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Possible drug interactions for Methadone

I was severely injured at work over 2 years ago.  I have been taking Paxil for depression and was also recently switched from morphine to Methadone for pain treatment.  I read on the Internet that Paxil (or any SSRI drug) can cause a spike in blood pressure and possibly a stroke when mixed with Methadone.  My doctor is now recommending Effexor in place of Paxil.  Isn't Effexor also an SSRI? and to your knowledge, does it pose significant risk(s) when taken with Methadone?  If so, is there an anti-depressant that can be safely used with Methadone?
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What's up ..this is for Maximus I can't see your we're just asking for an answer and ppl put there negativeness in what they call an answer... Anyway I am on paxil and methadone ... I take my methadone at 5:30-6 am everyday and my Paxil around 9-9:30 pm every note and it works wonders for me ... Just because Maximus gets his pain felt with with the methadone you can still be depressed ... Idk y Thomas said that for example you can be depressed over guilt , your past, deaths that occurred pain isn't the only reason for depression that was way off .. Anyway don't stop taking your Paxil just do the times I shared with you and it will help my Paxil doesn't mess with my methadone at all and if u take it at night it will also help with sleep .. Hope this helped you
Clutch
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Stop beating yourself up about not being there. Maybe that was your mom's way of making it easier for you. My mom died 4 days after I left her in Fla. I thought for sure I would see her again in two weeks. My sister lives there and I would go down from Va. every 2 or 3 weeks over 5 months. I believe my mom didn't want me to have to do that again. My dad died an hour after I left him in hospice. I truly believe when their moment comes, whether they are concious or not, their spirit knows what's going on. If you feel like you have somethings left unsaid, talk to her. I've said before, my mother is my guardian angel, she is with me always. I feel her as much today, as when she was with us here on earth. I truly believe that some people, especially those with a terminal illness, see the angels. My mom would talk to hers, tell us all about her, how beautiful she was, and her name was Rafael. Strange thing, my mother was never religious at all, we never said grace, no prayers. But in her last months here, she believed. Just remember your mom is in a better place, no more pain, she's with other's she loved, her mom, her dad. She's just watching over you.  Love you....Susan
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My computer went nuts and it posted without my doing it !
  Anyway, I 'll finnish my thought.
  Your a kind loving person with much to give.You will be better in time Cindi. Dreary days and holidays are easy days for us to get depressed. Stay busy and keep sharing.
  I use to live in Lakeland,Fl. I was between Disney World and the beach. When will you be moving? It will be good for you to be close to your father. You have much happiness ahead of you. I know Wizard and Angelica and many others are praying for you and God answers prayers.
  I will e-mail you about my test yesterday.
  My daughter was mad because I wouldn't keep her boys today. She was either stoned or high on some other drug. She really wants to change and I know she will someday. With all the prayers going up for her she'll either change or be very miserable. I believe she will see the light. In time.Remind, in time.
     God Bless,
         Kerrie
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Thanks so much for your concern and kind words my friends. You help me so much.Thanks for all the prayers. I can always tell when I'm being prayed for. I have a feeling of strength and warmth and well being. You'll never know how much you help me.But someday God is going to say "Well done my child, well done".
  Cindi,keep talking.Don't stop. When you feel the tears coming, let them flow. It is part of the healing process. I still break down and cry when I least exspect it. Things that remind me of my dad,my grandmother,my mom. But thank God I have those memories. I know you can't understand it right now, but the tears will come leass frequent as time goes on. The pain will not be as strong.It's like after you have surgery. The pain you have when you first awake is so horrible and you can't imagine how anything that painful will feel better in a few weeks. To the point that it's all a memory. Now you remember the pain and you have a scar from it but you've made it through the hard part and now your better. As time passes ,you regain your strength and become stronger and stronger. (
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Thanks so much for your concern and kind words my friends. You help me so much.Thanks for all the prayers. I can always tell when I'm being prayed for. I have a feeling of strength and warmth and well being. You'll never know how much you help me.But someday God is going to say "Well done my child, well done".
