It is currently Wed Aug 16, 2017 9:08 am



All times are UTC - 5 hours [ DST ]


Our Sponsors





Post new topic Reply to topic  [ 6 posts ] 
Author Message
 Post subject: Depression, Anxiety
PostPosted: Fri Dec 24, 2010 8:10 am 
Offline
Average Poster
Average Poster

Joined: Sat Dec 04, 2010 10:28 pm
Posts: 24
Hi All,

I have been having trouble with my anxiety and depression lately since starting on Suboxone a month ago, and I'm stumped on what I should do. Anti-depressants seem to have minimal or adverse effects on me, and the supposed anxiolytic and anti-depressant potential of Buprenorphine has faded for me.

I've been through fluoxetine (Prozac), venlafaxine (Effexor XR), Paxil, Abilify, Seroquel, etc. and I have given them all a fair amount of time to kick in and work, but no luck. My former psychiatrist prescribed me Effexor XR along with clonazepam 0.5mg as needed, 30/month, and I found some refuge in that medication I can say. Although a rather low dose, it almost always brought relief when I was too anxious to fall asleep, or when I was very worked up about something that was going on in my life. Sometimes I would have to take a second one, but that was very seldom. I eventually ran out of the clonazepam and Effexor came with some uncomfortable side effects, so I ended up on Paxil 20mg for quite a while. Eventually, I switched doctors a couple months after arriving at college this fall and encountering some very paralyzing anxiety.

I went to see the new doctor a few times actually before the school year, and he just saw me once a month, keeping an eye on me. I would have breakdowns sometimes, which caused him to put me on Abilify 15mg to calm me down. Well, it calmed me down, but I was pretty much dead on it, so I stopped taking it after a few days. He raised my Paxil from 20mg to 30mg and that's all I was taking for a couple months or so until, as I mentioned above, I ran in to some very uncomfortable situations and anxiety during my first semester of college.

I went to go see him as an anxious mess. I pretty much just poured out exactly what I was feeling around that time and what things were going on in my life, and he evaluated me accordingly. He told me I could either try a sedative (benzo) to kill the anxiety, or a stimulant like adderall or ritalin to help get my thoughts in order and stimulate my brain to think more confidently and productively. We were both afraid of course that the stimulant would simply make my anxiety worse, so I chose the benzo. He wrote me for 1mg clonazepam 2x/day. I had grown to love my clonazepam from my previous doctor, so you can imagine how excited I was to receive this kind of a script. Not that I had any intentions in abusing it, I can't get high off klonopin, only Xanax. Anyway, I gave the klonopin a try for a couple of weeks but I think the dose was too high and it ended up just sedating me quite a bit and making me feel quite depressed, much different than the more positive results I experienced from the clonazepam 0.5mg PRN. I called him and he agreed to let me try the adderall XR 20mg. I gave it a try for a week and it felt like a miracle. I was immediately productive, confident, and felt like a new person. After just a couple of days though, my tolerance was somehow already through the roof, and the 20mg dose no longer had an effect for much longer than an hour or two, and it was a rather weak effect at that. After the week of addy, he switched me to Vyvanse 50mg for a couple weeks, and I had much better luck with it. It lasted all day long, unlike the addy, and the strength of it seemed to be much more consistent, even after a few days or a week of using it. However, after 2 weeks of the Vyvanse, the effect reached a low and due to the stimulants in my system over the previous 3 weeks from the adderall and vyvanse, my appetite had plummeted, leaving me extremely weak from under-eating.

Long story short, I failed a couple mandatory drug screens at the end of October that my doc requires for him to continue writing me medication, and to this day he will not see me as a patient again until I have fully completed a drug treatment/rehab program. My suboxone doctor is a behavioral health doctor, so he can help manage my psychiatric meds rather than me searching for an entirely new doctor, but unfortunately since he is the one that prescribes me Suboxone, he is very afraid of writing me a benzo while I'm on Suboxone, no matter the dosage. It's unfortunate, because I've been experiencing a lot of RLS and nervous twitches/habits over the past month, and after taking 0.25mg of my last clonazepam pill the other day, those symptoms were alleviated.

