Opioids An efficient laxative : URGENT, in 1 hour I meet my methadone doc...

[THE_REAL_OBLIVION]

I'm lowering my dosage of methadone slowly so I can get bupe instead, i'm currently at 55 and going to have it lowered to 51 at 2pm. But the question here is, what laxative for the UNGODLY constipation I am getting from it, its honestly the worst offender when it comes to opiates i have ever been on.

I currently am scripted 3 laxatives : Sessonides 7,8mg x2 a day (the ingredient in x-lax, it loses effective pretty fast I find). The sodium docusate 100mg x2 a day and finally 35ml of lactusol x2 a day. That's so many laxatives I often forget to take those I want to take effectively : the docusate and lactusol. I'm sure there are other laxatives out there, I remember someone with a problem similar as mine before mentioning another and how wonderfully efficient it was. Prolypylene glycole ? I forgot, I do drink a lot of fluids and eat fiber, the problem remains. I would just like not to feel like I am giving birth when I go to the toilet

Please answer swiftly and if this doesn't belong here, move it to the methadone thread or w/e. I don't have much time ahead before i need to drive to the thankfully close clinic. all the best!

 

[T. Calderone]

I'm not sure if lactusol is the same as lactulose syrup. I was given that once at the hospital. It was a bit too strong for me. One over the counter thing you can purchase at the any pharmacy is magnesium citrate. It comes in a small bottle. I had to use it the day before a colonoscopy and it clears out everything for the procedure. But expect to spend lots of time on the toilet!

 

[THE_REAL_OBLIVION]

I'm not sure if lactusol is the same as lactulose syrup. I was given that once at the hospital. It was a bit too strong for me. One over the counter thing you can purchase at the any pharmacy is magnesium citrate. It comes in a small bottle. I had to use it the day before a colonoscopy and it clears out everything for the procedure. But expect to spend lots of time on the toilet!

Thanks But I didn't get to see your reply I was already on the way. He scripted me what I hoped for, polyethylene glycol with Electrolytes. He said that stuff isn't candy so be careful, if the 250ml dose gives you diarrhea you are free to reduce the dose. Also, normally that medication isn't covered by the government insurances unless a code is added to the script, and alright, it was approved! Now I gotta let the whole thing get colder in the fridge cos apparently it makes the taste bearable...i dont like that, it must that horrible haha. But it's funny to say I would welcome diarrhea at this point, fearing to go take a crap is not what i wnated to live with lol.

 

[RobotRipping]

i used to use magnesium citrate when severely constipated from opiates, like the kind where you can't actually get it out. I would take like 800mg before bed and in the morning i'd normally have a decent BM. I've never tried methadone though, but poppy pod/seed tea is long lasting too and the constipation from that was insane enough that it was one of the big reasons i had to stop taking it.

i've heard about a drug that acts like the naloxone for the ass, in that it will make you shit but not put you into withdrawals, like the opposite of immodium. I'm not sure if it ever came out and i can't remember the name but i think it would be pretty fucking effective.

 

[Morphling]

Propylene glycol will definitely clear you out, it's part of the mixture they proscribe for clearing you out entirely for colonoscopy.

Try dulcolax, senna, mineral oil and aloe vera gel. If that doesn't work, nothing will.

 

[Foreigner]

Moving this to Sober Living. Good luck!!

 

[Mariposa]

I don't use opiates so I can't be of help from direct experience. But have you considered good old coffee? I really can't drink coffee if I'm not near a bathroom because it's only a matter of time - this applies no matter what or how much I eat. Have a cup and see what happens?

 

[THE_REAL_OBLIVION]

Thanks all, oh I already had sessonides, docusate and lactusol, the only other one i couldnt mention right when i was over there that i forgot the name of is dricanyl or something like that. I just drank my cup (250ml) of PEG 3350...and am anxiously awaiting the results. I have chelated magnesium pills here for when I used to be on dexedrine almost 5 days out 7....never really made a difference...I gotta mention I never got this kind of constipation from other opoids. ZNeg in the methadone thread told me that unfortunately methadone and bupe seem to be the worst offenders when it comes to constipation...i mean, i cannot take a full crap without alerting the whole house....and breathing like if i was a woman giving birth. It's crazy...i'm eager to have a normal poop that leaves residue on the TP for once, sorry for the graphic details, but damn, its been since november that i fear being on the john...i'll tell you all how that went. I decided to stop taking the sessonides as they seeem to stop working very fast, unlike the lactusol and docusate which was able to make me crap...but only small amounts and decidely not all I had to push out, a little ball just seem to fall out once i sit and forcing myself to take out the rest is damn near impossible, except when i take dexedrine, which speeds up my guts so bad, but since i'm on methadone I cannot take my dexedrine, it makes me extremely ill and i puke bile for hours, at doses less than what i am actually scripted...

 

[RobotRipping]

that's strange about the dexedrine and methadone combo. I've mixed dexedrine with other opiates without any issue and it is indeed great for taking a shit. I used to snort lines of ethylphenidate to take a shit on opiates and within minutes i would have to shit but it wasn't pleasant by any means. Personally i prefer the no residue shits, now that i'm off opiates, it's like cleaning up a huge mess lol. Good luck with your bowel issues, and please report back on how effective the PG + electrolytes are.

