Tell sub Doc I'm depressed and taking Gabapentin

Does buprenorphine treat depression? Is my depression from Suboxone? Will Suboxone treat bipolar? Will naltrexone or Vivitrol make me depressed?
Post Reply
evertking
One Month or More
One Month or More
Posts: 31
Joined: Tue Mar 29, 2011 10:13 pm

Tell sub Doc I'm depressed and taking Gabapentin

Post by evertking » Sun Jan 27, 2019 4:39 am

Ok, I am a 40 yr old male in the States. I have been abusing Opiates for
over 10 yrs and been on Subs for 5 or so of them and with the same doctor so we can talk. I have been suffering from a very bad bout of depression and anexiety and I have found that taking Gabapentin has been helpful to me. I been getting them off the internet.
And it does help A LOT. Should i be straight with my Sub doctor? How should I go about asking him about Gabapentin? I pay this Doc good money outta pocket and I want this damn doctor to help me. I'm tired of listening to my wife and kids live life while I lay alone in my bed.
Thanks

User avatar
jennjenn
Moderator
Moderator
Posts: 3067
Joined: Mon Sep 15, 2014 6:15 pm
Location: Tennessee

Re: Tell sub Doc I'm depressed and taking Gabapentin

Post by jennjenn » Sun Jan 27, 2019 7:57 am

Hey everking!

I’m sorry to hear about your depression, I know that’s awful. There’s quite a few ppl here on this forum that suffer with depression and I’m sure they’ll weigh in on their experiences shortly.

Personally, I think gabapentin (don’t ever know if I spell that right lol) is a very helpful medication for a few different things. I think it’s a good medication for withdrawal symptoms too. I can totally see how it would possibly help with depression and I understand that if you could actually find something to help you with that, why not take it.

The only problem I could see you maybe having is IF your doctor doesn’t allow his/her patients to take gabapentin. Do you know where your doctor stands on this medication along with buprenorphine? For example, my doctor absolutely forbids it. I’ve known several ppl be warned to stop taking it and then be discharged after not stopping. I don’t necessarily agree with that because I don’t think there’s anything wrong with taking gabapentin. Another doctor in my surrounding area does allow his patients to take it and will actually prescribe it to his patients along with suboxone. I heard a rumor once that that particular doctor got in trouble for prescribing these two medications together..... I don’t have a clue if that’s true, maybe suboxdoc or docm2 could weigh in on that.

As long as your doctor doesn’t have an issue with you taking both medications, hopefully you can start being prescribed it and start being able to live a better quality of life. With depression, if it helps you then I don’t see a thing in the world wrong with it. Some ppl may disagree but that’s my opinion on it. I think gabapentin is a good medicine for different things.

I sure hope you’re feeling better! Please keep us updated on what happens.
Jennifer

evertking
One Month or More
One Month or More
Posts: 31
Joined: Tue Mar 29, 2011 10:13 pm

Re: Tell sub Doc I'm depressed and taking Gabapentin

Post by evertking » Sun Jan 27, 2019 8:43 am

Thanks for the reply. On my last visit my wife somehow was able to find the doctor and talk to him beofe I had the chance and told him she was worried about me and told him I was taking Gabapentin. I was mad at first but I know she worry's about me. They doctor just asked how I felt and at the time I was just trying to figure out the situation and how he knew but other than that, he didn't say a word.
I think I'm just going to be honest and lay it all out and ask him for help. I refuse to take any narcotics for this and I just assumed gabapentin was a safe bet and it does work for me.
I don't know what to do.. ordering gabapentin on the internet is getting expensive and I just got to a point in my Suboxone treatment where I was saving money and my doc prescribed my subutext and I'm down to 2 mg a day.
Seems like a year ago I hit a wall and just don't feel like me anymore I have spent months laying in this bed only to get up and go to work and I only work 2 days a week. That is not me at all, I was up before sunrise taking photos and back out at sunset doing the same or taking the family out on trips. It all has STOPPED. If I take gabapentin I'm up with the family or doing photography.
Uuughhh I don't know what to do.
I can talk to him about this, right? He is a doctor, shouldn't he want to help me. I'm up for whatever meds he wants to try if he is opposed to gabapentin. I just want to be better. I pay this doctor, he should help me, right??

docm2
Long Time Member
Long Time Member
Posts: 663
Joined: Thu Aug 08, 2013 4:40 pm

Re: Tell sub Doc I'm depressed and taking Gabapentin

Post by docm2 » Sun Jan 27, 2019 8:59 am

I heard a rumor once that that particular doctor got in trouble for prescribing these two medications together..... I don’t have a clue if that’s true, maybe suboxdoc or docm2 could weigh in on that.
There is some abuse potential reported with Gabapentin. Folks tell me that there is no comparison to other drugs of abuse such as cocaine, narcotics or meth.
I have been in my current office 3 years and another clinician 7. Neither of us has had any hassle form any entity (medical board, DEA, DA) regarding our use of Gabapentin. Probably just rumor, or someone saying that to avoid deciding whether to allow it in their practice. The only contact I have ever had from the DEA is when I increased my waiver from 30 to 100, and that was just the approval letter.
Many of my patients got to addiction via pain management. Opiates never cured anything and they still have the problem. A number take Gabapentin or Pregabalin for neuropathic pain. I have used it as an adjunct for anxiety (off label).
Not at all impressed as an antidepressant however.
Consider seeing someone experienced in psychopharmacology and explore all avenues for treating what you are experiencing, including therapy.

