Anyone experience with Pantoprazole after Ketamine Regular Use? Stomach Issue

[xTalK]

Basically had stomach troubles for past 2-3 years, I mainly put it down to ketamine use but think there may be some form of hereditary issue or something. But the ketamine and alcohol (reason I'm not a very big drinker any more, never used to happen) flare it up terribly, I tend to get k cramps a lot faster than any one else I know, if I take more than a gram now I tend to get them and I have gotten my k use down from like 4-5 times a week, like last year, to maybe few times a month and preferably soon not taking at all. Have been taking it since I was 14-15 so looking back it's possible organs were affected in growth?

Anyway, I've been told the stomach is quite good at repairing itself. I was on a script for omeprazole for at least a year, this eventually went to 3x a day and after suffering k cramps that lasted 5 days, 3 days of which I could not move from bed, I went and got my script changed to Pantoprazole 40mg and Domperidone.

I will admit that since cutting down the k use and not drinking as much has helped a fair bit, I'm a bit more aware of what causes it. But basically can't drink more than once a week really and it's a bit odd as never hear other people really getting this issue. I can't however do things like drink tea in the morning without eating, or else I'll vomit it up shortly after, I do have to take the Pantoprazole at least once a day to have minimal pains. Lots of annoying issues that I'd really like rid of.

Does anyone know if I can rely on these alone to fix my issue? Or anybody experience with similar? I don't wish to inform my doctor of my ketamine/drug use. I have been on it for about 3 months daily or sometimes twice 40mg, the domperidone I use sparingly. I also smoke weed heavily to help with nausea and to be honest think without it I would be in much more pain. I'm just worried that someday the pains are going to be so bad that something is seriously wrong. I know we aren't all doctors but here is the only place I can think of where others might be in the same situation. Does this sound like a stomach ulcer - how long can you have these for as this has been an issue for a number of years now.

Any light is appreciated, would be good to get this done with once and for all as personally I think it affects emotion a bit too and makes me less sociable as feeling sick fairly often doesn't really make you in the mood to go out. Also it sounds easy to just 'stop k' but this stuff is terrible for making you take it even when it feels like its poisoning your own body, have had to stop hanging round with certain mates and everything because of it. I know something isn't right as my mates get k cramps if they binge but not nearly as easy as me and they consume a lot more. Pain is worse on empty stomach.

 

[knock]

These -prazole drugs are PPIs, so you have a stomach acid problem then? I'm not sure what you mean by "cramps", and people sometimes mean different things by "cramps", to me cramps are muscle spasms which can be very painful, but I don't think I would mistake acid for that.

Anyway, I also get very painful stomach acid problems, but not consistently, and ketamine never made it any worse. Booze (especially beer) does, but GBL does not, and cereal and sometimes bread makes it fucking unbearable so I reckon I have some kind of gluten or wheat intolerance. But these things are notoriously difficult to diagnose. I just try (and sometimes fail) to avoid the things that cause problems. Fortunately ketamine is not one of those things! Not that I've had any ketamine in a while.

Anyway sorry I can't be more helpful but certainly think about diet as well as booze and drugs, and I know your pain.

PS tea makes me nauseous in the mornings too! Don't actually puke but I avoid tea for this very reason. I think it's the tannins. Coffee is fine.

 

[xTalK]

Thanks Knock! I have considered switching to GBL before and again quite recently instead of alcohol as I'd wondered if that would be the case.

The k cramps are basically like stabbing pains, at worst completely immobilize me to the point where I can't get out of bed and if it's really bad need constant hot baths etc. When that happened to me before for days on end I stopped taking it regularly as it was horrendous. It took me years to make the connection with ketamine and I don't know if that was just it fucking with my head a bit but it definitely is a cause. I haven't ever came across an actual real explanation of k cramps, but when you get them you know and they are talked about amongst my mates who would be quite heavy into k after binging. At mild though they are just like a burning/stabbing pain around the stomach.

I find keeping hydrated helps get rid of it or just something in your stomach, people recommend Pantoprazole/Omeprazole etc but I don't think they work at all when k cramps kick in compared to when not taking any k.

I've gathered stomach problems can vary a fair bit from person to person making it more like attempting different things until something e.g. changing diet multiple times, works rather than a set specific fix even when they seem similar. I really don't want to be having to rely on taking these things daily. Going to start exercising again and see if it makes a difference, can't see it doing any harm.

