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Bupe Bupe and Antidepressants - Waste of $?

CookieOnCall

Greenlighter
Joined
Aug 15, 2015
Messages
8
Last week my docotor switched me from Suboxone to Zubsolv. I also take venlafaxine (generic Effexor). Do anti-depressants still work when the patient is on buprenorphine/naloxone, or am I wasting my money?
 
Yes, they still do work as they have different mode of action from buprenorphine. As a matter of fact buprenorphine have some ability to increase monoamines biosynthesis through kappa antagonism, so there might be some synergy with SSRIs/SNRIs. I don't know if you're wasting your money, but perhaps you don't need venlafaxine at all.

I read about buprenorphine/samidorphan being tested in a combination with antidepressants as a treatment for refractory depression and I'm wondering why they would make people take buprenorphine/samidorphan along with an SSRI/SNRI without switching them to a buprenorphine/samidorphan drug alone and see how it works out. Buprenorphine on its own seems to have a higher antidepressant potential than any SSRI/SNRI tested in the past. Why is it treated as an adjunct therapy? Well, obviously if you suddenly have a much better option for depression than all those shitty antidepressants used so far, it means great money loss for big pharmaceutical companies.
 
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