Signs of Prescription Drug Use: What to Watch For

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Prescription drug abuse is a growing concern in Ireland and across the globe, affecting people from all backgrounds and age groups. What begins as a legitimate use for managing pain, anxiety, or sleep issues can sometimes spiral into dependency and addiction. Recognising the early signs of prescription drug misuse is vital. Early intervention can prevent long-term damage and help individuals access the support they need to recover.

At Tabor Group, we provide professional, compassionate addiction treatment for individuals struggling with prescription drug addiction. In this blog, we highlight the common signs of prescription drug abuse so you can take informed and empathetic action if someone close to you is at risk.

Common Signs of Prescription Drug Abuse

  1. Physical Symptoms
    Unexplained changes in appearance or physical health may be among the first visible indicators. Look out for:

• Dilated or constricted pupils
• Bloodshot eyes
• Slurred speech or unsteady movements
• Frequent nosebleeds (especially with snorted medications)
• Sudden weight changes
• Unusual body odour or poor personal hygiene

These symptoms can vary depending on the type of medication being misused—such as opioids, sedatives, or stimulants.

  1. Mood Swings and Behavioural Changes
    Prescription drug abuse often affects a person’s emotional stability and personality. Be alert for:

• Extreme mood swings (euphoria followed by deep lows)
• Sudden irritability, paranoia or agitation
• Increased aggression or impulsive behaviour
• Lying, manipulation, or secretive habits
• Loss of interest in hobbies or relationships

  1. Disrupted Sleep Patterns
    Many prescription drugs, especially stimulants and sedatives, can alter natural sleep cycles. You may notice:

• Insomnia or hypersomnia (excessive sleeping)
• Restlessness or pacing at odd hours
• Noticeable fatigue or nodding off during conversations

  1. Social Withdrawal and Isolation
    As prescription drug dependence develops, individuals may withdraw from their usual routines and relationships. Warning signs include:

• Avoiding family and friends
• Cancelled plans and frequent excuses
• Spending more time alone or in secrecy

  1. Neglecting Responsibilities
    A significant sign of prescription drug abuse is a growing disconnection from everyday responsibilities. Look out for:

• Poor performance at work or school
• Missed deadlines or frequent absences
• Ignoring household duties or personal obligations

  1. Doctor Shopping or Seeking Multiple Prescriptions
    To maintain access to the drug, individuals may:

• Visit multiple doctors or emergency departments
• Exaggerate symptoms or falsify conditions
• Frequently "lose" prescriptions or request early refills

This behaviour is a strong red flag for prescription drug misuse and often signals a developing addiction.

  1. Increased Tolerance and Withdrawal Symptoms
    Over time, the body becomes tolerant to the effects of the medication. When not taken, individuals may experience withdrawal symptoms such as:

• Sweating, shaking or muscle pain
• Nausea or vomiting
• Anxiety, depression or panic attacks
• Intense cravings

These signs indicate that the person may no longer be using the drug for its intended purpose, but to avoid withdrawal or maintain a sense of normality.

What to Do if You Suspect Prescription Drug Abuse
Recognising these signs is the first step - but what you do next is equally important. It’s vital to approach the situation with compassion, patience, and without judgment. Open a dialogue by expressing concern and offering your support. Addiction is a complex condition, but help is available - and recovery is possible.

At Tabor Group, we specialise in treating addiction through evidence-based, client-centred care. Our team provides both residential and community-based addiction treatment programmes for men and women over 18 across Ireland.

Get Help Today
If you or someone you care about is showing signs of prescription drug misuse, don’t wait for things to get worse. Professional help can make all the difference.

Call us on +353 (21) 488 7710 or Email: info@taborgroup.ie

Tabor Group is here to support you on the path to hope, healing and recovery.