Do you use opiates to self-medicate your depression?

Discussion in 'Opiates' started by Rearden Metal, Feb 4, 2006.

  1. Rearden Metal

    Rearden Metal Member

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    I'm sure this thread will change a few lives for the better...

    Buprenorphine: The Holy Grail of depression treatment

    Did the inner torment of depression drive you into an opiate addiction? You're not alone. Zoloft, Paxil, Lexapro, Effexor, Wellbutrin, Ativan, Xanax, Klonopin... You've tried two or three of these. They were supposed to help you feel better- but you just didn't! Opiates, and only opiates could ever quell your inner torment. Sound familiar? Read on, and you'll understand the science behind your instinctive opiate use.

    Depression can result from a deficiency/over reuptake of serotonin, norepinephrine, or dopamine.
    Depression can also result from a deficiency /over reuptake of your endogenous opioids (endorphins/dynorphins/enkephalins).

    While common medical orthodoxy remains for some reason stuck on seratonin/norepinephrine/dopamine over-reuptake as the standard cause of nearly all depression, reality says otherwise. Every person has naturally occurring chemicals in their brain called endogenous opioids. They are endorphins, dynorphins and enkephalins. These endogenous opioids are very properly named, as they are (molecularly) nearly identical to real opioids like heroin or oxy. Some people have a natural deficiency of these vital chemicals, and have no choice but to consume opioids from an external source in order to feel 'normal'.



    This is from the website of an American clinic with branches in three cities:
    ( http://www.thepainmanagementcenter.com/english/buprenorphine/clinical.htm )

    "Underproduction or over-removal (severe re-uptake) of these endogenous opioids can be the cause of many psychiatric disorders ranging from Bipolar Personality disorders to major depressive disorders that often times manifest themselves in severe drug abuse. Unbeknownst to them, these patients use opioid medications either illicit or pharmaceutical because they are compelled to attempt to replace the endorphins, dynorphins, and enkephalins (endogenous opioids) that naturally occur in their systems at insufficient levels."

    A clinical trial conducted at Harvard Medical School in 1995
    ( http://www.drugbuyers.com/freeboard/showflat.php?Cat=0&Number=196682 )
    demonstrated that a majority of treatment-refractory, unipolar, nonpsychotic, major depression patients could be successfully treated with Buprenorphine, even after dozens of other (non-opioid) medications had failed to provide these patients with any measure of relief. Currently, governmental prohibition laws prohibit the overt use of buprenorphine as an antidepressant in the United States. If you suffer from this condition, your physician isn't going to tell you to urgently seek out opiates- let alone prescribe any. While many doctors are aware of the fact that numerous refractory depression patients can only be helped by opioids, an M.D. could lose his license, assets, and freedom by trying to save your life. If you lack the knowledge that opioids can help you- or simply lack a contact to score opioids illegally, you'll likely suffer a miserable, suicidal existence. Notch up another brilliant success in the government's 'War On Drugs'.

    Fortunately, there's a way out. It's even technically legal. Buprenorphine has been proven to be highly effective in treating refractory depression resulting from an endogenous opioid deficiency.
    In order to prescribe it, an M.D. must first obtain special permission from the prohibition enforcement goons. But once he/she undergoes an 8-hour training course and files the necessary paperwork with the ruling regime, a doctor can prescribe buprenorphine pills to 'treat an opiate addiction problem'... Even if you don't really have one. For many, an oxycontin dependency isn't a problem they need to overcome, but rather a solution to the nightmare of major refractory depression which plagues them every waking hour. However, buprenorphine is safer, cheaper, and far more easily obtained than other opioids- and it works. Buprenorphine partially binds to your µ- opioid receptor, which could just be all you really need to eliminate those feelings of crippling depression.

    In order to find scientific papers and other evidence of the endogenous opioids-depression-opioids connection, you can visit the only web site I know of, which is solely devoted to this cause:

    http://www.opioids.com
     
  2. adrian nor

    adrian nor Member

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    Try to get endorphines through chicks or dicks! THAT's an anti-depressant. Also try to fix your life and become more outgoing..... If that doesn't work, buprenorphine would be great. But keep in mind that opiates/-oids may lower your body's natural opoid-production!!
     
  3. Eugene

    Eugene Senior Member

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    Go run a coupla miles and tell me your body is underproducing endorphins.
     
