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  • BDD Moderators: Keif’ Richards | negrogesic

In need of support withdrawal

J

JagrPens

Bluelighter
Joined
Jun 27, 2019
Messages
32
OMG i feel like i am dying today. 2.5 days without opiates. Drank a ton last night and had a great night out with my husband which i never get any more but can’t sleep, anxiety is awful awful. Slowly drinking alcohol today but man! I feel so horrendous! I can’t tell anyone so i suppose I’m spewing on here! Thanks
 
btechlc said:
Hey, sorry you are felling bad. Yeah second the above- alcohol is not going to make you feel any better and will make the restless leg sensations people commonly get in opiate WD 10 times worst.

What opiates were you taking, and how much per day? You mention not being able to tell anyone, does this include your partner? If you have serious WDs he will probably figure out something is up. If it is a very mild withdrawal (no vomiting, able to at least get out of bed each day - still have bad bowl issues, body pains, bad mood, shit sleep, no energy) I was able to power through mine, went to work (although half assed it) and was pretty much 100% after 6 or 7 days. I told my wife I had the flu but if it had been any more serious I doubt she would have bought that excuse.
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Same yeah i am functioning. 60mg Percocet this time around. I guess i just have done it all to help me perform as a mom. I have to be up up up but man this sucks! Thanks for reaching out
 
I would recommend Tylenol 1s. OTC and very low dose. NO more than 4 at a time. 3x a day. Theyre 300mg acetaminophen and you can take up to 5000mg or 5 grams a day safely. In the short term, alcohol is survivable but don't make a habit of it.

I just kicked Suboxone this way.
 
I recommend about 15-20 immodiums myself. Get one of those 96 count bottles and take a third. No more symptoms!
 
simstim said:
I recommend about 15-20 immodiums myself. Get one of those 96 count bottles and take a third. No more symptoms!
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Be careful about this, it's not common but they can have risky side effects. I wouldn't take more than you feel you need.

Opioid withdrawal is just horrible, I'm sorry you're having to go through it. You can get through it though.

Something else you could do is go to a doctor and explain what you're trying to do and see if they'll give you any non opioid comfort meds if you're trying to get off opioids entirely.
 
I have suffered silent (not told to anyone) withdrawals before it does make it more difficult. AT least you can talk to us. Not even kidding about how much even 1 box (12) immodiums will help.
 
simstim said:
I have suffered silent (not told to anyone) withdrawals before it does make it more difficult. AT least you can talk to us. Not even kidding about how much even 1 box (12) immodiums will help.
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To clarify I'm not saying it won't help. Just that in high doses loperamide can cause heart rhythm issues. It's not especially common but it happens so it'd be safer to start at a lower dose and increase as needed so you don't overshoot and put yourself in added risk if you can get by with less. <3
 
JessFR said:
To clarify I'm not saying it won't help. Just that in high doses loperamide can cause heart rhythm issues. It's not especially common but it happens so it'd be safer to start at a lower dose and increase as needed so you don't overshoot and put yourself in added risk if you can get by with less. <3
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Thanks for the HR reminder!!
 
Stop drinking Alcohol. Alcohol seems like a great idea when you're sick, but it's my personal experience that Alcohol will provided about 15 minutes of relief followed by an intense hangover that lasts for what seems like an entirely too fucking long time. It took me years of "learning", but I would absolutely never drink Alcohol if I were sick now.

What's your situation OP? Why are you not using Opioids? Why are you going out and doing shit when you're sick when you should be at home sobbing about missed opportunities in life and how you've been forsaken by God? At least that would be more my style. When I start getting even a little bit sick, people start pissing me off to such an extent that I have to be alone. I don't want to give people the idea that I don't care about what they're saying, even if, in fact, I really, really don't care wat they're saying.