 

[lurching]

I haven't ever came across an actual real explanation of k cramps

Please read up on K cramps cos there definitely are "actual real" explanations. It's quite a complex mechanism with many systems being affected at once, down there. There's a lot of info on BL, especially some insightful stuff by fastandbulbous, and there is quite a bit of medical literature as well. Here's a selection:

The destruction of the lower urinary tract by ketamine abuse 2008
http://onlinelibrary.wiley.com/doi/10.1111/j.1464-410X.2008.07920.x/abstract

CONCLUSION
A syndrome of cystitis and contracted bladder can be associated with street-ketamine abuse. Secondary renal damage can occur in severe cases which might be irreversible, rendering patients dependent on dialysis.

Cited by 130

Ketamine-associated ulcerative cystitis: a new clinical entity (2007)
http://www.sciencedirect.com/science/article/pii/S009042950700101X

This case series has described a new clinical entity of severe ulcerative cystitis as a result of chronic ketamine use. As illicit ketamine becomes more easily available, ulcerative cystitis and potential long-term bladder sequelae related to its use may be a more prevalent problem confronting urologists.

Dilated common bile ducts in ketamine abusers
http://www.hkmj.org/article_pdfs/hkm0902p53.pdf (2009)

Here we report three cases of ketamine abuse in which the abusers presented
with recurrent epigastric pain and dilated common bile ducts that mimicked choledochal cysts
on imaging. The dilated biliary tree may occur more frequently than was once assumed.

Ketamine is absolutely not a ‘safe’ drug for abuse. It is not only associated with cystitis and urinary bladder
dysfunction, but is also associated with liver function impairment and biliary tree dilatation. Although the effects seem to be reversible on cessation of abuse, clinicians should also be mindful about the possible long-term consequences for the hepatobiliary system.

Ketamine-Associated Urinary Tract Pathology: The Tip of the Iceberg for Urologists? 2008

http://uro.sagepub.com/content/1/3/136.short

The symptoms of ‘cystitis’ are known well amongst chronic ketamine users. In one group of 90 ketamine users, 20% had experienced ‘cystitislike’ symptoms [6]. More alarmingly the pathology may involve the entire urinary tract: in one case series, over half the patients have hydronephrosis on presentation which in the minority necessitated nephrostomy insertion.

These reports have all been available for years and turn up in a simple google search, do read up if you are curious

 

[lurching]

Get your liver levels checked, get ultrasound of the abdomen, have them check for cystitis, have them look at your bladder and the surrounding tracts. You will want to have this done sooner rather than later. There is a protocol for this, but you have to be honest with your docs. Stomach acid drugs are not going to help, continuing ket use also won't help, not even sporadically. Click around a bit in the links above and you will probably get the idea soon.

 

[knock]

There could be confusion about anatomy. Your stomach sits within the rib cage. Pains in the abdomen are not stomach pains.

Conversely, pains in the chest are not bladder pains!

 

[lurching]

Not much confusion here, I'm afraid.

He's talking of "burning/stabbing pain around the stomach" and "if I take more than a gram now I tend to get them" which is how so-called K cramps are often described, also getting relief from hot baths etc.

 

[Hangover]

I do not or ever will do ketamine... and don't know the 100% cause of your problem... nor have I read all the thread

But ketamine attacks the liver cells, check your piss for blood, and honestly just get a " safer " drug

 

[knock]

I'm not saying who's confused, lurching.


If I say I have stomach pains, I mean my stomach. Not my intestines. Not my abdomen.

But many people could mean their intestines. A Doctor will mean the stomach. A good doctor will know to clarify what a patient means.

The question remains, why is the OP on PPIs?? Presumably they have been diagnosed with acid reflux. Maybe the diagnosis is bogus because the diagnostician heard "stomach" and presumed that is what was meant?

 

[xTalK]

Thanks for the links just to say that I have researched and I've found information similar to what you've shared and it's why I'm asking for further information, k cramps can be quite diverse, people report problems more related to their bladder, others about their stomach, others about something completely different. Those quotes mention urinary tact, bladder etc, I am confident this is to do with my stomach due to the hereditary thing and the fact I once suspected it was my bladder and came to the conclusion after a few months that it wasn't for a number of reasons like the type of pain and area, it affects appetite etc. There is family history of ulcers also and others report problems but none are ketamine users which as obviously flared it up more.

Part of the reason I'm stopping now is this is enough warning, if anyone has seen in my posts in the past though I've said I'm stopping k many times though which is part of the problem with this stuff, my problems have eased off since the last time though. Let alone starting to get bladder issues and ending up on the piss bag. It's just I'd like to know if anyone has any ways to keep improving this, or is it possible that if things appear to be improving this can get better or am I just permanently fucked? I'm running another month of this Pantoprazole script to see, as I think that's enough time for it to work. But can't sit here and lie and say that I haven't taken k which is obviously gonah delay it. Think it's important to note that other things affect my stomach too, not just solely k such as diet, fizzy drinks etc, but ketamine is by far the most worst thing for it by miles.

