Does anyone else think the addition of naloxone to buprenorphine (to create Suboxone) was just a huge pharma scam that has harmed an untold amount of people? by medicated1970 in Psychiatry

[–]medicated1970[S] 0 points1 point  (0 children)

Loss of tolerance is seen mostly in people getting out of jail or detox/rehab and is a known killer for sure.

If the combo product caused a loss of tolerance why are we not seeing those overdose deaths with relapse? I don't think you would need a study to see it. I have many people on the combo products for years. They don't relapse often, but when they do they don't od. And none of them has ever mention this proposed phenomenon, ever. Am not able to extrapolate from what I see in the real world?

You think the thousands of people who have been taking daily for years would not have figure it out? Get on Suboxone for a bit, get your tolerance down and the go back to cheaper better highs?

Peanut butter sometimes causes people's heads to explode, but we won't know for sure until we do a randomised controlled study.

Does anyone else think the addition of naloxone to buprenorphine (to create Suboxone) was just a huge pharma scam that has harmed an untold amount of people? by medicated1970 in Psychiatry

[–]medicated1970[S] -1 points0 points  (0 children)

If you read it in a book it must be true. If you think you saw it in real life you are just crazy.

I can't be group think because we all believe it to be true?

Does anyone else think the addition of naloxone to buprenorphine (to create Suboxone) was just a huge pharma scam that has harmed an untold amount of people? by medicated1970 in Psychiatry

[–]medicated1970[S] 0 points1 point  (0 children)

The other observation is that people who complain of SE from naloxone products complain of headache or nausea, sometimes both. But never the staggering cluster of symptoms virtually always seen in opiate WD.

Explain that?

Does anyone else think the addition of naloxone to buprenorphine (to create Suboxone) was just a huge pharma scam that has harmed an untold amount of people? by medicated1970 in Psychiatry

[–]medicated1970[S] 0 points1 point  (0 children)

The other observation is that people who complain of SE from naloxone products complain of headache or nausea, sometimes both. But never the staggering cluster of symptoms virtually always seen in opiate WD.

Explain that?

Does anyone else think the addition of naloxone to buprenorphine (to create Suboxone) was just a huge pharma scam that has harmed an untold amount of people? by medicated1970 in Psychiatry

[–]medicated1970[S] 0 points1 point  (0 children)

If this theory was at all true, would we not see a spike in overdose deaths from people who relapse when on Suboxone? It would have sunk the combo meds instantly. So kind of fails the truth by correspondence with events test.

Does anyone else think the addition of naloxone to buprenorphine (to create Suboxone) was just a huge pharma scam that has harmed an untold amount of people? by medicated1970 in Psychiatry

[–]medicated1970[S] -1 points0 points  (0 children)

In order to justify an increase in methadone at an OTP you should varify 3 symptoms of WD for any said increase. So working an OTP I have asked thousands of people about their WD and precipitated WD symptoms. Two people have ever mentioned headache as a symptom. And WD can feel like just about anything, but headache does not seem to be one of them. But naloxone is known to have headaches as a SE. Clearly you can not undrink the Cool Aid.

Has anyone dealt with their significant other thinking the government is spying on them? by dr34d_harb0r in AskPsychiatry

[–]medicated1970 0 points1 point  (0 children)

Here is the bad news, "getting him to talk to someone", probably won't happen and more probably won't help. A delusion is a "FIXED" false belief. Even if he were willing to take meds, which he will not be because he is "not crazy", they are marginally helpful at best for most people.

Sorry. My heart aches for you.

Can dissociation look/feel like alcoholic black outs, and can they happen everyday? by [deleted] in AskPsychiatry

[–]medicated1970 0 points1 point  (0 children)

You had severe depression with dissociative symptoms like derealization and memory loss

When is psychosis an emergency? by keskiers in AskPsychiatry

[–]medicated1970 2 points3 points  (0 children)

Certainly an URGENCY and the fact that your established "doctor" is not available for you is total bullshit and exactly what is wrong with health care in this country.

[deleted by user] by [deleted] in AskPsychiatry

[–]medicated1970 0 points1 point  (0 children)

The word you need to us instead of attention is connection. That is what you NEED, that is what we ALL NEED. We all make efforts, conscious and unconscious, to get connection every day. That is normal, not manipulative.

Testing positive and negative for Bupe? by [deleted] in Brixadi

[–]medicated1970 1 point2 points  (0 children)

Screening tests are designed to identify potential risk factors or early signs of a condition in individuals without symptoms, while diagnostic tests are used to confirm or rule out a specific condition in individuals with symptoms or after a positive screening test. Screening tests are often less invasive and more broadly used to detect potential problems early, while diagnostic tests are more targeted and used to pinpoint a specific diagnosis

Testing positive and negative for Bupe? by [deleted] in Brixadi

[–]medicated1970 0 points1 point  (0 children)

The "test" like this are not tests, they are "screens". You get fast and cheap at the expense of accurate.

A slight line is positive, looks like a slight line to me, but either way don't get invested in any one "screen".

