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Originally Posted by StainlessSteelCynic
I realize as I re-read them, that I didn't figure out anything for addiction to pain killers and how to stop being addicted to them so that's something else to think about 
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The first thing that comes to mind is to treat addiction as a disease. I'm not sure exactly how to structure it, but taking the painkillers is the exposure to the disease, infectiousness would be equivalent to addiction, and it would generate penalties until the PC either makes a certain number of saves or takes the drug again (which would reset the saves). It should have a low (but non-zero) fatality.