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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by halo_there on June 30, 2020, at 11:47:18
Hi all,
Question... I have multiple diagnosis... depression, OCD, etc... and have a polypharmacy going with Effexor, Topamax, Trazodone, etc... I also have issues with substance abuse that have escalated, and am thinking that I may need to look at medication assisted treatment options. I was thinking about discussing Naltroxene with my doctor, but I am worried because I've read that it can amp up anxiety and increase OCD symptoms... I really don't need that in my life. I was hoping to try to try that along with some addiction help (eg 12 step programs) to see if I can get myself on track. Any input would be greatly appreciated.
Thanks!
Posted by rjlockhart37 on July 1, 2020, at 0:32:56
In reply to Naltroxene and other psych meds?, posted by halo_there on June 30, 2020, at 11:47:18
it can help depression, but also i read it can cause dysphoria and kappa opiate receptor, making you feel dis pleasured, sometimes like sh-it (telling it like it is)
this is an articlce i found that may help:
https://www.psychologytoday.com/us/blog/holistic-psychiatry/201910/my-exploration-low-dose-naltrexones-benefits
Posted by Hugh on July 2, 2020, at 0:41:16
In reply to Naltroxene and other psych meds?, posted by halo_there on June 30, 2020, at 11:47:18
Many people who take naltrexone (50 mg and higher) stop taking it pretty soon because it worsens their depression and anxiety. Low-dose naltrexone, or LDN (4.5 mg and lower) might be a better option for you. Here's some information about it:
http://www.dr-bob.org/babble/20200511/msgs/1111014.html
The beta-blocker pindolol might help with your substance abuse:
Posted by Hugh on July 3, 2020, at 1:20:29
In reply to Naltroxene and other psych meds?, posted by halo_there on June 30, 2020, at 11:47:18
NAC might help to treat addictions and OCD. It's best to take it on an empty stomach.
https://psychscenehub.com/video/application-of-n-acetylcysteine-nac-from-addiction-to-autism/
Posted by undopaminergic on July 5, 2020, at 1:04:04
In reply to Re: Naltroxene and other psych meds?, posted by Hugh on July 3, 2020, at 1:20:29
> NAC might help to treat addictions and OCD. It's best to take it on an empty stomach.
>
> https://psychscenehub.com/video/application-of-n-acetylcysteine-nac-from-addiction-to-autism/
>I recall that in powder form (which is the cheapest), NAC is not very palatable.
-undopaminergic
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