Posted by liliths on November 17, 2006, at 15:05:55
In reply to Re: HELP! Need Documentation on opiates depressio, posted by med_empowered on November 17, 2006, at 14:35:37
thank you so much for your help! :)
namaste,
lilith> hi! google "temgesic" (I forget the generic term...) also, check out crazymeds.org ; one of the site's main members uses opiates (or did) for her issues, and there's some info there about costs, effectiveness, etc.
>
> Tramadol (Ultram) is another one to google; I found a case study for as-needed tramadol in an OCD patient during Prozac titration. In that case,the patient had never been treated before, and the tramadol was withdrawn once the Prozac hit 40mgs. I imagine in more treatment-reistant cases, it would be more appropriate to keep on the tramadol (or whatever opiate) instead of going for a conventional antidepressant. Tramadol might be a good one to try out, since (in most of the US, at least) its a non-controlled substance. There *are* cases of abuse and dependendence, but the post-marketing studies seem to indicate that a) at-risk patients usually have a history of considerable opiate abuse and/or dependence; and b) true addiction (dosage escalation, tolerance, etc.) is quite uncommon. There is a withdrawal syndrome, but since tramadol is related to Effexor and has some similar reuptake characteristics, one could argue that saying ultram is "addictive" for causing withdrawal is inconsistent, since Effexor causes severe withdrawal in some people but is not seen as "addictive" by most psychiatrists.
>
> There's also some case studies out there about oxymorphone and oxycodone for depression, anxiety, and add-on methadone for treatment-resistant schizophrenia.
>
> Good luck!
poster:liliths
thread:704289
URL: http://www.dr-bob.org/babble/20061117/msgs/704583.html