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Opioids How to tell when too much is too much?

S

slidingforward

Greenlighter
Joined
Dec 28, 2013
Messages
19
So at times I take a fair bit of oxy(40-100mg) while I take roughly 40mg per daily ROA oral and have been for quite a while. What I am interested in knowing is what are the symptoms of an OD so I can recognize them and not push things any further.

I have done a little bit of googling and I have found plenty to tell when someone else is od'ing but not much to keep yourself safer. This would be more of a harm reduction approach since plans of stopping are really not good.
 
Realistically, all you can do is gauge your state of awareness. If you're drifting in and out of a nod, you're probably as close to that edge as you want to get. Experiment by starting with a low dose, and increasing it until you have a comfortable high but are still aware and ambulant.

And as some other threads have had to sadly point out, don't mix it with other drugs (especially downers like alcohol, benzos, etc). The vast majority of overdoses are from complications of combining opiates with other drugs, if you take it by yourself and you know what dosage you're consuming (ie. you aren't shooting impure random street heroin), then it's actually quite unlikely that you'll overdose unintentionally, relatively speaking.
 
No, its just pills so I know exactly how much is going in. My usual push is to where during the first hour I have trouble staying awake and leave it at that.

Once I was curious to see if it was possible to really get higher than my usual.... Started at 80 and then after an hour took 20 then another hour took 10 and then another hour took another 10. So only 20mg more than my previous highest.... Decided it was a waste since I noticed nothing different or better than the 40-80 range.... Oddly didn't get anymore tired.... Did wake up with a little hang over though. I did force myself to stay awake during the entire thing just because I am that paranoid of something going wrong and me being asleep for it.

From body signs I have noticed from that experience it would include almost unreactive pupils(constricted), very slow pulse but feels like high blood pressure, unable to urinate, and very poor memory recall.

I do take benzos at low doses but never within 12hrs of any notable dose of opiates. Notable for me is anything over 20mg. I do worry a little bit but in the situation of bad I am trying to lesson the bad. I might drink a beer... And literally a beer.... Like social event where everyone else is having some. Wine I avoid at all cost unless I know it's low alcohol content. If we are celebrating I might accept the glass of wine and have a drink at toasts but that's it.

As you can guess I am still fairly social and my actual opiate abuse happens mostly in my smaller group of friends or alone. I have made my gf read up on the overdose signs but can't venture there with my friends.

I know I am on a very slippery slope(my name) but will hopefully get off before the cliff at the end.
 
Crankinit said:
We all said that %)
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So far have managed to get off everytime. I never stay off a slide though. One day it will bite me... Today is not that day. Maybe in 3 months or maybe a year.... That's anyone's guess.

I do respect these meds for what they can do so am making a point to learning more about it to keep myself as safe as I can while doing unsafe activities.
 
For me, I feel like oxy hits a wall after a certain point. I have around the same tolerance and I can honestly say around 120mg is my tipping point from just enjoying myself to wasting very expensive pills. But your concern is being able to feel if you're in the dangerous part of od'ing. Some of the body signals I use to tell that I should stop are

Feet feel clammy
A stronger than usual feeling of lightheadedness
Dope talking (that form of speaking you use that is sort of like mumbling)
 
Good to know on some of the effects. I have run into the wall as you have. Some walls are meant to be pushed through and others are not/cannot. I probably won't push much but really because of keeping tolerance lower and I like being able to breathe.
 
Nausea and hiccups. Generally nausea though. With that kind of tolerance you'd have to go pretty far for it to be dangerous (without any other CNS depressants active). It's probably damn hard to OD on oxycodone if you don't all of the sudden double your ideal dosage, and you take it orally and by itself.

Your area postrema (vomiting center outside of the blood brain barrier) is pretty good at showing you when you've pushed it too far orally.


Do not take any other depressants.
 
lolwhatzdrugs said:
Nausea and hiccups. Generally nausea though. With that kind of tolerance you'd have to go pretty far for it to be dangerous (without any other CNS depressants active). It's probably damn hard to OD on oxycodone if you don't all of the sudden double your ideal dosage, and you take it orally and by itself.

