{"id":88695,"date":"2026-10-20T09:58:13","date_gmt":"2026-10-20T08:58:13","guid":{"rendered":"https:\/\/www.tratamientodelasadicciones.org\/?page_id=88695"},"modified":"2026-10-20T11:36:50","modified_gmt":"2026-10-20T10:36:50","slug":"addiccio-als-opiacis","status":"publish","type":"page","link":"https:\/\/www.tratamientodelasadicciones.org\/ca\/addiccions\/addiccio-als-opiacis\/","title":{"rendered":"Addicci\u00f3 als opiacis"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"88695\" class=\"elementor elementor-88695 elementor-bc-flex-widget\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3a90ad7e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3a90ad7e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-9f79d0e\" data-id=\"9f79d0e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-748e735 fsc-guide elementor-widget elementor-widget-text-editor\" data-id=\"748e735\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Els <strong>opiacis<\/strong> s\u00f3n subst\u00e0ncies que provenen de l\u2019opi, la resina del cascall, o que es fabriquen a partir d\u2019aquest, com la morfina, la code\u00efna o l\u2019hero\u00efna. Actuen sobre el sistema nervi\u00f3s central com a depressors: calmen el dolor, seden i produeixen una sensaci\u00f3 intensa de benestar. Aquesta mateixa acci\u00f3 explica la seva gran capacitat per generar depend\u00e8ncia i el risc de sobredosi, perqu\u00e8 en exc\u00e9s frenen la respiraci\u00f3.<\/p><h2>Qu\u00e8 s\u00f3n els opiacis i en qu\u00e8 es diferencien dels opioides<\/h2><p>Els dos termes es fan servir sovint com a sin\u00f2nims, tot i que no s\u00f3n exactament el mateix:<\/p><ul><li><strong>Opiacis:<\/strong> les subst\u00e0ncies naturals de l\u2019opi, com la morfina i la code\u00efna, i les semisint\u00e8tiques que se n\u2019obtenen, com l\u2019hero\u00efna (diacetilmorfina).<\/li><li><strong>Opioides:<\/strong> un concepte m\u00e9s ampli que inclou qualsevol subst\u00e0ncia que actu\u00ef sobre els mateixos receptors del cervell, incloses les totalment sint\u00e8tiques, com la metadona, el fentanil o el tramadol.<\/li><\/ul><p>Molts opioides s\u00f3n medicaments imprescindibles per tractar el dolor intens i s\u2019utilitzen amb seguretat sota control m\u00e8dic. El problema sorgeix quan es prenen sense prescripci\u00f3, en m\u00e9s quantitat o durant m\u00e9s temps de l\u2019indicat, o quan es tracta de subst\u00e0ncies il\u00b7legals com l\u2019hero\u00efna.<\/p><h2>Opiacis com a drogues: els m\u00e9s habituals<\/h2><h3>Hero\u00efna<\/h3><p>\u00c9s l\u2019opiaci il\u00b7legal m\u00e9s conegut. Es pot fumar, esnifar o injectar. Als anys vuitanta i noranta predominava la via injectada, molt lligada a la transmissi\u00f3 del VIH; avui s\u00f3n m\u00e9s freq\u00fcents la fumada i l\u2019esnifada, per\u00f2 cap via no evita la depend\u00e8ncia ni la sobredosi.<\/p><h3>Analg\u00e8sics opioides<\/h3><p>La code\u00efna, el tramadol, l\u2019oxicodona o la morfina poden provocar toler\u00e0ncia i depend\u00e8ncia, fins i tot quan es van comen\u00e7ar a prendre per un motiu m\u00e8dic justificat. El risc augmenta si es fan servir per calmar l\u2019ansietat, dormir o \u00abdesconnectar\u00bb, i no nom\u00e9s per al dolor.<\/p><h2>Hero\u00efna: efectes a curt i llarg termini<\/h2><h3>Efectes immediats<\/h3><ul><li>Plaer intens i sensaci\u00f3 de calma, seguits de somnol\u00e8ncia.<\/li><li>Alleujament del dolor f\u00edsic i tamb\u00e9 del malestar emocional.<\/li><li>Pupil\u00b7les molt contretes, boca seca, n\u00e0usees i v\u00f2mits, sobretot al principi.<\/li><li>Respiraci\u00f3 i pols m\u00e9s lents.