Dealing with Possible Gynecomastia from Tagamet Abuse

Jabberwocky

Frumious Bandersnatch
Joined
Nov 3, 1999
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Greetings,

As a male, I've always had fleshy breast or "bitch tits." Never been fat, was chubby for a year as a kid and have become a little overweight over since getting off heroin. So, well, not quite bitch tits level, but unusual/abnormal for a healthy individual my age. I've never been what I'd call skinny either.

Up until about 5 months ago I maintain good eating habits and a somewhat minimal but adequate exercise routine. During the last five months my diet has deteriorated, I've been depressed (although Suboxone maint helps deal with this and anxiety to make it presently a non-issue) and had very very little exercise (walks around the neighborhood - 4 to 12 shortish walks per day and that's basically it).

For a period of about 5 or 6 months while first getting settled into my Suboxone maintenance program I (a)used Tagamet/Cimetidine to potentiate and get high off my Bupe. Generally I used an average of 1g over the course the day - occasionally less but often more, especially during the first couple months, to get a serious buzz off my 8-12mg of Suboxone. Since learning about possible negative side effects and then beginning to experience their beginnings, over the last four or five months I've been taking less Tagamet less frequently (400-600mg every other day, more often one or two days a week tops). I continue to use Tagamet infrequently but am looking for alternatives with fewer/less/no (I can dream) side effects.

During this last four-five month period I've notice growth in the flesh on my chest/breasts/bitch tits. My nipples, while not itchy, seem almost inflamed and certainly enlarged. Much more prominent than they've ever been, and this change corresponds directly to my Tagamet abuse. Now, I am starting to exercise (jogging a couple hours per day and eat healthily again (I favor spinach, broccoli, citrus, fibers rich unprocessed grains and unprocessed Kosher/Halal lean meats). This has only been going on for maybe 10 days, but it's already starting to make me feel better.

Short of the Suboxone (max 8mg/day, but more often 2mg two to three times a day) I take no other drugs or medication other than Diphenhydramine (50-150mg day daily), Trazadone (probably once a month @ 50-100mg or hypothetically max of 150-200mg) and Melatonin (nightly @ 5mg, rarely 10mg). I will probably start taking Piracetam again in the near future as it provides me with significant benefits in terms of concentration, patience and depression/anxiety (this was key in detoxing from opioids and being clean for a month before getting on Suboxone maint and will again be when I taper off Suboxone). I'm about two months into not smoking cannabis and I very rarely have a drink (when I do it's one or two - if there is anything I hate it's being sloppy drunk and the hangover next day). I smoke 5-15 cigarettes daily, average probably 8/day. I drink a good amount of tea (almost exclusively Earl Gray and Hojicha/Green teas) and drink coffee two-three times a week @ two cups max.

My questions are many:
  1. Do my symptoms seem to be the early stages of Gynecomastia?
  2. How does one deal with Gynecomastia, as caused through my abuse of Tagamet, poor diet and lack of exercise?
  3. What kind of doctor or specialist should I seek out?
  4. Is it possible to reverse the Gynecomastia (or like effects) I've noticed?
  5. What are some treatment?
  6. What, in terms of exercise, nutrition and supplements/OTCs can I do to promote recovery/treatment?
  7. I don't intent to actually pursue them unless absolutely necessary, but are there any quasi/not-so-legal treatments (testosterone?)?*
*To reiterate, I'm not going down that path unless absolutely necessary and absolutely NOT before I fully understand what I'm doing and potentially risking.

Getting back to my regular healthy eating habits will absolutely have a positive effect - probably the most significant. Nearly just as importantly will be getting exercise! I am not convinced I will necessarily need any kind of crazy treatment under a doctor's care, but I want to get in touch with one so they can monitor my improvement. I seem to have caught this in it's beginning stages, where things have just become noticeable. But I am scared (and hence motivated partially by fear, oh well) what will happen if I continued on my course of over-abuse of Tagamet, poor diet and lack of exercise, like...

