Psycho-Babble Medication | about biological treatments | Framed
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stuff » shelliR

Posted by Elizabeth on August 2, 2001, at 22:43:15

In reply to Re: mostly to Lorraine but others feel free to jump in » Elizabeth, posted by shelliR on August 2, 2001, at 21:04:23

> subclinical DID"! Did you create a new diagnosis for me :-)

No, it's just a more specific way to describe your DD-NOS. (Sorry to disappoint. < g >)

> I starting to lose the effect of the oxycontin.

That's really too bad. I'd heard of several cases where people took opioids, including oxycodone (also morphine, methadone, buprenorphine, and oxymorphone), for depression without becoming tolerant, and I'd hoped that you would have the same good luck. Maybe you could continue it on an intermittent, as-needed basis (as you had been doing with the hydro)?

> Actually what I have now is the generic of lortab 7.5/500 and it doesn't feel nearly as strong to me.

Huh. What was the dose in the Vicodin you were taking before? (The most favourable ratio is in Norco 10/325.)

> Maybe that's because I've been taking oxycontin 10mg, bid, so 1/2 of 7.5 doesn't feel the same.

That seems likely. Oxycodone is definitely stronger than hydrocodone.

> It's definitely time for me to get on an AD. I think I will start parnate next week.

Best of luck to you. I found it quite tolerable once I figured out how to get around the spontaneous paroxysmal hypertension I was getting about 30 minutes after taking it. It turned out that I needed to take it in divided doses of no more than 10 mg each -- for quite a while I was taking it six times a day. Desipramine seems to be working as well as Parnate did for me, without the hypertension and insomnia and the limitations on what other medications I can use to augment it. I was pretty stunned to learn how high my serum level was (could have been a lab error but I doubt it), because I'm not really noticing many side effects.

-elizabeth


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