<\/li><\/ul><h3>Efectes del consum continuat<\/h3><ul><li><strong>Toler\u00e0ncia r\u00e0pida:<\/strong> cada vegada en cal m\u00e9s per notar el mateix, i el consum acaba servint sobretot per no trobar-se malament.<\/li><li><strong>Salut f\u00edsica:<\/strong> restrenyiment persistent, problemes de fetge i rony\u00f3, deteriorament dental, alteracions hormonals i menstruals, i infeccions com el VIH o les hepatitis si es comparteix material.<\/li><li><strong>Salut mental:<\/strong> ansietat, depressi\u00f3, errors de mem\u00f2ria i canvis en el car\u00e0cter.<\/li><li><strong>Vida di\u00e0ria:<\/strong> deteriorament de les relacions, de la feina i de l\u2019economia.<\/li><\/ul><p>Els canvis que deixen els opiacis al cervell triguen a revertir-se, de manera que el desig de consumir pot reapar\u00e8ixer molt de temps despr\u00e9s d\u2019haver-ho deixat. Per aix\u00f2 el tractament dedica tant d\u2019esfor\u00e7 a prevenir les recaigudes.<\/p><p>A m\u00e9s, \u00e9s freq\u00fcent combinar hero\u00efna amb coca\u00efna, alcohol o benzodiazepines, de vegades per compensar els efectes d\u2019un estimulant. Aquestes barreges disparen els riscos i converteixen el problema en un policonsum.<\/p><h2>Addicci\u00f3 al fentanil i a altres opioides sint\u00e8tics<\/h2><p>El fentanil \u00e9s un analg\u00e8sic que es fa servir als hospitals i en pegats per al dolor cr\u00f2nic, i \u00e9s molt m\u00e9s potent que la morfina. Fora del control m\u00e8dic resulta especialment perill\u00f3s: n\u2019hi ha prou amb una quantitat molt petita per provocar una sobredosi, i en alguns mercats es barreja amb altres drogues sense que qui les consumeix ho s\u00e0piga.<\/p><p>Alguns senyals que l\u2019\u00fas d\u2019un opioide receptat s\u2019est\u00e0 convertint en un problema s\u00f3n prendre\u2019l abans d\u2019hora o en m\u00e9s quantitat, buscar receptes en diversos llocs, fer-lo servir per a estats d\u2019\u00e0nim i no per al dolor, o trobar-se malament quan es retarda la presa. Si t\u2019hi reconeixes, comenta-ho amb el teu metge i no canvi\u00efs la pauta ni el deixis pel teu compte.<\/p><h2>S\u00edndrome d\u2019abstin\u00e8ncia d\u2019opiacis<\/h2><p>Quan una persona amb depend\u00e8ncia redueix o deixa el consum apareixen ansietat, inquietud, dolors musculars i d\u2019ossos, sudoraci\u00f3, calfreds, llagrimeig, mucositat, badalls, diarrea, v\u00f2mits i insomni. \u00c9s molt desagradable i \u00e9s una de les raons principals per les quals costa tant deixar-ho. Conv\u00e9 afrontar-la amb acompanyament m\u00e8dic, que permet alleujar els s\u00edmptomes i valorar si cal una <a href=\"\/ca\/programes-de-tractament\/desintoxicacio\/\">desintoxicaci\u00f3<\/a> supervisada.<\/p><h3>Molta cura despr\u00e9s d\u2019un temps sense consumir<\/h3><p>Despr\u00e9s de dies o setmanes d\u2019abstin\u00e8ncia, la toler\u00e0ncia baixa. Si la persona torna a consumir la quantitat que prenia abans, el risc de sobredosi \u00e9s molt alt. S\u00f3n moments delicats, per exemple en sortir d\u2019un ingr\u00e9s o de la pres\u00f3, o despr\u00e9s d\u2019un per\u00edode sense consum.<\/p><h2>Com recon\u00e8ixer una sobredosi<\/h2><ul><li>La persona no respon o no se la pot despertar.<\/li><li>Respira molt a poc a poc, de manera irregular o no respira; pot roncar o fer sorolls de gargareig.<\/li><li>Llavis i ungles blavosos, pell p\u00e0l\u00b7lida i freda.<\/li><li>Pupil\u00b7les molt petites.<\/li><\/ul><p>Davant de qualsevol d\u2019aquests signes, <strong>truca al 112<\/strong> de seguida, no deixis sola la persona i, si respira, posa-la de costat. La naloxona \u00e9s un medicament que pot revertir de manera temporal una sobredosi d\u2019opioides; la porten els serveis d\u2019emerg\u00e8ncia i alguns recursos de reducci\u00f3 de danys.