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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest A Remedy For Anxiety And Depression?

Ive been on suboxone for about 3+ years was down to 8mgs and decided to try cold turkey. Now I'm regretting it because I feel horrible. The anxiety is through the roof, depressed, extreme back pain, cant sleep, racing negative thoughts, etc... what do you recommend? I don't know if going back on them is the smartest thing, since eventually I'll have to come off anyway, so why avoid the inevitable, but how can I alleviate some of the more difficult symptoms of withdrawl? Please help...
Kathy K
Wed, 30 Jul 2014
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Psychiatrist,  's  Response
Hi, thanks for the query. I would like to congratulate you for this brave decision to give up opioid addiction. Though NOT all authorities recommend cold turkey method as its very painful; but some schools of addiction medicine advocate cold turkey method. What you need to try is a combination of certain medications like Pregabalin (acts on alpha2 delta ligands) + ketorolac (NSAID/pain killer drug) + Chlorzozazone/baclofen (muscle relaxant). These drugs will reduce painful withdrawal symptoms; will help to keep your mood reasonably upbeat & thus increase your motivation. You should consult a Psychiatrist for getting these medications & also learning relapse prevention methods to stay clean/sober. Alternately, you can also revert back to me for any help. Good luck
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Suggest A Remedy For Anxiety And Depression?

Hi, thanks for the query. I would like to congratulate you for this brave decision to give up opioid addiction. Though NOT all authorities recommend cold turkey method as its very painful; but some schools of addiction medicine advocate cold turkey method. What you need to try is a combination of certain medications like Pregabalin (acts on alpha2 delta ligands) + ketorolac (NSAID/pain killer drug) + Chlorzozazone/baclofen (muscle relaxant). These drugs will reduce painful withdrawal symptoms; will help to keep your mood reasonably upbeat & thus increase your motivation. You should consult a Psychiatrist for getting these medications & also learning relapse prevention methods to stay clean/sober. Alternately, you can also revert back to me for any help. Good luck