Opioids HELP! Trying to eck out the last few days before can fill RX

[BeachBum4u]

So, basically I am prescribed 2 40mg Opana's (ER) a day. I also take Oxycodone for BT but usually blow through it as this Pain Clinic has effectively cut my dosage of 8 years in half. Although I was previously prescribed Oxycontin 4 80mg a day. I had to cut down to 1 1/2 Opana's a day for the past 4-5 days but have 3 more days to go. I am contantly having WD effects and am barely making it until the next day's allotment. I have been sucessful so far in keeping up the proper allocation, amen! I don't have access to too many things, that I know of, to help ease this time. I do have a bunch of blood pressure meds I take 2 of each day. Should I take more to relief the anxiety that builds up? Also, I read on BL that some folks use OTC Loperadimine (sp?) a poop pill. Does that do any good?

Any help will be greatly appreciated. I'm just having such a hard time with this reduction the past few months. Many Thanks!

 

[chemical313]

I've had to do similar when accidently dropping a pill when popping, or accidently double dosing a day or two. Tho im on bupe, currently .25mg 2x/day. Anways just stick to your allotment, if you crack and take the full dose you will suffer the next day. Sometimes its good to do so tho if you got the time and can handle the w/d's, cuz if you make it a few days with less or none you could probly take less when you get em and still be stable. I was on 8mg of bupe before, and quit cold turkey, after 2 weeks i couldnt hack the fatigue and weakness, damned near to losing my job so i went back on .25mg a day and was stable. sorry for goin on a bit, also i know im on 2x that now but is due to bad choices between then and now.

 

[pasha]

Yes, loperamide will definitely hold you almost as effectively as methadone for some people. You need dosages between 20-40 milligrams IME.

 

[BeachBum4u]

Yes, loperamide will definitely hold you almost as effectively as methadone for some people. You need dosages between 20-40 milligrams IME.

Seriously! No shit! That's actually like 10-20 pills, because I think they're only 2mg each. WoW, will I ever "go" again taking that many?

 

[BeachBum4u]

I've had to do similar when accidently dropping a pill when popping, or accidently double dosing a day or two. Tho im on bupe, currently .25mg 2x/day. Anways just stick to your allotment, if you crack and take the full dose you will suffer the next day. Sometimes its good to do so tho if you got the time and can handle the w/d's, cuz if you make it a few days with less or none you could probly take less when you get em and still be stable. I was on 8mg of bupe before, and quit cold turkey, after 2 weeks i couldnt hack the fatigue and weakness, damned near to losing my job so i went back on .25mg a day and was stable. sorry for goin on a bit, also i know im on 2x that now but is due to bad choices between then and now.

Thank for the "go get 'em" bit but I really am having "real" trouble here. It should give you some idea that I've been on these Boards for a year or so and have hardly ever started a thread. Understand, I have gone from 320mg of Oxycontin a day and probably a little more because my doctor used to refill it every 25-28 days. FTR, I was usually out when I'd see him. Now only 2 40mg Opanas? Seriously OUCH!

 

[pasha]

Seriously! No shit! That's actually like 10-20 pills, because I think they're only 2mg each. WoW, will I ever "go" again taking that many?

You'll feel plugged up for a few days, but it reverses shortly. If you continue using it until you start taking your opioid and the constipation doesn't unlock, then just let yourself withdraw for a couple of hours and everything will come blowing out. It really depends on your metabolism and your sensitivity to opioids decreasing GI motility. If your someone that has regular bowel movements on opioids in general then it won't be much of a problem. Even though loperamide has a different anti-diarrheal mechanism to other opioids, it's still an opioid in essence.

 

[HighonLife]

why did your dr start changing your meds? and although he changed rxs he;s essentially cutting back your dose as 320mg of Oxy does not = 80mg of oxymorphone, was this something he ran by you or just kinda dorced you into?

i would talk to him n just say look this is too much too fast n i need more meds/need to taper at a slower pace, if you refuse to give me my old scripts equivalence. if the dr isnt gonna help then seek out some kratom, some immodium n some other WD meds (benzos, clonodine, etc) n ride it out till you've become comfortable at a smaller dosage

 

[macd610]

You'll feel plugged up for a few days, but it reverses shortly. If you continue using it until you start taking your opioid and the constipation doesn't unlock, then just let yourself withdraw for a couple of hours and everything will come blowing out. It really depends on your metabolism and your sensitivity to opioids decreasing GI motility. If your someone that has regular bowel movements on opioids in general then it won't be much of a problem. Even though loperamide has a different anti-diarrheal mechanism to other opioids, it's still an opioid in essence.

