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need help with comedown bad

Animal51

Greenlighter
Joined
Apr 27, 2011
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18
Im currently having a really rough comedown. It feels like my insides are being rolled up into a ball and ripped out. I do e almost every weekend what the effing hell can I do or take too make this shittt subside
 
And I don't care what. It is pot xanax hydrocodone just something that I can actually get some sleep on and not want too blow my head off
 
Six months ago I went through a terrible reaction to MDMA.
It could have killed me.

I spent several months researching the scientific information on MDMA and I have manged to gain a solid understanding of the effects of neurotoxicity.

I have also posted many times on Bluelight in an attempt to translate this information into plain English.

Here are the basics:

MDMA acts on the serotonin system.
This system of nerves is the 'brain-gut' connection.
Your intestines are wired to your brain in a more advanced way than any other organ....indeed many doctors refer to the intestines as the 'second brain'.

You have damaged the nerve receptors in the brain for this network.
You have damaged the 'intestine to brain' connection.

This is why your guts are tearing you up.

Your description also places you as a possible acute case.
I say this because some people in the 'recovery' process do not describe such 'gut' pain.

I did, and I had a severe reaction.
It may have been 'serotonin syndrome'....which is life-threatening.

Serotonin syndrome is characterized by sudden onset of anxiety and rapid heart rate.

Is your pulse racing out of control?
Do you feel like your heart is going to burst?

If so, call 911, right now.

Not only is your life in possible danger....but even if you survive, there is a chance of VERY long-term recovery.

If this is Serotonin Syndrome, there is a medication they can give you at the hospital to stop the cascade reaction in your brain.
It can save you a lot of suffering....or even your life.

If you refuse to get medical help, here are my strong suggestions:

Lower your body temperature.
Apply cold, wet rags to your face and scalp for the next two hours.
Put ice in a bowl and add water....dip the rag repeatedly...
Take off your clothes and try to calm down.

Cool yourself down, and do it now.
If you have a fever of ANY grade, this is critical.
Increases in body temperature have been proven to increase neurotoxic damage to the 'gut-brain' network. It is also related to organ damage, such as liver...

Even if you DON'T have a fever, DO THIS ANYWAYS.
No exceptions, no hesitation.
Get cold, and do it now.

Do whatever it take to make yourself shiver.
Cold rags on the face and head may be more effective than other options, because the nerves on the face and head are tied directly to different regions of the brain.

After you have done this, drink some electrolytes.
That means if you have Gatorade, sip it slowly.
If you have nothing, put a few spoonfuls of salt into a glass of water and sip it SLOWLY.

By SLOWLY increasing the salt content of your blood, you will improve your kidney's ability to function. This can also decrease the amount of pressure AROUND YOUR BRAIN.

MDMA can cause inappropriate levels of water around the brain.
This can be life-threatening on its own.
This can be controlled by the addition of salt.
But the change must be slow, because a rapid increase can cause a major stroke in the brain stem.

Again, SIP some salt water. Very slowly.
If you are peeing a lot already, you can ignore this suggestion.

But do NOT ignore the suggestion to cool down your body.
Lowering body temperature is the most important thing you can do.
It slows down the metabolism and it controls the toxic cascade happening in the brain.

Got it?

Finally, do not eat any food for a couple of days.
Your intestines are going haywire, and they may act up again.
If you must eat, chose a protein or fruit/veggie. Avoid carbs.

Avoid smoking weed.
Do NOT smoke weed.
If you DO smoke weed, it will fuck you up worse!
Weed increases serotonin in the brain, NOT something you want right now...

If you have a benzo....those are fine.
Valium, Xanax, or Klonopin will qualify.

They will help to reduce your heart-rate, for sure.
They also calm you down, which is important.

Try to lay down and breathe slowly.
If you must focus on something, find something easy to do/watch.

Again - lower your body temperature NOW.
Sip electrolytes.
Take the Xanax.
Calm down.
Restrict your diet for a while.

Do NOT drink plain water if you are having problems urinating.
Adding unsalted water can be dangerous.
Drinking ANY fluids quickly can be dangerous.
Spiking a fever, even a mild one, is VERY BAD.
It could worsen your recovery, or even kill you.

The only thing left that you can do is to turn off all lights/music.
Eliminate all sensory input.
Put yourself in a dark, quiet, cool environment...and try your best to breathe slowly and calm down.

