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Opioids Toxic Opioids

Not traditional opioids, but delta-opiate receptor agonists cause seizures, well, some of them do, others do not, or at least, do so only at high doses. Makes me inclined to think that there are delta subtypes, as there are for mu (Mu1, Mu2, and a little known Mu3) and kappa (at least two subtypes are known, kappa1 and kappa2)

Delta agonists appear to have antidepressant effects, I think I read somewhere that they induce BDNF release which would make them neuroprotective, and induce neurogenesis/promote neuronal survival, and appear to be stimulating in nature, they do apparently provide analgesia, and counteract respiratory depression induced by Mu-opioid agonists, I would quite like to try a selective delta agonist, one of the ones known to possess little convulsant activity someday.

As far as traditional Mu opioid agonists go...I have suspicions of potential toxicity about meptazinol. It is scripted here in the UK for those with a requirement for a painkiller below the level which warrants morphine or pethidine etc, but who cannot take codeine/dihydrocodeine or tramadol.

My former housemate, who turned out to be a serial liar, highly manipulative, a thief, delighted, so I found out, in taking my pain meds, hiding them, and making me withdraw, only to come to the rescue with meptazinol, gain attention and look like a wonderful, helpful person.

She took my pain meds, I have a rx for dihydrocodeine, thanks to a knee problem that I have had since childhood, after falling on broken glass and getting glass in my knee, and to compound that, while that was healing, a bunch of chavscum stamped on my knee.
Ever since then, I have been left with stiffness, constant pain and chronic tendonitis, surgery to remove a piece of bone from my knee joint didn't help, and just left me with nerve damage, so my doc has no problem with, if needs be, we both know full well they are habit forming, and I would (and have) become physically dependent, but such is the price I have to pay. I'm 24, and walk with a damn cane :/


If the bitch had actually took any of the painkillers she stole it would have killed her in minutes, possibly before an ambulance could arrive as she is highly allergic to any of the morphine-related opiates, she has hypermobile joints (in my opinion Ehlers-Danloss syndrome) and they dislocate all the time, climbing stairs, walking, anything will do it, and severe arthritis in her hips and knee....although she deserves every fucking second of pain she will ever get, and then many more. Tramadol would also cause anaphylaxis....fucking slag has more allergies than the rest of BLers put together have had drug benders. Morphine related pain meds, tramadol, latex, tomato, lactose intolerant, chocolate..you name it, fucker is allergic to it.

Doc couldn't give her the first line painkillers, codeine, DHC or tramadol, before coming over on the banana boats from the US illegally to the UK she was given darvocet, but that CANNOT be prescribed here, they took it off the market thanks to its cardiotoxicity and frequent use in suicides, so they put her on meptid, the trade name for meptazinol.

Worked, 200mg would give pain relief, 400 much more so, high as a kite (atypical response methinks, she was highly sensitive to many drugs and had wierd responses...typical tryptamine psychedelic response to sumatriptan, rectal dose of maybe 40mg or so of DMT, no MAOI lasted all night, very sensitive to mushrooms etc) so I don't think those doses would do that to most people, and a couple more 200mg tablets than that made her pretty damn ill.

I'm dependent on DHC, thanks to my longterm need for it, but stable at a minimum of 60mg/d, sometimes get by on just 30mg before I sleep, (am scripted more than that however, but have been tapering to lower my tolerance and have it maintain efficacy) and meptazinol is a partial agonist, but I had some very, very bad responses to it, that were NOT precipitated withdrawal, details as follows:

Used it for tapering, as a step down from a full agonist, to partial, should make it easier to stop altogether, 200mg did fuck all to alleviate withdrawal, 400mg helped, 600mg gave me horrid heartburn and GI discomfort, 800 per os....that felt like I had swallowed battery acid, awful corrosive shits, stomach pain and nausea.

Once tried 800mg rectally, whilst pretty tolerant to DHC after using quite a bit of the stuff, and jesus...that was fucking awful, after adminstering the solution, dissolved in 10ml of water, instant, vicious pain. I assumed it was just a bit of stinging, and slightly irritating at the time (this was before my sever GI issues with the stuff), so I held it in to make sure it took effect.

