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Monkey on your back 

To have an addicction, especially a drug addiction.
Man, he's got a monkey on him back! He's so wasted!

monkey on your back 

To have a deep, uncontrollable desire to something such as Gamble, Smoke, or Drink.
Man he has that Drinking monkey on his back, it is 9:30 in the morrning and he's already drunk.

Monkey on your back 

Addiction, mostly heroin/morphine addiction.
Hey dad, you been smacking da H again, quit it bitch, you have a monkey on your back

But the morphine eased the pain,
And the grass grew round his brain,
And gave him all the confidence he lacked,
With a Purple Heart and a monkey on his back.

There's a hole in daddy's arm where all the money goes,

-John Prine - 'Sam Stone' a song about a vietnam vet returning to the US with a monkey on his back.
Monkey on your back by GG Allin11 September 1, 2013

Monkey on your back 

Severe relentless back pain one gets during opiate withdrawal.
hardest part of detox will be the monkey on your back
Monkey on your back by XsubZ April 17, 2010