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It's a tough question because it all depends on the doctor. Some doctors are open minded and accepting of such things, others aren't. Sometimes honesty can do you worlds of good with doctors, as some of them try to put you on a decent regimen of medications and guidance to deter you from using drugs, others will use it against you. I don't like lying to doctors, but at times, if from the get go I feel uncomfortable, the doctor is intimidating, or will practice prejudice, then I withhold information until I can see someone else, or until I can interpret how he'll respond to certain things I may reveal to him.

In an ideal world, honesty should be the way to operate with doctors because it should be non-judgmental, unfortunately doctors sometimes corner people into lies and deception, and then they wonder why patients behave in certain ways.

In either case, lets try as much as possible to keep the conversation away from what should and shouldn't be said to doctors. It's the social but such discussion is flirting with breaking the rules.
 
@opiodmaniac: assuming you are male (since you mentioned an all you can fuck pussy buffet) your depression may be presenting itself as exaggerated adhd symptoms. Men often experience depression as extreme restlessness, agitation, and disinterest, with an inability to focus.

If you're not happy, no amount of drugs will fix this (as you mentioned). I'm glad you decided to try and get help. I'm bipolar and finding the right doctor and medication can be very difficult, but when you do it's so helpful. If you think you may be bipolar ask about mood stabalizers, ssri's tend to make me manic, antipsychotics make me tired, but mood stabalizers are a godsend.
 
@opiodmaniac: assuming you are male (since you mentioned an all you can fuck pussy buffet) your depression may be presenting itself as exaggerated adhd symptoms. Men often experience depression as extreme restlessness, agitation, and disinterest, with an inability to focus.

If you're not happy, no amount of drugs will fix this (as you mentioned). I'm glad you decided to try and get help. I'm bipolar and finding the right doctor and medication can be very difficult, but when you do it's so helpful. If you think you may be bipolar ask about mood stabalizers, ssri's tend to make me manic, antipsychotics make me tired, but mood stabalizers are a godsend.

If you don't mind me asking. Which mood stabilizers have you tried, what has worked, and what hasn't? And what type bipolar are you?
 
im so high right now. i feel really good from the DXM, and the valium, weed, bupre, and promethazine helped a little hahaha.

whats up guys??? how is everyone today? what up SCAG, chrom, captain, opioid, don, hatrix, NT, venrak, mass, hang, thesamefears, and everyone else?? i feel good and i hapoened to make friends with a dude who knows where to get good quality ECP boi, and i am about to do some husting, and get some cash for tomorrow. i bought weed off of him today so i think he will follow through, says that i can call him at 12pm-1pm and we can go get the goods.

ahhh feel sooo fucking good
 
im so high right now. i feel really good from the DXM, and the valium, weed, bupre, and promethazine helped a little hahaha.

whats up guys??? how is everyone today? what up SCAG, chrom, captain, opioid, don, hatrix, NT, venrak, mass, hang, thesamefears, and everyone else?? i feel good and i hapoened to make friends with a dude who knows where to get good quality ECP boi, and i am about to do some husting, and get some cash for tomorrow. i bought weed off of him today so i think he will follow through, says that i can call him at 12pm-1pm and we can go get the goods.

ahhh feel sooo fucking good

You're always high dude... haha.
 
hahahahaha....nah dude i only use drugs and smoke weed occasionally .. i mean that is what i say \to friemds who dont do pills or street drugs


im sooo fucked up fro the dxm. i didnt relaizez ho fucked i am cant type
 
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If you don't mind me asking. Which mood stabilizers have you tried, what has worked, and what hasn't? And what type bipolar are you?
I don't mind, is it cool if I send you a PM cause it's kind of an extensive list haha.

