Atavistic Autist
Intersectional autistic supremacy
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- May 28, 2018
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Tiny doses of opioid could be first fast anti-suicide drug
The opioid buprenorphine reduces people's thoughts of taking their own life after just a week, so it could fill the gap until slow-acting treatments kick in
www.newscientist.com
Jaak Panksepp at Washington State University and his colleagues decided to see whether an opioid can counter suicidal feelings. Opioids are one of the brain’s natural feel-good chemicals. They are released to relieve pain when we hurt ourselves, and are involved when we deal with mental pain, such as that caused by social rejection, a common trigger for suicidal thoughts. Recent studies have shown that the system seems to malfunction in people with depression. Separate work has shown that giving people low doses of opioids decreases their perception of social rejection. “Converging lines of evidence point to a connection between mental pain, depression, suicidal ideation and the body’s natural opioids,” says Panksepp.
At the start of the month-long trial, the average score of the participants was about 20. People given buprenorphine dropped an average of six points after one week and nearly 10 points by the end. Participants given a placebo only dropped two points after the full month of treatment. To put this in context, a score of 20 is deemed worrying enough to hospitalise a person for their own safety. This wouldn’t be thought necessary for a score of 10.
Panksepp says he’s confident that giving people higher doses of buprenorphine would have seen the effect kick in even earlier. Upping the dose is likely to be controversial, however, especially in the US, where the abuse of prescription opioids is so bad it is being called an epidemic.
The danger with opioids is that taking too much can dampen a person’s breathing to lethal levels. Of all the opioids, buprenorphine carries the lowest risk because there’s a dose beyond which users get no additional pain-relief – or high. It is even prescribed to people who are addicted to other opioids.
So what's the real reason that buprenorphine isn't prescribed more widely for depression, given how safe and effective it is? As Panskepp says elsewhere, it's simply because buprenorphine is a generic medication which nobody stands to gain any profit from researching and getting accepted by regulators.
View: https://www.reddit.com/r/opiates/comments/18itb80/whenever_i_read_the_depression_sub_i_always_think/
My father broke his back when I was born, so hes been in chronic pain for 25+ years. The medication he takes to be able to function is called percocet. Never once in my life have I ever even considered taking his medication. I don't like drugs. I don't smoke weed, and drink maybe once in several months. The long and short of it is, after the NSAID did absolutely nothing for me- my Dad did something he had never done. He offered me a percocet. After some debate I decided fine , couldnt be worse than the zyprexa I used to be on- and I took one. What I experienced beside understanding fully and completely how people become addicted to this stuff- Was a complete and total remission of all my depression and anxiety symptoms, all at once.
I was absolutely blown away to say the least. Not only was it the first time in over a year that I felt like myself- I was actually happy. I'm sure many of you can relate to literally forgetting what happy feels like. Suddenly I was overcome with a positive outlook, motivation, a sense of ease and contentment, and a resolve that had been beaten and squeezed for every last of its worth; completely restored. Now I know it may seem as though I am advocating opiates, but here me out on this. The reason I wanted to share this is because , having that experience was a simple reminder: IT DOES EXIST. HAPPINESS DOES EXIST! MY BRAIN IS CAPABLE OF IT! And that realization was just what I needed.
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