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Opioids fentanyl patches

Akomplice said:
THE AKOMPLICE METHOD

1.) Wash area of skin thoroughly with hot water(don't burn yourself but use as hot as you can because it will open your "pores", towel dry.

2.) Shave the area with a clean sharp razor and NO SHAVING CREAM.

3.) Take a warm washcloth and hold it on the area for 1 minute.

4.) Now dry all the way and apply the patch as directed.

5.) Wait 30 minutes, until it's really stuck on there grab a heat pad, heating pack (you get the picture) Something hot and dry.

6.)Hold it on the area for 5 minutes to increase absorbtion a pretty large amount.



-Akomplice
Click to expand...

How much of an increase do you reckon you would get by keeping a heating pad on the patch for 3-4 hours all the while intermittently going back to heat it up? I had 275mcg/h on at one point when I was trying out fentanyl and I don't know if it is just my body but I couldn't grasp anything close to a "nod" or any euphoria at all. It totally sucked when I had to quit though and my doctor thought I was immune to fentanyl and it turned out I was still dependent!
 
well from my experience heating pads do not work. Like i said, put gel under your tounge, or if its a mylan patch, put it against ur gum, stick side against ur cheek. 20 min later you will be wrecked
 
Just curious, would anyone happen to know what the bio-availability numbers are for railing or plugging a small amount of fent? I have some very small 1/3rd ml syringes that would make measuring out a dose much easier the next time I get fentanyl and I am not impressed at all with the bucal/oral availability, and I would guess that it would come on extremely fast this way too.
 
Cloud_9 said:
Just curious, would anyone happen to know what the bio-availability numbers are for railing or plugging a small amount of fent? I have some very small 1/3rd ml syringes that would make measuring out a dose much easier the next time I get fentanyl and I am not impressed at all with the bucal/oral availability, and I would guess that it would come on extremely fast this way too.
Click to expand...

There isn't really any data on railing or plugging fent but it is safe to assume plugging would be 70-90%. It is def much higher than buccal and when dealing with fent it is always safer to assume you are getting more when dosing so just pretend it is 90.
 
Sgt. Pain - down to the patches

Tolerence - 300 mg morphine time release (ms-contin) twice daily... or 100mg twice daily along with 850 mcg lollies (6 or 7 throughout day).

Now down to the patches. 75mcg / hr 72 hour (7.5 mg). Never patched before and want to be safe..

The 7.5 mg seems scary, just want to do as prescribed.. think its safe?

thanks
 
Yeah, if used as prescribed they are, for the most part, totally safe. I say "for the most part" because of faulty patches that were recalled a couple years ago for dispensing too much medication at once causing overdose.

Patches, especially the gel ones, carry far more medication than they are meant to dispense. In some brands more than 50% (16.8mg in a 100mcg/hr patch) more medication which makes it EVEN MORE dangerous.
 
Akomplice said:
People are so stupid sometimes. I simple search would have answered you question. God damn I swear sometimes you guys are the most knowledgeable and intelligent people in the world when it comes to harm reduction. Other times like now, I wonder if your mom dropped you on your head.


But just so we're clear Bioavailabilities..

-92% (transdermal)
-50% (buccal)
-33% (ingestion)

Oh and Melting point - 87.5 °C (190 °F)

As you can see it's simply stupid/wasteful to put them in your mouth. They make patches for a reason, that's because it's the best ROA with the best BA. Notice there's not a Oxycodone patch? That's because the oral BA is great, same goes for this with transdermal.

That's because a lot of people on here think they're smarter than the pharmaceutical companies and they found a better way to use the drug but they're wrong. Half of you don't know shit about pharms.



Granted I think they should make hydromorphone and oxymorphone patches because the oral BA is shit, there's probably a reason they don't.


I'd also like to mention for the people recommending cutting the watson patches open and eating the gel, ARE YOU FUCKING KIDDING ME??

Do you have any idea how fucking stupid that is? It is so dangerous on so many levels that YOU don't even understand and I'll try to explain it.

Do you have any idea how many people have died this year alone from doing just that? Fucking Tons.

Shit...
Over 1000 REPORTED Deaths From April 2005 through late March 2007 - Less Than 2 Years.


You do realize that this is a HARM REDUCTION website? That is about the farthest thing from harm reduction there is.

Teaching someone how to shoot heroin properly so they don't do it wrong and dangerously is harm reduction.

