Opioids Tramadol causing blurry vision?

[supersonic89]

Hi guys.

I have been using Tramadol for more than a year but this last week I have taken monstrous doses (+1000 mg.) and my vision has been very screwed. I see blurry when I try to read or double vision when I am at the computer. I had only experienced this effect with Pregabalin but never with Tramadol. Is it possible that it is a side effect of Tramadol? Or is it not related? I think they are related because the effect is more noticeable when I take more pills.

I also want to ask here, does caffeine raise or lower the seizure threshold? Does anyone know? Because I take a lot of coffee and caffeinated drinks.

 

[ChemicallyEnhanced]

Hi guys.

I have been using Tramadol for more than a year but this last week I have taken monstrous doses (+1000 mg.) and my vision has been very screwed. I see blurry when I try to read or double vision when I am at the computer. I had only experienced this effect with Pregabalin but never with Tramadol. Is it possible that it is a side effect of Tramadol? Or is it not related? I think they are related because the effect is more noticeable when I take more pills.

I also want to ask here, does caffeine raise or lower the seizure threshold? Does anyone know? Because I take a lot of coffee and caffeinated drinks.

Yes, that exact same thing used to happen to me and I was using the same doses as you. It goes away if you reduce your dose or switch meds.

 

[Shortec Stublue!!]

Yes mate it is absolutely a side effect. Even more so with those ridiculous doses. It is a downstream action of the risk of closing in on a seizure.

I know it’s easier said than done, but please at least halve your dosage. If it is the opioid effect you love, change to something with less risks. Trust me I have been there. Ask me anything, hope this helps!!

 

[falsifiedhypothesi]

Just to reaffirm what's already been said, yes, blurry vision is a side effect of tramadol. I wasn't taking doses nearly as large as that, only 400-500mg, and it was giving me uncomfortable eye wiggles and the inability to focus my eyes on anything without squinting.

Yes please ween down from that dose, if you can jump down to a lower dose do that but at least get started on a taper.

 

[ChemicallyEnhanced]

Yes mate it is absolutely a side effect. Even more so with those ridiculous doses. It is a downstream action of the risk of closing in on a seizure.

I know it’s easier said than done, but please at least halve your dosage. If it is the opioid effect you love, change to something with less risks. Trust me I have been there. Ask me anything, hope this helps!!

Yep. I switched to Dihydrocodeine. Much less risky, twice as strong and works way better both recreationally and for pain.

 

[supersonic89]

Ok, thanks guys. I think then I will have to cancel my appointment at the ophthalmologist

Yes mate it is absolutely a side effect. Even more so with those ridiculous doses. It is a downstream action of the risk of closing in on a seizure.

I know it’s easier said than done, but please at least halve your dosage. If it is the opioid effect you love, change to something with less risks. Trust me I have been there. Ask me anything, hope this helps!!

Yes my friend. My goal is to reach 400 mg max. per day. Here in my country I only have access to codeine syrup, tramadol and tapentadol. My tolerance makes me not feel much the codeine. I like tapentadol and it is also safer than tramadol but it is much more expensive. The other option are Buprenorphine patches but I think it is almost impossible to use them recreationally.

Anyway, thanks to this Tram binge I will run out of pills for a few days. That will suck but at least my body can rest a little after so much chemical abuse.

Does anyone knows about the relationship between caffeine and Tramadol? Does kill the opioid high? Does lower the seizure threshold?

 

[Phaelyon]

Yep. I switched to Dihydrocodeine. Much less risky, twice as strong and works way better both recreationally and for pain.

I feel the same about dihydrocodeine being way stronger than tramadol both as an analgesic and euphoriant. I get 2x 120mg DHC Continus daily and 10mg diazepam daily (weekly pick up) for maintenance to keep me off heroin and i swear sometimes the combo of DHC + diazepam feels almost better than heroin itself. Tramadol really is a shitty drug i think that drugs like Tramadol will become more of the norm and doctors.will be encouraged to prescribe them instead of more enjoyable opioids to mitigate the risk of dependence. We.cant have the patients ENJOYING their medications now can we!?

 

[ChemicallyEnhanced]

I feel the same about dihydrocodeine being way stronger than tramadol both as an analgesic and euphoriant. I get 2x 120mg DHC Continus daily and 10mg diazepam daily (weekly pick up) for maintenance to keep me off heroin and i swear sometimes the combo of DHC + diazepam feels almost better than heroin itself. Tramadol really is a shitty drug i think that drugs like Tramadol will become more of the norm and doctors.will be encouraged to prescribe them instead of more enjoyable opioids to mitigate the risk of dependence. We.cant have the patients ENJOYING their medications now can we!?

Oh, totally. Getting to take a benzo with my DHC is heaven!
I'm prescribed the same dose but I get the 30mg instant release tablets.

 

[Wilson Wilson]

I got the same thing from oxycodone. I think high dose opioids in general mess up your vision.

Like others have said though high dose tramadol is a bad idea for the seizure risk. Agreed with @ChemicallyEnhanced and @Phaelyon that DHC is better for pain, more euphoric, and doesn't cause seizures. I have been scripted the regular generic 30mg instant release and the DHC Continus 120mg, both lovely.

