system
Suggest treatment for stress , anxiety and depression
human
I am a long % year history of morphine ER . Starting 30mg and escalating to 180 mgs daily. Due to 11 reconstructive surgeries over the last 15 years. last 5 years awaiting a right complete knee replacement. It was successful and the added Oxy IR 30mgs 2-3 times a day, for post operative pain it works well. The Morphine ER was planned to be reduced as to it has become non necessary now . In fact is causing diminished breathing issues. it has been reduced by me over the last 2 months to a from 180 mg to even 45 mg. however even that is causing extreme breathing and anxiety stress. I have stopped it the last 4 days completely! i am feeling better , except the with drawl symptoms. extremely lathargic, sinus issues, muscle twitching and severely depressed already and edgy. I go to my pain management tomorrow morning. I need to have and have heard there some standard medications to be used with withdrawl issues non-narcotic preferred. My pain has been managed almost completely at least functional and able to make a good physical recovery as expected. with the Oxycodone IR 15-30mg tabs 3 times or less as needed for pain. do you have any recommendations?
gpt
Hello! From your question I come to understand that you have developed physical dependence to morphine and currently after the cessation of the drug you are experiencing withdrawal symptoms with can be very annoying and disturbing. The ideal way to decrease the incidence of withdrawal symptoms is by gradually tapering the drug before completely stopping it. As you have already stopped taking it, you might have these symptoms only for a couple of days after which you will be feeling normal. One of the most disturbing withdrawal symptom is lack of sleep, which can managed by using short acting benzodiazepines which can be tapered and stopped quickly. This can be done by getting yourself hospitalized ans supervised by a psychiatrist.