Posted by cactus on December 5, 2008, at 20:08:25
In reply to Re: hydrocodone or tramadol for depression, posted by glennb on December 4, 2008, at 16:30:47
I have had quite a bit of dental work done this year which resulted in being prescribe oxycodone on numerous occasions. I don't like opiates/painkillers at all because they make me so sick, but oxycodone was amazing. I found it really surprising because not only was it the only thing that stopped the pain from having jaw bone cut out, it made me feel normal. Not high, just normal. Tramal also dose this too but not anywhere near what oxycodone did for me.
My GP prescribed it because my dentist gave me 4 ibuprofen tabs after he realised that he couldn't get all of my tooth out and bone needed to come out too and I had to wait 1 week to see a facial specialist to have the procedure finished. Luckily I had a routine appointment with my GP 2 hours later, "thanks the universe for that one" and she was horrified. I discussed what the oxycodone did for me when I went to get another script and she said it's quite normal for depressed patients to find relief from opiates but wouldn't prescribe them for anything but pain and she told me that this was the last script. I don't see a pdoc at this point in my life, but I think you would be lucky to get opiates from one for depression. They know they work, it's just the prescribing laws that stop them. You might get tramal but unless you have an opiate addiction I think you'll find it hard to get anything other than methadone or subutex/buprenorphine, which apparently works quite well for some people with TRD.
Basically, unless you have some chronic pain ailment or are under going chemo, your chances are next to nothing because they are so addictive. They have very short half lives which feed the need for more and higher dosing. Some come in slow release tabs, but I found the normal oxycodone much better.
Do be careful, they can turn on you so quickly you haven't even realised until it's too late. I saw quite a few friends over the years go down that path on heroin, I know that's an extreme example but it's still a similar drug with the exact same outcome at the end of the day. Almost all of my old friends are still on buprenorphine years later and when their GP lowers the dose they go back to heroin and the cycle continues, so they end up getting their original buprenorphine dose so they can function.
Talk to your pdoc or doc for the bigger picture here, you might be entitled for a low dose buprenorphine trial, but never mix tramal with AD's, some combo's can be fatal. That is if you are on or have tried any other meds first. I don't know what your history is but opiates are definitely not a good choice for 1st, 2nd or 3rd line of treatment. Good luck, Peace C
poster:cactus
thread:36063
URL: http://www.dr-bob.org/babble/20081204/msgs/866914.html