Chromophobia, you seem to be knowledgeable about Loperamide so I will direct this question toward you...but I would appreciate an answer from anyone who knows...
I am going to be in for a rough few days and would like to utilize Loperamide. I hardly ever have bowel movements as is and I'm wondering if I take a stool softener along with it will it still be as effective? Just don't want to make the constipation dangerous or unbearable.
Thanks, guys.
Cat

 

[BeachBum4u]

why did your dr start changing your meds? and although he changed rxs he;s essentially cutting back your dose as 320mg of Oxy does not = 80mg of oxymorphone, was this something he ran by you or just kinda dorced you into?

i would talk to him n just say look this is too much too fast n i need more meds/need to taper at a slower pace, if you refuse to give me my old scripts equivalence. if the dr isnt gonna help then seek out some kratom, some immodium n some other WD meds (benzos, clonodine, etc) n ride it out till you've become comfortable at a smaller dosage

I had to make a switch from and old Orthopaedist I'd been seeing for 8+ years and just wasn't in a position to demand anything. They started out by giving me the = dose of Opana but told me they were dropping down to half over a couple months and BTW, they refuse to prescribe Oxycontin. What was I going to do? It just doesn't look good, popping around with docs. The length of time I was with the previous doc definitely worked in my favor, no question.

Yesterday wasn't too bad and I think today should be too. I just take 4 benedryls at 10:00 or so and I can't hold my eyes open by 12:00. That way I don't stay up and need to dose again. Thanks everyone for your help. Hopefully I'll slide into home base unscathed.

 

[HighonLife]

thats good

while you're right in that you dont wanna go into a new Dr. office n just start demanding powerful narcotics, if you are a legitimate pain patient (which you are) you most certainly can tell them this is what im used to, this is what i need, i dont wanna taper that fast, if you arent concerned enough with what i want ill find a different Dr. who is

 

[BeachBum4u]

thats good

while you're right in that you dont wanna go into a new Dr. office n just start demanding powerful narcotics, if you are a legitimate pain patient (which you are) you most certainly can tell them this is what im used to, this is what i need, i dont wanna taper that fast, if you arent concerned enough with what i want ill find a different Dr. who is

I certainly am a legitmate pain patient although I admit to taking liberties with the meds at times. But where I live, abuse is such a bad problem I just don't feel like I can do it. This is only the 3rd place I've been in 15-20 years and it's the first time they told me they would NOT prescribe Oxycontin, what I was taking. Frankly, Opana is gaining in popularity and probably preferred by some. So, where does that strategy take you? They only prescribe meds not popular for abuse, what gives? My policy has always been, I'd rather have 100 folks abusing it if that one that really needs it get it (definitely not the DEA's policy). Sort of like the way some folks feel about capitol punishment. Rather have 100 men doing life, than kill an innocent man. Not to get off on a tangent.

 

[OntarioGuy]

Hey BeachBum4u, Loperamide won't consipate you anymore then the opioids you take now, All opiates/opioids slow down your guts motility.

I also think the dose of Loperamide is higher then 20-40 mg's....I personally used to take like 100-200 mg's.But I'm in Canada and we have over the counter codeine which I would always use with the lope...So I guess i can't be to sure how much was the Loperamide and how much was the codeine.

You could see if you can find a bulk store selling poppy seeds, you could make poppy seed tea...Try to find a Middle Eastern owned one,they seem to have the best seeds with pieces of stems/broken pods sometimes.And in my experience there seeds are usually unwashed,so there will be more traces of morphine and codeine.

If you could go online you can order poppy pods which are much stronger and more reliable.

 

[twotoomany]

I have made seed tea twice. It worked both times. You need to exercise caution, though. Seed potency is totally unreliable. One batch may do nothing while another batch may be super strong.

Look for bulk seeds. The dustier, the better. Preferably with pod pieces in there.

