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  • BDD Moderators: Keif’ Richards | negrogesic

codeine v morphine

Inc3pti0n

Inc3pti0n

Bluelighter
Joined
May 27, 2017
Messages
497
hi guys,

i for about 5 years or so have been taking high doses of tramadol. I now take only 100mg per day, i do however use codeine upto 300mg per day, this is for chronic pain in my spine and lower back.

Now,
I have a special relationship with a chemist and had been given a bottle of oramorph that had been there unclaimed.
I have read the leaflet and took the recommended dosage without any other painkiller/opiate prior, and did not feel much (this was x2 10mg/5ml so 20mg total) but felt very little if anything.

I did however on the first night this being the third take quite a bit and zombied out to the point i woke up hours later.

Now if i take 240mg which is 8 30mg codeine tablets i get much more of a quick but not very long lasting relief of pain, the tramadol on top of the codeine help for longer but do make me zombyish now. I have cut down a lot from tramadol but replaced it for codeine it seems, now trying oramorph but when in pain you will try anything!

So why could this be ?

Could anyone based on the above information estimate what my dosage would be at a good starting point as i cannot exactly ask my doctor and i do not want to OD or get high whatsoever, i want relief of very serious pain.

I cant go out, socialise or do the things i love down to this pain.

Please guys, help out however possible, please try to keep it simple as possible for me to understand.

Kind regards
 
Last edited:
Approximately, your 240mg Codeine is let’s say 25mg Morphine after liver conversion.

You may have an reversal enzyme issue, but as a rule, if you enjoy codeine you should enjoy morphine mate, happy to help if I can though!!
 
Shortec Stublue!! said:
Approximately, your 240mg Codeine is let’s say 25mg Morphine after liver conversion.

You may have an reversal enzyme issue, but as a rule, if you enjoy codeine you should enjoy morphine mate, happy to help if I can though!!
Click to expand...

This does somewhat help yes, i wasnt sure on the conversion rate but that does make sense. I will give that a try and update the thread a bit later tonight. Thank you
 
No problem @Inc3pti0n i suspect you are over thinking this, therefore waiting for a vast difference.

Let us know how you get on, and NO do t take any amount every hour till you see a change. DM me if need be ?
 
Shortec Stublue!! said:
No problem @Inc3pti0n i suspect you are over thinking this, therefore waiting for a vast difference.

Let us know how you get on, and NO do t take any amount every hour till you see a change. DM me if need be ?
Click to expand...
I understand that's why I made my disclaimer very clear...

"I'm JK I don't know shit about opiates but it seems like a good idea"
 
FEMALEVOMITBLOWJOB said:
I understand that's why I made my disclaimer very clear...

"I'm JK I don't know shit about opiates but it seems like a good idea"
Click to expand...
Some people don’t take the disclaimer please think on that. Well if you know nothing then it’s clearly not a good idea is it!! Nothing personal just remember where you are ?
 
Shortec Stublue!! said:
Some people don’t take the disclaimer please think on that. Well if you know nothing then it’s clearly not a good idea is it!! Nothing personal just remember where you are ?
Click to expand...
Well sometimes you've got to improvise. Today I'm taking 15 mg of Temazapam every 3 hours totalling probably 60 until I fall asleep around 12:00 am tonight the idea is to slowly find your threshold while not overdoing it.

When you take drugs don't be stupid and know your limits stick to your own rules I've got 28 more minutes then I get to pop another 15 mg temazapam do you get what I'm saying?
 
I completely get what you’re saying, that is not the issue. Your “schedule” is just that, YOURS!!

A little caution on suggesting “try your drugs till they start working” was my point. Nothing personal as I have previously stated. We just keep an ? on each other here. YOU TOO, should you need it ?
 
Inc3pti0n said:
hi guys,

i for about 5 years or so have been taking high doses of tramadol. I now take only 100mg per day, i do however use codeine upto 300mg per day, this is for chronic pain in my spine and lower back.

Now,
I have a special relationship with a chemist and had been given a bottle of oramorph that had been there unclaimed.
I have read the leaflet and took the recommended dosage without any other painkiller/opiate prior, and did not feel much (this was x2 10mg/5ml so 20mg total) but felt very little if anything.

I did however on the first night this being the third take quite a bit and zombied out to the point i woke up hours later.

Now if i take 240mg which is 8 30mg codeine tablets i get much more of a quick but not very long lasting relief of pain, the tramadol on top of the codeine help for longer but do make me zombyish now. I have cut down a lot from tramadol but replaced it for codeine it seems, now trying oramorph but when in pain you will try anything!

So why could this be ?

Could anyone based on the above information estimate what my dosage would be at a good starting point as i cannot exactly ask my doctor and i do not want to OD or get high whatsoever, i want relief of very serious pain.

I cant go out, socialise or do the things i love down to this pain.

Please guys, help out however possible, please try to keep it simple as possible for me to understand.

Kind regards
Click to expand...

The duration is short because regular morphine simply has a short half-life. Same with codeine.

Usually the NHS prescribes time-released morphine such as MST Continus for exactly this reason. Plus it is considered less addictive and abusable (which is debatable, but it does provide less of a "hit" when it kicks in).

There is also DHC Continus which is time release dihydrocodeine - have you tried DHC for your pain before? It's only twice as strong as codeine but it's much more effective for me and could be for you too. It also has no dose ceiling unlike codeine (although the max they're allowed to prescribe is 240mg a day).

Since you have chronic pain any doctor would want to get you on the lowest dose of time-released opiate that is effective.

Have you spoken to your GP about this at all or have you just been getting painkillers illicitly to self-medicate?

Since you were on tramadol for five years and have been tapering with the help of codeine I assume you were prescribed those?

If you do have a doctor who prescribed painkillers to you for chronic pain, and a record of chronic pain stretching back five years, you can talk to that doc about alternative options. Obviously don't say you got Oramorph off a dodgy chemist, but say since you've come off tramadol using codeine you find yourself wanting something else to treat your ongoing chronic pain, what other options are there?

Since you quit tramadol and codeine is too weak you will likely get offered either dihydrocodeine or morphine, likely in time-release form such as DHC Continus or MST Continus because that's what the NHS tends to use for long-term opiate scripts.

This sounds ideal for you since it sounds like morphine works for you at the right dose but you dislike the the short duration, and since you have chronic pain you need treated, assuming the trams were scripted, the GP should be willing to try other opioids with you.

The doc will be flexible with dosing at first, usually the way they do it is give you an IR form of whatever opiate they're trying you on, and say try low doses first and go up if necessary but don't go beyond Xmg. You go back and say what dose worked, they will put you on the XR equivalent.

I won't give any specific dosing advice on here because it really differs by individual, any doctor would tell you that. I can take 240mg DHC IR and get just a little buzz. My gf can take 60mg DHC IR and nod out. And oddly if I take 240mg DHC XR I feel it much more.

And as I just said, even doctors will have you experiment with doses at first, because the reactions differ that wildly. They go by individualised patient response.

Point is individual responses to opioids differ wildly so it'd be irresponsible to give you dosing instructions when even doctors don't use generalised doses imo.
 
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