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Diamorphine Tablets

I_Stay_Dead

I_Stay_Dead

Bluelighter
Joined
Apr 15, 2008
Messages
301
As I understand it, diamorphine is available as a prescription drug, in TABLET (oral) preparations.

http://www.patient.co.uk/showdoc/30002410/
This page was updated recently; "Last Updated: 15 Jan 2007."

I've not been able to find out much information about these. I'll like to find a SPC (summary of product characteristics.) I know there's not SPC for 10 mg and 20 mg temazepam tabs. available online, but they are available for prescription right now. Does anyone know who makes diamorphine tablets? Apparently, they causes less side effects than regular morphine tablets. Does anyone else have any info. on this? Has anyone been prescribed diamorphine tabs.? How do they compare to regular morphine IR tabs?<3

Also here they're shown as 'oral.;'
http://www.britishpainsociety.org/book_opioid_main.pdf
 
I_Stay_Dead said:
As I understand it, diamorphine is available as a prescription drug, in TABLET (oral) preparations.

http://www.patient.co.uk/showdoc/30002410/
This page was updated recently; "Last Updated: 15 Jan 2007."

I've not been able to find out much information about these. I'll like to find a SPC (summary of product characteristics.) I know there's not SPC for 10 mg and 20 mg temazepam tabs. available online, but they are available for prescription right now. Does anyone know who makes diamorphine tablets? Apparently, they causes less side effects than regular morphine tablets. Does anyone else have any info. on this? Has anyone been prescribed diamorphine tabs.? How do they compare to regular morphine IR tabs?<3

Also here they're shown as 'oral.;'
http://www.britishpainsociety.org/book_opioid_main.pdf
Click to expand...

It depends on where you live. Diamorphine is diacetylmorphine, which is herion. I would imagine they arent easy to come by.
 
^^ I live in the UK. I understand that oral morphine is the first choice -- after that, oral diamoprhine may be the next logical choice? I know in theory it's prescribed, but I'd like to know if in practice it is. The evidence I've linked to suggests it is. For me it may be better than regular morphine? Or would it be?
 
I_Stay_Dead said:
^^ I live in the UK. I understand that oral morphine is the first choice -- after that, oral diamoprhine may be the next logical choice? I know in theory it's prescribed, but I'd like to know if in practice it is. The evidence I've linked to suggests it is. For me it may be better than regular morphine? Or would it be?
Click to expand...
It would be better than morphine, about 3x stronger. The problem with this drug is that its pharm grade heroin. The stigma that this drug holds will render this drug very hard to get. The next choice would actually be oxycodone, oxymorphone, hydrocodone, or hydromorphone.
 
^^ So you're saying it's only due to stigma that it's unlikely to be prescribed. According to my research, it may well be the best drug to control my chronic pain. Of the drugs you've listed, only oxycodone and hydromorphone are available in the UK. (To my knowledge.)
 
@ will&whoever: It wouldn't be 3x stronger when taken orally. It would be equipotent to morphine when taken orally, as the acetyl groups will be cleaved far before stomach absorption.
 
^^^
Correct, I am speculating here though. I dont know what your condition is, but I hope you arent dying of a terminal illness or anything like that. All im saying is that I doubt a doctor is going to script heroin to a patient whose not dying, or not a 10 constantly. Oxycodone is 1.5x stronger than morphine FYI :)
 
I was just making note that oral heroin is essentially oral morphine, as the acetyl groups disappear fast in vivo. Thats all.


I_Stay_Dead said:
According to my research, it may well be the best drug to control my chronic pain.
Click to expand...
According to my research, its the best drug for anything. ;)
 
If its straight diacetylmorphine I would assume most users would certainly not take this orally...this remaining 3 times stronger than morphine.
 
Lost and Confused said:
If its straight diacetylmorphine I would assume most users would certainly not take this orally...this remaining 3 times stronger than morphine.
Click to expand...
JC is right, i didnt think about the science behind the acetyl group and stomach acid (HCl) L&C, you are correct, thats why doctors wont script for these.
 
Okay... suppose I was prescribed the tablets, what would the benefits be over oral morphine IR tablets? Why do the make the tablets for pain relief in the first place? There must be a reason.
 
I_Stay_Dead said:
Okay... suppose I was prescribed the tablets, what would the benefits be over oral morphine IR tablets?
Click to expand...
Absolutly nothing. JC was right about the acetyl groups disappearing, rendering it morphine. There really is none.
 
Benefits: none (assuming you take them as directed... they could easily be abused to make them stronger than morphine)

And you probably wouldn't get it unless you were practically on your deathbed. Morphine would work exactly the same, but would be much easier to get since you wouldn't have to worry about the "stigma."



edit: Beaten to it. Thats OK though, just more confirmation that I'm always right. Well, I'm going to go stroke my ego out in the real world. ;)
 
I_Stay_Dead said:
From http://www.patient.co.uk/showdoc/30002410/
"Available as: Tablets and injection."

Why?
Click to expand...

It is a pretty common prescription in the UK. Used only second to morphine. (d-morphine has less side effects, but it is the side effects that makes morphine such a great drug, as patients generally do not abuse it due to its side effects.)

In america they cannot sell it because it is on the "War on Drugs" list. This is why they have found a host of other drugs to fill the hole that morphine and d-morphine have left.

Truth is, both morphine and d-morphine have the longest and most tested track record, and are by far the safest opiates one can use. Not only that, but there are well documented ways of w/d patients from both these drugs which are safe and time tested. (You simply cannot say that for all these new thebaine and oripavine derivatives.)

You live in a smart country my friend. Unfortunately where I live, we are just a subset of America and just inherit silly laws by default.
 
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The next choice would actually be oxycodone, oxymorphone, hydrocodone, or hydromorphone.
Click to expand...

Can't speak to Oxymorphone (although I bet it's goood%) ) but I'd take hydrocodone and Oxycodone off that list. Hydromorphone is way stronger than either (especially for pain). I've been on all the others and although Oxy's were fun in the beginning they quickly become obsolete pretty much once your tolerence gets up there. Also way to much trouble anyway IMO.

Oxy's are handy if you want an oral high as I guess they are the best orally that I've tried at least. However...



Pretty much the only opioids that get me high now are heroin and methadone. Dillies are good
for a rush and low level high afterward.

I do think diacetylmorphine is available in some countries for pain (Canada not being one of them..think in the UK though). I have read on here that some addicts even get it Rx'd for them in the UK although I've been told this is being phased out now.
 
It's used in the UK to treat cancer patients and addicts...
On the NHS website it's mention very briefly...
Treating complex regional pain syndrome

Opiates

Opiates, such as codeine and diamorphine, can be used to bring short-term relief if you are having a severe episode of pain.

The long-term use of opiates is usually discouraged because of the potential side effects. However, there may be circumstances where the benefits of using them outweigh any associated risk.
Click to expand...
Link

After the Harold Shipman fiasco I'd imagine it would be harder to come by. As are a lot of meds he scripted to his "patients".
 
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