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Re: Buprenorphine Concerns

Posted by bigcat on November 4, 2005, at 0:45:45

In reply to Re: Buprenorphine-- bee happy, posted by bee happy on January 27, 2003, at 15:19:02

I've read some very encouraging case reports recently regarding treatment-resistant patients with severe depression finding relief with Buprenorphine. My depression, depsair, and failed med trials have brought me to the point where I'll try anything. My concern is less for my own well-being as for the potential risk my doctor would be taking in prescribing this medication for me. He has never been investigated or challenged before, but he (from proven clinical experience) has written scripts for meds like Dexedrine or Desoxyn, that could, while wholly viable and used effectively for decades, be judged "radical" or too readily abused. I have no history of substance abuse (legal or illegal) whatsoever.

I realize that the FDA and other agencies can investigate my pdoc and potentially prosecute his compassionate soul, and have his/her liscence revoked or even worse. My pdoc has become my close (only) friend, and is adamantly committed to pusuing new, untraditional treatment options for me. This pdoc is aggressive and open-minded, but I would'nt dare bring up the Buprenorphine idea if writing the script could even remotely put him at any legal or professional risk. It would forever ruin what little life I have left in me. Sooo... as I have no history of opiate or other drug abuse or addiction, could my pdoc safely prescribe this medication for me, without fear of unjust, but potentially devastating, repurcussions?

For the treatmnet of pain, I've received codeine, valium, and percocets in the past which have done little to help the physical pain, or provide any of the mental calming or antidepressant effect that other kids rave about. Would this lead you to believe that Buprenorphine wouldn't have much of an effect on me as an antidepressant? How about addiction, tolerance, long-term use, and the (I would imagine) hellish withdrawal process if I eventually have to come off it or can't get another pdoc to prescribe it for me? (Am I flirting with the devil, and could I be getting in way over my head? I hope I'm wrong, but isn't Bupe a close relative of heroin?) I'd appreciate any information or advice you could offer.

Still Fighting,
-matt-


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URL: http://www.dr-bob.org/babble/20051031/msgs/575245.html