Experiencing temporary blackouts or short-term memory loss
Extreme mood swings
Exhibiting signs of irritability and extreme mood swings
Making excuses for drinking
Making excuses for drinking such as to relax, deal with stress or feel normal
Becoming isolated and distant from friends and family members.
Persistent desire or unsuccessful efforts to cut down or control opioid use
Craving, or a strong desire or urge to use opioids
Tolerance (i.e., need for increased amounts or diminished effect with continued use of the same amount)
Giving up or reducing activities because of opioid use.
Must smoke or chew
must smoke or chew after every meal or after long periods of time without using, such as after a movie or work meeting
Won’t attend events
gives up activities or won’t attend events where smoking or tobacco use is not allowed
Has withdrawal symptoms
has withdrawal symptoms when they try to quit (shaky hands, sweating, irritability, or rapid heart rate).
continues to smoke despite health problems