Teaching someone how to "get high" by cutting open a patch and then ingesting a drug 81 times more potent than morphine is just irresponsible.

It makes me fucking sick that anyone would suggest that to someone on a harm reduction website. I don't give 2 shits what you think, putting on your gums is ingesting it, you could swallow enough to OD.

Someone that I knew personally and was my friends older brother died at 23 years old because of this exact thing.

He wasn't opiate-naive in anyway and this guy said "yeah just cut it open and eat some of the gel, if you want to get higher put some gel on your gums too."

Well he did and he died. The guy who sold them to him and told him to eat the gel is spending his sweet time in prison, doing 15-25 years.
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You have absolutely no idea what you're messing with when you play around with that shit any other way it's supposed to. It's not just because it's "potent" and "powerful".

Fentanyl is a fully synthetic opioid and acts differently than the other opiates/semi-synthetic opioids.

One reason it's so dangerous is this,

A drug's ability to work properly is directly affected by how much of it binds to the proteins within your blood plasma. The more the drug binds to your proteins (present in plasma) they attach themselves to the drug, the less the drug works but it remains in your body, a lot comes in to play when it comes to protein binding. While it's not affecting your CNS and getting you high, the concentration levels in your plasma/protein keep building and less of the drug becomes "bound". Resulting in a rapid increase in "effectiveness" of the drug. Death.

Another reason fentanyl is such a dangerous drug is the high protein binding can change the drug's half-life. The bound portion of the drug acts like a reservoir from which the drug is slowly released as an unbound form. Now the half life of Fentanyl is "7-17 hours" according to various sources, BUT taking protein plasma binding/plasma/concentration levels etc.. in to account, the half life increases dramatically.

Methadone is similar. (Not in chemilcal structure or high or anything like that).
By that I mean well here I'll put it in the easiest way possible.

Most people that overdose on methadone overdose after the third day, this is due to what I mentioned with Protein Plasma Binding, Concentration Levels Etc..

Reason being that the drug keeps building up in your body. In your cells/plasma etc.. and because of the high binding of proteins the half life (The half life of methadone is extremely long anyway 15 to 60 hours, in rare cases up to 190 hours can increase substantially). This goes for all opiates/opioids, which is why the first dose in the morning is always the best.


The reason it varies so much is Protein binding. Bottom line fentanyl does the same thing, not as greatly as methadone but still very worth mentioning.




To give you an idea of how well fent binds to your proteins..

Fentanyl's Plasma protein binding is 80-85%
Heroin - 0% After It's Converted To Morphine it's 35%
Oxycodone - 45%
Hydromorphone - 20%
Morphine 30–40%

Now all in all this WOULD be a good thing right? I mean the less the drug binds the better it works. Wrong.

It doesn't really matter how well the drug binds when it's one of the most powerful/potent opioids available by RX.

Trust me you wouldn't even want to handle a fentanyl patch if the protein binding was 0%-15%. The lethal dose would be so much lower. It would be somewhere near as potent as Carfentanyl(Carfentanil). At the very least Sufentanil.

Back to my main thought, even suggesting cutting one of those patches open you should get kicked in the nuts 5 times.

Now on to smoking the fent.. Yes it works, and gives you a rush and is a hell of a lot safer than putting a patch in your mouth or god forbid gel.
It's highly ineffective not to mention extremely wasteful

The melting point of Fentanyl is 87.5 °C (190 °F)

Now the average temperature of a flame from a standard lighter(BIC brand) is

Anywhere between... 800° C(1442° F) - 1977° C(3590.6° F)

Now at the lowest heat level (Blue colored flame) it's approx. 800° C, That's a little under ten times the melting point of fent.
But you're using the yellow flame, so that's a little over 18-22 times the melting point of fentanyl, I guarantee that's way past the burning and destroying point.

So it's a humongous waste.


The best way to use fentanyl patches is to do this. I made this up so if anyone reposts it they should give credit where credit's due.


THE AKOMPLICE METHOD

1.) Wash area of skin thoroughly with hot water(don't burn yourself but use as hot as you can because it will open your "pores", towel dry.

2.) Shave the area with a clean sharp razor and NO SHAVING CREAM.

3.) Take a warm washcloth and hold it on the area for 1 minute.

4.) Now dry all the way and apply the patch as directed.

