Posted by pseudoname on November 19, 2005, at 20:59:44
In reply to Re: When the options are gone? » 4WD, posted by Bob on November 19, 2005, at 0:38:19
I think we're in similar positions. I go days without leaving the house. I've tried ECT and about 3 dozen med regimes plus lots of therapy etc. Almost nothing did any good. Right now I'm just starting opioid therapy with buprenorphine.
> What exactly is opiate therapy? ... Is there a website or something where I can check it out?
See Stoll's 1999 case studies reprinted here: http://www.dr-bob.org/babble/20010522/msgs/64652.html
The buprenorphine I'm trying is a weaker & more complex opioid. See "Buprenorphine Treatment of Refractory Depression" by Bodkin et al, Journal of Clinical Psychopharmacology, Feb 1995, vol 15, p 49-57: http://balder.prohosting.com/~adhpage/bupe.html
One huge Babble opioids-for-depression thread starts here: http://www.dr-bob.org/babble/20011015/msgs/81414.html.
Adding naltrexone (which acts on opioid receptors) to an SSRI may be a better bet if you've had at least *some* response to the SSRI already (e.g., weak or pooped-out).
It sounds like you're thinking now of an MAOI? If you also become interested in opioid therapy ("opioid" is a more inclusive term than "opiate"), I'd suggest going ahead with MAOI trials while you gather info and talk to your docs about opioids. They may initially be reluctant or unaware of the literature or even misinformed about the law. And if an MAOI works, well, it'd easier to get, anyway.
poster:pseudoname
thread:579730
URL: http://www.dr-bob.org/babble/20051119/msgs/580496.html