In opioid use disorder, what behavior indicates a significant level of addiction?

Spending much time seeking opioids is a clear indicator of a significant level of addiction in individuals with opioid use disorder. This behavior reflects a deep level of compulsion where the individual prioritizes obtaining the drug above other aspects of life. It suggests that the person's focus is primarily on acquiring opioids, which can lead to neglect of responsibilities or engagements that are typically important in their daily life, such as work, relationships, or personal health. This compulsive behavior can manifest in various ways, such as searching for doctors who will prescribe opioids, visiting multiple pharmacies, or engaging in illegal activities to procure the drugs.

Occasional recreational use and trying to quit without support do not necessarily indicate a significant addiction level. Many people may use opioids recreationally without developing dependence, especially if it is infrequent. Similarly, the desire to quit without support can demonstrate motivation but may not reflect the severity of addiction or dependence.

Monitoring dosage strictly is typically a sign of responsible use rather than addiction. Individuals who are dependent on opioids may find it challenging to adhere to strict dosing since their cravings can lead them to misuse the medication. This behavior contrasts with responsible medication management, where individuals remain mindful of their usage. Thus, the time spent seeking opioids is the