From an interview with Gavin O'Connor, the writer and director of the film:
The Tommy character reminded me in some ways of Mark Kerr, who was the subject of one of your documentaries, The Smashing Machine. How much did your experience from that production inform the sensibility of Warrior?
Smashing Machine was my introduction to the sport and the fighters in the sport. But since that film, I've met so many fighters and have been to so many fights and watched so many fights that that was just part of the DNA of what I was doing. I'm sure there's a page out of a lot of even boxers' lives, and people I know, that have sort of infiltrated the script.
If you're referring to the pills ... now that you mention it, probably unconsciously. The whole intent with Tommy was, he was coming home to see his father -- but he was coming home to see the father that he knew when he left, which was a man who was a drunk.
In the documentary (linked above), the fighter, Mark Kerr, is linked to prescription painkillers (opiates). While the reference does not tell us plainly that Tommy is using painkillers, it's a reasonably good pointer in that direction. All the familial issues that Tommy has had as well as his experience in the marines might explain why/how he became addicted to them. It's useful to note that opiates, besides dulling pain, also promote a sense of well-being and euphoria.
Prescription painkiller abuse is quite rampant nowadays in all strata of society.
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