@laC you lucky bastard...I have a consistent hook up for h but it's expensive because I gotta go through a couple people, but I have to drop clean in three days and it's driving me crazy waiting.
 
hahahahaha....nah dude i only use drugs and smoke weed occasionally .. i mean that is what i say \to friemds who dont do pills or street drugs


im sooo fucked up fro the dxm. i didnt relaizez ho fucked i am cant type


lol 8)

So was so high i got up, took 300mg bupropion and fell asleep again within 3 hours. Now I'm awake again. And it's time to smoke another bowl.
 
haha damn you remind me of this guy i know who used to really like wellbutrin.


how are you doimg venrak? what drugs did you do today?
 
hahahahaha....nah dude i only use drugs and smoke weed occasionally .. i mean that is what i say \to friemds who dont do pills or street drugs


im sooo fucked up fro the dxm. i didnt relaizez ho fucked i am cant type

lmao. damn

well. im a fucking stupid mother fucker, i never learn. a litttle while back i was saying something about how this kid was supposed to give me 6 dilaudids for a sack of weeds but he never gave them to me. well today he said he has some roxi 15s for $12 a piece which is $2 more then i usually pay. he said his girl lost her script cuz the doc yanked it cuz she was pregnant but he would still hit me back sometime. so i asked to get 9 of em then he says he had to get my money first and he is meeting him like 3 miles from my house. i asked if i could go (i had a bad feeling i was gonna get jacked and i should have trusted my gut but i didnt)with him and he said he would ask the dude and called me back and said the guy wants him to come alone or with just his girl and him, which to me is sorta fishy that his girl can go with him and thats it.

well he picked up my loot and no more then mins later he said he gave the guy the money and he had to run to his house bout half mile away, well my dude was waiting and waiting and was texting me the whole time and said he was getting pissed blah blah blah. then hour later he said he was going to his house where, if he stays, he stays with his mom. well he told me that he told his mom that her son has ripped off numerous people (he owes my dude $200 apparently) and that he better have the money by friday or its not gonna be pretty.

he also said that he is supposed to be selling someones script on monday and he would try to hit me back. he sounded really pissed to so idk whats going on and with the last time he just straight up avoided my calls. it also sucks cuz i told my buddy i work with who has a bad back that i would throw him 2 for a ride home from work tommorrow since my parents are gone for the day and i didnt get to buy any and am probaly ripped off. i was gonna give gas money but i spent it and decided to give him 2 roxis instead but now his gas money is spent and i cant give him shit. he would still give me a ride tho cuz hes a cool dude. he owes me $20 anyways cuz i spotted him for 2 roxis so ill just call it square.

i was gonna get like 75mgs for myself and my mom said it was fine. i told er that im getting 7 for free cuz of the dilaudid thing from a while ago and i would give her 2, my boy 2 for his back, 3 for me that she would hold since we gotta airify tommorrow and the rest of the week and my back is gonna hurt. well i told her that my dude jewed me and i spent an extra 20 for my friend which was the gas money. so she gave me 2 15s to give to him but i already plugged 3/4 of one and sniffed a quarter and got one for tommorrow. im not gonna suffer tommorrow and be pissed off tonight. he already owes me $20 anyways, plus i dont have many opportunities to take em anymore, and eventually he is gonna be good when he goes to pain management. ill just call it even for us. my mom thinks i still have a half so ill be good when i gotta take a piss test

anyways, enough of that bullshit. these particular roxi 15s my mom has break out to alot of powder and burned my nose for a good 10 or 15 minutes. they were released in 2009 by caraco pharms. the imprints are green pill 187(lol) and the 30s are blue pill 224. there both extra large, rarely seen, but still get the job done.

im fucking high as shit. i had to do that 15 tonight or i would have been so fucking pissed. smoked a fat bowl to. i want to take that other 15 before work tommorrow while we airify but ill save it for after i think since ill be hurting and ill just smoke weed at work. im sure i will enjoy it more at home anyways.

oh and my coworkers best friend who is also my coworker now has a bunch of tramadol when he was hospital jumping for good opiates so i might have a few free ones tommorrow. im not getting to excited tho, it's just tramadol but its a buzz so ill take it

EDIT: fuck yes!! won. even tho its only NIT but whatever
 
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haha damn you remind me of this guy i know who used to really like wellbutrin.


how are you doimg venrak? what drugs did you do today?

Well I'm Rxed it at that dose for various reasons.Sometimes out of the blue it'll give me a decent euphoric push.

I've been smoking this outdoor stuff that doesn't look like much but packs a fucking punch. Drinking coffee too. Tastes good.

