Opioids Codeine phosphate 19.35mg V.S codeine/paracetamol 30/500mg

[themediumlebowski]

So given the option of buying either of these products would people have a preference?

The paracetamol combo is slightly more expensive but would work out with a higher dose after cwe I think..should really run the numbers.

Anyway, would there even be any difference in the long run?

Trying to taper off tapentadol before my doc cuts me off as they are leaning towards bupe which I personally think is a step in the wrong direction, this seems like an ok stepping stone to reduce tolerance then cravings and finish off with a couple days of loperamide and clonidine(or clomid) I always forget which one is the steroid and which one helps opioid withdrawals despite them being completely different substances

 

[MsDiz]

If you can get something you don’t need to CWE then do it.

How much tapentadol were you on?

I used codeine to come off it myself and I just tapered down the codeine and stopped. No issues except the slight depression expected.

 

[themediumlebowski]

If you can get something you don’t need to CWE then do it.

How much tapentadol were you on?

I used codeine to come off it myself and I just tapered down the codeine and stopped. No issues except the slight depression expected.

Does seem like the easier option, which is normally the wrong one but in this case I don’t think that’s true lol

Prescribed 2x200mg XR and 3x50 IR a day but I started abusing it and complimenting it with bm opiates and stuff while dealing with personal issues of all sorts, or not dealing with them to be more accurate.
Whatever I could get my hands on, dhc, codeine, tram, occasionally oxy though it’s rare in my country, bit of h though I didn’t shoot and managed to lose the last rock I had left.
Hoping I just accidentally vacuumed it up coz I don’t like the idea of that stuff still being in the house somewhere. Benzos here and there too but tried to keep that to a minimum coz I don’t need to go through two kinds of withdrawals at once.
Had three bags of “rc powder” benzos they were supposed to be alp, etiz and clonazolam...blacked out one night, ended up in emergency though they didn’t use narcan, just monitored me and discharged with “palexia toxicity” as the reason. Blurry few days after but I haven’t been able to find two of those three bags since so I’m hoping I just threw them out when I got home. Or maybe thre paramedics did when they arrived.
Either way that was enough of a wake up call, was lucky it wasn’t a more serious od.

Used to just be a weed smoker, screwed that up by doing too much nitrous without practicing harm reduction and it like burnt out some cannabinoid receptors or something coz my response to weed changed over night so that messed me up for awhile

Was sober for a bit then had a bunch of surgeries in a row and the pain meds came into play etc

I realise that was a much longer and rambly answer to your question but I’m half writing it down just to process it myself so it sticks in my memory a bit more.
Time for some changes

 

[MsDiz]

Does seem like the easier option, which is normally the wrong one but in this case I don’t think that’s true lol

Prescribed 2x200mg XR and 3x50 IR a day but I started abusing it and complimenting it with bm opiates and stuff while dealing with personal issues of all sorts, or not dealing with them to be more accurate.
Whatever I could get my hands on, dhc, codeine, tram, occasionally oxy though it’s rare in my country, bit of h though I didn’t shoot and managed to lose the last rock I had left.
Hoping I just accidentally vacuumed it up coz I don’t like the idea of that stuff still being in the house somewhere. Benzos here and there too but tried to keep that to a minimum coz I don’t need to go through two kinds of withdrawals at once.
Had three bags of “rc powder” benzos they were supposed to be alp, etiz and clonazolam...blacked out one night, ended up in emergency though they didn’t use narcan, just monitored me and discharged with “palexia toxicity” as the reason. Blurry few days after but I haven’t been able to find two of those three bags since so I’m hoping I just threw them out when I got home. Or maybe thre paramedics did when they arrived.
Either way that was enough of a wake up call, was lucky it wasn’t a more serious od.

Used to just be a weed smoker, screwed that up by doing too much nitrous without practicing harm reduction and it like burnt out some cannabinoid receptors or something coz my response to weed changed over night so that messed me up for awhile

Was sober for a bit then had a bunch of surgeries in a row and the pain meds came into play etc

I realise that was a much longer and rambly answer to your question but I’m half writing it down just to process it myself so it sticks in my memory a bit more.
Time for some changes

You wanna be tapering now then with your current prescription. Cutting down those IR tablets first obviously. Could use some codeine if you really needed to but honestly, you’d be best just to go through the small amount of withdrawal and save the codeine for when you come off them completely.

