My doc surprised me (long)

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pion

Full Member
Mar 1, 2011
53
25
Western Pennsylvania
Vocalek,

Depression is so frightening. Terrifying at times. I'm glad you're finding solace in wellbutrin and good old vaporized, atomized, deliciously flavored nicotine.

My last smoking bout, from somewhere in the mid sixties until 1988, i eventually ended up doing the light cigarette thing. butts piled up in my ashtray. i'd light one and prop it in the ashtray to find there's one already there, lit and smouldering away. Ah, the good old days of darkness and ignorance.

My second bout was different. I went with a fine tobacco from a tobacconist and hand-rolling. I chose this route because I didn't want all the crap cig manufacturers were putting in their cigarettes. I also liked the kick of no filter. I developed a pattern. I'd go out to smoke, have 2 puffs, and that was enough. I did that every hour or so while at work. At home, it came close to chain smoking, at times. But still, only one or two puffs at a time, and then set it down, prehaps to pick it up and relight it 30 seconds later. Being pure tobacco, when I set them down in the ash tray, they'd go out pretty fast.

Ah, nicorette. I discovered that prilosec is also required with nicorette. It helps with the tummy stuff.

The 12 years of horror involved many shrinks who identified and even explained to me the whole nicotine-dopamine connection and it's relation to depression. It became a meme of my life. The thing is, I started smoking at 17 to self-medicate my, at that time, undiagnosed and unacknowledged depression. It worked really well for decades. I could function. I didn't even know I was clinically depressed. I just felt that i had really bad days.

Anyway, all those shrinks gave me a base from which I could explain my situation to other docs, if the need arised. I think my current GP reacted to my vaping the way he did because he was very aware of my nicotine/depression issue. He was there the last time it hit, back in 88. He recognizes my need for nic with total disregard of it being addictive. Who cares if it's addictive, eh? It doesn't hurt anything, and it works.

I think that area of knowledge is growing. That nicotine is something that can really help people and, if it can be administered and absorbed safely, then it becomes medicine. I hate the chantix ads where they insinuate that nicotine addiction is bad because it is an addiction and addictions are bad. It's the way they say "addiction"-loaded with negativity.

Some of the posts here indicate that things are changing for the better. Doctors are responding positively. With hope, I see vaping becoming more and more ubiquitous and acceptable. Yet, currently, I do not know one vaper, personally. I have a friend who has a friend, but that's it.

There's also the educational aspect, which is currently our jobs. I still go out to vape with the smokers at work. They're fascinated with my results but hesitate to take that leap. I don't blame them. I never imagined something could work so well. It took deep desperation for me to give it a shot. I will also bend anyone's ear as much as they'll let me should they ask "what's that?" when they see me vaping.

Another problem is the confusion the newbie encounters. For one, there are the ecigs that are terrible, deliver little nic with a vapor that's barely there and a has a weird taste. Should someone trying to quit stumble on these cheapies, they may never give it another try.

Then there's the other side of the issue. Overwhelming complexity. I lucked out as it was indicated exactly what I needed to do. But, as I look around this site, I see that all of the information is there, but it's often occluded by extensive acronyming (I still get lost and an amazing variety of solutions that are all over the place. what PV do i initilly get? what liquid do I get? What extras will I need? What will wear out? How much nic will I need? How do I get it close to analogs so I don't miss them? Questions that can baffle a newbie. But, once one dives in, tend to answer themselves, eventually.

The information is all here. Some of it's even organized very well. But finding this site and finding the specific information a newbie needs can be a little involved. It was for me.
 

nubee

Ultra Member
ECF Veteran
Jun 24, 2009
1,496
14
IL, USA
VAPE ON!!!
Your doc is a keeper.
Any doctor that is interested in what works for you and supports it is great IMHO - within reason of course.
While I didn't have your depression battle, I did fight not wanting to be a smoker the rest of my life and tried them all, even Welbutrin. None of them did it for me.
Within hours of my first e-cig (RedDragon carto) I realized I could never go back to analogs!! This vaping thing was the perfect solution - nicotine, taste and no smoke!!!
Someday I may attempt getting off the nicotine but for now, for today, I'll take not smoking an analog and feeling darn good about it too.