 

[pasha]

Castor Oil. Simply the strongest laxative.

 

[T. Calderone]

If you keep getting constipated, try the magnesium citrate drink. I don't know if you have Walgreens where you live, but it's usually on sale like 2 for 4 dollars. The grape flavor tastes good and just drink a bottle of water afterwards. Works like a charm!

 

[Mass08]

milk of magnesia bombs always worked for me.....too well if I may add.

 

[ad lib]

I'm going to close this thread.

If you're having very severe constipation issues please consult your physician, as there may be a bowel impaction, fecal obstruction, or other issues. All the tips given is this thread are effective for relieving constipation.

Any questions please PM me or any other RS moderator.

 

[ad lib]

Re opened per OP request to provide an update.

 

[THE_REAL_OBLIVION]

People, if your doctors after trying a couple of meds just tell you to take larger doses of unsafe to take for long periods laxatives (Sennosides, I look at you), I really recommend telling him/her about PEG 3350. It isn't cheap and he had to put a special code on my script so the government would pay for it (exception medication laws, ugh) and it's amazing....it's not like if i wasn't on any opiate any more, but even if I still gotta force more than normal, it doesn't hurt when it goes out on it's way, at all, finally. I'll no more fear the toilet bowl and I will have stop to make posts on bluelight using euphemisms about taking a shit like if I was the voiceover in a toilet paper commercial because I need to discuss opiate caused constipation and how to remedy to it. Really, this thing is awesome. He didn't tell me if the other I had read about but didn't remember the name correctly, "dricanyl" ? i know it ends with yl, was available here but I sure won't need it.

Any dangers related to long term use of PEG 3350 ?

 

[Swimmingdancer]

I don't think this really belongs in Sober Living, you're just asking for help with methadone-induced constipation, correct? There are probably threads on this topic already in Other Drugs, but I'm going to send it over there and they can merge it if they see fit.

I would suggest:
- continuing to lower your methadone dose
- drinking LOTS of water
- eat healthy things that are not constipating
- take preventative action, never wait until it's been a few days without a BM to do something about it
- take magnesium!

As for PEG 3350, there have been several studies in using it chronically that concluded it was "safe and effective". But personally I would not want to constantly rely on any laxative long-term and would try diet and lifestyle modifications at the same time. Osmotic laxatives like PEG 3350 are a good choice for opioid-induced constipation, stimulant laxatives like Senna are a poor choice. If one is going to use stimulant laxatives while on opioids they should only be used with an osmotic or softener and with a lot of water. And they shouldn't be used long term.

SL -> OD

 

[-Guido-]

Any dangers related to long term use of PEG 3350 ?

Just like any other laxative, it may cause dependence.

I'm not embarrassed by bodily functions so I have no shame posting this; My first year on Methadone required a saline enema every few days in order to evacuate my bowels. I could not have a bowel movement for one whole year without one. It was terrible. As time goes on you become tolerant so constipation wains and I got to the point where I no longer needed an enema, I just needed to eat a healthy diet full of fruits, vegetables, no junk food, and drink plenty of water. Today, even on a high protien diet, steroids, and diuretics, I have a bowel movement twice a day and no joke I'm in the bathroom for less than two minutes with no strain or pain.

 

[THE_REAL_OBLIVION]

I don't think this really belongs in Sober Living, you're just asking for help with methadone-induced constipation, correct? There are probably threads on this topic already in Other Drugs, but I'm going to send it over there and they can merge it if they see fit.

SL -> OD

I didn't move this here, I posted in Healthy Living first, where I thought it made sense to be.

 

[THE_REAL_OBLIVION]

Alright, my final post in this thread is to advise people who are in the same situation than me (extreme constipation from methadone or any other opiates for that matter). At first I was given sessonides, that worked when I was at low dosages of methadone when I was still inpatient, stopped working once i got past 30mg or so, then I was given docusate and lactulose. Then now the PEG 3350. PEG 3350 by itself wasn't enough because it seems to yes make me into wanting to take a crap mode but it would all come out mushy and not into one nice regular soft but regular turd, lol. If i do take the docusate 100mg pills twice a day with one dose of 35ml of lactusol, everything is just fine with me. I think i'll be taking the PEG 3350 forever, well no, as long as I am on methadone, I am fairing rather well at 51mg, although I am a bit guilty of using more than I should sometimes since i'm up to 4 privileges (soon 5 in a week and a half) but I usually just take less (maybe leave 1/4 of the next dose away to re-establish harmony). I do not recommend people to do this but I still do get bored like any normal individual and my lack of intake of illegal drugs for so long has made me an examplary patient according to them, i've smoked weed maybe 10 times since then and since it lasts so long in one's blood i say it was just one time this month during my appointments, I do not even smoke weed for months at a time.

Ok I got lost in other thoughts later on but you can see what I was telling my BL friends here what works in such cases, the PEG 3350 works wonderfully if mixed with just one dose of lactusol and a regular dose of docusate (200-300mg) a day to make those excrements a bit soft all the way through and not just at the beginning like with PEG 3350 alone, it would come out all smushy while i felt a big more solid thing was still waiting to go out there.

And now I am done embarassing myself :D

 

[Morphling]

I'm glad you can shit!