Once you stop taking your IR then focus on cutting down your XR ones. I’d do that by starting with the morning one and just cutting it in half, discard the other half. Go through that until you’ve levelled out then stop taking the other half. Repeat with the night time one.

You’ll probably want to start using the codeine then if you’re very uncomfortable but I’d only use it at night and as little as possible just to take the edge off.

If you wanted to just stop taking the tapentadol of course you could. 60mg codeine *should* get you through for 4-6 hours of withdrawal. Then just taper down the codeine when you’ve levelled out.

I do think utilising your tapentadol prescription to taper down is best though and the XR ones are good for this. When you half those, they don’t really act like an IR in the traditional sense if you’re not crushing them up. They do last longer even when cut in half.

Just to say also 550mg a day prescription is a bit wild tbh. Where I’m from (Ireland) max dose for tapentadol is 500mg per day.

(Want to add, I’m advising this on the assumption you’re only taking tapentadol right not and not a lot of other opioids alongside it. You shouldn’t need to use clonidine if that’s the case.)

 

[themediumlebowski]

You wanna be tapering now then with your current prescription. Cutting down those IR tablets first obviously. Could use some codeine if you really needed to but honestly, you’d be best just to go through the small amount of withdrawal and save the codeine for when you come off them completely.

Once you stop taking your IR then focus on cutting down your XR ones. I’d do that by starting with the morning one and just cutting it in half, discard the other half. Go through that until you’ve levelled out then stop taking the other half. Repeat with the night time one.

You’ll probably want to start using the codeine then if you’re very uncomfortable but I’d only use it at night and as little as possible just to take the edge off.

If you wanted to just stop taking the tapentadol of course you could. 60mg codeine *should* get you through for 4-6 hours of withdrawal. Then just taper down the codeine when you’ve levelled out.

I do think utilising your tapentadol prescription to taper down is best though and the XR ones are good for this. When you half those, they don’t really act like an IR in the traditional sense if you’re not crushing them up. They do last longer even when cut in half.

Just to say also 550mg a day prescription is a bit wild tbh. Where I’m from (Ireland) max dose for tapentadol is 500mg per day.

(Want to add, I’m advising this on the assumption you’re only taking tapentadol right not and not a lot of other opioids alongside it. You shouldn’t need to use clonidine if that’s the case.)

600mg is the max here in terms of daily limit.
Though I remember a thread recently where someone was prescribed more than that along with oxy and some benzos which blew me away at the time.

I didn’t know that about the xr, thought halving them pretty much short cutted the release time. What brand do you have in Ireland?

So you’re suggesting stop morning doses entirely before focusing on tapering the evening xr?

For the most part yeah, I have had periods where I was abusing some other stuff and going over 550mg but I’ve rolled s that back.
Tap is hard to abuse over w certain point, it just feels dirty and dissociative after a a bit.

The clonidine may well be overkill, was just thinking it would be a way to get used to not having euphoric evenings again but it’s probably just dragging things out.
I do have a bunch of pregab and some benzos though I’d rather avoid them.
Also weed but I haven’t smoked in months so that’s a last resort

Cheers for the response man
Appreciate the advice

 

[themediumlebowski]

^^not the rc benzos I mentioned before

 

[MsDiz]

600mg is the max here in terms of daily limit.
Though I remember a thread recently where someone was prescribed more than that along with oxy and some benzos which blew me away at the time.

I didn’t know that about the xr, thought halving them pretty much short cutted the release time. What brand do you have in Ireland?

So you’re suggesting stop morning doses entirely before focusing on tapering the evening xr?

For the most part yeah, I have had periods where I was abusing some other stuff and going over 550mg but I’ve rolled s that back.
Tap is hard to abuse over w certain point, it just feels dirty and dissociative after a a bit.

