Psycho-Babble Medication | about biological treatments | Framed
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Re: Update shelliR

Posted by Elizabeth on August 7, 2001, at 8:31:56

In reply to Re: Update Lorainne, Elizabeth, et. al., posted by shelliR on August 6, 2001, at 20:35:14

> Tomorrow will be my first day on Parnate. I think I'll take 5mg in the morning and hope for the best.

I hope that works out for you. The sleep problems -- difficulty maintaining sleep at night and drowsiness in the afternoon -- seem to be pretty much universal with MAOIs, unfortunately.

> In the meantime, my pdoc gave me the okay to up my oxycontin (10mg bid to 10mg bid + 10mg prn).

Good! So you don't have to worry about what happens with your therapist.

> And he changed my klonopin to valium.

So Valium works for you for panic attacks? That's weird. How much do you take?

> I really haven't seen any brillance, just more openness to options.

That's better than brilliance, IMO.

> My therapist said on the phone over the weekend that I was exhibiting addictive behavior; I replied that
> I was exhibiting the behavior of someone horribly depressed who is trying to stay alive and *really* doesn't
> want to go into the hospital *again*.

I really don't think your therapist is in a position to make value judgments like that.

> I asked my pdoc about a switch to buprenorphine instead of oxycontin because of the less addictive possibility, but
> he didn't think it was worth it. (See I was trying to show my non-addictive behavior. :-) )

Jeez. I think he's probably right, although you might try switching to buprenorphine if the OxyContin loses its effect: I think you're less likely to become tolerant to buprenorphine. (I could be wrong about that, of course. I've never even taken oxycodone.)

> So I am still with my therapist (she didn't really believe he'd add more oxy as a prn), and we've agreed not to talk
> about medication.

That's probably for the best. Your therapist isn't an MD, is she? (For a while I was in the odd position of seeing an MD therapist and another MD for meds.)

> ... I really wanted to work out attachment issues with her--not
> just switch therapists again and move the attachment to someone else like I always do. Then after attachment, work
> on intimate relationship issues.

This stuff is very foreign to me. How does one "work on attachment issues?" (And what are attachment issues, anyway?)

What's your therapist's approach/school of thought, if you know?

> But I do feel a lack of respect for me eminating
> because of the codone/contin and have felt it before regarding several things I've done that she strongly disagrees with.

Therapists aren't superhuman. They make judgments and have subjective opinions just like everybody else does.

> And I wondering, Elizabeth if you've gotten any information that is helpful to you re serum levels.

Uh. No, not really. I talked to the doctor who's covering for my pdoc; he said that he would expect a dose of 300 mg/day to result in a serum level of about 200-250 in a normal metaboliser.

> Have you felt anything different yet, since halving your dose? (i.e., not as well?)

Yes; it doesn't seem to be helping as much. I hope that I can find a level that isn't toxic but still works.

> Thanks for letting me write a book here; btw, haven't you guys ever heard of a library.

Your stories are more interesting than most books. :-)

Looking at later posts:

> What's the difference between cylert and concerta?

Cylert is pemoline -- a different drug altogether, not amphetamine-like. Concerta is just a new slow-release formulation of methylphenidate (i.e., Ritalin).

> > I've never tried getting medication from outside the U.S.

Is that because you'd have to pay out of pocket?

That, and the hassle. A lot of things. If it were something truly distinctive then I might consider it, but just for a different (and possibly less effective) formulation of a drug I can get here? Nah. I have thought about asking my pdoc if he'll show me how to give it to myself IM so that I don't have to do the whole lying down thing in the middle of the day.





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