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  • BDD Moderators: Keif’ Richards

Hypothetical question (oxy)

Whosajiggawaaa said:
Would snorting a huge line of ritaline stop an oxycodone overdose ? I've never come close to overdosing but I've always wondered if that would work in that event as I have ritalin.
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How could you possibly get somebody who is overdosing on Oxy to snort a line of anything? And assuming your talking about yourself... How would you know if your Od'ing and how would you be in a fit state to get a line up your nose?
 
Whosajiggawaaa said:
That's why it's hypothetical. I want to know if the ritalin would reverse the resperitory depression ? I think when you snort oxy you'll have more time to see it coming anyway.
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Ok sorry i suppose my answer was hypothetical.. but snorting Oxy usually means a faster onset of action so in theory you would have less time to see the OD coming.

Someone with the correct knowledge will most likely give you a 100% answer but i dont think amphetamines would be considered safe or ideal to reverse respiratory depression.

Btw eating your Oxy will have a higher bioavailaility than snorting it. ;)
 
if you planned out extensively well when/how/where you were going to OD, there is an amazingly slight chance that will work because you stomach takes 30mins atleast to absorb the ritalin while a person can usually only hold their breath for 3mins. the problem is most people OD on accident. Naloxone/Naltrexone doiminates ritalin's effectiveness at 'curing' an opiate OD, thus in the medical field, doctors or technicians use naloxone or naltrexone.

a good percentage of overdoses happens when a person mixes a stimulant with a depressant (i.e. ritalin and opiates) because the ritalin makes the user feel less sedated which ends up fooling a person into taking more and more opiates, booze, benzos, ect...
 
I watched a doccy/movie where a crack head blew crack smoke into an oded junkies mouth and it brought him back. It was along that train of though that i wondered if ritalin (also a stimulant) would have the same effect. Please don't answer if you don't know wtf you're talking about. Ritalin doesn't take 30 mins to be absorbed when snorted, i know from experience.
 
I would be concerned that even if a stimulant provided temporary relief, it could actually be very dangerous. In an opioid overdose you become very hypoxic (you don't have anough oxygen delivered to your tissues), and stimulants such as methylphenidate not only speed up the heart, increasing oxygen demand, but are vasoconstrictors too. This means they would reduce blood flow to tissue and therefore reduce oxygen delivery even further. It could be particularly worrying for your heart, as hypoxia + reduced blood flow to the cardiac tissue could lead to a myocardial infarction/heart attack - especially as the heart will have an increased demand for oxygen as the stimulant would increase your heart rate and force of contraction. This is theoretical, I don't have any research to back it up, but it would definitely concern me.

Even if that isn't the case, treating an opioid OD with a stim is definitely not a good idea. It won't reverse the respiratory depression caused by the opioid OD and although it might speed the heart up if it had slowed, this would just mask some of the OD symptoms - the main problem is respiratory depression; the heart slowing down and stopping is secondary to that. The stimulant would wear off and you'd be right back where you started (this echos the danger of speedballs - the stim can mask the opioid, then when it wears off the person can suffer an opioid OD) - only worse off potentially, as more damage could have occurred and proper treatment could have been delayed. The only safe thing to do in an opioid overdose is to call emergency services immediately, and administer naloxone (Narcan) if it is available and you know how (note that naloxone has a short half life and willlikely wear off before the opioid that is causing the overdose, so it is no substitute for ringing for an ambulance, plus the person wis very likely to need ongoing medical care).

I know this was just theoretical OP and you weren't thinking of actually doing it, but I wanted to dissuade anyone who might be!

Pulp Fiction is not strictly accurate when it comes to the intracardiac injection scene haha :D
 
effie said:
I would be concerned that even if a stimulant provided temporary relief, it could actually be very dangerous. In an opioid overdose you become very hypoxic (you don't have anough oxygen delivered to your tissues), and stimulants such as methylphenidate not only speed up the heart, increasing oxygen demand, but are vasoconstrictors too. This means they would reduce blood flow to tissue and therefore reduce oxygen delivery even further. It could be particularly worrying for your heart, as hypoxia + reduced blood flow to the cardiac tissue could lead to a myocardial infarction/heart attack - especially as the heart will have an increased demand for oxygen as the stimulant would increase your heart rate and force of contraction. This is theoretical, I don't have any research to back it up, but it would definitely concern me.

Even if that isn't the case, treating an opioid OD with a stim is definitely not a good idea. It won't reverse the respiratory depression caused by the opioid OD and although it might speed the heart up if it had slowed, this would just mask some of the OD symptoms - the main problem is respiratory depression; the heart slowing down and stopping is secondary to that. The stimulant would wear off and you'd be right back where you started (this echos the danger of speedballs - the stim can mask the opioid, then when it wears off the person can suffer an opioid OD) - only worse off potentially, as more damage could have occurred and proper treatment could have been delayed. The only safe thing to do in an opioid overdose is to call emergency services immediately, and administer naloxone (Narcan) if it is available and you know how (note that naloxone has a short half life and willlikely wear off before the opioid that is causing the overdose, so it is no substitute for ringing for an ambulance, plus the person wis very likely to need ongoing medical care).

I know this was just theoretical OP and you weren't thinking of actually doing it, but I wanted to dissuade anyone who might be!

Pulp Fiction is not strictly accurate when it comes to the intracardiac injection scene haha :D
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Thanks for this thorough and informative answer. I've thought about this question since I saw that movie/doccy (can't remember which it was) and now I know :).
 
it might help with the respiratory depression but if you took a toxic dose your dead no matter what unless you get like a shot of narcan
the only movie i saw accurately portray drug use specifically intravenous is drugstore cowboys
 
effie said:
I would be concerned that even if a stimulant provided temporary relief, it could actually be very dangerous. In an opioid overdose you become very hypoxic (you don't have anough oxygen delivered to your tissues), and stimulants such as methylphenidate not only speed up the heart, increasing oxygen demand, but are vasoconstrictors too. This means they would reduce blood flow to tissue and therefore reduce oxygen delivery even further. It could be particularly worrying for your heart, as hypoxia + reduced blood flow to the cardiac tissue could lead to a myocardial infarction/heart attack - especially as the heart will have an increased demand for oxygen as the stimulant would increase your heart rate and force of contraction. This is theoretical, I don't have any research to back it up, but it would definitely concern me.

Even if that isn't the case, treating an opioid OD with a stim is definitely not a good idea. It won't reverse the respiratory depression caused by the opioid OD and although it might speed the heart up if it had slowed, this would just mask some of the OD symptoms - the main problem is respiratory depression; the heart slowing down and stopping is secondary to that. The stimulant would wear off and you'd be right back where you started (this echos the danger of speedballs - the stim can mask the opioid, then when it wears off the person can suffer an opioid OD) - only worse off potentially, as more damage could have occurred and proper treatment could have been delayed. The only safe thing to do in an opioid overdose is to call emergency services immediately, and administer naloxone (Narcan) if it is available and you know how (note that naloxone has a short half life and willlikely wear off before the opioid that is causing the overdose, so it is no substitute for ringing for an ambulance, plus the person wis very likely to need ongoing medical care).

I know this was just theoretical OP and you weren't thinking of actually doing it, but I wanted to dissuade anyone who might be!

Pulp Fiction is not strictly accurate when it comes to the intracardiac injection scene haha :D
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yeah i guessed this! :D
 
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