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  • BDD Moderators: Keif’ Richards

Doc gave me new meds, advice?

He’s in Netherlands - NL
I’m from Newfoundland and Labrador - NL
You from NL but not my NL.
Glad they found your land but the abbreviation :unsure:

NF, no that could mean Never Found, i m lost ...

Btw its The ... , but i am from Holland/ HollowLand too. [Ass-Land]
And who called us Dutch, anyone know. Yeah UTFSE.

Labrador. are you a DAWG ? :LOL:
 
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like sea urchins are just pest or nuisance and we mainly use it for bait cause of the abundance of coastal area I normally go spear fishing and surfing, so stepping on them is a bitch lol. Anyhow just another interesting fact...
Those where abundant. In my past, we call em sea-leeches.
Leech as in the spined animal you can encounter in your garden.

They disappeared, so probably dead either by pollution or Global warming.
Now we only wear bathing shoes to protect from invasive 'Japanese' Oyster.
The shells will cut you, but are not poisonous.

Lucky the WWII mines and all other shit like Tar, also dis-appeared.
 
Those where abundant. In my past, we call em sea-leeches.
Leech as in the spined animal you can encounter in your garden.

They disappeared, so probably dead either by pollution or Global warming.
Now we only wear bathing shoes to protect from invasive 'Japanese' Oyster.
The shells will cut you, but are not poisonous.

Lucky the WWII mines and all other shit like Tar, also dis-appeared.
Some coral reef shoes or mini vin shoes are mostly protected against other but you get the odd bugger slipping through...
 
Hey fam so update for yall. Going to be responding to all the responses tomorrow by the way just wanna fill yall in. So he’s prescribed me Adderall 5, 10, and 20MG XR as well as 10MG IR, Lexapro 5mg, Prazosin 1-3mg in the evening (still haven’t tried for some reason I’m hesitant unless yall think I should give it a shot), melatonin, Lunesta 1-2mg per evening ( been on this for 2 years), clonidine 0.1mg he said take in AM because it needs to be 8or more hours from the Prazosin, gabapentin 300-600mg 3 x daily or as needed, hydroxazine 50mg, diazepam 5-15mg as needed, and NAC 1200mg 2 x daily (which I may stop taking even though I do enjoy the effects of it it seems to blunt my ketamine and my nicotine use seems to be more due to less effects maybe this is correlated?) which I’m also prescribed 300mg sublingual 3 x daily. Then colace, magnesium, and miralax for you know what…Anyways that’s all for my taper off of oxycodone 15-20mg daily. He also prescribed me buprenorphine 20mcg patches but I told him I want to try tapering the full agonists before we consider bile as I get super nauseas and appetite loss as well as anxiety from bupe… Tomorrow I’m supposed to drop to 12 but I got anxious about the drop and took about 27mme equivalent in hydromorphone and oxy but I’m going to do my best to continue the taper tomorrow.

This is all in hopes to get me off opiates, then benzos, then lunesta.

I guess what I’m asking is do you guys have anything to say about this as far as my safety? Any combinations I should avoid? Any tips or tricks or suggestions for me? I’m hoping this will be the last time and I can truly recover from doing this for years. I’m sick and tired of being sick and tired. Appreciate yall big time. Peace and love.
 
I'd say to be very careful combining the SSRI Lexapro with all that. More serotonin isn't necessarily better, especially in this scenario. It's possible you've already got high serotonin levels.

Do you know what type of ketamine you've got? The ketamine used for veterinary purposes and prescriptions (spravato) is S-ketamine. There's also R-ketamine which boosts dopmine (it's a dopamine reuptake inhibitor). Illicit ket is either S-ket or mixed R+S.

fwiw, the supplement Agmatine is used for opioid cessation and reducing withdrawals. It can also help for benzos.
Theanine is another supplement that might help. It's pro-GABA and stops the stress response (adrenaline).
 
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I have the Mix for the troches I believe but I’ll ask the pharmacist in the AM. Also buy S and R ketamine from somewhere so that’s just powder ish. Nice to make nasal sprays tho. The one dose of NAC 2400mg destroyed the effects of ketamine for me it’s now like day 3 without and still no effects. When will this end? I need my ket for this taper. I’m also considering doing a 20mcg butrans patch and instead of doing Bernese method with tablets could I just go straight for the latch in the morning? Or would that throw me into precip?
 
I've never heard of ginger being used for cold extremities. That's interesting. As for nausea, both dried and fresh work well. I absolutely LOVE pickled ginger. It's good for treating nausea and it tastes great, though if a person is too nauseous to be able to eat even something small or flavorful like pickled ginger (or ginger in any form really), then I'd recommend dried ginger for sure. I actually keep a bottle of dried ginger with my drug stash. If I'm nauseous I just fill up 2 or 3 empty capsules full of dried ginger and take it that way. Dried is ginger is very effective for nausea, and it's easier to get larger amounts down, considering that it's dried.

