Posted by CaptainAmerica1967 on October 22, 2011, at 2:14:54
In reply to Re: opiates and major depression » europerep, posted by Chairman_MAO on October 21, 2011, at 18:22:37
I don't care if a medication is addicting (going off an antidepressant is extremely very harsh too) at this point in my life if it will make me functional as the 100's of other medications/Tx's (antidepressants, other psychiatric labeled and off-labeled meds, small dose patch testosterone, UK meds unavailable in the USA, ECT, acupunture, meditation, spiritual tx John of God in Brazil(crystal colored lights tx, blessed passionflower which is an MAOI herb, supposedly a spirit (physician) enter your body from John of God to your body to fix the underlying cause of DZ-felt good for two month afterword-placebo?), supplements- nutraceuticals, herbs, mega vitamin tx, etc) didn't help, but only sleep deprivation, cold water treatment, and physical exercise helped with MAOI Nardil at the time and I'm sure I'll be on an antidepressant the rest of my life anyways and have been since I was 16y/o except for a two year period when I exercised 4Xs a day for at least 1 hour at a time(7AM,12PM,5PM,10PM) which if one has a career is almost impossible, but I was a pharmaceutical medical science liaison for those two years and one can get away when they want from work being in the field. Working out 4X/day probably was tough overall on my joints hence I have osteoarthritis (OS) at 44y/o (started @40y/o when I had to stop working out and left career) and one generally doesn't start to see OS in patients until their 60's and beyond.
I'm going to try the Butrans (buprenorphine patch)5 mcg/hr = 5 mg Subutex as I'm currently taking 4 mg Subutex a day and insurance will cover Butrans indicated for chronic pain, but not Subutex as I'm not an addict although my Dad(29y/o)died from a heroin/speed injection overdose when I was 5y/o in 1972 which I probably suffered from PTSD as I cried constantly as a child for no reason but my relatives, Mother didn't know why I cried but seeing him drop dead in front of me for a child of 5y/o can be traumatic.
Maybe I had the tendency or lack of opioids if he was using heroin/speed at the point of my conception but family members so no as he was in great shape, hadn't lost muscle, perfomed well at work and it was after I was conceived when he had semi lay-offs in his career and he started injecting heroin /c speed and lost all of his muscle mass, became thin (250pds to 200pds).
If physicians would think about the aspect that someone with treatment resistant depression that's tried everything including ECT that hasn't responded then why not try a low dose of an opioid like buprenorphine if they have their specialized license to RX buprenorphine as not all do from what I understand? Again, unless the patient has deep brain stimulation device implant, they will be on medications the rest of their life anyways.
Best wishes to all
poster:CaptainAmerica1967
thread:81414
URL: http://www.dr-bob.org/babble/20111016/msgs/1000467.html