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Upper right pain even after CWEing codeine

C

celsior

Greenlighter
Joined
Sep 17, 2010
Messages
28
Location
Si Thammarat, THAI / Oslo, NOR
Hi folks.

After drinking 200-260mg CWE codeine I keep waking up with this dull pain in my upper right abdominal side. It disappears within a couple of hrs and then it just slides into a moderate hangover for the next 6 to 8 hrs: I feel slightly dizzy and unwell tho not nauseous. Ive had these symptoms before, maybe not this strong, but I can feel it getting worse almost every time I do codeine. Ive been to the doctor today for a bloodtest - I'll prolly know the results in a week, but heck, I'm curious: Anyone know what this is, similar experiences?

In advance, thanks for any input! :)
 
One of the side effects of codeine is abdominal pain, so maybe it's a bodily reaction to it, individually. Collectively, from my experience with dosing massive amounts of Codeine + APAP + Ibuprofen, my stomach hurts, up until I eat something, then it goes away.

So maybe, try dosing it on a full stomach, rather than an empty stomach?
 
^ good advice, ibuprofen is renowned for causing gastric ulcers if taken on an empty stomach or in large quantities and it's not all filtered out in a CWE. Perhaps limit how much codeine you take until you get those blood test results (liver function test?) back though? 200-260mg is not a huge dose by any stretch of the imagination so I wouldn't panic about the pain being caused directly by it yet.

How solid is your CWE technique? I.e. are you filtering through cloth and then a coffee/lab paper filter or just through fabric? How much water are you using etc?
 
Right hand side, just under the rib cage is your liver/gall bladder. The stomach is more central and to your left but there is still a chance that it may be your gastric track which snakes around your abdomen. Like Belarki said CWE is not 100% cure all.
 
I have the same experience. I have noticed that changing to APAP and measuring out 30ml to 40ml instead of just pouring in water by eye has helped alot.

I also have noticed a bit of a hangover effect? is this normal for a 150-300mg of codeine? Not sure if it APAP or codeine? But I really do an extensive CWE by using dress shirt cloth then coffee filter with cold water and no squeezing out.

I also read on wiki that APAP is 12.78mg per ml soluble at room temp. Does this mean that the most APAP that can fit in 50ml of water is 639mg? If so then the feeling must be form the codeine?

any thoughts?
 
I stopped using ibuprofen because even with a really solid CWE it would cause stomach pain.

If you use paracetemol pills and your technique is solid, you should have an almost clear liquid as your final product. If you're still experiencing pain, try eating a light meal beforehand (which generally I'd advise for opiates anyway).

I used to have the same problem, I'd get paranoid that it was a sign my liver was having trouble, but I had a function test and it came back ok. Just be a bit more careful about your extraction and dose after a light meal.
 
Mr Blonde said:
That's one of the symptoms of a duodenal ulcer, you know.
Click to expand...

Just as an aside, the currently accepted view is that you can't accurately distinguish gastric from duodenal ulcers based on the temporal relation of symptoms to eating. They used to think so, and many sources and older clinicians will believe you can because that's what they were taught.
 
^ Really? I tried to find some references but didn't turn up anything solid. Symptoms relating to when a meal is ingested makes sense to me for the reasons I've read (increased acid production during eating agitating a gastric ulcer during the meal), but I'd like to see some good evidence for either view point. :)

Maybe I'll try and get some information tomorrow when I will have access to MIMS and Australian health information providers.
 
My CWE technique should be thorough enough - coffee filter, approx 80-100ml water. And I'm never dosing on an empty stomach. Still, its comforting to hear my dosages are not excessive. Up until now Im still uncertain of what this is. I'll keep you guys posted as soon as the bloodworks come back. If they're good its obviously just an individual experience... Thanks guys.
 
i used to get similiar symptoms. Is it in the abdominal region, a little diagonal from your doodle?

I found when I stopped doing codeine, both CWE'd and not, that it wouldn't occur. Maybe take a break. If it persists after a day of you taking codeine then it might be worth consulting the doctor about.
 
celsior said:
Hi folks.

After drinking 200-260mg CWE codeine I keep waking up with this dull pain in my upper right abdominal side.
Click to expand...

Yeah, I get the same. I just assume the CWE works in theory but not in practise, because the region i get this same pain in is where the liver is. I just assume CWE doesn't work and i'm fucking my liver. It's just that I don't care. I've never had the guts to get a liver test, i'd rather not know

If you are only doing 200-260mg, maybe you could get 1/2 the codeine from panafen plus and the 1/2 from panadeine, reducing risk of paracetamol and ibuproofen damage to your organs. I've asked pharmacists before, they've agreed you can take paracetamol and ibuprofen together without problems
 
^^ I posted awhile back in this thread because I was getting the pain where the liver is supposed to be, however since doing a little bit more research and perfecting my CWE I have noticed it is gone.

What I do now is I use a lot less water. I actually measure out 50ml and not a drop more, wheras before I was just pouring in from eye.

