Misc PLS HELP…Anybody like there prescription meds?

[pnillyg]

Hey fam. I recently came off of kratom/still quitting had a slip up today. Anyways that being said I’ve fallen into a very depressive state with tons of anxiety and anger. My doctor wants me to go on benzos/ssri and buprenorphine. I’ve been on all of them before separately and alone but right now I take all of them as needed with maybe a minor gabapentin dependency (1200mgs daily) and Clonazepam or diazepam 2-4x weekly. He’s recommending I go on remeron (mirtazapime) and diazepam nightly. I always like to avoid physical dependence but right now I’m worried about my mental state and me making a decision that I can’t take back… anyways please help so if you have any recommendations for depression/suicidal ideation and stress specifically ssris or anything I just need some advice with what yall think may help.

All that being said yes opiates make the thoughts go away, yess benzos do too… but I really don’t want to come off of them again but if I do then I guess that’s what it is, I just have hope that there may be something out there I don’t know about. Again please send all recommendations for what works for you so I can try to make an educated decision

Peace and love

 

[Keif' Richards]

Hey @pnillyg

I know time is precious. When you're sick, time is an obstacle and not a luxury. You have to get through this time, the bullshit, the depression, the lethargy and get to the other side. You will begin to feel better. Given a little time, you will begin to see some positive changes in your mood and energy level. Take these small improvements. Use them to motivate you to keep going. We're all addicted to feeling good right? Think about how you're gonna be able to feel good again and hold onto that for the tough times.

Sleep is good because that is time you don't have to deal with your struggles and it's more time passed.

For sleep, I am a big proponent of Clonidine (Catapres). I feel it is a highly effective anxiolytic and especially, hypnotic that can help a lot with insomnia. It is also useful for mitigating tension in the body and mind. Withdrawal can often mean higher blood pressure, which often leads to a feeling of inner stress. Clonidine lowers blood pressure and can help you feel better without worrying about an addiction or dependence.

For Opioid withdrawal, especially with short-acting stuff, I feel like I have been able to plot the general progress of the sickness.

You get your first big breakthrough after ~3 days when you are able to walk around, maybe eat some light food and possibly watch a movie as opposed to being locked in your own hell in both body and mind constantly.

The next breakthrough is day 5-7. This is when you start getting some of your executive functions back. Maybe you start thinking about things like work, bills and stuff. You start considering your next steps. You get occasional jolts of good feeling and optimism, but they're mostly fleeting.

12-14 days, you should be over the worst of the physical and mental stuff. You should begin feeling somewhat normal. You then slide into Post Acute Withdrawal that will be fairly heavy until 30 days. 30 days of clean time means you should be starting to have some motivation and the cravings should be getting better. The PAWS will slowly abate over the course of ~90 days at which point you're only gonna be dealing with transient cravings in response to stress and similar stuff.

Your biggest goal right now is to get through 30 days. This is a good window considering all of the drugs you have on hand. 30 days is a cut off point where you can feel that withdrawal from the secondary medications should be manageable, ideally being maybe a 3-5 day period of slightly heightened anxiety followed by return to baseline.

My basic advice is to plan for 30 days of Opioid abstinence. Use whatever you need to to get there. Then we can plan the next steps.

 

[pnillyg]

Hey @pnillyg

I know time is precious. When you're sick, time is an obstacle and not a luxury. You have to get through this time, the bullshit, the depression, the lethargy and get to the other side. You will begin to feel better. Given a little time, you will begin to see some positive changes in your mood and energy level. Take these small improvements. Use them to motivate you to keep going. We're all addicted to feeling good right? Think about how you're gonna be able to feel good again and hold onto that for the tough times.

Sleep is good because that is time you don't have to deal with your struggles and it's more time passed.

For sleep, I am a big proponent of Clonidine (Catapres). I feel it is a highly effective anxiolytic and especially, hypnotic that can help a lot with insomnia. It is also useful for mitigating tension in the body and mind. Withdrawal can often mean higher blood pressure, which often leads to a feeling of inner stress. Clonidine lowers blood pressure and can help you feel better without worrying about an addiction or dependence.

For Opioid withdrawal, especially with short-acting stuff, I feel like I have been able to plot the general progress of the sickness.

You get your first big breakthrough after ~3 days when you are able to walk around, maybe eat some light food and possibly watch a movie as opposed to being locked in your own hell in both body and mind constantly.

The next breakthrough is day 5-7. This is when you start getting some of your executive functions back. Maybe you start thinking about things like work, bills and stuff. You start considering your next steps. You get occasional jolts of good feeling and optimism, but they're mostly fleeting.

12-14 days, you should be over the worst of the physical and mental stuff. You should begin feeling somewhat normal. You then slide into Post Acute Withdrawal that will be fairly heavy until 30 days. 30 days of clean time means you should be starting to have some motivation and the cravings should be getting better. The PAWS will slowly abate over the course of ~90 days at which point you're only gonna be dealing with transient cravings in response to stress and similar stuff.

Your biggest goal right now is to get through 30 days. This is a good window considering all of the drugs you have on hand. 30 days is a cut off point where you can feel that withdrawal from the secondary medications should be manageable, ideally being maybe a 3-5 day period of slightly heightened anxiety followed by return to baseline.