<\/p><h2>Tractament de l\u2019addicci\u00f3 als opiacis<\/h2><p>L\u2019addicci\u00f3 als opiacis es pot tractar. El m\u00e9s habitual \u00e9s combinar diversos suports:<\/p><ul><li>Una valoraci\u00f3 m\u00e8dica i psicol\u00f2gica inicial per decidir si cal desintoxicaci\u00f3 i si el tractament ser\u00e0 ambulatori o residencial.<\/li><li>Tractament farmacol\u00f2gic quan est\u00e0 indicat, com els programes amb metadona o altres agonistes opioides, que redueixen el desig de consumir i els riscos. Sempre el prescriu i el controla un professional.<\/li><li>Psicoter\u00e0pia individual i de grup per entendre el consum i prevenir les recaigudes.<\/li><li>Atenci\u00f3 a la fam\u00edlia, que tamb\u00e9 necessita orientaci\u00f3.<\/li><\/ul><p>Pots ampliar la informaci\u00f3 a <a href=\"\/ca\/addiccions\/com-es-tracta-una-addiccio\/\">com es tracta una addicci\u00f3<\/a> i al nostre <a href=\"\/ca\/programes-de-tractament\/tractament-ambulatori\/\">tractament ambulatori<\/a>.<\/p><h2>Quan demanar ajuda<\/h2><ul><li>Consumeixes hero\u00efna o un altre opioide sense recepta, encara que sigui de manera espor\u00e0dica.<\/li><li>Prens un analg\u00e8sic opioide durant m\u00e9s temps o en m\u00e9s quantitat del que et van indicar.<\/li><li>Has intentat deixar-ho i l\u2019abstin\u00e8ncia t\u2019ha fet tornar a consumir.<\/li><li>Has tingut, o has presenciat, una sobredosi.<\/li><li>Et preocupa el consum d\u2019un familiar.<\/li><\/ul><p>A la Fundaci\u00f3 Salut i Comunitat oferim <a href=\"\/ca\/programes-de-tractament\/primera-visita-gratuita\/\">primera atenci\u00f3 gratu\u00efta<\/a> a Barcelona per valorar el teu cas i explicar-te les opcions. Truca al <strong>93 424 04 00<\/strong>. En una urg\u00e8ncia, truca al 112.<\/p><h2>Preguntes freq\u00fcents<\/h2><h3>Quina difer\u00e8ncia hi ha entre opiacis i opioides?<\/h3><p>Els opiacis provenen de l\u2019opi, directament o a partir dels seus derivats, com la morfina o l\u2019hero\u00efna. Opioide \u00e9s un terme m\u00e9s ampli que inclou tamb\u00e9 les subst\u00e0ncies totalment sint\u00e8tiques, com la metadona o el fentanil.<\/p><h3>Quant dura la s\u00edndrome d\u2019abstin\u00e8ncia de l\u2019hero\u00efna?<\/h3><p>Els s\u00edmptomes f\u00edsics m\u00e9s intensos apareixen en les hores posteriors a l\u2019\u00faltim consum i van remetent en q\u00fcesti\u00f3 de dies. L\u2019insomni, l\u2019estat d\u2019\u00e0nim baix i el desig de consumir poden durar for\u00e7a m\u00e9s, per aix\u00f2 \u00e9s important el seguiment.<\/p><h3>El tractament amb metadona \u00e9s canviar una droga per una altra?<\/h3><p>No. La metadona \u00e9s un medicament prescrit i controlat que permet estabilitzar-se, reduir el desig de consumir i evitar els riscos de l\u2019hero\u00efna. La decisi\u00f3 d\u2019iniciar-lo, mantenir-lo o retirar-lo es pren amb l\u2019equip m\u00e8dic.<\/p><h3>Es pot deixar l\u2019hero\u00efna sense ajuda?<\/h3><p>Algunes persones ho intenten soles, per\u00f2 l\u2019abstin\u00e8ncia \u00e9s dura i les recaigudes despr\u00e9s d\u2019un temps sense consumir comporten un risc alt de sobredosi. Amb suport m\u00e8dic i psicol\u00f2gic el proc\u00e9s \u00e9s m\u00e9s segur i t\u00e9 m\u00e9s possibilitats de mantenir-se.<\/p><h3>El fentanil \u00e9s m\u00e9s perill\u00f3s que l\u2019hero\u00efna?<\/h3><p>\u00c9s molt m\u00e9s potent, de manera que una quantitat molt petita pot provocar una sobredosi. Fora de l\u2019\u00fas m\u00e8dic, i sobretot quan apareix barrejat amb altres drogues, el risc \u00e9s molt elevat.