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Opioids / Benzos for life?

FutureReference

Bluelighter
Joined
Jul 15, 2019
Messages
307
I just want to gather a general consensus on the lifelong use of these medications. I have PTSD and severe injuries from my time in the military and have been on narcotics since I got out. I quit cigarettes and drinking after serving but truly believe I will be on both Klonopin and Oxycodone until I drop. Don't abuse either drug and the dosages are low for both (4mg and 40mg daily respectively)

Just want to know your opinion on this? I don't get any weird looks when getting my psych meds but of course with this fake epidemic of opioids I get strange looks at the pharmacy even on such a low dose. From what I have researched there is no conclusive evidence on any long-term side effects of either drug. Some studies insinuate opioids can extend life of chronic pain patients but I believe this is simply due to less suicides.
 
If you are not too worried about earlier decline in cognitive abilities then it is something which could, in theory, give you some well deserved peace.
But, I have read some studies that benzos actually worsen PTSD in the long run. There are some conflicting evidences, as some sources state that anxiolytic effects are preserved even after chronic use. My subjective feeling, as I am on benzodiazepines for almost 2 decades now, is that they do not retain added therapeutic effect but they keep you out of the withdrawal which is seen as anxiolysis. Coupled with amnestic effects I can see why it would be beneficial for PTSD. I can certainly see why withdrawal would put you into quite unease to say the least.
Minuses are - cognitive decline with higher possibility for dementia, psychosomatic illness, higher risks for falls with fractures and all that jazz. There are reasons why can be beneficial to stop benzo use, but there are certainly cases when that would do more bad than good. My reading from your posts is that you don't need extra pressure and that stopping benzodiazepines would maybe bring more harm than good for you.

I must say that it is your life and you know what you can handle. It is your decision and I am giving my opinion which can be wrong when applied to your circumstance. But you have asked so... :)

Regarding opioids, I do not see them as great threat for ones health when they are taken responsible as you are doing. One thing that would worry me would be if one was to go from oxycodone to methadone. That could be a recipe for disaster. I know that you were/are thinking to try methadone as oxycodone dosage does not serve you well. In that case I would pay a lot off attention on how my mind/body is reacting. For me, methadone was the best painkiller but at the same time it made me flat. I did not like how it was influencing my personality at all. But maybe that is just me.

To conclude, benzo/opioid combo is not healthiest combo I know. Benzo part is more problematic in my experience and knowledge. But, you are not some average person who worked desktop job and retired without ever comming to contact with dark and malicious part of this Great Act we call life. From what I read you need as much peace as you can get, not "as much sobriety you can get". If you think that this combo is making your life bearable then use it.

I know people who went to war and now suffer PTSD. Most of them use antipsychotic/benzodiazepine/mood stabilizer (anty seizure med) mix to help them cope. I think that benzodiazepine/opioid combo beats that triplet every day.

I am sorry you have encountered evil that resides in all of us and I hope you find strength to accept it as the part of life.

I wish you find your peace and I don't think benzo/opioid combo is something to be avoided at all costs.

Peace,
Soma

Thank you so much for the in-depth response. You have voiced my thoughts in near entirety. Growing up, my grandmother had Alzheimers and that was definitely hard to watch. Never put her in a nursing home so everything was done at home until her demise 11 years after diagnosis. I do worry about dementia but sometimes feel it'd be more peaceful than the vivid dreams I cannot combat.

As for the mood stabilizer, I tried a handful but for some reason they actually made me quite sad. I would have bouts of crying that came from nowhere. I truly believe seeing death firsthand changes a person's outlook permanently. Having this experience with friends and comrades leaves ghosts that never quite go away.

I am on Celexa (Citalopram) 20mg daily for depression as well as Temazepam 30mg for PTSD and insomnia. Honestly the only benzo I ever had withdrawal issues with was Xanax but straight out of the military the dosage was unnecessarily high at 8MG and I, stupidly, went cold turkey. The Klonopin has been a lifesaver. 4MG is a decent dose but I have gotten myself down to 1-2MG a day!

My physical pain is another demon. I was on the same dosage of Benzos with Suboxone and also experienced that "flat" feeling you refer to. Void of emotion and motivation. Grasping onto whatever joy I could gather, which was rare. I do sometimes debate whether Methadone would be a better option as 10mg Oxycodone at once only brings my pain down about 25% but I worry about the extreme half-life. Never was suicidal from Oxy or Opana withdrawals but Suboxone was a monster. A voice inside reminding me of what I have seen and the evil in this world. I am scared to transition to say the very least.

Thank you again for your response my friend it is truly appreciated!
 
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