Hello my friend.
Very interesting post- I have much to learn, once again just like all of your in depth posts I could read all day.
So I am a normally low GABA, low dopamine, not talkative, nervous person. On currently high estrogen I feel very emotional and pumped full of emotions and I hate it. Low estrogen and I need stimulants. Too low and I feel just weird.
I'm on a gram of test a week. And I'm only on low dose DXM and maintnenxe doses of opiates, tapering down.
What interactions does say- hydromorphone have with histamine? I know they produce a histamine release with the itching, ect.
My goal is to create a motivated, talkative, emotionally strong and not so easily swayed, focused mood. With relaxed inhibitions. And getting rid of my anhedonia. Where shall I start with manipulating each and every needed thing? Histamine plays a big role it seems.
I'm thinking if I could lower 5ht2c that would be good but I don't have access to anything I don't believe.
Looking into memantine for its NMDA antagonist thus dopamine boosting effects. Also feel better on those antagonists, my mind tends to overproduce thoughts, sensitive to any outside stimuli. I've been in obsessive worrying and thought loops lately.
Its all a huge puzzle..
Well the opiates are probably causing you some hypothalamic issues, and the high estrogen is making this even worse..with both opiates and high estrogen, your prolactin is probably through the roof!
Opiates, including dilaudid (hydromorphone), frequently cause tons of histamine release, but their downside comes from the dopamine depletion.
Without dopamine, histamine doesn't work properly, and without histamine, dopamine isn't used properly - they both are needed for normal and sensible thinking processes. Histamine and Glutamate are both needed in proper proportion to maintain sanity and cognition.
Here's the thing , opiates actually produce psychotic symptoms in some people, because they also LOWER glutamate in many cases, and as said before, LOW glutamate can cause psychosis, even if histamine is in the normal range, they have to be in ratio with each other.
Opiates decrease glutamate by negatively modulating cAMP and thus lowering thyroid hormone and calcium channels which lead to lower glutamate and a bunch of other neurotransmitters...
Taking antihistamines may offset some of the peripheral sides of opiates, but will make the mental condition worse.
Memantine will also be an issue if your glutamate is crashed from opiates.
The best way to increase GABA and dopamine, and believe me, this is a common issue to have low of both of those.
Take rosemarinic acid extract w/ butterbur, or just eat tons of rosemary.
Additionally take magnolia and flowering quince together, 2x a day for reuptake inhibition of dopamine.
Drink coffee throughout the day to reduce mu-opioid activity.