kimbuka
Member

Reged: 12/14/03
Posts: 186
Loc: Midwest
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I don't know how stupid this question is, but...
I started taking pain meds regularly last Fall. Needless to say, my dosage has increased to an amount that I'm not proud of. So, with some much needed advice from a very dear person on this board I've come to realize that my dependency is much worse than my pain at this point.
So, it seems that even though I wish that whatever the ingredient is in the medicine that makes me feel energetic, that makes me happy(?), that makes me feel like Wonder Woman could be bottled up and sold alone...I am feeling like I'm sinking into a deep depression.
To answer this, first I need to say that I don't think it is my tapering that is making me feel depressed...It is taking the medicine itself . I still get the results of pain relief and buzzing, but for some reason I am really feeling alot of depression...
Is there some relationship between hydro (regular dosing) and being depressed???
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potatoboy99
Permanent Fixture

Reged: 02/04/03
Posts: 1069
Loc: Still Here
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There's an absolute relation between all opiates / opioids and depression. They mess with your dopamine etc. Depression is a big part of any hydro withdrawl experience, and it is notorious for messing with your mood while you are still taking it. Many people ascribe drastic personality changes to their hydro use.
Yawkaw, and others, have posted eloquently on this subject in various threads.
Sorry to hear you are going through this, kimbuka. It's probably no help at all to hear that you aren't the only one suffering hydro related depression!
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joyous
Newbie

Reged: 01/16/04
Posts: 32
Loc: rocky mountains
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Kimbuka,
I'm right there with you. I actually only use hydro for breakthrough pain now, but depression is definitely a factor. Does anyone have any suggestions? Are there other pain meds w/o this side effect? Would adding an anti-depressant help? How do these drugs interact? I'm just beginning to wonder if the mood swings are worse than the actual pain. It's such a luxury to have the option of being somewhat pain free, but at what cost? Any advice from you veterans would be greatly appreciated.
Joyous
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oldnavy170
Board Addict
Reged: 05/12/03
Posts: 304
Loc: New York
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The same thing happened to me too. I was on Hydro for a long time but went cold turkey at least 3 times now. I still NEED Hydro for the pain but only *try* to use it for the pain,
Its been 2 months since my last Hydro pill and I have been using other sources for pain, tylenol, motrin, advil, etc.
The worst part of it is that when you REALLY are in pain that the tylenol, motrin, etc. just don't work.
I will use Hydro again but I try to WAIT it out until I really truly need it.
Try going cold turkey, after a week you'll feel less depressed and remember that Hydro is used for pain and not for other reasons.
I understand what your going thru!!!!!!!!!
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mermaid72000
Member
Reged: 01/19/04
Posts: 125
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when i took hydro my moods were always bad, i was a maniac and really was difficult to be around. even when i first started to take hydro i would feel better for a minute but i always freaked out could not control my emotions, i am a happier more even tempered person without hydro so i believe taking hydro can depress individuals. for myself i had to stop taking hydro because i no longer can justify taking it and i am not a chronic pain patient so now when something happens that i need relief i take advil or aspirin, i am a little afraid of hydro because it turned around and bit me, now i know the rules of the game before playing.
take care hope you are feeling beter
carol
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yawkaw3
Pooh-Bah
Reged: 03/22/03
Posts: 1064
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When you first discover opiates, you think you have found the holy grail. Here is a drug that makes you the person you always wanted to be and it feels great.
If you take it every day, that lasts for some time, few months.
Then you get to a point where you're not really getting the good feelings, you're just kind of apathetic and lazy and numb. It's not that great, but you are still wishing you could get that original feeling, so you keep using.
Then you get to a point whre you have no good feelings, and your only high is relief from withdrawal. At this point, the old feelings that bothered you in the first place come back little by little.
You always, throughout this whole process, have the option of waiting 8-12 hours between doses and you will get a mild high- but it's nothing like you used to get.
This has happened to millions of people throughout history using opium. You must give Ma Opium the respect she deserves, or she will beat you into submission.
Over the long-term, opiates make depression worse. They prevent you from dealing with the issues that made you depressed in the first place. You cannot heal while you are anesthetized to reality- how can you possibly address a painful issue from your past while you're high and love everybody?
What I've described above are the personal experiences of many, many, many people. Go to an NA meeting, you'll hear the same thing. Go to a messageboard and read the progression of someone's posts- you can see a clear, negative change.
There are some conflicting studies- some say that opiates are the answer if they are given in very controlled quantities. More recently, attention has been given to buprenorphine and tramadol as antidepressants. Tramadol is even used in Europe as an antidepressant, but understand tramadol is not your typical opiate- it also has effects on serotonin. And bupe is DEFINITELY not a typical opiate.
No other drug exists that can so quickly and so powerfully relieve so many mental issues. Nothing a therapist can say can do that- but over the long-term with the right therapist, you have a good shot at dealing with and fixing these issues. Don't try to understand therapy, just go there and talk about your feelings. If you've tried three therapists who didn't work, try a fourth and discuss why the other three didn't work. If words can hurt people, words can help people.
On a side note, drug abuse mimics depression. A patient with either disorder may have the same exact symptoms, aside from the drug-related behavior. This is a well-documented fact in the DSM/IV and many other mental health textbooks. If you weren't really depressed before drug abuse, you are in need of a reality check.
Not saying anyone here is a drug addict, and I'm not saying don't take your pain meds to avoid depression. But it can and does happen and has happened for thousands for years. Chronic pain- better to be relieved of pain than any opiate side effect. But if your chronic pain is such that it could be adequately controlled by means other than opiates, do yourself a favor and go that way.
We do not yet truly understand depression neurochemically. Yes, PET scans do show differences in serotonin levels in non-depressed patients. But what does that mean? IS using an SSRI the right way to fix it? Why don't all SSRI's work for everyone, then? There are many unanswered questions, the only thing that is certain is that depression is still- at least on the biochemical level- a mystery. More progress is made every day, but we are far from the magic pill.
-yawkaw
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oldnavy170
Board Addict
Reged: 05/12/03
Posts: 304
Loc: New York
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Quote:
Nothing a therapist can say can do that- but over the long-term with the right therapist, you have a good shot at dealing with and fixing these issues. Don't try to understand therapy, just go there and talk about your feelings. If you've tried three therapists who didn't work, try a fourth and discuss why the other three didn't work.
I just wanted to say that I was not depressed before I went on Hydro but once I was on it thats when the depression set in.
I'm not really sure that a therapist can cure an opiate depression. I would say that giving up the meds would bring you out of depression again. Thats what happened to me.
Thats just my thought.......
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john5
Stranger

Reged: 09/23/03
Posts: 10
Loc: usa
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Words of wisdom.
always appreciated!
Thanks,
john5
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