Posted by christophrejmc on February 3, 2002, at 17:18:09
In reply to Re: opioids » christophrejmc, posted by Elizabeth on February 1, 2002, at 15:47:02
> Do you think you'd be able to get by taking an opioid on an as-needed basis, rather than continuously, and continuing with the Nardil? That might be better than taking the opioid full-time. I think there is some risk of tolerance to opioids for people taking them as ADs (although there definitely are people who don't become tolerant), and it's also a challenge to manage some of the side effects on a day-to-day basis.
I never even thought about that; I think I'll try that first.
> My residual symptoms are similar, and buprenorphine definitely helps a lot. Have you tried psychostimulants?
Yeah. They help, but not much. I'm currently thinking about adding a direct dopamine agonist, it seems to help some people with residual anhedonia/apathy.
> I have often thought it would be cool if buprenorphine were available in a metered-dose nasal inhaler (a la Stadol NS); that would make it very easy to take it that way.
Have you thought about filling an OTC nasal spray with buprenorphine (the good ones that control the amount of fluid sprayed)? I wonder if certain pharmacies can do this for you.
> I'm not sure how my pdoc would react if I asked if I could do this. I also think there might be problems with getting IM injections three times a day, every day (you could alternate which muscle you used, of course, but even then you'd be hitting the same site pretty often).
Yeah, I can see the problem there.
-chris
poster:christophrejmc
thread:4588
URL: http://www.dr-bob.org/babble/20020131/msgs/92735.html