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  • BDD Moderators: Keif’ Richards

Doc gave me new meds, advice?

pnillyg

Bluelighter
Joined
May 3, 2024
Messages
823
So whether or not you have followed some of my journey I have struggled to stay consistent with anything in my life but especially happiness and medication. Recently I’ve been using lots of ketamine and in the last month started taking oxycodone again around 15mg a day. I also take 5-10mg diazepam as needed but more days than not and as I’ve been getting worse with the addiction I’ve been using more so it’s not trending in a good direction so I want to get on this before I have a habit that’s worse. I have taken 2mg lunesta every night for sleep for a few years and 5-10mg melatonin and weed too. Today I met with a new addiction specialist and he’s suggesting 5mg lexapro, 10mg Adderall xr, stay on the 2mg lunesta, 1200mg NAC 2 x daily, and 1-3mg Prazosin in the evening with the current sleep stack in hopes to get off of the oxy and lunesta. Going to cold turkey the oxy to see if and how bad the dependency is and then once I’m off that start cutting the lunesta away. Anybody have experience with these meds any thing I should be careful of that maybe he didn’t mention? I’m just not happy in life and the drugs I use will always be there as a friend of mine said and I’m ready to just surrender and listen to somebody for once. Any advice? Much love fam
 
So whether or not you have followed some of my journey I have struggled to stay consistent with anything in my life but especially happiness and medication. Recently I’ve been using lots of ketamine and in the last month started taking oxycodone again around 15mg a day. I also take 5-10mg diazepam as needed but more days than not and as I’ve been getting worse with the addiction I’ve been using more so it’s not trending in a good direction so I want to get on this before I have a habit that’s worse. I have taken 2mg lunesta every night for sleep for a few years and 5-10mg melatonin and weed too. Today I met with a new addiction specialist and he’s suggesting 5mg lexapro, 10mg Adderall xr, stay on the 2mg lunesta, 1200mg NAC 2 x daily, and 1-3mg Prazosin in the evening with the current sleep stack in hopes to get off of the oxy and lunesta. Going to cold turkey the oxy to see if and how bad the dependency is and then once I’m off that start cutting the lunesta away. Anybody have experience with these meds any thing I should be careful of that maybe he didn’t mention? I’m just not happy in life and the drugs I use will always be there as a friend of mine said and I’m ready to just surrender and listen to somebody for once. Any advice? Much love fam
Lexapro is an SSRI . It might be worth a shot to try it out for a few weeks to a month to see if it helps. If it doesn't help or you experience side effects then I'd see about trying a new one. They might be hesitant to prescribe bupropion with adderall but I know that some people are prescribed the combination. Might even be helpful considering the low dose of adderall that you're on.

Did they go into detail about side-effects with the prazosin? There's a thing called "first-dose response" where you might experience bad or uncomfortable side effects with the first dose or 2. People usually get accustomed to it after a few days. Tonight will be my 3rd night on prazosin. First 2 nights were 1mg. Tonight I'm going up to 2. Be careful standing up, especially from a laying position as fainting upon standing is a fairly common side effect. If getting out of bed to use the bathroom or anything, sit up for at least 5 seconds, then stand for a few seconds next to the bed so you can sit back down if you get dizzy. If you feel stable then go ahead and walk. First night I noticed some uncomfortable heart flutters and dizziness after standing. Last night was a little bit better. I'm curious and I apologize about the personal question, but do you have PTSD or frequent nightmares? I'm surprised that prazosin is the first thing they're trying. Surprised they didn't try hydroxyzine or something. What's causing your insomnia if you know?

Also, I'm pretty sure that I've heard that some people find NAC to be stimulating and can cause difficulty sleeping, especially at higher doses, which I'd consider 2400mg total to be. I may be remembering wrong as its been some years since I was heaavy into supplementation.

Much love and I hope that things go well. As I've said elsewhere, it doesn't have to be permanent. If things don't work then some adjustments can be made. That's the shitty thing about medication. It's all trial and error, but I'm confident that you'll find something that helps. I'm about to shower and get ready for bed but I'll try to respond to everything before crashing. I'm happy to hear that you went through with seeing the doctor :)
 
Sleep disorders are challenging to treat and certain sleep meds can ruin a default.
I feel absolutely wrong for taking so much medicine at night. Anestheiologists release deeps sighs and give me a serious side-eye when we go down my medication & dosage list.

Like I am going to have to kill this patient twice to get this procedure done... "Hey how much Propofol, Pentobarbital, Succinylcholine, Inapsine, Versed, Clonidine, and Fentanyl do we have in stock today?"
 
Lexapro is an SSRI . It might be worth a shot to try it out for a few weeks to a month to see if it helps. If it doesn't help or you experience side effects then I'd see about trying a new one. They might be hesitant to prescribe bupropion with adderall but I know that some people are prescribed the combination. Might even be helpful considering the low dose of adderall that you're on.

