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  • AADD Moderators: swilow | Vagabond696

opiates for pain

misk said:
so after reading this thread, in australia we have codeine, tramadol, pethidine, methadone then morphine and oxycodone.

i have a few questions as the waiting list for pain management clinics in my area is 5-6 months at the moment, so i wouldn't mind knowing a bit more about opiate options that we have in aus to see if i can get better relief before my referral is seen to.

whenever i bring up the discussion of opiate pain relief with my GP i'm told he can't prescribe anything stronger than tramadol as i think he assumes i'm just after oxys.
without hydrocodone (which isn't available in aus if i recall?) then the next option is pethidine or methadone...

from some of the comments in this thread methadone really doesn't sound like a good analgesic, but it's hard for me to distinguish between the comments that may have been referring to someone that has had a heroin addiction in the past or been on methadone for maintenance.

is methadone really no good for pain relief when taken by someone that has not used anything stronger than tramadol nor been addicted to opiates?

and regarding pethidine, the wiki page mentions its also quite strict in aus, would it be viewed as being as strict as oxys being prescribed?
i'd be keen to hear more as to why its viewed as a strict or less favorable opiate...

in saying that, is there really any other options that are between tramadol and morphine, say a certain drug combo that is not too common?
i have had digesic before after trying to get some info on opiates from a GP once and never knew it existed, so perhaps there are other medications that may be a bit easier to obtain without it being such a struggle.

sorry for all the questions, just dont know much at all about the options.
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Sadly, there's a lack of good mid-strength opiates in Australia. It generally goes straight from codeine/tramadol to oxy, which is quite a jump compared to other countries which have drugs like hydrocodone and dihydrocodeine in the middle.

Methadone is actually a very good pain killer, and in the states it's quite commonly used in this capacity, especially since it's long duration means it can provide effect pain relief with one dose a day.

The main issue is that if you can't get anything more than tramadol out of your doctor, then you're going to struggle with any of these meds. If he's not willing to prescribe oxy, then I don't see why he'd be willing to prescribe methadone or other potent narcotics. You could pretend to be an addict and go on a methadone maintainance program, but that's a huge commitment and not a step to be taken lightly.

I'm curious, why does he think you're after oxy specifically? Is that a drug you've discussed with him before?
 
well the pain i have is in my legs (feels like nerve pain) and its always been very hard for me to explain just how much pain i'm in cause i can still walk, still have good muscle function etc. but am just in constant pain.

so looks good on the outside and works like it should, but at times the pain is at the bone, muscle and skin level all at once, or in random combinations.

i resisted for a long time, but i'm just over being in pain waiting months and months for public specialist appointments and asked about the pain relief options, i then said 'i'm not specifically talking about oxys, but if tramadol doesn't help, what is next in line?'

thats where i'm told i have to wait for my specialists appointment as GPs cannot prescribe anything stronger than tramadol - which i know isn't true, but arguing isn't going to help my case.
i've tried with a few different doctors at two clinics that i have been going to since august last year (i see two as one is a walk in clinic, one is not, so if its urgent i will go to the walk in clinic) and i get the same response from them all. they also tell me they can't sign off on a disability medical report for centrelink because i need to wait for a specialist (whoever that is?) to tell me what my capacity to work is and what line of work i would best be suited to even though i have not been able to work more than a day or two a fortnight at most since august last year - apparently thats not something i have an opinion on lol.

i've tried anti-inflammatorys also and their other random suggestions but i just want to feel a bit more comfortable. i have documented proof (previous GP medical history, specialist report that proves i have RLS) that i've been going through this since june 2009, but i had to beg to get a referral to a pain clinic - i called them today and was told of the 6 month waiting list.

so i guess unfortunately if they don't consider discussing pethidine or methadone as an option, they automatically assume i want oxys because thats the only other option lol.
i don't want to go on methadone maintenance, i was thinking more along the lines of a methadone pill.
i can't work due to the pain and am on a sickness allowance, so all i can do is sit on my ass all day waiting for the next appointment which is a neurologist follow up in late june.

sorry if i sound like a broken record and dont mean to make it sound like i'm just bitching, feels like i say this shit a bit :/
 
