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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 134 to 158 of 262. Go back in thread:
Posted by bee happy on February 25, 2003, at 22:26:55
In reply to Re: side effects of buprenorphine and ultram, posted by hok on February 25, 2003, at 11:55:34
Hi Hoc. I have no compalaints with the buprnorphine, but I think I might be alone in this. Many have had tolerance issues and for some it just plain stopped working. I have been at the same dose for nearly six months.6-8 mg per day depending on absorbtion which seems to vary depending on how watery my mouth is) I still marvel at the effectiveness in fact. I have much more drive. I have neither nausea nor dysphoria.My immediate recall memory seems to be suffering of late but I'm menopausal....so I write it off to that.Most of my peers seem to have the same problem.And if it's the drug causing it ..I'd trade those brain cells for my will to live any day. It am feeling more outgoing and comfortable in social situations. I can concentrate again. I can read again. I can make decisions and not kill my self wondering if I did the right thing. I'm still anxious at times and am still sad at times...that is normal.I see beauty in everyday events and when especially struck by something, marvel at the difference in my life now and the hellish place I inhabited eight months ago. I know there must be a downside somewhere...but the only thing I can see is the fear of addiction. Why is more noble to go through life depressed than to risk addiction? Truly it is time for a backlash on this issue. If I need Betty Fords help someday....well, at least I'm here to need it. Bee
Posted by KrissyP on February 25, 2003, at 23:11:45
In reply to Near the end., posted by Blah on February 24, 2003, at 13:55:49
> I tryed Zyprexa and it was even worse than antidepressants, appart from the physical symtems it made my depression much worse. My "expert" pdoc just gave me some geodon instead. I don't think I'm going to take it. My depression has gotten to the point where everything is pain. I eat and am still hungry. I sleep and am still tired. Every thought every breath is pain. Talking to people is harder than it has ever been, and that's saying alot for me. I ordered some Ultram over the internet because buenanophine (i probably spelled it wrong) is new so it's too expencive and hard to find. If it doesn't work, or if some other miricle (like a supportive girl friend) doesn't happen I will most likely commit suicide. It's hurt to much for too long and pdocs don't give a sh**. Thearapy can do no more for me after 24 years. These new psyc meds are just as crappy as the old and i don't have the time or energy anymore for endless drug trials just to satisfy the "ethics" of my doctors. It just hurts so much, and I have no hope left.------------I can tell you that I have felt EXACTLY how you feel in this post, and never felt so much pain as I have in the last few days. You have choices. I have choices and it is one heck of a FIGHT---I know, you CAN and WILL find strength and get back your hope-I believe in you and no, I may not know who you are, but I do know how you feel. I have struggled with a loneliness, and depression so bad at times that I tried suicide---2x it is NOT worth it. Things will pass, and be assertive with your doc or a doc that will listen to you- YOU DESERVE to be heard, ny friend. Don't let anyone tell you different, please. I can't say either things will get better, but I hope they do for you. I too have so often said "no one gives a s#@!" but the fact of the matter is, some do and some don't. In regards to your post, I care because I hear your despair. I wish I could wave a magic wand and make things better-but I cannot. Keep hanging in and if need be, please get to the ER.
>
>
>
>
Posted by Questionmark on February 26, 2003, at 2:04:17
In reply to Near the end., posted by Blah on February 24, 2003, at 13:55:49
Blah-- i'm so sorry. i don't think i've ever felt as hopeless as you seem to feel, but i understand the "every thought every breath is pain" comment. It is terrible. It is freaking, terrible. Listen, i think EVERY pharmaceutical can cause addiction to some extent, but it's obvious you need something potent at this point (good potent not just fry your brains potent). i think an opiate or an MAOI might be able to help you alot more than those other petty drugs, and help you improve your life. Try to find a doctor who will prescribe you something like this. Nardil/phenelzine might be a good idea. Have you been on? i can totally understand how you'd be sick as sh*t of guniea pigging around for these arrogant *** *oles, always in vain. Psychiatry is so often ridiculous. But don't give up before trying some of the powerful blessed drugs like opiates and MAOIs. You might as well, right? Just in case? Good luck man.
Posted by Stan on February 26, 2003, at 5:17:57
In reply to Re: side effects of buprenorphine and ultram, posted by hok on February 25, 2003, at 11:55:34
> to androog, bee happy and the others in the 'opiate gang,'
>
> You guys all seem to be pretty content with the effectiveness of these drugs. But can you enlighten us on some (if any) of the side effects that you experience? The research points to some issues with nausea, dysphoria, etc.
>
> Can you please describe any physical as well cognitive issues that accompany ultram and/or buph? For example, how much cognitive impairment (e.g. memory recall, brain fog) is there? Any resulting decrease in drive or motivation? Some have said that it has kept them up while others say they are somewhat somnolescent on them. Can you please enlighten us?
