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Opioids I felt the need to share this. DXM, Diphenhydramine and Opiate Withdrawal

froglegs

Greenlighter
Joined
Sep 16, 2012
Messages
21
Hi, this is my first post here. I never really felt the need to create an account as I never really had anything to say. This all changed earlier today.

First a little about me. I'm legitimately prescribed 150 10mg/325mg norco each month for a back injury that I simply haven't had the time to get operated on. This happened roughly 3 years and all was well for the first year. Then I'd have a bad day and take a few extra to relax... and... well... I'm sure you all know how it goes from here.

The last year and half the following pattern has persisted. Get prescription filled (this time I'm going to be strong and only use 4-5 a day so I don't run out early). The first 3 days are great. Then I start chasing that high and within a week I'm back to using 15 a day. 10-15 days later... wtf happened? This was supposed to be it. That's it, I'm never touching this shit again.

I know what I have coming. A seven day all expenses paid trip to hell. I take my last dose even though I know I won't enjoy it. All I can think about is what's to come. 6-8 hours later my nose starts to run. The profuse sweating begins. Next I start to feel that growing inferno in my stomach. As if Hades has taken residence in my abdomen. I'm freezing cold and burning hot at the same time. Put a blanket on it just exacerbates the putrid heat. Take the blanket off and I feel naked outside on a cold winters day. The vomiting and diarrhea are as relentless as an addict looking for his next fix. The mental anguish... knowing that the worst is still to come. I lay down to get some sleep. It is difficult to describe the horror that is opiate RLS. I am exhausted as if I had not eaten in 10 days yet my body constantly taunts me to move. "Move your arms, legs, get up and stretch, jog in place" it says. "I am so completely exhausted, I just want to rest." But it shows no mercy. The depression... oh the depression. My little brother was killed by a drunk driver a few years ago and every time I go through withdrawal the depression reminds of how I felt after my parents told me what happened. An all encompassing feeling of utter doom. As if your life as you know it is completely over.

Sure enough though, these symptoms begin to vanish. The first week after the symptoms subside I have an optimistic attitude toward life. I feel like I can beat this. I start hanging out with friends again. Exercising and playing sports. I feel like I'm in the clear. Then without fail, an indescribable urge to use overcomes me. As a wild boar instinctively runs for its life when chased by a lion, I call in my prescription as if my very existence depended on it. Nothing else matters. The vicious cycle repeats.

Fast forward to last night. In an attempt to get the most out of my last few pills I decided I'd try to potentiate them with DXM and diphenhydramine. About 1 hour before using I took therapeutic doses of both (30mg of DXM and 50mg diphenhydramine). I took my pills and waited. 30min went by and I didn't feel much. "That's odd" I thought. "I'm usually feeling something by now". It took about an hour before I started feeling anything and it went away fairly quickly. "Fuck it" I thought and I took the remainder of my pills (a dose that would normally have my flying high). I sat there and waited... and waited... nothing. "Potentiates my ass, what a fucking waste of pills" I thought. At this point I figure I'll try to get as much sleep as possible because I know I won't sleep 5 minutes in the next week. To my surprise I sleep for a full 10 hours. "That's odd" I'm thinking. Normally I'd be in pretty bad withdrawal right now. I feel a little sweaty and warm but that's about it. "The DXM must have slowed my metabolism of the opiates, guess it's just gonna hit me a bit later". As the day goes on things aren't getting worse but slightly better. Here as I type it's been 24 hours since my last dose and the only symptom I have is mild discomfort due to light sweating.

The reason I bring this up is because I've been through this exact withdrawal at least 15 times. Every single time by the 24 hour mark I'm in full blown, crawling out of my skin, hot/cold, debilitating depression, nausea/vomiting/diarrhea. The mild discomfort I'm feeling now is so far from what I was expecting that it's simply mind boggling. Now perhaps the DXM is only delaying the inevitable. If this is the case I'll be paying the piper in the next day or two. However, I don't see how this could be the case considering the different mechanisms of action between opiates and DXM. There should be no cross tolerance between the two drugs. Regardless of what happens, I feel there is something to this. It might also be worth a mention that DXM has a much greater effect on me than most people due to an enzyme deficiency. 90mg of DXM has me pretty out of it which is the reason I only took 30mg to potentiate.
 
Welcome to Bluelight!

Did you have a question related to harm reduction?
I've never had much/any luck using dextromethorphan with opioids, I think it's way too dirty a drug to be a good potentiator.
 
Not sure if you read my whole post or not. It is a bit long so I can't blame you if you didn't. Anyway, my point was that although the DXM did nothing to potentiate the opiate (quite the opposite actually), I'm not in withdrawal right now (nearly 25 hours after my last dose). I've gone through this at least 15 times so I know what I should feel like right now. I'm usually in full blown withdrawal by now. I've actually gotten slightly better throughout the day. Right now I'm feeling nothing more than slight discomfort from light sweating. I'm not sure if it was the DXM, the diphenhydramine or a combination. Maybe in addition to something I ate. Something is very different this time around though.
 
I did read the entire post, it's not that long and I didn't see any questions.

I'm guessing that you're wondering if other people have experienced relief from WD by using DXM when they blow through their script too fast?

I sure haven't. It's interesting though.
 
