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Prescription drugs

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More of a question really. What do the media mean when they say that someone died suddenly of an overdose of prescription drugs?? :confused:
Been reading about the tragic death of Heath Ledger, and they're saying he had these prescription drugs by him. This cause of death/illness seems to be quite prominent lately.
Do they mean literally what they say, I mean, when you're given a prescription, you've got clear instructions to take a certain number of tablets at certain times of the day - do these people not understand this? Could you accidently take 50 tablets because you forgot or didn't understand "take one tablet twice a day" dunno
A lot of the time, celebrities seem to get themselve addicted to 'prescription painkillers' - what do they mean by that? Do they mean something like morphine or heroine or whatever, because on occasion they are given on prescription, that they can call them prescription drugs. Do they use them for recreation use, which I'm getting more and more suspect about. Is it just the mere mortals that die of 'drug' overdoses, because maybe celebrity PRs think that's too seedy for their celebs to die of??
I really don't know, lots of questions here. If it is a regular drug addiction and overdose a celebrity has died of, are we even entitled to know? After all, death is rather private - and regardless of whether you know why or not - that person is still dead, changes nothing.
I personally do think people should be made aware if celebrities have died of a drug overdose (rather than insinuating it was a prescription accident). I'm someone who is extremely anti recreation drug use, for my own reasons, borderline obsessive about it, I would prefer to be given a proper answer.
Kids look up to these people, are they being fed information thats a tad misleading - am I just naive because for years I thought 'addicted to prescription drugs' was just that, the doc was at fault for over prescribing. Or am I over suspicious in now wondering if an 'addiction to prescription drugs' is just a celebrity way of saying Junkie.
Are the media/PR brigade deliberatly be vague about the cause of death ........ or are people really getting prescription drugs that wrong?
I'm everso confused about the whole issue as you can probably see - I can't even offer much of an opinion because I don't know if what the media/PR companies call a prescription overdose is the same as a recreational overdose :dunno:
If this is the case, then isn't that rather unfair to the people that have genuinely died of a prescription overdose/accident, trying to trivialise something extremely horrific because prescription overdose is often deemed more socially acceptable than a recreational overdose?
And vice versa, misleading people by saying it was a prescription drug overdose, doesn't that trivialise the absolute anguish and self hatred of drug addiction and the utter tragedy of the loss of a life through recreational drug use? :dunno:
Missy asked:
A lot of the time, celebrities seem to get themselve addicted to 'prescription painkillers' - what do they mean by that? Do they mean something like morphine or heroine or whatever, because on occasion they are given on prescription, that they can call them prescription drugs. Do they use them for recreation use, which I'm getting more and more suspect about. Is it just the mere mortals that die of 'drug' overdoses, because maybe celebrity PRs think that's too seedy for their celebs to die of??

