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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by bkdog on March 5, 2007, at 3:44:27
my maoi makes me barkey feel human, barley like my head is above above water......
however Dilaudid makes me feel totally NORMAL and energetic and almost like "ah.... this is what i should feel like"
i am NOT spealing of the RUSH..... just the brain function with D.
WHat is the Dilaudid doin that my MAOI;s are not ?
i want to talk to my doc about this.
ANY INPUT ?
Posted by bkdog on March 5, 2007, at 5:59:16
In reply to dilaudid -vs- MAOIS, posted by bkdog on March 5, 2007, at 3:44:27
just y'all know what i mean...
i found this quote (also related to opiods) in another post(begin quote)
There is no feeling of being 'high' just a feeling of calm, feeling mellow, not being depressed, able to work, socialize, do housework etc., be on computer, put simply be part of life ......... my problems are still there but seem less significant and manageable and not magnified to the point of being insurmountable, take a back seat, so to speak
(end quote)THIS IS EXACTLY WHAT IT DOES FOR ME....
WHY CANT AD's (or MAOIs) WORK THIS WAY
makes me even sadder.... :(
Posted by med_empowered on March 5, 2007, at 6:26:15
In reply to Re: dilaudid -vs- MAOIS --MORE INFO--, posted by bkdog on March 5, 2007, at 5:59:16
there's a growing theory that maybe the opiate system plays a big, big role in emotional regulation. Basically, the idea is that while the focus has been on increasing/decreasing/altering neurotransmitter levels, the focus should have been on dealing with enorphins (I think that's the term I'm looking for--other posters will know more).
Opiates were used for 1,000s of years, then ignored, now..they're back. Kind of. I don't think most shrinks would go for Dilaudid, especially if you have been acquiring Dilaudid illegally. Then again: who knows. Some posters here have very liberal, very understanding shrinks, and if you've been non-responsive to meds...maybe it could happen?
More likely, IF your shrink goes the opiate route, you'll be looking at an RX for buprenorphine (I think I misspelled that awfully). Bupe is a painkiller, it can substitute for other opiates (its an "in-office" option for maintenance; its emerging as the new methadone). Usually, there's no euphoria with it: if it works, it gets rid of the anxiety/depression and mellows you out. If it doesn't...back to the drawing board.There's also Ultram (tramadol), which isn't an option while you're on MAOIs or in withdrawal from them, since the interaction could cause pretty severe serotonin syndrome and kill you.
Posted by willyee on March 5, 2007, at 7:22:12
In reply to Re: dilaudid -vs- MAOIS --MORE INFO--, posted by med_empowered on March 5, 2007, at 6:26:15
I don't think most shrinks would go for Dilaudid, especially if you have been acquiring Dilaudid illegally. Then again: who knows. Some posters here have very liberal, very understanding shrinks, and if you've been non-responsive to meds...maybe it could happen?
I said the same thing reading it,i had the drug in ER during my appendix surgery,i cant imagine getting it by any doc at least where i live,theyd have a heart attack,even the latter opiate where i live requires the pharmacy to have a specific license,and only specific docs can even rx it.
My pharm tech friend said also unlike other drugs,the latter drug u mention buper whatever is actualy honestly watched in far as quantity and all must be acounted for,its not a med some unconventional doc will be allowed to try here.
Rather like i stated the pharmacy,the doc rxing,etc are all part of a watched system,so im in awe when i hear some people recomend it so easly,i made docs laugh upon even mentioning the idea.
The first one,well aside from er i wont even toy the notion,u have a easier chance scoring the hardest of street drugs than that.
FYI: Knew a friend who was a believer in the opiod system as well,the one thing i noticed about him that really made me hesitant to agree is the tolerance factor,as well as the withdrawal factor,he really went through hell dealing with both and he never used "street drugs" ever,so if that is the case with opiods,not saying it is,i dont know,well i dont think even if effective i need any more vultures sitting on my shoulder.
Posted by bkdog on March 5, 2007, at 9:02:01
In reply to Re: dilaudid -vs- MAOIS --MORE INFO--, posted by willyee on March 5, 2007, at 7:22:12
>>>>> SNIPPED <<<<<<<
>
> FYI: Knew a friend who was a believer in the opiod system as well,the one thing i noticed about him that really made me hesitant to agree is the tolerance factor,as well as the withdrawal factor,he really went through hell dealing with both and he never used "street drugs" ever,so if that is the case with opiods,not saying it is,i dont know,well i dont think even if effective i need any more vultures sitting on my shoulder.
>yup yup.....