Regarding the Loperamide guys, definitely a further disclaimer is warranted regarding Loperamide and its effects on the Qt interval of the heart. There are plenty of other drugs, Opioids included (Methadone for instance) that also are known to produce negative symptoms in the context of the heart rhythm, but Loperamide is a little different. It's not nearly as "active" as a drug like Methadone. It's my understanding that you eseentially need to take so much that your blood-brain barrier can't hande the onslaught. I don't have numbers, but I'm sure when you're taking high doses of Loperamide that you're taking a bigger risk.
 
Outlier said:
I would recommend Tylenol 1s. OTC and very low dose. NO more than 4 at a time. 3x a day. Theyre 300mg acetaminophen and you can take up to 5000mg or 5 grams a day safely. In the short term, alcohol is survivable but don't make a habit of it.

I just kicked Suboxone this way.
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Thanks but they aren’t otc here in the states.
 
Keif' Richards said:
Stop drinking Alcohol. Alcohol seems like a great idea when you're sick, but it's my personal experience that Alcohol will provided about 15 minutes of relief followed by an intense hangover that lasts for what seems like an entirely too fucking long time. It took me years of "learning", but I would absolutely never drink Alcohol if I were sick now.

What's your situation OP? Why are you not using Opioids? Why are you going out and doing shit when you're sick when you should be at home sobbing about missed opportunities in life and how you've been forsaken by God? At least that would be more my style. When I start getting even a little bit sick, people start pissing me off to such an extent that I have to be alone. I don't want to give people the idea that I don't care about what they're saying, even if, in fact, I really, really don't care wat they're saying.

Regarding the Loperamide guys, definitely a further disclaimer is warranted regarding Loperamide and its effects on the Qt interval of the heart. There are plenty of other drugs, Opioids included (Methadone for instance) that also are known to produce negative symptoms in the context of the heart rhythm, but Loperamide is a little different. It's not nearly as "active" as a drug like Methadone. It's my understanding that you eseentially need to take so much that your blood-brain barrier can't hande the onslaught. I don't have numbers, but I'm sure when you're taking high doses of Loperamide that you're taking a bigger risk.
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I ran out and none are available. I won't mess with anything else and wouldn't even know where to get it. I should have been lying in bed but really don't have any support and a really wild 2 year old. Looong ass day. I just took 6 immodium maybe that will at least help the stomach cramps. I just can't eat also. Is that common? I tried to have a couple bites of a hamburger yesterday but I am so wrecked internally and anxious that I can't stand it!
 
Outlier said:
I would recommend Tylenol 1s. OTC and very low dose. NO more than 4 at a time. 3x a day. Theyre 300mg acetaminophen and you can take up to 5000mg or 5 grams a day safely. In the short term, alcohol is survivable but don't make a habit of it.

I just kicked Suboxone this way.
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Acetaminophen/paracetamol shouldn't be take in amounts exceeding 3000mg chronically or 4000mg acutely in 24hrs. Alcohol greatly increases hepatotoxicity. Since @JagrPens was taking 12 percocet she was already up to 3,900mg. Not worth it for a tiny amount of codeine phosphate.

Please be careful and buy some free form N-acetylcysteine (also called NAC) at your local health food store. Take on an empty stomach since as an amino acid precursor (glutathione) it is much less effective with food. Same thing they give in hospital for Tylenol overdoses

For withdrawals try 4mg loperamide every 4 hours, the active ingredient in Immodium is derived from thebaine, like oxycodone, acts as a mild opioid receptor agonist (predominant µ type receptors). Safer!
 
darvocet21 said:
Acetaminophen/paracetamol shouldn't be take in amounts exceeding 3000mg chronically or 4000mg acutely in 24hrs. Alcohol greatly increases hepatotoxicity. Since @JagrPens was taking 12 percocet she was already up to 3,900mg. Not worth it for a tiny amount of codeine phosphate.

