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GBL and selegiline

>Marquis<

Bluelighter
Joined
Feb 13, 2006
Messages
138
Hi all. A friend of mine recently went through GBL addiction (~7 weeks going through a 250ml bottle, though 4 of those were spent trying to taper off) twice (the second time, 3 1/2 weeks for a 250ml bottle. This second addiction began little over a week after the first finished).

The first time, she spent 4 weeks trying to taper from the drug, but also spent a good deal of that time getting high to deal with emotional problems that were present before the addiction (though less severe beforehand). The thing is, she was using selegiline 5mg/day for a month or two before the initial use of GBL. On the first day with G, she used 1ml/2 hours for around 18 hours. Upon cessation, she experienced severe anxiety, terrible paranoia (spent a good hour rushing about looking out the window thinking the cops were coming) and other unpleasant hangover symptoms. She attributed this to lack of sleep and some sort of electrolyte imbalance caused by the GBL. The following evening, she used heavily again, 1ml/2 hours, for around 15 hours, and the next day experienced the same symptoms. Very unpleasant symptoms. At this point she discontinued selegiline use. The following two weeks involved increasing usage to the point of 24 hour use for around 4 days.

She then tried to stop cold turkey. Bought some alcohol and took her last dose at midnight. Spent the next 12 hours drinking alcohol to deal with the horrible withdrawal symptoms (two bottles of wine and two cans of strong cider) and finally slept at noon the next day. Woke up at 6pm with a hangover and instantly took to the G to get rid of the hangover, assuming that the addiction had been cleared. Spent the next two days on 24 dosing, and then tried to quit again. Drank alchohol again. 12 hours following the most recent dose, psychotic symptoms developed. In a 14 hour period, over 30 units of alcohol were consumed. The psychosis was severe and resulted in her locking herself in her room, curled up in a ball without moving for hours, convinced family members were watching her through cameras in her room and wanted to kill her.

She finally passed out around the 24 hour point, after taking a small dose of G (around 1/8 of a usual dose, as stupid as this was!) and woke up the next day, infinitely horrible hangover, and started on the G again. The next few weeks were spent tapering/relapsing/tapering, until she ran out and dealt with minor WD's without the G.

A week and a half later, having dealt with relatively minor WD's, she obtained another bottle. Started using 12 hours a day, staying clean for 12 hours at night and sleeping in the evenings. There seemed to be tolerance, nearly twice the original dose being needed, but there were no WD's in those 12 hours interims. After a week, she used for a full 24 hours. Minor WD's. She continued using. Escalated to 24/7 pretty soon. Remained this way for two weeks.

At the end of the third week, she decided to taper (the morning of NYE). Spent most of that day in WD's, moderating with a tiny amount of alcohol. The evening of NYE, she went out and got high for 12 hours. The next day, stopped using again. Practically no WD's. Virtually nothing. The next few days, used a little, but still only minor anxiety when not using. Compared with weeks of WD's the last time.

Now, we've all heard that G "causes a buildup of dopamine which is released" when use is discontinued, causing the "withdrawal symptoms". I personally thought this was riduculous. G is a GABA agonist, constant use causing GABA-B downregulation and glutamate receptor upregulation. I even thought the notion of the 'dopamine rebound' after a single use was silly; receptor up and down regulation would be happening after a single use, plus the GHB receptor stimulation occuring as concentrations decline to nanomolar levels results in increased glutamate firing.

But my friend's recent experiences have shocked me; the fact that after 18 hours of use while on a selegiline prograim, she experienced very unpleasant withdrawal symptoms, while 3 WEEKS of heavy use including several days on 24 hour dosing did not produce equivalent symptoms.

