Posted by shelliR on April 6, 2002, at 18:38:41
In reply to Re: Use of the Fentanyl Patch: Judy, Anyone » shelliR, posted by jay on April 5, 2002, at 21:31:53
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> Shelli:
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> There are some studies that show many of the antidepressants that affect norepinephrine help work with the pain meds. Besides some of the old tricyclics, there is also Effexor at higher doses.I don't think I have a pdoc at the moment, but as soon as I do (better be soon), I want to look at either a retry of nardil or effexor. I found when I was a lot younger that I couldn't adjust to any tricyclic, so don't want to go back there.
> I have also heard of Tegretol (and I imagine it's new cousin, Trileptal(sp??) helps with pain.<
My doctor said he wanted to work with something for immediate relief (although I don't look at 48 hours so far as immediate). I think since I was off of buprenorphine (self-medicated) for almost a week, he wanted to keep me clean to see what strength patch I really needed without overdosing me. Then, my understanding is that we will talk about other pain remedies that are slower, like neurotin, and perhaps tegrital.>
> I've been trying to explore this area for a long time, because codiene is an excellent a.d. for me, and is available OTC here in Canada. I've also been on a few other pain meds since I had a nasty motorbike accident a few years ago, and I didn't go on fentanyl, but was on a few other opiates. That's how I discovered I could use codiene for "breakthrough" depression.I didn't find that regular codiene even touched my depression even when a lower dose of vicodin did.
You are lucky that such a small amount of narcotic helps (especially after being on heavier opiates). I wouldn't worry so much about ACH, unless you are taking huge doses. At least that's what I was told by the guy who did the bupe study. When I was taking a small amount of vicodin and wondering whether I should switch to buprenorphine, he didn't think it was worth the bother since I wasn't going up. I asked about ACH and he was the one who told me not to overreact to it, that it told a really high dose to be affected by it.Thanks for your info.
>Shelli
poster:shelliR
thread:102083
URL: http://www.dr-bob.org/babble/20020402/msgs/102169.html