Posted by SLS on June 19, 2012, at 9:23:36
In reply to Re: going off meds - finding doc for opiods or stims? » SLS, posted by novelagent on June 19, 2012, at 0:51:56
> Heroin is what happens when one can't afford to buy pills off the street anymore,
Buprenorphine can be be prescribed by any physician in the US for usages other than opioid addiction. To treat opioid addiction, a special registration is necessary. There is no need to go to the street for buprenorphine.
> so I'd be careful about encouraging anyone to enter down an opiate path.
I haven't. I just stated that some people report that buprenorphine is the only drug that relieved their depression. I'm sure you are familiar with the often-cited study conducted by J. Bodkin.
At what point do you determine that buprenorphine treatment is the only remaining alternative? I don't know.
> Opiates do not work long-term for any condition, including pain,
Okay. Then, what would you use in their place?
> and the risk of becoming addicted by taking it simply as prescribed and then not even have it work anymore... it's un-wise. And stupid, if you forgive me for making a point.
Again, I don't know if that verbiage is terribly helpful. I doubt that all doctors who use opioids as a medical tool are stupid. They must certainly be aware of the shortcomings of currently available opioids because they witness them every day.
Perhaps your definition of the word "stupid" is different from its common usage.
Another thing interesting about memantine is that it helps to prevent relapse of opioid addiction.
> > > I find that stupid. Not to judge or anything, I just think you're being an idiot. (No offense).
> > I'm not sure that this verbiage is helpful.
> > For whatever reasons, some very educated people with depression report that buprenorphine is the only drug that relieves it. Others report tramadol as being effective, although its properties of NE/5-HT reuptake inhibition cannot be overlooked. However, many of these people had tried reuptake inhibitors previously without success.
> > Regarding nociception, memantine might extend the analgesic effects of opioids and mitigate the development of tolerance. This has been the conclusion of numerous studies. There is far less evidence of memantine extending the therapeutic effects of amphetamines. I never tried it.
> > - Scott
Some see things as they are and ask why.
I dream of things that never were and ask why not.
- George Bernard Shaw