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addiction w/ antidepressant

Will an antidepressant help with depression cause by precocet addition? Wellbutrin to be exact.
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Avatar universal
Thank you for your help
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Avatar universal
Thank you for your help
Helpful - 0
1684282 tn?1614701284
MEDICAL PROFESSIONAL
Quitting opiates on your own is very tough and you being in the military puts you in quite a pickle. I hope you do not mind me butting in, but I felt that you need some additional help.
You are absolutely right that Wellbutrin will ultimately be helpful with your long term withdrawal. However your short term approach to your withdrawals is wrong.  By taking Suboxone you are just delaying your inevitable symptoms, not treating them. Let me just quickly give you some info on Suboxone which is a combo of buprenorphine and naloxone. Naloxone is an opioid receptor antagonist (blocker) that is put there only in order to prevent IV use of this medication, otherwise it is inactive.
Buprenorphine is a thebaine derivative with powerful analgesia approximately 20-40x more potent than morphine. Buprenorphine is a partial agonist and antagonist of the opioid receptors in the central nervous system which means that when its molecule binds to a receptor, it will transduce only a partial response in contrast to a full agonist such as morphine. Thus, withdrawal symptoms from Suboxone can be very painful; often worse than other opiate withdrawals. Symptoms will start at 36 hours after stopping Suboxone and can last up to several weeks.
When you take opiates for a long time like you have, your body's physiology has been altered. Your central nervous system has created a multitude of opioid receptors that all are sceaming for endorphins (opiates) to fill them, but your body has now forgotten how to make them by itself.  It will take time - two to four weeks at least, for your receptors to downregulate (for the brain begin to heal) and to start making its own endorphins. Brain heals pretty slowly, so it may take you as long as a couple of months to get rid of feelings of sluggishness, restlessness and depression. The best thing you can do is take good care of yourself, eat healthy food, stay hydrated, keep active and busy. Stay away from sugar, soda, and simple carbs. Do not consume caffeine at least 6 hours prior to bedtime.
Other suggestions I sometimes make are these:  See if your doctor can write you a prescription for some Requip for restlessness, Neurontin is a great help for anxiety and malaise, some Flexeril or Soma for a few weeks for muscle spasms and maybe some Seroquel low dose for sleep. Clonidine regulates blood pressure, creepy-crawly feeling and  will make withdrawals easier. Valerian and Magnesium is sometimes helpful remedies over the counter for mild sedation, sleep and muscle relaxation.
But, seriously, you must be completely committed to the goal of quitting.  I have written a blog that has rather detailed information about options for detox. If you click on my name and then click on blogs you will see one under that heading.  Take a minute to read it. I hope you will find it helpful.
The main thing of course is the decision that you make and making it a priority in your life, because that will determine what your life will actually be and mean in the end.  I don't want to sound preachy but it is not a decision you make one day, it is a decision you will make every day for the rest of your life.  Good luck to you and take a look at my blogs and my clinic website for even more info on narcotic detox www.mdsdrugdetox.com  (Just for your curiosity: it takes us three to four days to get you drug free.)
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Avatar universal
I also started taking them while still taking precs hoping to build it up in my system. I havent took a perc in a while but i did take about 7 suboxone over 3 days then adderall until today to try n stay up until the 10 day for phisical wd. Its the mental i cant handle i know i cant
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Avatar universal
Unfort. I cannot tell them. I am active duty mil and its a sure way to get walking papers. I was hoping to get some insite for another person. From what i read wellbutrin is the one antidepressant that will give me back what the percocets took away. Dopamine. Seems to make sense to me. I def did have a prob w depression that started from a devastating time in my life. I never had such horrible feelings like i had from this moment in my life. I know i started using besuase of it. I was rx 60 opana er for a while n it was a 30 rx. I was done in 2 weeks and that was the only two weeks i would get off the couch or not cry consistantly.
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2126606 tn?1346345124
Whoever is prescribing you the anti-depressant should be aware of the Percocet addiction, because both medications do alter your mood and they affect each other. Sometimes and anti depressant will help after detoxifcation if there are depression issues.
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Avatar universal
I had depression and turned to the pills in the first place. Now i want to stop but the depression is 10x worse
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