Originally Posted by AlwaysOnTheOutside
Well sorry for not being a drug addict and being an expert on drugs.
That's really not something you need to apologize for, I just really hope you keep it that way. Seeking out opioids to treat yourself will change your drug addict status very quickly. As VagueResemblance somewhat implied, even recreational
use of these opoids (a class which heroin also belongs to) is much less likely to turn your into an addict than the belief that you're treating something, although for some people it is still rather like playing with fire. It's strange but, if your goal is just to get high and have some fun once in a while with the drugs, you're actually much better off than treating it as a "medication" that helps you, especially if a doctor hasn't prescribed it or if you're using it for something other than what your doctor prescribed it for, or in a way other than how your doctor told you to use it.
I don't know about where you live, but here, codeine is available in some OTC drugs, but its OTC status doesn't mean it's a better choice for avoiding addiction at all, it can actually be worse despite the fact that it's very weak in comparison. At least a prescription drug (when prescribed, of course), allows the doctor to limit your use and give you a reality check it starts getting out of hand. The whole "gateway drug" thing about weed is BS, but with codeine there's some truth to it because it causes tolerance and, being a very weak opioid, people will eventually start seeking out stronger versions. They move onto vicodin/percocets, which are really just stronger forms of codeine (a bit simplified but I'm not going to get technical.) Then they may move on to oxycontin (same drug that's in percocets, but often in far larger amounts), or other potent opioids like morphine/hydromorphone/oxymorphine or even fentanyl.
And then when these drugs become WAY too expensive to get the effect they need, or if they've been somehow getting a prescription from a doctor who refuses to increase their dosage or even cut them off, then they turn to heroin, which is cheap and potent. You may think you could never possibly make that decision, and the people starting down this path rarely do, but it happens to them anyways. I've tried to rationalize with these people, talk them out of it when they're on the brink of such a decision, but it's obvious their mind is made up. They have a counter-argument for everything, no matter how ridiculous, but it makes total sense in their heads. THIS is what it means to be addicted. The physical dependence is one thing, I know first hand how bad the withdrawals can be. But it's nothing compared to actual addiction, where the drug starts invading your mind, thoughts, ability to reason, it literally creeps into all these things until the drug is the only thing you can really think of, and the drug is the only thing that makes sense. When people start considering the transition to heroin, in my experience they are already past the point of no return. They delude themselves into thinking they have a choice, but it's clear that their mind is already made up and nothing will talk them out of it.
At first they may just snort it or something but eventually that is not enough. Maybe they'll start smoking it or something to get an even stronger effect. But eventually it's not enough, and only one thing remains - all roads lead to the needle.
I realize that may sound a bit alarmist but that really is how a lot of IV heroin users started out. None of them intended to be anywhere near where they ended up.
Well, to answer your original question, buprenorphine has been used succesfully for treatment resistant depression, the problem is that its pretty hard to get, but its the thing your looking for. OTC there's nothing as good.
oh christ Wes... I have yet to meet a personal who DOESN'T feel better on opioids, mentally ill or not. Responding to it in a positive way is not an indicator of anything. Hell, if he DIDN'T feel good from oxycodone, then I'd really start feeling concerned
, all it proves is that he's normal in this regard.
If it's an issue that REALLY requires opiate or bupe therapy, let a doctor do it. Yes, I know it's unbelievably rare, but generally there is a very good reason for that. Validating someone's belief that they might possibly NEED a drug like this when they have almost no chance of getting it is probably not a good idea, and if you just leave it at that, stopping short of even mentioning the negative aspects of the issue, well that's DEFINITELY not a good idea. If somebody's convinced
that opioid therapy is what they need, and their doctor inevitably denies it to them, then congratulations, you've just witnessed the possible birth of an eventual heroin addict. Recklessly participating in this possibility is just...
I mean I understand the desire to provide the OP with factual information, but if you're going to do so, you practically have a responsibility to emphasize the serious and potentially life-ruining consequences of self-medicating with opioids. "Self-medication" includes using a legally obtained/prescribed drug (especially if it involves any sort of physician manipulation) and using it for a purpose other than strictly prescribed. Heck, even using these drugs AS prescribed for long enough can create a really hellish situation, as I've found out, but I've only got a dependence - and regardless of how much the withdrawals suck, getting past a dependence is FAR easier than getting past an addiction. Many if not most opioid and even straight-up heroin addicts
start off with therapeutic intentions for self-medicating but all this does is create a psychological reliance which sets the stage for a full-blown addiction.