opiates for pain

Aero how would you call panadeine forte anything other than "the usual suspects"? It is pretty much the only legit (bit of a stretch even calling 30mg codeine legit) pain relief doctors willingly hand out.

In my mind its shit for them to be so careful thanks to their licence, I thought they got into medicine to help others not just cover their own arse 100%. I fail to see any possible ramification of her giving me those, the LD50 of codeine to a completely opiate naive person is 800mg and theres only 600mg in the pack. I could do damage with the panadol but that is available by itself OTC. Fair bet if I ate the whole script of fortes AND valium the only reason I would need a hospital visit is the bloody paracetamol.

With you there drug_mentor.

I hurt my neck a few years ago, went to the emercengy room and all.

They sent me out with 5x 2mg valium's and a "get well" wish. I've been to the doctors numerous times when the problem has flared up and been told everytime to have some Nurofen plus (which doesn't work). This gets a bit frustrating when you're in the country and you have to wait a fucking MINIMUM of 3-4 weeks to see a doctor that doesn't bulk bill and doesn't fix your problem.

Pain management and the greater health system in my region really is beyong a joke. There is no pharm culture in my small town so I'm stuck with marijuana and OTC codeine.

@Drug mentor; it could be that your particular GP has stone for blood... but if the pain was emphasised then i don't understand why you were refused a script of panadine, unless your gp thinks that the diazepam's muscle relaxing properties will ease your back pain perhaps?

from experience i know doctors don't particularly like to script benzo's and opiates together no matter how weak, but sometimes its necessary... like for someone that has an ongoing anxiety disorder and then suffers an injury, or someone with chronic pain that develops insomnia.

But you're right, doctors are tight with opiates and when i did my knee i found that out. Actually the doctor i was seeing flat out denied my subtle request for endone and told me to find another doctor who will.... which was really good advise in the end.


@Leftwing, that hydromorphone dabble ended quick. Maybe the 32mg tablet would suffice? I was surprised that your GP started you on such a low dose considering what you were on previously. Does your doctor know the relative strengths of different opiates?

As my GP was writing my script he tells me, in an asian accent, that "you be careful" and "this like heroin". I had a little chuckle in my head, but also had a regrettable experience screwing around with the medication, which has reinforced the idea that jurnista will provide me with a non abusable, sufficient PM and ORT solution. But a part of me also wants to try morphine, which i've never had before, and i know he'll give it to me... after that heroin comment lol

@Sameria, weed and codeine is pretty alright, but yeah, that must be a hassle waiting to see a GP for so long... i guess city living does have it's benefits in that respect.

It is funny I thought about saying diazepam helped as a way to up my dose but thought better of it in the end. She never mentioned once that it could be helpful for back pain even, and it isn't like thats why I am on them so she wouldn't assume I knew that. I am aware myself it can be useful for that though.

She told me to take voltaren, I said I used to use voltaren cream and take fortes for this injury when I first did it and it flared up again recently. I said pharmacists treated me like a junkie when I bought N+ and told me to see a doctor so I had. She literally told me to stop taking the N+ as well. I didn't have TAFE today and figured I would get my script filled without mum knowing I went to the doctors, as I have not acquired clean urine yet.

I was thinking about asking for endone, knowing full well panadeine fortes wouldn't give me legit pain relief anyway, but her whole attitude as soon as I asked for my usual diazepam made me think better of it. I have been going to this place for well over a year, have been honest about my past substance misuse and as far as they are concerned I no longer use recreational drugs in any way, shape or form. I really don't see how a doctor can refuse fortes when requested, I mean to me that shows exactly whats wrong with the medical community. In my mind I should be in charge of my own treatments, it isn't unfair to expect me to consult a medical professional and get their opinion but at the end of the day it should be MY choice. The fact they have the right to flat out deny the most basic medication is a joke.

Well if it's strictly for fortes i don't see why she wouldn't perscribe it to you. The only thing she may be trying to avoid is giving you both the valium and the fortes together.

She doesn't care if you abuse OTC meds because it's not coming from her - IMO she only cares if you abuse meds she perscribes. Again going on the license issue etc.

That's the sad thing about it. She's a fucking medical professional who has trained for years to be in that position. She shoud know full well how much of a negative impact pain can have on your life.

You know something is wrong when the doctor doesn't treat their patient to the appropriate standard because they are scared of the consueqences to themself.

Leftwing, that hydromorphone dabble ended quick. Maybe the 32mg tablet would suffice? I was surprised that your GP started you on such a low dose considering what you were on previously. Does your doctor know the relative strengths of different opiates?

