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Re: Depression With Fearful Anxiety - Help! » Sigismund

Posted by bulldog2 on November 29, 2009, at 14:12:40

In reply to Re: Depression With Fearful Anxiety - Help!, posted by Sigismund on November 29, 2009, at 3:02:12

> To what extent do you feel that your anxiety and depression are caused or exacerbated by the reduction from 60 to 20 oxycodone?
>
> If I am not mistaken, you have been at 20 for a little while.
>
> There are a couple of things to say about opiate withdrawal (if this is applicable)....
> 1. Nothing is as helpful for withdrawal by a country mile as another opiate
> 2. Nothing much helps, although there are exceptions.
> 3. There is never a good time to do it.
> 4. It takes as long as it takes.
>
> But some things you say make me wonder if it is opiate withdrawal ('My depression is mixed with this intense fearful anxiety. At times feel like I am dying.' 'Whenever I close my eyes I fear I will die.') whereas other things you say confirm it ('However I think recent events may have triggered some form of ptsd' 'I'm overeating and just watch tv all day''My body is extremely sensitive and feels a lot of pain.')
>
> It is a common experience that opiate withdrawal precipitates an emotional state of extreme sensitivity and instability, and that this is as difficult for the person withdrawing as the physical discomfort.
>
> If it is related to your reduction, the withdrawal of the last bit will be the biggest challenge. 60mg oxycodone (that's what it is, no?) is a lot to withdraw from.

This opiate journey is a bit over four months. I was started at 40 mg percocet prior to hip surgery. That was increased to the 50-60 range because 40 was not doing the trick. Was at 50-60 for a couple of months. Rarely took 60, so 50 was more the two month dose. In the past two months after surgery stayed at 50 -60 for a couple of weeks and than began tapering down. Have been on 20 mg for a couple of weeks.
Have to complete the weaning rather quickly as I only have a few pills left. Will have to go to 1 pill and than 1/2 a pill in just several days.

Do I ask the doc for more pills as the weaning will be quite abrupt at the end?

 

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