This bit I feel qualified to answer :thumbup:
Years ago, Mr W was getting regular, debilitating migranes. He was prescribed Co-Codamol. This is an easily available, widely used painkiller. It's a mixture of Codeine, and paracetamol.
He was prescribed it, regularly, in boxes of 100 at a time. This went on for years. He'd wake up in the morning & wouldn't be able to get up & start the day without taking co-codamol. He'd describe the feeling as a "Co-codamol" head. ONLY Co-codamol would shift the symptom. Codeine addiction manifests itself in such a way that it "manufactures" a headache to get you to take it. It can creep up on you. The doctors continued to prescribe the drug- in huge amounts- for years.
The Doctor prescribed it- it's safe surely?
Six years ago, whilst still on the tablets, Mr W developed something called a "Focal Nodular Hyperplasia" on his Liver. Never heard of it? Unsurprising- it's pretty unusual, especially for a male of his age. After exhaustive internet research, I found the one thing that could have been responsible.
Paracetamol.
One major operation, complete with mandatory hospital borne infection later- he has a lot less Liver. He also went cold turkey on the Codeine/Paracetamol cocktail that was responsible.
If he hadn't gone to the Doc's with an unrelated problem, and she hadn't been incredibly thorough in sending him for a scan, the growth would not have been spotted. It could easily have turned cancerous, and had that happened, with the Liver, he wouldn't be sitting here giving me permission to write this as a warning to others.
So, no. Prescription painkiller addiction is not confined to junkies. :thumbup:
The doctor prescribed it......
:!:
I agree with what your saying. If ive learned anything from the line of work im in, the media tend to get details very wrong, in this case they were very quick to state it was a possibly an accidental death caused by a prescription overdose? How could the media know that before even a post mortem? How do they know they really were prescription drugs? How do they know if it was accidental or not? Im guessing that its their best reasoned guess, and that maybe a member of staff said 'yeah there was an empty bottle of sleeping pills in his hand', to which the media will interperate that as they wish. On the otherhand it may be true what they say.
On the other hand, ive read that he's just finished filming the new batman film, which apparently was very difficult for him to get into character, and caused insomnia, hence the prescription drugs... but again, how reliable is this... interesting argument tho matey. Got to say, i think im with you...
Fantastic clarification Winchy, thank you :thumbup:
I'm definitely one of the ones that always blindly presumed that if the doctor prescribed it, then it's absolutely fine ...... until your post :shock:
I know if the press get hold of a celebritys drug addiction, they go wild. But if a PR person puts out a statement saying they're in treatment for prescription drug addiction, it's all quietly swept away, I have lately wondered if it's true.
A corrosion of your insides due to certain drugs, then yeh, there's your warning - but these celebs (apologies for using celebs as the scapegoat, I just don't know of anyone else I can refer to about this), ie Anna Nicole Smith, that had an accidental overdose? How does that work confused
Anna Nicole Smith had been off her head for years from what I've seen of her in her reality show and the press. So presuming this was all prescribed drugs, how could she suddenly accidently overdose :confused: Surely she must've been in some sort of medicinal routine after so long. To accidently take enough of these prescribed medicines to kill yourself......... is it possible?? dunno
i suppose to 'accidently' take an overdose of prescribed dugs, if your interlectually balanced, would take some doing, almost like 'accidently' swallowing a tub of painkillers. They seem to use the term accidently, very losely.
Quote by 8ighty3
I agree with what your saying. If ive learned anything from the line of work im in, the media tend to get details very wrong, in this case they were very quick to state it was a possibly an accidental death caused by a prescription overdose? How could the media know that before even a post mortem? How do they know they really were prescription drugs? How do they know if it was accidental or not? Im guessing that its their best reasoned guess, and that maybe a member of staff said 'yeah there was an empty bottle of sleeping pills in his hand', to which the media will interperate that as they wish. On the otherhand it may be true what they say.
On the other hand, ive read that he's just finished filming the new batman film, which apparently was very difficult for him to get into character, and caused insomnia, hence the prescription drugs... but again, how reliable is this... interesting argument tho matey. Got to say, i think im with you...