I informed him of that result, and how low of a dosage it required, but he still refused to write me even a 0.25mg 2x/day. I understand where he's coming from because of the respiratory depression and stuff, but I'm in quite a bind at the moment regarding my depression and anxiety treatment, and I'm not really sure what to do. I mean, I'm sure I could negotiate with him for a benzo once I'm off Suboxone, but I'm pretty confident that's going to be a very long time. Anyway, that's my story and I'm beginning to ramble but thanks for reading and any advice would be greatly appreciated.





Thanks!
Caleb


Last edited by cwake18 on Fri Dec 24, 2010 9:13 am, edited 3 times in total.

Top
 Profile  
 
 Post subject:
PostPosted: Fri Dec 24, 2010 8:55 am 
Offline
Long Time Member
Long Time Member
User avatar

Joined: Wed Apr 29, 2009 12:55 pm
Posts: 4933
Location: Leesburg, FL
Obviously I'm not a doctor, but I'd like to give you my opinion on what you've talked about. First of all, of course you felt better on the Adderall - it's an upper for anyone who's not ADD/ADHD. I'm really surprised a doctor would give that to you.

Although you've tried a lot of antidepressants, you haven't tried them all. There's still Celexa and Cymbalta as well as Wellbutrin, Zoloft and that's just what's on the top of my head. What I'm saying is you might have to try more. For me, I'm doing really well on an antidepressant and two mood stabilizers. I'm surprised the Abilify had the side effects you described. Perhaps the dose was too high? It's usually prescribed not alone, but in combination with an antidepressant that's working.

Finally, to deal with your depression and anxiety I would highly recommend getting a therapist. Remember, in your active addiction the drugs you were taking were stifling and outright numbing your emotions. Now that you're off the drugs, all of those feelings have come back and it's my opinion that you simply don't know how to deal with them. Many if not most of us have had to learn to deal with our feelings, too. I would say that's more likely the cause of your depression and anxiety than the Suboxone is.

Now this last part you're probably going to laugh at. I also would recommend you learn meditation/self-hypnosis. I used to have what I thought was terrible anxiety and I depended on SIX mg of xanax a day (before I started sub). When my therapist suggested I learn meditation I thought to myself, "HA! What a bunch of hooey!" But because I trust my therapist, I gave it a shot. And guess what? I no longer have ANY anxiety to speak of...NONE! It really does work. I can even use it to lower my blood pressure.

Remember, this is just the opinion of one anonymous internet person. But I really do hope that it helps even a little bit. Please keep us posted on how you're doing. I really hope you find a way to deal with this.

_________________
-As I have grown older, I've learned that pleasing everyone is impossible, but pissing everyone off is a piece of cake.

-I'm only responsible for what I say, not for what you understand.


Top
 Profile  
 
 Post subject:
PostPosted: Fri Dec 24, 2010 3:50 pm 
Offline
Average Poster
Average Poster

Joined: Sat Dec 04, 2010 10:28 pm
Posts: 24
Thanks for the reply.

Yeah...as far as the amphetamine, I have no idea what my doc was thinking. He should have just switched me over to xanax and blown me away. Haha jk. I have had some issues with ADD in the past, so it wasn't ever an extremely amazing drug for me, plus for some reason my tolerance for medications and drugs these days tends to build very quickly, sticking me with very little effect from whatever I ingest.

You're correct, I've got plenty of anti-deps left to take, I always will haha. My doctor mentioned Lexapro and Celexa, but we just haven't gotten around to getting serious about changing my SSRI yet. As far as the Abilify, that was a confusing situation because as you said, they usually prescribe it alongside a "working" SSRI, and I can't really say that was true at the time. Plus, the commercially advertised dosages for Abilify (on TV at least...) are 2mg and 5mg...while I was taking 15mg. It's very potent medication, and I was quite out of it.

Hatmaker, if you don't mind me asking, what two mood stabilizers are you on?

As far as the counselor/therapist: I have had one for the whole past year, but when I went off to treatment last month, we stopped corresponding and I unfortunately haven't seen or spoken to him since then, which has been about two months I believe. I have been doing really well in NA with my sponsor and everything, but I'll start to make an effort to begin a hunt for a new therapist. My previous one was very boring and I dreaded going to that damn appointment every week, waste of time.




