Chronic pain vs addiction

[Dextro .45]

Perhaps Pregabalin (Lyrica) for neurological pain, anticonvulsant and anxiolytic properties

A moderate potent opioid for when pain is bothering you.....Tramadol? Opioid agonist + Norepinephrine & Serotonin reuptake inhibitor (increases these neurotransmitters for pain, mood-boosting properties and their analgesic effects synergies with mu-opioid receptor agonist

Baclofen? Muscle relaxant....

NSAID - Anti-inflammatory analgesic pairs well with an Opioid + Pregabalin (plus perhaps a low dose Ketamine dose)

The proper formulated customized medication regime can wok workers for even the most severe pain

Opioid have no dose ceiling.....even the most insaine levels of pain, can be dulled and suppressed by a robust IV injection of pharmaceutical grade Dilaudid (Hydromorphone) in injectable vials

Sandoz Pharmaceuticals Canada
Hydromorphone HP FORT
10ml glass vial - 1,000mg
100mg of Dilaudid per Ml

Wow.....more potent than Diacetylmorphine (Heroin) ...slightly more potent

 

[Them Witches]

Wow.....more potent than Diacetylmorphine (Heroin) ...slightly more potent

Diluadid-HP
10mg/1mL
500mg/50mL vial

Oxycodone Oral Concentrate
20mg/1mL

Together these bitch slap Diamorphine/Diacetylmorphine. I had a pancreatic cancer friend that had these two in his "personal chamber of medications" along with medications he kept for rainy days - every Opana, OC 80's & 160mg, Morphine ER 200mg, Buccal 1600mcg lollipops. Once he got a good buzz on and felt good, he would open up the chamber and share.

I have registered Diluadid-HP 2mL and took a 20mL shot of Oxyfast 20mg/1mL at once. It was stronger than registering 0.1g of 90% heroin#4 and with the Oxy it lasted longer than the dope. Not assuming, I was linked to "off the stamp" diamorphine #4 with Chinese labels on it. All that is in the past now but still catches up from time to time when my phone starts doing the echo and the battery drains fast.

 

[Dextro .45]

Horrible situation for your friend, truly.

But I agree....I personally never found Dilaudid & Hydromorph-Contin that euphoric.....

I would IV administer the IR Dilaudid tablets 2/4/8mg. Apparently a certain manufacturer never changed their formula from the 1920's which were "Hypodermic Tablets" suitable for oral or would easily dissolve in water for injection

20+ Years ago when I used H alot, it was the real deal....not Fentanyl bs

Light being tan Beach sand with a pungent pickle like odour (strong Vinegar smell) from Acetic Anhydrid (Sp?) Essential precursor to synthesize Diacetylmorphine from Morphine base

My urine analysis also tested positive for 6-MAM (the main active metabolite Diamorphine converts into before finally being metabolized into Morphine.

This illicit Heroin was AMAZINGLY EUPHORIC .....so much more pleasurable than Dilaudid (Hydromorphone)

Oxycodone CDN green 80's and the holy grail 160mg blue tablet ....simply WOW

Eukodol (Oxycodone) original German patent actually states its significantly euphoric mood-boosting pleasure

I wish I had Circa 2000 Canadian Purdue Pharma OxyContin CDN green 80mg and 160mg blue tablets

Most euphoric opioid I've EVER experienced in my entire life

Oxycodone & Ritalin (Methylphenidate) the only 2 drugs to induce overwhelming pleasirable euphoric bliss

 

[Them Witches]

I personally never found Dilaudid & Hydromorph-Contin that euphoric.....

I feel partial to this for these reasons :
(A) I agree with... It is not as euphoric or pleasurable as IV Eukodol (Oxycodone), Opana (Oxymorphone), and/or Diamorphine / Diacetylmorphine. Diverting generic Hydromorphone tablets to IV is horrible after the "rush." Diluadid has the best "rush" of any mentioned above including Fentanyl.