NSFW:
230px-Gynecomastia_001.jpg


Other than an increase in the size my my chest/breasts the only other effects I've notice have been a moodiness verging on oversensitivity/overreacting, but I can keep this in check at present condition. Once I recognized it I have been able to deal with and kind of reverse it to my normal patient, understand and empathetical mindset.

Thankfully I still have a strong (healthy/normal) libido, still no problem achieving orgasm, no ED, really just the tits are what is bothering me. Other than genetically high cholesterol and opioid addiction I have no current health problems. Well, none other than growing bitch tits, hyperactive (but controllable) emotional sensitivity and poor self imagine after having gained about 15-25lbs. Originally 165lbs @ 6' --> now 185 @ 6'1". Being 25 years old it's odd that I gained an inch in the last year or two, but whatever...

Self image can be a bitch in recovery/treatment of my dope habit, but the small changes I've made even in the last couple weeks have been a big help. And looking forward to taking certain actions geared to achieving my goals as described here is great in itself too.

Thanks in advance for all your help! I know next to notion about testosterone/estrogen/hormone or conditions like gynecomastia, but I am learning.

EDIT: Oh, and obviously stopping Tagamet will help. Will stopping taking it along with proper diet and exercise likely correct the current problem? How long might that take if it would?

Just because in truth I do enjoy the Tagamet+Bupe buzz quite fondly, is there any ways to enjoy it while avoiding possible Gynecomastia? That being so it sure isn't worth going boobs!

Thanks again!!!!
 
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I developed a very small amount of gyno during puberty. I was a bit chubby.

The biggest indicator of gyno for me has always been extremely sore nipples. They got to the point where I could not grapple at BJJ, because if someone pushed up against my chest it hurt.

Your Gyno is likely due to a multitude of things. Suboxone clearly does not help your testosterone levels. If you want to avoid gyno and fix your physique, quit all drugs.

Also, being slightly overweight will make the gyno seem worse than it actually is.
 
Thanks Renz! I guess I'm going to go about this in stages. Get comfy with regular exercise and old/good eating habits (so just focus on this for a few more months). Once I've lost a little fat/weight (10-15lbs) I'll reevaluate. This might just be all I need to do (short of stopping the Tagamet). I will be stopping Suboxone eventually, but it probably won't be for another 18-24 months.

I actually spent some time looking at myself in the mirror yesterday. When I stand up straight I look actually pretty normal. Thank god I'm tall I guess. Chubby yes, but more lean than fat still somehow. In other words, my situation isn't as bad as I started to believe, although that's not to say I've so scared of becoming overweight (my dad, poor guy, is my example of what not to do) that I am anything if not very serious to changing my habits. And I feel better (much better) when I get good exercise and eat well, so this is just the icing on the cake. Makes it a lot easier actually. The hardest part is starting, maybe the first month of getting into the routine.

Any and all feedback appreciated! Thanks again volks
 
Okay had the yearly physical today. Things aren't nearly as bad as I was thinking - I freaked out and got really scared when I learn about the side effects of Tagamet. I'm glad I did though because it's not something I want in my future.

In terms of the physical I'm @ 175 and 6'1" and the doctor didn't notice anything significant about my chest/nipples. I would still like to make an appointment with a specialist but now I'm not really in a rush about it. Regardless, I'm glad I've stopped taking Tagamet altogether now.

Apparently, my big problem with self-imagine, so I discovered at the office today, is that I don't have a full length mirror. And, more importantly, I have a bad habit of slouching. Which all adds up to when I look at myself in the mirror at home I look like I've gained a lot more weight than I've thought (well, at one point four months ago I had, but I've done enough since then to mitigate most of the issue).