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"lqd-css-sticky-column elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2cdd9259\" style=\"--lqd-sticky-offset:30px\" data-id=\"2cdd9259\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-71476b05 elementor-widget elementor-widget-hub_fancy_heading\" data-id=\"71476b05\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"hub_fancy_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div id=\"ld-fancy-heading-6ad906f0777a4\" class=\"ld-fancy-heading pos-rel\">\n\t\t\t<h2 class=\"ld-fh-element d-inline-block pos-rel  elementor-heading-title lqd-highlight-classic lqd-highlight-grow-left h2\"  > Primera atenci\u00f3 gratu\u00efta<\/h2>\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2bad6eb4 elementor-widget elementor-widget-hub_fancy_heading\" data-id=\"2bad6eb4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"hub_fancy_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div id=\"ld-fancy-heading-6ad906f078240\" class=\"ld-fancy-heading pos-rel\">\n\t\t\t<h5 class=\"ld-fh-element d-inline-block pos-rel  elementor-heading-title lqd-highlight-classic lqd-highlight-grow-left h5\"  > Truca\u2019ns gratis al: <a class=\"number\" href=\"tel:934240400\">93 424 04 00<\/a><\/h5>\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-50ea708 elementor-widget elementor-widget-shortcode\" data-id=\"50ea708\" data-element_type=\"widget\" data-e-type=\"widget\" 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0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Contacta amb nosaltres<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/ca\/wp-json\/wp\/v2\/pages\/88695' data-formid='4' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_4_12\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_12'>Phone<\/label><div class='gfield_description' id='gfield_description_4_12'>Aquest camp nom\u00e9s \u00e9s per validaci\u00f3 i no s'ha de modificar.<\/div><div class='ginput_container'><input name='input_12' id='input_4_12' type='text' value='' autocomplete='new-password'\/><\/div><\/div><fieldset id=\"field_4_5\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_5'>\n                            \n                            <span id='input_4_5_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.3' id='input_4_5_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_5_3' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_5_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.6' id='input_4_5_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_5_6' class='gform-field-label gform-field-label--type-sub '>Cognoms<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_4_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_1'>Tel\u00e8fon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_4_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_6\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_6'>Correu electr\u00f2nic<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_4_6' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_4_4\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_4'>Indica\u2019ns breument el motiu de la consulta<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_4' id='input_4_4' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_4_11\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consentiment:<\/legend><div class='ginput_container ginput_container_consent'><input name='input_11.1' id='input_4_11_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_4_11\"  aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_4_11_1' >He llegit i accepto la <a href=\"https:\/\/www.tratamientodelasadicciones.org\/ca\/politica-de-privacitat\/\">Pol\u00edtica de privacitat.<\/a><\/label><input type='hidden' name='input_11.2' value='He llegit i accepto la &lt;a href=&quot;https:\/\/www.tratamientodelasadicciones.org\/ca\/politica-de-privacitat\/&quot;&gt;Pol\u00edtica de privacitat.