  4. Maggie Sugar

    Maggie Sugar Senior Member

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    Doesn't matter to people whose bodies simply do not produce enough endorphins. They can run all they like, the chemical uptake mechanisms just aren't there in enough quantity in some people.

    Many many depressed people, especially those with chronic pain issues simply don't produce enough endorphin. Makes no difference if they exercise or not. It's kinda like telling a diabetic "Just eat less sugar, and your blood sugar will be fine. MINE is. I don''t know why YOU need that insulin."
     
  5. IronGoth

    IronGoth Newbie

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    Are you trying to tell me that heroin is theraputic?

    Jesus Christ, all we need now is "medical heroin".
     
  6. Maggie Sugar

    Maggie Sugar Senior Member

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    Theraputic for pain. Eventually regular opiates may increase depression.
    Buprenorphine is not herion, nor is it a regular opiate.

    In England herion is not only available for addicts, to keep them functional (and it works, because, they no longer get high on it, and they aren't wasting their time and money scoring) but is used as a strong pain killer as well. People with severe pain, cancer pain ect do better on H than on Morphine or fentanyl, which is what is used in the USA.
     
  7. Eugene

    Eugene Senior Member

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    I apologize for my above post, i was feeling really bitchy that day. Remeber kids: Don't bost when emotionally engaged.
     
  8. Rearden Metal

    Rearden Metal Member

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    Thanx Maggie. It was your posts that encouraged me to provide more information.

    IronGoth, you probably don't question the fact that hydromorphone (Dilaudid) has legitimate medical uses, as it can be legally prescribed. The difference between hydromorphone and heroin? The former is 4 times stronger, while the latter has been prohibited on the whims of politicians. However, with today's pharmacological advancements, there's no need for heroin to be used as an antidepressant. Buprenorphine is safer for many reasons.


    Here you can see one clinical depression patient after another come forward to declare bupe (or opioids in general) to be the only effective antidepressant medication they've ever found:

    http://www.naabt.org/forum/topic.asp?TOPIC_ID=114

    More:

    http://www.naabt.org/forum/topic.asp?TOPIC_ID=366

    http://www.naabt.org/forum/topic.asp?TOPIC_ID=462

    http://www.naabt.org/forum/topic.asp?TOPIC_ID=468


    Every year, over 30,000 depressed Americans commit suicide. The fate of millions of additional depression patients is far worse - they live. Many tried seeking medical treatment, but were given the same old crappy serotonin/dopamine/norepinephrine reuptake inhibitor based products. No opioids. Buprenorphine could have saved them, but ignorance killed them.
     
  9. Maggie Sugar

    Maggie Sugar Senior Member

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    One more thing, pain, both severe and chronic can and will CAUSE depression. I was treated for depression for years, when the problem was that I was in FREAKIN PAIN all the time. Treating the pain, after more than 20 years of other forms of "treatment" (none of which addressed the pain directly) a neurologist and I decided to treat the pain directly, and the pain and the depression are under some control. For now.
     
  10. Night_Owl49

    Night_Owl49 Since 2006

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    more like 5 or 6 miles...[​IMG]
     
  11. StonerBill

    StonerBill Learn

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    considering the fact that deficiency of opiods can result in death, whereas dificiency in those other neurotransmitters will result in debilitated state of mind, i strongly doubt that difficiency of opiods is a leading cause of depression. in fact, its ridiculous. opiods make very depressed people happy because they make everyone happy. opiate happiness is beyond the range of emotions people feel normally. endorphins are released when damage is done in the body, theyre not integral in day to day thought and emotion, like dopamine, serotonin, and noradrenalin are.

    if depression was caused by lack of opiates, then these depressed people would be more than just depressed.. and considering people have whole ranges of depression, a depression caused by opiate difficiency could lead to someone hospitalised and given pain killers, after which they would miraculously turn back to normal and the doctors would pick up on it.

    instead, the only people advocating this idea are depressed opiate addicts who want to believe that their use is justified.

    the mind just doesnt work like most people would like to think.

    that said, theres always a possibility. but to suggest that an opioid defficiency is widespread/common/in the same boat as the functional chemicals dopamine/serotonin... well lets just say you would have to be a team of research scientists confirming data from many previous research scientists from around the world. after making this claim, you could only be taken seriously if you didnt get high off opiates.
    (but felt 'normal'. this does not include opiate addicts who obviously will feel bad without their opiates, and need some to feel normal.. but take more to feel gooood just for the fuck of it)
     