5.) Wait 30 minutes, until it's really stuck on there grab a heat pad, heating pack (you get the picture) Something hot and dry.

6.)Hold it on the area for 5 minutes to increase absorbtion a pretty large amount.

- Be very careful with this, there's also the chance of skin irritation caused by just shaving, to avoid this shave a while before. It will burn a little too.

- I think it's better when you shave right before because your pores are WIDE OPEN, you have actual "cuts" on the area.

-Which will cause accelerated absorption directly into your blood stream, It's pretty close if not better than SC injection.

-Heat is also proven to increase the absorption rate.

I think it says it on the insert.

Anyway, just be safe bro:\


Peace,

-Akomplice
Click to expand...

bud, sticking a patch on to anyone with a habit is going to keep them not sick for a few days and thats it. i agree that people who don't know anything shouldn't use fent, but its very possible to use fent with little danger to anyone with a tolerance. buccal method is probably the best method to get high, but shit man i mostly bang it (and i won't go into how, if you don't know then you shouldn't know). just don't do more than a quarter of it if you're bangin unless you're absolutely sure you can handle a half.
 
Dear Akomplice,

I think you're the smartest person I've seen on Bluelight on the topic of Fentanyl patches, absorption, etc.

I'm wondering if you can view my earlier post and responses re: my situation on the whole.

I'm leaning toward not smoking Fe at all. Too freaking dangerous. Maybe just heating a very small portion of a patch, seeing what happens, for pain when I have it.

BTW -- I was cutting my 50mcg Mylans in half and applying them normally. They worked. Only problem, I got totally physically dependent within about 5 days. I just cold turkeyed my way off Fentanyl entirely. Now looking for a way to use it, sporadically, and not get hooked into having it in my bloodstream 24/7.

Anyway, it's all explained on my post, here:

http://www.bluelight.ru/vb/showthread.php?t=515360

If you can help me, I'd be incredibly grateful.

:)

j.
 
A

At the risk of driving this thread somewhat on topic...

Ive been an opiate user for quite a while now. Mainly its dilaudid; my doc perscribes me 180 8mg pills a month, all of which I quite hapilly use. This has been ongoing for about 18 months, originally for back pain and while i still do legitimately have pain, i have to be honest and say i use mostly for fun.

Plugging was my preferred ROA, but last month i stepped up to IV, as my tolerance pretty much has skyrocketed. Im lucky to get more that that initial rush out of the experience these days, hope hope springs eternal. While the days of A truly thrilling experience seem behind me, i try to keep an open mind that there's still a trick or two out there.

Recently a friend gave me an Actavis, 75mcg/h patch. Ive never used one before so I thought I'd check in here and see what the best way for me to use this is, obviously for maximum effect. For safety's sake, assume i an do pretty much anything without fear of OD. In fact i recently tried black tar heroin
and after injecting a full ball and a half without getting high i sadly began to wonder if opiates were over for me.

Still, i ain't no quitter, and this patch represents yet another attempt to launch myself into ouster space.

So, I look forward to any and all suggestionis
 
My friend just died from eating a piece of his morphine patch and he has been on opioids for years...please dont do it people!
 
noddinluvz said:
My friend just died from eating a piece of his morphine patch and he has been on opioids for years...please dont do it people!
Click to expand...




Sorry to hear about your friends death.....I didnt know they made Morphine patches, learn something every day. My firend asked me to share a 50mcg Fentanyl patch by Actavis with gel in it but I told him I didnt wanna risk an overdose or death & if I survived it, my tolerance would sky rocket.
 
OK I know this post is old, but I just want to put my experience out there. I got put on fent a few years ago, started with a 50mcg/hr patch(watson I think), and while it did help the pain,( IED blast in the sandbox Fucked my back up pretty bad) I didnt get any kind of buzz off it. then a friend told me to eat the gel. I tried that, the whole patch, and didnt get fucked up till I started chewing the patch. I dont know if I just have an insanely high tolerance to pain killers(I once got 100mg morphine and 40mg dilaudid IV'ed in the emergency room and while I did get fucked up, I didnt feel anything until 80mgs of morph was injected already) or its not AS dangerous as they say, but I can eat a 75mcg patch worth of gel and chew on the patch and not really even feel it. My w/d's arent that bad either. I think it just has to do with the person in question, just walk your way into the doses, don't run, ESPECIALLY with stronger pain killers and you should be ok. Good luck and be safe.
 
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