Did they go into detail about side-effects with the prazosin? There's a thing called "first-dose response" where you might experience bad or uncomfortable side effects with the first dose or 2. People usually get accustomed to it after a few days. Tonight will be my 3rd night on prazosin. First 2 nights were 1mg. Tonight I'm going up to 2. Be careful standing up, especially from a laying position as fainting upon standing is a fairly common side effect. If getting out of bed to use the bathroom or anything, sit up for at least 5 seconds, then stand for a few seconds next to the bed so you can sit back down if you get dizzy. If you feel stable then go ahead and walk. First night I noticed some uncomfortable heart flutters and dizziness after standing. Last night was a little bit better. I'm curious and I apologize about the personal question, but do you have PTSD or frequent nightmares? I'm surprised that prazosin is the first thing they're trying. Surprised they didn't try hydroxyzine or something. What's causing your insomnia if you know?

Also, I'm pretty sure that I've heard that some people find NAC to be stimulating and can cause difficulty sleeping, especially at higher doses, which I'd consider 2400mg total to be. I may be remembering wrong as its been some years since I was heaavy into supplementation.

Much love and I hope that things go well. As I've said elsewhere, it doesn't have to be permanent. If things don't work then some adjustments can be made. That's the shitty thing about medication. It's all trial and error, but I'm confident that you'll find something that helps. I'm about to shower and get ready for bed but I'll try to respond to everything before crashing. I'm happy to hear that you went through with seeing the doctor :)
He didn’t give me much information (that I can remember)(my memories shot for many reasons) but we spoke in detail about everything I’ve been on and tried in the past including hydroxazine and gabapentin and even seroquel for sleep. All have there pros and cons. But he thinks I may have a lot of misdiagnosis going on and most of my adhd/ocd symptoms come from my PTSD and C-PTSD. And man you’re the best I really appreciate how kind and encouraging you are it’s really been helping me during this time. I’m also a bit of a hermit so it feels good to have human connection :)

Definitely wanna give the SSRI a shot cause I don’t like to knock it till I try it. I’m just wondering if I’m going to feel the benefits while stopping these opiates and benzos but they’re low doses so I’m trying to stay optimistic. Got through today so far with only around 11.5mg of oxycodone so 3.5mg lower than yesterday and I’m trying to cut 2.5mg daily then the lunesta after. Think I may be in the clear for Benzos but need more time without to know.

He didn’t tell me about that effect with the Prazosin but he did say be careful standing up. He’s hoping that I can get off the lunesta nightly too after we hit the opiates and benzos first. But all in due time. No rush he even said he’d consider writing me more opiates if I run out which is tough because it’s taking everything in me to not be a junkie and tell him I’m withdrawing bad when I’m actually not to get more but I believe I got it in me. I may struggle but I got some fight in me for sure. Anyways I’m kinda just ranting now it’s like therapy for me so if you kept reading much love big time.
Sleep disorders are challenging to treat and certain sleep meds can ruin a default.
I feel absolutely wrong for taking so much medicine at night. Anestheiologists release deeps sighs and give me a serious side-eye when we go down my medication & dosage list.

Like I am going to have to kill this patient twice to get this procedure done... "Hey how much Propofol, Pentobarbital, Succinylcholine, Inapsine, Versed, Clonidine, and Fentanyl do we have in stock today?"
Mannn this hit home for me big time. I’ve been on so many meds before that my heart rate device I wear showed I was averaging ~43bpm for like 6 months it was wild (15-30mg diazepam and 16mg buprenorphine at that time) along with weed was basically nodding for a year straight. But yea I’ve gotten that look before too. Especially with ketamine I’m extremely tolerant haha. But not a flex just a fact.
 
He didn’t give me much information (that I can remember)(my memories shot for many reasons) but we spoke in detail about everything I’ve been on and tried in the past including hydroxazine and gabapentin and even seroquel for sleep. All have there pros and cons. But he thinks I may have a lot of misdiagnosis going on and most of my adhd/ocd symptoms come from my PTSD and C-PTSD. And man you’re the best I really appreciate how kind and encouraging you are it’s really been helping me during this time. I’m also a bit of a hermit so it feels good to have human connection :)
I understand the memory thing very much. My memory has improved as my depression has improved. I'm sure that it'll be the same for you.

Sounds like we are on very similar paths. My doctor also started me on prazosin hoping that treating my PTSD will improve my ADHD and Depression. I recently have been experiencing basically constant intrusive thoughts in the form of memories. Sometimes related to the trauma itself, but recently just shifted to a near-constant onslaught on memories of things I've done that I regret, things I've done that I find embarrassing , things in my past that make me cringe. The barrage of negative memories has been rather distressing. I've only been on prazosin for 3 days and today I think that I can count the negative memories that I experienced today on one hand. Maybe two. That is a MASSIVE improvement. I haven't had any nightmares although my dreams have become more vivid and I've had dreams where I've been using substances every night, which I wasn't before the prazosin. Before the prazosin I had a couple of using dreams a week.