>
> thanks, HK>>>>>>>>>>>>>>>>>>>>>
ultram side effects can potentially be problematic for people who have had adverse experiences with SSRIs and SNRIs(such as Effexor), or for that matter any psychiatric drug which inhibits the reuptake of serotonin and/or norepinephrine. that's because ultram has the same mechanism of action (combined of course with its effects on the opiate receptors). if you are one of those folks who finds drugs like effexor to be uncomfortably "activating," provoking anxiety, nervousness, restlessness, etc., then i'd tread very carefully with ultram. i fit into the category just mentioned -- i took 1/2 of a (150 mg?) tablet just once for knee pain and was squirmy and unable to sit still for hours, with negative thoughts racing away. i couldn't wait for it to wear off, and i wouldn't touch it again for the world. if you're susceptible to feeling 'wired' from drugs that enhance NE, tread with caution.
on the other hand, people who have a history of responding to meds which block the reuptake of serotonin and norepinephrine may notice an anti-depressant effect and feel more pleasantly energized.
Stan
Posted by blah on February 26, 2003, at 12:59:10
In reply to Re: Near the end., posted by Questionmark on February 26, 2003, at 2:04:17
Thanks, actually I did try Nardil. It didn't help my thinking problems, and it just made me jumpy. When the dose was too high I just felt like a zombie. We'll see how Ultram works, if it does I'll try to get an rx from someone.
> Blah-- i'm so sorry. i don't think i've ever felt as hopeless as you seem to feel, but i understand the "every thought every breath is pain" comment. It is terrible. It is freaking, terrible. Listen, i think EVERY pharmaceutical can cause addiction to some extent, but it's obvious you need something potent at this point (good potent not just fry your brains potent). i think an opiate or an MAOI might be able to help you alot more than those other petty drugs, and help you improve your life. Try to find a doctor who will prescribe you something like this. Nardil/phenelzine might be a good idea. Have you been on? i can totally understand how you'd be sick as sh*t of guniea pigging around for these arrogant *** *oles, always in vain. Psychiatry is so often ridiculous. But don't give up before trying some of the powerful blessed drugs like opiates and MAOIs. You might as well, right? Just in case? Good luck man.
Posted by Ilene on February 27, 2003, at 13:57:51
In reply to Re: chat room, posted by Dr. Bob on February 25, 2003, at 1:51:35
> > I was told about a chat room set up for us on Yahoo...
>
> FYI, posting is turned off there, since people can just post here. To chat, as opposed to post, there, go to:
>
> http://groups.yahoo.com/group/psycho-babble-open/chat
>
> BobI tried to sign up for yahoo groups, but I haven't gotten an e-mail from them. I can't find "what to do if you don't get an e-mail from us" in the FAQ. I just tested my e-mail connection by sending a message from one ID to another that has a different domain name.
Has something gone wrong or does it take a long time to get the confirmation e-mail?
Posted by Gracie2 on February 27, 2003, at 18:30:11
In reply to Re: Near the end., posted by blah on February 26, 2003, at 12:59:10
Please consider admission to a psychiatric facility. Your level of depression requires much more intensive treatment than you are recieving now. Experimenting with different drugs will only make things worse. I know how you feel, and I know what I'm talking about. I nearly succeeded in killing myself not once but twice, first an accidental and then an intentional overdose. Now, a year later, I'm well on the road to recovery.
If you would like more information about in-patient treatment, please write me at gracie2114@aol.com.
God bless-
Gracie
Posted by Ilene on February 27, 2003, at 19:36:57
In reply to Re: chat room » Dr. Bob, posted by Ilene on February 27, 2003, at 13:57:51
> > > I was told about a chat room set up for us on Yahoo...
> >
> > FYI, posting is turned off there, since people can just post here. To chat, as opposed to post, there, go to:
> >
> > http://groups.yahoo.com/group/psycho-babble-open/chat
> >
> > Bob
>
> I tried to sign up for yahoo groups, but I haven't gotten an e-mail from them. I can't find "what to do if you don't get an e-mail from us" in the FAQ. I just tested my e-mail connection by sending a message from one ID to another that has a different domain name.
>
> Has something gone wrong or does it take a long time to get the confirmation e-mail?
>
>
My apologies. I was responding to a different thread. I have no idea how my question wound up in this thread.
Anyone know why this happened, or it a chat room curse?--I.
Posted by jrbecker on March 4, 2003, at 11:23:09
In reply to Re: chat room » Ilene, posted by Ilene on February 27, 2003, at 19:36:57
Androog, or any other fellow Chicagoans... wondering if you had found a pdoc who was comfortable with alternative therapies such as opioid treament. Dr. Bodkin had recommended a few psychopharmacologists, but no one who does private practice.
