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Anyone prescribed Diamorphine?

FutureReference

FutureReference

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Jul 15, 2019
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I am in the US so it is absolutely mindblowing to me that diamorphine is a prescription drug in the UK. I am wondering if anybody is prescribed heroin, doses, and if you are allowed to take it home? My experience with H is limited. Only insufflated in place of Oxy and did not manage my pain well. But street gear is who knows what, so pure H for pain?! Sounds impossible.

Truly hope people can assist me with knowledge here. And also, how does it work for pain? I truly need opioids to function and am wondering if the diamorphine comes in pill form or is strictly IV and if it better manages pain than Oxy?

patient.info

Diamorphine for pain relief

Diamorphine is a type of strong opioid. You should know how and when diamorphine is necessary and the severe dangers of diamorphine.
patient.info patient.info

Just really in shock here. Even says it comes in a nasal spray but I have never even heard of this in my country.
 
In the past I have had medicinal diamorphine and whilst it is close to hydromorphone in many respects, there are also subjective and objective differences, one of them being that diamorphine seems to last an hour or two longer. It hit fast and hard, and I also had oral tablets of it for a short time as well.

The histamine release of diamorphine is a lot less than morphine, and I would say actually can impact vital signs less than hydromorphone.

Diamorphine is in fact the one of the few drugs which are even more soluble than hydromorphone; one part hydromorphone dissolves in three parts of water, one part diamorphine in two parts water . . . meaning that both can be used to produce solutions of virtually arbitrary concentration, up to 333 mg/ml in the case of smack and 250 mg/ml with hydromorphone . . . I think diacetyldihydromorphine (Paralaudin) hydromorphinol. oxymorphone, and nicomorphine are also in that same general range of solubility.

Diamorphine-hyoscine-ephedrine would be a good mixture for severe pain, sedation in hospital, and similar cases.

For both pain control and maintenance purposes, having 8 and 12-hour tablets (essentially SmackContin) 24 hour capsules, and immediate-release tablets and liquids alongside the ampoules of solution and dry amouples of powder for reconstitution would be helpful . . . essentially the same choices which patients on morphine have now (including having a choice of MS Contin/MST Continus/Vendal Retard as the main agent in Opioid Substitution Therapy in a lot of Central and South-East European countries) Vendal Retard is the morphine hydrochloride-3 H₂O, equivalent of MS Contin, and at one point I was actually on enough morphine to tell a difference amongst the HCl, sulphate, and tartrate salts in immediate-release tablets. The HCl has the most morphine base per milligramme of salt, and there are anhydrous, tri- and penta-hydrate morphine HCl salts Which is why the US DEA requires the salt on reports and European countries require the active ingredient to be listed as both base and salt: for example: Each tablet contains 100 mg of morphine hydrochloride trihydrate, corresponding to 76 mg of morphine base.

I would also propose making dihydromorphine an available option for pain control as well as Paralaudin, which is its smack analogue. This also has to do with differences in the course of action . . . some people can get up to 8 hours of analgesia from a shot of diacetyldihydromorphine, and, like acetylmorphone, it hits hard too.

Street heroin can be purified to pharmaceutical or reagent grade with processes which are presented by harm reduction organisations and in books about smack. Some chronic pain patients in the United States are doing exactly that . . . an amount barely visible to the naked eye is a good indication that someone has passed one some fentanyl or one of its relatives. Sometimes they can get good smack . . . black tar has a good reputation as it is actually stronger and is harder to adulterate than powder . .. sometimes these unfortunate people have been collecting disused medications from other people (as they should -- wasting medication is a sin!) and playing with acetic anhydride, the further discussion of which is verboten here
 
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Nicomorphinist said:
In the past I have had medicinal diamorphine and whilst it is close to hydromorphone in many respects, there are also subjective and objective differences, one of them being that diamorphine seems to last an hour or two longer. Diamorphine is in fact the one of the few drugs which are even more soluble than hydromorphone; one part hydromorphone dissolves in three parts of water, one part diamorphine in two parts water . . . meaning that both can be used to produce solutions of virtually arbitrary concentration, up to 333 mg/ml in the case of smack and 250 mg/ml with hydromorphone . . . I think diacetyldihydromorphine (Paralaudin) hydromorphinol. oxymorphone, and nicomorphine are also in that same general range of solubility.