So for me personally, the prazosin has been amazing for my PTSD symptoms. It comes at a cost though. I feel foggy and slightly detached from everything I do. Almost a sort of dissociation. When conversing I also experience a lot of "on the tip of my tongue" moments. I'll go to say a word and as soon as I go to say it it's like the word has been erased from my memory and can't retrieve it, "resulting in the tip of my tongue". I was talking with a coworker today and it happened and I got so frustrated that I couldn't think of the word that I became distracted and the conversation ended because of it. So honestly, I'm not sure if I'm going to continue it. I love how much it helps my PTSD but it makes my ADHD much worse. I hope I can eventually convince my doctor that I would benefit from a daily stimulant because I don't think the issue would be as bad if I were prescribed one. Stimulants also significantly reduce my PTSD symptoms themselves.

I'm happy to talk whenever :) I'll always try my best to reply. Being able to talk also helps me a lot. It seems that we've been on a similar bath for quite a while now and always seem to end up in the same spot as one another. It definitely helps to not feel so alone as nobody in my personal life truly understand what the struggle is like

Definitely wanna give the SSRI a shot cause I don’t like to knock it till I try it. I’m just wondering if I’m going to feel the benefits while stopping these opiates and benzos but they’re low doses so I’m trying to stay optimistic. Got through today so far with only around 11.5mg of oxycodone so 3.5mg lower than yesterday and I’m trying to cut 2.5mg daily then the lunesta after. Think I may be in the clear for Benzos but need more time without to know.
I'm no professional, but I think that I agree with the doctor that it's best to save the lunesta for last. Hey man, knocking 3.5mg off of your Oxy dose today is great! If cutting 2.5mg daily is too fast don't be afraid to take time to get adjusted to a dose, but if you can handle the discomfort of cutting 2.5mg daily then I say go for it! As long as you're not going back UP in dose then you're winning the fight. What benzo and what dosage are you on? Don't be in TOO big of a rush to cut the lunesta. Your sleep might be disturbed for a while as you cut down and eventually detox completely from the opiates. Lunesta will probably come in handy during that time period.

I think that giving the SSRI a shot is a good idea :) I absolutely subscribe to the "Don't knock it until you try it" mindset. I have a friend that I'd love to smack the shit out of. The most depressed motherfucker you'll every meet and he basically refuses to give any sort of antidepressant a shot. It's extremelt frustrating but I've had to give up on trying to help him.

Sorry to keep talking about me, but if you're still considering it, Sublocade has treated me great so far. I did the 300mg shot. It's been 17 days since I've gotten the shot. Haven't experienced any withdrawal yet, haven't had issues with sleep, my bowel movements are becoming more regular and I haven't been having to use Miralax every night just to be able to use the bathroom. 13 more days. We'll see how it goes, but so far so good. I have confidence that I'll only need the one shot to successfully taper. It's a great option if you do end up back on Suboxone. I'm not trying to pressure you. I'm not getting paid by the makers of Sublocade lol. If you're able to successfully taper Oxycontin then thats great :) Sublocade is kinda scary because you're committing to a for sure 30 days of NO opioids having any sort of effect. Hell, probably more than 30 days before the buprenorphine has completely cleared. But if one decides that they want to continue the opioids afterwards then they'll be able to. Not gonna lie. I have 30mg of Hydrocodone that I'm very much looking forward in partaking in once this shot wears off.

He didn’t tell me about that effect with the Prazosin but he did say be careful standing up. He’s hoping that I can get off the lunesta nightly too after we hit the opiates and benzos first. But all in due time. No rush he even said he’d consider writing me more opiates if I run out which is tough because it’s taking everything in me to not be a junkie and tell him I’m withdrawing bad when I’m actually not to get more but I believe I got it in me. I may struggle but I got some fight in me for sure. Anyways I’m kinda just ranting now it’s like therapy for me so if you kept reading much love big time.
I can only imagine the temptation after your doctor told you that. I'm proud of you for recognizing the temptation but holding firm in your belief that you can get through this. It's a bit cliche, but if you truly believe that you can get through this, then you absolutely can. Just gotta keep your eyes on the prize. If the cravings get bad and you feel like caving, just remember to "play the tape forward". Think about what would happen if you got more and how ultimately it'd be making things harder for yourself in the future. I find that technique very helpful when I'm really craving. Just gotta realize that nothing good comes out of using these things. A moment of relief in exhange for what seems like a life of misery.
 
You have a poly-substance addiction/dependency, so don't discount the seriousness of the situation. I don't believe you are underestimating the potential for danger to your long-term success. I am trying to tell you that the concept of recovery from addiction in American as it is pushed by the establishment is entirely ineffective. The idea that rehab can cure a person in 3 months, that cold turkey withdrawals are a good idea etc.

