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Nancy
Nancy, Psychotherapist
Category: Mental Health
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Experience:  ABD for a PhD in Psychology, Psychotherapist for over 20 years
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is there any permanent dopamine damage from taking percocet

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is there any permanent dopamine damage from taking percocet for an extended period of time (7 months straight, max of 75 mg a day for 2-3 months, b4 i was taking 35-40 mg max a day) i was taking them before that every so often, like 1 or so every week. I started weaning down, as of April 4th 2009, I have been clean, today is June 23rd and I Do not think about the percocet at all. I want to be back to my old self but i was reading that the pleasure part of the brain can be damaged and may not go back to normal. i just want some reassurance that my brain will go back to normal, any advice? Facts about me, When I was younger, from the ages of i'd say 10 - 17, I had OCD and had rituals, etc, I got over that myself when I was 17. When I was 17 I kissed a girl and found out she was raped and I thought I had aids for the next 7 yrs even tho I never had sex before, and I fixated on that, and now I keep thinking to myself "Im going to be fine" over and over again,and my psych thinks its anxiety
Submitted: 5 years ago.
Category: Mental Health
Expert:  Nancy replied 5 years ago.

Hi,

 

I see you've asked this question a few times and have consistently received the same answer - that there isno permanent damage from taking percocet.

 

I'd like to suggest though, that you make an appointment and see a Psychiatrist. I think this is really bothering you and when we have a persistent thought that returns over and over, sometimes there is a psychiatric reason for that.

 

Nancy

Nancy, Psychotherapist
Category: Mental Health
Satisfied Customers: 746
Experience: ABD for a PhD in Psychology, Psychotherapist for over 20 years
Nancy and 2 other Mental Health Specialists are ready to help you
Customer: replied 5 years ago.
I went to the Psychiatrist, he doesnt want to raise my dosage until after the wedding, hes saying its anxiety, but he does psychoanalysis.
Expert:  Nancy replied 5 years ago.

I would suggest getting a consult from another psychiatrist - clearly you need something else....

 

Nancy

Customer: replied 5 years ago.
its 3 weeks until someone else can take me, and on monday i leave to hawaii!
Expert:  Nancy replied 5 years ago.

I would keep looking for someone who can help - or increase your Lexapro to 20 mgs. But when you get back - I'd talk with someone about adding another medication if the increase doesn't help.

 

Nancy

Customer: replied 5 years ago.
I heard i shouldnt increase without my docs consult, and to start with 15 mg per day and go up, but you honestly don't think i did any damage? because when i constantly think about it, i don't want to talk to anybody, its hard to concentrate because i keep questioning "im going to be okay", etc
Expert:  Nancy replied 5 years ago.

Yes, you can titrate up that way - and I am not sure if it will help - it may, but when you get back, you really need to speak with your psychiatrist about adding another medication for this obsessional thinking - I think your OCD is returning.

 

And, you did not do any damage with the percocet. It does not cause damage - so you can stop worrying about that.

 

Nancy :-)

Customer: replied 5 years ago.
I wish i could stop worrying about it!!!! is it OCD if i keep thinking "i'm going to be okay" but not the same ocd i had when i was younger where it was like, if i don't do this, something bad will happen. And since I'm worried about the percocet damage can the anxiety be attributed to me thinking "Do i really find that funny", "Do i really like doing this", etc, "Do i love them" Because i keep worrying about the reward system and i read on wikipedia, the reward system / dopamine all has to do with pleasure, etc. and I read you can fall out of love while on lexapro, but like i said i read it on some random message board, but the readings stick with me
Expert:  Nancy replied 5 years ago.

Stop reading those sites.... any *worrysome* thought that repeats itself over and over could be considered part of that obsessional thinking.

 

You whole thought process is involved. ANd when that happens - you have to take medication that deals directly with that. The lexapro might help - but something like Anafrinil will deal more directly with that.....

 

Nancy

Customer: replied 5 years ago.
What is that? My fiance takes Zoloft, but the higher dose for ocd and buspar for anxiety, but you think with the right medication and therapy, i can be fine, right? do you have any good Cognative Behavioral therapy tips, like coping mechanisms i can use?
Expert:  Nancy replied 5 years ago.

Anafrinial is a medication used to treat OCD.

 

I do think that with the right medication and therapy you will be fine.

 

Tips: because OCD is a brain chemical problem- this may or may not work - if it doesn't work, don't worry, being on the right medication is more important in making the thoughts go away.

 

Use STOP techniques - when you have a thought that recurs - think of a huge STOP sign and tell youself - STOP. Then deliberately think of something else - pick the something else before hand, and just concentrate on that.

 

Nancy

 

 

Customer: replied 5 years ago.
Anything else? that sounds pretty good!
Expert:  Nancy replied 5 years ago.
No, just try that for now :-)
Customer: replied 5 years ago.
I will def try that, the 10 mg of lexapro help[ed me stop biting my cuticles tho, which i used to bite to a pulp.
Expert:  Nancy replied 5 years ago.

That's great!!!

 

Remember - progress, not perfection!

 

Nancy

Customer: replied 5 years ago.
its funny though after i speak with my psychiatrist, i feel better for a little while, why is that?
Expert:  Nancy replied 5 years ago.

Because we get to focus on ourself for a little while, we get some perspective and feel hope!

 

Nancy

Customer: replied 5 years ago.
Nancy, it doesn't matter that I was taking the dosages I listed every day for that period of time? I broke it down as best as I can above, thanks
Expert:  Nancy replied 5 years ago.
No, it doesn't cause permanant damage.
Customer: replied 5 years ago.
Its so weird, yesterday I felt a bit better, still thinking about it but not as much and I was much more upbeat. I guess there are triggers, hopefully after the wedding ill feel less anxious. Can I be anxious about the wedding, honeymoon without even realizing it or thinking of it but still feel it? Thanks :)
Expert:  Nancy replied 5 years ago.

ABSOLUTELY! That's what stress is all about - we have pressures that build up, and build up and the slightest litle thing can trigger us to explode - andit's not really about that one little thing- it's about all the other things that have built up that we didn't "see".

 

GREAT observation on your part!!!

 

Nancy :-)

Customer: replied 5 years ago.
Yes but I don't blow up, can it be underlying and manifesting itself in the thoughts I've been having?
Expert:  Nancy replied 5 years ago.

I know - I was talking about stress in general.

 

For you, you think about it over and over.

 

Nancy

Customer: replied 5 years ago.
So you think ill be fine right? Lol
Expert:  Nancy replied 5 years ago.

YES! Just do what we've talked about- increase the meds, and talk to your MD about getting Anafrinil.

 

Nancy

Customer: replied 5 years ago.
Well first I think I can try the higher dose of lexapro right?
Expert:  Nancy replied 5 years ago.
Right, but that won't address the thinking about things over and over.
Customer: replied 5 years ago.
Zoloft works wonders for my fiances ocd!
Expert:  Nancy replied 5 years ago.
Zoloft doesn't address biochemical OCD though!
Customer: replied 5 years ago.
Btw why does my mood grt better as the day goes on? Should I be taking the lexapro in the am or pm?
Expert:  Nancy replied 5 years ago.

Your mood could get better during the day for a number of reasons - your circadian rhythm, your medication, blood sugar levels, and so on....

 

Medication is prescribed based upon your individual symptoms - so just take it when it works best for you - or when your doctor says to take it.

 

Nancy

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Nancy
Nancy
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ABD for a PhD in Psychology, Psychotherapist for over 20 years