I would also propose making dihydromorphine an available option for pain control as well as Paralaudin, which is its smack analogue. This also has to do with differences in the course of action . . . some people can get up to 8 hours of analgesia from a shot of diacetyldihydromorphine, and, like acetylmorphone, it hits hard too.
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How did the Diamorphine manage your pain? Also is it strictly IV? You aren't in the US right? And if you are comparing it to Hydromorphone with a longer life it would be ideal for me. Hydromorphone insufflated managed my pain like Oxycodone x50. Just instant and about 4 solid hours of relief. In complete agreement with you on Dihydromorphine. One of the best pain relief treatments possible but with this fake crisis unfortunately I don't see much hope for that. We just banned Opana ER. Just gets worse here
 
IIRC, Diamorphine is available only for terminal patients.
 
FutureReference said:
How did the Diamorphine manage your pain? Also is it strictly IV? You aren't in the US right? And if you are comparing it to Hydromorphone with a longer life it would be ideal for me. Hydromorphone insufflated managed my pain like Oxycodone x50. Just instant and about 4 solid hours of relief. In complete agreement with you on Dihydromorphine. One of the best pain relief treatments possible but with this fake crisis unfortunately I don't see much hope for that. We just banned Opana ER. Just gets worse here
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It had a better shattering power against pain which was already in progress, and it could be used SC and IM as well; there are also the oral formulations. When used in hospital in the United Kingdom, there was extra bureaucracy involved like two or three nurses and two doctors signing off on it and at least two nurses watch the H going in. Of course it is commonly used in hospice situations as well, and Dame Cicely Saunders expounded on diamorphine versus hydromorphone in an interview, pointing out that the strong analgesia, rapid onset, and high solubility make it a functional equivalent available in the United States.

Were I in the United States now, getting MS-Contin and Dilaudid, I would feel very hemmed in by Endo caving in to the FDA and ceasing to make Opana. Just think of a lot of the folks they tell to just take ibuprofen! Fuckers.

Rotating opioids is important in long-term chronic pain management, I couldn't be rotated on to levorphanol because the Pharmacy Bro jacked up the price along with cancer medications and no insurance will cover $100+ a tablet of anything. Tapentadol is not scalable in my experience -- beyond a certain point there are neurological side effects. I cannot take high doses of oxycodone for a long time because of the cocaine-like stimulant effect -- stark insomnia for weeks then physical collapse is what happened when they tried it.

So there's another group of law-abiding patients going to turn into addicts essentially with the stroke of a pen . . . what makes these idiots think taking people off of opioids is going to solve some problem? Pain is a real bitch, and a perfect example of how a need will call forth its own supply.

The dose-response curve is steeper versus morphine, and the rapidity with which an analgesic concentration is reached may have something to do with the ability to shatter pain . . . the one other drug I knew which is famous for that is dextromoramide.
 
Smack also found some hospital and other medicinal use in several of the successor states of the former Yugoslavia -- for example, until 2007 Croatia had as part of their law a mechanism for converting drugs seized from traffickers and end users to medical use, so get a kilo of smack, have an analytical lab clean it up, and bob's your uncle, there we have diamorphine which can be used as-is or converted into morphine.
 
Nico, have you used diacetyldihydromorphine? Because if so that is seriously awesome. Jellyfish. I would also be stoked as to try dihydromorphine as when I was younger and had a lower tolerance I loved dihydrocodeine. It's so sad the govts of the world insist on denying us access to such lovely drugs
 
Quere said:
Nico, have you used diacetyldihydromorphine? Because if so that is seriously awesome. Jellyfish. I would also be stoked as to try dihydromorphine as when I was younger and had a lower tolerance I loved dihydrocodeine. It's so sad the govts of the world insist on denying us access to such lovely drugs
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It is a pharmaceutical called Paralaudin which hits like smack and lasts longer like dihydromorphine, and a doctor told me that if they need the speed and power of smack or morphine but there is political pushback or patient refusal, diacetyldihydromorphine slips right in and does the job. This obscurity and the fact that dihydromorphine was considered old school in the 1950s may have something to do with the supply situation as well, although seeing anything new/old approved in the States is extremely unlikely. But the more obscure semi-synthetics are legal in much of the rest of the world, generally at the same level as morphine, but so far demand has not inspired more supply by pharmaceutical companies. The probable exceptions to the above, which may be outright illegal, are acetyldipropionylmorphine, dibenzoylmorphine, and acetylmorphone -- the first two hard to distinguish from smack, and the latter being the heroin analogue of Dilaudid, so the League of Nations outlawed them in 1930 to keep pharmaceutical companies from manufacturing them in metric ton quantities as they did 1924-1929 when smack was first outlawed.