You want to take these things slow, steady and methodically. You need to take one thing at a time. The Opioids are your biggest concern. Do not go cold turkey. There is never a reason to go cold turkey if there is any possibility of doing a taper. People can become very confused when they reach junctures like this. They feel pulled by morality, family, work, medical, physical aspects of their life. They might feel guilt for how they've "messed up", maybe they think they "deserve" some punishment to set themselves right. It's really easy to envision this as a good idea before withdrawal starts.

Take the taper from the 15mg over the course of a week or two. Do not do it overnight. You don't need a long taper as your dose is low and you have not been using again for that long. Get the Oxycodone out of the way. Make sure you are 100% stable without it for at least a month, perhaps longer. Once you start trying to cut out the Z-Drug (Lunesta), the stress from reduced sleep can trigger a greater craving for the Oxycodone. You need to take it one at a time and do it slowly.

If you need any help, let me know.
 
I understand the memory thing very much. My memory has improved as my depression has improved. I'm sure that it'll be the same for you.

Sounds like we are on very similar paths. My doctor also started me on prazosin hoping that treating my PTSD will improve my ADHD and Depression. I recently have been experiencing basically constant intrusive thoughts in the form of memories. Sometimes related to the trauma itself, but recently just shifted to a near-constant onslaught on memories of things I've done that I regret, things I've done that I find embarrassing , things in my past that make me cringe. The barrage of negative memories has been rather distressing. I've only been on prazosin for 3 days and today I think that I can count the negative memories that I experienced today on one hand. Maybe two. That is a MASSIVE improvement. I haven't had any nightmares although my dreams have become more vivid and I've had dreams where I've been using substances every night, which I wasn't before the prazosin. Before the prazosin I had a couple of using dreams a week.

So for me personally, the prazosin has been amazing for my PTSD symptoms. It comes at a cost though. I feel foggy and slightly detached from everything I do. Almost a sort of dissociation. When conversing I also experience a lot of "on the tip of my tongue" moments. I'll go to say a word and as soon as I go to say it it's like the word has been erased from my memory and can't retrieve it, "resulting in the tip of my tongue". I was talking with a coworker today and it happened and I got so frustrated that I couldn't think of the word that I became distracted and the conversation ended because of it. So honestly, I'm not sure if I'm going to continue it. I love how much it helps my PTSD but it makes my ADHD much worse. I hope I can eventually convince my doctor that I would benefit from a daily stimulant because I don't think the issue would be as bad if I were prescribed one. Stimulants also significantly reduce my PTSD symptoms themselves.

I'm happy to talk whenever :) I'll always try my best to reply. Being able to talk also helps me a lot. It seems that we've been on a similar bath for quite a while now and always seem to end up in the same spot as one another. It definitely helps to not feel so alone as nobody in my personal life truly understand what the struggle is like


I'm no professional, but I think that I agree with the doctor that it's best to save the lunesta for last. Hey man, knocking 3.5mg off of your Oxy dose today is great! If cutting 2.5mg daily is too fast don't be afraid to take time to get adjusted to a dose, but if you can handle the discomfort of cutting 2.5mg daily then I say go for it! As long as you're not going back UP in dose then you're winning the fight. What benzo and what dosage are you on? Don't be in TOO big of a rush to cut the lunesta. Your sleep might be disturbed for a while as you cut down and eventually detox completely from the opiates. Lunesta will probably come in handy during that time period.

I think that giving the SSRI a shot is a good idea :) I absolutely subscribe to the "Don't knock it until you try it" mindset. I have a friend that I'd love to smack the shit out of. The most depressed motherfucker you'll every meet and he basically refuses to give any sort of antidepressant a shot. It's extremelt frustrating but I've had to give up on trying to help him.

Sorry to keep talking about me, but if you're still considering it, Sublocade has treated me great so far. I did the 300mg shot. It's been 17 days since I've gotten the shot. Haven't experienced any withdrawal yet, haven't had issues with sleep, my bowel movements are becoming more regular and I haven't been having to use Miralax every night just to be able to use the bathroom. 13 more days. We'll see how it goes, but so far so good. I have confidence that I'll only need the one shot to successfully taper. It's a great option if you do end up back on Suboxone. I'm not trying to pressure you. I'm not getting paid by the makers of Sublocade lol. If you're able to successfully taper Oxycontin then thats great :) Sublocade is kinda scary because you're committing to a for sure 30 days of NO opioids having any sort of effect. Hell, probably more than 30 days before the buprenorphine has completely cleared. But if one decides that they want to continue the opioids afterwards then they'll be able to. Not gonna lie. I have 30mg of Hydrocodone that I'm very much looking forward in partaking in once this shot wears off.