The only thing I can think of which may have altered the outcome of this is that a little more than a day before she decided to stop using, she had had an MDMA experience (only 2 1/2 pills, less than her usual but seemed very potent and she seemed to be high for at least 12 hours). Immediately after this, she was not experiencing WD's like she had before. Before this, 2 hours after a good dose, she'd be in WD's. At one point after this, she went around 6 hours without ant WD's. I've read one person's claim on a web forum that a single night on MDMA completely prevented the development of WD's when they quit G. Another thing is that prior to ceasing use, she'd had only 12 hours sleep in 90+ hours.

Anyway, this has been quite a rambling post. Anybody have any thoughts on this?
 
I can quite believe the selegiline made things far worse.

Selegiline is one of the more potentially problematic nootropics if not taken with care, especially when combined with other compounds. Lets face it, it is a MAOI - so VERY serius interactions are possible.

The selegiline certainly seems likely to have made things worse (possibly via dopamine rebound being exacerbated) if nothing else. It certainly sounds a BAD idea combining the two. However one must not forget prolonged GBL use on its own (with no selegiline) is still likely to cause rebound/withdrawal effects.

However excluding the selegiline from the equation and assuming a person is not taking any others drugs there is always the circumstantial element as to why one day is easier to withdrawal compared to the next. Someone taking GBL would also not necessarily gauge their current use completely accurately and therefore may not correctly predict or realise the severity of the withdrawal to come. (Being high could easily distract from realising the extent to which one is dosing)

I would personally be VERY VERY cautious in thinking MDMA will stop or help a serious GBL addiction. [It could easily make the situation much more complicated & dangerous]

Anyway hope your friend gets through it. :)
 
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I thought I was bad, litre in a month.

One thing with GBL.. if you start using higher doses tapering doesn't work.. best to just face the facts yer gonna w/d, and have benzos handy. only take benzos for a week.

If you just leave it alone for a good 12 hours sleep though and dont redose its not half as bad
 
I find the idea that a serotonin releaser is going to do anything for withdrawal from a unique gaba-ergic a little dubious.

there, I've used my word of the day and it's only 10am. Now I can be off to do my rain dance. suckers.
 
I am right now today coming off GBL.I have been on and off use for various points in the last 2 years.I'm down to 1ml every 2-4 hours depending on how horrendous I feel.Tomorrow If I can actually deal with going outside I'm picking up 28 1mg lorazepams,30 25mg promethezines and carrying a few cans of cider in case of severe panic.
This last year I've found that promethezine seriously reduces dopamine rebound and associated effects.I've read that its related to Chlorpromazine but is weaker.If I take four 1.3ml doses over 8 hours and at the end take 50mg promethezine I can sleep almost normally.After 2 or more days with no 10+hour drying out period I need 100mg.
Over christmas I ran out of promethezine on new years day.So in the last 5 days I have drank alcohol in trying to rid myself of dopamine and it doesn't really work,plus hangover involved retaking gbl to end that,so I had 4 days of that idiot cycle.Have only taken gbl in 1ml or 0.5ml doses last 36 hours with result that sleep for no more than an hour before lying in bed shaking and sweating kicks in.
Anyway tomorrow I run out of gbl and thus can't do more of the redose crap.Hopefully lorazepam,promethezine will help and I'll be free of the beast by tuesday afternoon.

None of this is extreme compared to several times in 2006 when I would dose 2ml up to 10 times a day until runing out and then not sleeping for 36 hours.And finally after doing 500ml over 20 days going insane and being awake and hallucinating for 4 days.Basically acting like someone with dt's,but no one would prescribe me anything as no medical staff I've met have any clue about the effects of GBL,eg the starting stimulation,then depression,then dopamine rebound.

Didn't take any for 6 months and since then have mainly done 1.3 2 to 4 times daily and then once the bottle is empty not buying anymore for a week or two.

Although at the moment this is my longest period with no 14 hours between doses for some time.Just have the fear that even though I've got a schedule worked out for my last 8ml to get me through to the dr's tomorrow I still might run out too early and thus be in public having a full blast dopamine related seizure.
 
I don't think there's such a thing as a "dopamine related seizure" pretty sure it's all dysruption of the GABA system. Which seems more likely.
 
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