- Joined
- Jan 2, 2017
sperg ahead
you can't control munchies, end stage comes to them all. whether they're binge eating, causing infections, faking symptoms, or starving themselves... you can't expect to treat them like regular patients and that becomes obvious pretty quickly.
opium is a gift. opiates and opioids are still the best and most reliable medication we've ever found that works for multiple ills. In controlled use, it ends pain- physical and psychological.
Tolerance is the bitch of it. A controlled dose with tolerance breaks can save lives. Uncontrolled medication with these drugs is the problem.
Benzodiazepines are also a miracle. They have a low profile, side effects are often actually useful. For seizures, anxiety, hypochondria, insomnia, and many other things, they're fantastic. Again, tolerance is the bitch- though these drugs can often be taken at the same dose for decades.
Tolerance, with benzodiazepines, is more of a matter of perception. The drug has the same effect every time, but people no longer get the initial high from it after a while. They're chasing that. Using them like SSRIs, where you anticipate that the drug won't be felt "kicking in" but that the body will get used to it, can be more successful.
Both drug classes need to be tapered. Benzos can kill you if you go cold turkey, at least seizures will result. Both classes of drug are incredibly useful and very nearly medical magic. They have a place. We shouldn't be as afraid of using them as we are encouraged to be.
Munchies get prescribed these drugs not only for pain and fear, but also because opi-drugs do have a pronounced anti depressant effect, and benzos kill anxiety.
For people who are seeking out a "better" diagnosis than depression or anxiety, these drugs imply a physical illness, and are seen as acceptable. Even though for a lot of the munchie favorite diseases, an SSRI or SNRI would actually work. Digestive diseases can be straight up cured by regulating serotonin.
The implication that it's all in their head, that's what chaps them and sends them to the next doctor. A lot of doctors fall into the trap of wanting to monitor these patients, to control their medication doses, to try to hang onto them so they don't slide further to end stage (j tubes, ostomy, infusions, sepsis, etc)
You can't control them though. They want attention even if it kills them.
Tolerance is the bitch of it. A controlled dose with tolerance breaks can save lives. Uncontrolled medication with these drugs is the problem.
Benzodiazepines are also a miracle. They have a low profile, side effects are often actually useful. For seizures, anxiety, hypochondria, insomnia, and many other things, they're fantastic. Again, tolerance is the bitch- though these drugs can often be taken at the same dose for decades.
Tolerance, with benzodiazepines, is more of a matter of perception. The drug has the same effect every time, but people no longer get the initial high from it after a while. They're chasing that. Using them like SSRIs, where you anticipate that the drug won't be felt "kicking in" but that the body will get used to it, can be more successful.
Both drug classes need to be tapered. Benzos can kill you if you go cold turkey, at least seizures will result. Both classes of drug are incredibly useful and very nearly medical magic. They have a place. We shouldn't be as afraid of using them as we are encouraged to be.
Munchies get prescribed these drugs not only for pain and fear, but also because opi-drugs do have a pronounced anti depressant effect, and benzos kill anxiety.
For people who are seeking out a "better" diagnosis than depression or anxiety, these drugs imply a physical illness, and are seen as acceptable. Even though for a lot of the munchie favorite diseases, an SSRI or SNRI would actually work. Digestive diseases can be straight up cured by regulating serotonin.
The implication that it's all in their head, that's what chaps them and sends them to the next doctor. A lot of doctors fall into the trap of wanting to monitor these patients, to control their medication doses, to try to hang onto them so they don't slide further to end stage (j tubes, ostomy, infusions, sepsis, etc)
You can't control them though. They want attention even if it kills them.
you can't control munchies, end stage comes to them all. whether they're binge eating, causing infections, faking symptoms, or starving themselves... you can't expect to treat them like regular patients and that becomes obvious pretty quickly.