 

[Phaelyon]

I got the same thing from oxycodone. I think high dose opioids in general mess up your vision.

Like others have said though high dose tramadol is a bad idea for the seizure risk. Agreed with @ChemicallyEnhanced and @Phaelyon that DHC is better for pain, more euphoric, and doesn't cause seizures. I have been scripted the regular generic 30mg instant release and the DHC Continus 120mg, both lovely.

Yeah DHC is a personal fab of mine. I prefer it to morphine and oxy but not hydrocodone. My top opioid list would be as follows:
1. Palfium ( Dextromoramide)
2. Diconal ( Dipipanone + Cyclizine)
3. Oxymorphone
4. Heroin
5. Hydrocodone
6. Dihydrocodeine
7. Hydromorphone
8. Morphine
9. Oxycodone
10. Fentanyl

 

[Wilson Wilson]

Yeah DHC is a personal fab of mine. I prefer it to morphine and oxy but not hydrocodone. My top opioid list would be as follows:
1. Palfium ( Dextromoramide)
2. Diconal ( Dipipanone + Cyclizine)
3. Oxymorphone
4. Heroin
5. Hydrocodone
6. Dihydrocodeine
7. Hydromorphone
8. Morphine
9. Oxycodone
10. Fentanyl

Never had the pleasure of trying many of these myself, would love to have tried Palfium and Diconal but I'm too young to have been around for them. Others are either very rare or only used in the US so never had the opportunity, e.g. hydrocodone, hydromorphone, or oxymorphone.

But out of the opis I've done my favourites are:

1. Morphine (Oramorph especially)
2. Dihydrocodeine
3. Oxycodone (yes, oxy below DHC for me!)
4. Codeine
5. Kratom

Wouldn't even put tramadol or tapentadol on the list at all, both shit.

 

[Phaelyon]

Never had the pleasure of trying many of these myself, would love to have tried Palfium and Diconal but I'm too young to have been around for them. Others are either very rare or only used in the US so never had the opportunity, e.g. hydrocodone, hydromorphone, or oxymorphone.

But out of the opis I've done my favourites are:

1. Morphine (Oramorph especially)
2. Dihydrocodeine
3. Oxycodone (yes, oxy below DHC for me!)
4. Codeine
5. Kratom

Wouldn't even put tramadol or tapentadol on the list at all, both shit.

Yeah i never could understand why tramadol was popular I can barely feel any change in mood taking 400mg beyond a creeping sense of dysphoria. Our brain chemistry must be different to all those tramadol aficionados man! i've tried dikes and palfs a lot in the early 90s mostly from pharmacy erm "liberations" though a close friend was scripted diconal and dexedrine right up until he died in 2000 from lung conplications. All those years of him banging up dikes caught up with him. Tried oxymorph and hydromorph in Florida when i lived there for a whjle with my gf. Though my list is fairly arbitrary lol I live in Northern Ireland so we've the same.opes on offer as the rest of the UK. I love oramorph too , more so than napp 100s , its cuz lf.how rapid it kicks it that you get a rush of it..plus its not a controlled drug at certain concentrations so not subject to storage, dispensing and prescribing rules that other CDs are. Now alll the online pharmacies that were selling the DHC 30s are closed down I feel bad for the folks strung out on them. I doubt many of their GPs were willjng to script them 30s considering they'd went behind their GPs back in the first place. I've always found direct honesty is the best policy with my GP anyway.

 

[ChemicallyEnhanced]

Hey if you get the IR 30s then you could do a very simple reaction to get dihydromorphine at yields of 95% +

1. reflux DHC and HCL (1g per 30ml) for 100hours
2. let cool to room temp and filter
3. basify to pH 9.1 with ammonia to precipitate DHM freebase
4. then either...
a)filter precipitate and wash with acetone.
b)extract with toluene, evaporate and wash with acetone.

( the reaction can be completed in 26 hrs rather than 100hrs if you use 5% Boric Acid as a rate enhancer)

Thanks! I'll be fucking Ecstatic if this works.
Where can I get those things from, though?

 

[ChemicallyEnhanced]

Never had the pleasure of trying many of these myself, would love to have tried Palfium and Diconal but I'm too young to have been around for them. Others are either very rare or only used in the US so never had the opportunity, e.g. hydrocodone, hydromorphone, or oxymorphone.

But out of the opis I've done my favourites are:

1. Morphine (Oramorph especially)
2. Dihydrocodeine
3. Oxycodone (yes, oxy below DHC for me!)
4. Codeine
5. Kratom

Wouldn't even put tramadol or tapentadol on the list at all, both shit.

I think I'd rank them:

1) Morphine (IV)
2) Diamorphine/Heroin (IV)
3) Morphine (oral)
4) DHC
5 Oxycodone
6) Fentanyl
7) Codeine
8) Methadone
9) Tramadol
10) Buprenorphine
11) Kratom (plain just did not work for me)

Same as Wilson, being outside the U.S. I've never had the chance to take - but would love to! - Hydrocodone, Oxymorphone or Hydromorphone.

