6k apap in about 30 hrs

[sonial]

6k mg apap in about 30 hrs

First time poster (former visitor, figured this'd be a great place to ask rather than some shitty md site). Not sure anything incriminating here but will use SWIM just in case. Post is a bit long winded but SWIM likes to be thorough.

SWIM is a CP sufferer (herniated discs) who has been using opiods combined with apap (started with 7.5/750 hydro then moved to the safer 7/325) had surgery to fix the disc 16 days ago and was switched to Percocet 5/325 1-2 every 4 hrs for moderate pain, SWIM has no experience with dealing with Schedule II (I think that's right) scripts and was unable to get a fill before the weekend due to being unable to get to the dr office. SWIM had some of the old 7/750s laying around (always tried to steer clear of em) and took a few over the course of the last two days starting yesterday morning). The total was about 6k-6.5k mg of APAP as mentioned in the title. SWIM usually never exceeds 3k mg (although have occasionally) but has been taking meds daily for quite a while. Should this be something to be concerned about? SWIM doesn't feel this is a fatal dose, but does not wish to jeopardize liver health. SWIM isn't a recreational user currently but has had experience with using opiods to get high from before CP experiences.

Also, is it even possible to CWE a mere 2 of those pills? SWIM has only been taking them 2 at a time every 6-8 hrs while awake for two days, but will likely have to continue taking something up until Monday.

 

[rickolasnice]

k meaning kilo?

If so yeah that's overdose material..

And yeah you can CWE any amount of pills..

Edit.. I think you are using K wrong.. You are meaning 1000mg.. which is just a G.. if so no then that wouldn't be considered a hospital worthy overdose but definitely not good for the liver.. especially if you are doing this often.

 

[sonial]

k meaning kilo?

If so yeah that's overdose material..

And yeah you can CWE any amount of pills..

Edit.. I think you are using K wrong.. You are meaning 1000mg.. which is just a G.. if so no then that wouldn't be considered a hospital worthy overdose but definitely not good for the liver.. especially if you are doing this often.

K meaning 1,000 sorry to be unclear. 6,000mg is what was meant. Sorry stupid videa game lingo.

 

[rickolasnice]

Well then yeah like I said.. In the UK 12g's is considered a hospital worthy overdose.. But that amount of APAP is definitely not good for your liver..

CWE's are so easy I ask; why not?

 

[sonial]

Eh, being mindless mostly. Original intention was to keep it to 1-3 a day and just tough it out, but had a bunch of shit to do. Needed x2 to reach the same level of pain reduction as x2 percocet and taking that much of these fuckers even every 8 hrs is ridiculous, but during the day CWE in front of people around me looks a bit sketch. Guess if explained it could mean a dead liver otherwise nobody would flip but didn't wanna bring it up

 

[rickolasnice]

If you don't evaporate off the water from final product you can just add it to more water in a bottle and drink it.. will look like water (albeit cloudy)..

1 - 3 a day is fine.. APAP pills round these parts come in 500mg's and it's recommended to not take more than 4 a day.. that equates to 2gs.. Although this is for very brief periods.. If you are looking at a long term stint then yeah definitely CWE.

 

[NeighborhoodThreat]

^This. Also, we don't use SWIM here. It doesn't protect you legally and makes your posts hard to read.

If you're planning on taking large amounts of APAP-containing pills on a daily basis you really need to look into a CWE. Just do a search for "CWE" or "Cold Water Extraction" on here and you'll find plenty of information. Chronic use of high doses of APAP will eventually cause liver damage.

 

[sonial]

Thanks guys. Yeah, as I said usually always keep it below 3,000. My usual is actually in the 1800-2200 range. Is that still enough to consider cwe? I know how to do it, but it seems like to cwe all my usual doses would be pretty inconvenient...

as for the SWIM thing I just remember seeing that used often; but really, since all of the medications in question here are prescribed to me is there even any legal implication? (Perhaps for taking pills prescribed to me a few months ago?)

 

[rickolasnice]

^ Depends on how long you plan on taking them.. but yeah sounds fine.. especially if you don't drink alcohol.

 

[sonial]

I never drink/never really have (though i think everyone has gotten shitty at least once).


As for how long i intend to be taking them, it depends really. I dont have any kind of WD symptoms when not taking them (i typically take a maximum of 35mg hydro or 30mg OC in 24 hrs for severe pain, closer to 21 and 15 when I'm less active or feeling good). Occasionally ibuprofen or naproxen help my pain more than hydro or oc. Do you think this quantity will be hard for me to discontinue when the time comes?

I was suffering from severe nerve root impingement for several months (L4/L5 disc herniated about 8-11mm) and was told that it could be up to 4-6 months for the nerve to fully recover. However, the postop assistants I have spoken to tell me about 3 months maximum is the standard for prescribing pain meds postop so long as nothing else goes wrong. I'd like to be done with them before then.

Since posting yesterday I have been just taking ibuprofen and doing all right-- usually a walk around the block helps quite a bit when the nerve pain is getting bad. So hopefully I'll be able to continue to give my liver a break from APAP for a while. Sorry for all the questions and long posts!

Edit: Forgot to mention I have been taking 600-800mg of milk thistle daily since the day after surgery, and eating like a horse.

 

[laCster]

is taking 6grams of apap a normal thing, or do you just take that much apap once in a while when you want to get high? taking 6000mg of apap is not safe to take more than 2-3 times a month, it isnt safe to even do in the firt place. APAP is already hepotoxic and produces toxic metabolites at prescribed dosages.. if you are taking this much apap because you are in pain and are on PM you need to ask your Dr to switch you something without apap as 6grams of apap a day is not safe whatsoever.

however, if this is just like a one time thing, then you will be fine. i have taking 7500mg apap in one day and im still standing, though i rarely take that much apap; i rarely take apap at all. i dont drink much either, and i am young and not overweight. i doubt anything bad will come from taking the 6g APAP, just dont take any more for the next 1-2 weeks!!! dont drink alcohl today especially, but even for the next week. drink loads of water and take vit C to help your liver process all the apap and shit.

even though i think you will be fine, you could be at risk if you have liver problems, are obese, over 55, smoke ciggs, ect ect.....

like i said, at this point in time, i think you will be str8, but to ensure good health, DO NOT drink alcohol at all for the next 2-3 weeks and DO NOT take apap for the next 2-3 weeks either. you need to give your liver time to repair. what you can o to prevent anything malevolent to happen would be to drink gallons of water and take vitamin C supplemints.

good luck, next time do a CWE
-laC