I can only imagine the temptation after your doctor told you that. I'm proud of you for recognizing the temptation but holding firm in your belief that you can get through this. It's a bit cliche, but if you truly believe that you can get through this, then you absolutely can. Just gotta keep your eyes on the prize. If the cravings get bad and you feel like caving, just remember to "play the tape forward". Think about what would happen if you got more and how ultimately it'd be making things harder for yourself in the future. I find that technique very helpful when I'm really craving. Just gotta realize that nothing good comes out of using these things. A moment of relief in exhange for what seems like a life of misery.
Yea that PTSD situation hits very close to home the way you’re describing it. And i hear ya big time. Woke up this morning not feeling great so starting with 5mg and going from there. May need to slow the taper a bit as well as space the doses coffectly because I’ve been dosing like 5mg 8am 1pm 3.75mg and 6pm 3.75mg but then thats leaving 14 hours between the last dose of the day and the morning dose which is too long as i woke up in minor wds this am. Sticking out the ssri for sure. Thinking today going to skip the adderall and do some ketamine cause it’s been a long week and i can usually stretch the opiates out without uping the dose. Sublocade, yes been very interested in it. The problem i ran into when speaking to the doctor was the minimum amount given is still way to high for me as .3mg of buprenorphine orally got me high as a kite last week but for some reason buprenorphine has always made me sick. Like super anxious so needs to be accompanied with a benzo for me and super nauseous which then quickly leads to malnutrition and just a whole bunch of problems. Doc called me in buprenorphine patches because he wants to see if that better for me for many reasons (if I can’t get off the oxy or want to try something else which i thought was a cool idea hence why i asked him for them) problem is i do a lot of physical activity and come in contact with hot water a lot and he said thats how mattew Perry died… buprenorphine patch on, got in a jacuzzi and the 20mcg patch per hour containing x amount of buprenorphine then dumped into his system at once and that mixed with the ketamine was too much. (Again this is just what he told me so im hesitant to try the patches for safety reasons and for how buprenorphine tends to make me feel.) i think im going to slow the taper a bit the only reason why i was so vigilant is because im running low on them and i really want to be done with this life of addiction. I want stability for once. But the only thing im not willing to do is stay at this dose or go up. As long as im cutting 1mg a day i think ill be happy as that should be done in 2 weeks but we shall see. I’m a bit hesitant to start the NAC and the Prazosin but more so the NAC as people say it makes ketamine not work and although this may be a good thing for me because the ket use has definitely become a problem in itself. I’m still benefiting from it with the opiate taper happening. But if any off yall suggest otherwise please let me know.
You have a poly-substance addiction/dependency, so don't discount the seriousness of the situation. I don't believe you are underestimating the potential for danger to your long-term success. I am trying to tell you that the concept of recovery from addiction in American as it is pushed by the establishment is entirely ineffective. The idea that rehab can cure a person in 3 months, that cold turkey withdrawals are a good idea etc.

You want to take these things slow, steady and methodically. You need to take one thing at a time. The Opioids are your biggest concern. Do not go cold turkey. There is never a reason to go cold turkey if there is any possibility of doing a taper. People can become very confused when they reach junctures like this. They feel pulled by morality, family, work, medical, physical aspects of their life. They might feel guilt for how they've "messed up", maybe they think they "deserve" some punishment to set themselves right. It's really easy to envision this as a good idea before withdrawal starts.

Take the taper from the 15mg over the course of a week or two. Do not do it overnight. You don't need a long taper as your dose is low and you have not been using again for that long. Get the Oxycodone out of the way. Make sure you are 100% stable without it for at least a month, perhaps longer. Once you start trying to cut out the Z-Drug (Lunesta), the stress from reduced sleep can trigger a greater craving for the Oxycodone. You need to take it one at a time and do it slowly.

If you need any help, let me know.
I appreciate the advice and I definitely will slow things down. Luckily its been 6 days no benzos just the z meds and i think im in the clear with those cause my use is very sporadic with benzos. The oxy and lunesta are the dependency’s right now. Adderall i take as needed but doctor is suggesting every day right now so im considering both. Oxy leaves first then the lunesta. All in due time though. I’m giving myself some grace for once as long as im moving in the right direction. Keif id love to get your advice on this med stack that my doctor is giving me to start as i taper. I’ve started the lexapro, started the oxy taper, waiting to start the NAC and Prazosin cause i felt like adding them one at a time over a week was better then all four at the same time but dont know if that logic makes sense. I also take zofran 4-8mg 2 x daily and cannabis for sleep along with melatonin. Sometimes i use some CBD. I appreciate all the help i really wanna do this right this time and i ain’t no quitter!
 
