Bup as andidepressant
I'm suprised about the fact, that many postings made here are full of prejudice about the use of opioids- which could also be named as a sort of beeing just unaware, don't know.
I think the point is that these postings come rather from people who write from the perspective as addict/s (withdrawal, the consequences of illegality, problems, suffering etc) than as from a rational Viewpoint.
From a rather rational Viewpoint: By now, there were some really good studies made which researched the effect opioids have in depressive, double-diagnosed (addiction+xy), psychotic or anxious people.
Especially Buprenorphine was (depending on the study) proved to be enormous effective, up to 70%-Remission/Recovery Rate in a sample of 10 double-diagnosed patients.
Buprenorphine was also found to be effective as a fast, mood-stabilizing agent in treating forms of therapy-resistent depression.
There ARE these studies out there, google is your friend...
In most of the studys, the patients were actually or former addicts, but there are also studies researching non-addicts with similiar results.
The efficiancy of Buprenorphine depends on the severity of addiction and the severity of the psychopathological impairment.
It is most effective in middle ranges of these two axes.
Summa summarum, BUP has proved to posess antipsychotic, antidepressive and anti-anxiety properties (which is examined by medical research with empiric methods).
These properties do count also for Methadone, but in different specificities.
For example, the application of 10mg of methadone was able to stop a beginning manic episode.
There are also studies which proove these properties for other opioids like tramadol, oxycodone or morphine.
Buprenorphine can be denoted as a fast acting antidepressant which MAY work VERY well for especially some clusters (not for all!!) to which you can primary count double-diagnosed patients whose degree of impairment does not exceed ( simplistic summarizing) middle range impairment as well as people suffering from therapy resistent depression.
That's it.
I'm on buprenorphine for about half a year and I'm very satisfied with it.
I suffer from a (no official diagnosis, but I would call it-) form of atypical depression; several SSRI and other antidepressants could not help me out, they helped in stages of acute major depression, but in the long run I have no benefit from them as they make me feel just more shitty, bad, uncomfortable. So far there is no AD out there which made me feel normal or comfortable, and I'm pretty sure that there is no 'wonder pill' which would do different.
Buprenorphin indeed is in a position to help me out of my so called depressive disorder and connected impairments like a reduced performance, reduced social life and so on and so on.
So, Bupre is in fact in the position to stabilize me on a basic level, I feel comfortable, normal, (not 'high'!), sometimes happy- feelings that I do not have with SSRI and stuff. I am able to live a 'normal life' in spite of my depressive, melancholic disorder; Bupre does enhance my motivation and mood quite effective, compared with SSRI, which leads to a drastic improved quality of life.
So, for people who have "nothing to loose" (people who do not benefit from the whole range of SSRI/NARI/etc, who suffer from chronic mood disorders etc.) -and I count me to this description- Bupre could be a key to a drastic improvement/benefit and therefore for a increasing quality of life and all things connected to this like beeing able to go working, beeing able to do studies and so on).
When it goes to survive or not survive, you really give a shit about the possible side effects including addiction. This is, firstly, a risk which is ridiculous if you think in categories like survive or not survive- secondly, the risk(s) of addiction is tremendously reduced if you are in a proper therapy. You just put up addiction because it can be accepted if this medication can allow you to just live your life, to percept happy moments again, to pursuit your dreams and aims again- to live! That's it.
If you are interested in some studies, write me, so i will post the name of the study/ies.
You easily find dem via google then.