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Thread: Best way to treat missed IV shot of Suboxone

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    Best way to treat missed IV shot of Suboxone 
    #1
    Bluelight Crew sixpartseven's Avatar
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    Pretty much what the title says. A 1cc solution of buprenorphine/diphenhydramine was inteded to be shot in the foot. While injecting, he didnt notice any lump forming or any burning sensation indicating the shot was being missed. After removing the needle from his vein, a large lump formed. We assume its probably a collapsed vein that either caused blood to lump up, or the solution didnt make it in to the vein and somehow only began to lump after the needle was removed. Also, when the needle was removed, a significant amount of blood poured out of the vein on to his foot, enough blood to roll off the foot and leave quite a stain, lots more than what usually comes out when you remove a needle from a vein, leading me to believe even further that its just a collapsed vein.

    Any advice on what to do now or how likely it is that an abscess will form? I know the foot is a terrible place to miss a shot due to lack of fat and muscle, so its more likely an abscess will form, but how likely? Going to the hospital is going to be a last resort as of right now. Im assuming (and hoping) its just a collapsed vein, but any advice or comments are greatly welcomed. If it is a missed shot, how bad would it be to eventually just cut it open and drain it on his own? Hes had an abscess treated at the hospital before and knows roughly how to do it, and of course we wouldnt attempt it if we dont have the necessary equipment to be sterile.

    Also, if it is a collapsed vein, how harmful could that be? As I said, its a vein in my friends foot, one of the larger ones on the top of the foot.
     

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    #2
    OUCH!!!!! There's really NOTHING you can do once you miss a shot like that.......... Dosent sound like a collapsed vein is sounds like A COLLAPSED PLAN TO HET HIGH......... LOL
     

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    #3
    Bluelight Crew sixpartseven's Avatar
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    Sounds like a collapsed attempt to be funny.

    Please, if you dont have advice or anything intelligent to say, ignore this. This is kind of serious and Id appreciate serious responses.
     

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    #4
    Quote Originally Posted by IForgett
    Sounds like a collapsed attempt to be funny.

    Please, if you dont have advice or anything intelligent to say, ignore this. This is kind of serious and Id appreciate serious responses.
    LOL dont get mad cuz you missed YOUR SHOT BUDDY. It's NOT OUR FAULT ITS YOURS......................
     

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    #5
    Bluelighter eon_blue's Avatar
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    Ouch Not good...sorry to hear that happened.

    Best thing he can do for the time being is to run the area under hot water for a bit and then apply pressure with a hot towel.

    Afterwards he should definitely go out and get a topical antibiotic ointment to put on the area, like Neosporin or something similar.

    If it looks any worse in a couple days, get him to the doctor.
     

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    #6
    Bluelight Crew sixpartseven's Avatar
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    Quote Originally Posted by MethaContin
    LOL dont get mad cuz you missed YOUR SHOT BUDDY. It's NOT OUR FAULT ITS YOURS......................
    Im not mad, because I didnt miss anything. A friend of mine did. And no, its not anyones fault but his own, IF he even missed it. If you would have actually read through my whole first post and not come up with a stupid one liner based on what the subject line says, you would see the four million times where I said its probably a collapsed vein. And last time I checked Bluelight was a forum you go to to get information regarding drugs and minimizing harm when using them, which is exactly what Im trying to do right now. If you got a problem with that, Im sure there is a message board out there somewhere that lets you make not funny jokes about other peoples health concerns.

    Back on topic, eon_blue, thank you. That is good advice and Im gonna have my buddy do that.
     

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    #7
    i love the 'Friend of mine did' Excuse............... Its SOOOOOOO old..........
     

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    #8
    Doesn't really sound like a collapsed vein to me. Just sleep on it, they usually look a lot better by morning.
     

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    #9
    Bluelighter 'medicine cabinet''s Avatar
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    ^lol, touche IForgett....

    what was the shot like, ive shot suboxone before but never with benedryl in the same rig...was the solution thick and cloudy or anything? cause you have to worry about particulate being in the shot which will in turn get pushed into the muscle or areas around the vein.

    if the lump doesnt change in a few days i would prolly conisder doing a little explorative surgery...nothing crazy, but i would prolly cut into it a little bit using a sterile needle or something...see if there is anything built up like when an abcess starts to form, puss and any other discharge. obviously this isnt great advice or anything but its prolly what id do. if it seemed like there was going to be a nasty abcess id say fuck it and go to the ER.

    i dont know much about collapsed veins, but i would guess if the vein was collapsed you wouldnt have been able to get into it in the first place. form what ive seen collapsed veins are just that, collapsed...

    it just sounds like you missed the shot and have it under the skin on your foot...like i said tho, in a few days if its still the same size or ti starts to hurt, maybe check it out a little and if it looks bad, go to the ER.
     

