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Changing addictive behaviors an...  Time for some technical
talk... One of the things which increases "dependence" is a
spike in drug blood plasma levels. Addicts do this on purpose to
get a "high". They do it by Snorting (Very fast delivery), IV
Injections, Chewing up meds and taking on an empty stomach.  The
above all produce the most amount of drug in the blood in an
attempt to get a buzz. These spikes are one of the reasons we
addicts get hooked faster than a COMPLIANT Chronic Pain Patient.
Being compliant means they take only as directed. The goal of
compliance is to maintain an even blood plasma at the minimum
amount to treat PAIN and NOT to produce euphoria (a high).
Since the blood plasma levels are lower, the levels of dopamine
at the synaptic cleft do not spike so the receptor sites do not
downregulate or decrease in number in response to the initially
MUCH higher level of dopamine released as a result of spiking.
Which comes first