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  opiate withdrawal-depression and Ultram

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Author Topic:   opiate withdrawal-depression and Ultram | Page views:
jbrian7
Newbie
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Posts: 2
From:Grand Rapids, MI, US
Registered: May 2003

posted 05-13-2003 08:38 PM     Click Here to See the Profile for jbrian7     Edit/Delete Message   Reply w/Quote
My name is James and I am a 36-year-old addict. This is my first post so I will have to start telling you a bit about my nightmare with pain meds.

I have been addicted to pain meds for roughly 3 years. I started with codeine, such as Tylenol 3's. This was a result of a c5/c6 cervical disc injury. I really did not think that I had a problem at first; I took 2 at a time about 1 x a week to help with the pain. Well, that is how it started; I eventually took them because of the overall euphoric feeling it gave me. I had colon/rect. surgery not long after that, and was introduced to vicodin es. That, coupled with the Internet and easy access to pain meds, was the proverbial death knell to my casual "innocent" drug use. I was an addict on the codeine, so don't get me wrong, it’s just that it was now about 10 levels above where I started. I could no longer take codeine and get a buzz, and believe me I tried. I had to have vicodin. That stuff changed my brain. To make a long story short, I found it very easy to take the drugs. I could really cope with things, or so I thought. I was finishing grad. school, and we adopted to beautiful children, whose mother was murdered - but that is a story in and of itself! STRESS, that was my life. I was using 8-12 vicodin es a day. I tried tapering with my internalist using methadone for 3 months, did not work!! About 1 year ago this April, I decided I had enough. With my wife encouraging me, I elected to go in-patient at a clinic here where I live. The clinic I went to used chlonadine and the 12-step program. I completed the program successfully which took about 3 months, and things were going fairly well. The only problem was the mild depression. I don't even know if you could call it depression, but nothing really excited me. Well, I finished grad school, but starting this summer, I could not stand the blah feeling from the chemical imbalance created by the 3 years of opiate use. I got Tylenol 4 from my doctor for treatment of my ruptured disc, or so I said to him. I would typically go through 90 tablets a month. This lasted from August until October. I started taking them as prescribed, but you know how that goes. When I couldn't get any more, I told him the T4's weren't doing the trick- I actually ran out(October), so he prescribed me Kadian-morphine sulfate. I really did not want it, but I took it anyway. I took about 2-4 a day. I had enough to last until December 24th. I ran out Christmas Eve, the withdrawal was awful, the worst thing was the depression....ugh, I couldn't even do it justice by describing it. Well, on December 26th, out of utter desperation, I tried to get any pain meds that I could get my hands on, but the only thing my doc would consider was ultram. I took it right that day, and thought I had found a miracle drug. It really helped with the depression. I could not believe it. But looks are deceiving. I have been on it since but I never took more than 8 a day, even at my worst. That is very bad even at that level....trust me!! Ultram is as addictive as any opiate, and I have had them all except the street drugs.

Now adding to the story of my "soap opera" life, this January, I found out I had Brugada syndrome, which meant I needed surgery. Brugada is a heart signal disorder that can cause sudden unexpected cardiac arrest-my father died in his sleep this way when he was 48. My heart itself is in perfect condition, but my EKG reads funky because of this signal problem. This meant that I needed an ICD-defibrillator. I had the surgery in April, and was given various pain meds, Tylenol 3, some Kadian which was meant for my ruptured disc but the doctor said I could use for the surgery, and ultram. Believe it or not, I took less than the doctor told me I could. I took them as prescribed. I was totally off of them for a couple days, but 2 weeks ago I was taken to the emergency room for a broken rib. We are not sure what caused the break, but it is most likely from the surgery. I went to v-fib on the operating table and was shocked with 320 volts, so that probably was the culprit.

I am now tapering trying to avoid the terrible depression I get when quitting opiates CT. I also started working out 20 minutes at a time 5 xs a week. That started last week. Outside of my addiction I am physically in better condition than I should be, but that will not last if I do not quit. My heart cath. showed a very clean heart, I have excellent blood pressure and cholesterol. I am 5'11" and weigh 175, so by the grace of God, or luck of the Irish, LOL...my body has faired better than it should have. All kidding aside, I have been fortunate enough to still be alive after years on opiates. Today I went 14 hours without anything, but I started to feel some withdrawal, so I took 2 ultrams. I am at 2 ultrams 2 times a day. I have only taken 2 Kadians in 1 week. I have been here for 7 days. If I don't take the ultram, I am sure I will get depressed. I will try to stay at this schedule for a few more days, and then taper down more. If anyone has ideas about tapering, please let me know. I am trying to stay away from the true opiates because from my experience, when I try to quit them, it seems a bit more difficult.

