Opioid Addiction and Treatment?
Question by Kitty M: Opioid addiction and treatment?
I have been taking between 20 and 25 Lortab plus about 10 Soma’s a day for about four years. I am bi-polar with an established two year relationship with my psychiatrist. She knows about everything but my addiction. I have an appointment with her on Tuesday, and I am going to tell her everything and request treatment. I feel like I have been betraying someone who has truly been helping me by withholding information from her. I am afraid of her reaction, and I am afraid to be chemical-free. I just need someone to tell me everything is going to be alright.
Thank you, Inked. I needed to hear this more than you will ever know.
John, I started out with tramadol and worked my way up to 30 per day. It is not a good substitute, but an easy way to escalate into other meds.
Best answer:
Answer by inked_caduceus
You’ve made the biggest step already, realizing that you need to get help, and I commend you for that. Many people do not understand that taking pain pills or muscle relaxants can cause just as serious an addiction as heroin or cocaine.
A psychiatrist will never be dismayed by a patient making the decision to share new information in a session. I truly believe that this will be a positive step for you & your health while creating a more therapeutic and effective relationship with your psychiatrist.
Coming clean is not easy, but know there will now be more people working to help you in the difficult times ahead.
Answer by John
According to this opiate addiction is an off label use of tramadol… (a non-narcotic pain reliever)….
Tramadol:
Systematic (IUPAC) name
rac-(1R,2R)-2-(dimethylaminomethyl)-1- (3-methoxyphenyl)-cyclohexanol
Identifiers
CAS number 27203-92-5
ATC code N02AX02
PubChem 33741
DrugBank APRD00028
Chemical data
Formula C16H25NO2
Mol. mass 263.4 g/mol
SMILES search in eMolecules, PubChem
Pharmacokinetic data
Bioavailability 68¨C72% Increases with repeated dosing.
Protein binding 20%
Metabolism Hepatic demethylation and glucuronidation
Half life 5¨C7 hours
Excretion Renal
Therapeutic considerations
Pregnancy cat. C(AU) C(US)
Legal status Prescription Only (S4)(AU) POM(UK)
Routes oral, IV, IM
off-label and investigational uses:
diabetic neuropathy
postherpetic neuralgia
fibromyalgia
restless legs syndrome
opiate withdrawal management
migraine headache
obsessive-compulsive disorder
premature ejaculation
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