$0.02
 

julie78

Senior Member
ECF Veteran
Mar 17, 2011
84
4
Frisco, TX
Depression is a scary thing, especially when you don't know what's going on with you. I was diagnosed with clinical depression and PTSD (post traumatic stress disorder) back in high school. In 2004, I was diagnosed with bipolar disorder and put on medications for all 3. When I talked with my therapist and psychiatrist about smoking, back then, they said "if it keeps you sane, and keeps you calm, continue. by no means are you to quit, yet". So, I kept smoking ...

I ran out of cigarettes on March 13th. On March 14th, my mom (who lives with me and DH, and is helping us through a rough patch) bought me an e-cig. With the bipolar disorder, and NOT being medicated for it, I am a horrible person when I'm craving nicotine. In order to keep the peace in the house, I will continue to vape until I can get back on meds for my issues.

Not being able to handle the downs, for those with bipolar and depression, is a real challenge. Pion, you should be proud of yourself, for recognizing that you were depressed and finding a way to get through it! Way to go!
 

DataPhreak

Senior Member
ECF Veteran
Aug 17, 2009
291
139
42
A, A
Poin, I have a similar story to recount for you.

My mother also has spent much of her life battling depression. She's been prescribed just about every medication under the sun, including welbutrin. When she first decided to make a concerted effort to quit smoking, almost a decade ago, the doctor prescribed her welbutrin. That was the first time I had to call 911 on her. It was a long, sad road from there, and in the end, she went back to smoking. Chantix was also tried, with similar results. It's funny though, because 18 months ago, she quit drinking, in order to lose weight, and hasn't had any problems with it. But, like you, quitting smoking brought severe bouts of depression on.

Enter the E-cigarette. I picked one up in a mall in Florida while on sabatical. I did alright with it, not smoking for almost a month, but because my wife couldn't drop the habit, ended up smoking again too. But during that time, I also introduced my mom to it. This was a year ago. The only analogs she's had since were when she ran out of carts, and had to wait for more to arrive. She's also gotten my grandmother started on them as well. Both have had significant improvements in health and lifestyle, and the depression is significantly more manageable for her now. Between the two of them, they had over 100 years of smoking, and countless attempts at quitting with every single known cesation regemin.

Since then I've ordered an eGo for myself, and am down to 1/2 to 2 analogs a day. My wife has been sharing and has drasticly reduced her habit as well. Should be getting a second starter kit in tomorrow or the next day for her.

I suspect the reason you have had severe depression is because tobacco contains MAOI's. MAO-B is directly associated with dopaminergic neurons, and by inhibiting that, prevents your depression. (This is kinda crazy to think about, because you are not supposed to take MAOI's with welbutrin. I commented along these lines in another thread in the media forum) Why the ecigarette works is beyond me, though, as I don't believe it has even trace amounts of MAOIs. (Again, going back to that refferenced thread, a pharmacy was going to release an ecig variant with MAOIs in it) I could speculate that it causes dopamine levels to normalize because dopamine is highly involved in enjoyment and reward processes in the brain, but it would only be speculation.

Edit: Just read your most recent post, about the nic/depression correlation, and you probably have more insight into this topic than I do. Appologies if the info is redundant.
 
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Vocalek

CASAA Activist
Supporting Member
ECF Veteran
I have another appointment in 2 weeks and I'll ask him...He's always up on the latest, very knowledgeable man. It would be great to have access to what he does, and he will probably be willing to help. Can you think of any other questions I can ask him about? I have also read studies, and anecdotal evidence, which counts most to me--since it is my body, that nicotine relaxes the muscles and relieves spasms. I used to have botox injected into my muscles to paralyze them, so I know my spasms, lol. Every time I'd try to quit smoking, I'd be a quaking mess...and my spasms haven't increased with vaping, actually the opposite!! My doc didn't tell me 'how' nicotine interferes with nerve health, and I didn't ask, as I had other issues going on. But if anyone/all has a list of questions, I most certainly will ask him. I would guess it had to do with regeneration and oxygen levels in my case, but the main factor there would be smoking, not nicotine. I wonder if that is even separated out...smoking vs. nicotine by itself.