Other than that, nothin'. I decided I gotta slow down haha. Mayyybe I''ll treat myself to a little coke soon for an early birthday gift to me lol.... because i won't be able to then.
 
im so high right now. i feel really good from the DXM, and the valium, weed, bupre, and promethazine helped a little hahaha.

whats up guys??? how is everyone today? what up SCAG, chrom, captain, opioid, don, hatrix, NT, venrak, mass, hang, thesamefears, and everyone else?? i feel good and i hapoened to make friends with a dude who knows where to get good quality ECP boi, and i am about to do some husting, and get some cash for tomorrow. i bought weed off of him today so i think he will follow through, says that i can call him at 12pm-1pm and we can go get the goods.

ahhh feel sooo fucking good

just cause i'm an awesome loving guy and care about your safety, man. take it eaz-y on the dopeskees, eh? you know to test it an all that shite so i'm not gonna bother lecturing you. it's certainly a little more unpredictable than oxy and you're likely to need a fraction if it's good gear. stay off the pins too, please, man. i don't see the need to bother with it when you're so used to snorting, and you get a longer high from snorting vs IV dope; just no instant gratification from the IV rush - which ultimately isn't worth the hassle of possible complications which might come up.

buy hey, i know you hardly ever IV and it would be a one off type thing so go for it if that's your plan. just make sure you have one of your homies round to call paramedics if things go sour. you know the deal-e-o, bro!

but most of all - HAVE FUN WITH THE SHITE if you get it but stay safe.

i'm liking the possibility of having a last late afternoon shot for the day. i've had a couple this morning but i like to get a few heavy days use out of the way to ease back into my regiment in time for my next script. don't think anymore valium is needed because i know i'll drift off nicely, simply from all the morphine today.

funny thing, sorta. 3 cops came walking into the library while i was there earlier today. i was outside on my laptop having a cigarette while i saw 3 figures in my side vision which stood out so i quickly glanced noticed they were coppers, nodded and looked back down at my computer. one of them yelled out "how's it going, mate?". kinda just ignored him and let them go on their way. it's not like i was packing but i was high and even at the best of times, sober, i don't like interacting with police unless under necessary terms. if i was just stoned from weed i would have probably have had a panic attack and had them all over me.

also a few young dutch dudes around my age came and approached me asking what was to do around the town, whether it was worthwhile to stick around for another couple of days or simply head to backpackers heaven up in cairns straight away essentially, before making one stop prior which is around 2 hours north. seemed like pretty cool and 'lax dudes. they've only beem in australia for 2 1/2 weeks now so still have plenty to see. i think they said they'd been in our state's capital city Brisbane before getting here. i told them straight that there's really not a lot in the way of partying or anything crazy touristy shit to do or see in this city exactly and they definitely agreed. luckily they'd done their homework about the place just 2 hours north so i definitely backed them up on those plans.

time to prep a shot i think ;)

edit - holy shitwad. i should have taken some promethazine before that. the histamine release absolutely smashed me in a way like no other, well i have not been hit this hard for a while. probably because of the stead accumulation of IV morphine in me throughout the day. and i'm actually feeling a little nauseated which is an extremely rare thing for me to experience. one other thing worth mentioning is i used my recently purchased pill crusher which i haven't exactly used that often. i hadn't used it for my 2 earlier shots, just this one and i think it may be a hell of a lot more effective/efficient than the usual crushing method i use. i'll start my day off tomorrow using the crusher to get a proper examination of effects ;)

but hell to the yeah. i'm doped up. have pasta cooked for dinner and have left over desert from a friend of the family's 80th birthday last night so am set on sweets as well :D got my weed, valium, a couple of ciders and cigarettes. everything i need at my hands to keep me satiated till i pass out. time to set my bedside table up so i only need to move to a) piss, b) refill cup/refill plate for food, c) bother dad for something or other. that's it!

enjoy your day/night everybody. i'll be floating round here for the next few hours while i simultaneously flick through the idiot box and throw tunes on as i feel the urge.

toot toot! rollin like a freight train, feelin like a space plane.
 
