The scene where House and Wilson are loudly having an argument over him upping his dosage again and Wilson saying he needs help for his problem and House denying he has a problem while the pharmacy tech House is getting his refill from is standing right therehttps://twitter.com/fencingmonkey/status/1305360135942930437 …
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Because, as you say, it's the wrong kind of drug, it's the kind that badly interferes with your ability to function as a detective at all (much like becoming an alcoholic would)
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Holmes is not a drug addict. Holmes is an adrenaline addict. He specifically uses cocaine to self-medicate when he does not have a case. I'm not saying he wouldn't develop a dependency, but he's using uppers. The modern equivalent would be Holmes as a meth-head.
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