Psycho-Babble Medication | about biological treatments | Framed
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Re: Ultram withdrawal! MB

Posted by Elizabeth on July 27, 2001, at 20:24:08

In reply to Re: Ultram withdrawal! Elizabeth, posted by MB on July 27, 2001, at 12:31:58

> > "nodding?"
> Yeah, the images are the same, but the circumstances are a little bit different than what I would call "nodding" (and here I risk making a semantic digression). I always considered it nodding when I was in the middle of doing something and I'd wake up from some weird dream five minutes later with drool on my chin.

< g > That sounds about right. In what sense do you think that the Ultram-induced sedation is different (besides the behavioural sign of intentionally going to bed)?

> > All opioids do that to me. I have no idea why.
> Well, is there a positive side to it...I mean, do they help give you energy during the day?


> That would be cool.

It sure is. (although I wish the stuff at least came in a pill)

> > People who take buprenorphine for opioid addiction often need to take it only once a day.
> Wow! Now *that* totally (there's the valley talk again) surprises me.

Yeah, I don't know why it works either.

> Let me rephrase that: Like, wow dude, that's like totally no way, man. How was that? ;-)

Very nicely put.

> Why do you think the dosing schedule for pain and/or depression is different than the dosing schedule for addiction?

I have absolutely no idea.

> I guess different underlying disorders require individualized treatment. The pharmacology behind it piques my curiosity. It might give some insight into the disorders being treated...

Yes, it might. I wouldn't even know where to look to try to figure it out, though. It might be due, at least in part, to the fact that addicts often are required to go to a special clinic every day (at least, when they first start out on maintenance). Going to the clinic four times daily would be pretty inconvenient, and taking the full daily dose all in the morning seems to work okay.

> I wonder if the same people endorsing a once-a-day dosing schedule for addicts on buprenorphine are the same ones who say you can go 48 hrs without a methadone dose and not get sick (sarcasm here not directed at you, by the way).

I've actually encountered people who've used it for addiction who said it gets them through a full day without cravings.

> OK, so I think the term "melencholia" would be the opposite of what I feel withdrawing (if there are opposites to emotions < g >).

In what sense do you mean?

> > It's just one of those odd feelings that people can have. Even a generally skeptical atheist can have a "mystical experience" under the right conditions.
> Yeah, I saw a show where I guy tried to explain near death experiences as physiological anomolies by reproducing something similar in a healthy mind by placing powerful magnets near certain parts of the brain. Now *that* was quite a run-on sentence. Anyway, the person felt a "presence" in the room...some felt there were supernatural overtones.

I'd buy that. I wonder whether some superstitions and myths could have arisen from this sort of experience.





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