Bad, bad, bad idea. I started playing a videogame to pass the time a bit, ignoring what was then mild discomfort, eventually couldn't retain the solution anymore, got rid of it, but the discomfort turned into intense pain and repeated abdominal cramping, started getting nauseous, sweating like crazy. Had to go puke, repeatedly, then collapsed on the bathroom floor, became tachycardic.

After a while just lying there hoping it would pass soon, as meptazinol is quite a short acting opioid, I eventually managed to walk to the bedroom and crash on the bed, heart still racing like fucking crazy, and pronounced diaphoresis, had to take my top off as it literally got soaked with sweat. I also noticed that my hands started twitching/jerking if I tried any fine motor movements, that extended up to the arms but went no further.

I managed to dissolve a large dose of tizanidine in water, and plug that, which stopped the twitching, and appeared to reverse all the effects, save the nausea and GI pain, although that became irrelevant, as it soon knocked me unconscious.

It was NOT precipitated withdrawal due to its partial agonist effects. I know what withdrawal feels like, and this was not it, it did share some symptoms with the opioid withdrawal syndrome, but definately wasn't withdrawal. Meptazinol orally doesn't cause precipitated withdrawal at any dose either, even those that make me feel awfully sick and cause stomach/throat pain.

Meptazinol has AWFUL bioavailability taken per os, 10% or less. I don't think the gastrointestinal effects are due to a pharmacological effect of the drug itself, but rather, of its physical chemical properties, its a funky looking benzazepine, with a phenolic hydroxy group present, unlike the -OH of an aliphatic alcohol, a phenolic hydroxy moiety is significantly acidic, so I think it quite likely that meptazinol is sufficiently acidic to irritate mucous membranes, the tablets felt like they did on my throat, when swallowed, and to further substantiate that theory, any drug at all would have to act extremely rapidly, considering the onset of the pain up my arse was felt within a minute, two at most, for it to be able to pharmacologically produce any effect, including pain.

Interestingly though, meptazinol is a highly subtype selective agonist for the Mu1 subtype, and there aren't many of those known.

Bearing in mind my theory of the physical irritation of the mucosa being due to that phenol moiety, I have been contemplating trying the propionyl and/or benzoyl esters, just as morphine is acetylated to give heroin, making it much more lipophilic (-OH is very polar indeed, a big, water loving carbuncle of a functional group that really is not conducive to passing the BBB), enabling much lower doses to be taken.

I may never get round to it though, and the crystalline meptazinol sulfate I have may well just get left to sit on the shelf, so to speak for a few years, until I eventually get so bored one day I have nothing else to do but go acylate it:\ Not a high priority.

If I do test those derivatives out though, it will be most damn carefully, working up from a few milligrams...that plugging experience was awful.

Meptazinol is a chiral molecule....I am pretty sure the form used clinically is racemic, it would be interesting to see if one isomer is responsible for its opioid properties and one for toxic symptoms.

Structure of meptazinol:

CLK1004C001.gif


Formal name: 3-(3-ethyl-1-methylazepan-3-yl)phenol.


I think we can also consider the superpotent opioids that are derived from fentanyl, the oripavine derivatives like etorphine, Lednicer's bromadol, and the Knaus-compounds as toxic opioids. Not because they have non-opioid effects that are toxic, but simply because they are so cunting potent, 10,000x the potency of morphine in the case of carfentanil, and even that is made to look like a shittier version of darvocet in comparison with some derivatives of ohmefentanil.

An active dose of etorphine is a mere one fucking microgram, to show some activity in humans, for the fluoro-ohmefentanyl, that would likely be active in the low nanogram range, 1mg would kill even a real tolerant, degenerate gutter smack-rat a thousand times over before the needle even left his arm.

In contrast, a lethal dosage of sarin nerve agent is between 5-10mg (although it would be much less if injected), a lethal dosage of the far more toxic VX is a little less than 1mg, and by far the deadliest nerve agents yet discovered, the novichok agents, the most potent of those, is perhaps 50-200mcg, which still makes some of those fentanyl derivatives far more toxic (although given the choice between death by nerve agent, and by fuckoff potent opiate...no contest really :\)
 
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Gah....can a mod fix that image for me, perhaps?

A couple more nasties that come to mind, there are some oxymorphone derivatives that have reactive functional groups that form a covalent bond with the MOR, and irreversibly bind.

