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Re: in case of an accident... LONG...LONG » v

Posted by Elizabeth on September 13, 2001, at 10:58:34

In reply to Re: in case of an accident... LONG...LONG » Elizabeth, posted by v on September 13, 2001, at 6:37:46

> good morning elizabeth

hiya.

> > Have you used opioids a lot in the past? Some people (such as myself) seem to be resistant to opioids before ever having tried them. It's tough convincing a doctor that you're not a drug addict, isn't it?
>
> i've used opiads for pain off and on for years and usually was responsive to smaller doses than now...

You might be developing tolerance, or some other dysfunction of your endogenous opioid system. I don't know -- opioid receptors were the first ones discovered, but we still don't really know how they work, interact with other systems, etc.

> i think the ritalin may be responsible but i'm not sure...

Hmm. Why do you think that?

> and yes!, it is impossible to get a doctor to see that you are not a drug addict!!! they're all so worried about "addiction" rather than relief.

Well, what they're really worried about is losing their licenses. But seriously, the attitude in this country toward drug addicts is like the attitudes in the '50s toward Communists.

> well, i'm already addicted to half the stuff i take - can't just stop the effexor or the klonopin now can i... so what's the difference?

Uh-uh. That's not addiction. The definition of addiction -- "substance dependence," is the official name for it -- can be found on many websites. Here's one: http://www.behavenet.com/capsules/disorders/subdep.htm

> these medications were made to be used because they work

You'd *think* that, wouldn't you?!

> i do see a psychiatrist for my meds... he's the one who sees ADD stamped on my forehead for some reason.

IMO, some doctors have pet diagnoses that they see in everybody they encounter.

> and i know that the buspar augments the effexor, that's why i take it... it's far more benign to me than a higher effexor dose

You know, one thing you could try doing to see if it helps would be raising the Buspar dose, to something like 60 mg or even more.

> so i'm thinking of telling my primary only about the concerta, klonopin and effexor - that's enough to make her think i'm "altered" as it is

A friend of mine tells me that when he asked to try adding stimulants to his Xanax, he was told that "stimulants and benzodiazepines are only seen together in abuse."

> i'll look into remeron but i seem to recall that it carries the dreaded "weight gain" which is not an option for me as i've been eating disordered all my life.

It might be worth a try. I tried it for a month or so and didn't gain any weight. I started out on 30 mg and rapidly increased it to 60. I think that the weight gain is more of a problem at the lower doses.

> since i started the wellbutrin, i have had better impulse control and am s-l-ow-l-y losing some of the weight i've gained the past couple of years.

Hey, congratulations. I don't know why they don't try to market Wellbutrin as a diet pill. (Maybe it's because diet pills are assumed to have "abuse potential.") I know it's a slow process, but I think that if you are gradually losing weight rather than going on a major diet and losing it all at once, you're probably less likely to regain it. (Does that make sense?)

> is this combo working well for you?
> btw, you have me somewhat interested in the buprenorphine as i've read several posts about it

Yes, I think it's working well. I'm feeling more interested in life than I have in a long time.

> thanks again & again for all your support... you've been of tremendous help

Flattery will get you everywhere. :-)

-elizabeth


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Psycho-Babble Medication | Framed

poster:Elizabeth thread:76946
URL: http://www.dr-bob.org/babble/20010907/msgs/78716.html