In my latest episode, I sat down with David Reeser, CEO of OpiAID, to explore the impact of opioid addiction on older adults. It’s heartbreaking to see how addiction, often beginning as a necessary pain relief solution, can turn into a cycle of dependence. David shared how symptoms like unexpected “flu-like” illness might actually be withdrawal and discussed how addiction can develop as opioids are used to ease chronic pain, anxiety, or simply to feel “normal.”

We also talked about the warning signs of addiction in older adults, such as mood changes, social withdrawal, and even financial issues. Shockingly, overdose rates are higher in people over 65 than in younger populations. Prevention starts with simple steps, like removing expired prescriptions from medicine cabinets to prevent misuse. David recommended using products like DisposeRx or DestroyRx to safely deactivate unused medications.

When it comes to over-the-counter pain relievers, David advised caution—especially for those over 65. Ibuprofen, for instance, can increase the risk of gastrointestinal bleeding, while Tylenol should be taken carefully due to potential liver risks. These medications are not always as safe as they seem for older adults.

OpiAID offers an innovative approach to treatment, using data science and machine learning to personalize support for those with substance use disorders. By analyzing lab results, appointments, and behavioral metrics, OpiAID provides clinicians with crucial insights, and their use of wearable technology helps detect withdrawal and monitor recovery. Their future “Neighbor app” aims to offer recovery reminders based on personal motivations, although it’s not available yet.

For now, OpiAID services are available through clinics offering medication for opioid use disorder (MOUD). If your clinic doesn’t offer it, let them know, as community demand can often encourage adoption of new technologies like OpiAID. To learn more about their work, visit opiaid.ai.

David reminded us that recovery is possible, regardless of how long addiction has persisted. If you or a loved one is facing addiction, know that help is available, and that reaching out can be the first step to healing. For the full conversation, check out my YouTube channel, MelissaBPhD, where I discuss aging, caregiving, and age-friendly initiatives.