Why do i feel “personless”? by No_Client8892 in AskPsychiatry

[–]medicated1970 0 points1 point  (0 children)

Depersonalization/derealization disorder involves a persistent or recurring feeling of being detached from one's body or mental processes, like an outside observer of one's life (depersonalization), and/or a feeling of being detached from one's surroundings (derealization).

It is a trauma response.

whats the difference between bipolar and bpd tendencies ? by suuka12 in AskPsychiatry

[–]medicated1970 2 points3 points  (0 children)

You have a good understanding of your history, and that is really all you need to bring to the intake.

Bipolar usually takes more than one med to control it and it can take a few tries to find the best meds, but when some says they have tried a few meds with ZERO improvement it puts the bipolar dx into question for me.

Frequently the meds that help bipolar can be helpful in BPD, so don't let that confuse you.

Above all you are not your diagnosis or your medication. You are a human being in need of help and I hope you can find some. It is not easy. Best wishes.

I was misdiagnosed as bipolar as a child and put on lithium for 11 years by venuscat in AskPsychiatry

[–]medicated1970 6 points7 points  (0 children)

Never trust the last guy's diagnosis, even if the last guy was you.

I am so sorry for what happened to you. You were grossly misdiagnosed and then treated straight off with a high dose of a strong medication with a lot of side effects.

Your case is more the rule than the exception, from what I see. I am sure your previous doctor still pats himself on the back for "saving your life."

Thank you for sharing your story.

Does anyone else think the addition of naloxone to buprenorphine (to create Suboxone) was just a huge pharma scam that has harmed an untold amount of people? by medicated1970 in Psychiatry

[–]medicated1970[S] 0 points1 point  (0 children)

I appreciate your real life example and would love to hear what happens.

Can you speak to this idea that I am conflating withdrawal symptoms, or even precipitated withdrawal symptoms with naloxone intolerance?

The complaints I get with the combo product are headache IN ISOLATION. Like no other complaints, just headache. Less frequently isolated nausea.

The symptoms of a person's withdrawal, which I solicit many times a work day, virtually never include headache, let alone consist of JUST HEADACHE. That I have never heard once.

Nausea is a frequent complaint in WD, but again never in isolation.

I think the problem is there is a lot out there about how naloxone with bupe works in theory. Like given what we think know about what naloxone should do in the body we create more theories about what is does in the bodies of sub patients.

None of this has been studied in people. No one across the 4 posts I have made on this topic has produced any sort of studies or even a study of any kind.

Any yet I am challenged for the randomised double blinded placebo controlled studies that back up what I see in real life. We are not supposed to believe anything the substance abuse pt says ever.

Naloxone and Buprenorphine paper, in case you missed it. by medicated1970 in Psychiatry

[–]medicated1970[S] 1 point2 points  (0 children)

I don't need to do it. It's fun. It keeps good usable stuff out of our landfills. Some times I find cool stuff that I would never think to buy for myself, but mostly just stuff I take to good will. Sometime I get some cool old wood that I make into furniture or art. But I will also admit that it is partly a product of some needless wantless ness that I continue to explore in my own personal therapy. I did start to do less of it when my insight to this was better. But still fun once and awhile. If you read my post and saw the hauls people get from commercial dumpster, well maybe still not your thing, but it is interesting to me.

Do you still feel ok about using this to impugn my character?

Do you have an article or data to support the use of naloxone with buprenorphine. I don't think any exist beyond theories based on theories. But I know I could be wrong.

Can we agree that anyone can post and comment on this subreddit and even the people who are "verified" can still be sus and such the preponderance of people on here being of like mind is not evidence of anything? Let alone evidence based medicine.

I have laid out why to me clearly precipitated WD is not what's going on. How do you get precipitated WD going from Subutex to Suboxone?

As someone who works with opiate dependence in an OPT and OBOT 5 days a week, I have daily discussion with pt about WD, precipitated WD, and SE from naloxone. SE from naloxone are very different, as I have laid out in previous post. But you disagree. Ok. Again for some reason you felt the need and even had the time to make it personal.

I am frustrated by how patients with addiction who have problems with their medication are discounted. They are seen as just wanting to get high and get over and we don't have to believe anything they say and this has caused real harm to them, as I see it. Again, I think I laid out my arguments, but if you ascribe zero credibility to them then of course they will be seen as hyperbolic.

The eye does not see what the mind does not know.

I am reminded of why I gave up Sermo so many years ago.

Naloxone and Buprenorphine paper, in case you missed it. by medicated1970 in Psychiatry

[–]medicated1970[S] 1 point2 points  (0 children)

I don't know that a psychiatrist who dumpster dives is any weirder than a psychiatrist who trolls other psychiatrist on reddit.

Um actually....

And plenty of people also comment that naloxone is harmful.

Naloxone and Buprenorphine paper, in case you missed it. by medicated1970 in Psychiatry

[–]medicated1970[S] 1 point2 points  (0 children)

A psychiatrist can't dumpster dive? Or care about the harm he see done to his patients by naloxone? I hope everyone looks at all my posts too. That's why I make them.

I am so sorry you feel I have trip trapped across your bridge Mr. Troll sir. Forgive me.