blissed out. Seems to be the common complaint: "I got pain pills, but they made me loopy!"
It's like when people say meth (or Adderall or Ritalin) works differently on people with ADHD. No it doesn't, they're just coming from a different baseline. It'll help anyone think better.
There might be some long-term problems with opiate use. Like reduced testosterone. Maybe reduced immunity (hard to tell, since so many chronic pain patients have severe illness). Prolonged constipation can certainly cause issues, too.
Even then: I've had IV morphine at the hospital after getting my knee run through. I was high as hell. I've had hydrocodone given to me after hurting my back. Totally high, blissed out. Seems to be the common complaint: "I got pain pills, but they made me loopy!"
It's like when people say meth (or Adderall or Ritalin) works differently on people with ADHD. No it doesn't, they're just coming from a different baseline. It'll help anyone think better.
There might be some long-term problems with opiate use. Like reduced testosterone. Maybe reduced immunity (hard to tell, since so many chronic pain patients have severe illness). Prolonged constipation can certainly cause issues, too.