Short term goals:
-Continue exercising 3 hours minimum each day (1-2 hours in the morning and 1-2 hours evening depending on schedule)
-Continue diet limited to tea and 2 slices of this crazy nut bread in the morning accompanied by a whey protein powder directly after workout; fruit and large cauliflower (I like cauliflower) salad or small sandwich for lunch; dinner as some sort of lean protein (skinless chicken breast, fat trimmed off/ground turkey) and large amount of broccoli or spinach (and a little asparagus for treat once in a while) along with (occasionally) dose of quinoa after evening workout.
-No more Tagamet!
-Limit diphen consumption to 50mg/day and find alternative treatment if necessary (diphen has become my "cure all," as it seems to help with minor sleep, moderate to severe allergies, minor anxiety and god knows what else)
-ReStart Piracetam (for other reasons) again daily; attach dose today was 1400mg and will take 800mg daily (worked for me very well before)
-Limit caffeine to one pot of medium strength tea before noon; or two cups of coffee/shots of espresso
-Continue to avoid highly sugared beverages/sodas/fruit juices (been drinking probably 1 cane sugar based soda per week for the past couple months and see nothing wrong with this - and the occasional papaya/mango/carrot smoothie will be allowed)
-Melatonin like normal (bed time 10pm/wake up 6am weekdays; bed time midnight/wake up 8-9am weekends)
-Continue to abstain from drugs especially cannabis derivatives (other than bupe... and then bupe only for a limited amount of time; occasional glass of wine/beer/digestive/spirits for formal celebrations/holidays; nicotine and caffeine obviously acceptable within certain limits) until fully recovered from bupe w/ds and paws (so we're talking Years with a capital y)

Long term:
-Six to 16 months from now begin taper
-Jump off date from taper (depending when it start) no later than 24 months from now
-Reduce smoking to 1 pack/week or less; this month limiting myself to five cigarettes per day max and reevaluate at beginning of next month

The great things is that, as I've noticed today (after it seems like all the Cimetidine has gotten out of my system and has stopped potentiating/affecting my metabolism of buprenorphine), the piracetam synergizes really well with my low dosages of bupe. And more so over the last 10 days I've been taking very small amounts of suboxone. Without the Cimetidine I have no motivation to take more as it doesn't get me "high" per se. Still feel the buzz, but it's very different without Tagamet's potentiation.

Thank you
for your help guys. I guess it's really not complicated. Good help requires that I don't ingest opioids on a daily basis, and frankly this doesn't bother me that much. There is a significant amount of work I need to do in my life (well, it's not really "work" because that makes it sound distasteful or un-fun) before that point comes, but I'm looking forward to it. More importantly what's gotta happen between now and then.

Writing all this makes me feel like I'm crazy - might have been better suited for the blogs. Such is life. I won't update this any more unless I develop a problem with the condition. I'll save stuff like this post for blog material

Feel free to close this, although of course I'm always happy to hear more about this condition and what I'll be avoiding by not taking any more inhibitors.

As a note, I've been working on a couple prize mescaline producing cacti which I've refused to ingest until I've been flushed my body completely of drugs. This will take a long time - as by the time I come off suboxone I'll have been on it for a max of 2 year - so the earliest time I could conceivably be ready to prepare the cacti is ~3.25 years from now if not more. Still, something to look forward too.

I find that, when I have control over it, the carrot mentality works well for me. Call me an ass. A materialist ass
 
You may want to stop the melatonin. It's been shown to raise estrogen levels and could be a contributing factor to your gyno.

I drink a cane sugar soda here and there, I stick with organic sodas. My favorite is a ginger soda. It burns but has a nice sweet taste.

Keep at your goals bro. The path to sobriety and a great physique isn't easy but it's a very rewarding journey.
 
