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Heroin Former Heroin Addicts Who Take Anti-Depressants?

candycandy

Bluelighter
Joined
Nov 15, 2010
Messages
64
Location
NYC
Hi, long-time lurker, finally registered. I hope I'm posting at a right section. I did a search for "heroin" and "depression" and this is where I found most of the threads, so... here we go. Feel free to move it to an appropriate place if needed!

(Warning - rambling ahead)

Background:
I've been a heroin/fentanyl user (mostly H) for about 3 years now, 2 years chipping and 1 year completely addicted once I started shooting up. Shooting up H, then fentanyl pops, and when that supply ran out, back to H. A couple things happened in past few months that I'm finally at a place where I don't want to live this life anymore. One, I overdosed twice this year (thank God for a friend with Narcan, both times, but I know I won't be that lucky every time.) Two, I was *this* close to getting busted BIG TIME & like a lot of you, I live a respectable "double" life where most people in my life could NOT imagine me as a regular drug user, let alone a heroin addict.

So I made a decision to quit. But the last couple of times I tried to quit, I fell into deep depression, the kind of level that I was barely functioning (not getting out of bed for the entire day, etc.) and that's precisely why I relapsed. Neither relapses lasted long time, a few days at max, but it did put me back exactly where I started. So last Saturday (a week ago, tail-end of my last relapse) I used H for "the last time" yet again. I've almost always been able to secure some Subs (from a friend, not Rx) so getting over physical withdrawal symptoms haven't been a problem. But the depression is a bitch. I've been feeling so depressed in past couple of days, and I'm trying really hard to fight the temptation of relapse (which isn't as hard as it used to be, as my main connect is getting locked up any day... but we all know we can find something somewhere if there's a will.)

Almost getting to the point:
I have been going to a therapist & she's recommended that I go on some kind of anti-depressant to combat that feeling. Now I was skeptical in the beginning, as I had gone through a similar episode of depression (not drug-related at all, I had never done opiates at that point) in my late teens. My psychiatrist at that time put me on Prozac & it didn't really work for me. I pulled myself out of it eventually, though it took a long time. But then my best drug buddy (the one who saved my life twice, he's been clean) told me he's been on Wellbutrin & it's worked very well for him. He's in a medical profession with lots of knowledge on psychology, and he's always said we have a similar brain chemistry. I also read about some people here using anti-depressants as well. So I'm willing to try Wellbutrin or other anti-depressants (preferably not SSRIs, though if they worked for you, I would like to hear about it) and I would really love to hear any comments or experiences from other former (or even on-and-off) heroin addicts who are taking or have taken anti-depressants to combat PAWS, especially depression.

So... summing of MY QUESTION:
Have any former (or on-and-off) heroin addicts* used anti-depressants to combat PAWS, especially depression? Which anti-depressants? How did it work for you? How long have you/were you on it? (I have a fear of not being able to get off them, I would rather not be dependent on *any* drugs forever)

*I know, once an addict, always an addict, blah blah blah... I'm referring to addicts who are not using actively at the moment.

A couple more things: (anticipating some replies related to the topic)
I read on many threads that Subs are good for depression, but it's really not a path that I would like to take. I find the taste horribly nauseating, and it'd be very expensive for me to pay for them out of my pocket monthly as I could absolutely not use my medical insurance for that.
I have very little interested in AA/NA. It doesn't work for me.

Thank you so much, I really hope at least some of you were able to finish my long rambling... I swear it won't be like this every post!
 
May I ask why you would not be able to use your insurance to get Suboxone treatment? Is it that they won't cover it or some other issue?
 
For me being on suboxone actually made me much more depressed, lethargic, and constipated. And the the withdrawals are not too much fun if you are on it for a long time, unless you taper down to .5mg or lower imo. Lots of people claim that Wellbutrin works far better than any ssri for them, and I believe that is because it can raise your energy, since it is a norepineprine-dopamine reuptake inhibitor, and does not affect serotonin levels. Combining it with an SSRI may also help even more.
 
