Antipsychotics for opiate withdrawal?

[solidsnake77]

Well, is a simple question: it worth it and it have a real efficacy take antipsychotics in a clinical of detoxication for opiate withdrawal? I have an addiction of dihydrocodeine since mid of april, I've already taken almost 10 grams, I'll arrive to that quantity in a week or 2 weeks max. I take it for chronic pain for my own, the doctors washed their hands after 4 years prescribing me strong opiates, when I choose detox because I was really bad after almost 4 years taking opiates daily, I wanted to quit.
But anyway I don't want make this post so long: it's worth it take antipsychotics for opiates withdrawal and have real efficacy or not?
Thanks in advance people.

 

[aihfl]

The only benefit I can think of that an antipsychotic might provide during acute detox would be for sleep. When I was medically detoxed off opiates it was with the usual suspects like diazepam and clonidine, and trazodone and hydroxyzine for sleep. When I moved from detox to rehab the only people who got antipsychotics were the dual diagnosis cases with extremely pronounced mental disorders.

 

[cj]

Seroquel might be ok for sleep. Antipsychotics make me feel weird though so I avoid them.

 

[neversickanymore]

I'm with cj and aihfl and think this line of treatment would produce a negative exspieriece, but I would be interested if it successfully treated the compulsive behavior and thinking of addiction. If you try this rout please post your exspieriece. Do antipsychotics influence striatal dopamine levels and if so does this influence have a positive outcome in addiction?

 

[Mafioso]

maybe in the first week, but there are better medications to use in a medical setting. Much longer than that, and they could inhibit further recovery and cause a lot of other problems.

edit: unless you are experiencing psychosis or psychotic-like symptoms, then it would be useful obviously.

 

[Rio Fantastic]

No! Certainly not! When I used them for heroin withdrawal they may have been OK for sleep were it not for the fact that for the entire duration of action it made the RLS 10x worse than it was, and then the next day that horrible hangover effect from the antipsychotics mixed with the opiate withdrawal was probably one of the worst things I've ever felt.

 

[solidsnake77]

Thank you everybody for the answers! I wanted to know because I had planned the ingress in a detoxication clinical, but a few days ago they tell me that my insurance doesn?t cover it if I'm not a pensionist, so fuck the clinic. They told me that the main treatment to detox of opiates there were antidepressants and antipsychotics, maybe pregabaline or gabapentine, and benzos. Doesn't make sense to me take antipsychotics to get off dihydrocodeine, I don't want get stuck again in antidepresssants or antiepileptics, and so much less start with antipsychotics. They told me that this last one helps to the pain, to the withdrawal, the cold and the sweats, and for sleep, the one thing that made sense to me, and I don't want a fucking antipsychotic only for sleep, it seems so exagerated to me.


Finally I though in made a detox of the dihydrocodeine in my house. I have multiple benzos (diazepam, clonazepam, Tranxene, Ambien...), also I have some pills of trazodone or mirtazapine if get sleep were so hard. The loperamide, domperidone and hidroxizine can't lack in my meds box for this too. Also 5-HTP and a multivitaminic could be good, I started again with 5-HTP yesterday to try have a mood and energy boost.


And with my beloved kratom, and with the help of codeine and tramadol I think I can kick the DHC after a gradual taper of one week more or less. The bitch is that I have the codeine with paracetamol, but I'll do a CWE to have only codeine, and with that I think the detox would be easy.


Any advise would be so much appreciated. Thank you so much again!

 

[Stargazer]

I took Seroquel one night to help me sleep. It was a horrible experience I've never repeated.

I felt so drugged. Not high. Drugged. I was beyond drowsy but couldn't sleep! My legs felt like cement. It was really bad.

The effects lasted until the next night. I felt severely depressed, exhausted but restless and unable to sleep.

I wasn't experiencing withdrawal. I can't imagine feeling that bad AND being in opiate w d. I don't suggest taking ap's for the first time while detoxing. I'd try them before I was in w/d to see how you react.

 

[Rio Fantastic]

Thank you everybody for the answers! I wanted to know because I had planned the ingress in a detoxication clinical, but a few days ago they tell me that my insurance doesn?t cover it if I'm not a pensionist, so fuck the clinic. They told me that the main treatment to detox of opiates there were antidepressants and antipsychotics, maybe pregabaline or gabapentine, and benzos. Doesn't make sense to me take antipsychotics to get off dihydrocodeine, I don't want get stuck again in antidepresssants or antiepileptics, and so much less start with antipsychotics. They told me that this last one helps to the pain, to the withdrawal, the cold and the sweats, and for sleep, the one thing that made sense to me, and I don't want a fucking antipsychotic only for sleep, it seems so exagerated to me.


Finally I though in made a detox of the dihydrocodeine in my house. I have multiple benzos (diazepam, clonazepam, Tranxene, Ambien...), also I have some pills of trazodone or mirtazapine if get sleep were so hard. The loperamide, domperidone and hidroxizine can't lack in my meds box for this too. Also 5-HTP and a multivitaminic could be good, I started again with 5-HTP yesterday to try have a mood and energy boost.


And with my beloved kratom, and with the help of codeine and tramadol I think I can kick the DHC after a gradual taper of one week more or less. The bitch is that I have the codeine with paracetamol, but I'll do a CWE to have only codeine, and with that I think the detox would be easy.


Any advise would be so much appreciated. Thank you so much again!

Gabapentinoids + benzos are standard withdrawal tools - I would never do opioid withdrawal without at least gabapentin, and ideally i'd want benzos as well. Since you're coming off such a mild opiate, you'll probably be fine since you have a shitload of sedatives to hand. I would seriously consider getting rid of Kratom - it's an opioid as well, and depending on the strain possibly an even stronger one than the DHC you're trying to come off. If you use Kratom for your withdrawal you'll just be changing the opioid, not beating your addiction. Same with the codeine. If you want to *quit* opioids, then get rid of your codeine and Kratom since your habit will easily be managed by the benzos. If you keep the Kratom and codeine then at least be honest with yourself that you aren't ready to actually kick opioids, you just want to swap your habit to a more manageable opiate.

 

[Jabberwocky]

Antispychotics really shouldn’t be used unless someone is dealing with psychosis or a related condition. They are not safe to use for something like sleep or anxiety compared to many other more appriate meds. And they’re even less effective for opioid withdrawal related issues when there are other safer and more effective meds.

There are also many other safer sleep aids than antipsychotics. It baffles me how doctors can be so liberal prescribing this kind of med. It can help with some things, but there are a lot of risks and side effects compared to traditional comfort meds (gabapentin, clonidine, diazepam, buprenorphine, etc).