Anyway thanks,
Caleb


Top
 Profile  
 
Our Sponsors
 Post subject:
PostPosted: Fri Dec 24, 2010 5:05 pm 
Wow that doc you were talking about that had u on the adderall, suboxone, and clonazepam sounds like hes just a pill pusher. No doctor Ive ever gone to would even dream of letting me take all that. I hear ya though about the sub doc not giving you an Rx for a benzo when you need it just because you are on a low dose. Im in the same frustrating situation, I was Rx'd ativan before I was on suboxone for panic attacks and agoraphobia and was on a low dose 1mg daily (I didnt even take it everyday just as needed) and my sub doc wanted me off it so I stopped it. All my anxiety has returned and Ive dealt with it for the last few months but Im getting sick of it when I was doing fine on 1mg ativan a day. I brought up to my sub doc that I would be doing better if I was on the ativan again and all he does is say no and then talk about upping my suboxone dose (I do need a higher dose of suboxone but due to $ issues I have to make due on 4mgs instead of 16mgs) when he knows i cant afford it. I asked him for generic subutex too because then I could afford to be on 16mgs a day and he said no to that to even though Ive never used IV a day in my life. I know people say "doctors know best dont try to be your own doctor and diagnos yourself" but I dont believe in that, I know how I feel way more than a doctor does by spending 5 minutes with me and blowing off anything I tell him and most likely stereotyping me as a junkie drug seeker because of my age. Ive never doctor shopped in my life so when i actualy am in need and go to a "professional" for help and they just dismiss me and are rude about it it realy pisses me off thinking off all the people out there with huge scripts or xanax and a shopping list of other opiates when they dont even need the med they just use it or sell it. I know this kid who gets 4mg xanax a day per month with 3 refills and pays about 4$ a script at walmart and sells em for 3$ a mg and all i want is a measly 1mg ativan per day script for actual anxiety and I cant get it now matter what I do.


Top
  
 
 Post subject:
PostPosted: Fri Dec 24, 2010 5:43 pm 
Offline
Long Time Member
Long Time Member
User avatar

Joined: Wed Apr 29, 2009 12:55 pm
Posts: 4933
Location: Leesburg, FL
Caleb, I take Celexa along with Abilify and Lamictal. I used to be on 10 mg of Abilify - didn't have any side effects, but my shrink said that if the patient isn't bipolar, lower doses of Abilify work much better. I'm now ono only 5 mg. I haven't had side effects with either dose. And the Celexa is great - I have no side effects whatsoever with that either. I'm doing really well on these meds and my moods are really stable now. I really hope you find what works for you very soon. I know how debilitating depression can be. Hang in there.

_________________
-As I have grown older, I've learned that pleasing everyone is impossible, but pissing everyone off is a piece of cake.

-I'm only responsible for what I say, not for what you understand.


Top
 Profile  
 
 Post subject:
PostPosted: Fri Dec 24, 2010 6:43 pm 
I dont understand why doctors have no problem handing out bucket loads of antidepressants to people but god forbid someone needs a benzo they wont even consider it. Withdrawal from antidepressants wont kill you like benzo withdrawal can but they have a very shitty withdrawal period too. You can be depressed for months, get "brain zaps", no energy etc, if Im gonna go through all that might as well take a benzo that is going to work for my anxiety instead of an antidepresant that isnt even made to help with anxiety.


Top
  
 
Display posts from previous:  Sort by  
Post new topic Reply to topic  [ 6 posts ] 

All times are UTC - 5 hours [ DST ]


Who is online

Users browsing this forum: No registered users and 1 guest


You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum
You cannot post attachments in this forum

Search for:
Jump to:  
Our Sponsors
Suboxone Forum latest topics RSS feed Subscribe to the entire forum
cron
 

 

 
Fond Du Lac Psychiatry
Dr. Jeffrey Junig, M.D., Ph.D.

  • Board Certified Psychiatrist
  • Asst Clinical Professor, Medical College of Wisconsin

Powered by phpBB® Forum Software © phpBB Group