Yea that PTSD situation hits very close to home the way you’re describing it. And i hear ya big time. Woke up this morning not feeling great so starting with 5mg and going from there. May need to slow the taper a bit as well as space the doses coffectly because I’ve been dosing like 5mg 8am 1pm 3.75mg and 6pm 3.75mg but then thats leaving 14 hours between the last dose of the day and the morning dose which is too long as i woke up in minor wds this am. Sticking out the ssri for sure. Thinking today going to skip the adderall and do some ketamine cause it’s been a long week and i can usually stretch the opiates out without uping the dose. Sublocade, yes been very interested in it. The problem i ran into when speaking to the doctor was the minimum amount given is still way to high for me as .3mg of buprenorphine orally got me high as a kite last week but for some reason buprenorphine has always made me sick. Like super anxious so needs to be accompanied with a benzo for me and super nauseous which then quickly leads to malnutrition and just a whole bunch of problems. Doc called me in buprenorphine patches because he wants to see if that better for me for many reasons (if I can’t get off the oxy or want to try something else which i thought was a cool idea hence why i asked him for them) problem is i do a lot of physical activity and come in contact with hot water a lot and he said thats how mattew Perry died… buprenorphine patch on, got in a jacuzzi and the 20mcg patch per hour containing x amount of buprenorphine then dumped into his system at once and that mixed with the ketamine was too much. (Again this is just what he told me so im hesitant to try the patches for safety reasons and for how buprenorphine tends to make me feel.) i think im going to slow the taper a bit the only reason why i was so vigilant is because im running low on them and i really want to be done with this life of addiction. I want stability for once. But the only thing im not willing to do is stay at this dose or go up. As long as im cutting 1mg a day i think ill be happy as that should be done in 2 weeks but we shall see. I’m a bit hesitant to start the NAC and the Prazosin but more so the NAC as people say it makes ketamine not work and although this may be a good thing for me because the ket use has definitely become a problem in itself. I’m still benefiting from it with the opiate taper happening. But if any off yall suggest otherwise please let me know.
Yeah in my experience NAC does basically block the effects of dissociatives which is ultimately why I stopped taking it. It sucks that Buprenorphine makes you nauseous. You may need to slowly work your way up to get accustomed to the effects. It can be rather strong initially but after a couple of days one should start getting used to the effects. Yeah, thats the downside of Sublocade. I was stable on 4mg per day of sublingual suboxone but my doctor wanted me to be stable on 8mg a day for a month so that the shot wasn't too strong for me. So I did have to do 8mg/day for a month but after that I was good for the shot. How high of a dose have you gotten to with buprenorphine and how high of a dose? Have you always kinda bounced back and forth between buprenorphine and another opioid when using suboxone or have you ever been stable on suboxone falone for some time?

I can see how a whole lot of buprenorphine hitting the system due to being heated up would be bad while on ketamine. I've done pretty wild amounts of dissociatives while on buprenorphine but I don't enjoy hot tubs and I never go swimming or anything and I take showers, not baths.

The prazosin has been okay so far though. Only been on it for 4 days and my dreams are more vivid than before but less nightmarish. I've also had a using dream every single night since being on it. PTSD symptoms have never been more in check. I say give it a whirl if you've been finding your PTSD symptoms distressing. I understand the hesitation to try multiple new medications at once though. If you do try prazosin just be sure to take it no more than an hour before bedtime and be careful upon standing, especially from a laying position. So far it hasn't been as bad for me personally as I expected after reading peoples reports on reddit. Doctor prescribed me I think up to 10mg a night? He wanted me to try 2mg for a week and if that didnt work, then try 4mg for a week and if that didn't work then 6mg, etc etc. I'll try going up to 4mg next week to see if I see any benefit from the higher dose.
 
Yea the bupe just makes me feel weird but I think I may just be dosing too high potentially. Looking for a full agonist feel when I should just be looking for sweats and runny nose, muscle aches going away not a high. So today I wasn’t able to lower my dose. I wanted to get down to 10mg oxy but thinking about it gave me a panic attack so I took 2.5mg diazepam (it has been 4 days since my last benzo) and got up to 17mg of oxy and now taking another 2.5mg diazepam. Going to try again tomorrow and add 609mg of the NAC to see how I go with that. Thinking a lower dose of oxy ~5mg with 5mg adderal, 4mg zofran, 600mg NAC and my 5mg lexapro. If the NAC goes well and the adderall helps with the oxy taper then I will take another 600 NAC tomorrow night followed by 1mg of Prazosin with my lunesta. Skipping razoring tonight as a took 300mg ketamine this afternoon since I skipped the adderall and wanted to feel better (it backfired). Anyways man it’s tough doing this at home I’m so paranoid about my health I constantly feel like something nada going to happen but just need to surrender I think. And like trust a doctor again. Been hard but we ain’t giving up. Just need to make it to Monday till my next meeting. Thinking gabapentin maybe but I’m really trying to not go off script with the new doctor. I’ve never been fully transparent and I was with him and he’s been super willing to work with me so I don’t wanna screw that up. I usually use cannabis with my lunesta at night which is a nice combo. Is that ok with the Prazosin due to BP changes?
 