I have to say that I am extrememly anti recreational drugs - and I do think it blinkers my outlook on the subject, to the point of being narrow minded.
Insomnia? Nasty sad But to lead to suicide? You gotta be pretty bluddy fed up to contemplate that. Accidental? Possibly, I'm sure insomnia can seriously affect your mental awareness.
But I don't want to disect peoples lives individually. I suppose I was wondering if I was the only one who thought 'prescription drug accident' was the docs fault and not the patients, and suddenly wondering if it was more of an excuse - whether the drug addiction was nothing to do with medical problems etc. Just PR wording to cover up a less than previously advertised angelic lifestyle dunno
They can be anything really even paracetamol or ibropbufen.
I've also heard of another stronger prescribed painkillers that's addictive in America, begins with a V I think, but they can all cause damage if taken to excess.
I agree with Winchy she's summed it up the best wink
No problem Missy kiss
Incidentally, I just Googled Codeine addiction. :shock:
It seems it's a far better recognised issue than it was a few years back.....and I'd advise anyone taking over the counter or prescription meds regularly to go take a look.
Good thread, BTW. wink
missy... I think when the press make the distinction, it is basically an easy way for them to distinguish between legal drugs like painkillers for example and those illegal under the law....
for example next time you are in sweetshop have a look at a packet of locketts....
were you aware that on the side the instructions say you should only have one every 4 hours.....bet you didn't... how many times have you accidently overdosed??? smile....
obviously the side effects of having too many locketts may well be a lot less serious than other drugs...but it does show that it can be easily done without realising....
even water can be dangerous on the body, I remember reading a story a few months back.. a woman died after drinking 2 gallons worth in the effort of trying to win tickets in a radio contest......
also different drugs combined may have different effects on the body....
so in those instances it may well be very easily to accidently OD.....
I'm with Winchwench on this - I believe that it often is exactly what they're saying it is. It's not only celebrities that become addicted to prescription painkillers; I know several totally non-famous people who are or have been. And lots of other people who just munch painkillers like they're smarties, whenever that have a slight headache or are just feeling a bit ropey.
Many, many people do die of paracetemol overdoses every year. Tens of thousands I think it is. Sometimes suicide, but often accidental as well - people just don't imagine that anything as apparently innocuous as paracetemol, which you don't even need a prescription for, can kill you. But it can, that's why the supermarket won't sell you two boxes of it at once. But given that they can't stop you going back for more...
...and then given that codeine is really addictive (isn't it an opiate, therefore related to heroin?) and you can see how that combination could be dangerous. Particularly if you then get a different brand which has a higher content of whatever it is, without realising.
Either way, I think it's REALLY sad. It's a shame when anyone dies, but particularly someone young. Even if it was something other than prescription drugs, I mean whatever's going on. Addiction is such a horrible blight, and can take so many different forms. Often the specific thing someone is addicted to is just the manifestation of a deeper need, so you might be addicted to smack or weed or videogames or porn and all because of the basic underlying need to blot out a certain part of your daily life or your self or whatever.
I personally think, as you say, death is a private thing. We will never know the circumstances that led to it, we don't necessarily have a right to either. I don't think anyone has the right to judge others. Particularly at this time, right now, there are all sorts of reasons why I'd support the media being vague about this - not least that right now they just don't know, so it's really better to avoid slandering someone whose grieving relatives already have enough to deal with. A report I saw said ten days before anyone knows definitively what happened. There's never been a whiff of anything suggesting Heath Ledger took recreational drugs. On the other hand, if/when Amy Winehouse snuffs it, I doubt that the press will pull their punches.
Don't really know what I'm saying here, and (Missy) I pretty much agree with many of your later points. In summary, I think it's perfectly possible he did actually die of an overdose of prescription drugs, and in any case I feel that all early deaths and lives otherwise wasted through depression or addiction of whatever kind are just as tragic. I think I'll stop.
Missy I don't think your narrow minded or blinkered - you have strong feelings and views and thats to be admired. A few years back I had a strangulated hernia (guys who have had the same you know the pain) I had surgery and was prescribed a huge box of Tramake (opiate based painkiller)and the doctor at the the time told me I could take them with brufen type drugs and paracetemol. I'll be honest, like you I am anti recreational drugs, but when I was taking this combination the effects were so gratifying that I was disappointed when I ran out. These were so called prescription drugs ! Now I have just googled Tramake only to find out it's a discontinued drug with a list of worrying side effects!!! Btw off topic I know but my signature quote under my avatar is a line from Heath's career defining movie Brokeback, one of the most important movies to come out of Hollywood in decades.
Also I'd just like to add my take on the "Kids look up to these people"/"They chose to be in the public eye" kind of arguments. I can really see it, particularly for the likes of Paris Hilton, who could perfectly well have been rich and not famous had she chosen to. But my personal opinion is that for people who become famous as a by-product of being really, really good at their job, like actors or sportspeople or whatever, it's legitimate for them to want to keep some degree of privacy, and for their lives (up to and including their deaths) to be treated with a certain amount of respect. EDIT: No more or less than the rest of us /EDIT. Otherwise you're saying that shy people, private people shouldn't play sport or act.
Keira Knightley gets stick (from the press) for speaking out against press intrusion; but I think she's right to point out that in any other circumstance, where a young woman is walking home at night and a pack of men chase her down the street and then prevent her from even closing her front door, nobody would consider it acceptable.
Can I just say that there've been some astonishing posts on here. Beautiflly thought out and written worship
I've been given an insight to the dangers of prescription drugs, some stuff I know, some I didn't. I knew a lot of over the counter and prescription stuff was dangerous if misused, but could never think of any scenarios where it could be accidently misused.
So to be addicted to painkillers, would that be classed as the same as your regular illegal drug junkie??
I suppose in some ways, getting addicted to prescription/counter drugs is easier because they've been given to you by a 'professional'. Led to believe they're safe etc.
But there again - how many illegal drug addicts started out knowing they were gonne become addicted and go through hell.
Maybe stumbling into an addiction is a whole lot easier than I thought.
It's a very personal subject for me, very close to my heart .......... and the amount of times I've blamed people for becoming drug addicts is untrue....... in fact I'm not sure I'll ever get over that anger.... although it's now crystal clear that it is far from stupidity that leads on to addiction.
So an illegal drug addict and a prescription drug addict - the same thing apart from the word 'legal'?? dunno
It's kind of nice to have something serious to talk about and interesting people to talk to.
I'd just like to say, this forum is a hell of a lot better for that than the Newcastle Utd forum I'm also on. Unsurprisingly.
Quote by BjBri69
Missy I don't think your narrow minded or blinkered - you have strong feelings and views and thats to be admired. A few years back I had a strangulated hernia (guys who have had the same you know the pain) I had surgery and was prescribed a huge box of Tramake (opiate based painkiller)and the doctor at the the time told me I could take them with brufen type drugs and paracetemol. I'll be honest, like you I am anti recreational drugs, but when I was taking this combination the effects were so gratifying that I was disappointed when I ran out. These were so called prescription drugs ! Now I have just googled Tramake only to find out it's a discontinued drug with a list of worrying side effects!!! Btw off topic I know but my signature quote under my avatar is a line from Heath's career defining movie Brokeback, one of the most important movies to come out of Hollywood in decades.