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    #10
    May I ask why the foot was chosen as the injection site?
     

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    #11
    Bluelight Crew sixpartseven's Avatar
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    Quote Originally Posted by MethaContin
    i love the 'Friend of mine did' Excuse............... Its SOOOOOOO old..........
    Im not going to argue with you, but I dont have such a huge ego to where I cant admit that I missed a shot. Read through my other posts, Im sure youll find at least 10 where I talk about the many shots Ive missed. If you have anything else to say, you can direct those thoughts straight up your ass, unless its something relevant to the topic.

    Quote Originally Posted by xxanxxtwo
    May I ask why the foot was chosen as the injection site?

    The veins in his arm and hand arent usable. Its been a couple years of needle abuse and the only viable veins he has left are in his foot.
     

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    #12
    Quote Originally Posted by IForgett
    Pretty much what the title says. A 1cc solution of buprenorphine/diphenhydramine was inteded to be shot in the foot. While injecting, he didnt notice any lump forming or any burning sensation indicating the shot was being missed. After removing the needle from his vein, a large lump formed. We assume its probably a collapsed vein that either caused blood to lump up, or the solution didnt make it in to the vein and somehow only began to lump after the needle was removed. Also, when the needle was removed, a significant amount of blood poured out of the vein on to his foot, enough blood to roll off the foot and leave quite a stain, lots more than what usually comes out when you remove a needle from a vein, leading me to believe even further that its just a collapsed vein.

    Any advice on what to do now or how likely it is that an abscess will form? I know the foot is a terrible place to miss a shot due to lack of fat and muscle, so its more likely an abscess will form, but how likely? Going to the hospital is going to be a last resort as of right now. Im assuming (and hoping) its just a collapsed vein, but any advice or comments are greatly welcomed. If it is a missed shot, how bad would it be to eventually just cut it open and drain it on his own? Hes had an abscess treated at the hospital before and knows roughly how to do it, and of course we wouldnt attempt it if we dont have the necessary equipment to be sterile.

    Also, if it is a collapsed vein, how harmful could that be? As I said, its a vein in my friends foot, one of the larger ones on the top of the foot.

    EWWW and TELL YOUR FRIEND, DONT TRY TO REMOVE ABSCESSES, BY YOURSELF!!!!!!!!!


    EVEN WITH STERILE EQUIPMENT, IT WILL PROBABLY DO MORE HARM THAN GOOD..............
     

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    #13
    I see. The veins in your feet are prone to collapse/all sorts of problems. Do keep an eye on the situation....
     

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    #14
    Weird that he didn't notice any burning. It sounds like he left the tourniquet on and it leaked out...

    Anyway, he should apply a warm compress on the miss. That'll help with the absorption. After that, he could use some antibiotic cream. Tell him to keep an eye on it and if it gets worse after a few days, he should seek medical attention.
     

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    #15
    Bluelight Crew sixpartseven's Avatar
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    Quote Originally Posted by medicine cabinet
    ^lol, touche IForgett....

    what was the shot like, ive shot suboxone before but never with benedryl in the same rig...was the solution thick and cloudy or anything? cause you have to worry about particulate being in the shot which will in turn get pushed into the muscle or areas around the vein.

    if the lump doesnt change in a few days i would prolly conisder doing a little explorative surgery...nothing crazy, but i would prolly cut into it a little bit using a sterile needle or something...see if there is anything built up like when an abcess starts to form, puss and any other discharge. obviously this isnt great advice or anything but its prolly what id do. if it seemed like there was going to be a nasty abcess id say fuck it and go to the ER.

    i dont know much about collapsed veins, but i would guess if the vein was collapsed you wouldnt have been able to get into it in the first place. form what ive seen collapsed veins are just that, collapsed...

    it just sounds like you missed the shot and have it under the skin on your foot...like i said tho, in a few days if its still the same size or ti starts to hurt, maybe check it out a little and if it looks bad, go to the ER.
    Yeah, it was pretty cloudy. The way we prepped them was first dissolve the DPH (diphenhydramine) into a solution, filter a couple times, then dissolve 2mg suboxone in that solution, filter a couple more times. The lump has already gone down to about a quarter the size it was and looks like a huge bruise, leading me to believe it was a collapsed vein. Also, the vein was fine before the shot, but the needle was a small gauge and the vein wasnt very big, so when the needle came out or went in it must have caused it to collapse.

    We are considering "explorative surgery" if we feel its necessary.

    The thing that makes me think its ok is how quickly the lump got smaller and the fact that effects were felt immediatley after shooting, right before the needle was pulled out, which is definitley a good sign. Thanks for the advice.

    Quote Originally Posted by phrozen
    Weird that he didn't notice any burning. It sounds like he left the tourniquet on and it leaked out...