Yea the bupe just makes me feel weird but I think I may just be dosing too high potentially. Looking for a full agonist feel when I should just be looking for sweats and runny nose, muscle aches going away not a high. So today I wasn’t able to lower my dose. I wanted to get down to 10mg oxy but thinking about it gave me a panic attack so I took 2.5mg diazepam (it has been 4 days since my last benzo) and got up to 17mg of oxy and now taking another 2.5mg diazepam. Going to try again tomorrow and add 609mg of the NAC to see how I go with that. Thinking a lower dose of oxy ~5mg with 5mg adderal, 4mg zofran, 600mg NAC and my 5mg lexapro. If the NAC goes well and the adderall helps with the oxy taper then I will take another 600 NAC tomorrow night followed by 1mg of Prazosin with my lunesta. Skipping razoring tonight as a took 300mg ketamine this afternoon since I skipped the adderall and wanted to feel better (it backfired). Anyways man it’s tough doing this at home I’m so paranoid about my health I constantly feel like something nada going to happen but just need to surrender I think. And like trust a doctor again. Been hard but we ain’t giving up. Just need to make it to Monday till my next meeting. Thinking gabapentin maybe but I’m really trying to not go off script with the new doctor. I’ve never been fully transparent and I was with him and he’s been super willing to work with me so I don’t wanna screw that up. I usually use cannabis with my lunesta at night which is a nice combo. Is that ok with the Prazosin due to BP changes?
Usually when people experience nausea with buperenorphine it is because the dose is too high, which can be distressing considering buprenorphines duration. Ginger is extremely helpful in treating nausea from any drug ime. If bupe is causing you anxiety or making you feel weird, then you may not be waiting long enough between your last dose of an opioid and starting bupe. Precipitated WD can cause really bad anxiety

I'm sorry to hear that the ketamine backfired. I can completely relate to the fear and anxiety that something bad is going to happen. Just trust that the doctor wouldn't prescribe anything that would put your life or health at risk. No doctor is going to risk losing their license to help someone detox opiates. Just trust the process. This is my personal opinion on the matter based off of my own experience, but with tapering and trying to get off of something, I really do believe that slow and steady wins the race. I understand the urgency, I really do, but there is no point trying to drop your dose 5mg if it end up making you go up in dose just to get comfortable. It's not necessary to decrease your dose every day. For example, when I was tapering phenibut, I got stabilized on 2000mg and dropped 100mg a week until I got to zero. It took me a long time, but I didn't experience any discomfort and was able to stick with my dose schedule. Gotta look at the big picture and make a road map of how to get to your end goal. If you have to take a detour to get past some construction and lengthen your trip then thats okay, so long as you make it home. Sorry to preach. I know that it's really difficult, especially trying to manage it by yourself at home. I'm proud of you for continuing to work towards your goal.

As with being transparent with your doctor, I do believe that transparency is best so that they know whats best for you. Most doctors wont care about cannabis and most doctors won't view inquiring about gabapentin as drug seeking. Most doctors have no problem prescribing it considering its safety and low abuse potential. Maybe mention that you hear that it can help with generalized anxiety and that you think it might help so you don't have to turn to benzos as often. I do think that gabapentin is worth trying in your case.

Prazosin and cannabis should be fine, just be extra cautious when standing up. Give your body even more time to become adjusted to new positions than you would with prazosin alone. Cannabis by itself can make people pass out due to BP changes so just be mindful. Prazosin has even made me feel dizzy and get heart flutters going from standing to sitting or laying
 
Just a quick sidenote and maybe off topic but the less bupre = more bupre.

Like 500mcg bupre is a sweet spot. Believe and at lower doses it's stimulant effect kicks in and no sedation
 
Ginger is extremely helpful in treating nausea from any drug ime.
Fresh Ginger made into a tea or something, dried Ginger i thought,
had other properties. Was wrong partly, dried is also anti-emetic.
Dried is more useful for cold hand, feet, etc. Both are healthy though.

Fresh for car sickness, worked better then dried for me [Opioid nausea ?].

"Ginger’s Anti-Nausea Activity:
Two groups of Polyphenols known as Gingerols and Shogaols, both of which are responsible for Ginger’s pungent taste, also show great antioxidant and anti-nausea activity. But the specific physiological mechanism of how they work their anti-nausea magic is a little fuzzy.

So far, research has shown that Gingerols and Shogaols may be effective against nausea because they:

  • stimulate digestion,
  • increase stomach muscle tone,
  • and work to block certain neurotransmitters that can cause us to feel nauseous.
Several studies have found that fresh ginger contains a higher amount of gingerols, while dried ginger contains a higher amount of shogaols. Even so, I wasn’t able to find any research done on whether or not fresh or dried ginger is more effective in treating nausea, suggesting that taking ginger in any form may help."

But Fresh taste-wise is the better imo. But my claim, not backed by science.
Both should work, and can be mixed off course. Anyone should consume it daily.
Cheapest life expanding thing on earth. And a super-food !
 
Fresh Ginger made into a tea or something, dried Ginger i thought,
had other properties. Was wrong partly, dried is also anti-emetic.
Dried is more useful for cold hand, feet, etc. Both are healthy though.
I've never heard of ginger being used for cold extremities. That's interesting. As for nausea, both dried and fresh work well. I absolutely LOVE pickled ginger. It's good for treating nausea and it tastes great, though if a person is too nauseous to be able to eat even something small or flavorful like pickled ginger (or ginger in any form really), then I'd recommend dried ginger for sure. I actually keep a bottle of dried ginger with my drug stash. If I'm nauseous I just fill up 2 or 3 empty capsules full of dried ginger and take it that way. Dried is ginger is very effective for nausea, and it's easier to get larger amounts down, considering that it's dried.