Oxymorphazone is a hydrazone derivative which is a MOR agonist, which covalently bonds, which gives it a fucking long duration of action, but then effectively takes the receptors out of action, as they are desensitised following the chronic activation then subsequently internalized and destroyed, requiring new receptors to be produced.

Chlornaltrexamine looks even worse, this one is an antagonist, and again covalently bonds to the Mu-opioid receptor, but the reactive group looks really rather nasty, having a bis-2-chloroethylamine present.

What other nasties are known for bis-2-chloroethylamino groups? Yup, you got it, mustard gases (the nitrogen mustards, for example bis-(2-chloroethyl)-methylamine, otherwise known as the nitrogen mustard agent HN2....incidentally the mustard gases aren't gases at all, but viscous liquids)

They act as potent alkylating agents, as do most haloalkylamines, which alkylate DNA nucleotide bases and thus act as mutagens and highly carcinogenic compounds.

So hows THAT for a nasty opioid? an opioid antagonist that irreversibly nukes your population of Mu-opioid receptors AND is probably carcinogenic/mutagenic.

I wonder, given its similar structure to the nitrogen mustards, which are all bis-(2-chloroethyl)-alkylamines, or the sulfur mustards, such as bis-(2-chloroethyl)-sulfide for instance, if chlornaltrexamine would act as a blister agent on skin contact?

Certainly the very least it would do, in a sufficient dose, would be to put a NON dependent person into full on withdrawal from hell, theoretically, enough of a dose would knock out ALL of a person's Mu-opioid receptors.
 
Can't stand either of them, godawful comedown after a godawful 'high', stimulants with much noradrenaline-releasing effect usually cause akathisia for me. Meth is too neurotoxic for me to want to use it anyway, 'phet in low, low doses is ok for studying, but otherwise I hate the stuff.

Desoxypipradrol on the other hand....damn potent DARI with afaik fuck all NA releasing effect, just some reuptake inhibition, now that I don't mind at all=D

I don't even really like MDMA, its enjoyable for an hour and a half or so, maybe two, then I just want it to end, and half-wish I hadn't taken it in the first place.

The OP asked for info on toxic opioids, I gave him some. There is next to no mention of meptazinol on BL at all, only a few threads, and none at all detailing any bad reactions of that nature, the more detail, the better, and that former housemate REALLY pissed me off. She is indirectly responsible for the murder of my pet spiders, she has the blood of maybe 200 on her hands, I raised the mother (a false widow) for a long time, used to hand-feed her crickets sometimes, I was going to raise many of the babies myself, and sell the rest of the 'slings :/
 
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Limpet Chicken: I just peed myself a little bit.

Never knew about those opiates...you wouldn't crap for a year...because you'd be dead lol.

Crazy
 
I have some suspicions that buprenorphine might be slightly hepatoxic.

I will admit that my reasons for believing this are pretty flimsy and based solely on my own experiences.

I have had my liver enzymes checked both when on full agonists and when on bupe. Whenever I am on a full agonist (or nothing) my enzymes levels are at the lower end of normal. I have had my enzymes checked 3 times when switching over to bupe and all 3 times they jumped up to highest end of normal. Now my doc has assured me that the levels are not anything to be concerned with, but still, I find it interesting that they jump up fairly significantly whenever I switch over to bupe.

Has anyone else noticed this?
 
You guys da best!

EDIT:

I'm gonna go ahead and start with the whole 10mg. It says irreversible binding, but hell a couple t3's sets me straight so 10mg should be no big deal.
 
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Well i know 3 opioids are definetely toxic in the sense that they are toxic without going into OD terrotory per se. Tramadol would be one because of it's seizure lowering qualities that go up alot if you go above the safety zone of 400mg's a day. (Dextro)propoxyphene aka darvon is another one that is toxic mainly due to it's metabolite norpropoxyphene which is cardiotoxic and can cause seizures and has a very long half life. Another one is demerol (meperidine, pethidine) and stupid doctors don't even pick up or seem to care about this one since ive had doctors who had no idea that demerol was toxic much less why it was 8) . It like darvon has a rather nasty metabolite called normeperidine that builds up rather quickly and demerol can cause real serious problems if you take doses above 400mg's a day so yeah it's bad news unless you have a specific reason for needing it.

Theres a few others namely LAAM or Levacetylmethadol which is not on the market in Canada as far as i know and may never have been on the market. That can fuck with your heart and is much the same as methadone except it lasts much longer and you supposedly can get away with dosing once every 3 days.
 