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misk said:
well the pain i have is in my legs (feels like nerve pain) and its always been very hard for me to explain just how much pain i'm in cause i can still walk, still have good muscle function etc. but am just in constant pain.

so looks good on the outside and works like it should, but at times the pain is at the bone, muscle and skin level all at once, or in random combinations.

i resisted for a long time, but i'm just over being in pain waiting months and months for public specialist appointments and asked about the pain relief options, i then said 'i'm not specifically talking about oxys, but if tramadol doesn't help, what is next in line?'

thats where i'm told i have to wait for my specialists appointment as GPs cannot prescribe anything stronger than tramadol - which i know isn't true, but arguing isn't going to help my case.
i've tried with a few different doctors at two clinics that i have been going to since august last year (i see two as one is a walk in clinic, one is not, so if its urgent i will go to the walk in clinic) and i get the same response from them all. they also tell me they can't sign off on a disability medical report for centrelink because i need to wait for a specialist (whoever that is?) to tell me what my capacity to work is and what line of work i would best be suited to even though i have not been able to work more than a day or two a fortnight at most since august last year - apparently thats not something i have an opinion on lol.

i've tried anti-inflammatorys also and their other random suggestions but i just want to feel a bit more comfortable. i have documented proof (previous GP medical history, specialist report that proves i have RLS) that i've been going through this since june 2009, but i had to beg to get a referral to a pain clinic - i called them today and was told of the 6 month waiting list.

so i guess unfortunately if they don't consider discussing pethidine or methadone as an option, they automatically assume i want oxys because thats the only other option lol.
i don't want to go on methadone maintenance, i was thinking more along the lines of a methadone pill.
i can't work due to the pain and am on a sickness allowance, so all i can do is sit on my ass all day waiting for the next appointment which is a neurologist follow up in late june.

sorry if i sound like a broken record and dont mean to make it sound like i'm just bitching, feels like i say this shit a bit :/
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Hey mate, I can relate to how you feel because it sounds like you're having the same issues I am getting pain treatment.

Only advice I can give you is to avoid mentioning drugs by name like that, unless the doctor brings it up first or you've already been prescribed it in the past. Displaying a knowledge of pain meds beyond that of the general public just screams drug seeker to them, even if you are in legitimate pain.
 
yeah i've tried the 'i dont know anything' route also lol still no good,
 
Quick question for everyone.

What are your thoughts on mixing a small amount of oxycodone and codeine together?

Example: - 5mgs oxycodone and 60-90mgs codeine.

I'm not a very experienced opiate user. I did CWE and had 180mg's of codeine once. That got me rather high. It was quite some time ago… 3 months approximately.
 
^ I have only tried combo'ing codeine with oxy in relatively large doses but have recently had a friend singing the praises of adding a low dose of oxy to a CWE.

I think if you are inexperienced with both opiods you should use both on their own to determine where your tolerance is at before you try and forumlate a dose for yourself. Poly drug use increases the risks and with a tolerance of 180mg codeine getting you high I don't see an immense need for you to mix opiates, although I suppose it is a different experience than either drug on its own.

Depending if you want a more sedating or speedy high I would adjust which drug you use more of, I reckon a (relatively speaking, in terms of opioid conversion doses) lower dose of codeine and a moderate dose of oxy would be pretty speedy where adding 5-10mg of oxy to a decent CWE is more likely to induce a noddy/sedating high.
 
To be honest… I'm yet to experience oxycodone. I have never consumed it before… Perhaps I should just give a single 5mg dose a go and act further from that.

I only have 3 X 5mg pills. Thought I'd try and made the most of a small chance.

I have consumed 60mgs of codeine and 10mgs of diazepam before and that got me perfectly high… Lovely.

I might just try the 5mgs and then if I don't feel that high just dump 60mgs of codeine…

Any further opinions would be superb. This website is of great value to me in regards to HR.

Thank you allot.

Coops.
 
According to this chart 60mg of oral codeine is equal to 6mg oral oxycodone, so I would say you are probably safe to take 10mg off the bat since you combined 60mg codeine with 10mg diazepam last time, 10mg of oxy on its own shouldn't be too overwhelming. If its not enough you could eat the third tablet and if it does you well then you could eat the last one next time you CWE.
 