It will improve within an hour or two.
The most intense discomfort tends to reach a 'peak' of some type.
Just remember to cool down, above all else.

You are going to be ok, but you may not be able to sleep for a few hours.
This is a hallmark of MDMA neurotoxicity....your head will just keep 'buzzing'...

Follow my advice....and go the the hospital if you have fever or tachycardia.

Otherwise, cool down and calm down.
Good luck.


And let us know how you are doing later.
We want to know...
 
I do e almost every weekend what the effing hell can I do or take too make this shittt subside

Need I even type out a reply or can we answer our own question here? :)

FirstBadComedown: Mostly good advice, but I disagree with a lot of it. First of all I think not eating is a horrible idea. ALWAYS eat, your body needs nutrients and vitamins it gets form food to recover from toxic substance damage. Drink plenty of water and I highly encourage smoking weed. Not only has weed been HYPOTHESIZED to be neuro-protective to MDMA, but it also will provide a ton of relief from the symptoms he's having. I always smoke weed after rolling and quite honestly I could not imagine using any kind of amphetamine or stimulant without some cannabis to round it out and to ease the comedown.

Some hydrocodone would help too and would not dangerously interact, again, as long as it's in moderation. Don't go popping a ton of vikes now...that's a whole new problem!

Take some 5htp (not a lot and not for more than a few days), drink water, rest up, EAT some healthy food and stay positive. Lastly.... STOP ROLLING EVERY WEEKEND.
 
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We have no reason to suspect that the OP has serotonin syndrome- and suggesting so can send someone coming down into an anxiety attack. With that said, OP: if you look up serotonin syndrome and you truly feel you have those symptoms, you should seek medical attention.

The MDMA come down can be extremely frightening and emotional. I recommend benzo's if you have access to them if anxiety is your issue.

5-htp (you can get that at Rite Aid) will help you in terms of mood and appetite- I find it extremely helpful after MDMA use as it encouraged serotonin production. Walk around outside in familiar areas (sun light is also a natural way to encourage serotonin production), protein will be especially beneficial as well.
 
Here's some real, brutal, candid honesty. You don't need to anything to ease your come down. If you keep using E once a week, eventually the come downs will get so unbearable that you'll stop using E and then after several months hopefully you'll start to feel normal again and probably won't have much desire to use E ever again...that's about the best harm reduction advice I can give to a weekly user.
 
Seattle Stranger - thanks for sharing your difference of opinion.
Why is avoiding food such a terrible idea?

I am not telling the op to just starve for days/weeks.
I am suggesting a fast, simply to allow the intestines to rest.
This is common and safe advice given for many digestive ailments.
Often, doctors will recommend eating a VERY bland diet for a while...but they initially say 'no food' for a day or two. Sometimes they even disallow water, depending on the patient.

There are no amounts of 'vitamins' or 'nutrients' that can fix the situation quickly. Eating a high-protein, low carb diet CAN help restore serotonin levels faster, but again....it will not be quick. In the first few days, food may be a bad idea.

Taking 5-HTP has mixed results. Some people swear by it, others describe it as a cause of major increases in anxiety. They try it and put it down.
The difference between the two groups may exist due to a disparity: some people simply have a drastic drop in serotonin levels. Others have damaged serotonin receptors and cannot process serotonin properly, anymore.

Smoking marijuana is a foolish suggestion, unless you belong to the first group.
There are MANY accounts of weed making symptoms MUCH worse. Many MDMA users that have experienced long-term recovery quit smoking on their own. I can tell you that smoking weed, in any amount during the first month or two, was a BAD idea. There were at LEAST two panic attacks kicked off by smoking that were unbearable.

I used to enjoy smoking marijuana in the 'afterglow' of E too!
It was always a great way to improve the day after....until the last time.
Suggesting weed to someone that may be experiencing an extreme reaction is NOT a good idea.

Some research has suggested that extremely high doses of cannabis DURING MDMA administration, may offer some protection from neurotoxic damage. Much more effective than this: lowering body temperature and taking LARGE doses of Vitamin C.

Opiates are probably much safer than marijuana. They have their own little receptor sites in the dopamine network and it does not increase serotonin, like weed does. In a medical setting, they would not be used...benzos would be.
But, myself and others in recovery tend to agree that opiates are easily tolerated. Of course, taking too many or too often will still end up badly. Use sparingly...

Healthy food and sleep are good suggestions.
5-HTP may not be.
Marijuana is definitely not.