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The More You Know! v. Ethanol, BAC, First Order/Zero Order Reactions in Pharmacology

Jktm you asked if 25% of your blood is ethanol will you die? Yep, you'd be dead at least 40 times over. For any non raging non alcoholics I believe .6% is fatal so 25%...yeah... :)

Exactly. If 0.08% is legally drunk, then 25% would be way way way past fatal, it would be like, pickling a human corpse in pure ethanol...
uhoh.gif


Ethanol is metabolized differently than most drugs by virtue of the fact that it is metabolized based on a zero-order reaction. What this means, is that a set percentage of the ethanol will be metabolized independent to the original dosage.

A short list of drugs that follow zero order reactions... (they are listed to form an acronym so med students can easily remember these, the anacronym is "Peas and Wheats", or "P's and Wheats", either one haha); of these, aspirin and ethanol are the most commonly heard of ones by people on these forums, the others you all may have heard of if you or family members have had to take any of them, or are med students and happen to already know all of this (if so - good for you!).

Drugs that Undergo Zero Order Reactions

Phenytoin, Phenylbutazone
Warfarin
Heparin
Ethanol
Aspirin
Theophylline, Tolbutamide
Salicylates

Most drugs (not including ethanol, as mentioned above) are metabolized by first-order reactions, where the elimination of the drug from the body is directly proportional to the dosage of the drug present in your body. What this basically means is that no matter how much of a drug (that follows first order; nearly everything else other than listed above) you take, half of it will be gone by its first half life, and by another three half lives, only 6.25% will be remaining in your system. Although the duration of a drug doesn't always directly correlate to the half life (meaning a drug can wear off in effects, or the effects can change, before it is fully metabolized out of your system), eliminating the drug via the half lives definitely ensures that it is out of your system and no longer directly effecting you (although drugs can have long lasting effects after they leave your system; whether they be neurotoxicity/cardiotoxicity, un-wanted side effects, or even medicinal relief from symptoms, or an after-glow from a recreational experience, etc). It's easy to think about first order reactions in terms of a drug like MDMA: no matter whether you take a single dosage of 100, 150, 200, or more milligrams of MDMA, the effects should last a solid 4 hours. If you go much below 100mg it might be around 3 or 3.5 hours, but generally speaking, it spans around 4 hours. If you ended up taking an unhealthy amount of MDMA, it should only last 4, maybe up to 5 or 6 hours relatively speaking, at the very most. Other drugs are different although they still follow first order reaction, for a variety of reasons. I can't think of any other good examples other than MDMA at the moment, as the duration can be effected by dosing lower/higher by quite a few drugs - although this does not change the fact that the drug will still be eliminated by the half life. An individual's half life for some or a lot of drugs can deviate not at all, some, or quite a bit from any one average (when human studies have been conducted for a specific drug; not all drugs humans take have had many half life/BA studies, specifically but not limited to research chemicals), but the half life is still present, even if it's deviated heavily from an average.

On average...

a healthy liver oxidizes pure ethanol at the rate of about ¼ to ⅓ of an ounce per hour, which is less than 1 ounce of hard liquor.Source

Although it is important to note it is going to vary from person to person based on availability and quantity of the proper liver enzymes needed to metabolize alcohol:

The rate of alcohol metabolism depends, in part, on the amount of metabolizing enzymes in the liver, which varies among individuals and appears to have genetic determinants (1,4).Source

Something very interesting to note, the ability to metabolize alcohol is inherently necessary:

Ethanol and evolution
The average human digestive system produces approximately 3g of ethanol per day merely through fermentation of its contents. Catabolic degradation of ethanol is thus essential to life, not only of humans, but of almost all living organisms. In fact, certain amino acid sequences in the enzymes used to oxidize ethanol are conserved all the way back to single cell bacteria.[1] Such a functionality is needed because all organisms actually produce alcohol in small amounts by several pathways, primarily along the fatty acid synthesis,[2] glycerolipid metabolism,[3] and bile acid biosynthesis pathways.[4] If the body had no mechanism for catabolizing the alcohols, they would build up in the body and become toxic. This could be an evolutionary rationale for alcohol catabolism also by sulfotransferase.

For all intensive purposes, 1 oz = 28.3495 grams

I figured posting sources that listed ethanol in terms of grams/ounces without the conversion here might get confusing.

