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Depression Bipolar Medication

Question:
I was perscribed zoloft for my depression and ocd behavior and klonpins for my anxiety attacks..here is the deal though...as we all know zoloft takes a while to kick in so in the meantime I am depressed as hell...I find myself so depressed I do not want to do anything speak to anyone do my work or anything at all(I feel hopeless)..I feel like I need to drink just to feel good...this usually ends up happening at the end of the day(say 5:00 in the evening)..Is it possible that my doctor can give me something to ease the pain/depression I deal with untill the zoloft kicks in or something(if it ever does of course)...can he perscribe some kind of pain killer(percocet ect.. to give me peace of mind untill the anti depressant meds work....are pychiatrist allowed to perscribe narcotics for depression?


Answer:
They can, but they almost never do. You might have better luck if you asked about a stimulant such as Ritalin to take as needed until the Zoloft starts helping. (A problem with Ritalin is it might exacerbate the OCD, but it tends to help with depression.)
If you really think that opioids would help you, you might ask about a small prescription for something like codeine, making it clear that you won't abuse it and that it's only for the short term.
Can I ask why pain killers came to mind? Have you taken them before and found that they brought you out of your depression? Something that might be of interest to you is tramadol (Ultram), which is a weak opioid that also is a serotonin/norepinephrine reuptake inhibitor. Some people find it very helpful for depression and OCD. Unfortunately, I think it interacts with Zoloft in a potentially dangerous way; also, if you have a history of seizures or addictions, your doc will probably be especially reluctant to prescribe it. (He/she will probably be reluctant anyway; aside from concerns about abuse potential, it's an uncommon and off-label use for tramadol.)


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