Your area postrema (vomiting center outside of the blood brain barrier) is pretty good at showing you when you've pushed it too far orally.


Do not take any other depressants.
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Yeah, Oxycodone is really short acting, so you would know within an hour if anything was wrong, are these the pure oxycodone (Roxi) or the type that have acetaminophen in them? Im guessing its the 15mg or 30mg teeny tiny greenish/ bluish pills though. Ive taken alot of those, they are good but dont last long, and we were paying roughly $1 per mg...but this was back when they could be had easily, not so easy to get ahold of today, most have went to H now, all due to the damn new state laws regarding pill mills and doctor shopping..I guess they thought all those pill heads would just stop using altogether if they had problems getting their pills?!! LOL Yeah right!!

Concerning ODing, I partied one night with my GF at the time, she was taking roxi 30s, drinking wine, I was taking a crap load of methadone 10mgs, and drinking whiskey, we ended up fighting and yelling at each other in her driveway at 5am, I drove home, (not sure how I made it), I remember pulling in my driveway, and getting out of the car, I remember it was still dark and probably around 5:30am, but not sure what happened after that, I dont remember the next 3 hours, all I remember is suddenly waking up, or 'coming to' standing there right beside my car...but the sun was now up and it was going on 8:30am....I guess I stood there for 3 hours??? not sure why I didnt fall to the ground or pass out, this was very strange, I remember feeling very weird and wondering how I stood there for 3 hours, and if this was real... I went in and got in bed, but was kinda scared to go to sleep, I eventually did, but that was the closest Ive been to the edge, Im not sure how much methadone I took over the course of that night, but it was at least 1o-10mg tabs, plus the whiskey on top.
 
Try to avoid redosing like the way you mentioned in your second post (third post of this thread). I say this because once you get high you really don't get higher when you start to take more each hour, so you are just increasing your tolerance and getting closer to a dangerous dose.

Lets say 200mg of a certain opiate would kill 'Bob.' Well if he took 160 and got really high he could maybe tell that he's pushing his limit so he would stop. But if he took 100mg at first and got a decent high, then decided to add another 20mg an hour later, that 20mg wouldn't make him feel higher so then he may continue taking an additional 20mg every 30 min which would put him over 200mg after a few hours thus killing him.

Of course you would need a little higher of a dose to kill you if it's spaced out compared to if it was taken at once, but if you have experience redosing opiates you probably know that you get very diminished returns for the additional doses when you are already high, so for people that don't know that yet they may think they can handle more than they really can because if taking another dose doesn't do much they might think they can keep doing that but they can't really handle it.
 
If you start puking, you know you've dosed too high. If you're using IV, it's just BAM, you're out and down for the count, and just have to hope you'll survive it. Happened to me too many damn times.
 
pushing his limit so he would stop. But if he took 100mg at first and got a decent high, then decided to add another 20mg an hour later, that 20mg wouldn't make him feel higher so then he may continue taking an additional 20mg every 30 min which would put him over 200mg after a few hours thus killing him.
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I don't think this would be possible. I started similarly and mild nausea always reared it's head if I added 7-15mg too quickly. Maybe some have iron stomachs when it comes to opioids, but orally I don't believe it would ever be possible for me to overdose because I would ALWAYS vomit. I can easily see an overdose doing it rectally though, or snorting roxis quickly.
 
Going to try to wrap up everyone's response. If I miss someone so sorry but I did appreciate the info.

Redosimg with diminishing returns as far goes a sensation makes a lot of sense.

Glad to know I most likely will attempt to vomit of too much happens.

Past experience is I am not a vommiter... Almost no nausea ever. But maybe in an overdose situation I would turn into one.

I usually just do oxy(it's what's around) but it will either be oxycontin(er) or oxycodone(ir). Always oral.... Have given some thought to plugging the ir but not motivated enough to even explore the topic currently.

When I did the increasing the dose hourly I came to the conclusion I either won't get noticeably higher or I will just push it to overdose. So not worth wasting the pills on. For now the sub 100 mark is more than enough if taken at once.

Thanks again for the good info. I'm fairly confident on what not to do as of now.
 
