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Opioids Worried about drug user.

U

Username69

Greenlighter
Joined
Dec 26, 2012
Messages
11
A friend is being prescribed several drugs for pain management. They are using opiates for pain management and benzos for panic attacks and depression.

Recently they have hallucinated things such as people or random objects. They have also hallucinated voices and feelings of people touching them.
My friend has also started to act slightly irrational in decision making, and is becoming more emotional every day.

I am thinking this may be due to me sharing marijuana with my friend as a substitute to painkillers, but I have also used the marijuana and have not experienced anything out of the norm.
My friend has contributed these effects to the marijuana, and has stopped using. However, my friend has not recovered... so I do not think it is due to the marijuana.

I am worried about my friend's health and would like to know if there any reason for my friend's change in mental state.
Also if there is anything I can do to help, or if there are any other dangers I should look for please tell me.

Also is it possible that I can convince them a second time to try marijuana as a substitute for opiate painkillers (If it's safe).

In case it is relevant, they are prescribed the following:
2 Opana ER 40 mg daily
2 Opana ER 30 mg daily
2 Methadone 75mg daily
2 Nucynta 75mg daily
3 Roxycodone 50mg daily
3 Clonopine 3mg daily

Also after looking over their prescriptions, I feel like they are taking too much for their condition. Are they being prescribed too many drugs for pain management?
 
Just to clarify, they are taking the following doses of these medications daily:

  • 140mg of Opana
  • 150mg of Methadone
  • 150mg of Nucynta
  • 150mg of Roxicodone
  • 9mg of Klonopin

Are those numbers correct? How is he taking 50mg of roxicodone 3x daily if roxicodone only comes in 15 and 30mg pills? Is it another formulation of oxycodone that he is taking or something?
 
Opana ER 40 mg twice daily
Opana ER 30 mg twice daily
Methadone 75mg twice daily
Nucynta 75mg twice daily
Roxycodone 50mg three times daily
Clonopine 3mg three times daily

Sorry... my bad.
 
^ Yea, so the amounts that I put were the total amounts for the day (24 hour period).

That is an enormous amount of opioids to be taking in a day, and I can't help but wonder if your friends hallucinations are very heavy nods. There are actually several recent threads about hallucinating on opioids. Here is one, and here is another.
 
I know from my own experiences when I have nodded to the point of OD'ing I have hallucinated some crazy shit. In regular nods too on occasion, though not to the same extent by any stretch of the imagination.

Although maybe the weed triggered some latent psych issues. Always a possibility. Everyones different.
 
That is a huge amount of opiates. Comparable to around a bundle or even a bit more of dope per day (10-15 bags). .


How bad is your friends pain because that definitely sounds like a recipe for extreme
Physical addiction. I don't understand how a pain patient is taking more than 200mgs of oxycodone/equalpotent opioids per day, unless of course they are getting really high from their dose, rather than just taking a dose to dull the pain/maintain a consistent chronic pain dose.
 
I'm actually surprised that they would be prescribed those other drugs on top of 150mg of methadone, since that's well into the blockade dosage range.
 
This kid is obviously prescribed this and just doesn't take all of his medications because it would just send him into withdrawal, but in reality how can a doctor prescribe all of these pills for daily use? Does he go to more than one doctor? Is that possible?

BTW, the amount of roxi's he would take would be enough for me to abuse and have fun with all day, but that with the OPANA?! that's crazy. I need a doc like that.
 
I know a pain patient up here in Canada that gets twelve 80mgs OxyContin ( I guess now oxyneo, musta been a rough transition) AND nine 40mgs oxys per day . Never asked him how quickly he moved to that dose but fuck, that is 1.32gs of oxy per day. Fucking insane if u ask me . He must be excited as fuck about the new generic , non-crazy abuse proof oxys that just got passed in parliament . I can't imagine the withdrawals he gets when out early . That's a hell of an addiction. and apparently he just pops em whole orally. No snorting or nothing, so it's Insane that he doses properly but doesn't abuse em via other ROA's.
 
duckbin said:
This kid is obviously prescribed this and just doesn't take all of his medications because it would just send him into withdrawal
Click to expand...

What do you mean about him not taking all his medications because it would send him into withdrawal? I would think that he would not take all the medications because it would send him 6 feet under.
 
Tommyboy said:
What do you mean about him not taking all his medications because it would send him into withdrawal? I would think that he would not take all the medications because it would send him 6 feet under.
Click to expand...

Haha yeah I don't think this is possible that a doctor would do this. Unless for some RIDICULOUS reason they wouldn't prescribe methadone ontop of opiates.
 
Likely there is an error in those dosages.

That or either he has the best or worst doctor ever, depending how you look at it.
 
duckbin said:
Haha yeah I don't think this is possible that a doctor would do this.
Click to expand...


I have to agree with you. I've been a pain management patient for over 25 years and there is no way in the world a doctor would prescribe Opana and Methadone (in my world). That's called "redundant". I do recognize that short-term opiods are called for in some instances but why in the world would you need it with those levels of ER meds? Also, it's very rare to have a mg dosage of ST close to the range of the ER's. They're meant to cover break-through pain or get you from one dose to another if the ER is wearing off before dose time. It just sounds a little shady to me but who knows. As I like to remind people, not only did every doctor out there not graduate number one in his class, there are plently out there in the bottom 1-2%. That doctor may have just ecked in. BTW, this isn't a SWIM deal is it?
 
This amount of medication must be for pallative care surely? the doctor should be sued if not. I cant imagine the withdrawal your friend would have to deal with at a later point. My question OP is what benzos are your friend using and at what doses? Benzos are infamous for causing emotional disturbanceas and impair judgement in some situations. Mixed with that many opiates and its a receipe for disaster.
 
^ 9mg clonazepam per day!

OP, I am worried too. Glad that you brought this here because your friend is on way too many drugs. It is clear that the doctor is using methadone as a "base coat" opiate, something he doesn't have to take throughout the day, the oxy and opana are clearly this doctors idea of breakthrough pain meds.

It is as if this doctor has only ever prescribed methadone alone and hasn't bothered to find out the problems that could come from someone using it is their main pain relief with other strong opiates mixed in!?! It's crazy! Most doctors who would review this would probably cut back one of those opana scripts, scrap the oxy all together and switch the methadone with a fentanyl patch. The amount of clonazepam is kind of high for the amount of opiates you are on. I would be very concerned for myself if I had to start this regimen at HALF of what your friend is taking.

For some people, opiates just make them emotional (usually when coming down, wd'ing) I personally get into a rage when coming down off oxy.
 
Doctor_Ew420 said:
^ 9mg clonazepam per day!

OP, I am worried too. Glad that you brought this here because your friend is on way too many drugs. It is clear that the doctor is using methadone as a "base coat" opiate, something he doesn't have to take throughout the day, the oxy and opana are clearly this doctors idea of breakthrough pain meds.

It is as if this doctor has only ever prescribed methadone alone and hasn't bothered to find out the problems that could come from someone using it is their main pain relief with other strong opiates mixed in!?! It's crazy! Most doctors who would review this would probably cut back one of those opana scripts, scrap the oxy all together and switch the methadone with a fentanyl patch. The amount of clonazepam is kind of high for the amount of opiates you are on. I would be very concerned for myself if I had to start this regimen at HALF of what your friend is taking.

For some people, opiates just make them emotional (usually when coming down, wd'ing) I personally get into a rage when coming down off oxy.
Click to expand...

For the record, the Opana ER is extended release and is usually a "base coat", as you say, pain medication. That's why I was saying there appear to be two of them along with a very high level of BT meds (Roxi). Way too much IMO.
 
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