Opioids Breathing suppression and aspiration on opiates

[Wackyzeb]

I've read online about how the OD's actually work on opiate overdoses but could only find people dying from suppressed breathing and aspiration.
Is this only true if you nod out or can it happen while you're awake..?

The reason I asked is because I have a pretty high opiate tolerance...
This morning I dosed 6, 10/325 hydrocodone at 9:30 am orally.
At noon I dosed 8 mg dilaudid through nasal cavity.
At two I dosed 4 mg more dilaudid through nasal cavity.
Tonight at ten pm I dosed 90 mg oxycodone through nasal cavity.

Although i'm not nodding I have pinpoint pupils and a great euphoria.
Besides breathing suppression and aspiration from falling asleep, is there any other way of fatally overdosing without falling asleep?
Or can suppression of breatihng and aspiration happen while you're awake?

 

[Wackyzeb]

I need a rapid reply, please.

 

[T. Calderone]

zeb, from my experience when you're in an overdose situation you could feel real nauseated and start vomiting. Hard to nod when this is happening. But other times, you could be very relaxed and start nodding. I've done it while standing up attempting to iron my clothes and burned myself because I couldn't keep my eyes open. It's hard to say because once you're in that zone where you can't stay awake, you're in trouble. Do you have a friend or someone to sit and watch you?

 

[Wackyzeb]

I have a friend right next to me..
I have a nice euphoria but i'm not even close to nodding..
Infact I KNOW i'll stay awake until the opiates wear off.
I'm not worried about nodding out, I just want to know of other ways anything can happen without falling asleep

 

[T. Calderone]

It's been 3 hours since your last dose of oxycodone right? Like to think you're ok, if you feel a good euphoria with no nausea. You have taken quite a bit for the whole day, but I don't know your overall tolerance. Of course your pupils are going to be pinned but overdose symptoms would be nausea, vomiting and nodding/passing out. I think you will be ok but have your friend stay and watch you alright.

 

[Wackyzeb]

I'd like to say i'm nauseous, but that's only when I smoke cigs..
No vomiting or nodding/passing out.
I have a huge tolerance.
I can easily take up to 20 norcos aday and the only reason I don't take more is because of the APAP.

 

[T. Calderone]

Don't smoke anymore cigarettes because that will make you feel sick. Other than that, try and ride it out. If you start to feel like you have to vomit, go ahead and let it out, don't suppress it. Have your friend stay and watch you just in case. Yikes, that's a big amount of Norco tolerance. Have you ever tried a cold water extraction? It's useful and necessary if you go over 3,000 mg acetaminophen a day. Be careful. How do you feel now?

 

[Wackyzeb]

I've never really understood the instructions on extracting the acetaminophen so i've never tried because I didn't want to waste the pks.
I feel like a have slight heart burn feeling in my stomach and some in my throat..
Zero nausea. Euphoria has degraded slightly, but still feel rather amazing.
Still have pinpoint pupils..
The anxiety has eased from you talking to me and helpin' me out..
I really appreciate it..
I'd like for you to continue to answer my questions for alittle while longer if you don't mind.

 

[Wackyzeb]

Heart rate is rather steady... About normal.
Blood pressure is slightly low but still in the very safe range.
No confusing or feeling off balance...
Only issue i'm having as of now is this heart-burn type feeling.

 

[T. Calderone]

The heartburn comes with the territory unfortunately. You took a lot of opiates earlier with the dilaudid and most recently oxycodone. Do you have any tums or Pepto-Bismol in the house? That might help or even a little milk or soda for your stomach. Did you eat good today?

 

[T. Calderone]

Cold water extractions are not that hard, but patience is needed. You really need to try it so you're not ingesting all that apap. I saw a video on you-tube and followed the instructions. Just watch it so it doesn't get frozen!

 

[Wackyzeb]

The site was down for maintenance.. I tried reposting that my toes on my left foot went numb and were tingling a bit..
Since, that has stopped.
At about 11 am I ate leftover turkey dinner from Thanksgiving..
A couple of little debbies..
Then I ate two chili dogs around 8 pm..
About 30 minutes ago i've eaten two soft pretzels..
I've been sipping on Dr. pepper for the past few hours as well.

 

[T. Calderone]

I know, that pesky maintenance happens the same time every night/morning. So it's not like you have an empty stomach, just keep yourself hydrated. Whether it's water or soda keep sipping and drinking. Do you feel okay otherwise?

 

[Wackyzeb]

I have a hint of anxiety..
Also, feels like the back of my neck is a little warm..
My buddy fell asleep on me so i'm the only one awake now.
Still got what feels like an acetaminophen burn although the only tylonel I took was with those pks this morning at around 9:30.
My eyes are starting to feel heavy from being awake so late..
It's not a sudden sleepiness from the opiates, though..
But i'm scared to go to sleep for I fear breathing suppression.

 

[T. Calderone]

You took the last dose at 10 pm right? So it's been what 5 hours + since? Have you taken any other drugs besides what you stated earlier? Besides feeling sleepy, do you feel ok? If you need to wake up your buddy, by all means do it!

 

[Wackyzeb]

It's actually 2:30 am here.. so it's been 4.5 hours or so..
No other drugs besides tobacco except for what I stated earlier.

 

[Wackyzeb]

I just looked in the mirror..
My pupils are no longer pin point.. They're about as big around as the push part of the pen on the backside.
I'm tired but NOT nodding at the keyboard 'tired'..
The half life of oxy is what, 7 hours?
Or is it 9?

 

[T. Calderone]

You can't really measure drug effects by your pupils. It's more how you feel overall so you don't have to keep checking your eyeballs! If you were feeling poorly or sick this is a bigger indicator that something bad might happen. Don't be afraid to wake up your friend and have him watch you so you can get some sleep. Have you ever taken this much in one day? If so, how long did it take for you to feel comfortable?

 

[Wackyzeb]

I've taken 20 hydrocodone in one day before and went right to sleep with no problem..
I've snorted 150 mg oxy in one day and i've been fine..
I've been taking opiates everyday almost for 2 years straight..
I dose at least 5 hydrocodone orally, 2 oxy, or 1 dilaudid snorted to start it off..
Usually end up taking 15 hydrocodone within 4-5 hours or so...

 

[T. Calderone]

You should really be careful with all that acetaminophen, remember you should not exceed 3,000 at most 4,000 mg in a day. It can be toxic and cause major organ damage at high doses, for future reference. I would like to think you will be alright for tonight, but please be more careful! Wake your friend up and have him watch you for peace of mind.