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Re: Whats the best opiate for depression ? » Pacha

Posted by shelliR on May 6, 2001, at 18:08:18

In reply to Whats the best opiate for depression ?, posted by Pacha on May 6, 2001, at 7:30:27

> Lately i've been seeing a lot of talk about opiates being used successfully in treating depression.
>

Before I would try opiates for depression, I would definitely try MAOIs. Also, I think next month, the selegiline patch will be available, an MAOI that will (I believe) cause no food/drug interactions.

Have you tried an MAOI?

You have to really plan out taking opiates for depression. You don't want to start unless you have a way to continue, i.e., be able to keep getting prescriptions. Also, while opiates seem to have a good antidepressant effect for some; others they make feel dizzy and ill. And you should plan to have to increase your dose to continue the anti-depressant effects.

As to the best, I don't know. I take small amounts of hydrocodone. I just e-mailed (Friday) questions to a doctor who participated in a study using buprenorphine, which if I understand correctly, is an opiate antagnonist which does not create a high but can help depression. Incidently, he is also part of the group which developed the selegiline patch--at McLean Hospital in Boston. His secretary suggested the e-mail; if I get any insight from him I'll share it.

I'm just amazed, however, how many people on this board say they have tried everything and have not tried nardil, parnate, or some of the reversable MAOIs. They are very different from all the other antidepressants and they did the job for me for fifteen years.

Shelli


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URL: http://www.dr-bob.org/babble/20010424/msgs/61819.html