    Anyway, he should apply a warm compress on the miss. That'll help with the absorption. After that, he could use some antibiotic cream. Tell him to keep an eye on it and if it gets worse after a few days, he should seek medical attention.
    No tourniquet was used. The veins on his fit stick out very well without it.

    I have him with a warm compress on it right now. As I said, the size is going down, so, so far so good. We'll keep an eye on it, and before he leaves Im gonna have him put antibiotic cream on it. Thanks phrozen.
     

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    #16
    Veins don't collapse after one shot. It sounds like he either went through it, damaged it, or hit a valve.

    I'd advise against self surgery. It's not worth it. Just go to an emergency room or free clinic if it gets any worse.
     

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    #17
    Quote Originally Posted by phrozen
    Veins don't collapse after one shot. It sounds like he either went through it, damaged it, or hit a valve.

    I'd advise against self surgery. It's not worth it. Just go to an emergency room or free clinic if it gets any worse.
    Agreed, Self Surgery is GOING TO ONLY DO YOU HARM BUD..............
     

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    #18
    Bluelight Crew sixpartseven's Avatar
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    Quote Originally Posted by phrozen
    Veins don't collapse after one shot. It sounds like he either went through it, damaged it, or hit a valve.

    I'd advise against self surgery. It's not worth it. Just go to an emergency room or free clinic if it gets any worse.
    The vein has been used for the past few months. Its not a fresh injection spot. And I dont agree with self surgery either, he says if he has to, then he wants to, but Im advising against it.

    Quote Originally Posted by MethaContin
    Agreed, Self Surgery is GOING TO ONLY DO YOU HARM BUD..............
    Again, Its not me. Id have no problem admiting that I missed a shot, but thanks for your input anyways.
     

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    #19
    Quote Originally Posted by IForgett
    The vein has been used for the past few months. Its not a fresh injection spot. And I dont agree with self surgery either, he says if he has to, then he wants to, but Im advising against it.



    Again, Its not me. Id have no problem admiting that I missed a shot, but thanks for your input anyways.
    No I meant its only going to do harm to the SITUATION, Iam sorry for being a dick before................... Self surgery is like self mutilation..............
     

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    #20
    Bluelight Crew sixpartseven's Avatar
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    ^ its ok. Me too, its a frustrating situation and I over reacted.

    The only reason Im asking about this is because of how huge the lump was and the way it came about. It actually looked like 4 or 5ml of solution had built up under the skin, while only .6 or .7ml were used, and it only appeard AFTER the needle was pulled out. There was no burning and no development of a lump while shooting, everything occured afterwards, which makes me think it has to be a collapsed vein.

    Also, I just found out that this is a fresh injection site. He shoots in his foot, but hasnt touched this specific spot/vein in a couple months, but it has been used before.

    I dont know what to make of it. I guess time will tell. Thanks to everybody. Anymore replies are still welcome.
     

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    #21
    A collapse happens over time, it has to do with vein damage and how they heal. Over time they just "disappear," it's not like they go out with a bang.

    Like I said, the bruising is most likely caused from vein damage or hitting a valve. It's too soon to know whether the current damage caused a collapse or not. He'll have to wait until all the inflammation and bruising goes away.

    If it's collapsed or not, he should avoid hitting that vein for a few months at least.

    Edit: Did he register? Did he take the tourniquet off before before depressing the plunger?
     

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    #22
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    same thing happened to me (minus the benadryl) a week ago. Shot was in my hand. They do swell but if it is getting smaller, it is not an abcess, i have had one before, NO SELF SURGERY. go to ER and say it was a bug bite, if you are in the suburbs they will believe you. I did it in a major us city once and got a perc script for it
     

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    #23
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    BTW shooting in the foot is dangerous because of all the bacteria on your feet. Shooting sub sucks too i know from personal experience (unless mixed with midazolam)
     

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    #24
    Bluelighter SPUNK's Avatar
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    update? How long has it been since this happened, and what does the spot look like now?

    Is the lump sore? Is it really hard, like a knot?

    What I don't understand, is if the vein was collapsed, then blood shouldnt have registered when he pulled back on the plunger. Are you thinking that the vein collasped right as he was injecting.

    Only going on the information you've provided so far, it sounds like your buddy isnt going to need to start cutting his foot open (please dont let him do that) since the lump has already decreased in size significantly.

    Oh, and quick question to add: Deep bruising usually is NOT associated with an abscess, right? or wrong? I've never had an abscess, (halle-fucking-lujah) but i'm just wondering..
     

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    #25
    Quote Originally Posted by robatussin
    same thing happened to me (minus the benadryl) a week ago. Shot was in my hand. They do swell but if it is getting smaller, it is not an abcess, i have had one before, NO SELF SURGERY. go to ER and say it was a bug bite, if you are in the suburbs they will believe you. I did it in a major us city once and got a perc script for it
    LOL THATS PIMP!!!!!
     

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