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  • BDD Moderators: Keif’ Richards | negrogesic

Combining Hydrocodone and Hydromorphone

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rc3mil

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Dec 11, 2012
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Ok so 40 mg of hydrocodone usually does it for me taken orally. 7.5 / 325 Norco's. The other night I took 12 MG Hydromorphone nasally ( 2 mg pills ). Now I did the Dilaudid over a 3 hour period. Taking small lines of about 1 mg every say 20 - 30 minutes on average. Alternating nostrils. It worked well. But after the last 2 lines I felt a bit nauseous. I had to sit very still to prevent throwing up. It wasnt that bad. I could move around but very slowly. Pretty much grounded to the couch which is exactly where I wanted to be so it wasnt a problem.

My question is: I would like to take my usual dose of 40 mg Norco and then after about 2 hours snort my Dilaudid. So basically how much Dilaudid would be a safe amount to consume nasally in total for the evening? Im gona do it the same way as I did last time by doing it with 1 mg at a time alternating nostrils.

Do I have a risk of OD if I snort too much Hydromorphone? What is the limit? Does the Norco stay in your system and combine with the Dilaudid?
 
yes you will increase your risk to OD. i would stick with one or the other. diluadid or hydrocodone.

or if you want to combine them cut your usual norco dose in half. so like 20mg or 22.5mg hydrocodone with 1-3mg hydromorphone would be fine. just dont go overboard, and go slow. you can always take more, but never take less.
 
So even if I took the 40 MG Hydrocodone orally and then 2 hours later took 4 MG dilaudid nasally that would be enough to OD on?
That doesnt seem like an awful lot. Am I missing something here?
 
yes^ you are combining the dillies which is more than your usual dose, so you either will experience extreme ataxia (muscle control, reading with 1 eye closed, blurred vission,ect ) and if you are lucky wont overdose.

like i said, if you want to take them together you have to take less than 40mg, no more than 20mgs, or you will put yourself at risk.

the safest way would to probably take 20 or 22.5mg hydrocodone, wait 20-30mins, then snort .5mg dilaudid. if you arent satisfied wait 10-15mins, snort another .5-1mg dilaudid. this time wait atleast 35-40 mins to see how you feel. keep scaling up with time and eventually you will get high, trust me, and be safe. hopefully you know when to put odwn the straw, dollar bill, or whatever your use to snort the dillies.
 
Thanks for your reply man. What if I waited 4 hours after taking the hydrocodone and then snorted the dilaudid? I took 45 mg hydrocodone an hour ago.
 
In the future consider this: http://www.globalrph.com/opioidconverter2.htm
Its used in pain management for calculating conversions with multiple opioids...you can easily put in the Hydromorphone and Hydrocodone and one other opioid in and get a final dosage. For example I used to mix Oxycodone and Hydromorphone and then convert to one standard for example Hydrocodone as I know oral hydrocodone 10mg is about 10mg oral morphine and I know what both those feel like pretty well. Hydromorphone and Hydrocodone are VERY similar too, up to 25% of Hydromorphone is "squeezed" out of Hydrocodone in vivo...explains why 2mg~ Dilaudid is very similar in feel to 10mg of Hydrocodone...at least for me the only difference is the (oral) Hydrocodone has a bit more rush but less euphoria while the (oral) Dilaudid has less rush but more euphoria....
 
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To reiterate what has been said, taking two different opioids is always a risk. Our tolerance is usually estimated through our use of one opioid, when another opioid comes into the mix, predicting the potency of both opioids combined becomes a tricky task. Even if you were to use an opioid conversion chart, there's no way to predict if those figures are accurate for you, and there's no way to know how the secondary opioid will affect you.

Practice caution, and cut your doses of each drug drastically as mentioned.
 
Thanks for all the replies. I ended up taking the 45 mg hydrocodone and left the dilaudid alone. Was a good night
 
That's potentially dangerous, as you are recommending a 50% increase in dose, not even taking into account incomplete cross-tolerance.

Seeing as how the question has been answered...

Closed.
 
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