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the doc gave me the box and said start with 8 and up it as needed each day by one tablet. at the moment i'd rather stick to what i know is going to work, well manage as well as possible. i could have given it a couple of weeks to really give it a fair rating but having to take 32mg of HM daily is still going to keep my opiate tolerance rather high in the long run.

if nothing comes up clinic/bupe dr wise between now and october 11 i have an appointment with a pain management doctor in brisbane who will be able to cater to my needs. this is after another pm doc just shut up shop in rockhampton not long before i had an appt made

As my GP was writing my script he tells me, in an asian accent, that "you be careful" and "this like heroin". I had a little chuckle in my head, but also had a regrettable experience screwing around with the medication, which has reinforced the idea that jurnista will provide me with a non abusable, sufficient PM and ORT solution. But a part of me also wants to try morphine, which i've never had before, and i know he'll give it to me... after that heroin comment lol

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haha yeah, my doc is from Iran so he's pretty aware of what i'm taking and all that. he's a pretty candid guy most of the time and has mentioned about how rampant heroin is back in his homeland. it wasn't until giving me the morphine script after just about every other common narcotic(pain killer wise, including fent) available in australia he really got serious with his talk about what he was putting me on.

Well yeah it was the valium and the fortes why she objected but it is still stupid, I am not benzo naive and panadeine fortes are still piss weak. She told me I could choose which I wanted, I mean to me thats fucked, if I go to a doctor with 2 medical problems I don't expect to have to pick one for her to treat I expect to get both treated.

She also really gave me a hard time about the valium like because I am only 20 I am not entitled to treat medica conditions? Please! If I wanted another lecture on that I would get another dog ambo to rat me in to my parents again.

I don't accept the licencing issue, in my mind thats just poor for mfor a medical practioner to be so caught up with that they don't want to hand out weak meds for basic medical ailments. I didn't go in asking for 24mg dilaudids and a bunch of hypnodorm. I don't see it as a licencing issue anyway because the fact is I could take the whole lot of both scripts at once and the only way I would be in any trouble is if I didn't CWE the fortes...

Sameria said:

You know something is wrong when the doctor doesn't treat their patient to the appropriate standard because they are scared of the consueqences to themself.

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Quoted for the motherfuckin' truth!

Thats just docs in general. They are unwilling to perscribe multiple things to young people, especially young males. I don't understand why she wouldn't do it if it was a one off, unless she thought you didn't need more valium.

IMO never be honest with a doc about abuse of drugs; just play the naive game, or just suggest to them a treatment that you've been reading about.

If not see a new doc - you might get one who will be more than willing to do so. I've left a few docs behind who i thought were counterproductive to my wellbeing.

It is a crock of shit to have to see a new doctor though because that bitch gets paid for treating me when in fact she refused to treat me. I would make trouble normally but I have a good thing going at that clinic and after hearing about a doc shoppers register I really don't want to get put on uneccessarily (if I am not already) and complicate things even further.

I only had time for one doctors appointment this whole week basically and it is wasted. I don't see why I should be punished for her ignorance or distrust. I don't think it's fair to say "thats just docs in general," they have a duty of care to help their patients not deny treatment. If she is really covering her arse to me that is appalling, I thought doctors were out to help others not themselves. They make a fucking good living off us, bottom line is she should give me the treatment I want, I am responsible for what goes in my body and it may be her informed opinion another course of action is best but I should get final say. Doctors who don't give the patient what they want without VERY good reason are on a power trip imho and just like jerking you around. Not to mention likely kickbacks from pharm companies to push their solutions.

Yeh you have the right to that, but a DR isn't going to agree with you. That's why finding a good DR is the key. Once you build a repore with them you can ask for this and that; if you don't have a repore with a DR asking for something will likely be flagged as 'shopping'.

DR's in general are there to treat you - perscribeing something is their last resort; and regardless they get paid.

The best way to find a good DR is to be recomended one by a pysch - Often they will email them on your behalf and thus give creedence to your claims. Now regardless of the fact that you need something a DR still might not believe you; that's just life.

So IMO don't settle for one GP, find one you really like; you wouldn't eat food you don't like, so don't get treated by a DR you don't like.

why would drug mentor need a psych to refer him to a doctor for pain relief? if he were having psychiatric problems then sure i agree. they're not pain management specialists.

^^^ hey Leftwing, just using a basic opiate converter which says 32mg of HM a day is the same as around 130mg of morphine a day(both orally)... does that seem accurate? Anyway, yeah i appreciate having knowledgeable discussions with a GP. It really does show that they have you in their best interests, and they're not just going through the motions to get you back out the door for the next patient.


@Drug mentor; considering your age you have plenty of time to find a GP that you're satisfied with, and plenty of time to build a good relationship. Also, because you're 20 I know that it's going to be a bit harder to get prescribed certain things than it would be for a 27 year old, thats just the way it is. If you're persistent enough you should be taken seriously and age shouldn't be too much of a factor though.