&lt;\/a&gt;' class='gform_hidden' \/><input type='hidden' name='input_11.3' value='3' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_4_11' tabindex='0'>INFORMACI\u00d3 B\u00c0SICA DE PROTECCI\u00d3 DE DADES:<br \/>\nResponsable del tractament: FUNDACI\u00d3N SALUD Y COMUNIDAD<br \/>\nFinalitat del tractament: Gestionar les consultes plantejades.<br \/>\nLegitimaci\u00f3 del tractament: Inter\u00e8s leg\u00edtim i consentiment de la persona interessada.<br \/>\nConservaci\u00f3 de les dades: Es conservaran mentre existeixi un inter\u00e8s mutu o durant el temps necessari per al compliment de les obligacions legals.<br \/>\nDestinataris: Prestadors de serveis o col\u00b7laboradors.<br \/>\nDrets: Dret a retirar el consentiment en qualsevol moment. Dret d\u2019acc\u00e9s, rectificaci\u00f3, portabilitat i supressi\u00f3 de les seves dades i a la limitaci\u00f3 o oposici\u00f3 al seu tractament. Dades de contacte per exercir els seus drets: dpd@fsyc.org<br \/>\nInformaci\u00f3 addicional: Podeu consultar la informaci\u00f3 addicional a la nostra Pol\u00edtica de privacitat.<\/div><\/fieldset><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_4' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Envia'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_4' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_4' id='gform_theme_4' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_4' id='gform_style_settings_4' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_4' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='4' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_4' value='WyJ7XCIxMS4xXCI6XCI3MTQ2Mjg5MWYwMTE4MGY2Y2JlZDYwZGRhNDYyZTVhOFwiLFwiMTEuMlwiOlwiNGFhOGU4OTY4NDAyZDU3YjNhYTA2NmU5MDBkZTQwMDFcIixcIjExLjNcIjpcIjNlOTZlNzg2NTRhMTgyZWFlYjAzZDkyMjUxZmJlMDM5XCJ9IiwiYzdmZjEzZGIyZmUyNDJhYzc4MjI5ZGNiMDUyZjc0NmIiXQ==' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_4' id='gform_target_page_number_4' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_4' id='gform_source_page_number_4' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"68\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 4, 'https:\/\/www.tratamientodelasadicciones.org\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery('#gform_ajax_frame_4').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_4');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_4').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! 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El principio activo es la diacetilmorfina que act\u00faa sobre el Sistema Nervioso Central con efectos depresores. Otros derivados de la morfina son los opi\u00e1ceos (por ejem. Metadona) y [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":11731,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_titles_title":"Opiacis: qu\u00e8 s\u00f3n, efectes de l\u2019hero\u00efna i addicci\u00f3 | FSC","_seopress_titles_desc":"Qu\u00e8 s\u00f3n els opiacis i els opioides, efectes de l\u2019hero\u00efna, addicci\u00f3 al fentanil, abstin\u00e8ncia, senyals de sobredosi i com demanar ajuda a