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Opioids Which opiate/opioid would you choose if you could have any? Please advise

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ColoradoBoy90

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Aug 12, 2015
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I'm going back going back on pain meds.... Here are choices.... I kinda wanna try codeine:

.1) Vicodin 7-9 times per day (10mg) I dunno why they give me such a high dosagss probability cause I used them for years.
2.) Tramadol 50mg 8x daily.
3.) Oxycodone IR, 15 mg 3-4 times a day.
4.) Hydromorphone , 4mg tablets 5 times a day. (This was the most potent pain killer of all I tried)
5.) Oxymorphone, 10mg tablets 4 a day.
6.) Morphine 10mg IR 4 times a day.
7. Tylenol 4 (60mg of codeine) per tablet, 4-6X a day.
I have tried ALL the meds besides codeine, besides a couple times (it was my first opiate ever mixed with promethazine and if made he feel good. If started my pain killer addiction. What I WANT? Is to feel numb, emotion wise. I'm too emotional that I'm depressed and suicidal.... Which med is strongest in blocking emotions? Don't judge just PLEASE ANSWER.

ALSO: I can't find an accurate codeine calculator. One said like 200mg is equal to 60mg of hydro, I was like no way.....So if I take 60mg X 6 daily that's 300mg codeine. I'm trying to take the weaker ones, but I also want them to numb my emotions. So what do you think about trying 60mg codeine pills, 4-6X a day as break through med?? Of course I would take an Er med to, I juSt want opinions.
 
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Oxycodone er 3x a day and Oxymorphone 4x although I would iv the Oxymorphone when I used it, but due to having the longest half life of 7-9 hours out could be very useful for breakthrough while hydromorphone would be best if you wanted a shorter effect for breakthrough if they cause you to become overly sedated. The other good options for breakthrough with oxycodone er or even Hydrocodone we would be codeine 4x, Morphine 4x, or hydromorphone 6x. Really though you'll need to experiment as the Morphine based compounds barely absorb orally so they require quite large doses in comparison to codeine formulations that metabolize orally well,which is why they commonly lead to the nasal/smoking then IV route leading to an out of control habit. Just be careful.

Codeine has no effect on it's own as it is just a pro-drug for Morphine so it has a limit to how strong it can get depending on your bodies ability to metabolize it into Morphine also delaying on set of effect, creating a fluctuation in dosage that's likely negligible yet worth mentioning, and is essentially roa abuse proof yet high doses can still be really intoxicating just the tylonal needs to be removed through a cwe and is not worth it.
 
We don't allow threads asking for drug recommendations. OP, it sounds like you need counseling for those issues if you're truly interested in helping yourself. Please seek help from a mental health specialist.

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