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  • BDD Moderators: Keif’ Richards

How can I avoid vomiting when withdrawing from heroin?

J

jjacobsen

Bluelighter
Joined
Jul 13, 2008
Messages
82
I've been using about a year straight. I withdrew once two months in, and another time 4 months in, and each time, with the help of loperamide and supplements, I never vomited or had intense stomach cramps. Now I've been using 12 months (aside from a week / two weeks off after those withdrawals) and am up to about 1.5 g per day. I smoke. I tried withdrawing a few weeks ago and couldn't handle the vomiting 14 hours in. Is there a way to do this without vomiting, which is the only symptom I can't handle, or is the extended time using, higher dosage make it inevitable. OR: could I avoid it by tapering dosage, and if so, what dosage do I need to taper down to?

Thanks for your help,
j
 
Seroquel. Makes you hungry as, even when withdrawing. Aside from that, add in some buscopan. That combo should solve your issues. I used the combination when i got clean a couple of times.

Stick with it, you can do it. Clean life is so much better than being a smackie, take my word for it
 
aussie101 said:
Seroquel. Makes you hungry as, even when withdrawing. Aside from that, add in some buscopan. That combo should solve your issues. I used the combination when i got clean a couple of times.

Stick with it, you can do it. Clean life is so much better than being a smackie, take my word for it
Click to expand...

I don't recommend Seroquel. It has a huge side effect profile. It makes you ache all day, you can't think straight and you'll be asleep for a good 12+ hours with it.

What I would personally recommend is a couple things. Beta-blockers or alpha 1a agonists, antiemetics (which are antimotion sickness drugs such as all antihistamines. I personally recommend diphenhydramine or doxylamine) and loperamide.

The Benadryl (diphenhydramine) will stop you from feeling nauseous and will also stop vomiting. Beta-blockers and alpha a1 agonists will stop the sweating and hot/cold flashes, and Loperamide (which is an OTC opiate that is an analogue of Fentanyl) will greatly help with all other withdrawal symptoms.
 
For vomiting i would recommend trying a OTC anti-nausea drug first such as dimenhydrinate or meclizine. If those don't work go see a doctor. I would recommend trying the following drugs for nausea and vomiting related to opiate withdrawal:

1. Promethazine which is OTC in some countries and is a anti-histamine that is supposed to work rather good for nausea

2. Metoclopramide which is a strong D2 antagonist that also empties out your stomach contents quicker. Only take it for as long as you absolutely need to though because it can cause tardive dyskinesia if taken for a long time.

3. Prochlorperazine (trade names Stematil, Stemazine, Compazine, etc) is a old typical anti-psychotic now almost only used for nausea and vomiting.

4. Chlorpromazine (trade names Largactil and good old Thorazine :) ) was the first anti-psychotic on the market and is a phenothiazine like promethazine and prochlorperazine but half as potent in it's anti-psychotic action as prochlorperazine. I have found it to work fantastic for nausea and vomiting caused by anything including opiate withdrawals. It has stopped my nausea when nothing else has. Doctors often use it in ER settings along with morphine or some other opiate to stop the nausea from things like migraines and to increase the effects of the opiate. It's also rather sedating so it will help you sleep.

5. Methotrimeprazine aka Levomepromazine (trade name nozinan) is a weak typical anti-psychotic that is about half as potent as Thorazine in it's anti-psychotic action. It is mostly used these days to treat severe insomnia and nausea and vomiting. It works very well for me but it is hands down the most sedating drug i have ever had. It makes seroquel look like dextroamphetamine by comparison 8o . 15mg's which is not even close to the dose used as a anti-psychotic will knock me out for about 12 hours.

6. Scopolamine a drug that is a very strong anti-cholinergic that is derived from the Belladonna and Datura plant. It is available in Canada anyway OTC in a transdermal patch called Transderm-V. The patch lasts for 3 days and it does work pretty damn good.
 
Believe it or not, Ginger is amazing at relieving nausea. If I take it with my opiates I will never experience nausea but if I take an opiate without Ginger chances are I'll be puking all night. I never take an opiate without Ginger capsules on hand.
 
I think LSD it's supposed to be good for treating alcoholism, so it might help with heroin. Or I'm just being ignorant. Either way, good luck with your recovery.
 
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