You're right about the ket use though and to be honest I'm glad as well my k-holes now aren't k-holes and are just confusion/memory loss. The only ever time it's actually good now is if I haven't had it in a while and then sit down with a bit and leave it at that. Gonah cut out all this nonsense of 7-14g binges. I used to love ketamine but the more I take it now the more I realize I've gotten the message and need to hang up the phone and just get back to tripping on proper psychedelics like acid and psilocin that don't cause this shit. Doesn't work as anti-depressant for me either and has a reverse effect and causes me anxiety. Just love the computerized way of thinking on it...

Thank you for the links though, as it's all the more motivation to stop. Wondering also if like these stomach pains can affect emotion and be a cause of it? Always a lot more emotionally down if I've got them and less motivated to socialize etc.

It's going to be interesting and dreadful at the same time to see what the outcome is of years of people abusing ketamine. Considering 20 years ago the stuff was only really taken by people who knew the vet or researched well, now it's extremely, extremely popular among drug using crowds.

 

[xTalK]

Anyone know if these are problems just solely related with ketamine or does the likes of MXE and PCP carry it too?

I will say that the likes of pantoprazole does help, in fact if I skip it for a day things flare up worse. But the recovery is just very, very slow if it is even recovering. So slow that it makes it hard to stay off the ketamine as it feels like large periods of time when in the grand scheme of things it clearly isn't. Then just makes things worse. Originally I did think it was my bladder and had continued to use ketamine with the omeprazole, it was only really when I've been stuck with no money and began to stay away from the stuff my problems have began to ease.

I think my GP is terrible too, so would probably need to change for a decent response here. I know if I mentioned ketamine it would lead to nothing but being branded as a drug addict with no real understanding of the negative effects of ketamine from the doctor. I always have tried to avoid them unless I think I need hospital referral as to be honest Google is more rewarding.

Edit: Hope me being specific here isn't coming across as dismissive, just wouldn't mind solving this.

nvm.

I'm glad now though that it's so clear the effects of ketamine, even among non users rather than typical 'horse tranquilizer' bollocks, because I remember years back people weren't aware of this at all, in fact people would even say that your k cramps weren't real etc. Just unfortunate there isn't many other people who've first hand experience with this, but I'll try and maintain it a bit and hopefully in a few months have some form of conclusion that will be of help to others here. I know I don't have the worst ketamine problems but if it affects your way of life it's a problem in my eyes.

 

[xTalK]

Edit: Merged posts instead.

 

[lurching]

just unfortunate there isn't many other people who've first hand experience with this, but I'll try and maintain it a bit and hopefully in a few months have some form of conclusion that will be of help to others here.

Better to go and have a doc look at you than to maintain another few months, because as I said there is a treatment protocol, but you don't have to take my advice.

Pretty sad to read that you are afraid of "being branded as drug addict" by your GP more than you are afraid of suffering untreated ket-abuse complications ("stabbing pains completely immobilize me to the point where I can't get out of bed")

 

[Hangover]

I do understand your problem.. and no I do not understand addiction properly because I have not ever been addicted... done a year binge... but came out of it after I ran out of money no problem

And I know it's easy for me to say... but you should of also read into it, I have been offered ketamine many of times... but always refuse it, I just don't like the fact it directly attacks your liver... if it maybe had a chance to cause problems... then I might gamble and try it... but it's almost guarantee'd problems

Anyways... I am no expert on ketamine, nor drug advise, I will leave this to the loved up hippies, best of luck with everything, see you on the other end :D

 

[xTalK]

Better to go and have a doc look at you than to maintain another few months, because as I said there is a treatment protocol, but you don't have to take my advice.

Pretty sad to read that you are afraid of "being branded as drug addict" by your GP more than you are afraid of suffering untreated ket-abuse complications ("stabbing pains completely immobilize me to the point where I can't get out of bed")

That's happened to me once in a real bad way and other ways haven't been as severe, quickly learnt when it peaked and it's the reason I've properly started to loose interest with it and just try and solve the problem properly. Maybe I'm exaggerating what my GP would say, but I want to at least finish another month of this and be completely k free before returning. Reading these has been good reason too realize it's stupid also. Is the stomach not quick at repairing or solvable? It doesn't sound like the issues above.

Think this could be closed now, i'll pm a mod sure if there's any change in a bit.