  12. JayBird

    JayBird Member

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    This reminds me of a documentary I saw years ago on one of the cable science channels. Basically, dopamine and endorphins are a chemical "rewards" your brain gives you every time you do something that furthers your survival. For example, you spend a day out in the hot summer weather working your ass off, your mouth and throat are dry as sand paper. You go inside and take a big gulp of cold water. Feels good, doesn't it? Your brain gets a spurt of these chemicals that make you feel good to reinforce that type of behavior. They went on to postulate that these chemicals, esp. endorphins, are a part of bulemia. Vomiting is a survival mechanism. When you vomit, you feel better afterwards, usually. Because you've been given a burst of endorphins. So some people become addicted to it, and puke all the time. To the point that ANY food in the stomach is misinterpreted by the brain as poisoning. Well, that's one theory, anyway. Self image plays a role as well.
     
  13. StonerBill

    StonerBill Learn

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    you get endorphins when you exercise becuase youre destroying muscle fibres, which your brain interprets as an injury. not because exercise is good for you.
     
  14. Rearden Metal

    Rearden Metal Member

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    StonerBill, regular buprenorphine users never get high from it. That's the only reason the government is far less restrictive regarding this particular opioid in the first place.


    Check your premises, because they're all wrong.

    http://www.naabt.org/forum/topic.asp?TOPIC_ID=114

    Note: Suboxone & Subutex, aka 'sub', is the U.S. brand name for buprenorphine.

    Posted by leeglegle: Finally, I found a Sub doc and my addiction instantly disappeared AS DID MY DEPRESSION! I still take 10 mgs/day of Suboxone and will for the rest of my life. It is my "insulin". The disappearance of depression was even more significant for me than was the relief from addiction. I had been an addict for 7-8 yrs., but a depressive for thirty or more years.


    Posted by Jake:

    I had depression for years. I could quit drugs and go through the withdrawal, but it was the depression that would eventually get the best of me and draw me back into addiction. I was self medicating with opiates to fight my depression. Once I began Buprenorphine my depression vanished. I was down to 2mg for a while with still no depression and its been a couple months since I stopped Suboxone and still no depression. Its almost like whatever wasn’t working before was fixed by the Suboxone.​

    Posted by gwen : i started bupe in june and have noticed that it is also helping my depression (connected to my addiction to Oxys). i had been prescribed different anti-depressants off and on over the years, but nothing worked as well as the bupe is working.


    Posted by spanky: I was on prozac for about 4 years prior to starting on Bupe for anixity and mild depression.Since I started on Bupe however I have been able to discontinue the prozac without any troubles.I feel wonderful and like you will most likely be on it for awhile if not forever.The book you're writting is a wonderful thing ,maybe it will open the eyes of those in power to make this drug more available for the many who still suffer.I can honestly say that if not for the Bupe I'd be either using again or dead by my own hand cause I honestly couldn't stand the misery I was dealing with.By the grace of God I found this forum and this drug and I and my life are so much better for it.

    Posted by natasha: Anyway, my reason for posting is to let you know that I, too, had major depression and that I was self-medicating for years with hydrocodone. That is until I finally got on suboxone. That was in March of 2004. I am still taking 8 mgs. every morning. I also take Effexor 150 mg. This seems to be the magic combo for me. I am happy and enjoying life. Can't begin to describe the "before" for you, but I'm sure you can imagine. Every time I tried to get off the opiates, I just got soooo depressed, didn't want to live, and just didn't know why. I had been on antidepressants before, but nothing worked as well as the two meds together.


    Posted by connieZ: This past September I went to rehab for my third time they gave me suboxen. Within minutes I felt normal I could'nt believe it no more depression what a miracle. I left detox and immediately felt like s***. A friend of mine told about a doc who prescribed suboxen I got an appointment immediately. I started taking the suboxen and again felt normal it's been two months now and have never felt better.


