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Re: opiates & depression (to clinicians and patients)

Posted by Chris A. on January 5, 1999, at 18:24:03

In reply to opiates & depression (to clinicians and patients), posted by Elizabeth on January 4, 1999, at 21:07:03


After trying multiple meds for my treatment
refractory bipolar depression, we added
buprenorphine(Buprenex). It was on the list of
options to try given to me by a nationally
known mood disorders expert at
a consult over a year ago.
I took the parental
form .1 - .3mg sublingually at HS and then
switched to the injections. It helped with sleep
and with the pain of fibromyalgia. My
severely depressed mood, rapid cycling/mixed
states didn't otherwise seem to respond. My med
cocktail consisted of verapamil and levothyroxine
at the time. We added selegiline (Eldepryl) the
third month. I discontinued The buprenorphine
during a three week hospitalization for suicidal
depression in October. Since it is an agonist/antagonst
it was not difficult to stop it. Personally there were
no problems combining it with the MAOI (but I
understand that caution is advised).

Everyone responds differently. It wasn't effective
for me but understand it has been helpful to
some with mood disorders.

I wish you well,

Chris A.




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