Let me know if you had any success. My email is: jrbecker76@hotmail.com
thanks
JRB
Posted by androog on March 4, 2003, at 12:02:20
In reply to Re: androog, others..any luck with a Chicago pdoc?, posted by jrbecker on March 4, 2003, at 11:23:09
hi jr,
my guy is very UNcomfortable with prescribing alternative treatments for major depressive disorders. although he gives me a script for ultram, he only did it after i yipped at him like a toy poodle.
i, too, would be very interested in finding a chicagoland pdoc who is willing to give other treatments a go.
although i get the maximum daily dose of ultram, i need to take twice that amount in order for it to be effective. i'd really like to give the buprenorphine a try so i don't have to scrounge for more drugs than prescribed.
androog
Posted by jrbecker on March 4, 2003, at 22:15:02
In reply to Re: androog, others..any luck with a Chicago pdoc?, posted by androog on March 4, 2003, at 12:02:20
Thought this was interesting. The link below provides a directory to doctors accredited for opioid treatments. Unfortunately, this list of physicians refer to specialists who treat opiate addiction. But perhaps they might be somewhere to start in trying to find someone who will consider opioids for depression treatment...
http://manisses.com/2online/PUAlert/PA.html#clinical%20Updates
----------------------------------
Online directory of doctors
prescribing buprenorphine createdThe Substance Abuse and Mental Health Services Administration (SAMHSA) recently announced the formation of an online directory of physicians who can prescribe buprenorphine — approved by the FDA in October — for the treatment of opiate addiction. The online directory will be updated daily as physicians send their credentials to SAMHSA and are issued an identification number by the Drug Enforcement Administration (DEA). Physicians seeking information on how to receive training and become credentialed can call (866) 287-2728. The directory can be accessed at "www.buprenorphine.samhsa.gov" [SAMHSA]
Posted by blah on March 5, 2003, at 23:42:13
In reply to Directory of docs prescribing buprenorphine , posted by jrbecker on March 4, 2003, at 22:15:02
I just got my shipment of Ultram (actually generic Ultram) tonight. I've only taken one 50mg pill so far and haven't felt much, but it might have helped a bit (then again I say that at the early small doses of almost every med, then as the dose goes up, "Horror!")Tomarrow I guess I'll go up to 100mg, but don't know how often I should take it. Does anyone know how many times a day I should take Ultram, and how far apart the doses should be? Anyway we'll see how well it works in the coming week.
Posted by Ilene on March 6, 2003, at 9:10:49
In reply to Glory be to thailand, posted by blah on March 5, 2003, at 23:42:13
> I just got my shipment of Ultram (actually generic Ultram) tonight.
Where do you live? I've heard of a drug called amineptine (survector or maneon) that was pulled from the market because it makes people feel good. Good enough that it was "abused" by a few people.
If your drugs don't go thru customs, do they come and arrest you?
--I
Posted by Ilene on March 6, 2003, at 9:16:59
In reply to Re: Glory be to thailand, posted by Ilene on March 6, 2003, at 9:10:49
> Where do you live? I've heard of a drug called amineptine (survector or maneon) that was pulled from the market because it makes people feel good. Good enough that it was "abused" by a few people.
>
>
> --I
>PS: there's a related drug called tianeptine (stablon, coaxil).
Posted by ShelliR on March 6, 2003, at 10:19:48
In reply to Re: Glory be to thailand, posted by Ilene on March 6, 2003, at 9:10:49
> If your drugs don't go thru customs, do they come and arrest you?
>
> --INo arrests :-)
When my overseas order didn't go through customs, I got a letter saying that I could appeal the decision. Which of course I didn't.Shelli
Posted by Ilene on March 6, 2003, at 11:24:17
In reply to Re: Glory be to thailand » Ilene, posted by ShelliR on March 6, 2003, at 10:19:48
> No arrests :-)
> When my overseas order didn't go through customs, I got a letter saying that I could appeal the decision. Which of course I didn't.
>
> Shelli
>
>
What did you order?
Posted by blah on March 6, 2003, at 12:14:37
In reply to Re: Glory be to thailand, posted by Ilene on March 6, 2003, at 9:10:49
From what I've heard they seize your package and send you a letter asking if you want to contest it (though more often than not it gets through). Sometimes they'll even send it back to you after a while. I heard one story of the DEA going to a guy's house to threaten him, but they still took no action. At worst you mainly risk seizure and loosing your money. There are american internet pharmacies that will give you a "doctor consultation" but they are much more expencive.
Posted by ShelliR on March 6, 2003, at 13:38:48
In reply to Re: Glory be to thailand » ShelliR, posted by Ilene on March 6, 2003, at 11:24:17
> What did you order?
buprenorphine (sublingual). I don't know if you can still order it from overseas--I had a hard time getting it after a while.
