How Did The Opioid Crisis Start br There are a lot of factors that contribute to the beginning of the opioid crisis. It started when the formulation of Oxycontin was changed to oxyneo. There is a community of opioid users who are dependent on oxycontin. They think it is a way for the less chance of abusing oxycontin. When people can no longer avail oxycontin, they migrated to the other available one which is fentanyl. It causes a quick and potent high the user is looking for. Another reason is the physicians. A patients’ survey has shown that their pain is undertreated. Physicians don’t take their pain seriously. Since they don’t want to receive a low rating, they are no longer cautious in prescribing opioids. br br If you or a loved one is looking for help with substance abuse, call our 247 helpline at 1 800-615-1067.