  Cindi,keep talking.Don't stop. When you feel the tears coming, let them flow. It is part of the healing process. I still break down and cry when I least exspect it. Things that remind me of my dad,my grandmother,my mom. But thank God I have those memories. I know you can't understand it right now, but the tears will come leass frequent as time goes on. The pain will not be as strong.It's like after you have surgery. The pain you have when you first awake is so horrible and you can't imagine how anything that painful will feel better in a few weeks. To the point that it's all a memory. Now you remember the pain and you have a scar from it but you've made it through the hard part and now your better. As time passes ,you regain your strength and become stronger and stronger. (
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My God, what would I do without you guys here,,,you are so warm and caring..my mom suffered for so long,  i stayed in Ohio to take care of her especially since my sister moved out of state....She siffered unitl about 12 hours before her death...it eats at me that I was not with her,,but wiz and everyone else have helped me to understand that It was meant for me not to be with her when she died..for reason unknown to me....I just hope she is not angry with me for not being there at the hour of her death....I had been there when she went into the coma and she hung on all night and died in the morning...the hospital called me on christmas eve and said she would not make it till morning to stay home and take care of my gramma and my family,  mom had no knowledge of what was going on....they called in the morning and said to come up she had taken a bad turn  I knew what that meant  I'm the nurse that always got elected to call the family and we were not allowed to say the patient died  so I knew,,,,I made it too late,,,she died before I got there,....I live with guilt all though my friends here have made it easier for me to deal with....I feel better at the cemetary but now i am selling her house, my childhood home...her memories, her life, and picking out a tombstone...i cannot handle too much more.....today and the past few days the pain is overwhelming...i broke down at the skating ring yesterday at my daughter's skating party  they played a song from when my mom and I used to go skating and it was too much...little things like that..now I am moving away and once again i feel guilty for leaving her behind....why?  i feel i may never be as i was before,,,a piece of me died when my mom died....my spirit is broken but I have my kids and my husband....they are healthy and I am blessed...I just can't believe it has been almost 6 months since I have seen my mom,,,i would talk to her a few times a day and she lived 2 minutes from me..anyway.. I have to go,,,this is just too hard right now....thank you for listening to  me babble again......I love you all   cindi
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I have been thinking about you the last couple of days. This Monday the 4th will be 4 years ago my mom died of cancer. I know this will not really help you when I say this, but time does heal the pain. My mom was diagnosed with brain cancer Jan. 4th 1997, she was 68 years old. She had surgery to remove the tumor, she refused chemo and radiation. They told her she had 6 months at the most. During this time my mother  had the most fun she had ever had. She became a very loving and wonderful mom and grandmother. As the months went by, she began to forget things, who we were, where she was. Finally we put her in Hospice. She lived in Pinellas County Fla. There she said she was so happy, she had her garden and her angels. When her time came, she went with such peace. We in the family were so lucky that she never suffered. No pain, nothing. It was hard at first, the first year or so. There is no pain imaginable, no pain so permenant, no pain so awful, as losing your mother.  One day I woke up, and the sadness had lifted alittle. As the months went by, it got better and better. Now when I think of my mom, I smile, I remember how wonderful she was. When I go to my parents grave (my day died in 1988 from the same thing) I feel such peace. The pain never goes away, but it does change. On monday when we go to Arlington Cemetary to see my mom and dad. My little boys will each take a helium balloon and send it up to heaven to them. This has been a ritual all these years for them. They were so small when she died that this was the only way I could get them to understand where they were. Look inside yourself, remember all the good and wonderful things she taught you. She gave you compassion and love, because I see it everyday here from you to others. Your ability and understanding, wanting to reach out and help others all stem from how you were brought up. I see your mother as a very special woman, she gave the world you. In time you will find peace. I am here for you always.....Much love to you Cindi....Susan
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Kerrie,  I am so glad to hear from you....you have been on my mind...send me some mail and let me know what went on with your testing?   Get some rest, that is what you need right now,,,You deserve it....God is with you.....and I have said a prayer and  many for you and your daughter....and everyone else here....You will be fine,I know you will...and so will your daughter,  It takes times for us to see the light...one day soon she will have a complete change come over her..I can see the changes now when you talk of her....the miracle is happening now only it takes time.   Ohio has not sunshine for the past week,  we alos have had the coldest may that I can remember...but the summers can get down right nasty  with the high humidiy which is a whiner like me's worst enemy...LOL   I don't know how the hell I'm gonna stand Florida... ahhhhhhh  but the Ocean, the sand, the shells, suntans, palm trees, sleeping in the pool when my dad takes the kids....    I CAN handle it  LOL   and I can finally be with my dad....funny, when we are younger we need to get away from the master parents,  LOL  now I need to be with him....I'll tell ya what we need this weekend,,,we need to not be so serious and let loose.....Ok   Did ya hear about the blonde...(sorry blondes) that thought ROE vs WADE was the decision that George Washington had to make when he crossed the  Delaware?   ROFLMAO     OKEY DOKEY    AHEM>>>>>>>>>   have a great day  catch ya'll later  Love to all   cin
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Don't you dare shut up girl! Talking, helping, unloading and praying for each other is what this forum is for.You are so very right about the man with no shoes. There is ALWAYS someone in worse shape then ourselves. You have been through so much and yet you also continue tto keep your faith and go on with life. I admire you tremendously lady. The Wizard here will keep you in his thoughts and prayers. Kerrie, you just keep on keeping on!