You guys da best!

EDIT:

I'm gonna go ahead and start with the whole 10mg. It says irreversible binding, but hell a couple t3's sets me straight so 10mg should be no big deal.

All kidding aside (and I certainly HOPE you are kidding), what specific opioid are you referring to?
 
LAAM
propoxyphene
demerol/pethidine/meperidine

These are the only opiates I know of that can be toxic. I've never heard about methadone being "toxic" at any dose. But the drugs listed above seem to be synthetic opiates (as opposed to semi synthetics and natural opiates) so it's definitely possible.
 
Another one comes to mind, although not per se toxic, just a dangerous side to it.

Dextromoramide (palfium), a damn strong opioid usually used for cancer patients who for one reason or another cannot take morphine or its close relatives.

When IVed, it drops blood pressure rapidly and most efficiently, also its quite unpredictable as to bioavailability for some reason, same dosage, same route of admin, and same dosage unit type can vary significantly, in the same user, different times its used.

Hits fucking fast apparently, which coupled with the above features I think gives it a fair bit of a dangerous profile, if one is getting off on the stuff, fine one day with a tolerance-induced high dose, then the next, ODing.

Beats the piss out of me why big pharma ever bothered letting (dextro)propoxyphene out of the lab, I have had it, once, didn't feel a damn thing, good for attempting to cover up murders though, if you have any british chemical weapon experts that piss you off.....


Two things, directed at the OP:

First and foremost- DO NOT FUCKING TAKE THAT OPIOID! LATHER, RINSE, REPEAT, DON'T FUCK WITH IT!

Irreversible means covalent binding, I.E it might well activate the opioid receptor and get one high, but it will WIPE OUT the receptors it binds to, they will be knocked out of action permanently, and subsequently get endocytosed (in essence, sucked back into the neuron the receptor is expressed on), chewed up and spat out. Your body will need to take a fair time to produce new opioid receptors to return to normal functioning.

If you aren't dependent on opiates, there is every chance an irreversible agonist could, after a dose, throw you into a really, really REALLY nasty withdrawal, just the same as having a fent habit would, that results in desensitizing and then internalization of receptors, also, those high potency opiates that bind normally (reversibly) desensitize really fucking quickly, and cause internalization also, which takes far longer than mere desensitization induced tolerance (IIRC morphine and its relatives desensitize but do not cause receptor internalization)

A dependent user....would already have less than sufficient natural opioid receptor presence, and/or function, resulting in the body needing more stimulation than it naturally would, by an artificial opiate coming from outside the body (I.E one's drug of choice), failure to do so unmasks that deficit of opioid receptor function, resulting in the nasty business we all know as withdrawal symptoms.

Just think about what will happen, when you take that ultrapotent opioid, induce a rapid profound tolerance, and simultaneously, after the effects have continued for a while, effectively kill the receptors (which will be replaced, but slowly, meanwhile you suffer).


What is this irreversible opioid drug you are contemplating fucking with?

The above, is of course, applicable only if it doesn't kill you first through sheer potency, if its one of those chemical weapon-esque skull-fucker opioids.

Also bear in mind, that since the drug in question will irreversibly activate and eventually nuke the receptors its bound to, it cannot be displaced by an antagonist, if you OD on heroin, a shot of naloxone will compete for the binding site on the opiate receptor with the H, and it binds tighter, so 'wins the battle' and gets its spot, rapidly reversing the effects and bringing the user out of the overdose, but with a drug that is permanently bound it cannot be displaced.

As an analogy, picture a guy (H) grabbing onto a fence, with a copper trying to drag him away by pulling on the feet (naloxone, the antagonist)

Pig pulls hard enough, guy gets busted, H gets kicked off the receptor.

Irreversible agonist on the other hand, the guy isn't hanging on, he is chained to the fence, and cannot be dragged away without taking the fence with him, and our donut gobbling shit-eater opiate antidote constable friend loses the battle utterly, without any hope of ever winning, regardless of how hard he wraps his trotters round the guys legs and gives a good damn yank.
 
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I was only joking, I've decided not to even bother acquiring the substance in question. it does not actually irreversibly bind either, I thought I would add that bit for effect.

Anyways, as for what this compound is I cannot say; some things are better left unsaid.
 
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