Ive had the monkey on my back here and there.... not fun...
the Physical WDs are manageable (with some OTC stuff)....
not fun... but not hell either,,, maybe i am just lucky....BUT (and this is a BIG BIG BUT) the PAWS (post acute withdrawal syndrome) IS HELL... MORE DEPPRESSED than before..... and can last for 3 weeks.... time for the Endorphin Factory to start its own native supply again.
I think you are right... Tolerance and Danger will keep MOST docs (prolly anyway) from going that route....
Its just really really f*ck*d up that here is a "med" that makes me feel HUMAN and FUNCTION..... (not high... or nodding off)
Is ALMOST like my brain just does NOT produce endorphins etc... on its own..... AND NOTE: the opiod use has been short lived, so it is NOT like iburned out my NATURAL receptors/producers...
JUST NEED TO FUNCTION... JUST WANT TO FEEL HUMAN.
such a catch 22.....regards...[BKD]
Posted by Phillipa on March 5, 2007, at 10:39:30
In reply to Re: dilaudid -vs- MAOIS --MORE INFO-- » willyee, posted by bkdog on March 5, 2007, at 9:02:01
Well I had that percocet experience oh well. They do use bupe in Charlotte for opiod addiction. And what really makes me mad is the girl across the street was abusing fentanyl patches, any pain pills and she now on methadone and functions like a real normal person and is happy. Love Phillipa
Posted by bkdog on March 5, 2007, at 11:22:08
In reply to Re: dilaudid -vs- MAOIS --MORE INFO-- » bkdog, posted by Phillipa on March 5, 2007, at 10:39:30
hey Phillipa,ya know,,, with a lil effort i could prolly get methadone, there is a good possibility that it would " help " fill the gap im trying to fill....
BUT.
methadone and MAOIs (in my case emsam) NO PLAY NICE together.
[ BKD ]
Posted by Declan on March 5, 2007, at 14:31:45
In reply to dilaudid -vs- MAOIS, posted by bkdog on March 5, 2007, at 3:44:27
I know exactly how you feel.
Half the world might, given a free market.My experience has been that the desire for opiates recedes somewhat over time due (I think) to changes in brain function, subsequent to addiction.
I found it particularly hard to find a sense of psychological balance, and acceptance of suffering has been important in what balance I have.
There are cases of bupe and hydrocodone being used therapeutically for depression.
Opiates should be reserved for the aged IMO, but like everything else they go to the rich and the enterprising.
Posted by spriggy on March 10, 2007, at 0:01:25
In reply to Re: dilaudid -vs- MAOIS, posted by Declan on March 5, 2007, at 14:31:45
I am on Ultram ER (200 mg once a day) and I have not been able to believe how much it has helped my mood.
I am on it for Fibromyalgia/Lymes' pain but suddenly, my anxiety is gone.. my energy is up, and my depression is far, far away.
PLUS, I don't have horrific joint pain and jaw pain.
I don't feel the slightest buzz- just "normal" and maybe a little "perkier" but not buzzed.
I take hydrocodone if I have "breakthrough" pain but hardly ever have to use it anymore.
In fact, I think the hydrocodone actually caused me to 'feel' depressed (and moody). But I guess everyone is different.
I am just worried that I will have a hard time getting off this Ultram. My dr. assured me it was "not addictive" and yet, all that I read on it says that it is!Go figure. Oh well, I'll just enjoy this while it lasts. ROFL
Posted by Phillipa on March 10, 2007, at 18:14:59
In reply to Re: dilaudid -vs- MAOIS, posted by spriggy on March 10, 2007, at 0:01:25
Good for you Spriggy glad you found out the mystery. Love Phillipa. I've heard great things about Ultram.
Posted by kelv on March 12, 2007, at 4:56:49
In reply to dilaudid -vs- MAOIS, posted by bkdog on March 5, 2007, at 3:44:27
"however Dilaudid makes me feel totally NORMAL and energetic and almost like "ah.... this is what i should feel like"No Shite-it's called 'drug store Heroin for a reason dude!
"WHat is the Dilaudid doin that my MAOI;s are not"
Maybe getting you high-feeling good?-The IV rush is apparently extremly euphoric, and easy to do with the Knoll IR tabs-not much prep involved."i want to talk to my doc about this."
Good luck!. There's no way you are gonna get Dilaudid for a mood issue, unless you're on your way out with terminal Cancer ETC.
Dilaudid (Hydromorphone) for depression-unlikeliest thing i'v heard of recently-haha.
>
> ANY INPUT ?
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