You've got angels in your corner!
Power & Magick 2 U,
Peace & Light on ya,
Wiz
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Hi. I'm so very tired after being on the road at 6:30 this morning to go to the doctor. I didn't plan to write tonight,just read. But I can't do it. Your kind words are so uplifting and I just had to tell you how much I appreciate all your prayers. I want to tell you with all my heart I believe I'm going to be alright. I wish I had this much faith in my daughter. But I will keep supporting her like each of you do me.
  Wizard, I read your story and I'm am very proud of you. What determination you guys have. I have degenerative disk disease and  I though my back was the only thing on me that wasn't broken until I had the Cyst on the spinal chord. It didn't hurt. I just suddenly went paralized one day.Then it turned out to be the cause of my horrible headaches. So they did surgery and now I have back problems to boot. Then a poor excuse for a doctor, did a bone marrow biopsy in my back at the T12 L1 level. Blew it out.
I attempted to make him pay for his stupidity but quickly learned that all doctors stick together. Long story short. My back is a mess. I went from jogging 4 miles a day and arobic exercise to 220 lbs of pain. I can't bend over. My legs are still weak but I can walk,so thank God.But we bought an above ground pool so I could get some exercise. But would someone send some warm weather our way. It's the coolest May I've seen in Tennessee in 18 years.
Now I've lost down to 180 to 185 lbs. and maybe God thinks I deserve a break somewhere besides my bones. Just kidding. I don't deserve anything but a good spanking now and then. I just admire your courage to go without the pain meds. I can't bear the pain in my back.
  Thomas, I'm glad your a strong advocate for AA. I've known them to be good for a lot of people. I printed off the 12 step program and gave it to my daughter. I imagine it's in the garbage somewhere. I read it though,it's inspirational for sure. I do believe in prayer. God has seen me through so much , and when I underwent the two surgeries that lasted 10 and 12 hours, I prayed God would take my fear away. The day of each surgery, I was more worried about the I.V. than how long the surgery would take. He is an awsom God. I thank you for your prayers.
  Cindi, You are going through a very normal time hon.When my father died, I didn't think I would ever quit crying.Your going to be fine. You have a strong faith and love and concern for others. I have asked God to return your joy to you and ease your pain. You've heard the old saying. I was sad I had no shoes until I saw a man that had no feet? Your sad because you lost someone you dearly loved. How wonderful it is to have that kind of relationship with your mom. I miss my mom a lot. But I wish I had  had a relationship with her like you had with your mom. But I know some people never had what I had. They never knew their moms at all. You hang in there. Your very normal.
  Angelica, You inspire me as always. I know you suffer with chronic pain as I do. But your concern for others is always what I hear from you. Do you ever complain? Your making me look bad girl. I wish I had your stamina. Your truly a friend in deed. God bless you.
  Bless you all. I will shut up now. I just wanted to tell you all how great you are. Friends are people who come in when the whole world has gone out. Thank You.