Sorry, but I felt the need to respond.

Bsiren:

You always give very simple, direct advice. Although you tend to be cautious about making strong statements, I have never seen you give bad advice. :)

But I wanted to respond to you as well...

I understand why you think 'serotonin syndrome' is a risky topic.
Indeed, the OP did not give enough information to definitively suggest such a violent reaction.

However, the statement - "It feels like my insides are being rolled up into a ball and ripped out." - is very strong. It warrants attention.

Did you know that serotonin syndrome is difficult to diagnose because the patient is often in an altered or agitated state? They sometimes struggle to speak. Notice how the OP could only write a very small post...

Did you know that one of the signs that a doctor will look for is 'increased bowel sounds' or 'intestinal cramping'?
It is one of the few ways to diagnose this extreme and confusing condition.
Also, a fever above 101.3 is considered to be a marker of severe serotonin syndrome, and possibly life-threatening.

I definitely felt like my intestines were being destroyed, in fact it was my most pronounced symptom!

It felt like a bag of rocks was passing from my stomach all the way down my GI.
I also feared that liver failure was imminent. The amount of pain in my gut was like NOTHING I have ever felt before. 8o
It took me FOUR weeks to be able to eat solid food again!

It is suggested that liver failure in some MDMA users may not be linked to direct liver toxicity. It is thought that it is caused by an immune response in the body, which destroys the liver.

The specific sequence of events is not well understood, in part because the digestive system is remarkably complex. Personally, I believe that the 'tearing up' feeling in the gut DOES warrant a higher level of concern for the OP.

The OP did not state how severe this intestinal cramping is or whether it is combined with any other major symptoms. BUT, intestinal cramping and increased bowel sounds may indicate that a more severe reaction is occurring.

Because the OP offered so little description, I thought it necessary to give the strongest advice on handling the situation.
If the OP experiences pain in his/her gut, along with any other major symptoms - medical attention is highly recommended.

Remember, MDMA is not a safe drug.
This is well understood.

There is a general attitude on Bluelight that somehow MDMA is pretty much 'safe'.

While this attitude is to be expected in many posts, it does not belong in a post that involves pain in the gut. Intestinal failure and liver failure are possibilities. So is stroke or heart-attack. So is kidney failure and swelling around the brain. All of these events are possible - and IF serotonin syndrome is occurring they are more likely to happen.

I do not intend to accuse you of having this 'E is safe' attitude.
I know for a fact that you are not one of those people.

No disrespect intended....BUT I am concerned when a moderator tells me to stop acting like things are so serious - that my suggesting a problem could induce an unneeded panic attack...

Reactions to MDMA can be VERY dangerous, and intestinal pain is one of the more serious symptoms. Any user experiencing panic, fever, or 'gut pain' should take it quite seriously. They should also follow my strong advice on lowering body temperature and sipping electrolytes. And maybe calling 911.

Serotonin Syndrome, or 'serotonin toxicity', is simply a sudden increase in brainstem serotonin activity. For some reason, the network that normally controls digestion begins injecting WAY too much serotonin into the brain!

In cases not related to MDMA, serotonin syndrome normally resolves on its own or with moderate management. However, WITH MDMA use, this syndrome can become much more pronounced.

There is a belief that serotonin syndrome is simply an exaggeration of the toxicity already taking place. Just because some MDMA users do not experience the 'sudden onset of tachycardia, chest pain, intestinal cramping...' does NOT mean they aren't experiencing a similar, slower process.

The idea that serotonin syndrome is somehow an altogether separate condition may NOT be correct.

Sorry to rant, again.
I truly do not mean any disrespect towards you or to be overly argumentative. :)

Some would say that I am just a nay-sayer that got burned and now wants to ruin it for everyone else.
I assure you, this is not the case.
I have educated myself quite thoroughly about MDMA and its risks/benefits prior to unleashing my rants upon Bluelight.
Although death and severe outcomes are rare, there is plenty of data that suggests MDMA is not safe.

People using MDMA, all of them, are making permanent alterations to the 'brain-gut' circuitry. The amount of change varies widely and often the functional consequences are minor. This does not change the fact that changes in a critical part of the nervous system are being induced. MDMA is by no means a safe or harmless drug, regardless of the user.

I hope all of this reaches and helps someone...
Thanks for reading.
 
