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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by Zo on August 24, 2001, at 19:44:15
Okay, all you PBabble brains. .I need help!
Choice 1:
I had such an unusal period of feeling normal, safe and calm after my recent appendectomy -- tons of Vicodin -- that pdoc is suggesting Buprenex.. . .
OR
He suggests a return to Zyprexa, (which also felt GOOD but was SO fattening,) . . .this time pretreating w/300mg Axid 2x daily to see if that will help get my head out of the refrigerator. . and adding Glucophage if it doesn't,
The surgery has really put my Intuition on the fritz, and I'd so appreciate your feedback.
Any thoughts? Will bupe make me nauseous? No hurling!Thank you kindly,
Zo
Posted by Neal on August 25, 2001, at 0:42:55
In reply to Buprenorphine or Olanzapine? help!, posted by Zo on August 24, 2001, at 19:44:15
Zo,
If you take choice 1, you'll know within days, if not hours if it's going to work. Great that you've got an open-minded pdoc. May I ask, what part of the country do you live in?Neal
Posted by JohnL on August 25, 2001, at 6:34:09
In reply to Buprenorphine or Olanzapine? help!, posted by Zo on August 24, 2001, at 19:44:15
> Okay, all you PBabble brains. .I need help!
>
> Choice 1:
>
> I had such an unusal period of feeling normal, safe and calm after my recent appendectomy -- tons of Vicodin -- that pdoc is suggesting Buprenex.. . .
>
> OR
>
> He suggests a return to Zyprexa, (which also felt GOOD but was SO fattening,) . . .this time pretreating w/300mg Axid 2x daily to see if that will help get my head out of the refrigerator. . and adding Glucophage if it doesn't,
>Just my opinion, but my vote would be to return to Zyprexa and do all you can to battle the weight gain. For me, both Prozac and Adrafinil have counteracted the weight gain completely. I do still have cravings for sweets, so I have to be very aware when I reach for a snack to try to keep it healthy, low cal, and low amount. And at mealtime, I have to purposely eat a normal serving and not give in to the temptation to go back for more.
Both drugs apparently have good potential for you. But of the two, Buprenorphine has the greater risks and potential problems later on, such as tolerance, pooping out, addiction and withdrawal. It is a drug better suited for short term use.
John
> The surgery has really put my Intuition on the fritz, and I'd so appreciate your feedback.
>
>
> Any thoughts? Will bupe make me nauseous? No hurling!
>
> Thank you kindly,
> Zo
Posted by jojo on August 25, 2001, at 11:08:59
In reply to Buprenorphine or Olanzapine? help!, posted by Zo on August 24, 2001, at 19:44:15
> Okay, all you PBabble brains. .I need help!
>
> Choice 1:
>
> I had such an unusal period of feeling normal, safe and calm after my recent appendectomy -- tons of Vicodin -- that pdoc is suggesting Buprenex.. . .
>
> OR
>
> He suggests a return to Zyprexa, (which also felt GOOD but was SO fattening,) . . .this time pretreating w/300mg Axid 2x daily to see if that will help get my head out of the refrigerator. . and adding Glucophage if it doesn't,
>
> The surgery has really put my Intuition on the fritz, and I'd so appreciate your feedback.
>
>
> Any thoughts? Will bupe make me nauseous? No hurling!
>
> Thank you kindly,
> Zo
I like Neal's suggestion, but be aware that about 70% of pts. who try bup do not continue with it. If the amount that you pay depends on the quantity that you get, buy only a few days supply initially.jojo
Posted by Zo on August 25, 2001, at 17:52:10
In reply to Re: Buprenorphine or Olanzapine? help!, posted by Neal on August 25, 2001, at 0:42:55
> Zo,
> If you take choice 1, you'll know within days, if not hours if it's going to work. Great that you've got an open-minded pdoc. May I ask, what part of the country do you live in?
>
> NealWhere else - California. SF Bay area, actually. Actually, Berkeley.
And hey, thanks for the simple logic! That's the part that always eludes me, and so I'm very grateful when people point it out.
Zo
p.s. Is it gonna make me throw up.
