Usually means: Addict intensely craving or using drugs.
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We found 9 dictionaries that define the word dope fiend:

General (6 matching dictionaries)
  1. dope fiend: Merriam-Webster
  2. dope fiend: Collins English Dictionary
  3. dope-fiend: Wordnik
  4. dope fiend: Wiktionary
  5. dope fiend: Infoplease Dictionary
  6. dope fiend: Dictionary.com

Slang (3 matching dictionaries)
  1. Dope fiend: Street Terms: Drugs and the Drug Trade
  2. dope-fiend, dope fiend: Urban Dictionary
  3. Dope fiend: Twists, Slugs and Roscoes: Hardboiled Slang

Definitions from Wiktionary (dope fiend)

noun:  (derogatory, dated) A person who abuses drugs.

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