or else they give me insomnia to the high heavens. Usually, it's the pills cut with acetaminophen that do it..." /> or else they give me insomnia to the high heavens. Usually, it's the pills cut with acetaminophen that do it..." />

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Re: Ultram withdrawal! » Mb

Posted by Elizabeth on July 26, 2001, at 23:32:51

In reply to Re: Ultram withdrawal! » Elizabeth, posted by Mb on July 23, 2001, at 17:08:00

> I don't understand it. Sometimes they will allow me to fall into the most beautiful sleep state with these evanescent glimpses of soothing images...

"nodding?"

> or else they give me insomnia to the high heavens. Usually, it's the pills cut with acetaminophen that do it. Do you think the tylenol could cause the paradoxical insomnia?

I doubt it. Remember the rule that reactions to psychotropic drugs can depend greatly on set and setting.

> I bring this up because you mentioned buprenorphine keeping you up. Why do you think the buprenorphine does?

All opioids do that to me. I have no idea why.

> I would say that it blocked withdrawal for 2.5 hours, but it's possible that it continued to mitigate the symptoms even after that, but that I didn't notice...so it's not necessarily incongruent with your experience...all I know is when symptoms returned.

People who take buprenorphine for opioid addiction often need to take it only once a day.

> Yeah, but it's weird...it's a bittersweet emptiness...like having an unrequited crush when you're thirteen years old. I don't know if that would be melancholia. What exactly *is* melencholia, anyway? I've never really fully understood that term in the clinical sense.

The main distinctive characteristic of "melancholic" depression is lack of mood reactivity and near-total anhedonia. The depression is unlike normal grief or feelings of loss. Some associated features are early-morning awakenings; worst mood in the morning; appetite loss (food doesn't taste good, the desire to eat is lost); marked psychomotor changes (slowing down or agitation); and intense feelings of guilt.

> Yeah, I think "evil presence" is a red flag for pdocs. Anything that resembles a delusion with religious overtones gets them hot. hahaha...I mean that tongue-in-cheek to a certain degree, but there's also some truth to it.

It's just one of those odd feelings that people can have. Even a generally skeptical atheist can have a "mystical experience" under the right conditions.

-elizabeth


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