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Re: Need Help Obtaining Suboxone

Posted by Shelly Dylan on October 19, 2008, at 20:52:16

In reply to Re: Need Help Obtaining Suboxone, posted by cowan78 on October 11, 2008, at 21:59:35

> Hey phillipa...i can understand how a 37 year benzo script can be confusing considering the situation. if i recall correctly, youve been on 15mg of diazepam for that length of time? anyhow, not important...just wondering.
> I do think that benzos are a different breed of monster altogether, albeit no less troublesome for many people. I myself take Klonopin, so i understand how readily docs prescribe benzos vs. opiates, esp. for psychiatric purposes.
> In terms of opioids, fentanyl is about as strong as one can get, and breakthrough pain meds

are commonplace, since patches arent always the most reliable form of dosing...I would hope that your neighbors have the type of pain that would require such powerful analgesics, or else overkill might be an understatement.
> In all honesty, I wish there was a very tightly controlled drug for depression, much like the tightly controlled drugs for pian, because there are people who ARE unresponsive to the run of the mill AD's. Unfortunately, those controlled psych meds are barbiturates and benzodiazepines...not at all helpful for depression! As I said, I would much much rather have the stimulant class of drugs be used in lieu of opiates because there is a longer history of treatment with them and much more clinical evidence to backup their use in treatment resistant depression. I still believe that even methamphetamine (Desoxyn) is still in use for some disorders, and while I'm certainly not condoning meth for depression, I do think that opiates are a very poor choice for depressives in that a)they are in and of themselves, depressants and b)tolerance to their effects is so much more rapid an insidious than most nearly any other substance.
> At this point, I cannot see any clinical reason to resort to opiates for depression, even if 60 years ago it was common practice. Nembutal and Tuinal were also 'effective' anxiolytics and sedatives at the time. I don't think I would stand by using those drugs for anxiety/sleep anymore =)
> I'm going to wrap this up because at this point I'm boring myself, so in conclusion, I think you're right, phillipa, and 37 years is a long course of treatment, esp. if it stopped working long ago. I liked your comment earlier on how the percocet had you laughing while you were on it...it is an effective mood-brightener at first, but oh how quickly that effect fades. And buprenorphine, while structurally a bit different in its actions on the opioid systems, is no better for long term treatment of anything except opiate addiction maintenance therapy. And in a few cases, its used in patch form for chronic pain, with all the same downfalls of all other opiates, im afraid.


Opiates are not "depressives". Ultram acts as a SSRI. Percodon, Darvon, and Meperidine can cause serotonin syndrome if taken with a SSRI or SSNRI. Think there just might be a link between the serotonergic system and the enkephalins? Fentanyl isn't really the "strongest" opiate out there either. It sort of depends on the particuliar opiate receptor site the drug acts as an agonist for. Buprenorphine is the strongest kappa opioid receptor agonist.


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Psycho-Babble Medication | Framed

poster:Shelly Dylan thread:856260
URL: http://www.dr-bob.org/babble/20081016/msgs/858340.html