    Posted by SomeDayBFree: My first experience with Suboxone began in May 2004 and the relief I received from nearly life long resistant depression was simply miraculous. I was at my best taking 4mg per day. That was better than at 6mg and better than at 2mg. Unfortunately, due to my own internally placed pressures, I opted to stop taking it and began a slow wean and finally ceased in March 2005. The depression returned fairly quickly(no surprise...) and I relapsed a few weeks later. This relapse was relatively short, but "hard and heavy." Much more so (nearly 3 times more) than my previous 3 or so years of abuse. When I returned to Sub in early November, my intent was to do a short detox only - then I found this site along with significantly more data on the drug than I had been able to find previously. I also learned that a significant number of other people as well, were finding relief from serious depression by using Suboxone.



    Posted by rac1210:
    I am amazed the level of intelligence at this forum. I read the post by others at these sites and realize how many people have suffered due to the ignorance and arrogance of the medical community. I read years ago a study done in England that showed Buprenorphine to be effective in treating depression and now I am convinced that there is clearly a place for this drug in not only dealing with opioid dependency but also refractory depression. The proof is in the pudding...look at the folks on this site who have suffered for years with depression ultimately leading ot opioid addiction and all its negative consequences and then suddenly started Sub and now are functioning, happy, productive individuals who have regained the joy of living.





    Posted by dan sewell : Twenty plus rehabs and institutionalizations....All in the name of addiction. Extended "vacations" at the Gray Bar Inn as a result of "criminal" activity ( I'm a good person, my crimes all drug related, not stealing or violent).Scores of Psychiatrists and counselors. Years in and out of the smoke filled rooms of AA/NA. Attempts to find religion, self help books, new age/ old age philosophies. Every known combination of psychotropic drug known to man.So many failed attempts, when I've had the best intentions of remaining clean. Any of this sound familiar???
    What I've finally come to realize is that my depression drives my addiction, a fact that I have had to force down the throats of those who supposedly know about addiction. Every damn one of them has worked on the premise that everything would be dandy when I stopped using, and then some counseling and a dash of antidepressants to fix me. It just hasn't worked, depression leads me right back to the strong stuff.
    The closest non-addictive drug that has worked is Wellbutrin, but has still paled in comparison to Suboxone.I am only taking 1-2 mg(I say 1-2 because I have to divide an 8mg pill in order to stretch out my limited supply) of Suboxone daily, and even skip days because of it's long lasting effect.Technically I'm (my doc knows Im taking less than prescribed) "detoxing" but figure I'll be coming off the stuff for as long as I can figure out a way to keep a supply.Is this abusing a medication? Am I a criminal? I don't even feel the Sub as much as 90% of the antidepressants I've used in the past. I feel like I can actually function and be a productive member of society--something that has not even been an option for soooo long.




    ____________

    I could show another hundred of these. Would you care to try explaining to all of these people why they're wrong and you know better?
     
  15. BoozeJockey

    BoozeJockey Member

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    Look at stonerbill using big words when he doesn't even know why it's hard to make LSD...

    First of all, your body has no opiods of it's own, in fact there aren't any in nature either. Opiods are synthetically altered OPIATES. That being said, your body doesn't make opiates either...

    I don't have a problem with the idea that opiates/opiods can help depression. Depression can be caused by low levels of some neurotransmitters. While the exact action of opiates is not known, it is commonly accepted that they act by causing the release of dopamine (a neurotransmitter). Many anti-depressants (SSRI) work by in effect causing higher levels of seratonin (a neurotransmitter). Why manipulating dopamine is the worst thing in the world but messing with seratonin is ok is beyond me.

    As for the possibility of people feeling pleasure while on opiate therapy for depression...i really don't care, that's a stupid point. If someone feels happy and they aren't hurting anyone else (which they wouldn't if the drugs were prescribed to them), then who cares if they feel pleasure or not?
     
  16. Rearden Metal

    Rearden Metal Member

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    Before I begin, I need to point out that even most physicians are ignorant regarding the vital role of the endogenous opioids, and how they relate to depression. Therefore, nobody should feel ashamed in the slightest, when I point out any inaccuracies in your medical knowledge. I teach doctors about opioids & depression- not the other way around.

    First of all, your body has no opiods of it's own, in fact there aren't any in nature either. Opiods are synthetically altered OPIATES.

    -------> Hi BoozeJockey, just to clarify: Endorphins are the most well known of the endogenous opioids- which are the body's own natural opioid-like peptides. While not exactly opioid substances, they are molecularly nearly identical to real opioids like oxy or fent. Your body's own endorphins have 48 times the analgesic potency of heroin.