Is there any addict who can give me some hope or advice about the chemical imbalance created in my brain by the opiates? Will my brain ever produce dopamine in sufficient levels to make me feel happy? I was never depressed before I experienced opiate withdrawal. I tried paxil this summer per advice of my doctor when I was off all pain meds, but it did not really help that much. Does anybody know from his or her own experience, when I might feel somewhat normal again? Not to mention my sex drive, that is bad now, mostly from the ultram. If you have an idea when that might ever be normal again, let me know. Sorry to ask so many questions, but I really need help from any person who is able. I understand that everyone is different with respect to recovery, but your experience will help me a great deal. Thanks so much to all!! If you want you can email me at jim.brian@excite.com

This site has been very encouraging and helpful to me. All the best!!

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HERMIT
Senior Member
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Posts: 193
From:
Registered: Apr 2003

posted 05-13-2003 09:32 PM     Click Here to See the Profile for HERMIT     Edit/Delete Message   Reply w/Quote
Get your doc to measure your testosterone levels. Mine were very low at 32 years old after sickness and surgeries. A monthly shot seems to help me a lot energy wise. Just a thought.

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timsworld73
Veteran
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Posts: 372
From:
Registered: Apr 2003

posted 05-13-2003 09:59 PM     Click Here to See the Profile for timsworld73     Edit/Delete Message   Reply w/Quote
Sorry to hear your story...very sad and wish you well.
I am on Ultram(was)and I took 35-40 a day. I tapered down to 13 and now am on my first day with none. I was taking Lortab 10mg about 40 of those a day so I feel your pain with addiction. I can only tell you what works for me because everyone is different. First, I was on Paxi for depression and when I started my addiction recovery my Dr. changed me to Remeron 30mg. It is an anti-depressent and has really worked alot better than the Paxil did for me. It also helps you get a good nights sleep(you take them right before bed) I tapered by taking one pill a day until I started feeling W/D symptoms then went up one pill and stayed on that dose for a couple of days then go down one, etc... It sounds like the bad part is the depression along with the physical part. Well I would look into seeing about changing your Paxil to something else but that is just me. Aside from the normal stuff to help you get through the withdraws(immodium, something to help slee, hot baths, etcc) that is all I can add. I hope everything works out for you and keep strong.

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jbrian7
Newbie
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Posts: 2
From:Grand Rapids, MI, US
Registered: May 2003

posted 05-14-2003 02:25 PM     Click Here to See the Profile for jbrian7     Edit/Delete Message   Reply w/Quote
Thanks for the advice Tim and Hermit. Checking my testoserone levels is an excellent idea! And immodium and hot baths will be tried to. I hate to be on depression meds, but that is better than opiates. I have never heard of Remeron Tim, I will look it up. Is it an sri? Those things seem to kill my sex drive to be blunt. I will check with my doctor about it per your advice. Thanks so much for both responses, they are very helpful.

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timsworld73
Veteran
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Posts: 372
From:
Registered: Apr 2003

posted 05-14-2003 02:38 PM     Click Here to See the Profile for timsworld73     Edit/Delete Message   Reply w/Quote
No problem my friend. I dont think Remeron is a sri. I had never heard of it until on weekend I totally ran out of pills and was about to die with RLS and my aunt gave me one to help me sleep and it helped and I have felt better since being on it. But everyone is different and Paxil might be the one for you. Anyway good luck.

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Shonn
Senior Member
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Posts: 91
From:Toronto, Ontario, Canada
Registered: Apr 2003

posted 05-15-2003 01:43 AM     Click Here to See the Profile for Shonn     Edit/Delete Message   Reply w/Quote
Remeron is not an SSRI. SSRI's such as Paxil, Prozac and Zoloft only increase levels of serotonin by making it stay around longer to comunicate messages. Remeron is an SSNRI, Selective Serotonin Noradrenaline Reuptake Inhibitor. Works on 2 neurotransmitters and actually tells your brain to make more Serotonin/Noradreniline as well as keep it floating around in your head longer. Remeron is the only drug in this class so far. It also has no effect on sex drive or performance while SSRI's are a nightmare in that department. I take it for depression and it has worked wonders for me where SSRI's have always failed. Just thought I'd share......Peace

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