^What he said. I was an IV heroin user for 3 years, and snorted for a year before that and was put on suboxone.. Shit killed any gains I had at the gym for me personally. For me if I have any opiates/opioids in my system, my testosterone takes a massive hit (as in very low gains, even with proper dieting and exercise). Best of luck with your sobriety. Now that I'm completely clean (no maintenance) I've been doing pretty well, continuing a pretty decent diet (I drink maybe 2-3 sodas a day and none after 5pm and still smoke as I'm early in recovery). I've been blessed with a decent physique though, I gain muscle fairly easily if I do things right and my body fat stays pretty low (at around 9-10% with minimal cardio). Granted I've only been doing this for 3-4 months so there is still plenty of room for improvement. Eat clean, lift heavy, and try to get off the bupe as soon as you feel ready to do so. I think I switched addictions to trying to get the best body I can.
 
Thanks guys! Luckily for me I've also seemed to be blessed with what I find to be the ideal physique for myself - not really buff by any means but slim and muscular to the point there is relatively little fat on my body. I don't really go to the gym since I left school, as I'd have to pay for it now and I'm not really interested in bulking significant muscle. Outdoor activities generally get the job done for me, although once I'm off the suboxone I'm going to get a trainer and gym membership, just because I know that will play a significant role in helping to keep me feeling good. I can understand what you mean Serotonin101, as my body fat stay at a low level with minimal cardio, but only as long as I get that cardio regularly.

I still smoke more than I like, but it's not my number one concern atm. Not something I can do forever though, and I'm seriously contemplating getting off cigs before I get off suboxone, although obviously I haven't made up my mind about this yet - pros and cons either way.

I've been on suboxone for almost a year now. As described up until about four or five months ago I used tagamet to get a serious buzz from it almost daily. Then say four months ago I stopped using it daily when I learned about some of the side effects. And I haven't used it since last month. Apart from that I haven't smoked pot in a couple months and that was the only drug I enjoyed during my entire period using suboxone (well, some tramadol at first too but that stopped at least seven months ago). Like I said before, I'm def not ready to get off it, as I haven't achieve those goals I've set to make doing so easier and more possible than otherwise. But I do look forward to getting off within the next year or so. I've already started my taper in the sense I take 0.5-2mg/day nine out of ten days, and I'm going to work on taking 2mg regularly without any deviation. Then once that is stable go down to 1mg, then repeat and again to 0.5. So my taper is going to be really easy and in effect is kinda already started.

It is a long path, but I've figured out how to schedule my activities to achieve small goals regularly. It's been a godsend, for sure. I figure that, even if I'm only making small regular achievements, it keeps me from taking any steps backwards, so in the end it works really well. Hate the cliches, but as they say, slow and steady. So true.

Up until I moved into my dad's place shortly before starting suboxone I have always been in good physical health. That was me just letting my guard down, as he's used to a really shitty diet and I got into that habit with him. But it's been so much better, even enjoyable, getting back into my old healthy eating habits.

I'll definitely look into that issue with melatonin and discontinue it for now. It's not really necessary, I was just taking it as part of my nootropic regiment (which now only consists of piracetam anyways).

I'll probably pop in here and edit my last post to record significant progress. I'm just to happy and much more motivated now that I had that physical. Things are not nearly as bad as I thought. Still lots of work to do and a long way to go, but it's totally doable. Confidence, that's the word :\
 
Just stick with it my friend. Im going all natural for my supps (protein, multi vit, and creatine) and got those awesome "noob gains". I still do research on what supplements are the best, whens the best time to take them, and of course DIET. Of course im still fresh into this thing so I'm sure Guido, Vox, and the other regulars here can offer more advice than I.
 
Todos esta bien! There's not a whole lot about this stuff around these forums, so any info and help is greatly appreciated, especially for folks such as yourself who are in a rather similar position.
 
Lose weight and stop doing drugs. Not all that hard. The amount of over-complicating you're doing with this situation is almost comical.
 
in my mind, it's very simple :) there might be a lot of deals, but without a guiding thread or overall objective they're useless

from another's pov I can see what you mean, very similar to a stereotypical greek tragedy
 
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