Posted by okydoky on July 10, 2008, at 8:32:24
I posted some of this before but I thought perhaps it warranted its own thread. I was hijacking others anyway.
Let me try and make this long storey short.
I have been on oxycontin for 5 years for pain. Initially prescribed by my pdoc now by urologist. Urologist suggested Subutex/Suboxone for better pain management but will not prescribe. He referred to a pain clinic supposedly a month ago. During this writing I got a call back form the clinic saying they never received my records. Called the uro's office that frustratingly said they would look into it. They do nothing unless I call the doctor after office hours. I feel like giving up again. I have no coping skills left at this point. Sorry another topic.
It was suggested here in theory that Subutex might work better with Amineptine.(http://www.dr-bob.org/babble/20080519/msgs/831295.html)That it might be more effective for depression than other opiates?
I am searching for someone to prescribe. In the mean time I find this new doc who insists on methadone. I have no addiction problems and he assured me it was for pain. I have found no information about methadone and depression or that methadone is a better analgesic than other opiates as he suggested.
He mumbled something about NMDA which I did not hear as I was extremely nervous and did say when he observed my reservations that methadone worked best on both short term and long term pain. Then he said it might take a while to work? Why would I change from a drug that is mostly controlling my pain and that for 5 years I have had no observable tolerance problems with to methadone? Better pain management would surely be of some help for me but it is by far not my most immediate problem. Suicidal thoughts would probably be at the top of my list. Actually a complete lack of functioning would top my list.
I specifically wanted to change to Subutex because of its ceiling effect and in the long run perhaps I might not have so many tolerance problems, the issue with the Amineptine and other drugs and its antidepressant properties. There is an implication that the bup has a better antidepressant action than other opiates?The possible effectiveness of Subutex for both pain and depression has prompted me to want to make this change. Barring this I do not think I would have any inclination to change pain medications.
It is unfortunate that I got this phone call during this writing as I am extremely upset once again and what ever else I might have had to say or question escapes me now.
If the stuff were not so expensive I would try and order it myself to try.
Anyway the initial agitation was this methadone thing. I am supposed to have already started it. I dont think this new doctor has my best interests in mind!
oky
poster:okydoky
thread:839099
URL: http://www.dr-bob.org/babble/20080706/msgs/839099.html