As for the doctor shopping register... well i had a glance at the criteria some time ago as i was a bit worried too, and as far as i'm aware you need to have seen 6 or more different GP's within a 3 month period, which gets updated monthly, to even be identified... and even if one was on it, you'd have to be identified by a suspicious doctor for it to be relevant, and for you to get in shit... so if i'm not mistaken, one could hypothetically see 7 GP's in a week, and as long as one doesn't get any authority scripts that clash and doesn't piss any doctor off to the point where he/she goes through the hassle of using the register, then there would be no alarm bells. I'm not 100% sure on that and i don't want to encourage that kind of hypothetical example, but i'm pretty sure you have to be really reckless to get flagged.

leftwing said:

why would drug mentor need a psych to refer him to a doctor for pain relief? if he were having psychiatric problems then sure i agree. they're not pain management specialists.

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Sorry should of said specialist.
But yeh they can really help build relationships with new DR's.

Just wondering has anyone ever tried to IM OC's before? Is it prepared in a similar way to IV? Dont really want to go down that path at all. Also just out of curiosity how would one make rackable powder out of morphine vials? Same method as K? Just evaporate?

I have excruciating pain with my wisdom tooth that re-appears every 2-3 months or so and codeine (CWE 700mg) does virtually very little. My tolerance to codeine, h and oxys are ridiculous.

Sustanon said:

Just wondering has anyone ever tried to IM OC's before? Is it prepared in a similar way to IV? Dont really want to go down that path at all. Also just out of curiosity how would one make rackable powder out of morphine vials? Same method as K? Just evaporate?

I have excruciating pain with my wisdom tooth that re-appears every 2-3 months or so and codeine (CWE 700mg) does virtually very little. My tolerance to codeine, h and oxys are ridiculous.

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Get those dam things removed. Mine destroy me daily and i can't wait to get em pulled. Possible that you could have an infection - it's pretty common with wisdom teeth, so antis would be more effective. Oc's will only treat not cure, why not save them for pleasure?

Get to the dentish IMO worth the pain/cash for the relief once it's over.

I am not really in enough pain to warrant the effort to going to all the pain management processes, I mean honestly it isn't THAT bad I just wanted a little something to take the edge off and I am just annoyed she had final say and denied me for a silly reason. The truth is that a packet of fortes probably wouldn't last long before I chucked them in a CWE because they are pretty useless anyway, but the only reason I didn't ask for endone or ultram (not to abuse) given that I have an opiate tolerance is because of her shitty attitude as soon as I asked for my usual valium.

She isn't my usual doctor but I have seen her atleast once before and it is the same practise as my regular guy, he just wasn't there yesterday.

Sublimit cheers for the info on the doc shopping register, I wonder how long someone stays on for after being put up? I don't think diazepam is an authority script without repeats but I am not certain, I may have fit the criteria you listed when I was abusing a lot more benzo's but as I was using benzo's so often it can be hard to recall! haha.

Sustanon I am not a needle user as you know, from what I gather to prepare OC's for injecting you wipe the coating off with a damp tissue or alcohol swab, crush the tablet once the wax has been removed, add water (not sure how much but I believe with pills you want a larger than normal syringe, as you would be IM'ing you probably have that covered anyway) and then draw it up through a micron filter. It would definately be unwise to shoot any pills that weren't filtered using a micron filter. I don't think you want to heat the mixture because it increases solubility of binders and shit which you don't want.

Check out this link http://www.fda.gov/ohrms/dockets/ac/08/slides/2008-4356s1-05-Purdue.pdf if you go to page 43 you will skip all the boring shit. As of July 1st they are reformulating oxy so they will be much harder to abuse, these new pills may take longer to arrive to Australia I am not sure. Considering these pills will be nearly impossible to inject it might not be wise to pick up a needle habit now since you have avoided doing so thus far, once OC is no longer injectable you may find yourself more tempted to move to other substances.

Sustanon said:

Just wondering has anyone ever tried to IM OC's before? Is it prepared in a similar way to IV? Dont really want to go down that path at all. Also just out of curiosity how would one make rackable powder out of morphine vials? Same method as K? Just evaporate?

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never IM'd oxycodone before, but i'd imagine you'd want to prepare it like an IV shot, and i wouldn't bother unless i had a wheel filter. I was once administered 10mg of diazepam(by a doctor) IM and it hurt like hell and felt like i had a dead arm for weeks.

with the morphine, I know that it is sensitive to light, and to a degree, heat too. to what extent i'm not sure, but i've tried evaporating oxycodone a couple of times... around 100mg of oxy in 5ml of water, let it sit in a pyrex container under a warm fan heater, and also tried placing it carefully on top of a wood fire making sure it doesn't get too hot by raising it further with a coffee cup. Both times i reduced the oxy solution to around a ml and didn't notice any degradation.

But if one had morphine vials, then one should feel blessed by it's current state

Sustanon, I wouldn't IM anything you got out of a pill that is asking for trouble.

That reminds me, the other day I was in my psych's office and saw a guy with a whole chunk removed from his arm, I was wondering if he had a really bad abscess removed or something but I could see the muscle and bone moving underneath it was fascinating and disgusting at the same time.