Oh cor bluddy ell :shock: You've just reminded me!!
When I had my eldest I suffered from anxiety, then had my youngest and the anxiety came back and I just couldn't cope. So I was put on a slow release sedative, bluddy brilliant it was, and naively thought I was cured after one tablet rolleyes
Anyway, was on them for a month, they let me take them for a further month, but after that I wasn't allowed to take them any more, and put on anti depressants for a couple of years on and off. The anti depressants were never ever anywhere near as effective as the slow release sedative, and I was gutted about that - but the doc wouldn't put me back on them cos he didn't like prescribing for long term use.
Looking back, I could very easily of slipped into a complete addiction with the slow release thingies. They really were excellent. I went back to the docs a couple of years ago after the death of my dear cousin. I tried to get these slow release sedatives, but aparently they don't even make them any more, he said with a sharp intake of breath and tut confused
Instead I was given a few Diazipam or whatever its called, and advised to take one as needed :? Took one and just felt groggy for 4 hours, still anxious, but groggy as well :? Didn't do another one. Luckily, this time, I was able to work through this anxiety, with the help of people very close and dear to me.
So, bluddy ell, they really can be dangerous things these prescription drugs - just as dangerous as the illegal stuff :shock:
Quote by Missy
So, bluddy ell, they really can be dangerous things these prescription drugs - just as dangerous as the illegal stuff :shock:

Exactly Missy, it got to the stage where I would think of any excuse, toothache, headache etc to take the Tramake !!!!!
Quote by Missy
So, bluddy ell, they really can be dangerous things these prescription drugs - just as dangerous as the illegal stuff :shock:

Yeah - at the end of the day not that much difference between someone someone who seeks out legal drugs because they make them high, and someone who gets the same from illegal drugs. Except for the legality thing of course.
Anyone seen Requiem For A Dream? Just made me want to phone my mum and tell her I loved her...
Ok, the first part about accidental overdoses from prescription drugs, let me set a scene....
You're (for whatever reason) a heavy drinker, or something happens and you go on a drinking binge...
You know your supposed to take your meds at 10pm so you take 2 and have a few drink... then think "Have I taken my meds?" and take 2 more...and have a few drinks and think.... Sounds unreasonable, but I have known people do this and some medication is highly toxic and easily overdosed.
Paracetamol is a fantastic drug, but like all drugs (and a lot of stuff that isn't a drug eg did you know you can "overdose" on water?) it is dangerous is you treat it like smarties.
Thing that annoys me is that they won't sell you paracetamol (analgesic) and ibuprofen (non-steroidal anti-inflamatory) in more that 2 boxes. Different drugs that can be taken together, but they'll only sell you one box of each confused Ahh well I suppose nanny knows best. rolleyes
I guess the difference between the prescription drugs and the recreational drugs is that the prescriber (doctor/pharmacist etc) is supposed to ensure that the person taking them doesn't exceed the guidelines for that drug and knows exactly why they are taking them and the risks.
People will happily check out the calories on their readymeal, but will throw away the advice sheet that comes with every prescription medication. :?
I tend to like to know what I'm putting in my body and what are the potential side effects of it before I then make an educated choice (yes my GP hates me :lol2: ).
Missy, lorazepam, diazepam, temazepam, valium are all benzo's and are very addictive and are pretty dangerous as they are a depressant and will give the same problems as heroin (which is also available on prescription) if overdosed on. They are also addictive so they tend to be used for brief periods until other methods are in place to deal with the anxiety etc. ;)
Quote by easy
People will happily check out the calories on their readymeal, but will throw away the advice sheet that comes with every prescription medication. confused
I tend to like to know what I'm putting in my body and what are the potential side effects of it before I then make an educated choice (yes my GP hates me :lol2: ).