Please be careful and buy some free form N-acetylcysteine (also called NAC) at your local health food store. Take on an empty stomach since as an amino acid precursor (glutathione) it is much less effective with food. Same thing they give in hospital for Tylenol overdoses

For withdrawals try 4mg loperamide every 4 hours, the active ingredient in Immodium is derived from thebaine, like oxycodone, acts as a mild opioid receptor agonist (predominant µ type receptors). Safer!
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Thanks you're right. I wasn't considering the percs had tylenol. And you're right that 4g is what's considered a safe max dose.

I have a question about the loperamide though. I've read that since loperamide is only active in the intestines, it's sort of a placebo or minimal effect at best? There's been a lot of conflicting opinions here that I've seen. I know that T1s aren't that much codeine either and not incredibly effective, but wouldn't that still be better than something which apparently doesn't cross the bloodbrain barrier well and just causes constipation? Especially at 4mg, that's almost nothing. Just wondering if this actually worked for you.

Anyway. Reading back on my answer here. That was bad advice. Don't drink and take tylenol 1s to get off of opiates. I did it but holy fuck did I ever take a beating physically. I started drinking way too much, and although I never took more than maybe 8 T1s and more often 3-6 (3, 1-2x/day) I think I'm okay but I've looked and felt better.

Now I'm no T1s, much less alcohol but I'm struggling with meth again already,, and I want to take a minute here to advocate for actual detox or medically supervised help. We all seem to have a lot of ideas here, but I think there's a tendency for these different types of tapers happening all around in that this isn't necessarily working for a lot of people. I'm more and more convinced that for me that if I'm going to stop. I need to just stop. No tapers. No bullshit. These are good harm reduction methods but are they really wise for someone who's trying to stop without medical consult?
 
Outlier said:
Thanks you're right. I wasn't considering the percs had tylenol. And you're right that 4g is what's considered a safe max dose.

I have a question about the loperamide though. I've read that since loperamide is only active in the intestines, it's sort of a placebo or minimal effect at best? There's been a lot of conflicting opinions here that I've seen. I know that T1s aren't that much codeine either and not incredibly effective, but wouldn't that still be better than something which apparently doesn't cross the bloodbrain barrier well and just causes constipation? Especially at 4mg, that's almost nothing. Just wondering if this actually worked for you.

Anyway. Reading back on my answer here. That was bad advice. Don't drink and take tylenol 1s to get off of opiates. I did it but holy fuck did I ever take a beating physically. I started drinking way too much, and although I never took more than maybe 8 T1s and more often 3-6 (3, 1-2x/day) I think I'm okay but I've looked and felt better.

Now I'm no T1s, much less alcohol but I'm struggling with meth again already,, and I want to take a minute here to advocate for actual detox or medically supervised help. We all seem to have a lot of ideas here, but I think there's a tendency for these different types of tapers happening all around in that this isn't necessarily working for a lot of people. I'm more and more convinced that for me that if I'm going to stop. I need to just stop. No tapers. No bullshit. These are good harm reduction methods but are they really wise for someone who's trying to stop without medical consult?
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Loperamide is one of the best legal OTC remedies for opioid withdrawal. It doesn't suppress all symptoms but I can tell you from experience that they work.

As for the 4mg q4h I always err on the side of caution. Figuring we're all adults here and that people will determine their own needs and dosing requirements.
 
darvocet21 said:
Loperamide is one of the best legal OTC remedies for opioid withdrawal. It doesn't suppress all symptoms but I can tell you from experience that they work.

As for the 4mg q4h I always err on the side of caution. Figuring we're all adults here and that people will determine their own needs and dosing requirements.
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Makes sense. I guess if people want these questions answered this way then wed better do that the best we can. Just felt some sort of existential dread for a bit there. I haven't been sleeping well for a long time.

Loperamide will definitely be healthier than tylenol 1s. Would you suggest some sort of stool softener or laxative to combat constipation if that were to occur? I'm reading all these conflicting opinions by a group of doctors of all people on healthtap. You have any experience?

@JagrPens how are you?
 
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