Here's some relative charts containing information for estimating your BAC content; all you have to know is how many drinks you had in one hour, your weight, and your gender. Pretty self-explanatory.

For the gentlemen:
DrinksPerHour_Men_525.png

For the ladies:
DrinksPerHour_Women_525.png

Also, a list of the general levels of alcohol intoxication, by BAC

BAC EFFECTS ON FEELING AND BEHAVIOR

.01 - .03 % - There is a mild lift in feeling. You have some loss of judgment. (1 drink within 15 minutes… BAC .03%)

.04 - .06 % - Most People feel high and must decide whether to continue drinking. You may get louder and have some loss of small muscle control, like focusing your eyes. (2 drinks within ½ hour… BAC .06%)

.08 - .09 % - Your sight and hearing are worse. It’s harder to detect danger. You have less sense of balance. (3 drinks within 1 hour… BAC .09%)

.10 - .12 % - Many people claim they’re not affected anymore, as if they could drink themselves sober. You are definitely not thinking straight. (4 drinks within 2 hours… BAC .12%)

.13 - .15 % - You have far less muscle control than normal. People feel happy even though they’re stumbling and acting foolishly. Risk of an automobile crash increases to 25 times the normal rate (5-7 drinks within 3 hours… BAC .15%)

.20 - .25 % - You’re confused. You usually need help doing things, even standing up. Those who drive are 50 to 100 times more likely to crash. The average alcohol-related highway death occurs at this level. (8-12 drinks within 4 hours… BAC .20%

.30 % - Almost nothing gets through the senses. An extremely life threatening BAC level.

.40 % - Your condition ranges from conscious to comatose. There is a chance of death from a ‘shut down’ of breathing. This is the LD50 for ethanol; half of the human population would die from having this high of a BAC.

.80 % - This is the LD100 for ethanol; any human being would die at this BAC.

IF YOU ARE IN EUROPE... PLEASE be VERY careful to look at this map, know what countries you are going to be driving through or may end up driving through, and know what the legal levels are. I'm sure those in the states, like myself, would be equally curious to know what the BAC legal limits are in the various countries in Europe.

1000px-Map_of_European_countries_by_maximum_blood_alcohol_level.svg.png


If you are OUTSIDE of the United States and Europe... click here. It's really interesting to look no matter where you live though; apparently in the UAE (which has very strict public intoxication laws), the legal BAC limit is 0.1%. It's also 0.1% in Lesotho apparently, a country completely surrounded by South Africa. It's also 0.1% in Burundi (a small African country, south of Rwanda). Very interesting.

A few last harm reduction notes from the Cpt.:

* If you are under the age of 21 years old, DO NOT drink with ANY BAC. This can be used as evidence of underage drinking, and is specifically illegal for under-21 year old's for drinking at all and driving. Give yourself a generous amount of time to make sure you are back to 0.00% before driving. The last thing you want to do is ruin your life driving and going through a check point - or getting pulled over, not even impaired, as a 20-or-under year old with only 0.01 or 0.02 % BAC in your system. That would be real tragic. The driving limit (according to the link that includes all the stats for the entire world, linked in a text link below) for young/novice drivers (under 21 AFAIK, unless you start driving after the age of 21) is 0.02%; but this is for specifically illegal to drive at or over 0.02%; I'm sure they could still try to book you on underage alcohol consumption if you even registered at 0.01% - whether or not they would, I don't know - sorry.

* If you are particularly sensitive to the effects of ethanol, or are just generally tired with a low BAC, please don't drive. Driving tired is more dangerous than driving drunk. If I could go back in time, I would have never driven tired. I am eternally thankful that I never caused a horrible accident from driving tired (which I only remember happening once or twice).

