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Opioids Hydromorphone first time out

Deadbeathophead

Greenlighter
Joined
Jul 12, 2013
Messages
14
Hey, been using this site as a source for information for years but have just now created an account as I've just now found a reason to...That said I suppose I'll get to the question. I have a history with opiate use, particularly morphine as of late, I've only now however been able to find a handful of 8mg dilaudid. My question is what would be a good starting point for someone who generally comfortably uses between 60-75mg of morphine orally? Sometimes I'll take another 15mg within an hour or so of the initial dose but generally I tend to stay at around 75 these days. Anyway any help is appreciated. Cheers.
 
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i'm not familiar with morphine doses but when i was deep into using h, i got my hands on some 2mg dilaudids. i actually cut it in half and snorted lines 30 mins apart. it was amazing.
 
There is an opioid converter on this site. I know it's linked at the bdd page, right at the top. Hydromorphone has shitty oral bioavailability. Consider insuffation or plugging if you want best effects. If I were going to insuffate, I'd cut the oral equivalent hydromorphone dose in half and start there
 
30mg oral morphine is equal to 7.5mg oral hydromorphone. I'd try 4mg insuffated, give it a little bit and see how you feel. You can always do more, but never less once you've done too much.
 
Thanks for the advice,decided to insufflate starting real small at roughly 2 mg and went up 2 mg every 30-40minutes eventually resting comfortably at 8mg. The help is much appreciated, cheers.
 
Nice! Glad ya found your sweet spot. I figured 6-8mg would be it, but its always better to slowly titrate up! Be safe.
 
OP, I want to tell you that I am proud of you for consuming hydromorphone in the safest way possible. Asking questions first and testing the waters before going overboard. You are a great example of HR.
 
Just out of curiosity,and sorry I hope I'm not posting this incorrectly but to avoid further confusion in the future, I seem to be having some trouble finding an intranasal opioid conversion chart anywhere, how much more potent is hydromorphone in comparison to morphine via the nose?
 
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From what I've read, oral bioavailability of hydromorphone is roughly 30%. Insuffation is between 45-60%. I can find where I read that though, so I can't give you the source. So assuming 30% oral the ratio is 7.5mg : 30mg oral morphine, for 60% intranasal it would be 3.75mg : 30mg.

I have no idea of the intranasal bioavailability of morphine, although I hear its not very good.
 
Oral dilaudid never did anything to me, snorting it is fun but a bit nausea inducing when you aint used to it, consider having benadryl or another calming antihistamine around.

Definitely don't slam it even if its the only way to really see how fucking wonderful Dilaudid is...its what got me to methadone, never even saw heroin in my life, just had an endless supply to them white 8mg triangles.....

I should correct myself, but since it doesn't apply to many countries, swallowing a whole 24 or 30mg hydromorph contin sure got me high but it would just make me opi rage to think of all the doses available for other ROA's I had wasted heh.

Absolutely impossible to get high with Jurnistas which strangely are now available in .ca since 2 years, even if there's some pills that are high up to 72mg, they are made for 24 hours, not 12 like HM Contins...if you get those...in countries where there is no HM Contins...everywhere but here...I don't understand still how the same thing when it came out in the USA as Palladone SR was removed so fast due to drinking a beer or two would cause dose dumping....it sure never did that when I was first came in contact with HM Contins as the 12mg orange ones...i read about what happened in the US with that pill and no dose dumping occured at all, it like whenever i eat large (relatively at that time cos i was pretty close to completely opi naive) amounts of hydromorphone....i would feel the side effects much later (itchiness, a kind of uneasiness) 5-6 hours into it, which oral morphine does not have with me, i think the whole using extended release for hydromorphone is a bad idea...well no, the whole point of extended release opiates is bad, and often the methods used to make them ER/SR/XR whatever are either making the medication less effective or carcinogenic (american OP's...thank fuck we have generic oxycontin just like the old ones here).

I think the now a bit more often scripted Exalgo is also 24 hours in the US and uses the same creepy method of delivery where you shit back out the piece of PLASTIC going through you...unharmed...I don't see how that be safe. I hear that Exalgo is now considered more often because back then I'm sure most patients hated them because I think their highest dosage was a laughable 18mg and now they go up to 32mg...still, its just the 24 hour idea...HM Contins are the only decent options for XR Hydromorphone but "unfortunately" they can be crushed and injected, not totally safely ofc, but at least they do not have talc in those beads, like Kadians for morphine.

Still, don't shoot up Dilaudid, the rush is even better than heroin or oxymorphone I hear (we don't have oxymorph in .ca but I've read americans say so), but it's so short-lived...it's the CRACK OF OPIATES (OLOL I SAID CRACK)

:D

But joking aside yeah, it is, you start chasing that rush all the time, the song Addict by Slayer was one I would like to ironically listen to constantly when I would be shooting up 8 to 24mg at once (with the brand name dilaudids its pretty safe considering the inactives being 2 totally safe molecules, lactose, magnesium stearate (this one isn't water soluble, people who crush and IV brand name dilaudid will know that there is always a small residue left behind with these super tiny pills that are almost 75% in weight of the pure medication).

See, I'm still so fascinated by this rush that made me lose almost everything last year, I had 8mg brand name purdie D8's and some D4's for ridiculous prices, i'd sit at home shooting up every 20 minutes....it is so fucking addictive...especially due to the short lived and meh high that follows, its all about dat rush....sigh. At least a year later now i haven't shot myself with anything and am now at a low dose of methadone, relatively (47mg) and i was able to get my life back on track and reducing methadone at 2-3mg increments every 3 weeks is making it pretty easy with clonidine....but it sure did cause its fair share of annoyances and side effects, i'll have to be hospitalized because I will be switched to suboxone at the hospital, lying in bed for 4-5 days maybe to get into extreme withdrawal just so i dont experience precipitated withdrawal....

tl;dr : don't iv, unless you have a deadly disease/pain problems that warrant shooting up the HM which you are prescribed and for which insurance pays for so it doesnt ruin you financially like it did with me, first comes the financial problems then the health problems...and then you become a useless pile of sweat fear and sickness and have to give up and join the ranks of ORT slaves.
 
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