     God Bless,
          Kerrie
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You guys are too cool  wow,   alot of pain,,,I admire you both so much,,,pain management if a nasty thing when yiu are an addict but i just talked with someone tonight who said her non addict hubby has ben on percocet for while now and they are making him irritable,,today he did not take any and went into withdrawals....i have been on Norco and Vicodin for awhile for this pain that FINALLY has been partially diagnosed  waiting for an MRI of my back....rule out blown discs....I know when the time comes to get off the vis I will have to taper...hard to do but I'll have to ....Wiz, you have no clue how much of an inspiration you are to me.....you have fought this on your own,,,and Angelica,  you are proof it can be done with going overboard...I have had a really really difficult 2 days....very sad,,,crying alot and missing my mom so very much....on the 25th it will be six months I have not seen my mom,, I can eat all the pills in the world but the pain is not gone....tell me if this is normal...for the past week of two I have been totally overprotective of my daughter,,,,,I have actually been so afraid something is going to happen to her while I am not there,,,that is one of the reasons I went to the zoo with her....I am not so fearful of my son because he is with me 24/7  he comes to work with me and everywhere I go....so he is safe with me....all though tomorrow he is going to chuckie cheese with a teacher at the pre-school am I scared?   terrified, but he will be ok there....I have this feeling of doom or something...I'm sure it's a passing thing...thought I was developing Some obsessive disorder or something...well, I've babbled long enough.....I love you guys   cin
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Hang in there I will, for sure darlin! I went down the Naprosyn road and it didn't do much for me. i just got approved by my insurance for Vioxx finally after fighting for a month with them. It seems they would pay forever on the opiates but get something non-narcotic that you take once a day and it cost's more @ $140.00 for 30 pills, and I had to jump through hoops. It kinda pissed me off that the decision to authorize it was being made by non medical clerical people. They turned it down and I called them myself and threw a flaming fit on the phone LOL. I asked the person what her medical degree was and she said she didn't have one. I said "Ohhhhh, I see, you'll pay for me to get addicted and high but not to get well? I got the silence treatment a minute. I asked her are you gonna pay for my funeral?  Bottom line I got a letter saying that they would pay for my Vioxx for life as long as I was on the plan LOL. What I've been doing is alternating the Vioxx and 1600mg of Motrin which seems to get me through the days when I'm bad. I don't take them both on the same day though. Any way it seems to make it tolerable, just no high from it. The 1600mg motrins work fairly okay for the headaches too. I just have to learn how to relive my life "Dragon" free! Thank God I have had an iron cast stomach LOL.  Angilca, YOU keep inspiring as you do also.
I'll be praying and casting good Wizard dust on ya!
Power & Magick 2 U,
luv 2 all,
Wiz
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WOW!...Thank you, and don't apologize.  Very interesting.  One thing I'm worried about, and something you've stated, has caught my attn.  You said that you were taking the pills for headaches, also.  Well, I have chronic sinus problems, partly hereditary, and due to a damaged septum from the mva....which was corrected through sinus surg  a few yrs ago.  Well, needless to say, I take medication on and off for this, and now since i've built a tolerance up....nothing will work on these severe sinus headaches, but (you guessed it) the pain meds.  One amazing thing, is that my sinus problems haven't been acting up lately, but you know this is another factor we all need to take into consideration: it's like a trade-off w/ the devil or something, or actually a bitter sweet situation, because you get this great relief, but will have to depend on it for everything, and anything that comes up....once you've started taking these strong pain medications......plain old Tylenol, just won't cut it.  Another issue, which I mentioned to Tom a while back, is when you go into surgury(emergency or otherwise).....your soooo tolerant to pain meds, that they will have to titrate your pain medication, and then you suffer through this.  I went through this a couple of months ago, when I had the hardware removed from my leg.  I was only given 5mg of hydro, and this was a very painful surg.  I was delirious from the pain(for 3 days 24hrs around the clock)....it was terrible, and my doctor said that this was all he could prescribe.....so I was virtually toughing it out, because the hydros did nothing.  This was frightening, and misery to say the least.  But there you have it.....the 5mgs was fine for the pre-surgery pain, but not enough post surgery.  I felt like I was living in pre-historic times, or just left to heal out in the dessert or something....lol
Well, I've gotta tell ya: "your pretty tough, yourself!"  I mean you still battle this pain..mainly on your own.  I will tell you this, and I hope it helps....I had a torn acl, bone spurs and  arthritis about a year ago, and underwent arthroscopic knee surgery.....I walked on this knee for years w/ all of this damage, and the only medication that seemed to help was Naprosyn...actually Aleve is better because it's formulated to work faster, and there are no official studies, but it seems to have cartalidge building properties to it.  My husband has a torn cartl., and this is what he takes, and he's back on his feet in no time.  I just wish it worked as well, for everything else.....I guess you become somewhat tolerant to everything, taken long enough.  Well, Wiz.....  Certainly got it all figured out.  My hats off to ya!  Hang in there....You are definately an inspiration to me.
Love and many blessings
Angelica
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Angelica, to answer your question, yes I am lucky enough to have a pool and you are very right in that it does relieve the pressure on the back.  My story goes something like this: I was a competitive runner all through my late teens to late 30
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Thank you ever so kindly sir....LOL  I know i've read it somewhere before, but can not recall what exactly happend to your back???  Do you have access to a pool?  This happens to be the best exercise for people w/ injuries, because of the no weight baring factor.  This is what helped me to walk again years ago, after being immobile for 4months.  