Well as my name fits I have come to the end of this slide. Time to get off and climb back up to go down again.

Gf woke up because my breathing didn't sound right and I guess I would stop breathing (then followed by an abnormal sound). Slapped me around until I gave her a mostly coherent response. Then up and moving while she reminded me to breathe.... Maybe I wasn't breathing normal still... Unsure haven't rehashed the details and hopefully won't need to... The memory recall for that evening is fairly spotty.

I had become reckless searching for anything close to the feeling I got at the beginning.... Almost never happened. With an intake that was exceeding and raising my tolerance much faster than my supply. It was a matter of time till I hit a wall anyways.

As of now I'm one week off opiates going cold turkey. Thank you Valium, zofran, immodium, clonidine, and flexeril.

I still have a fair bit of oxy laying around, towards the end I would be so out of it losing pills was a common event and then nice surprise when I came across them.

@crankinit it seems my slides are getting steeper.

Anyways just sharing the outcome of this experience. Still not off the playground but maybe taking some time on the bench wouldn't hurt. Maybe next month I will get back on the slide. Never was one to just enjoy life in everyone else's normal state of mind.
 
Oxycodone has such a short half life that taking more doesn't really get you higher, just extends it. You can probably continue using 1/4 to 1/2 your original dose every half hour without a problem. You need to take a large dose at once to really get any problems.
 
Hammilton said:
Oxycodone has such a short half life that taking more doesn't really get you higher, just extends it. You can probably continue using 1/4 to 1/2 your original dose every half hour without a problem. You need to take a large dose at once to really get any problems.
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... Oxycodone's half-life is actually longer than morphine's. it ranges from 2-7 hours, with a mean of 3.5-4h, vs morphine, which ranges from 1.5-4, mean 2-3.

If you dose every half hour, taking 1/2 the original dose, it will acccumulate quickly.

Start with 30mg, take another 15 every 30 minutes... You'd have at least 90mg in you're system after 3 hours, since it also takes 1.5-2 hours for oxycodone to reach peak plasma.

Not to be a know-it-all prick, but that information is incorrect, and potentially dangerous.

And as mentioned, redosing isn't nearly as effective, in terms of euphoria, but nonetheless causes escalating respiratory depression,(as well as analgesia). Better to stick to a single, larger dose.
 
^ Umm ya. I was just thinking that taking 100mg oxy initially and then 50mg every half hour is a recipe for very bad things to happen.
 
Numb19 said:
^ Umm ya. I was just thinking that taking 100mg oxy initially and then 50mg every half hour is a recipe for very bad things to happen.
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Indeed, if I took what I need to get high on oxycodone and did 50% of the dose every half hour I would certainly end up overdosing in the next two to three hours.

Personally I always redosed, but it never feels as good. With opioids I always enjoy the initial come up the most, and the continuing effects, while pleasant just aren't as good. I'd rather come down completely and go back up, but I never had the will power to wait.
 
There's a thin line between being really high & overdosing.........you don't see it coning.

Depending on the pills & how long they usually take to peak for each individual......each person should get to know how the pill affects them & how many MG's does it take to get to that supposed sweet spot.

Start small & work your way up & putting enough time between doses.

I've woken up high from the previous nights dose. Don't mix alcohol or benzos & you should be fine........
 
For me personally, I always enjoy a very heavy nod. Now this is very dangerous. I have overdosed one time and came close yet another time. I have never heard of anyone describe an opiate high like this, but I have experienced it twice on both occasions listed above. When I was so high, I felt like I was drunk. The room was spinning, my speech was heavily slurred, I couldn't walk straight, my memory was foggy, and I looked as if I was drunk. Now we know that opiate highs are very different from this. So, if you ever experience any of these symptoms, I would recommend having close supervision so the medics could be called if necessary. However, both times were the funnest opiate highs of my life, but I would NOT recommend trying to reach that level, because when I tried to reach it for the second time, I was unconscious for hours and I'm lucky to not have had to go to the hospital (I woke up without a Naloxone injection). Be careful, as you know opiates are very easy to OD on.
 
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