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is the ceiling dose of codeine for codeine or codeine phosphate

im actually getting pretty bad on codeine cwe atm. Taking daily approx 2 x 400mg and even though its cwe I am a bit worried about the amount of paracetamol and ibuprofen. I find I am really spiking on it up and down obviously good when on bad when not on it.
I had a tramadol problem a while back (tabs from o/s), and with the pure tablets i had a more even dose and could manage it better and tail dosage off. This codeine atm is fucked tho compared without any purer opiate sources
 
mcwally said:
im actually getting pretty bad on codeine cwe atm. Taking daily approx 2 x 400mg and even though its cwe I am a bit worried about the amount of paracetamol and ibuprofen. I find I am really spiking on it up and down obviously good when on bad when not on it.
I had a tramadol problem a while back (tabs from o/s), and with the pure tablets i had a more even dose and could manage it better and tail dosage off. This codeine atm is fucked tho compared without any purer opiate sources
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I thought my 2 days a week was heavy, you need to get your shit sorted mate, im sure other BL'ers have been down the same path and can offer you support. Try cold turkey, if that doesnt work I know of suboxone used for heroin withdraw but not sure if its the same for codeine, both (codeine and heroin) are opiates though...
 
for all of us green lighters out there,

what kind of medications contain Dexamethasone,Phenytoin, Gluthetimide. .....Are they a controlled substance or OTC?

Also when and how much should the said meds be taken b4 the initial codeine dose, or shortly after?
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They are all prescription medications; glutethimide isn't used anymore really, and you probably won't get dexamethasone or phenytoin without a condition that the doctor can recognize.

I used dexamethasone on Saturday, dosed with grapefruit juice 12 hours before the codeine. I definitely noticed an increase in effects.

The form of dexamethasone that is most commonly prescribed is a topical formulation combined with an anti-fungal and anti-bacterial for inflammatory skin conditions. Oral dexamethasone is sometimes prescribed as a short term anti-inflammatory, and is sometimes used as a treatment for endocrine disorders where other hormone replacements have failed or are inappropriate. I hardly ever see oral dexamethasone being prescribed though; more common is something like prednisone.

Be aware that you should not use dexamethasone if you have gastro-intestinal ulcers or are taking other anti-inflammatory drugs such as ibuprofen. It is a potent steroid, and I wouldn't recommend you try and use it without doing a bit of reading up first.

Phenytoin is used in epilepsy, neuralgia and, uncommonly, arrhythmias.

Interestingly, alcoholism also induces CYP2D6 (along with many other isoenzymes) as it enlarges the liver.
 
Mr Blonde said:
They are all prescription medications; glutethimide isn't used anymore really, and you probably won't get dexamethasone or phenytoin without a condition that the doctor can recognize.

I used dexamethasone on Saturday, dosed with grapefruit juice 12 hours before the codeine. I definitely noticed an increase in effects.

The form of dexamethasone that is most commonly prescribed is a topical formulation combined with an anti-fungal and anti-bacterial for inflammatory skin conditions. Oral dexamethasone is sometimes prescribed as a short term anti-inflammatory, and is sometimes used as a treatment for endocrine disorders where other hormone replacements have failed or are inappropriate. I hardly ever see oral dexamethasone being prescribed though; more common is something like prednisone.

Be aware that you should not use dexamethasone if you have gastro-intestinal ulcers or are taking other anti-inflammatory drugs such as ibuprofen. It is a potent steroid, and I wouldn't recommend you try and use it without doing a bit of reading up first.

Phenytoin is used in epilepsy, neuralgia and, uncommonly, arrhythmias.

Interestingly, alcoholism also induces CYP2D6 (along with many other isoenzymes) as it enlarges the liver.
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I posted it was a prescription drug as i look on wikipedia, but some guy was preety sure he was positive he used them before and was OTC so i edited my post... thx for the reply...
 
