Morphine BIO/ROA and UA testing for Pain Management-help me enjoy turkey day

[MorpineMilkshake]

Hello, first some background Ive suffered from IBS-D, Severe anxiety, and other undiagnosed issuses for over 8 years taking me down from 200+ lbs to 160lbs in no time. Long story short my body produces too much acid and I have other malabsorotion issues resulting in 5-10 bowl movements a day and non stop pain, random vomiting and no social life with increased agitation. For almost a year ive been refused opiate pain medications due to my marijuana usage in a legal state, even with 3 different drs referrening me to pain clinics, one pain clinic giving me a few weeks meds worth and sending me on my way as they couldnt help with my marijuana use. Stupidest thing ever I use less of both substances when I have both, and marijuana helps with a range of conditions and disorders. my primary doc finally decided to take it on since pain management wont and i ended up in the er twice in 2 months for legit reasons (after 8 years ive only been twice to the ER). I was always honest with him and told him I was using pain meds even without a script. Ive always been honest and passed my UAs, but am unaware how my primary care dr will handle random UAs without even using a pain contract. I told him I was on 60mgs morphine a day with BT meds depending what was available, as well as my prescribed clonazepam, lorazepan, soma, promethazine, zofran and the slew of unsuccessful IBS meds. My DR put me on 30mg ER morphine once a day and 5-10 mg/liquid oxydodone every 4-6 hrs (20mg/day to last 30 day) (but try not to use the BT meds, because I told him usually morphine once a day is enough but thats a larger dose). The opiates slow the acid and diahrea and bile, slowing the pain and allowing me to eat a (one ER dr told me I was lucky and get all the positive side effects of opiates, most people get constipation and loss of appetitie) and differentiate between hunger and pain (hard to tell the difference after years of pain).My question is this, the meds arent quite cutting it and im sure hes going to up the morphine to 30mg/2x a day as that was the original plan (he was just playing it safe as I think im one of his first chronic pain patients doesnt know much about opiates and dosing) and I think switch me to diliadid as oxycodone GREATLY increases my anxiety, insomnia and the only opiate to actually slow me up and complicate things, this too we have already discussed.

MY QUESTION IS: I have some morphine left from before I got the script, I dont want to risk screwing the UA up too much and i want to make use/get rid of these meds asap i dont have a script for. Im sure a little differentiation wont make him mad unless I burn threw my meds or pop for other drugs, his one stipulation was pain meds only came from him. The current meds arent cutting it and with thanksgiving coming up (havent enjoyed a turkey day meal in 2 years, other holidays, and rarely eat or participate in family activities so feeling my best is and being able to be there for my mom is very important to her and me) I am wondering since the bioavailibity of morphine orally is 20-40% and intranasally is like 10%? If one was to snort an extra 30 mg morphine for 3 days or so during the holidays would the less bioavailibity and the wide range of oral bio, would it be noticeable or is it still like taking 60mgs of morphine for a day? If so would I be decent on monday/tuesday after the holiday just in case they decide to UA me, the way he made it sound he wouldnt really UA me much as I always was on point with what was supposed to be in my system and right levels.

So could I sneak a few intranasal morphines until these last 10-15 or so are gone, and until next month when my script is moved up to what usually cuts the pain. Abdominal pain and diahrea suck and I havent lived much in the last 2 years I dont want to risk it but i dont want to waste the meds as ive wasted so much in the last year without a script. I also ask because Ive researced drug testing and opiates and cant find anything this specific as most just say yes you will test positive lol. I just know they test for metabolites and dont know what happens to the 10% intranasal, what happens the the other 90% does it show up? With the bioavailibity orally ranging from 20-40%, without knowing what happens to metabolites one could theorize the 10E% snorted might not even be noticed, or written off as a varition in absorbtion? Im just a safe drug user and reseacher, im not looking to get high, just meet my pain and and not lose my scripts. I have been on 60mg regularly for almost a year. up to 100mg depending on med or if I was in an IBS flair up. (im one of the ibs patients that suffer daily, then 10x worse when it flairs up)

Any insight and knowledge would be greatly appreciated. Ive lurked for years, but always just UTFSE and found what I needed, I figured now that weve eliminated all the options and ill be on opiates for awhile as well as other recreational substances Look forward to sharing knowledge and harm reduction thanks alot.

 

[phatass]

I presume and hope you don't IV/IM... which will be the highest BA... next highest BA is plugged 60% appox i think for morphine sulphate...

 

[MorpineMilkshake]

I understand the ROA's and Biovailibilty, I just dont understand excretion and detection times/limits. Nope on IV/IM never will. I do like intranasal but am asking about that in particular to get more morphine in my system but still keep it low enough to not be noticeable, just trying to get 10-15 pills worth to get rid of them, and only use one extra a day, and only maybe if its possible 2 extras to shut my stomach dwn and get the munchies, every day is literally shitty and it takes awhile to get the pain undercontrol/use the restroom.

 

[Zory191]

I understand the ROA's and Biovailibilty, I just dont understand excretion and detection times/limits. Nope on IV/IM never will. I do like intranasal but am asking about that in particular to get more morphine in my system but still keep it low enough to not be noticeable, just trying to get 10-15 pills worth to get rid of them, and only use one extra a day, and only maybe if its possible 2 extras to shut my stomach dwn and get the munchies, every day is literally shitty and it takes awhile to get the pain undercontrol/use the restroom.[/QUOTE

It always takes about 5 days to get out of my system for piss tests. And Ive taken a lot of UAs. Being on all different types of opiates. About the ROA either swallow them or plug them. When I used to get ms contin Id get a little bit of water and a paper towel and dip my fingers in the water and rub the pill with my finger tips so the cellulose gelatin coating shit would come off. Wipe the colored liquid it creates with a paper towel leaving you with a white pill. And I've tried to administer MS Contin IV. Bad idea. There is an ingredient that turns the medication into a gel like substance that you can't draw into your syringe. If your taking MS Contin for IBS, I'd say just ingest them and remove the time release coating if you want an extra kick. I wouldn't take any after tuesday the 25th if you have to pass a drug test the following Monday.

 

[MorpineMilkshake]

Before you answer I am very morphine experienced, this is just a science question more or less lol. Sorry guys im not sure if im asking the wrng qustion or wrong way but I mean i SNEAK a few intranasal 30mg morphines everyonce in awhile I know to get the most i need to plug or eat, im not really trying to abuse it per say, just get a few MG in my system effectively and making ok use of a 30 (when I go to the ER for pain they give me about 4-8mg in the iv. If I already have some in my system, which im ALLOWED to take now, just 30mg/day, iv 4mg = pain relief of snorting a 30, 10% of 30=3) Not trying to take a super large amount just maybe one or two extra over a week or so, wondering if that extra 3mg in my blood (yet still TAKING 30 MG) Im trying to understand say idk when UA's are, or even if I knew I had one tomorrow lets say, would it be noticeable in my blood that I took 30mg extra or just a small spike since only ~3mg is absorbed. I just need a tad extra pain management i.e. why I dont just plug or eat an extra pill. the absorbtion rates are so different trying to see how that looks on a UA.