Posted by shelliR on May 7, 2001, at 11:15:59
In reply to Re: Whats the best opiate for depression ?, posted by Elizabeth on May 7, 2001, at 7:48:54
Hi Elizabeth.I talked to Dr. Bodkin for about three minutes and he's the one who told me that the selegiline patch was due to come out. He said he'd talk to me again when he got back from being out of town, but so far no luck.
So I called Dr. Lukas (same hospital, same studies) and it was his secretary that told me to e-mail him. I asked him about opiates and also exactly when the patch was due out. IF I hear from him, I'll let you know what he says.
Do you think Bodkin is worth having a consultation with? (I'd have to come up from Washington, D.C.).
It seems, though, that the information you are giving me is probably the same that he would.I don't have anyone to try different optiates with me here. I will look up tramadol, because I don't know anything about it. But even if that's what Bodkin would recommend, I'm not sure he'd write me prescriptions (since I'd only be going for a consult), and my pdoc down here (who I never see--just renews my prescriptions) is okay with me taking a small dose of hydrocodone, but won't prescribe it.
So basically, I feel like I am my own pdoc now. Sometimes that feels scary and lonely, but at other times it is a relief not to hear all the time from my last pdoc how codeine is not an anti-depresssant, how I will become an addict etc. Your clarification on habituation vs addition led to my doing a lot of reading on the subject. Basically, I ended up feeling a lot better about the whole thing. So thanks.
One question I asked Dr. Lukus was, besides eliminating food interactions, if there was any anti-depressant advantage to the patch. Selegiline is a reversible MAOI, right? So I was curious to know how it compares to nardil or parnate orally in terms of anti-depressant value for treatment resistent depression. My guess is that I would not be a good candidate for it, but I'm curious what he will say, if I do indeed get an answer.
Shelli
poster:shelliR
thread:61760
URL: http://www.dr-bob.org/babble/20010507/msgs/61877.html