 

[Wilson Wilson]

Yeah i never could understand why tramadol was popular I can barely feel any change in mood taking 400mg beyond a creeping sense of dysphoria. Our brain chemistry must be different to all those tramadol aficionados man! i've tried dikes and palfs a lot in the early 90s mostly from pharmacy erm "liberations" though a close friend was scripted diconal and dexedrine right up until he died in 2000 from lung conplications. All those years of him banging up dikes caught up with him. Tried oxymorph and hydromorph in Florida when i lived there for a whjle with my gf. Though my list is fairly arbitrary lol I live in Northern Ireland so we've the same.opes on offer as the rest of the UK. I love oramorph too , more so than napp 100s , its cuz lf.how rapid it kicks it that you get a rush of it..plus its not a controlled drug at certain concentrations so not subject to storage, dispensing and prescribing rules that other CDs are. Now alll the online pharmacies that were selling the DHC 30s are closed down I feel bad for the folks strung out on them. I doubt many of their GPs were willjng to script them 30s considering they'd went behind their GPs back in the first place. I've always found direct honesty is the best policy with my GP anyway.

You know your shit man!

It's funny with tramadol I used to like it in my uni years, but it was the first opioid besides codeine I ever used. Once I tried DHC, then oxy, then Oramorph I lost all appreciation for tramadol even after a long tolerance break. Never gotten high off it since. Just makes me shaky and gives me brain zaps.

I'm scripted Dexedrine for ADHD but honestly I'm such a downer guy I just use it as prescribed.

Oramorph is lush, as you say it's absorbed nice and quick. And yeah the regular 10mg/5ml concentration is not controlled. Only the 20mg/1ml concentration is but that's rarely used outside of hospitals anyway. So many GP's are happy to script Oramorph more than other forms of morphine just because it's not technically a CD, it's a nice loophole. I also like Zomorph though despite it being XR, but the XR is easy to bypass anyway.

Yeah I feel bad for those left high and dry when the online DHC scripts all got shut down. I think some would have been able to at least get a taper being honest with their GP, because to be fair it wasn't illegal, it was legit pharmacies and legit scripts. If you say yeah I was using an online pharmacy to get private prescriptions but they aren't allowed to prescribe anymore, I can imagine a good GP being sympathetic. Wouldn't expect a repeat script but a taper yes.

 

[Wilson Wilson]

Where can I get those things from, though?

Soz to have to be a buzzkill and put on the mod hat in this convo but discussing where to source agents to synthesise controlled drugs isn't allowed, I'm sure you can understand.

 

[ChemicallyEnhanced]

Soz to have to be a buzzkill and put on the mod hat in this convo but discussing where to source agents to synthesise controlled drugs isn't allowed, I'm sure you can understand.

I get it. There's always google lol.

 

[Phaelyon]

I'm scripted Dexedrine for ADHD but honestly I'm such a downer guy I just use it as prescribed. Wow you get dexies for ADHD!? That must've taken you through a lotta hurdles to get dexedrine as an adult. Cuz in the UK they generally stop prescribing stimulants for ADHD once the patient turns 18 with the mistaken belief that they "grow out of it". I'm guessing thats a private script and not a GP script?

 

[supersonic89]

Guys, I'm very envious of you. In my shitty country the only opioids you can get are Tramadol, Tapentadol and some crappy Codeine Cough Syrup. Incredibly here Tramadol is prescribed to cancer and terminal patients. What a joke.

 

[Wilson Wilson]

	Wow you get dexies for ADHD!? That must've taken you through a lotta hurdles to get dexedrine as an adult. Cuz in the UK they generally stop prescribing stimulants for ADHD once the patient turns 18 with the mistaken belief that they "grow out of it". I'm guessing thats a private script and not a GP script?

Things have changed in recent years and adult ADHD is now officially recognised as a separate condition. All the major ADHD meds - Ritalin, Vyvanse, and Dexedrine - are scripted for it.

If you have ADHD as a kid you need to be assessed again as an adult to see if you still have symptoms since adult ADHD is seen as a separate condition, but as long as you still have symptoms they can keep scripting you the same meds.

The main bottleneck is the lack of resources given to it. As you can imagine adult ADHD is not a priority for the NHS. Adding to that, you need to see not just any psychiatrist, but one who is an ADHD specialist. Waiting lists for psychiatrists are long enough already so this adds up to waiting lists of up to 5 years for adult ADHD and this is why dex remains such a rare script.

So yeah I got my dex script from a private psychiatrist to skip the waiting times, but then I got it transferred over to my GP on the NHS, which was a smooth process.

I helped a few of my mates do the same using online psychiatrists (much cheaper than normal private psychs), they now have the same script. The NHS has tightened things up a bit when you transfer it over, so the GP usually has to bring it to some committee to cover their arse before accepting the script, but usually they will let it through especially if it's Vyvanse (Elvanse is actually the trade name in England, or Tyvanse in Ireland). The NHS likes Elvanse because of the time release that you can't beat without doing some actual chemistry since it's a prodrug not just a normal slow release pill. Dex is harder to get but you can get it, you just need to try the time release pills first.