Posted by Elizabeth on June 27, 2001, at 12:33:41
In reply to Back from the hospital, re: meds, eliz et al., posted by shelliR on June 25, 2001, at 9:55:12
> My hospital plan was to start selegiline after a 5 day washout from Nardil and to add oxycontin.
That's great news. Oxycodone is similar to morphine, but it has much better oral availability. And opioids are very good for getting you through antidepressant switches (especially those involving MAOIs).
> Came home on 20mg of selegiline and 20mg oxycontin (10mg bid: supposed to be 12 hour release, but it lost any effect for me after hour 8).
Yeah, 8 hours is about right for OxyContin. MS Contin doesn't last the full 12 hours either.
> Plan was to continue going up of selegiline to 40mg.
40 mg was where I gave up on it. I think more might be required, but I had the kind of side effects that you mentioned: jitters, shakiness, etc. It also made my sleep and appetite even worse than they had been previously. Tension can contribute to muscle and joint pain.
> I see my pdoc this afternoon. What does one do about a pdoc who does not answer pages? Word on him among colleagues is brilliant but not reliable.
I once had a pdoc who was really bright but flakey. Great guy, though. Absolutely ADHD, too, so I think he understood me better than most pdocs have. < g > (I never had the guts to enquire as to whether he took Ritalin or anything.)
I'm not sure what to say about your ideas about mixing Prozac with stuff. Mirapex seems like a good plan, though. It's on my to-do list. A friend has convinced me to try one a monstrous multi-AD combination that his pdoc says "always" works: Remeron + Effexor (substituting Meridia, probably, given my past problems with Effexor) + Wellbutrin SR + Lamictal + Provigil.
> I had very bad suicidal feelings Friday and Saturday, but the oxycontin pulled me through once it kicked in.
One caveat: there's nothing wrong with the way you're using the OC, but if you try to d/c it too rapidly you *will* get withdrawal symptoms, and these can be bad especially for depressives. One thing I really like about buprenorphine is the absence of serious withdrawal symptoms.
-elizabeth
poster:Elizabeth
thread:67801
URL: http://www.dr-bob.org/babble/20010625/msgs/68097.html