First Bad- I understand that the OP's description of stomach pains were cause for alarm as a symptom of SS, especially if you can relate from personal experience and wish to prevent the OP from suffering to the extent you did. I caution against suggesting SS simply because we do not know enough, and suggesting a severe condition like this can cause severe anxiety.

I think your response was thoughtful and quite useful, I just want to make certain it's not assumed that the OP has serotonin syndrome. I don't think you were trying to indicate that he does definitively, but it can be interpreted that way and result in many posts assuming such.

My responses are typically brief because I'm typically going post to post quite quickly as a mod- often my posts are mainly to offer another perspective or quick word of advice. I'm certainly not an expert on MDMA myself.

OP: I didn't see that you had actually been doing MDMA week after week, but as you probably have read by now, the minimum wait is typically suggested at 30 days. At this point, it's probably essential to stop for quite some time and allow yourself to heal. There are many great points of advice on here for you, as well as some other threads- just keep in mind that it can and will get better if you take care of yourself.
 
The biggest problem right here is that you are doing it too much. You can't abuse it. Mdma or e is not something to be abused. Once a month! That's all!!!!

For now, this is what you should do
- get some vitamins. Multi vitamins and vitamin B are good. take those daily or whatever the recommended amount is
- eat healthy. protein and veggies are good.
- exercise. even just like a half an hour walk every day is good
- challenge your brain a bit, like to some logic puzzles or something, anything, that will make you think. I still don't know if this has any scientific basis to it but I know it helps me recover quickly
 
We have no reason to suspect that the OP has serotonin syndrome- and suggesting so can send someone coming down into an anxiety attack. With that said, OP: if you look up serotonin syndrome and you truly feel you have those symptoms, you should seek medical attention.

The MDMA come down can be extremely frightening and emotional. I recommend benzo's if you have access to them if anxiety is your issue.

5-htp (you can get that at Rite Aid) will help you in terms of mood and appetite- I find it extremely helpful after MDMA use as it encouraged serotonin production. Walk around outside in familiar areas (sun light is also a natural way to encourage serotonin production), protein will be especially beneficial as well.

this is really good advice. i recomment the OP just follow what Bsirens got to say.

firstbadcomedown your posts are really informative, and i agree with you on the weed thing. maybe its just cuz i dont smoke that often but i rolled on friday and smoked on the comedown, i had MAD anxiety, my stomach hurt like a bitch, my heart wouldnt stop racing. but i took my supplements, turned on the fan and just read a healthbook until i fell asleep8)

but drugs dont affect everyone the same way.
maybe smoking on the comedown would be beneficial for you... (sleep/pain-wise)
 
Interesting points about marijuana. Now that I think about it, you may be right. I have a very high tolerance to weed, I smoke every day, and it's a huge comfort thing to me. Anytime I do get anxiety, a little weed will at least make me feel at home and comfortable. I always smoke weed on the comedown, or even while rolling, and it has always enhanced my rolls...HOWEVER I don't roll very often. On the same token, I have a friend with nearly the same weed smoking patterns as I, had a little MDMA binge, and one night took slightly more than he should have. When he arrived home, he smoked some weed and had exactly what you're saying happened. Complete panic attack, hallucinations, and basically the fear of God came over him and scared him away from smoking weed AT ALL for several months! And this guy was a daily smoker, all day, every day, always down to blaze, total stoner dude, scared STIFF from this incident. He tried smoking a few times here and there in the months after and it would give him panic attacks every time. It wasn't until several months later that he was able to begin enjoying weed again. So perhaps THC is bad when MDMA-induced toxicity has taken place, however to a responsible/non-frequent user, it's just fine? *shrug*

So all in all, it could go either way. If the OP does not habitually smoke weed, then yeah, weed is probably an all around bad idea. However, if he's a daily smoker like myself, I think at this point he'd be fine continuing smoking weed to ease the anxiety that comes. Quite frankly if he IS a habitual pot smoker, and he's in a tough anxious/depressive state, taking his weed away might make it 10x worse. I know it would for me!!

The best advice here is to not roll anymore, eat healthy, drink water, give 5-HTP a try, and decide for yourself whether you should employ the aid of cannabis and/or benzos. You could always ask a doctor, don't worry, you won't get in trouble. You can tell your doctor ANYTHING about your drug use and they cannot give that info to the authorities, or anything like that. As long as you don't try to squeeze him for more drugs. If you honestly go in to the doctor with an honest concern for your health, with an honest intention to follow his directions, they will help you. :)
 
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