Barcelona.","_seopress_robots_index":"","_seopress_robots_follow":"","_seopress_robots_imageindex":"","_seopress_robots_snippet":"","_seopress_robots_primary_cat":"","_seopress_robots_breadcrumbs":"","_seopress_robots_freeze_modified_date":"","_seopress_robots_custom_modified_date":"","_seopress_robots_canonical":"","_seopress_social_fb_title":"","_seopress_social_fb_desc":"","_seopress_social_fb_img":"","_seopress_social_fb_img_attachment_id":0,"_seopress_social_fb_img_width":0,"_seopress_social_fb_img_height":0,"_seopress_social_twitter_title":"","_seopress_social_twitter_desc":"","_seopress_social_twitter_img":"","_seopress_social_twitter_img_attachment_id":0,"_seopress_social_twitter_img_width":0,"_seopress_social_twitter_img_height":0,"_seopress_redirections_value":"","_seopress_redirections_enabled":"","_seopress_redirections_enabled_regex":"","_seopress_redirections_logged_status":"","_seopress_redirections_param":"","_seopress_redirections_type":0,"_seopress_analysis_target_kw":"","_seopress_news_disabled":"","_seopress_video_disabled":"","_seopress_video":[],"_seopress_pro_schemas_manual":[{"_seopress_pro_rich_snippets_type":"faq","_seopress_pro_rich_snippets_faq":[{"question":"Quina difer\u00e8ncia hi ha entre opiacis i opioides?","answer":"Els opiacis provenen de l\u2019opi, directament o a partir dels seus derivats, com la morfina o l\u2019hero\u00efna. Opioide \u00e9s un terme m\u00e9s ampli que inclou tamb\u00e9 les subst\u00e0ncies totalment sint\u00e8tiques, com la metadona o el fentanil."},{"question":"Quant dura la s\u00edndrome d\u2019abstin\u00e8ncia de l\u2019hero\u00efna?","answer":"Els s\u00edmptomes f\u00edsics m\u00e9s intensos apareixen en les hores posteriors a l\u2019\u00faltim consum i van remetent en q\u00fcesti\u00f3 de dies. L\u2019insomni, l\u2019estat d\u2019\u00e0nim baix i el desig de consumir poden durar for\u00e7a m\u00e9s, per aix\u00f2 \u00e9s important el seguiment."},{"question":"El tractament amb metadona \u00e9s canviar una droga per una altra?","answer":"No. La metadona \u00e9s un medicament prescrit i controlat que permet estabilitzar-se, reduir el desig de consumir i evitar els riscos de l\u2019hero\u00efna. La decisi\u00f3 d\u2019iniciar-lo, mantenir-lo o retirar-lo es pren amb l\u2019equip m\u00e8dic."},{"question":"Es pot deixar l\u2019hero\u00efna sense ajuda?","answer":"Algunes persones ho intenten soles, per\u00f2 l\u2019abstin\u00e8ncia \u00e9s dura i les recaigudes despr\u00e9s d\u2019un temps sense consumir comporten un risc alt de sobredosi. Amb suport m\u00e8dic i psicol\u00f2gic el proc\u00e9s \u00e9s m\u00e9s segur i t\u00e9 m\u00e9s possibilitats de mantenir-se."},{"question":"El fentanil \u00e9s m\u00e9s perill\u00f3s que l\u2019hero\u00efna?","answer":"\u00c9s molt m\u00e9s potent, de manera que una quantitat molt petita pot provocar una sobredosi. Fora de l\u2019\u00fas m\u00e8dic, i sobretot quan apareix barrejat amb altres drogues, el risc \u00e9s molt elevat."}]}],"_seopress_pro_rich_snippets_disable_all":"","_seopress_pro_rich_snippets_disable":[],"_seopress_pro_schemas":[],"_joinchat":[],"footnotes":""},"class_list":["post-88695","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.tratamientodelasadicciones.org\/ca\/wp-json\/wp\/v2\/pages\/88695","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.tratamientodelasadicciones.org\/ca\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.tratamientodelasadicciones.org\/ca\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.tratamientodelasadicciones.org\/ca\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tratamientodelasadicciones.org\/ca\/wp-json\/wp\/v2\/comments?post=88695"}],"version-history":[{"count":3,"href":"https:\/\/www.tratamientodelasadicciones.org\/ca\/wp-json\/wp\/v2\/pages\/88695\/revisions"}],"predecessor-version":[{"id":89107,"href":"https:\/\/www.tratamientodelasadicciones.org\/ca\/wp-json\/wp\/v2\/pages\/88695\/revisions\/89107"}],"up":[{"embeddable":true,"href":"https:\/\/www.tratamientodelasadicciones.org\/ca\/wp-json\/wp\/v2\/pages\/11731"}],"wp:attachment":[{"href":"https:\/\/www.tratamientodelasadicciones.org\/ca\/wp-json\/wp\/v2\/media?parent=88695"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}