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  • BDD Moderators: Keif’ Richards | negrogesic

help me please is it depression... meds have no affect

S

swinger1971jr

Greenlighter
Joined
Aug 4, 2015
Messages
5
Hi everyone I'm new to this and don't know how to use it well I do apologize for any inconvenience and please excuse me and any directions on how to use BL. is aprechiated... ok now to my question



I'm a 26 y.o. male and had a bad car accident a Few years ago and prescribed norco10, Ms.Contin, Gabapentin,zoloft, my thing is I don't feel any affect of the meds unless I stop taking them then I get withdrawal symptoms... I'm not looking for any recreational use of the meds but can someone please tell me y they don't help any they numb the pain some but not very much.. I've been on the norco a little over a year and the MSc only about 5-6 Months..
so I don't think it's a tolerance issue I've take several "med vacations" For a week or longer... I dont think it's depression I mean would/could depression cause them to have no effect on me I've tried everything I can but sometimes they work and I get what one may describe as a high feeling and happy but most of the time Im just bord and I want to do things and attempt to do things but I get bord and lose motivation I get no pleasure from doing things I once enjoyed .... what's wrong with me can anyone help anwser maybe what I need to do or what I dont need to do its driving me nuts I rarely ever want to do anything go anywhere just blahhhh
 
Drugs lose their effectiveness after a while. Then you gotta up the dose, but you can only play that game so long too. Most drugs are only sustainable for so long. I wouldn't take any vacations from gabapentin if you have been taking it for a while. You have to taper that stuff slowly to stop taking it just so you know.
 
No I avoid missing the gabapentin and zoloft but would ms contin lose its effects after 5 months and the norco I just got it up ed from 5-325 3 times aday to 10-325 4x aday Like a mon the ago talked to my Dr and he said it could be a underlying condition cause we have tried much stronger meds but I went back and asked him to bump it back to the norco because the others had no different affect after a weeks use of meds like percocett and things an since it wasn't making much different I didn't want to get my body hooked on another drug I'm not mentally addicted to it but it's built in my body u know so I withdrawal from it but I just wanted to know maybe if someone else had experienced something similar or if maybe I'm depressed I mean the meds help with the pain some and I know that it's not gonna just cure the pain I understand how all this work and I plan to have surgery soon on my hip just waiting on insurance approval but I can't figure out y I have no energy or motivation to do anything I mean I have ideas and things I want to do but I get bord super fast with them and can't push myself to do it it's driving me crazy literally thanks for the response and
 
What other meds have you tried? What conditions do you have? I also am a little confused as why you dont want to try stronger meds. You sound like you arent getting adequate relief, which sucks. And opiates are opiates as far as becoming mentally and physically dependent. Maybe you just havent found the right combo of meds yet.
 
Well to list the meds I have tryed
Started with Tramadol stayed on it for about 3 years then changed to mepherdine for about 6 months to a year then started on hydrocodone 5s and mscontin/morphine 30 mgs which I've recently adjusted the norco to 10s and the ms contin to 15s but I have tryed percocett 10s not really that much difference an dialiud or how ever u spell it and it helped but zoned me out really bad an the reason I want to avoid going much higher on the meds than I am no is cause me and my Dr both think that they should be working better than what they do and I hope to not have to be off of them over the next year or two but it's all related back to a car wreck that broke my back in 3 places and screwed my hip up my neck is all out of wack I had to wear a brace for ever I'm finally out of that and I can do small things and work some I could draw disability and had to for a little while but I consider myself still young and I don't want to be in that situation I'm really trying to get things together and live my life but it's like I've lost all motive to do anything from going out with friends or just anything it sucks and is really bothering me cause I'm able to get up and do things I can tolerate the paiN with the meds but it's just hard cause I have not intrest beyond thinking about it I'm strongly considering a psychiatrist but I really don't feel like I'm depressed or anything I just feel lazy and it's not like me to be this way but it's been going on a while and the main most reason I don't think it's the meds is because it's been going on longer than the meds I'm currently taking a few months maybe be4 I started the hydrocodone so I just don't think it's the meds but don't know what else it could be and like I've said if stronger has a u noticeable difference why push it on my body if I'm only getting the same relief cause when I stopped the Tramadol which im aware is a synthetic opiate it was pure hell fore like 2 month's with withdrawal I mean it was hell and I just don't care to go through that anymore than j have to I'm pretty educated oN different meds and drug types as I'm not gonna take anything without extensive research but I just don't understand y I feel this way if I had been on the meds for a few years I'd say yeah it tolerance built but I highly doubt that's the case ... I appreciate ur concern and comment
 