(B) I find "brand name" Diluadid IV to be substantially euphoric at every 4hrs in a duration longer than 24hrs. Once blood plasma levels maintain a linear baseline, it feels very euphoric to me. More so than Eukodol (Oxycodone) IV every 4hrs. Still not as euphoric as Opana (Oxymorphone) or Diacetylmorphine every 4hrs.

On top of my daily PO medications -- Roxicodone 180mg-210mg, Methadone 40mg, Clonidine 0.9mg, Ativan 2mg, Cyclobenzaprine 10mg-30mg, Lunesta 3mg, and Vistaril PAM 200mg --
I find "brand name" Diluadid & Diluadid-HP IV every 4hrs for a duration of 14 days+ causes chronic hallucinations. The brand name Diluadid and/or Diluadid-HP not uncomfortable, yet seeing "black objects" in my peripheral vision like dogs or cats running by quickly and having lucid conversations with women standing next to my bedside. I have not dosed Opana (Oxymorphone) the same way so I cannot attest it does. Once the IV Diluadid stops the hallucinations stop.

(C) Diluadid has a short half-life and the body processes it very fast compared to other narcotics. The brain processes it very fast leaving to desire another dose. The brain processes Oxycodone IR and high purity diacetylmorphine the same way. Opana (Oxymorphone) IR has a long half-life unlike any of these mentioned above. Oxymorphone IR has a half-life of 6-9 hrs depending on how tolerant someone is.

As far as the thread title goes, PO medications are the best way to go for out-patient. Reserving IV medications for the hospital is best. There has to be room left to work with for acute post-op pain and room left to increase the PO out-patient dosages.

There is a fine line between addiction and dependence treating chronic pain & chronic pain syndrome. In my experience in 38 years of pain management it is best to reduce pain medications when possible and go up on them unless absolutely needed. "Less is more" is very true in a few ways -- going down on the dose allows the patient to go back up & can keep the patient on the medications longer at a stable dose. A patient that constantly wants to go up develops a certain persona of not being able to work with.

 

[4DQSAR]

I can't speak for anyone else but I have noted that the pain medication I am prescribed appears to have resulted in hyperaglasia. If the shower is just slightly too hot or slightly too cold, it's unreasonably painful. I even have to switch the shower to it's softest setting because it almost felt like needles were being pushed into my back and legs.

I do appreciate that I am better off using the medication but it took me a while to work out why showers were no longer a pleasure.

Has anyone else come across this issue?

 

[KriptonitXxx]

BENCE içselleştirilmiş acı yangı meseleside bir dirhem etki bin ayıp Dikişten galip çıkarsamı hayır dikişler patlarsamı şer sekonder kazanç oh be diyebilenin vurdumduymaz hafifliğimi yoksa?

 

[KriptonitXxx]

Arkadaşınız için gerçekten korkunç bir durum.

Ama katılıyorum... Şahsen ben Dilaudid ve Hydromorph-Contin'i hiç o kadar öforik bulmadım...

2/4/8 mg'lık IR Dilaudid tabletlerini intravenöz olarak uygulardım. Görünüşe göre belirli bir üretici, 1920'lerden beri formülünü hiç değiştirmemiş; bu formül "Hipodermik Tabletler" olup ağızdan alınmaya uygun veya enjeksiyon için suda kolayca çözünebilen tabletlerden oluşuyordu.

20 yıldan fazla önce, H'yi çok kullandığım zamanlar, gerçek olan buydu... Fentanil saçmalığı değildi.

Hafif, keskin turşu benzeri bir kokuya (güçlü sirke kokusu) sahip, bronzlaşmış plaj kumu. Bu koku, Morfin bazından Diasetilmorfin sentezlemek için gerekli öncü madde olan Asetik Anhidritten (Sp?) kaynaklanmaktadır.

İdrar tahlilimde ayrıca 6-MAM (diamorfinin morfine dönüşmeden önce dönüştüğü ana aktif metabolit) pozitif çıktı.

Bu kaçak eroin inanılmaz derecede öforikti... Dilaudid'den (Hidromorfon) çok daha keyifliydi.