evertking
One Month or More
One Month or More
Posts: 31
Joined: Tue Mar 29, 2011 10:13 pm

Re: Tell sub Doc I'm depressed and taking Gabapentin

Post by evertking » Sun Jan 27, 2019 9:46 am

docm2 wrote:
I heard a rumor once that that particular doctor got in trouble for prescribing these two medications together..... I don’t have a clue if that’s true, maybe suboxdoc or docm2 could weigh in on that.
There is some abuse potential reported with Gabapentin. Folks tell me that there is no comparison to other drugs of abuse such as cocaine, narcotics or meth.
I have been in my current office 3 years and another clinician 7. Neither of us has had any hassle form any entity (medical board, DEA, DA) regarding our use of Gabapentin. Probably just rumor, or someone saying that to avoid deciding whether to allow it in their practice. The only contact I have ever had from the DEA is when I increased my waiver from 30 to 100, and that was just the approval letter.
Many of my patients got to addiction via pain management. Opiates never cured anything and they still have the problem. A number take Gabapentin or Pregabalin for neuropathic pain. I have used it as an adjunct for anxiety (off label).
Not at all impressed as an antidepressant however.
Consider seeing someone experienced in psychopharmacology and explore all avenues for treating what you are experiencing, including therapy.
My company has been bought out and so I'm without insurance at the time. So, what about the Doctor that I'm seeing now? Should I not even bring this up?

User avatar
Amy-Work In Progress
Moderator
Moderator
Posts: 4819
Joined: Thu Feb 23, 2012 2:42 am

Re: Tell sub Doc I'm depressed and taking Gabapentin

Post by Amy-Work In Progress » Sun Jan 27, 2019 11:00 am

If I were in your position I would bring it up to your suboxone doctor. The worst that would happen, I think, would be that he wouldn't prescribe it for you. It sounds like he's not going to hassle you for being on it from what you've said about him knowing.

If there is ANY anxiety that you were experiencing, like maybe at the thought of leaving the house, before you started taking the gabapentin, I would focus on that as your most troubling symptom. Like docm2 says, it is prescribed off label for anxiety (not depression). I think he would be more likely to prescribe it for you for anxiety. The point is that the medication seems to be helping you function, so finding a way for it to be prescribed to you is important.

The doc is spot on about finding a doctor who is well versed in psychopharmacology. Are you eventually getting insurance? Finding a psychiatrist would be a good priority once you have insurance again. And, finally, as doc mentioned, therapy can be a huge help. A good therapist can help you identify what you need to do to move forward in your life.

I'm glad you came here to ask questions! And I hope that we are giving you information that is helpful to you. Please let us know what you decide.

Amy
Done is better than perfect!

User avatar
jennjenn
Moderator
Moderator
Posts: 3067
Joined: Mon Sep 15, 2014 6:15 pm
Location: Tennessee

Re: Tell sub Doc I'm depressed and taking Gabapentin

Post by jennjenn » Mon Jan 28, 2019 8:05 am

Thanks for that answer docm2! I’ve been wondering about that for a long time now. I can sit in the waiting area of my clinic and have my head down looking through my phone acting like I’m not remotely paying attention and you wouldn’t believe some of the things I’ve heard ppl discussing. One time I even heard a guy claiming his drug screen had come bk positive for meth and he doesn’t smoke meth. He said a girl at a friends house asked him for one of his suboxone strips and he refused to give her one. Out of retaliation, she obviously put meth in his Dr Pepper and that is causing the failed drug screen. I’m not kidding, it can be a circus and just as entertaining sometimes.

Everking, I’d talk to your doctor and I’d tell him just how bad you are feeling and how much the gabapentin helps you. I also think that the worst that could happen is him just saying no to prescribing it to ya. I’m not sure I’d mention the buying it online...... just enough details to get your story across.
Jennifer

BlueLight
Super-Duper Poster
Super-Duper Poster
Posts: 341
Joined: Wed Jan 09, 2019 2:05 pm

Re: Tell sub Doc I'm depressed and taking Gabapentin

Post by BlueLight » Mon Jan 28, 2019 12:24 pm

It depends on your doctor. My Suboxone doctor will only treat my opiate use disorder, and expects me to get any other meds, including Cialis (slight ED issue caused by the Suboxone) from my GP. That said, he might help me with depression type meds given he’s a psychiatrist, but I fortunately do not need any help with depression or anxiety.

I’m not sure what state you are in, but some states monitor gabapentin and list it as a class V controlled substance (Ie....MI, OH, WV, MN). Also, depending on the state their prescription monitoring program may or may not keep track of Sch V meds. Without knowing your particular state, I would just be up front with the doctor about using it. I wouldn’t volunteer it that you are getting it off the web, but wouldn’t lie about it if asked, because he may have access to see if it is being filled by a licensed pharmacy.

Most importantly, from your OP it seems like you are continuing to use opiates/heroin still intermittently. Please be very careful as your OD risk goes up DRAMATICALLY when mixing opiates and gabapentin. See:
https://www.addictionpro.com/article/pr ... tance-list

Post Reply