I always read the info sheet on any meds i get alot of people dont though then complain of side effects without reading the fact sheet rolleyes
Quote by easy
Missy, lorazepam, diazepam, temazepam, valium are all benzo's and are very addictive and are pretty dangerous as they are a depressant and will give the same problems as heroin (which is also available on prescription) if overdosed on. They are also addictive so they tend to be used for brief periods until other methods are in place to deal with the anxiety etc. ;)
my friend got addicted to valium one day she decided to just stop outright and did one hell of a lot of damage to herself and was in hospital for over a month
Oh and we regularly use at work, but have a look at the side effects and warnings for that drug. It's lethally toxic, but for thousands of people it makes an absolute difference to their lives. The downside is that people have to have very intrusive tests carried out on a regular basis for the duration of the time they take the medication.
Are you thinking of Vicodin (Hydrocodone and paracetamol (acetaminophen))which is what most of the ammerican footballers are addicted to.
As for the codine the body breaks codine down into the same chemical bonds as morphine giveing you the same efforic feeling which is why you get the headaches.
The problem with all prescribtion drugs is that all have side effect from one degree to another, if you was to look at the British national Formulary(BNF) you would be amazed this contains all licened drugs for the uk market and the side effects
Take Dihydrocodeine Tartrate (DF 118) Which is a morphine salt and used alot in chronic pain relif one side affect is respotory depression so if you could image some one who is in a lot of pain take one too many they could quite easly depress there respotory rate and stop breathing and if there is no one there to keep an eye on them wind up dead
Even Sildenafil has a high risk of causing cardiac dysrhythmia
This is a wonderfully insightful and enlightening thread - thanks to Missy for posting it!
I just wanted to add this link to an article I remember reading recently about a woman who died after being addicted to ibuprofen (generic name for Nurofen).
I have just had a look at the like's of ibuprofen in the BNF and one thing that stikes me is in the side effects it never mentions addiction
Quote by Garfield1
I have just had a look at the like's of ibuprofen in the BNF and one thing that stikes me is in the side effects it never mentions addiction
maybe they are assuming taking the prescribed dose wont lead to addiction ???
Quote by X_fanny_x
I have just had a look at the like's of ibuprofen in the BNF and one thing that stikes me is in the side effects it never mentions addiction
maybe they are assuming taking the prescribed dose wont lead to addiction ???
I reckon so.
Quote by jaymar
, begins with a V I think,

Vikadin?
I shall go back to reading the rest of this very interesting thread now.
I've know people to be addicted to prescription drugs... and have accidentally overdosed (to varying degrees)... though were viewed slightly differently to our superstar cousins... I'm waffling... let me return to the posts
lp
Edit:... noticed 5mins later:
Quote by Garfield1
Are you thinking of Vicodin (Hydrocodone and paracetamol (acetaminophen))which is what most of the ammerican footballers are addicted to.

see how slow this boy is?
Many suicide attempts involve an overdose of medication, medication often prescribed to alleviate the symptoms of depression. The media reports are simply cagey.
Quote by Missy
I agree with what your saying. If ive learned anything from the line of work im in, the media tend to get details very wrong, in this case they were very quick to state it was a possibly an accidental death caused by a prescription overdose? How could the media know that before even a post mortem? How do they know they really were prescription drugs? How do they know if it was accidental or not? Im guessing that its their best reasoned guess, and that maybe a member of staff said 'yeah there was an empty bottle of sleeping pills in his hand', to which the media will interperate that as they wish. On the otherhand it may be true what they say.
On the other hand, ive read that he's just finished filming the new batman film, which apparently was very difficult for him to get into character, and caused insomnia, hence the prescription drugs... but again, how reliable is this... interesting argument tho matey. Got to say, i think im with you...