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Hello,

I have seen reports that state a lot of former heroin addicts are put on Effexor (venlafexine) and it (speaking from experience) works quite well.

The downside is that Effexor itself can cause discontinuation symptoms when quit. I've been on Prozac as well, and it worked somewhat in the beginning, but it quickly lost effectiveness.

But seriously, Effexor seems to work very well in heroin addicts, and may be related to the fact that it's chemically related to tramadol.
 
i was a former heroin addict for over 4 years of hard use. i got on methadone, quit for a year, then went on suboxone and just recently relapsed. the reason i relapsed was i felt so depressed. as soon as i used heroin again it was like turning on a light switch, everything was big bright and new.

i recently strated going to a clinic where i see a therapist and a counselor and a dr. who prescribes medications. they put me on suboxone, which helps with the depression but i don't want to be addicted to subx.

i am going to talk with the dr about ant-depressants. i know i have messed my brains chemistry up by abusing opitaes for so long. i feel i need something to help level me out. then once i am balanced i can stop using heroin altogether. right now i'm using once or twice a week.

this is the exact reason why i started reading these forums and this was one of the questions i wanted to ask. i know i need some sort of medication to get me back on my feet i just don't know what.

as soon as i talk with the dr and if he prescribes me anti-depressants i will follow up. in the meantime i'd like to hear from other long-term opiate abusers.
 
Personally I think people just look for an excuse to not deal with life, be it an opiate or an anti depressant, and they want a reason to justify them feeling that way.

I sometimes feel people need to just buck up and deal with life, instead of looking for justifications. I did heroin, now I'm depressed so now I need this.

I understand this view may be harsh, and some of you won't agree with it, so I'm not going to get deep into it. However, I've done heroin for years, and I still maintain this viewpoint.

Just putting it out there....sorry for those who don't agree
 
ATLL - it's not my insurance, a family member's, and the said family member doesn't feel comfortable. I have no probs w/ that - I'd really rather not be on Sub if I can help it anyway.

BIGSherm - Thanks, constipation is one of many, many reasons why I can't stand Sub (unless I'm having physical withdrawals, then it's a God's gift...)

Dirk - Will look into Effexor as well, thanks. Do you have personal experience w/ it? I know you mentioned it but any details to share?

Priest - Glad to hear I'm not alone, I know exactly what you mean when you said "light switch." Keep me/us updated, I will do the same.

Jamtastic - I appreciate your POV. Everyone's brain's wired differently though.
 
I use Subutex it kept me stable after I tried to be completely clean. I got SO depressed after I went off heroin so I went on maintenance, it has allowed me to live my life. Its very nice.
 
Effexor works well with depression although I strongly advise against using it at all because the withdrawl symptoms for it are way to intense and shitty and terrible and just dont go on effexor >_<
 
Personally I think people just look for an excuse to not deal with life, be it an opiate or an anti depressant, and they want a reason to justify them feeling that way.

I sometimes feel people need to just buck up and deal with life, instead of looking for justifications. I did heroin, now I'm depressed so now I need this.

I understand this view may be harsh, and some of you won't agree with it, so I'm not going to get deep into it. However, I've done heroin for years, and I still maintain this viewpoint.

Just putting it out there....sorry for those who don't agree

i remember when i had the same opinion. i thought ppl had the choice on how they wanted to feel when they woke up. now that i'm older i realize that it's not always a decision that a person is able to make. their are serious chemical imbalances in your brain that need to be addressed with medications. i don't know anyone that takes anti-depressants that takes them because they just want to take a medication for fun. they are not like xanax or other drugs. sometimes it takes weeks for the drugs to work. it's not like you can take 1 pill and 45 mins later feel not depressed.
 
im getting put on lexpra pro as of today and restoril with suboxone.

i have tried lamitcal, wellburtrin, cymbalta, to no avail.

was prescribed and fought effexor and abilify.

and had a mental breakdown and agreeing to lexapro, restoril, anything, anything...

im on acid alcohol suboxone and clonidine xanax right now....
 