* [For United States Only] For HR's sake (which includes your life, and the lives of other drivers, people walking on side walks close to the street, and all the public and private property potentially involved), please do not drive with a BAC of over 0.05% if you are 21+ years old. 0.05% and under is considered, in most states, NOT impaired. However, if you are particularly sensitive to the effects of ethanol, you might be impaired. There's never a need to put anyone else at risk. I do believe for the average person, anything under 0.05% shouldn't impair your driving, and may actually relax your nerves enough to help you be a better driver (an argument often put forth by marijuana users including and excluding people who smoke marijuana and then drive while medicated). Nonetheless, it's not a smart idea to make a habit of driving around with 0.05%. Specifically, in Washington State, you could be charged with a DUI/DWI even if you are under 0.08%, if it is asserted by the police that whatever BAC you are at is impairing your driving. Please keep in mind that they could also assert you took other drugs as well as ethanol, the combination of which is grounds for you to have a DUI (I think in their minds, other drugs, no matter which ones, + close to 0.08% BAC = 0.08% BAC or over).

* For HR's sake, NEVER drive with a BAC of 0.08% (or whatever your local laws may be outside of the United States). In the United states, 0.08% is illegal and the "legal limit" meaning over 0.08% (and possibly right at 0.08%) would result in DUI/DWI conviction, and possibly other penalties. According to what the penalties could be (which could be bad to REALLY bad, depending on the state you live in), as well as open container laws for the driver and for the passenger, can be found at this source. According to said link, surprisingly, there are a few states that allow passengers to possess an open container - as long as it's not the actual driver of the car (Alaska - the parts of it where ethanol consumption in itself is legal of course, Indiana, Kansas, Oklahoma, Rhode Island, Tennessee, and Wyoming). I am surprised to be honest, especially Rhode Island, Indiana, and Tennessee are decently populated states and have at least one large city if not multiple ones.

* For your own sake, NEVER drive with a BAC of 0.04% if you are driving with a CDL (CDL, otherwise known as a Commercial Driver's License, is required for people who operate tractor trailers or any vehicle above a certain weight in the United States, and likely most other places in the world); as this is the legal limit for CDL drivers. It also apparently doesn't matter what car you are driving (a huge truck, or a personal 4-door); as soon as you have a CDL license, the legal limit is 0.04%. You will want to do your own research to verify this if you are a CDL driver.

* It's a good rule of thumb not to drink with any BAC, but do what you will; you all are adults with the power to make your own decisions. Just please do not put your own or anyone else's lives at risk in what you do.

* DO NOT let a friend or family member drive if they are obviously at 0.08% or above. Throw their keys down a drain, lock them in a safe, hide them where you know their drunk ass won'd find them - and make sure they don't find them, call 911 if you are unable to stop them if they are obviously way above 0.08% as they could potentially hurt someone or themselves. If you are afraid to stop them, try dissuading them from driving in this condition, have a good time with them, do anything you can to try to prevent them from driving drunk. Please. I know amapola was killed by someone else, a drunk driver, in Canada. He was an amazing senior moderator (not to say the rest aren't, just to say he was special), and there's no bringing him back.
 
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I've been feeling dehydrated the past 2-3 days like all day? I drink water or a a drink or soda or juice and I'm thirsty again within 5minutes?its like i drjnk cup after cup and it still comes back? It hasn't stopped. Idk why I'm not on any drugs haven't been all day I've been sober? Also a sensation of a irregular heart beat? Idk any thought?

Also have an irregular heartbeat?
 
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This public service announcement has been brought to you by Captain Heroin. :) You must be smoking some good shit tonight my friend...
 
^well california not only has good weed but some of the world's purest methamphetamine. it's really no surprise. not really social/info booth material as it was only tangentially related tgo what was said. and even though it seems like it's some legit info, and comprehensive, sadly most people won't read it. would be better in an alcohol thread imho :) or even pm'd.

I've been feeling dehydrated the past 2-3 days like all day? I drink water or a a drink or soda or juice and I'm thirsty again within 5minutes?its like i drjnk cup after cup and it still comes back? It hasn't stopped. Idk why I'm not on any drugs haven't been all day I've been sober? Also a sensation of a irregular heart beat? Idk any thought?

Also have an irregular heartbeat?

drink moar water, it's simple as. maybe get a drink which will replenish your electrolytes as well, ie - powerade. juice and soda are not going to help in the case of being dehydrated. you need to replenish your body with sufficient water. drink until you're pissing clear and can't stop, mayne. don't go overdosing and wet the bed; it's better than a shitty situation, though,
 
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