Opioids Adjustment Disorder and Depression -- Opiates the Answer?

[Michael_25]

I have been recently diagnosed by a psychiatrist with an "Adjustment Disorder" along with depression. Now, his method of dealing with these issues is by increasing my olanzapine dose and putting me on Prozac, in conjunction with psychological counselling. Psychological counselling -- CBT based -- is worthless; I have pursued it before. It didn't work.

As for the drugs prescribed, they do nothing. The only thing I find that alleviates my anguish is opiates. No other drug does that. They make me not give a damn about my problems. When on opiates my problems seem so trivial and I couldn't care less about what's happening in my life, no matter how negative things are. I have few Percocets left, but not enough.

Anyway, today, by chance, a guy I somewhat am aquainted with is willing to part with 10 15mg IR morphine pills. However, I don't IV drugs. And I've heard from numerous sources that unless you bang morphine, it's a waste of time -- you may as well take a large dose of codeine. I'd much rather prefer oxy, if that's the case. But I won't be getting any more oxycodone for a couple of months, and I just can't wait that long.

So I guess my question is this: Is it worth getting these IR morphine pills to consume orally, or should I just stick with large doses of codeine till I get more oxycodone?

Thanks.

 

[sekio]

The only thing opiates work well for is short-term treatment of acute pain. Even in e.g. chronic settings they are not miracle drugs. For antisepressant usage they rapidly lose efficacy and generally patients spiral into addiction.

I suggest you try CBT with another therapist. Exhaust all your other treatment options for depression before you go running to opiates because though they may seem a panacea right now, it never lasts.

Being able to trivialize your problems is not a solution. Burying your head in the sand does not make problems go away.

 

[RunRunRun]

I actually personally do not like the effects of morphine iv. It gives you an awful allergic reaction feeling called 'pins and needles'. People say you'll get over it the first few times, but I've done it more than probably around 20 times and still hate it. I just prefer the rush to oxymorph and hydromorph so much better. The reason I still do it of course is because a last resort thing. But anyway, to me, morphine just has more of a sedating and more of a nodding feeling than oxy. Oxy is more of an up feeling because it is more euphoric. So people prefer it more.

I say try it out with the morphine. Take a few extra mgs to double the mgs that you would of oxy. I don't think you'd be that disappointed honestly. And if they are ir, just eat them. For some reason I always found the IR more affective taken orally than snorted. And I have tried it both ROA many times.

Hope this helps.

 

[Michael_25]

The only thing opiates work well for is short-term treatment of acute pain. Even in e.g. chronic settings they are not miracle drugs. For antisepressant usage they rapidly lose efficacy and generally patients spiral into addiction.

I suggest you try CBT with another therapist. Exhaust all your other treatment options for depression before you go running to opiates because though they may seem a panacea right now, it never lasts.

Being able to trivialize your problems is not a solution. Burying your head in the sand does not make problems go away.

Perhaps, but I see no light at the end of the tunnel. At least opiates/opioids give me temporary relief. I've tried 3 different CBT practicing psychologist. They shoot a bunch of generic advice which I tried to apply time and time again but never gained significant results, even after seeing one psychologist for 9 months. Personally, I think psychology is a bullshit profession.

Incidentally, you didn't answer my question in my last paragraph.

Thanks.

 

[Michael_25]

I actually personally do not like the effects of morphine iv. It gives you an awful allergic reaction feeling called 'pins and needles'. People say you'll get over it the first few times, but I've done it more than probably around 20 times and still hate it. I just prefer the rush to oxymorph and hydromorph so much better. The reason I still do it of course is because a last resort thing. But anyway, to me, morphine just has more of a sedating and more of a nodding feeling than oxy. Oxy is more of an up feeling because it is more euphoric. So people prefer it more.

I say try it out with the morphine. Take a few extra mgs to double the mgs that you would of oxy. I don't think you'd be that disappointed honestly. And if they are ir, just eat them. For some reason I always found the IR more affective taken orally than snorted. And I have tried it both ROA many times.

Hope this helps.

Yes, but isn't oral morphine virtually the same as oral codeine, considering a certain enzyme breaks codeine down into morphine?

 

[limonov]

Oral morphine is similar to codeine, however due to the poor bioavailability around 50-60mg of morphine orally = around 300mg of codeine, despite morphine being 10x stronger than codeine.

I have used opiates to deal with depression/anxiety related to borderline personality disorder and like it or not Seiko is right- they lose their anti-depressant effects long before their analgesic/side-effects wear off and by using them in this way you are essentially signing yourself up for a period of opiate addiction (which takes many forms and has many degrees of severity, but being dependent on opiates to function is being dependent on opiates)- if you understand what you're getting into and are comfortable going through the inevitable taper/withdrawal then do what you feel is best.

If you have little experience with opiates or opiate addiction, as I'd say was the case if you even can get high off codeine, then you probably don't know what you're getting yourself into.

The only thing that can be said for opiates in relation to mental illness is that in some circumstances with some individuals, opiates may be a safer/more effective treatment than benzodiazapine therapy albeit with many of the similiar risks.

As for CBT, I think that it's a really shitty form of therapy best suited to people with extremely trivial problems. DBT (Dialectical Behavioural Therapy) is a far better form of therapy for many people, particularly those who adjustment disorders as well as those with borderline/narcassistic/histronic/avoidant personality disorders (axis III-type non-anxiety/psychosis centred mental illness)- in fact CBT is often detimental to the sorts of patients who respond best to DBT!

 

[Woodsong]

You're in Gainesville and you can't score pills...? 8(

But in answer to your question, it's certain to work better than codeine, or at the very least, better than nothing at all. I'm not entirely certain, but I don't think codeine works simply by converting into morphine... Anyway, I'd definitely take em if you can get em. Opiates aren't going to take away the pain forever though... After a couple months of being addicted to the things, the euphoria won't hold a candle to what it used to be when you first started... I'm high as fuck right now after leaving work AWOL because of a highly stressful conversation with my dad/boss, and I'm still on the verge of tears... But that's just my experience......

 

[RunRunRun]

IMO it's way better than codeine. Codeine has never done anything for me as far as any pain relief or feelings of euphoria.

And they are all right. In the long run opiates do the opposite as far as making you feel less depressed. They actually, literally make you more depressed with more use. Because, chemically, what opiates do to the brain, is while you are on them, they release a lot of serotonin, making you feel more happy at the time, so the more you take them, the more it depletes your serotonin. So your brain has a more of a hard time working to create and release more serotonin on it's own, causing you to become more depressed.

 

[Brian242]

Everyone's different; I've taken a 15mg Morphine pill and was higher than i'd ever been in my entire LIFE! Fucked me up pretty good! I say start low if you're going to do morphine.