    I don't have a problem with the idea that opiates/opiods can help depression.

    ----> Cool. As soon as society catches up with us, much needless suffering will finally be prevented

    Depression can be caused by low levels of some neurotransmitters. While the exact action of opiates is not known, it is commonly accepted that they act by causing the release of dopamine (a neurotransmitter).

    --------> Correct, but more important than the dopamine release, is the fact that opioids activate the body's opioid receptors. Understand that effexor and wellbutrin also help boost dopamine levels. What they cannot do, is activate the opioid receptors. Some people find no depression relief from effexor/wellbutrin, while full or partial agonist opioids do precipitate depression relief. The difference, again, is activation of the opioid receptors.

    Many anti-depressants (SSRI) work by in effect causing higher levels of seratonin (a neurotransmitter). Why manipulating dopamine is the worst thing in the world but messing with seratonin is ok is beyond me.

    ------> Practically all of today's accepted antidepressants boost serotonin levels. The second sentence is inaccurate, as effexor/welbutrin do manipulate dopamine levels.


    As for the possibility of people feeling pleasure while on opiate therapy for depression...i really don't care, that's a stupid point. If someone feels happy and they aren't hurting anyone else (which they wouldn't if the drugs were prescribed to them), then who cares if they feel pleasure or not?

    -------> ...and that is the sad irony of the drug prohibition laws. Compare LSD to datura: Possession of large quantities of the former will subject you to an even harsher punishment than that received by most child molesters! Possession of the latter is technically legal. The difference? While both are powerful hallucinogens, LSD produces euphoria, while datura does not. Politicians and prohibition enforcement thugs are directly punishing pleasure.
    MDMA was banned for one reason only: People were enjoying it. There were no known health risks associated with ecstasy use, but there are now... thanks to the prohibition laws. By driving MDMA underground, a very similar but far more dangerous chemical called MDA is now commonly sold as 'ecstasy'. MDA is not MDMA. MDA messes up the body's ability to cool itself, and MDA kills kids all the time now.
     
  17. Eugene

    Eugene Senior Member

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    The plural of anecdote is not data.
     
  18. Rearden Metal

    Rearden Metal Member

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  19. StonerBill

    StonerBill Learn

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    before i reply, can you please show to me a source which says how this stuff effects sober people?

    it appears that you didnt understand what I meant anyway, since the fact that someone doesnt get high off the drug doesnt mean theyre difficient in what te drug stimulates, but it means that the drugs effects are such that it does not stimulate euphoria. IF indeed it brought depressed people to a normal state simply because they were difficient, then non-depressed people would get high from the effects of the drug. but it seems this is not the case.

    so show us which site talks about the pharmacology of the Sub, and also a site that references the effects of the Sub on non-depressed people. maybe then, you can show me exactly how my premises are wrong.

    as for boozejockey, stop before you make a fool of yourself by trying to make a fool of me. opiates do not simply 'stimulate dopamine'. Amphetamines and cocaine stimulate dopamine. do you think teh effects of either drugs are in any way similar?

    first, why do you think anyone cares what you 'care' about? what you care about does not have any relevance to the validility of data. along with this, whats the problem with people simply sitting around injecting heroin all day? theyre not hurting anyone!
    whats the problem with nondepressed people taking opiates and feelign good? theyre not hurting anyone!
    whats the problem with someone slowly drifting to sleep and never waking up again?

    THEYRE NOT HURTING ANYONE!


    as for using words you dont know about,
    [size=-1](opi·oid) (o¢pe-oid) 1. any synthetic narcotic that has opiate-like activities but is not derived from opium. 2. any of a group of naturally occurring peptides that bind at or otherwise influence opiate receptors of cell membranes; they may have either opiate-like or opiate antagonist effects. They include the dynorphins, endorphins, and enkephalins.

    next time you go reading a dictionary, read a whole entry. duh

    [/size]
     
  20. Rearden Metal

    Rearden Metal Member

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    Bill, when taken by opiate naive individuals, a euphoric high is possible.
    Erowid vault: http://www.erowid.org/pharms/buprenorphine/buprenorphine.shtml

    When taken regularly, There is no high at all. (Although rare exceptions may or may not exist). How this proves or disproves my points is beyond me. If you don't already know where to look up the pharmacology, you wouldn't understand the data if I showed it to you.
     

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