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P.S. I would strongly discourage anyone from self-medicating with an anti-depressant without doctor's advice. You should see a psychiatrist for that. Wellbutrin and Effexor are known to cause anxiety and akathisia, which could trigger a total relapse back to the hydro and hurt you instead of helping you. Depression is not a simple illness with a simple solution.
In the best of all worlds, you're absolutely right, Trampy. Unfortunately, it takes months in my area to get an appointment with a psychiatrist, meanwhile all the family practice docs are passing out samples of SSRI's like candy: Celexa seems to be the payola favorite of the past few months. Within past two years, I've nurse-maided a close friend through 10 day residential heroin detox (with buph) and into clean & sober housing twice. IMO the biggest threat to a quick relapse is the fact that the opiate-tolerant brain is unable to produce adequate levels of "feel-good" neurotransmitters on its own for several weeks. The addiction specialist doc at the detox center actually put it in those terms. Certainly akathisia and anxiety are two very common experiences of a person withdrawing from opiates -- but I'm not aware of any "clean & sober" house that allows e.g. Xanax in the facility, most will allow an AD. Of the AD's IMO Effexor works the fastest and the best and yes anxiety is a possible side-effect - that's why you want to start it while you're still tapering with buph or hydro or the opiate of your choice; to get beyond those side-effects, which in the case of effexor will take about 4-5 days. Like depression, addiction "is not a simple disease witha simple solution."
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Re: Buph?
