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Re: TANKING ON BUPE - help » Zo

Posted by SLS on September 28, 2001, at 11:27:37

In reply to Re: TANKING ON BUPE - help » shelliR, posted by Zo on September 28, 2001, at 0:53:50

Hi Zo.

> So there was a true and horrendous crash, because Bupe put me on a true manic-depressive course, ending in Mixed States. And on one of the mixed days, I watched my mood turn to up in 10 minutes, and had done nothing. So this has been a major turning point in my dx life, we've been after this for 8 years. . And I don't know how much would relate to you.


I think it is *critical* that you don't facilitate the induction of mania with drugs.

1. Depression almost always follows mania for those who experience depression as part of their illness.

2. The depressions following mania are often the most severe, especially immediately following the state-change.

3. With each successive cycle, the episodes tend to become more severe and treatment-resistant.

I think it is a reasonable option to establish a mood-stabilization regime and continue to take an opioid like buprenorphine, especially if opioids are the only thing you respond to.

Have you ever focused on mood stabilizers in the past?


- Scott

 

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