Before you start a course of opioids

Opioids aren't safe to even consider for some people. Your medical history, family history and personal history of substance use all help determine whether opioids are safe for you to try.

Medical conditions that increase your risk of dangerous side effects from opioid medications include:

• Sleep apnea
• Obesity
• Anxiety or depression
• Fibromyalgia

Mental health and substance abuse problems that increase your risk of opioid abuse and addiction include:

• History of severe depression or anxiety
• Heavy tobacco use
• Prior drug or alcohol rehabilitation
• Family history of substance abuse
• Personal history of substance abuse

Your doctor will ask about all of these risk factors before prescribing any new opioid medication. Be honest, and don't be afraid to ask your own questions. The safest time to prevent opioid-related problems is before you start these medications.