A client who has been taking oxycodone (OxyContin) for an extended period of time comes to the clinic reporting that the drug is no longer relieving his pain. Which category would be given to the client's complaint?
a. Addiction
b. Physical dependence
c. Pseudoaddiction
d. Tolerance
D
Tolerance is a state of the body's adaptation to a drug so that it takes an increase in dosage to produce similar effects. This differs from addiction, which is characterized by compulsive crav-ing for a medication, or physical dependence that manifests as the appearance of withdrawal symptoms when a drug is abruptly stopped or an antagonist is administered. Pseudoaddiction is the strong desire for a medication related to undertreatment of pain.
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