Perhaps you are just trying to be strong and live through the pain but it is fucking with you anyway. If you can control it, maybe your motivation will return. I would just ask myself that question first and formulate a plan to overcome it if so. This does not have to mean taking the strongest opiates out there. Things like physical therapy, nutrition, yoga may be hugely beneficial. Also there are, of course many pharmacological options that do not include opiates that you could use, as well. And I cant see the harm in talking to a psychiatrist. Maybe with all you have been through, it has taken a greater toll on your mind than you realize.
Good luck and keep trying to seek the solution. You will get there.
 
hey i need help from some people who have anxiety and receive medication for it. Lately i've been struggling and was diagnosed with anxiety and have been taking the medication they gave me. and well, the medicine is crap. Its called BuSpar and it basically makes you dizzy and nauseated for 5 to 6 hours. I have an appointment at region 8 in about a week now I was wondering if there is anything i can say to maybe get something better such as Xanax, or something similar to that. cause thats the only thing ive ever felt like helped me out.
 
Easy Roller said:
hey i need help from some people who have anxiety and receive medication for it. Lately i've been struggling and was diagnosed with anxiety and have been taking the medication they gave me. and well, the medicine is crap. Its called BuSpar and it basically makes you dizzy and nauseated for 5 to 6 hours. I have an appointment at region 8 in about a week now I was wondering if there is anything i can say to maybe get something better such as Xanax, or something similar to that. cause thats the only thing ive ever felt like helped me out.
Click to expand...

Just tell them the truth...
 
Swinger, loss of motivation and anhedonia (diminished or absent ability to experience pleasure) are hallmarks of depression. Prior to the injury, were you motivated? Were you active and enjoying things? If not, I would say that the way you've mentally and physically coped with the injury has a lot to do with that. If not, I would say that the physical ailments and psychological response to them (and their treatment) are likely bigger factors.

I'd love to try to help and have some experience personally, academically and professionally with these subjects but I need more information. How were you leading up to this situation? What exactly happened? How has your life changed subsequently?

With how you described the problem, it seems rather apparent that mental state is playing a big role but if that is contributing to the physical problems or the reverse is not as evident. It the mental conditions predated the physical, they should be your primary focus going forward. If the depression is a consequence of the physical ailment (or its' treatment), then addressing that -getting the right treatment regimen and so forth- is key.

I often find that people expect too much from pain management medication. Pain medication can totally eliminate the pain but doses that achieve that will leave you a drooling zombie struggling to keep your head vertical. If you have serious chronic pain, medication is important but only 1 dimension in a situation that requires a comprehensive and multidisciplinary approach. I recommend checking out the pain management mega thread in the Other Drugs forum.

If you would like to discuss this in more depth, you can send me a private message but I'd be happy to help in any way that I can here.
 