 

[bunge]

^
Fair warning but the OPs tolerance should be pretty high with the strong opioids hes been taking daily. Ive used poppy pods to great effect in the past to stave of WD, it feels alot different to taking morphine by itself, probably because of the other opium alkaloids.lol just stay away from the tazmanian sourced ones, they were the only ones that gave me bad sweats and vomiting. High thebaine content im guessing.

Sorry, that was a more then fair warning, seeds are notoriously up and down in potency. OP take it slowly with the seeds they can take you by surprise. I thought it was poppy pods being suggested, they are quite a bit less risky.

 

[BeachBum4u]

Many thanks but I'm going to try and skate the next two days. I'm not at all up on poppy tea and I'd look like an idiot trying to find it tomorrow. By then I'll be less than 48 hours away. I have found over the past fews days that my mind is the biggest obstacle. I'm currently working from home PT and sometimes I'm bored to death (lots of TV). It makes the time go so slow and I feel like I'm being taunted by the meds. PITA, but I'm going to make it work. I think the Lop helped and I took a couple extra BP meds yesterday and today. Hopefully that'll do it.

 

[pasha]

Chromophobia, you seem to be knowledgeable about Loperamide so I will direct this question toward you...but I would appreciate an answer from anyone who knows...
I am going to be in for a rough few days and would like to utilize Loperamide. I hardly ever have bowel movements as is and I'm wondering if I take a stool softener along with it will it still be as effective? Just don't want to make the constipation dangerous or unbearable.
Thanks, guys.
Cat

I used to take it with a laxative/stool softener and I noticed when I take them concomitantly it decreases the potency of the loperamide. I think it somehow hinders its absorption. The best thing to do is when you take the loperamide, make sure your fully evacuated and there is no food in your system, and when you do need to eat (even though it really puts you off food) just eat leafy vegetables and fruits in considerable amounts. If you still find you can't go then take the stool softener/laxative. I used lactulose liquid (Duphalac) to great effect.

Hey BeachBum4u, Loperamide won't consipate you anymore then the opioids you take now, All opiates/opioids slow down your guts motility.

See I fell into some trouble were I required hospitalization because I read the exact same thing in one of the threads. Loperamide has different anti-diarrheal mechanism than other opioids.

Loperamide: blockade of calcium channels as a mechanism for antidiarrheal effects:

We propose that calcium channel antagonism is responsible at least in part for the antidiarrheal actions of loperamide and related agents.Evidence includes the calcium antagonist actions of loperamide at antidiarrheal doses, the constipating effects of certain calcium antagonists and the failure of opiate antagonists to prevent some intestinal effects of loperamide.

http://www.ncbi.nlm.nih.gov/pubmed/6502516

 

[bunge]

^
That was interesting chromophobia, I always thought it was by the same action as others opiates. So would that mean a calcium channel blocker could hinder some of loperamide action?

 

[pasha]

It's basically attributing loperamide's anti-diarrheal action on its identified mechanism as a caclium-channel-blocker (which have anti-dirrheal effects of their own) and in part on its opioid mechanism. They prove this hypothesis by administering an opioid antagonist and failing to stop loperamide's anti-diarrheal effects.

 

[bunge]

Ah, I had it wrong way around, thanks for the info. off to bed for me now I think.lol
I just re-read it and see were I went wrong, like a dumbass.lol

 

[BeachBum4u]

WOW, am I getting an education here! I don't know what's doing what or if I’m learning to battle my mind better but Friday was not so bad. When I'd usually need a little something every 2, maybe 2 1/2 hours, yesterday I was stretching it out to 4+ hours. Therefore, I had a little leftover for Monday to hold things off until I get to the pharmacy. I was really worrying how I was going to hold some over for that morning. I originally only had the 1 1/2 pills per day through Sunday. For the record, I actually went to a 24hr pharmacy just after midnight 6-8 months ago and damn if there weren’t 4-5 people there doing the same. I phoned them and asked if this could be done and said, sure. I just worried it could get back to my doc because months ago he filled me one day early and is assuming I still have those two measly pills. No way, they're long gone and I really really don't want that to bite me in the butt. Thanks for everyone's help and I think I'll do what I have today and tomorrow and I should be good.