Taking a low dose of bupe, such as 2mg/day twice a day for three days then 1mg/twice a day for two days and 1mg/once a day for two days, will detox you without any significant discomfort. Taking buprenorphine for more than seven days would be overkill in your situation, but for just a week it would make things significantly easier and be quite appropriate, even if you have been tapering.
It pisses me off how doctors will refuse to treat their clients for serious medical conditions only on the condition they detox off opioids or whatever their DOC is. Your doctor should have already started to treat your depression! There is no excuse for waiting. Waiting will only make it more difficult for you to deal with the symptoms of depression during the acute and post acute withdrawal from your hydrocodone habit.
How is he thinking of treating our depression? Sounds like you'd be a good candidate for bupropion if you have developed addictive tendencies and suffer from both depression and anxiety.
Thanks tpd the past two years my psychiatrist has try to treat my depression with various antidepressant of which most of them I only stayed on for a brief time due to side effects I couldn't stay and and it up initially only intending on staying clonazepam to help me get through till first antidepressant I stayed and worked it seemed to help butt I couldn't stand a sexual side effects so I stop taking it and he prescribed another one which I never ended up taking. It was during this time that I actually went back to work and started taking the Norcos again 4 chronic pancreatitis and knee and back pain and I found it they help relieve my anxiety and depression very well.
Then the knee pain and back pain got a little bit better after about 5 months and by that point I had intended to start tapering off the hydrocodone and only taking it when I had the pancreatic pain but just kept taking a few of them a day because I had access to them and I didn't want to deal with withdrawals and they still help my anxiety and depression.
Then in February I hurt my back pretty bad had already been having a little bit of back pain before then and started taking more of them for that .
Unfortunately since February I still have back pain and tried to do physical therapy to alleviate it but was unable to make much progress due to being still so damn tired everyday and not sleeping well wasn't able to really get your strength up to alleviate the back problem . Right now I'm still not working and I am in a lot of pain from the back but I think the pain level is exasperated by the anxiety too . Got a little bit better a couple months ago when I was doing the exercise again anxiety wasn't so high . The doctor thought I was actually taking an antidepressant but he prescribed but I wasn't and he didn't know I was taking the Norcos and he was prescribing the clonazepam the whole time which right now he says he can get in trouble for as there's a big black box warning making it practically illegal to prescribe the clonazepam while I'm still taking Norco. He didn't prescribe me another antidepressant a couple months ago and I started taking it and thought one of the side effects was affecting my muscles having side effect from that wasn't sure cuz I was also taking a muscle relaxer that good cause muscle pain too. So I took it on and off as a trial and error to see.
Last time I saw him he told me not to take it anymore because it interacted with the other medications. First time I asked him about taking it with the hydrocodone I told him I read that it actually acts as an opioid potentiator and he said that was okay that it would allow me to take less Norco. Saw him on Monday and he told me not to take it anymore and prescribed me a different antidepressant. But the several times I did try taking any antidepressant I was in an extreme anxiety state and all they did was make it worse and I couldn't take it. So right now starting on a new antidepressant is going to be extremely difficult and take some time to even start to help . But then he also said since it seems like you can't manage this at home and your anxiety is so bad that you need to go in for treatment for we are anxiety problems which have gotten horrible and get off the Norcos. I haven't been able to exercise or do much and have been sleep deprived for quite a long time and my big problem now with sleep is that somehow I have developed an eating problem which makes me starving all night I'm up and down all night eating with hunger pangs don't know what the cause of it is. This Could be the depression anxiety and lack of sleep that contributes to this not sure what it is. I did read that this can be a depression and anxiety related problem as your body's cortisol levels are so high all the time that it could mess everything up to . Or some kind of neurological problem that has developed from taking the clonazepam for so long along with opioids . Could have developed benzo toxicity the benzos themselves really mess up your nervous system Also the clonazepam doesn't even help my anxiety anymore . Even though I've gone up and dosage The clonazepam never made me really hungry before on and off took Xanax over the past 12 months and and it would give me the munchies sometimes.
Went to my regular doctor for some basic Labs as the psychiatrist suggested as the hunger pains at night could be a physical problem creating the extreme hunger all night they did some basic tests in nothing conclusive. I did some research on the internet and found it actually sleep deprivation can mess with the hormones in your stomach tell your brain to stop eating when you're full and stop the hunger pangs. Even if I eat a decent amount of food sale turkey sandwich in a couple cereal bars with should be good for a late night snack I still feel hungry after eating it . But at night it almost seems like even when I eat decent amount it does go through my body real fast and my stomach feels empty again not just that I feel hungry and still have a full stomach it's like there's a metabolism problem or my body's just trying to suck up the food as fast as possible. The past month I haven't really ate much during the day due to the anxiety lost a little weight but it's not like I'm starving my body and not eating at all during the day and it's trying to make up for it at night . So this is really complicated my situation.
Everything in my life right now is a fucking mess and I'm a mess. I appreciate all your guys input and suggestions and communication as I really don't have anybody else to talk to about this
. I checked with a couple highly rated rehab hospitals that detox and psych problems and in their program you have to also come off the benzodiazepines which ideally I would like to come off benzos ASAP but the one intake person said if I was to come in for opiate withdrawal but they wouldn't give me any benzos unlesunless I went through withdrawal from them not just for my anxiety. well hell extreme anxiety is part of benzo withdrawal so I left said thank you bye
Spent all day yesterday looking at and calling places and check out their treatment possibilities. 1 Doctor Who answered at the local hospital said I should probably see one of their psychiatrists in have him help me get off the opioids. And the hospitals that do detox with a dual diagnosis of anxiety and depression and have a psychiatrist managing the detox not just a regular doctor will require you to get into their substance abuse program also. Also my insurance will require me to enter a program if they're going to pay for a detox as they wouldn't even cover buprenorphine unless I went into a dependency program when I got the script for last month and tried it for a few days . If I want to I can do something like that through my therapist's office 3 days a week program he has but I only have insurance till the end of the year so I need to figure out what to do fast and it's been making me crazy too. The sleep deprivation just continues to exasperate my anxiety.
Last night was bad enough actually 2 keep me from eating but I only slept on and off about an hour at a time maybe an hour and a half at the most until 4 in the morning. So I got about 6 hours of broken sleep. Then in the morning I took a couple Norcos and my anxiety subsided then I got hungry and had to get up and eat. Lay back down felt hungry again a half hour later had to get up and eat and by that time my anxiety kicked in and I couldn't fall back asleep.
Been driving myself crazy trying to figure out what the hell to do. I need to do something ASAP I've had my mom stay with me all week so I wouldn't flip out. Wasn't able to do some of the things able to do things that actually helped my anxiety like get out and hang out with my buddies I play pool with. And just get out here and there in general and do something I was going to go last night for a little while and hang out and watch my pool team shoot but I was just too damn tired.
The night before I only slept 3 hours. And anxiety has me exhausted to sleep I get is not quality sleep at all. Last time I got a decent night's sleep was 2 weeks ago Thursday night. That was actually really only four and a half hours of solid sleep but it was enough to make me feel like I wasn't The Walking Dead the next day. Today I'm cutting down to 35 milligrams