My basic advice is to plan for 30 days of Opioid abstinence. Use whatever you need to to get there. Then we can plan the next steps.

Thank you for the help. And all of that makes sense + I agree as I’ve been through it. Unfortunately I went back to kratom yesterday and this morning for many reasons. I plan to go back off and continue the fight. Next time I will use clonidine for sleep as I don’t want a dependence on either gabapentin or benzodiazepines… would you consider kratom to be short acting ? I’ve heard mixed things. Also is there risk for physical dependence for clonidine? This used to be a walk in the park when I could use cannabis but right now that’s out of the question. Thank you again

 

[tryptakid]

Thank you for the help. And all of that makes sense + I agree as I’ve been through it. Unfortunately I went back to kratom yesterday and this morning for many reasons. I plan to go back off and continue the fight. Next time I will use clonidine for sleep as I don’t want a dependence on either gabapentin or benzodiazepines… would you consider kratom to be short acting ? I’ve heard mixed things. Also is there risk for physical dependence for clonidine? This used to be a walk in the park when I could use cannabis but right now that’s out of the question. Thank you again

Can I ask how much Kratom you were using broken down by dosage and # of doses/day on an average day and on a heavy day?

 

[pnillyg]

Yes low dose days were 7-10gs with high dose days being 15-20… that being said could never take more then 6-7gs at a time

 

[Jnowhere]

Hey @pnillyg

I know time is precious. When you're sick, time is an obstacle and not a luxury. You have to get through this time, the bullshit, the depression, the lethargy and get to the other side. You will begin to feel better. Given a little time, you will begin to see some positive changes in your mood and energy level. Take these small improvements. Use them to motivate you to keep going. We're all addicted to feeling good right? Think about how you're gonna be able to feel good again and hold onto that for the tough times.

Sleep is good because that is time you don't have to deal with your struggles and it's more time passed.

For sleep, I am a big proponent of Clonidine (Catapres). I feel it is a highly effective anxiolytic and especially, hypnotic that can help a lot with insomnia. It is also useful for mitigating tension in the body and mind. Withdrawal can often mean higher blood pressure, which often leads to a feeling of inner stress. Clonidine lowers blood pressure and can help you feel better without worrying about an addiction or dependence.

For Opioid withdrawal, especially with short-acting stuff, I feel like I have been able to plot the general progress of the sickness.

You get your first big breakthrough after ~3 days when you are able to walk around, maybe eat some light food and possibly watch a movie as opposed to being locked in your own hell in both body and mind constantly.

The next breakthrough is day 5-7. This is when you start getting some of your executive functions back. Maybe you start thinking about things like work, bills and stuff. You start considering your next steps. You get occasional jolts of good feeling and optimism, but they're mostly fleeting.

12-14 days, you should be over the worst of the physical and mental stuff. You should begin feeling somewhat normal. You then slide into Post Acute Withdrawal that will be fairly heavy until 30 days. 30 days of clean time means you should be starting to have some motivation and the cravings should be getting better. The PAWS will slowly abate over the course of ~90 days at which point you're only gonna be dealing with transient cravings in response to stress and similar stuff.

Your biggest goal right now is to get through 30 days. This is a good window considering all of the drugs you have on hand. 30 days is a cut off point where you can feel that withdrawal from the secondary medications should be manageable, ideally being maybe a 3-5 day period of slightly heightened anxiety followed by return to baseline.

My basic advice is to plan for 30 days of Opioid abstinence. Use whatever you need to to get there. Then we can plan the next steps.

You missed your calling in life; As a better Dr. Drew.

 

[Keif' Richards]

Haha @Jnowhere you made me spit my Fresca on my computer screen with that quip.

@pnillyg Clonidine is not addictive in our sense of the word. It's effects are physical, though reducing blood pressure triggers a psychosomatic cycle in which the relaxation of the body "tricks" the mind into believing you are calm. Too much makes you feel like shit. There is no "high".

It's pretty easy. Let's say you're using Clonidine heavy for a month, say up to 0.6mg-0.8mg per Dat. You can expect rebound effects for a few days. This is countered easily by doing a small taper over the course of 3-5 days once you're done.

I use Clonidine to this very day when I can't sleep or I'm stressed out. I truly believe Clonidine would be enough for a lot of these folks on benzos and z-drugs. It's not fun but it gets the job done.

 

[Jnowhere]

Haha @Jnowhere you made me spit my Fresca on my computer screen with that quip.

@pnillyg Clonidine is not addictive in our sense of the word. It's effects are physical, though reducing blood pressure triggers a psychosomatic cycle in which the relaxation of the body "tricks" the mind into believing you are calm. Too much makes you feel like shit. There is no "high".

It's pretty easy. Let's say you're using Clonidine heavy for a month, say up to 0.6mg-0.8mg per Dat. You can expect rebound effects for a few days. This is countered easily by doing a small taper over the course of 3-5 days once you're done.

I use Clonidine to this very day when I can't sleep or I'm stressed out. I truly believe Clonidine would be enough for a lot of these folks on benzos and z-drugs. It's not fun but it gets the job done.

I am only laughing at very first sentence.
Sorry, I am bit OCD, seriously.


[True story]