Doubled checked on the calendar, it is April 8th. Feel free to pm me with any questions for him, Friends!

Oh, yes. Nicotine definitely relieves spasms. This is how the subtance manages to have contradictory effects of increasing alertness (because this is accomplished through the brain) and relieving stress (because this is accomplished through relaxing the skeletal muscles.) Some research done years ago found that rats that had developed a tolerance for nicotine suffered from jaw spasms when the nicotine was taken away. I tried to track down the study but no luck so far.

When I went off nicotine (the experience I described a few responses ago), the most physically painful thing were the muscle spasms that went from the top of my shoulders, up my neck, and over my head to my eyebrows. The source of this pain was clenching my jaws. Dentists call this bruxism. I could stop myself from doing it while awake but when I fell asleep my jaws went "crunch." I went so far as to pay a hundred dollars or so to have a bite guard molded for my mouth. I wore it for maybe a week, after which I didn't need it any more. This was one of the few "withdrawal symptoms" that actually did go away after a couple of weeks.

I'd be happy to poke around on PubMed to find more articles, which could help to generate some appropriate questions for the doc. Can you PM me with the official name of your malady (i.e. the diagnosis)?
 
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Vocalek

CASAA Activist
Supporting Member
ECF Veteran
I think that area of knowledge is growing. That nicotine is something that can really help people and, if it can be administered and absorbed safely, then it becomes medicine. I hate the chantix ads where they insinuate that nicotine addiction is bad because it is an addiction and addictions are bad. It's the way they say "addiction"-loaded with negativity.

Some of the posts here indicate that things are changing for the better. Doctors are responding positively. With hope, I see vaping becoming more and more ubiquitous and acceptable. Yet, currently, I do not know one vaper, personally. I have a friend who has a friend, but that's it.

I'm betting that Pfizer would not mind addiction if it was Chantix you were addicted to... Seriously though, nicotine is very different from other addictive drugs. You've never heard of someone being arrested for driving while under the influence of nicotine. In my case, I deserved to be arrested for trying to drive while I as NOT under the influence of nicotine. Drugs like alcohol and hair-oh-in (excuse the spelling, but the forum censors that word if spelled correctly) impair the ability to concentrate, impair visual memory, slow down reflexes. Nicotine improves all these abilities.

Two experts in addiction were asked to rank order the "addictiveness" of a variety of drugs, based on Withdrawal, Reinforcement, Tolerance, Dependnce, and Intoxication, with scores ranging from 1 (most serious) to 6 (least serious)

Only "dependence" was scored at 1 by both experts for Nicotine. They also agreed on a score of 3 for "withdrawal" and a score of 4 for "reinforcement." One expert gave "tolerance" a 2, and the other scored it at 4. "Intoxication" was scored at 5 by one expert and 6 by the other. Relative Addictiveness of Drugs (NYT 8/2/94)

You haven't met any other vapers yet? How far are you from Philadelphia? This coming weekend they are having a Vapefest. I went to the first one ever held, last year in Virignia. It was a blast. You should go if you can. For information, see http://www.e-cigarette-forum.com/forum/nvc/154083-philly-vapefest.html and Philly Vapefest 2011!
 

Autumn

Full Member
Mar 21, 2011
59
0
SoCal
Hi pion. Thanks for sharing your story.

Like others on this thread, I also am clinically depressed. Unfortunately for me, it truly is a chemical imbalance, and I'll be on an anti-depressant for the rest of my life. As often as I have tried to discontinue my anti-d, things fall apart for me quickly.

I will say, however, that after I started primarily vaping and stopped consuming the thousands of other chemicals contained in analogs, my overall well-being has increased tremendously.

I remember hoping years ago for a comparable, safer alternative to analogs, and here it is. After a couple of years of doubt regarding its safety and having done some research, I was finally able to rise above my skepticism and make the switch to vaping. I'm so glad I did, and I'm glad you did, too.

Best of luck to you.

:)
 
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