Most of the diacetyldihydromorphine available is from homebake people and clandestine chemists . . . there apparently are cooks who make it for customers and some of the raccoons in my neighbourhood made some from whole poppy plants and presented to me for the sake of my peace of mind when I lived in the states. Acetylmorphone and a bunch of other stuff too.
 
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I was given it while in hospice care when it was thought I was going to die. Then I didn't.

I hate opiates.
 
Wow that all sounds delicious. Here in nz we have regular homebake/acetylated morphine but I've never heard of acetyldihydro being made here, that sure would be a treat
 
Someone posted a youtube doc from the UK.

Someone .. know where it's at?

But In the UK at that time Heroin was provided as ampules for injection or injected in a cigarette to be smoked.
Cocaine was in the documentary only supllied in the same style as the Heroin smokeable's.

They were called reefer's one of the condition's of the program is the client has to suplly his or her own pack of cig's. Cool treatment, especially considering most people stop habits by themselves voluntarely as they age.
 
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Well it isn't useless, it is metabolized into morphine orally which will get you high but it certainly is inefficient
 
I'm moving this over to Drug Culture. Please re-read the forum guidelines before creating any new threads so we can avoid it in the future. You're not in danger of harm from Heroin, you're curious about prescription Heroin systems. I'm goig to move this to Drug Culture.
 
FutureReference said:
I am in the US so it is absolutely mindblowing to me that diamorphine is a prescription drug in the UK. I am wondering if anybody is prescribed heroin, doses, and if you are allowed to take it home? My experience with H is limited. Only insufflated in place of Oxy and did not manage my pain well. But street gear is who knows what, so pure H for pain?! Sounds impossible.

Truly hope people can assist me with knowledge here. And also, how does it work for pain? I truly need opioids to function and am wondering if the diamorphine comes in pill form or is strictly IV and if it better manages pain than Oxy?

patient.info

Diamorphine for pain relief

Diamorphine is a type of strong opioid. You should know how and when diamorphine is necessary and the severe dangers of diamorphine.
patient.info patient.info

Just really in shock here. Even says it comes in a nasal spray but I have never even heard of this in my country.
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It will be an eye opener and shutter the same time as most will never ever get a treatement this humane. But I found the posted doc myself, enjoy FutureReference. The doc about the prescription Heroin and Cocaine. Hope it's allowed to post a video correct me if it's not :)

 
How integer can you be, this is a good documentary about how to approach addiction. To bad it's from the 1990's.

Saw a friend from way back a few day's ago. Who is prescribed, actually remind's me of the Dextromoramide prescription's to Heroin addict's in the 90's. It was easy to get a prescription for it sometimes for breakthrough craving's. It was a risky opioid to deal with which was the reason for stopping that practice.

Now he has been on Methadon and Benzodiazepine's and lately DexAmphetamin for quite a while. But get's prescribed Oxycodone for the same purpose as Dextromoramide was used in the past. Or so it seem's nice medical combo btw prescription heaven

So basickly getting Heroin is a option but involves 3 daily visit's, no privacy either.

So looking at what he is on atm it seem's as the Dutch equivalent of legal addiction.
 
Lol I'm from Liverpool and the funny thing about it is Heroin is quite rare in Liverpool now! I've been using some form of drug since I was 18 and I'm now 33 and I've never came across Heroin.
 
Are you sure that you aren't around those circles in Liverpool? It's a big city; seems crazy that it's so rare. But I don't live there so I wouldn't know. I used to live in London and it was quite abundant. I know that it's a different city but how can it be so different in another main city of the same country which has quite a big problem with heroin?
 
evo4ever said:
Lol I'm from Liverpool and the funny thing about it is Heroin is quite rare in Liverpool now! I've been using some form of drug since I was 18 and I'm now 33 and I've never came across Heroin.
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Maybe for the better ;)

One time in my life the oppurtunity to do Heroin was there. It was on my glass table, I smelled the yellowish powder. It smelled good like a mild Garam Masala. It was tempting I am so glad I declined the offer especially now thinking about it knowing my addictive nature. It is so fucking available and cheap where I grew up.

The one who offered it was 16/ 17 year old, French kid I met via a 'once' good friend that lived upstair's of me but wasn't at home so I invited him in. The night before he slept in a garage he broke into on smack with freezing temp's outside. But besides that most shocking was he made no apperant difference concerning drugs. Weed or Heroin, it seemed to be all the same for him. I told him about my worries regarding Heroin. And who know's what happened with him after that. Hope the best, he was a good drummer lived in the most beautifull landscape thinkable.
 
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