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Re: Social Anxiety in the EXTREME!!! Advice Request. » NYCguy

Posted by Quintal on December 22, 2006, at 21:21:18

In reply to Re: Social Anxiety in the EXTREME!!! Advice Request., posted by NYCguy on December 22, 2006, at 19:05:12

>It is a bit sad now that I think about it. Out of all the Prozac, Paxil, Zoloft, Lexapro, Cymbalta, Ixel, Wellbutrin, Vivactil, Gerodon, Seroquel, Ritalin, Adderall, Dexedrine, Selegiline, Klonopin, Androgel and whetever else I've taken to try to function... simple pain-killers work the best?!?? Am I just really strange in my wiring? Is this at all a common experience?

Yes, it's common for people to feel better when taking an opiate whatever their problems. Just take a look at my own treatment history (!): http://www.dr-bob.org/babble/20061217/msgs/715

>I've been up as high as 6mg Klonopin per day before. The more I take, the more depressed and less productive I seem to be. I'm not sure why. I should have mentioned that initially, sorry. Did you notice anything different when you went as high as 20 mg? Did you ever reach a state where the anxiety was mostly gone?

It's common for people to become depressed on Klonopin, though it just seemed to make me generally more emotionally labile. I had blackouts and respiratory depression when I was taking 20mg - it was only for a short while and I was also taking up to 800mg tramadol with it. Yes, I certainly reached a place where my anxiety was gone completely. It was ecstasy - I felt completely comfortable in my own skin, everything was right with the world etc., but I'm lucky to still be here when I think about it. I reckon I came close to respiratory failure and choking on my saliva a few times.

I eventually built up tolerance to tramadol until even 800mg was doing nothing for me - this was over a few months of taking tramadol four times a day. There are tolerance reduction/limitation strategies such as Lamictal that may be worth looking in to.

Buprenorphine is gaining a good reputation as an effective therapy for treatment resistant depression. It is said to have lower abuse potential than other opiates and is used in some parts of the world to 'treat' opiate dependence during detox. There's more info here if you're interested: http://en.wikipedia.org/wiki/Buprenorphine. There are a few people posting here who take it, or are being prescribed other opiates for TRD.

Kratom is another option that I find very nice as an occasional treat: http://www.thekratomking.com/, http://www.iamshaman.com/eshop/10Browse.asp?Category=Kratom. It's said to be like taking a 'speedball' - heroin and cocaine, and from my own experince that isn't too great an exaggeration when I've taken a large dose of quality material. Some people are using it to help 'treat' hydrocodone withdrawals because they don't want to become addicted to state-issued methadone.

>About the Solian, I didn't know about the elevated Prolactin. My HPA is already messed up in the direction of elevated Prolactin/Cortisol anyway, so I use Cialis a lot as it is. Maybe Bromo on its own would bring down anxiety by virtue of bringing down my Prolactin levels...


That's possible, but dopamine agonists are usually stimulating and can cause anxiety. There are other DA agonists that also lower prolactin levels such as cabergoline, mirapex, pergolide etc.

Q


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poster:Quintal thread:715719
URL: http://www.dr-bob.org/babble/20061217/msgs/715793.html