I have lesions in my brain. It is probably toxic leukoencephalopathy, but no one knows. Some neurologists say it is MS, but we do not know anything for sure. People probably does not or would not believe me, but opiates are the only thing that help with a lot of my symptoms. I do not get messed up on them like others. I get no euphoria. It works for me just like alprazolam (Xanax) does. The problem with benzodiazepines (e.g. alprazolam) is that I get a quick tolerance build-up, and I become tolerant after just 2 weeks, and when it works, it does not work as well as opiates do. Opiates have been keeping me productive and focusing on my future, otherwise I live in the past, I am stuck in the past, and I am an emotional wreck.
I had a couple of appointments with my neurologist. She saw me with and without opiates. The first time she saw me while I was being on opiates, she told me how much better I look and all that. If I told her that the difference between the two was opiates, I bet she would approve of its use in my case.
In any case, this is what works for me, and I have been through a lot of psychiatric medications without any success. Opiates are not really an issue at all. I get regular blood tests done, I get MRIs done and so forth... everything seems to be fine, otherwise I would not use it. Constipation is the only issue, but I take magnesium citrate for that.
I would like to add that I wish I did not have to depend on opiates or anything at all, I would rather prefer that, but this is what it is. I am happy I found something that works for me after so many unsuccessful attempts. I found it by accident, even.