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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On Oxycodone For Injured Arm. Took Suboxone. Feel Depressed And Physically Tortuous. Have ADD, Anxiety. Treatment?

Hi. I was on 400-500 mg of Oxycodone due to a severe injury to my arm. For three and a half years. This past February I asked to go off bc I didn't want to be numb or dependent and have that withdrawal feeling, scared me. I went into a hospital where they put me on 36 mg of Suboxone. They kept prescribing me that but I read it was a tough drug so I weaned myself down a bit. I have tapered down to .75mg. It wasn't so hard but this past 1 mg has been brutal. Its been so depressing and physically tortuous. PAWS bad. What should I do? Keep lowering 25% every week? Deal with it? One doctor said it was just in my head. Trust me, its not. Nor is it in the hundreds of people's testimonies minds. I just need help, hope, advice. I'm 32. Pretty good shape. I have ADD and depression/anxiety. I'm on 60mg of Aderol daily, 1mg of Xanax, 20mg of Lexapro, 100mg of Lamactil and 5mg of Abilify.
Thu, 26 Sep 2013
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Psychiatrist 's  Response
Hello
Welcome to HCM

I have read your query and I can understand your concern. You took right decision to stop taking Oxycodone and this is a highly dependent drug and it could have caused serious harm to you. Now you have tapered the doses and are on suboxone and have just experienced symptoms of mild increase in anxiety and depression. I would advise you to please wait with this dose only and to keep lowering the doses every week. Mild symptoms may occur but they will persist for about 6 months. This is caused protracted withdrawal. Consult a Psychiatrist for any anti craving drugs like Naltrexone, Acamprosate etc. Continue to take your ADD drugs as per prescription.

Hope this helps you, thanks
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On Oxycodone For Injured Arm. Took Suboxone. Feel Depressed And Physically Tortuous. Have ADD, Anxiety. Treatment?

Hello Welcome to HCM I have read your query and I can understand your concern. You took right decision to stop taking Oxycodone and this is a highly dependent drug and it could have caused serious harm to you. Now you have tapered the doses and are on suboxone and have just experienced symptoms of mild increase in anxiety and depression. I would advise you to please wait with this dose only and to keep lowering the doses every week. Mild symptoms may occur but they will persist for about 6 months. This is caused protracted withdrawal. Consult a Psychiatrist for any anti craving drugs like Naltrexone, Acamprosate etc. Continue to take your ADD drugs as per prescription. Hope this helps you, thanks