^Acid is actually really great for getting rid of depression. But I wouldn't recommend it to somone who's not stable. I use it to get over paws a about 2 years ago. To the OP I would look into trying suboxone.
 
Just in case some people didn't make it to the end (which I fully anticipated) I do NOT want to be on Suboxone/Subutex. I appreciate the suggestions though.
 
Just in case some people didn't make it to the end (which I fully anticipated) I do NOT want to be on Suboxone/Subutex. I appreciate the suggestions though.

Suboxone will make you feel better - but it's not the best if you want to truly recover from your addiction and let your brain rewire its nature happy pathways. And suboxone causes awful PAWS when used long term.

Excercise is the only anti-depressant that I have found can make me feel dramatically better immediately. People often ignore it because it's difficult to work out when your in the grips of PAWS, but a good 20min run will make you feel a lot better.

Also realizing that the post-opiate depression is very transient. It feels good when you realize it will only last a few weeks or a few months. It's far from permanent.
 
Suboxone will make you feel better - but it's not the best if you want to truly recover from your addiction and let your brain rewire its nature happy pathways. And suboxone causes awful PAWS when used long term.

Excercise is the only anti-depressant that I have found can make me feel dramatically better immediately. People often ignore it because it's difficult to work out when your in the grips of PAWS, but a good 20min run will make you feel a lot better.

Also realizing that the post-opiate depression is very transient. It feels good when you realize it will only last a few weeks or a few months. It's far from permanent.

I am familiar w/ Suboxone - I've used it multiple times to get over physical withdrawals. However I don't want to be on it because 1) I can't use my medical insurance for it and it's too expensive to pay for it monthly out of pocket 2) I don't want to be on it anyway for multiple reasons.

Exercise is a great suggestion - I do plan to start ASAP, like tomorrow, seriously. I've heard that from a LOT of people.

I don't plan to stay on anti-depressants forever either - but at the moment I need something to dig myself out of the "hole" or else I'll keep relapsing.
 
^There's nothing wrong with relapsing. Eventually you'll stop, it's a learning process. I wouldn't expect a anti-depressent to be the cure all to end all for your opiate addiction. It's going to take sometime, and excercise is definently the best rout to go.

If you started working out now, in about 3 months you should start feeling amazing. The only other drug I would back, would be tramadol, it has very nice anti-depressent qualities and makes you feel good everyday. I would take that to get out of your hole and then once your in shape you shouldn't need anything.

And if you dont want it because of withdrawals, i'm sure zoloft and stuff like that has more annoying withdrawals.
 
^There's nothing wrong with relapsing. Eventually you'll stop, it's a learning process. I wouldn't expect a anti-depressent to be the cure all to end all for your opiate addiction. It's going to take sometime, and excercise is definently the best rout to go.

If you started working out now, in about 3 months you should start feeling amazing. The only other drug I would back, would be tramadol, it has very nice anti-depressent qualities and makes you feel good everyday. I would take that to get out of your hole and then once your in shape you shouldn't need anything.

And if you dont want it because of withdrawals, i'm sure zoloft and stuff like that has more annoying withdrawals.

Nah... I'm not really expecting it to be a cure-all for my opiate addiction. I'm not even sure if PAWS is the sole cause of my depression. I do know it's a significant part of it though. Either way I do agree w/ my therapist that I do need some sort of anti-depressants, at least temporarily. And I do know that SSRIs, such as Prozac and Zoloft (I forgot to mention Zoloft - I was on that as well a few years back) don't work well with me, which is why I'm keen to know more about other kinds of anti-depressants especially.

Good point about relapsing... I can't help feeling guilty about having done it a couple times already but I do agree that it's a learning process.
 
Wellbutrin is probably the best bet. But for a more long term goal Effexor would be about equal. (minus the insane withdrawal effects)

To put Effexor's withdrawals in perspective it would take me 4-6 months to taper with minimal symptoms and I have only been on it 2 months. The brain shocks are a cool sensation but they get annoying quickly when they spread through your body. Plus the sheer amount of insomnia.
 
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