Day end - detox over
Hey Guys,
So I ended up taking a toxic drug combo by accident and went to hospital. Don't worry, this was in the UK so we have national health
...I got to experience first hand the true nature of the cuts and weekend A&E problems with our health service at the moment.
I thought I was going to die, first time round on the first night, and then 24 hours later after I'd been to and from the hospital once already and not got any better and actually got worse. Luckily my dad's a Dr and he talked me round and helped me out a lot to and from the hospital, even if he's not an A&E Dr.
On the night of Thurs 9th in the UK, I took a combo something like:
Kratom roughly - 7.5 - 10g
Morphine - tried to smoke about 30mg in a vaping cig, didn't really work
Amphetamine - roughly about 30 - 60mg or so
(I think 10-20mg memantine at the start of the day perhaps)
Heroin - roughly 30-50mg of 50-70% purity
Promethazine - 25mg
Loperamide - 4mg
Quinine - 300mg
Possibly some DHC and other bits and bobs
I then took some Codeine, maybe about 120-240mg, I can't remember. I took this roughly about 15 mins after the Quinine, and had been taking everything else slowly throughout the eve and was not overly buzzing.
I might have taken some Kava, and I also had been sniffing Theanine, vaping Nicotine, had taken some DLPA, Magnesium, maybe a Ranitidine, not sure. Maybe a tiny bit of Rhodiola, and some Tyrosine. I was feeling very productive and relaxed leading upto the Quinine/Codeine.
Later I took Naltrexone and Propranolol
The day before I had taken opium I think, I really can't remember now actually. The main thing is I was still processing some other drugs from the previous day too.
I must have then overloaded my liver with the Loperamide, Quinine, Promethazine, and possible Ranitidine interactions. I started to get these very powerful buzzes in my head, and when the Quinine first hit I felt a wave of unsteadiness and nausea across my body. I instantly knew with that that there was a problem before it had really settled in. You can kind of see oral dosage issues coming early as they generally take some time to kick in a full effect. Over time the rushing in my head became more powerful, and I was reading different drugs interactions online to know what to expect and perhaps how to counteract it. There was a severe risk warning for Loperamide and Quinine interaction, among other things between other substances. The risk was basically "very highly elevated levels of Loperamide in the blood" - which doesn't sound too scary if you're on 4mg lope. But the other opiates and other potentiators and drugs obviously played some role too. I got extremely worried that the next wave of buzzing that hit my head was going to be my last and I was going to pass out. I hadn't felt anything like that before.
I started nibbling on a Naltrexone tablet to ingest small amounts sublingually to try to lower whatever opiates were in my system, just so that it wasn't an opiate OD. But the buzzing continued. Then I started feeling problems with my heart.
Another interaction listed with the above drugs, can't remember which exactly, was something to do with electrolyte imbalance, low potassium, and irregular heart beats/cardiac arrest. I had a heart murmur in my teens due to messing around with bad E pills etc, my heart isn't exactly perfect. Anyways, the symptom is called "long QT syndrome". Pretty sure I got this too, and can be drug induced. I started nibbling on a Propranolol to deal with this.
So in the end I freaked out, took the full naltrexone, and started going into precipitated withdrawals. Something still wasn't right and I called the ambulance and spent the next 24 hours to and from A&E in the UK. The 2nd time I went back I had to deal with the true extent of the weekend waiting times in the UK NHS on the weekend. We have been having problems recently.
I was admitted for 3 days and diagnosed with:
-Mixed Overdose
-Gastroenteritis (my guts went into shock basically and I couldn't eat for over 3 days. This is largely the fault of the Naltrexone, but my gastric system is pretty weak anyways)
-Derranged LFTS (Liver Function Tests - this is basically the definition of a toxic drug interaction, your liver gets overloaded and can't process stuff fast enough so you get toxic levels of X or Y in your bloodstream that can affect your brain or other organs in different damaging ways)
-Hypercalcemia - possibly because I was eating a lot of Calcium Carbonate, but I had been cutting down. Likely that it's more to do with the drugs than the existing levels of Calcium, but I don't know. Possibly related to below.
-Hypokalemia - low potassium, causing heart issues I believe. Because I couldn't even drink water without being sick I couldn't retain any fluids and my electrolytes went out of whack. Not to mention the drugs effects on the balance of the body in general.
So I went to A&E on the first night, and basically got shouted at and left to sleep. Then went home with Dad. The next day I got worse, and they kept me for a few days to measure my blood, put me on a drip, and take other samples throughout. They basically left me to mend myself, but they gave me a saline drip, which was very important, and then potassium, also important. I just wish they'd given me the potassium earlier on. So I got liquids and perhaps that kept me alive, I don't know exactly how bad it was but I did believe I was going to die at 2 points. Pretty scary. The other scary thing was that they were basically powerless. They couldn't exactly give me anything considering the range of the combo.
I also later, the next day, started to go into Serotonin Syndrome. I couldn't keep my eyes open and my pupils were enormous. I was rushing all over, it was disgusting. The exact antithesis of having opiates my body. Not sure exactly how much this was due to the Naltrexone or due to the combo as a whole. I guess I can assume the Kratom and Amphetamine played a role here perhaps.
There's some more to the story, but I just lost some of it in my clipboard, and also that's enough typing for one day. It was 10 days ago, but still getting strength back. I will write a proper timeline of the days when I log back in later so you can see what this combo did and what taking naltrexone is like as a detox/OD tool...
Right now I'm off opiates, eating OK, and getting 7-8 hours sleep, so nearly back to normal. Still have mild Restless Legs, even after 10 days. Using a little Kava, Cannabis and Diazepam just to keep me sane, but will be off that this coming week. Going to visit my dying Godfather in Denmark in a few days, who's a biochemist and has bone cancer. We can have a good laugh at each other.
Will post again later/tidy this one up when I can