Oxycodone CDN yeşil 80'lik ve kutsal kase 160 mg mavi tablet....tek kelimeyle VAY CANINA

Eukodol (Oksikodon) adlı ilacın orijinal Alman patentinde, ilacın belirgin bir şekilde öfori ve ruh halini iyileştirici etki gösterdiği belirtilmektedir.

Keşke Circa 2000 Canadian Purdue Pharma OxyContin CDN yeşil 80mg ve 160mg mavi tabletlerim olsaydı.

Hayatımda yaşadığım en büyük öfori yaratan opioid.

Oksikodon ve Ritalin (Metilfenidat), aşırı derecede keyifli ve öforik bir mutluluk hissi yaratan tek iki ilaçtır.

Fenil etil metil = fentanil

 

[KriptonitXxx]

Gereksiz kükürtsüz alkali demir iyonları ile forte Opiad lardan kanser disfonksiyonundan bir çıkarım adını fentoş an illa gelir Nerval çılgınlığı körüklemiş tası tarağı

 

[Psynaught]

I will tell you from personal experience that 7oh tolerance builds ridiculously fast. You must find a way to limit any 7oh consumption to only one dose a day at best, and no more than 50mg. The second you start upping from there, your physical dependence and mental dependence will descend upon you like lightning. I was a heroin addict for 15 years, clean for last three years. Then I tried 7oh and was off to the races almost immediately. Even as a former iv heroin user I was caught flatfooted over how quickly it grabbed me, and I was on suboxone at the time!

Fortunately, I got myself back on subs and away from 7oh again, but if you go this road you need supreme self control to be able to set your limit and never exceed it. Because a nationwide ban is incoming, and you dont want to be caught with a 7oh addiction.

IMO....you cannot do 7OH every day, PERIOD. This is just my opinion. I do 5 grams of regular Kratom powder 5-6 days a week but I think daily use of 7OH is trouble. I think twice a week is all you want to go with the 7OH. I took some fentanyl last night (Sat night is when I allow myself to get high) and didn't really get a decent high (I actually enjoy 7OH over fentanyl). But it doesn't matter, I can't take any 7OH tonight....or tomorrow for that matter.

Maybe Wednesday I can do some 7OH. And then I will take about 25 mgs, maybe 30. I do stockpile the stuff because I know a ban is on the way. I have 30 Oxy's I have had for a year and a half because I may have some surgeries coming up. Oxy's are my favorite, but I can't remember the last time I took one.

 

[Them Witches]

BENCE içselleştirilmiş acı yangı meseleside bir dirhem etki bin ayıp Dikişten galip çıkarsamı hayır dikişler patlarsamı şer sekonder kazanç oh be diyebilenin vurdumduymaz hafifliğimi yoksa?

I think the issue of internalized pain and inflammation is a matter of "a little influence, a lot of shame." If they overcome the stitches, will it be a victory? Or if the stitches burst, will it be evil, a secondary gain? Is it the carefree indifference of someone who can say, "Oh, well"?

Gereksiz kükürtsüz alkali demir iyonları ile forte Opiad lardan kanser disfonksiyonundan bir çıkarım adını fentoş an illa gelir Nerval çılgınlığı körüklemiş tası tarağı

Unnecessary sulfur-free alkaline iron ions, along with a deduction from cancer dysfunction from forte opioids, inevitably lead to the name fentosh, which has fueled Nerval's madness and completely disrupted everything.

 

[KriptonitXxx]

Gül,me melEr değil bu domdom kuruşunu paramparça ağzımdaki... Müzaffer Atik(Hasar Dersin saygı başlar)

 

[PtahTek]

Gül,me melEr değil bu domdom kuruşunu paramparça ağzımdaki... Müzaffer Atik(Hasar Dersin saygı başlar)

Cant laugh as I cannot get translate to work properly atm .... f in googlebs

Personally I find addiction (or dependance if one wishes) and chronic pain just go hand in hand in most cases.
Goes for physical as well as mental pain(s) in my experience. Whattayado...?