Conclusion first:
Using a
hyperbaric oxygen chamber or normobaric oxygen therapy properly and as directed by a doctor
does not lead to physical dependence in the sense of drug addiction.
However, long-term oxygen use may cause adaptive changes in the body, so it must be discontinued gradually rather than abruptly.
1. No addiction like drugs or sleeping pills
True dependence or addiction involves activation of the brain’s reward system, with strong cravings and withdrawal symptoms when stopped.
- Oxygen is essential to the human body and is not an addictive substance.
- Normal oxygen therapy does not stimulate the dopamine pathway and does not cause psychological dependence or cravings.
There is no risk of becoming unable to live without oxygen or suffering severe distress without it.
2. Long-term oxygen use can make the body "adapt" to a high-oxygen environment
This is especially true for people with chronic long-term hypoxia (e.g., COPD, severe cardiopulmonary diseases):
- The body gradually adjusts to higher blood oxygen levels.
- The respiratory center becomes less sensitive to hypoxia.
- If oxygen is stopped suddenly, symptoms may include:
- Chest tightness, shortness of breath, dizziness, fatigue
- Decreased blood oxygen and worsening discomfort
This is known as oxygen adaptation / oxygen dependence, a physiological adaptation rather than addiction.
3. Special precautions
- Healthy people using high-concentration oxygen for no reason
This is unnecessary and may carry risks such as oxygen toxicity, lung injury, and vision effects, disrupting the body’s natural regulation.
- Patients with long-term hypoxia such as COPD
Oxygen use must be guided by a doctor. Do not stop or increase dosage without supervision, as this may trigger carbon dioxide retention and respiratory failure.