@ easy rolled try ur best to avoid any sort of benzo it's truly the worst thing u can do un less it's for short term use a few weeks ...
@ cane to the left I started experienceing little over a year can't remember exactly when I'll ha e to go me in depth on everything at a later time but before and even after the accident (after I was released from the doc an allowed to do things) I was pretty out going loved doing things I was a drummer and really involved in church things I was constantly doing something from working with wood and metal hobbies an even keeping a full time job I was a certified volunteer e.m.t. Just constantly on the go but it started going down hill to where I went from doing hobbies such as practicing the drums a couple hours aday an I loved doing an was very passionate about to I don't even remember the last time I sat behind my set it's just collecting dust it's the same as working in my shop where I could literally not wait to get in from work to start/finish a project now I just go in there sit and look at things I need to finish want to finish and sometimes attempt to finish but within a minute or two iv lost focus of it and just want to go sit down and it's just not like me I mean yes the pain is a factor in it but it's always beeN the deal with the meds I just don't understand y they don't have affect like could depression cause my brain to over ride them Ivery got close family that has been on the same meds for decades and they still get adequate relief I mean hydrocodone is not the strongest painkiller but it's on up the list a good ways for the time I've been taking them I just don't think it's my tolerance built to them I'm thinking it's something psychological working against them somehow cause I mean every now and again the do great but not often and uts the same dose so idk Im just I terested to solve the problem and eventually get back to my norMal state of mind
 
Depression doesn't outright negate the effects of analgesics but generally makes the physical pain worse which directly and indirectly exacerbates the depression rendering the medications far less effective. It's essentially a self-perpetuating downward spiral where the mental problems exacerbate the physical which exacerbate the mental ad infinitum. You have to break that cycle and changing your perspective can certainly jump start the process. I would definitely consult with a mental health professional about changing up habits and routines, learning more effective means to cope with what you're going through and explore a plethora of ways to mitigate the pain outside of the medications as well.

This is a situation that requires a substantial amount of effort. Finding the motivation for that effort is difficult but essential. This is why I recommend talking to mental health care professionals because they can assist you in getting the ball rolling and you can keep it rolling on your own a lot easier than attempting to give it that initial push on your own (think of pushing a car with an empty tank; it takes much more effort to get it moving than it does to keep it rolling).
 
Hey Swinger...I feel such empathy for what you are going through. I understand physical pain from near- fatal injuries and aggressive disease in my body. Both changed the trajectory of my life.

There is no doubt that pre-existing anxiety since childhood became magnified when I was diagnosed with endometriosis stage 4. I had extensive surgery to save my life. I underwent chemotherapy to slow the progression. The treatment consumed my bone health, leaving me with severe arthritis.

Of course, somewhere in there, grief, sadness and malaise set it. I sought out a psychotherapist in my early 30's which probably saved my life, along with AA and AD meds. I learned mindfulness, biofeedback, CBT which I continue to practice today. I learned ways to distract myself from some of the physical pain. My career is my passion. I am an over-achiever by nature and a workaholic. I tend to neglect my own needs, as I am overwhelmed by demands/requirements of others.

I've always been told that every human needs something to do, someone to love and something to look forward to. Motivation shows itself in so many forms. The pain in our bodies and our minds seduces us into isolation, trapped with our own negative thoughts. That quickly spirals into oblivion.

Perhaps discuss med changes with your GP. Make an appointment with a therapist of your choice. You mentioned church. Do you have a pastor you trust and can confide in? Pastoral counseling was the saving grace for our marriage, which almost ended @ 15 years. Thankfully we just celebrated our 35th anniversary.

"Normal" can be illusive. Start small...GP, therapist, physical therapy, strength training, healthy eating...all things that will provide structure in your day. Set a schedule and KEEP IT. If you don't feel you're strong enough for full time work yet, do some volunteer work. There are so many needs in the community with our growing senior population...meals to be delivered, visits to be made, offer your time just to play Dominoes with some of the gentlemen at the Senior Centers.

I know you're YOUNG. That's why I recommend you spend time amongst you elders. They've spent their whole lives working to be successful. Their only job now is to feel "significant". I promise you the rewards are precious.

Take that first step, then another to get the help you need. Then put yourself out into life again and find your niche. It will be okay if you get on top of it, rather than underneath it.