Take 2 5mg tablets at once (possibly all 3) and take them orally on an empty stomach. You won't feel much from a single 5mg dose so you'll basically just be raising your tolerance while not feeling anything. You want your first experience to be awesome because you'll remember it forever if it is.

And whatever you do don't take 2 separate doses on the same day if that's all the oxy you've got (ie 10mg in the morning and 5mg at night), the first dose of the day is always great and then the enjoyment significantly declines for every dose after that on the same day; the next day all is great again.

My 2 cents. (From someone who has taken oxy daily for years).
 
so either half of the people saying they can get pain meds are full of shit, or the Drs i see are full of shit...
even presenting them with documents saying it could be a 6month+ wait for pain management clinic, they refuse to even discuss options with me.
i dont fucking understand any of the medical system in australia at the moment and feel completely abandoned...

wtf is wrong with the world when its ok for someone to be in pain for 6 months or more ontop of the ongoing battle i've been through for at least a year.
fuck my life
 
misk said:
so either half of the people saying they can get pain meds are full of shit, or the Drs i see are full of shit...
even presenting them with documents saying it could be a 6month+ wait for pain management clinic, they refuse to even discuss options with me.
i dont fucking understand any of the medical system in australia at the moment and feel completely abandoned...

wtf is wrong with the world when its ok for someone to be in pain for 6 months or more ontop of the ongoing battle i've been through for at least a year.
fuck my life
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Hey man I know your pain. I went through for about the same time (6-8 months) with the doctors getting heaps of tests before I was able to get anything for my pain. Just hang in there, keep showing up to a good doctor and they will realise you're not fucking around. Just keep your cool, try not to loose it and persist.
 
Quick update on the outcome.

I ended up consuming 5mg's of oxycodone and 60mg's of codeine. Having had limited experiences with opiates I didn't really want to just smash it all at once.

I have to say that this got me rather high. I wouldn't say epically high. But high. I found that I was pretty functional for an approximate amount of time. However, I soon become rather nauseated and find it hard to alleviate this issue. I consumed a couple small easter eggs and had a cup of tea but it doesn't really resolve the issue that much.

What I found I had to do is just lie on my bed. Literally lie there and close my eyes. Collect my shit together so to speak.

I don't mind it… But I don't really get any euphoria.

At present I have
2 X 5mg oxycodone
8 X 30mg panadeine forte

I'm not to sure on how I should go about making use of these to maximise my enjoyment. Although I don't really want to go mega over the top. I was just thinking of having 5mg's oxycodone again but this time 120mg's of codeine.

Or I could just have both the oxy's and then just CWE the codeine another time for enjoyment.

Anyway. Thanks for the help… Might not do it for a couple weeks again.
 
I reckon if you follow my previous post and add in an antihistamine (of your choice) you will get a better outcome than that from your past experience.
 
^^ Try an anti nausea tablet as well, Travacalm is supposed to potentiate codeine but I can't really tell if it does or not.

If your body ever gets used to the opiates, I reckon the nausea will completely disappear. This is not necerssarily a good thing, though.
 
opi8 said:
If your body ever gets used to the opiates, I reckon the nausea will completely disappear. This is not necerssarily a good thing, though.
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Sadly, this isn't always the case. I've been using opiates for 2 years and have quite a tolerance, but I still throw up every single time if I don't take promethazine or doxylamine with it :(

Hell, I chewed a few oxy's earlier and nearly threw up just from the taste.
 
^ I don't get that nauseated from opiates anymore however metoclopramide has saved me in the past from some pretty severe oxy spews. Just for those that don't know already the stronger tabs (Maxolon) are scripted only but your GP isn't going to knock you back if you need them and are genuinely sick, you can also get it in weaker doses in Anagraine (5mg / 500mg paracetamol).

Travacalm, or other antihistamines could help as noted, otherwise ginger tablets are meant to be pretty good :)
 
i agree with the ginger as well belarki. though i'm lucky i don't get nauseated even from large doses. excessive fentanyl always had me back n forth to the throne or garden outside the pub.

to crankinit - crush and dump with some oj;)

the taste from chewing oxy doesn't bother me so much anymore, not when i have to taste tramadol everyday before it. a juice chaser is always good.

i feel like i've written this in here already? a dream within a dream perhaps.
 
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