I also keep dried cayenne pepper next to my stash. The capsaicin in cayenne pepper is an effective vasodilater. I'd use cayenne pepper when using stimulants and my extremities get too cold. Take .5-1.5 capsu;es full of cayenne pepper and it helps the blood flow A LOT. You'll just want to be sure to have some tums on hand, maybe some milk or something. When that capsule pops, it feels like a nuke going off if you take it on an empty stomach. It is very effective at helping blood flow though.
Just messaged you bro would love your take on the situation. And @kief’ Richards same thing would love yours and anybody’s take on my current situation. Here’s the update… ^^^
 
I have the Mix for the troches I believe but I’ll ask the pharmacist in the AM. Also buy S and R ketamine from somewhere so that’s just powder ish. Nice to make nasal sprays tho. The one dose of NAC 2400mg destroyed the effects of ketamine for me it’s now like day 3 without and still no effects. When will this end? I need my ket for this taper. I’m also considering doing a 20mcg butrans patch and instead of doing Bernese method with tablets could I just go straight for the latch in the morning? Or would that throw me into precip?
I hate to break it to you, for me, a single dose of NAC blocked the effects of dissociatives for me for about a week. I started feeling them again around day 5 but the effects were still blunted. Everyone is different though. If its been 3 days already then you're about halfway there. Can always do like a 30mg line to see if you feel it, and if not then hold off for the day. Don't make the mistake that I did. I blew through way too much MXPR hoping that a higher dose would provide some sort of effect. It doesn't
 
I hate to break it to you, for me, a single dose of NAC blocked the effects of dissociatives for me for about a week. I started feeling them again around day 5 but the effects were still blunted. Everyone is different though. If its been 3 days already then you're about halfway there. Can always do like a 30mg line to see if you feel it, and if not then hold off for the day. Don't make the mistake that I did. I blew through way too much MXPR hoping that a higher dose would provide some sort of effect. It doesn't
yea you were totally right it really blocks the effects. hoping it will come back soon
 
Lexapro is an SSRI

PLEASE BE CAREFUL before using SSRI drugs.
At least learn about the common side effects so you can make an informed choice.


On the SSRI fluoxetine (Prozac) causing depression:
Three years before Prozac received approval by the US Food and Drug Administration in late 1987, the German BGA, that country's FDA equivalent, had such serious reservations about Prozac's safety that it refused to approve the antidepressant based on Lilly's studies showing that previously nonsuicidal patients who took the drug had a fivefold higher rate of suicides and suicide attempts than those on older antidepressants, and a threefold higher rate than those taking placebos.
Using figures on Prozac both from Lilly and independent research, however, Dr. David Healy, an expert on the brain's serotonin system and director of the North Wales Department of Psychological Medicine at the University of Wales, estimated that "probably 50,000 people have committed suicide on Prozac since its launch, over and above the number who would have done so if left untreated.
...
Now a decade later, Lilly has targeted Dr. Joseph Glenmullen, whose book "Prozac Backlash" has apparently incensed Lilly executives.
Dr. Joseph Glenmullen, a clinical instructor in psychiatry at Harvard Medical School and a clinician at the Harvard University Health Services, says he wrote the book because he was alarmed by the number of patients who were reporting severe side effects from the serotonin-boosting antidepressants including Prozac, Paxil, Zoloft, and Luvox. "The two most upsetting side effects were patients becoming suicidal on the drugs, and the development of disfiguring facial tics," he said in an interview.

The Boston Globe, 2000.
 
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PLEASE BE CAREFUL before using SSRI drugs.
At least learn about the common side effects so you can make an informed choice.

On the SSRI fluoxetine (Prozac) causing depression:

I was put on Effexor AFTER a suicide attempt. It helped me during that time, and it did help me get through that period of life, but I will say that it did not help my suicidal ideation. In fact, I became even more interested in death in general. Would spend tons of time reading about horrible deaths and suicides and murders and stuff like that which I wasn't doing to that extent previously. Being mindful of worsening or new suicidal ideation is very important to bring up with the doctor if it's noticed
 
Wow.
So the SSRI drugs have effects beyond increasing serotonin. These effects are shared with prescription antidepressants like ketamine and allopregnenolone.
In terms of repairing the effects cause by SSRIs, the strategy is to restore coherent metabolic function which is outlined here.

For more insights, these articles cover the various roles of serotonin and its involvement in general day-to-day health:
https://raypeat.com/articles/articles/serotonin-depression-aggression.shtml
https://raypeat.com/articles/articles/serotonin-disease-aging-inflammation.shtml
https://raypeat.com/articles/aging/tryptophan-serotonin-aging.shtml
 
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