What is the cause of Hot Flashes (From WD)? Do Propranolol(beta-blockers) combat it ?

[kanyeknievel]

I am going to the doctors soon , so hopfully this could get answered. I have been off of Suboxone for about 2 months now but I ocassionaly get hot flashes and I thought it was caused by high-blood pressure? But I think this may be wrong, but if it is due to that.. then would Beta-Blockers such as Propranolol combat it?

I ask because I was looking at Beta - Blockers and they seem like they would benefit me greatly due to their non-addictiveness, atleast I've read... I've seen both people saying they took them for euphoria and others saying it isn't addictive and there is no dependency. But for it's anxiety, stage fright, hand steadying and possible headache helping properties?

I do have anxiety, not nearly as much as I used to. I do get nervous in front of people and I will eventually in the near future be playing in a band infront of crowds, so I will need to get used to it either way, but I do have non-steady hands when it comes to just keeping them still and I've read it keeps them steady ?

If I hold my hand out in the air, it shakes slightly, as if I am nervous (I'm not) but yeah, not sure why. I don't have something such as parkinsons disease where I am shaking and can't control severe shaking, but I can't keep my hand steady . And I also suffer from Tension Headaches and they can last for weeks or LONGER and it sucks, and I see it helps migraines and possibly will help tension headaches?


SO if it helps hot flashes, I would ask my doctor about it and see what he says so I could say all of these other reasons it may help me also.

Thank you!

 

[pasha]

The reason behind hot/cold flashes is a dysregulation of the sympathetic nervous system, which along with the autonomic nervous system controls core temperature through intricate mechanisms. Drugs such as propranolol and clonidine suppress the excessive sympathetic nervous system stimulation that occurs during withdrawal from opioids.

Propranolol is very effective for tremors, especially benign tremors (essential tremor) which are free of any serious underlying neurological symptoms. It's also used for performance anxiety since it negates the physical symptoms of anxiety (stops adrenaline). It also has some efficacy in treating migraines. Having said that, nothing however is fully effective at treating migraines.

I don't think having to tell your doctor specific things will be a worry, propranolol is not a drug of abuse and very easily prescribed.

 

[Serotonin101]

Mind you a side effect for clonidine and propranolol is impotence I found that out the hard way lol.

 

[Swimmingdancer]

Studies have found propopanol to be no more effective than placebo in reducing hot flushes. I've also heard people (who were taking it for other reasons) say they thought it gave them hot flushes. Since you have other symptoms it might be good for I'd say it's worth giving it a shot though. I don't think there are any studies on using it for hot flushes specifically due to opioid PAWS. Maybe someone who has tried it for that purpose will see this and post their experience

 

[kanyeknievel]

Thanks, I'll have to remember all of this the NEXT time I go in as I didn't get these replies in time when I went to see him

Oh well, but I just have mild mild withdrawal either from Suboxone after 2 months being off and taking Kratom or minor Kratom withdrawal.. not sure which it is.

I jumped off at 2mg sub

 

[SAMCRO]

I feel like I'm slightly rattling all the time. Even when I take my subs 1mg 2 X daily. I wonder if sub is just not keeping me completely w/d free at this dose because I never use to have this shakiness on full agonists.

 

[hatrix]

I feel like I'm slightly rattling all the time. Even when I take my subs 1mg 2 X daily. I wonder if sub is just not keeping me completely w/d free at this dose because I never use to have this shakiness on full agonists.

If you are dosing <2mg of suboxone, the active metabolite on your opiate receptors is norbuprenorphine, a full agonist. Something to keep in mind. However, that dosage might not stave of your withdrawals, even being a full agonist. It's mostly beneficial for this with a low tolerance seeking the recreational effects of buprenorphine, as norbuprenorphine tends to have more euphoria, etc.

Going above 2mg, buprenorphine takes over as it has such a high affinity and then you now have a partial agonist as you said. And of course the naloxone is negligible and has no effect.

 

[BlueHues]

I don't know about all the other shit, but if you go into performing relying on any kind of substance to relieve performance-anxiety, you're psychologically setting yourself up for failure if for some reason you can't get whatever that is....Anxiety is something most performers struggle with at some point, but IMO practicing what you're gonna be performing is one of the best ways to prevent from really bombing, because if you play a particular song enough times, it will become so ingrained, that even if you are in the middle of an anxiety attack, you'll still be able to pull it off! And once you get used to it, you gain confidence from past successes and it's not as scary anymore....