Froglegs,

Welcome! I read your post and can relate to much of what you said.
I've not had experience with DXM, but withdrawal, YES.
Maybe you should consider starting a blog? That way you can sort of keep track of what's happening (I find it difficult to remember dates, details, etc...) and you can write as much as you want :) I, for one, would subscribe :)
It'd be cool for you to document the withdrawals this time around...and have something to refer back to. It may help others too!
 
^I agree, while this is blog material, not OD, he's a Greenlighter and they don't get to access the blogs feature until Bluelighter status at 50 posts.
 
^I agree, while this is blog material, not OD, he's a Greenlighter and they don't get to access the blogs feature until Bluelighter status at 50 posts.

Totally forgot about that- thanks for correcting me, Tricomb my friend :)
To Froglegs- sorry if I caused you any wasted time trying to start an impossible blog lol!
 
Totally forgot about that- thanks for correcting me, Tricomb my friend :)
To Froglegs- sorry if I caused you any wasted time trying to start an impossible blog lol!

Not a problem. I've been keeping tabs on my withdrawal experience each time I go through it. This is why I felt the need to make this post. I know beyond a shadow of a doubt that something is very different this time around. I'm hoping I can figure out what it is and it can help others. Going on 30 hours now and still feel fine. Even my energy levels are fine. I realize we are all very different and what works for some of us will not work for others. I feel if even one person can benefit from this then it was well worth my time.
 
Not a problem. I've been keeping tabs on my withdrawal experience each time I go through it. This is why I felt the need to make this post. I know beyond a shadow of a doubt that something is very different this time around. I'm hoping I can figure out what it is and it can help others. Going on 30 hours now and still feel fine. Even my energy levels are fine. I realize we are all very different and what works for some of us will not work for others. I feel if even one person can benefit from this then it was well worth my time.

I agree 100%. Just out of curiosity, are you documenting electronically? If so, you could use the material for a future blog here. We're glad to have you here and wish you the best of luck during this hideous (or maybe not so much??) time.
Cat
 
I hope you feel fine in the morning. For me, going 24 hours without opioids is easy, but 48 is when it really sets in, with full force by 72 hours or somewhere between the two.
 
I hope you feel fine in the morning. For me, going 24 hours without opioids is easy, but 48 is when it really sets in, with full force by 72 hours or somewhere between the two.

yeah that pretty much me. except i would say at 36 hours i can notice a big difference.
 
Yeah me too. I will never forget the first time I went through serious withdrawals after becoming dependent on medication. I had some inkling I might experience some discomfort but I was confident I'd do fine when after 24 hours, I felt no discomfort ...other than simply wishing I weren't out of meds.
But WOW, after the first 2 days I really started feeling like shit and it only went
downhill :( I was absolutely devastated and had no idea how bad it would be.
I would really love to hear our new friend is still doing well.
Please let us know how today is! !
 
Still feeling fine. Slept great last night. No RLS. Very mild runny nose when I woke up this morning that went away after I started moving around. Was able to eat a full breakfast without any problems. No diarrhea, vomiting/nausea to speak of. Like I said before, I've been through this exact same scenario at least 15 times so I know what withdrawals are like, what to expect and when certain symptoms usually set in. The only difference this time around was me trying to potentiate my last dose with DXM and diphenhydramine. Really strange.
 
Froglegs, this is great news! Please keep this thread going and let us know if you continue to do well. how long until you get your next prescription? I think I remember you mentioning that you ran out early and your first post?
Also wondering if you're using anything at all to stave off withdrawals??
 
Froglegs, this is great news! Please keep this thread going and let us know if you continue to do well. how long until you get your next prescription? I think I remember you mentioning that you ran out early and your first post?
Also wondering if you're using anything at all to stave off withdrawals??

Yeah, I ran out a couple weeks early like I always. do. Also, not using anything to stave off the withdrawals because there are none (at least none so far). Usually when I go through withdrawal I try to get my hand on a benzo of some sort. Other than that, I don't have access to anything else. If anybody else has experienced anything similar or had any occasion where they simply didn't go into withdrawal when they know they should, I'd be very interested in the details. I'm going to try to come up with some theories in my free time.
 
Frog, if you intend to pick up another script of norco I would suggest looking into using cimetidine or white grapefruit juice as DXM and Diphenhydramine are more for increasing the "nod" and not to chemically potentiate the opioids. I highly suggest looking into this as it may help you use fewer hydrocodone will getting similar effects.
 
That's very interesting, I think it must have something to do with levomethorphan being an opioid.
Frog, if you intend to pick up another script of norco I would suggest looking into using cimetidine or white grapefruit juice as DXM and Diphenhydramine are more for increasing the "nod" and not to chemically potentiate the opioids. I highly suggest looking into this as it may help you use fewer hydrocodone will getting similar effects.

Yeah but then soon you need to take multiple things to get the same effects as you originally did with hydrocodone alone. I can understand people using these potentiators for recreational use but I cannot imagine having to do all that stuff daily as a pain patient.
 
Just wanted to give an update. It's been a few days now and I still feel fine. No real withdrawals to speak of. I feel like I'm in the clear (knock on wood). There is a strong part of me that never wants to touch another opiate. The back pain is easy to deal with relative to all the inconvenience of drug addiction. Unfortunately as many of you know, it isn't this easy. If I do get my prescription filled in a couple weeks I will inevitably end up in the same predicament I was in a few days ago. I will try to reproduce these results.
 
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