I have to tell you.....how inspiring it is to hear that I am a warrioress....LOL  My family takes my success for granted.  My doctors remind me often, of what a miracle recovery I've had, and People like you remind me of that!  Thank you, truly!
....and you too Cin!!!!  What great friends, i've found here.
Love you guys........
Angelica
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Hi Kerrie,  ya know,  I just hate myself sometimes...I had such a horrid day yesterday..It was such a "mom" day.  and you, one of those people here i care so much about are in such need of help and prayers....Kerrie,  right now as I sit here and type this all out,,,one more time the tears won't stop but this time they are all for you, and through e-mail as with all of my friends here I have come to know and love you as if ou live in my own back yard...between Sweet Angel Angelica the wonderful wonderful Wiz he IZ, Thomas the wiseman and myself if we all talk to God  one at a time he has really no choice but to her us now does he?  I have to get to work same ol story late again and I'm in charge today..yippee..I love you and I will pray so very hard for you my dear...Love to all  cin
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I meant your story to Noel & Maximus. You ARE the warrioress!!!
Peace & Light on you,
Wiz
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Just wanted to say hi to you. Was a long hot (107 degrees) day today and I didn't post much. Back hurting me but I went back and read your story to Maximus and I just don't feel so bad anymore. God bless you for your strength and example Angelica.
Power & Magick Wizard dust 2 U :-),
Wiz
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Your awesome, and just an all around nice (open-minded) guy!  
Thank you for the nice complement Re; Noel....Were you reading my mind....I was asking myself the same questions...I think you hit the nail on the head in that response.
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.......Just look at what an inspiration you are...you've got us all praying....LOL  Hang in there...Your on the top of the list tonight!
Love and many blessings
Angelica
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Kerrie I'll keep praying for you and your daughter. Never give up hope and don't despair. It sounds like there might be a little Divine intervention going on here. Maybe each time she gets a little closer to the light!  You know MIRACLES do happen :-) Keep the faith and remember WE are are here for you  (the little angels that we are). God bles you and your family.
Power & Magick 2 U,
Peace and Light on us all,
Wizard
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I've never been very religious but I'm 'learning to talk to god in AA. When we say the next closing prayer, I will be praying for you and your daughter.

All my best to you.

Thomas
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I wanted to mention everyone by name that I could.I wanted to tell you that my daughter has vowed to get off the drugs. All of them.She went to her probation officer yesterday,a day early, because she got a call at the last minute to do so. The night before I did buy her some of the drink from GNC like was mentioned by someone here. She took it. Then when she got there she was given her instructions,do's and don'ts.She was informed she would be sent to Georgia to do time if she broke her probation or failed to pay her fine.Then she was asked if she was willing to have a drug test.She agreed and had to sign a paper. Then the probation officer told her if she'd keep her nose clean she would give her low maintenance probation in July.She then told her she could go. No drug test !!!!! The best part is she has to go to drug NA or AA. She is weaning herself off the hydros she says. I told her I will pray for her but she has to prove herself to me this time. I'll support her anyway I can if it's bennificial. I have been down the I promise you road before. I just have to pray that she means it this time.She says she feels so much better being off the pot.
  Now I have been going for a lot of tests. The doctors are concerned my disease is no longer in  remission. They said I have outlived anyone they have known with this disease. I don't believe they'll find it. I can't even keep up with my appointments I've got so many. Tomorrow I'm off to Nashville for IVP. I have stones. Lucky me. But keep me in your prayers. My daughter gets very worried when the doctors start these tests because we know it's fatal. But then when the tests came back good before ,she returned to doing everything. I'm praying that won't happen this time.  
  I may be too tired for a few days to write but I'm reading. I really don't think they'll find my disease is active again.But just keep me in your prayers anyway. I need them to keep from going insane from all these tests.
  It's great how you all took Maximus under your wings. Keep up the good work.Cindi,I hope your feeling better.Angelica,I'm happy you found a good doctor.God sure is good to us, isn't He?
    God Bless,
          Kerrie
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Have you been taking those little jogs lately. LOL  I just ordered the Bun and thigh rocker....LOL  Also, we are getting an above ground pool.  Then low and behold, I've found a new pain doctor who wants, not only to prescribe (maybe)medication, but to get inside my brain(phsychiatric evaluation), and put me through rigorous physical rehabilitation......Well, Jb just when you think you have it all figured out, someone puts a mickey in your plans.....I hate physical rehab, but if that's what I gotta do, I guess I have no choice.  Hope your well, lately???  Nice to see ya post!
Love,
Angelica
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