Falling asleep after taking large dose opiates

[freskafreska]

I like to ask if there is a possibility that you wont wake up after taking a high dose of opiates such as IV diamorphine to the point that your entire body feels warm like you are in a hot tub and feel extremely sleepy, but not to the point of an immediate overdose, e.g. you are still able to get up and go get something to eat, but if you close your eyes you will fall asleep immediately. Will this only result in a very deep sleep or are there any dangers of not waking up? Thanks for any replies!

 

[F.U.B.A.R.]

Yes, this can and does happen, especially with IV use - which is a bitch, seeing as nodding out is one of the desirable effects. However, if you're a regular user with a tolerance, it's very unlikely unless you're throwing other CNS depressants into the mix, such as benzos. Another consideration is the position in which you nod off. Your body can slump into all sorts of strange contortions, leading to complications from restricted blood flow to extremities and restricted airways, thus increasing the chance of death by respiratory depression. Then there's the possibility of choking on your vomit while asleep. I've also heard of people being scarred for life by nodding too close to a fire. So if you feel that you really can't fight the nod, you're probably best lying in the recovery position, preferably on a bed but a safe spot on the floor will suffice.

Basically, everytime you IV heroin you're playing Russian roulette. Most survive, but many don't. It's only us lucky ones that are able to give advice.

Take care mate...

 

[Keif' Richards]

There's nothing else that can be said really. It's a dangerous game to start making suggestions regarding what will or won't kill someone. We have to face it. Opioids are dangerous. The therapeutic index is very narrow, meaning the dose that is required for euphoria/sedation is not terribly far from the dose that could kill you. Basically, you just need to be careful. That's all you can do. If you feel that you have overdosed, you need to call roommates or 911.

If you feel heavily sedated, yes it's possible that if you go to sleep you won't wake up.