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  • BDD Moderators: Keif’ Richards

Dependency to hydrocodone - how to quit and other medical queries

I don't think I've been consuming too much apap. Never more than 2000mg a day... And usually less. Usually only 750-1000mg a day. I don't drink on them either. So... Can my liver be in danger on that amount of apap?
 
That should be fine, the safe daily limit is 3000-4000mg, especially if you don't drink. We can never say 100% sure but that's well within the limits a doctor might prescribe. Try not to have more than 1000mg in a single dose if you can help it :)
 
That amount of APAP is well under the limits of what is considered "safe." Those limits can be different for each person, like effie said, but it's a decent rule of thumb to go by. Your liver should be just fine.

You don't have to worry about ulcers with hydrocodone or tylenol/APAP. The reason aspirin can increase the risk of ulcers is because it is an NSAID drug and can affect the stomach lining. Alcohol can increase the chances of that damage.
 
Well, what is good is that the dose of hydrocodone your'e taking is low, 20-40 mg daily. And it hasn't been a dependence that has been around for years, just 6 mos. If you want to be off opiates, but need adequate pain control look into Neurontin (gabapentin) or Lyrica (pregabalin) with maybe Soma (carisoprodol) as an as needed. A direct switch to either Neurontin or Lyrica from the hydrocodone would be preferable to keep your pain under some control, and help with your wd's which shouldn't be that bad in the first place. I'd avoid NSAID's for now, because the bleeding could be cause of an ulcer, though I do doubt it, probably just related to the hemmoroids and constipation. Happened to my mother who was an opiate addict, so I wouldn't worry a ton. Just get it checked it out.
 
Lillady, I edited the title of your thread to make it a little clearer what you are asking, so you get more help and also people will be able to find it easily using the search engine. I hope that is okay :)
 
That's perfectly fine changing the title. I do not mind. Thanks everyone for your help. I really don't think I have an ulcer either! The doc prescribed me prilosec which she said will help. I'm going to get rechecked in 2 weeks for blood. The blood I'm seeing isn't dark, it's bright red and on the surface abd tissue. Could habe internal
Hemmoroids too?And have been straining quite a bit. And with ulcers there should be stomach pain and I have no stomach pain whatsoever. I haven't discusses with the doctor my pain or use of pain meds. It's like I'm embarrassed to... I know they absolutely will not prescribe any kind of narcotic pain reliever or benzo where I see the doctor... So it makes me even scared to discuss. They have signs all over the office. I see a chiropractor since my car accident...what they so feels great but I really don't think the adjustments or massages help that much.
 
Bright red and on the tissue is classic for haemorrhoids -I think this is far more likely than an ulcer :)

You could potentially have internal ones too - did the doctor examine you?

Just say you are constipated - there are many reasons for this.. you don't need to disclose the hydrocodone/APAP as it wouldn't cause an ulcer and you have been taking it at a safe level. You can also get OTC laxatives you could try - I don't know what is available where you live, but ideally you want a stoop softener such as PEG-3350 plus a stimulant laxative such as Senna, Docusate or Bisacodyl. Other good measures to take are make sure you are getting plenty of fibre (if you don't get much in your diet, you could suppliment it with some isphagula hulk eg Fybogel), drinking plenty of water, getting some fat in your diet especially in the form of an oil (eg olive oil) and exercising plenty.

You can also get OTC haemorrhoid preparations (eg Preparation H) which constrict the blood vessels, shrinking the haemorrhoids - creams for extermal haemorrhoids and suppositories for internal ones.

I'm sorry you're not getting any help with your pain.. have you tried non-opiate measures such as NSAIDs (naproxen, ibuprofen - can irritate your stomach and cause ulcers!! So you need to be taking some gastro-protection such as omeprazole) or gabapentin/pregabalin (Lyrica) if you have nerve pain. Physio can help too, and there are other options as well..

If you want to detox off the pain meds as you are using them to get high and want to stop then there is a lot of good info in this thread :) however, if you legitimately need them for pain, and the above measures don't work, could you change doctors?
 
I can not help but jump in and say thats how my 25 years of opiate addiction all began 4-6 Lor-tabs daily. Now I am a Methadone Client (2 years) as I never could give them up for any period of time. A year or two a couple of times but usually only a month or two here and there and that would be after a month of terrible oh did I say terrible let me correct that and say effin terrible withdrawals. Sneezing, yawning, crying, stomach disorders (of both types), headache, chills, sweats, leg cramps, lethargy etc.... The withdrawals were one of the main reasons I could never get off them, I just could not make it thru them. And....the few times (10 times maybe in 25 years) that I was able to get off them (after years I went from 4-6 a day to 20-30 a day or harder hittin drugs like Opana's. fentanyl, dilaudid) I never could get back to feeling normal as I have trashed my endorphines etc... So now, finallyachance at normal, I am on Methadone which I will probably be on the rest of my life as I have figured out that nothing to me means relapse on opiates. Oh how I wish I knew at 4-6 tabs a day what I know now. Good Luck my friend. Finallyachance
 
I have many years of opiate experience. If you have been taking hydrocodone for a while then my guess is your bleeding problem is hemorrhoids . If you go see a doctor to get help with getting off the hydrocodones DO NOT let them put you on buprenorphine, or methadone. You will be MUCH better off doing a taper off the hydrocodones. If you cannot see a doctor about this, then the best way to get off the codones is to slowly reduce your dosage every few days until you get down to as low a dose as you can, taking a few days to stabilize on each new, lower dose- and then stop taking them all together. It won't be comfortable, it won't be fun, but when you are finished you will be very happy you did it. You will no longer be a slave to your pill bottle. There are numerous comfort meds, both OTC and prescribed that can make your detox easier . It's really up to you how you want to do it, but I strongly recommend NOT replacing the hydrocodone with bupe or methadone, regardless of what a doctor tells you.
 
iv been taking hydro 10s 80-100 mgs a day started at just one or 2 hydro 5mgs a week now look St me, stop early cause its a shitt addiction, I a. Take 120mgs of oxys and be fine
 
Hi everyone, I'm new here and need some advice. I am trying to slowly quit taking 10/325 mg vicodin. I'm legally prescribed for a lower back injury but my doctor said it's time for me to get off of them. We are going to try to do injections for my back but he wants me off the meds so he is taking my dosage down. Originally I was prescribed 120 per month. Now I'm only prescribed 90 per month. The reality is this drug has done wonders for me, it allows me to function without pain. But i feel like i'm slowly loosing control over this drug. I need to either get it under control or stop taking it. Any advice?

P.S- I have been on this drug for 2 years now.
 
Honestly don't be depressed, You are human we are the smartest strongest in this world. Anything can be beatable! I used about 450 mg Hydro or 430 mg oxy per dose (cold water extracted) + I mix with Tagamet, benedryl, and DXM. I have been on these for a while ofcouse not daily maybe 2-3 times a week sometimes less, even tho I was addicted I could stop at any time. Granted I was one of the lucky ones that never really got physical wd's just a buttload of anxiety/depresssion but if you really want to quit you will over come it. All I think you have to ask your self is have you had enough and are you ready to stop? and if you answer yes to both of those questions you will find your inner willpower to quit! Best of luck to you, do it cold turkey and motivate your self and tell your self your stronger than a silly pill.. which we all are! hope it helps
 
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