adder
Bluelighter
- Joined
- Mar 28, 2006
- Messages
- 2,851
I've taken a blood test today for cortisol levels. It's 5.38 μg/dl so it's a bit too low. But given it was taken ~3 hours after methadone and clonazepam dose and opioids depressing role on ACTH I'm skeptic about it as there are no symptoms of orthostatic hypotension, dehydration or general dizziness and glucose is in norm. I do feel tired but that can be explained by hypothyrodism just as like feeling weak and sleepy at times. Well, I'm also underweight but my TSH level is quite high so I should gain weight or if it's adrenal insufficiency then cortisol should be lower (if it's primary). I have no tanning of skin, no changes on my elbows.
I think this is sub-clinical because of methadone and clonazepam. Opioids are known to depress ACTH secretion in stressing situations. Besides I've been nervous all the time recently, I'm getting mad with no reason so I can't connect my opioid and clonazepam intake with those results.
I have a visit tomorrow. Should I tell a doctor I take methadone and clonazepam? I didn't make it for the maintenance (last time I even had a quarrel with the psychiatrist at the clinic so it's a dead end now) so my methadone isn't from the program but it can't be checked if I'm registered or not as they don't give out anything without patient's permission. I get clonazepam from my psychiatrist as I've been addicted to benzodiazepines for almost 7 years, I've taken them daily. Besides I've been diagnosed with BPD so that's actually why I'm there.
I'm thinking because when she shouted at me when asked if I smoke I answered "yes". And when she started her moral play I asked her if she knows anything about how quitting nicotine is hard. I'm sure I'll get tested for ACTH, this should be lower too then CRH and I don't want to be given any glucocorticosteroids for life as I'm on levothyroxine for life already and it doesn't seem I can quit methadone and concerning clonazepam - my dose is still too high to tell how long it would take to get me to 0mg (but as I study I simply don't have time like a year to stabilize alone at home and don't give a shit about my life - I'd rather die).
I just thought on it more and now it would be real fucking fun if it turned out that I got some secondary insufficiency from my opioid addiction. :/
I think this is sub-clinical because of methadone and clonazepam. Opioids are known to depress ACTH secretion in stressing situations. Besides I've been nervous all the time recently, I'm getting mad with no reason so I can't connect my opioid and clonazepam intake with those results.
I have a visit tomorrow. Should I tell a doctor I take methadone and clonazepam? I didn't make it for the maintenance (last time I even had a quarrel with the psychiatrist at the clinic so it's a dead end now) so my methadone isn't from the program but it can't be checked if I'm registered or not as they don't give out anything without patient's permission. I get clonazepam from my psychiatrist as I've been addicted to benzodiazepines for almost 7 years, I've taken them daily. Besides I've been diagnosed with BPD so that's actually why I'm there.
I'm thinking because when she shouted at me when asked if I smoke I answered "yes". And when she started her moral play I asked her if she knows anything about how quitting nicotine is hard. I'm sure I'll get tested for ACTH, this should be lower too then CRH and I don't want to be given any glucocorticosteroids for life as I'm on levothyroxine for life already and it doesn't seem I can quit methadone and concerning clonazepam - my dose is still too high to tell how long it would take to get me to 0mg (but as I study I simply don't have time like a year to stabilize alone at home and don't give a shit about my life - I'd rather die).
I just thought on it more and now it would be real fucking fun if it turned out that I got some secondary insufficiency from my opioid addiction. :/
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