Cane...You sound like someone who could possibly help me. My plethora of issues are documented in DixiChik thread "search". You seem well-versed in the mind-body connection. Pain Management since January 2014 has not yielded good results for me. I guess I'm still searching. :\
 
^would you mind PMing me some links to threads, text or just a little background? I'd be happy to help but would prefer to do it over PM and with time and device constraints, some links or something would expedite things.

I have dealt with chronic pain for about 8 years (the last 3 I have been pretty much off all medication). I studied addiction and counseling and completed the program but moved to a state without academic reciprocity before fully getting accredited. I am working in another field for the time until I go to grad school to resume studying these subjects.
 
I aprechiate everyones opinion so much it seemed to ease my mind a little alot of good advice here amd conformation thank yall so so much .. I think soon as I get my insurance straightend out I'm gonna try to get a good psychiatrist or what ever my Dr recommends I think that's best thing I have a appointment coming up and I'm gonna go more in depth cause I feel like I do need b some extra push as like one of yall have mentioned I do better when there's a little pressure and some sort of commitment hopefully I can get it straightend out.... soon ... yalls concern and opinions mean alot thanks I will come back and give yall a report when things start to get better
 
As mentioned, I have a lot of personal experience and formal training with these exact situations so if you want to discuss this more in-depth to maximize the benefits of the course you're planning and get the most out of it, I'd really be happy to help.

You certainly have the right attitude to proceed and I believe if you approach this correctly, you can absolutely turn things around.
 
Easy Roller said:
hey i need help from some people who have anxiety and receive medication for it. Lately i've been struggling and was diagnosed with anxiety and have been taking the medication they gave me. and well, the medicine is crap. Its called BuSpar and it basically makes you dizzy and nauseated for 5 to 6 hours. I have an appointment at region 8 in about a week now I was wondering if there is anything i can say to maybe get something better such as Xanax, or something similar to that. cause thats the only thing ive ever felt like helped me out.
Click to expand...

Hey there Easyroller,

The best way for you for you to get help/support/med suggestions is to start your own thread if you haven't already done so.

Mirtazapine is the first thing to come to mind,- an antidepressant that works wonders in all sorts depression & anxiety disorders.

Best of all, it doesn't take 6-8wks to begin working like other meds. It kicks in pretty quickly! If you suffer panic attacks or situational anxiety maybe a short acting anxiolytic would be beneficial but depending on where you are situated you may need to book an appt with a psychiatrist.

Good luck with your upcoming appt. sorry we can't tell you what to say to get Xanax.

Rtp
 
Hey there Swinger,

I'm glad you've had some thoughtful responses, now I'm going to offer my own :/

Opiates/opioids were always only intended for acute pain. No one knew of the long term consequences, be it five months or five years.

It's only been in the last 15-20yrs that studies have been performed on use of these drugs for chronic non cancer pain,-.or even the long term use of, say, heroin.

These opiates remove our zest for life, they alter the "feel good" chemicals in out brains. Well, deplete them actually.

To save you the time ;) I myself saw a psychiatrist regarding my motivation levels, & he gave me an out,- which was to discontinue my pain meds. He'd worked with the local pain clinic & recently gone out on his own.

As for some meds working for you, (well, for some time), & others not in the relatively short time you've been requiring them, it's a matter of biology.

Some medications will work for some whilst others will do diddly squat (lol, love that term). IME some opiates do a fantastic job at helping my pain, while others like Dilaudid, (hydromorphone), & Morphine do bugger all!!

To begin with, some meds will help you so much better than others! It's a case of trial & tribulation, which I know is super difficult, from recent personal experience.

Hopefully you have a doctor that will allow you the freedom to have some choice in your medical care.

For ongoing pain,yet, if surgery is an option your pain may not be lifelong. Am I correct in saying such?

Regardless, a low dose tricyclic antidepressant may be worthwhile, as can either pregabalin or neurontin if you suffer nerve pain which I'm not sure you do.

Feel free to PM me I do have a LOT of experience in PM.

@Dixichik did u get my msg?

Rtp
 
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