I also keep dried cayenne pepper next to my stash. The capsaicin in cayenne pepper is an effective vasodilater. I'd use cayenne pepper when using stimulants and my extremities get too cold. Take .5-1.5 capsu;es full of cayenne pepper and it helps the blood flow A LOT. You'll just want to be sure to have some tums on hand, maybe some milk or something. When that capsule pops, it feels like a nuke going off if you take it on an empty stomach. It is very effective at helping blood flow though.
 
I get the Canadian version of lunesta zopiclone. I get 7.5mg's a night. I usuakly end up binging on them for like 5 days or so and then get by with only a few to do me the rest of the month. I have been prescribed it for 6 years now and have never had a addiction problem with it. I do like binging on it though. I am alo prescribed morphine, clonazepam and bromazepam. I was addicted to oxy to back in the day and gettng off it sucks. I would definitely keep taking the lunesta until your off he oxy. Lunesta is really good for sleep if your in wd in my opinion. Not as good as temazepam but then again what is
 
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I've never heard of ginger being used for cold extremities. That's interesting. As for nausea, both dried and fresh work well.
Works well as a tea, just don t get in your eyes !
Topical suspended in Coconut fat would i assume work to.
I absolutely LOVE pickled ginger. It's good for treating nausea and it tastes great, though if a person is too nauseous to be able to eat even something small or flavorful like pickled ginger (or ginger in any form really), then I'd recommend dried ginger for sure. I actually keep a bottle of dried ginger with my drug stash. If I'm nauseous I just fill up 2 or 3 empty capsules full of dried ginger and take it that way. Dried is ginger is very effective for nausea, and it's easier to get larger amounts down, considering that it's dried.
In NL they sell sweetened Ginger, very good aspecially handling carssick kid s.
But it s strong in taste still, maybe in a shake ?
I also keep dried cayenne pepper next to my stash. The capsaicin in cayenne pepper is an effective vasodilater. I'd use cayenne pepper when using stimulants and my extremities get too cold. Take .5-1.5 capsu;es full of cayenne pepper and it helps the blood flow A LOT. You'll just want to be sure to have some tums on hand, maybe some milk or something. When that capsule pops, it feels like a nuke going off if you take it on an empty stomach. It is very effective at helping blood flow though.
Never knew, i am intolerant to milk. So what is in Milk that helps ?
The Fat, Calcium [also in Tum s], Protein.
Can you substitute it with Oat drink with Coconut Fat.
 
I get the Canadian version of lunesta zopiclone. I get 7.5mg's a night. I usuakly end up binging on them for like 5 days or so and then get by with only a few to do me the rest of the month. I have been prescribed it for 6 years now and have never had a addiction problem with it. I do like binging on it though. I am alo prescribed morphine, clonazepam and bromazepam. I was addicted to oxy to back in the day and gettng off it sucks. I would definitely keep taking the lunesta until your off he oxy. Lunesta is really good for sleep if your in wd in my opinion. Not as good as temazepam but then again what is
Lol yeah, for most temazepam for the win.
 
I get the Canadian version of lunesta zopiclone. I get 7.5mg's a night. I usuakly end up binging on them for like 5 days or so and then get by with only a few to do me the rest of the month. I have been prescribed it for 6 years now and have never had an addiction problem with it. I do like binging on it though. I am alo prescribed morphine, clonazepam and bromazepam. I was addicted to oxy to back in the day and gettng off it sucks. I would definitely keep taking the lunesta until your off he oxy. Lunesta is really good for sleep if your in wd in my opinion. Not as good as temazepam but then again what is
I absolutely loved temazepam. Looovved it.
Haven’t had it in 12 years. Faaack I want it lol

It made me so fucking happy and chill. Xanax kicked my ass when I first started it. It was necessary for some time… my panic attacks would hit me in the grocery store and my life would just stop lol I’d run out and leave the cart, pop a pill and sit there until I could function again. Then the whole rebound thing started and it kinda became tortuous.

Never tried bromazepam. How would you describe it?
 
I absolutely loved temazepam. Looovved it.
Haven’t had it in 12 years. Faaack I want it lol

It made me so fucking happy and chill. Xanax kicked my ass when I first started it. It was necessary for some time… my panic attacks would hit me in the grocery store and my life would just stop lol I’d run out and leave the cart, pop a pill and sit there until I could function again. Then the whole rebound thing started and it kinda became tortuous.

Never tried bromazepam. How would you describe it?

I havent had temazepam in atleast 10 years i would say if not a good bit longer. I used to have no trouble getting it from a doctor at a walk in cliic years ago. How times have changed now no walk in clinics here at least will even prescribe a controlled substance

Bromazepam feels like fast acting valium in a way. It's great for panic attacks.
 
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