Shelli
Posted by Questionmark on March 7, 2003, at 22:33:39
In reply to Glory be to thailand, posted by blah on March 5, 2003, at 23:42:13
Hey, Ultram is an opioid right? If not, nevermind this. .. i don't have much first or 2nd hand experience with opiates, but from what i have experienced, it seems that tolerance to the nice psychological effects develops extremely fast (within weeks or even days). Maybe this isn't true with all people, but i think it is with most. For that reason (and since it can be addicting of course), i would think about just taking it every other day, or even once or twice a week or something. This might not leave you feeling good all the time, but at least you might be able to feel good, for sure, however many times a week. i dunno. i hope this drug helps you.
Posted by blah on March 9, 2003, at 7:42:46
In reply to Re: Glory be to thailand, posted by Questionmark on March 7, 2003, at 22:33:39
OK, after a few days my reaction to the Ultram hasn't been great. I got sweats and other problems. I'm not sure whether to just lower the dose or not, but I'm scarred to keep taking it now. I'm not really sure what to do I feel so alone. It seems no drug will work for me. I may have withdrawl for a few days but don't know whether to taper off or not. Maybe nothing will work for me. Maybe I'm just lost.
Posted by androog on March 9, 2003, at 13:16:19
In reply to Just tired, posted by blah on March 9, 2003, at 7:42:46
sorry to hear the tramadol is not doing it for you. i have to admit that i had my doubts since your depression seems to be part of a larger packet of problems. i think tramadol does the trick mainly for people who have depression as their primary problem. also, i think that people who have experienced relief from depression when taking opiod painkillers like vicodin or percodan are the ones most likely to have success with ultram.
as far as tapering off tramadol, i'd take one less per day until you're off. if you feel like you may be going through withdrawal, try taking one less every two days.
if anyone in the group has a more educated recommendation for getting off tramadol, please feel free to chime in. i only know what i have experienced personally and i realize that different people react in different ways.
Posted by ShelliR on March 9, 2003, at 16:32:15
In reply to Just tired, posted by blah on March 9, 2003, at 7:42:46
I know Elizabeth (who has been taking buprenorphine with effexor) found no relief when she tried to substitute ultram for buprenorphine.
I think the best idea is to go to a pain specialist, show him/her the buprenorphine article and proceed from there. I think pain specialists are more sympathetic when it comes to pain, than are pdocs. Even my present pdoc, who doesn't have a problem with me taking methadone, still won't prescribe it so I still go to both doctors--one for ADs and one for methadone.
Shelli
Posted by Questionmark on March 10, 2003, at 23:18:58
In reply to Just tired, posted by blah on March 9, 2003, at 7:42:46
That's too bad that it doesnt help much at all.
i know you said you took Nardil before, without much benefit, but another MAOI trial might be good. Do you have anxiety components as well? Maybe even if you do, or especially if you do not, low dose selegeline (l-deprenyl) could be a big help for you. i'm not sure, but check it out.
Posted by blah on March 23, 2003, at 14:09:37
In reply to Re: Just tired, posted by Questionmark on March 10, 2003, at 23:18:58
Well I went to the hospital for about a week and a half. They tryed two more antipsychotics on me(geodon-seroquil), and like zyprexa they increased my depression and anxiety, killed my concentration, made me more suseptable to pain, and put me in a plastic fog. My "specialist pdoc" has an unwavering faith in them but i told him no more. It's obvious these drugs won't work, and are counter productive. I'm on a low dose of lamictal now but it so far does nothing. I met a girl in the hospital, it was forbiden love, we weren't alowed to touch. I left when she got out, and we spent the night together. She said she loved me, and that she couldn't belive she wasn't alone anymore, but its been three days and she still hasn't called me back. I called twice on the day after to invite her out and then once today. I don't think i'll call again, and i dought she will ever call me back. Despite her happieness and insecurity I guess my insecurity was still too scary. I don't want to go back to the hospital, that authoritarian atmosphere was getting me down anyway. But there is no where for me to go. I can't do anything anymore, my only goal seems to be get through the day, and i don't know how long i can keep that up. Survival doesn't seem realistic anymore. Even sleep is frightning. Soon I may be left with the only choice left for me to make. It just hurts so much, and i don't have the strength to fight anymore. I don't know what to do. I just want it all to stop.
Posted by ejaustin on July 20, 2003, at 23:50:02
In reply to Re: chat room » Dr. Bob, posted by Ilene on February 27, 2003, at 13:57:51
For those trying to make a connection without revealing their personal information like email address, there is an anonymous remailer service available at http://anon.twwells.com/help/index.html
They've been around for years and years and they have a good reputation. I've never used them, but I've known several people on on-line support groups who have. If the instructions are confusing, I'll see if I can get a copy of the simplified instructions that are posted periodically.
Oh, yeah... it's free.
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Dr. Bob is Robert Hsiung, MD,
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