The clonidine may well be overkill, was just thinking it would be a way to get used to not having euphoric evenings again but it’s probably just dragging things out.
I do have a bunch of pregab and some benzos though I’d rather avoid them.
Also weed but I haven’t smoked in months so that’s a last resort

Cheers for the response man
Appreciate the advice

Yeah look, start with reducing your IR tablets. I’m assuming you take a 200mg XR in morning then have the 3 50mg IR for breakthrough pain during the day then 200mg XR for night time?

So, start your taper by stopping one of the IR during the day (and then continuing dropping them every time you’ve levelled out). Once you’ve done that then focus on the XR. I always advise tapering morning tablets first because it reduces the fact that you’re going to fuck up your sleep, to put it simply.

Yeah look, of course when you half that XR you’ve broken its extended release mechanism, but the coating on the tablet still breaks down slower in your stomach etc so whilst it isn’t XR anymore it still does have some extended release action. I’m talking about the Palexia tablets btw, what ones do you have?

Also just to say, pregabalin will obviously help massively when you get to the end of your taper. If you’ve abused them before then obviously you don’t want to touch them but one 75mg tablet in morning should see you well through the day. If you’d prefer to take it at night instead then again, it would help a good bit.

 

[themediumlebowski]

Yeah look, start with reducing your IR tablets. I’m assuming you take a 200mg XR in morning then have the 3 50mg IR for breakthrough pain during the day then 200mg XR for night time?

So, start your taper by stopping one of the IR during the day (and then continuing dropping them every time you’ve levelled out). Once you’ve done that then focus on the XR. I always advise tapering morning tablets first because it reduces the fact that you’re going to fuck up your sleep, to put it simply.

Yeah look, of course when you half that XR you’ve broken its extended release mechanism, but the coating on the tablet still breaks down slower in your stomach etc so whilst it isn’t XR anymore it still does have some extended release action. I’m talking about the Palexia tablets btw, what ones do you have?

Also just to say, pregabalin will obviously help massively when you get to the end of your taper. If you’ve abused them before then obviously you don’t want to touch them but one 75mg tablet in morning should see you well through the day. If you’d prefer to take it at night instead then again, it would help a good bit.

The dr has already reduced it to 60 ir pee month so I’ve had to jump down to 2 a day straight away.

Yeah it is palexia.
I did have some other less reputable brands when things got a bit out of hand but for now I’m back to palexia.

Haven’t abused lyrics but would like to avoid replacing tapentadol with pregab abuse. I do only have the 75mg, I’ve seen people talk about some insane doses, like they come in 300mg capsules?

I’m currently prescribed 2 75mg a day but cutting it down around the same time would be good.

Have to figure something else out for pain management until I get the surgery.

I mentioned what would be my options should the palexia stopped working which my pain specialist seems to have completely misinterpreted as he wants to move to bupe when I was trying to ask avoid poison rotation as opposed to opioid dependence.

Either way thank you for your help, appreciate you taking the time to give a reasoned response

 

[MsDiz]

The dr has already reduced it to 60 ir pee month so I’ve had to jump down to 2 a day straight away.

Yeah it is palexia.
I did have some other less reputable brands when things got a bit out of hand but for now I’m back to palexia.

Haven’t abused lyrics but would like to avoid replacing tapentadol with pregab abuse. I do only have the 75mg, I’ve seen people talk about some insane doses, like they come in 300mg capsules?

I’m currently prescribed 2 75mg a day but cutting it down around the same time would be good.

Have to figure something else out for pain management until I get the surgery.

I mentioned what would be my options should the palexia stopped working which my pain specialist seems to have completely misinterpreted as he wants to move to bupe when I was trying to ask avoid poison rotation as opposed to opioid dependence.

Either way thank you for your help, appreciate you taking the time to give a reasoned response

If you're only taking the pregabalin of a short amount of time then you shouldn't have an issue coming off it. It really will help with the withdrawals. I'd cut them down after you cut the tapentadol properly.

Bupe is a terrible idea for pain issues, you'll have a hard time coming off it when you're healed up.

Using the codeine will help big time, like I say, 60mg should hold you over for 4 hours or so, with taking the pregabalin that would likely be extended. Id take one 75mg morning and one at night.

As to pain management until surgery, honestly, look into heat therapy/cold therapy/ massage/ compression. I hope you find something to help, honestly sometimes paracetamol/ibuprofen does a good job, you can take them at the same time.