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Re: Endogenous Depression Caused By Lack Of Endorphins » SLS

Posted by 4WD on January 28, 2009, at 22:22:27

In reply to Re: Endogenous Depression Caused By Lack Of Endorphins » 4WD, posted by SLS on January 28, 2009, at 7:57:32

Hi Scott,

It's good to hear from you. I thought I'd be getting my prescription at my meeting today but instead they told me they wanted to coordinate meds from my pdoc first. I don't know exactly what they mean by that - they primarily gave me a note to take to the family doc who has been giving me the Percocet so he would have something official in hand telling him that I didn't receive my RX today like I thought I would and so would need to continue the Percocet for a few days longer. Until I saw the note, they hadn't told me when I would be starting.

I still don't know whether they will give me Subutex or Suboxone but a couple of people in group this morning told me that straight Subutex also blocks opiate receptors. I'm not so sure about that so I think I'd prefer the Suboxone. The only reason I wouldn't is that I have been on Naltrexone before (I think it was 50mg a day) and it made me nauseated. I told them that at my evaluation so they are still deciding. But then, narcotics used to make me nauseated - I'd always have to take a tiny bit of Phenergan with my opiates or I'd be very sick. But now opiates don't make me nauseated at all. So I could probably take the Suboxone. If they give me Subutex instead, I would be tempted to try out the theory that it blocks opiate receptors so I think Suboxone is the better idea for me.

BTW, Scott, thanks for acknowledging that I've had a long, hard road. But you know that nobody has had a longer, harder road than you. Thanks for not being judgmental at all about the narcotics addiction - generally people who are not addicts or never been addicted to anything or experienced cravings and obsession, don't understand why you can't just make up your mind and quit. Thanks for understanding.

My tolerance has continued to creep up. I'm now taking 80-100mg a day of Percocet and a dose wears off after about 3 hours. It scares me how much I'm taking and I was so looking forward to getting my Rx today and having it over with. OTOH, it gives me a few more days to enjoy the Percocet motivation and energy - I don't know how I'll feel on Subutex but Percocet is a sure thing. So I have very mixed emotions about having to wait to begin.

I'll get my script on Feb. 2nd and take it to the pharmacy that day. They will have it in late the next day - too late for me to start taking it that day so I got Rx's from my family doc through the 4th. So I'll be starting the buprenorphrine on Feb. 5. My first day clean in several weeks now.

I don't know how many of you out there pray or have a relationship with God, but those of you who do (and even, if you will, those of you who don't) please pray for me that the Subutex works and the withdrawal from narcotics is mitigated by the Subutex and that I get the motivation and energy I need from my new med.

Marsha

> Hi Marsha.
>
> Gosh, it has been such a long, hard road for you. I am glad you finally found an answer.
>
> I can't comment on the desirability of taking straight buprenorphine (Subutex) versus the mixture of buprenorphine and naloxone (Suboxone). I just don't know. If cravings are an issue for you, perhaps the Suboxone will be considered first.
>
>
> - Scott


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poster:4WD thread:875814
URL: http://www.dr-bob.org/babble/20090104/msgs/876911.html