I have to say that I am extrememly anti recreational drugs - and I do think it blinkers my outlook on the subject, to the point of being narrow minded.
Insomnia? Nasty sad But to lead to suicide? You gotta be pretty bluddy fed up to contemplate that. Accidental? Possibly, I'm sure insomnia can seriously affect your mental awareness.
But I don't want to disect peoples lives individually. I suppose I was wondering if I was the only one who thought 'prescription drug accident' was the docs fault and not the patients, and suddenly wondering if it was more of an excuse - whether the drug addiction was nothing to do with medical problems etc. Just PR wording to cover up a less than previously advertised angelic lifestyle dunno
Yet your profile says you drink alcohol??? Possibly one of the most damaging and addictive drugs available today.
The main problem with "accidental" overdoses is when counter-productive drugs are mixed and taken in quantity, where the patient feels that the standard dose is no longer effective. If you add alcohol to the equation the respiratory system can be sufficiently depressed to cause hypoxia.
Any precription drug can be dangerous if not taken correctly, but the majority are sanctified by the GMC because the advantages outweigh the disadvantages. ALWAYS read the patient notes, people and always finish the course of anti-biotics even if the symptoms seem to have abated.
I believe the "V" drug mentioned is probably Voltarol (generic Diclofenac), the USA's equivalent of ibuprofen.
Quote by SlurpySarah
I have to say that I am extrememly anti recreational drugs - and I do think it blinkers my outlook on the subject, to the point of being narrow minded.
Insomnia? Nasty sad But to lead to suicide? You gotta be pretty bluddy fed up to contemplate that. Accidental? Possibly, I'm sure insomnia can seriously affect your mental awareness.
But I don't want to disect peoples lives individually. I suppose I was wondering if I was the only one who thought 'prescription drug accident' was the docs fault and not the patients, and suddenly wondering if it was more of an excuse - whether the drug addiction was nothing to do with medical problems etc. Just PR wording to cover up a less than previously advertised angelic lifestyle dunno

Yet your profile says you drink alcohol??? Possibly one of the most damaging and addictive drugs available today.
Good point. I also smoke, I also eat far too much - I know only too well that had I gone down any kind of recreation drug route, I would be hoplessly addicted to that.
Maybe it's because I have that "there for the grace of god go I" attitude towards recreational drugs (and now prescription drugs) that I'm so anti them. I'm so grateful that I never went down that road. Plus the fact that they've indirectly had life changing impacts on my life on more than one occasion.
Watching one of the most lively, lovable, wonderful, vibrant, gorgeous people in my life turn into a complete irreversible arsehole, gone forever, sways any opinion I have, into a rather biased one ...... as I said, my views are blinkered, blinkered because of my personal experiences, I find it very difficult, near on impossible to be open minded about the subject.
This thread has actually opened my eyes one hell of a lot, as well as answered a ton of questions I had. I can't say that from this day forward I shall be more openminded about this subject, because I still have a lot of anger to deal with first.
Although alcohol being one of the most addictive drugs of our day I'm not so sure about, not when it's up against the more sophisticated drugs of today..... but there again, to certain people it is just as addictive as the most potent of drugs.
Is alcoholism more in the genes tho? Because not everyone does become addicted. But then there is the physical addiction, when you see an alcoholic coming down from it, you can see the physical withdrawal effects :shock: Or can anyone become an alcoholic? :dunno: From my experiences of both alcohol and knowing alcoholics, it seems to be in the genes :dunno:
The physically addictive drugs, I feel, are not in the genes, they're designed to capture anyone that uses them, in the shortest timespan possible confused
isn't there some sort of phrase about one mans wine is another mans poison ? anyway.. what I am getting at is that alcohol can be anything you want it to be. As can any other substance. Plenty of people become dependent on sugar. So much so they create their own diabetes.
Alcohol, like any other drug whether it be hard/soft, class 1/2/3 prescription/illicit is only a problem when the behaviour of the person consuming it interferes with their 'normal' life.
The classifications of drugs and whether one is 'worse' or 'better' than the other is purely subjective. If someone uses something to alter their state of mind for a specific reason and every time that reason occurs they have that substance they can and will become dependent. Sometimes it is manageable. Sometimes it isn't.
arghhh I am just going to be quiet now.