Also I use panadine extra which has 15mg codeine to 500 mg apap. I cheked on wikipedia and its saids at 21 degrees celcius that apap is 12.78mg/1ml soluble so I believe that means if i keep the water cool at all time while doing the CWE and filter properly through a cut dress shirt, squeeze out every last drop of water, then cool for a bit, then filter through 2 coffee filters, the leftover product is very clear and high in codeine and the maximum APAP is can only be 639mg. (according to wikipedia).

Also I only use 12 pills which means the max codiene in the solution is only 180mg codeine. As I lose roughly about 10ml water each time the left over probably has only 120mg codeine.

So to combat this I do multiple CWE's - the same process but in individual glasses as every time I do a big one the water gets to sludgy and when I squeeze the shirt filter I believe more APAP goes through an I get the slight dull pain in the liver area. This process takes me like 2 hours but it is well worth it in the end.

Since I have noticed a big difference and get quite a nice high from the codeine although mild as I was a heroin addict for many years and on methadone for 4 years. Nothing to full on but a nice rosy high with beautiful sleep that night, plus I combine with weed/alcohol.

CWE's are potentially a very dangerous thing to do.

I would advise to take your time, never use too much water, and even though expensive buy more codeine and filter well.

Peace
 
SpiritFolk said:
CWE's are potentially a very dangerous thing to do.

I would advise to take your time, never use too much water, and even though expensive buy more codeine and filter well.

Peace
Click to expand...

^^ yeh but once you've done the research you realise just how dangerous it is not to do a CWE... and I'll guarantee most people abusing codeine and taking vast quantities have never heard of a CWE. Hence the re-scheduling last year.

Good to hear you're having more success and have refined your technique.

Stay safe buddy <3 :)
 
^ That rescheduling was fucked, it hasn't stopped anyone. If they really wanted to fix it once and for all, they would move all codeine products to S4 which a few pharmacists think will happen eventually.
 
Mr Blonde said:
^ Really? I tried to find some references but didn't turn up anything solid. Symptoms relating to when a meal is ingested makes sense to me for the reasons I've read (increased acid production during eating agitating a gastric ulcer during the meal), but I'd like to see some good evidence for either view point. :)

Maybe I'll try and get some information tomorrow when I will have access to MIMS and Australian health information providers.
Click to expand...


i agree with you MB, but the pain and burning sensation is on the severe side, not just a stomach ache.

its a bit of a damned if you do damned if you dont situation.
no food = stomach acid agitating the wound.
eating will provide some relief but depending on what is eaten is only very temporary relief before stomach acid production is increased causing a vomit reflex starting the cycle again.

i had that exact symptom when i had an ulcer and could only eat one wheatbick with water or half a banana at a time whilst taking somac.

sorry to go off topic!
i experience stomach pain when ingesting codeine whether with a CWE or not and would say its directly a side effect of what im ingesting.

as for liver pain, theres no mistaking it, as mentioned, get a liver function test and take it easy for a bit.
 
i agree with you MB, but the pain and burning sensation is on the severe side, not just a stomach ache.
Click to expand...

When did I say it was a stomach ache? :?

as for liver pain, theres no mistaking it, as mentioned, get a liver function test and take it easy for a bit.
Click to expand...

I had a liver function test last year and it came up all clear, and I use large amounts for a CWE, so that was a good sign as I was using regularly at that time. However, I have been told that if you have already damaged your liver and aren't still in the process of it, then you could have scarring and it won't affect the function test.

Moving codeine to S4 might overload the GPs even more, with patients who want to come in to treat their moderate pain. I guess it'd make Doctor shopping even more troublesome for the people who want it in large quantities though...
Click to expand...

I agree, it will be very annoying for doctors (and me). If they move pseudoephedrine to S4 as well, which the odds are good they might, it will be even more frustrating for both GP's and patients.
 
^ That's OK, I'm doped up right now so am not thinking so clearly either. :)

I'd like to know some more about your experience with the ulcer, if you'd like to elaborate. Did the symptoms gradually build up over time as it became worse, or did the pain come on quite suddenly?

I've read a few cases (in the news... and Cosmo) of people who were abusing straight N+ suddenly experiencing acute abdominal pain which was their first sign of the problem, in a few of these reports it was at the time that it perforated. However, my intuition tells me that before it becomes that severe you would notice it as the gastric lining is slowly eroded via the COX inhibition of ibuprofen. Pain that builds up over time.
 
I called my doctor today. He had the results ready for me: I lack iron. Liver is a-ok. Thank god. Now, where's mah damn codeine, I wanna celebrate LOL!

No really. I did a few googlesearches regarding iron deficiency. It could be caused by a variety of things. Though, a couple of causes that struck me in particular were: Am I taking any meds that might interfer with my iron intake: APAP/codeine. Am I eating foods/taking supplements containing phosphates: Codeinephosphate. Ya know, one can get really paranoid when trying to diagnose yourself over the internet. I dunno.

EDIT: I was 50% certain that either my liver or one of my kidneys were somewhat complicated in all this. I guess it just goes to show how tolerant the human body is. In conclusion to my dull pain in the right abdomnial side, it most certainly is an individual, bodily response... I just cant explain it in any other way.
 
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