Posted by Zo on August 25, 2001, at 17:56:49
In reply to Re: Buprenorphine or Olanzapine? help!, posted by JohnL on August 25, 2001, at 6:34:09
> Just my opinion, but my vote would be to return to Zyprexa and do all you can to battle the weight gain. For me, both Prozac and Adrafinil have counteracted the weight gain completely.I gained weight on Prozac, as did my sister. Apparently about 6% of users do. Will look into the Adrafinil. .. And you know I tease you about this, but the problem was genuine hunger, genuine blood sugar crashes. . .and there is evidence Zyprexa can cause Type II Diabetes (just my luck)
The weight problems are well-beyond mere self-discipline. I was also on Dex the whole time. . .and even experienced the massive hunger while on Atkins diet, where your blood sugar is rock steady.
What do you know about Glucophage?Thanks,
Zo
> Both drugs apparently have good potential for you. But of the two, Buprenorphine has the greater risks and potential problems later on, such as tolerance, pooping out, addiction and withdrawal. It is a drug better suited for short term use.
> John
>
>
> > The surgery has really put my Intuition on the fritz, and I'd so appreciate your feedback.
> >
> >
> > Any thoughts? Will bupe make me nauseous? No hurling!
> >
> > Thank you kindly,
> > Zo
Posted by Zo on August 25, 2001, at 17:58:00
In reply to Re: Buprenorphine or Olanzapine? help!, posted by jojo on August 25, 2001, at 11:08:59
> I like Neal's suggestion, but be aware that about 70% of pts. who try bup do not continue with it.Why? What awful things happen?
Zo, not a fan of side effects
Posted by Neal on August 26, 2001, at 0:31:05
In reply to Re: Buprenorphine or Olanzapine? help! » jojo, posted by Zo on August 25, 2001, at 17:58:00
> Why? What awful things happen?
> Zo, not a fan of side effectsZo, nothing too awful, but if bup doesn't work for you, you may experience some tiredness, malaise, possibly some nausea.
Zo, can you do me a great favor. I had a good reaction to buprenorhine previously and need to find a pdoc that will prescribe it for me. I also live in California. If I give you my email address, can you send me his name and phone number? I'd sure appreciate it.
My email:
baileysbox@hotmail.com
Posted by Elizabeth on August 26, 2001, at 10:51:12
In reply to Buprenorphine or Olanzapine? help!, posted by Zo on August 24, 2001, at 19:44:15
Nausea is a common side effect of buprenorphine. It goes away after a little while. Taking some promethazine with it helps. You can avoid it entirely by starting at a low dose and increasing it as tolerated.
BTW, I don't have any statistics, but a lot of people who take opioids for depression do *not* become tolerant -- I think it's probably similar to using benzos for panic disorder or stimulants for ADD, where some people may become tolerant but that's the exception rather than the rule. Withdrawal symptoms are minor and short-lived; you're not going to get "the flu" from discontinuing buprenorphine.
"Addiction" is not a serious risk. You're unlikely to get high on buprenorphine, so don't bother trying < g >. (It does prevent the opioid withdrawal syndrome (including cravings) for people who are already addicted to full agonists, so they'll use it if nothing else is available.)
There's no guarantee that buprenorphine will work for you, but based on your response to Vicodin I tend to think it probably will work if you decide to try it.
I don't have much to say for Zyprexa. I thought it sucked. < g > Buprenorphine doesn't cause weight problems, as far as I'm aware, although it did bring my appetite back immediately when I started taking it for depression.
-elizabeth
Posted by jojo on August 26, 2001, at 14:54:32
In reply to Re: Buprenorphine or Olanzapine? help! » jojo, posted by Zo on August 25, 2001, at 17:58:00
>
> > I like Neal's suggestion, but be aware that about 70% of pts. who try bup do not continue with it.
>
> Why? What awful things happen?
>
> Zo, not a fan of side effectsZo-
I think the referrence is somewhere on this
current period of PB. Check out JahL's
experience. Also, I posted the referrence to
JahL, although he had already read it. I think
the link to that ref. is in my post to JahL.jojo
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