Davevanza said:
Both Dilantin ( Phenytoin) 100mg and Dexamethasone are S4 meds. Both are non-addictive, not controlled meds.
Dilantin is used as an anticonvulsant, but as with many anticonvulsants which has "mood stabiling effect", Dilantin unfortunately is used less for this purpose. ( In Wiki, it is stated bcoz of the funding for research to Parke Davis co. was stopped back in past years).
Dexamethasone is a corticosteroid, used for inflammation. ( It has a similar indication as NSAIDS Ibuprofen, Napoxen, Diclofenac, etc). If suffering from joint pain, associated with inflammation, usually GP gives this to his patient, however NSAIDS are being used more as they are sold OTC , like Nurofen, Voltaren, Naprogesic, etc.

I take Dilantin early in the morning, both with codeine phosphate. It works for me. Providing Analgesia. As for Gluthetimide, it is a sleeping agent, used in the States, I think it is a controlled substance there.
Dilantin has an antianxiety effect I notice, as it stabilised the "hyper excited electrical conduct" in the brain. And it is non sedating, unlike other anticonvulsant. In fact, it is in the book Smart Drugs 1 by Dean Ward and Morgenthaler, Dilantin is used as a smart agent, usually by students, just before facing an exams. As during the exams, we feel a bit nervous, tense, think too much, leading to "blank focus", Dilantin, I noticed, helps a lot with this to think clearly and focus.

And it also stabilised heart rhythm as Wiki stated. ( when I drink too much coffee, I notice, arrhythmias, just by taking 1 Dilantin, in 1 hour, my heart rhythm comes back normal. it is actually a very helpful meds , as for me.)

So I suggest take Dilantin at the same time with Codeine, I notice it better than separating the two doses.
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"Not controlled meds" what do you mean by this?
 
never really tried to feel anything off codine until recently, had 15 of the panadine forte 8/500 (120) cwe and tasted the nastyness...after an hour only felt a slight discomfort in the liver but nothing really, had a few can of jimmy and yea....hmmm, maybe more perhaps? was thinking should trry 400 or 600 as i've got both the 30/500 and the 8/500 panadine....
 
whats all this shit about bad tasting CWE juice?

i could sprinkle codeine phosphate on my fish and chips and finish it without gagging
 
titstypedthis said:
whats all this shit about bad tasting CWE juice?

i could sprinkle codeine phosphate on my fish and chips and finish it without gagging
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there's a distinct difference between chugging cold water (tasteless, odorless. for arguments sake we'll use pure water, H20) extraction mixture and sprinkling the equivalent dose of the phosphate on a meal.
 
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^ yeah yeah, it was a joke.
ive never actually sprinkled codiene phosphate powder onto my meals..

i have necked several litres worth of codiene containing tap water in my time though..
its actually quite tasty when you've got something to cleanse the palate with shortly after.
 
leftwing said:
there's a distinct difference between chugging cold water (tasteless, odorless. for arguments sake we'll use pure water, H20) extraction mixture and sprinkling the equivalent dose of the phosphate on a meal.
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Anyone watch Big Bang Theory

sounds like sheldon lol
 
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88brenno said:
I thought my 2 days a week was heavy, you need to get your shit sorted mate, im sure other BL'ers have been down the same path and can offer you support. Try cold turkey, if that doesnt work I know of suboxone used for heroin withdraw but not sure if its the same for codeine, both (codeine and heroin) are opiates though...
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most people here would say thats overkill suboxone for codeine wouldnt they? I mean would a doctor here even consider it for my level of codeine use (use as much as i can get usually 1-2 boxes of 30 ibuprofen or 40 panadeine type ones a day).

Its hard to deal with due to it being a fucking pro drug and so I cant really smooth out the dosage due to the cyp2d6 system getting back to levels to metabolize it AND the innevitable paracetamol and ibuprofen in it even with CWE its an issue.

So is that purely for heroin (the sub)? would I have a case or be told my prob is small fry and be sent packing by a doc?
 
mcwally said:
most people here would say thats overkill suboxone for codeine wouldnt they? I mean would a doctor here even consider it for my level of codeine use (use as much as i can get usually 1-2 boxes of 30 ibuprofen or 40 panadeine type ones a day).

Its hard to deal with due to it being a fucking pro drug and so I cant really smooth out the dosage due to the cyp2d6 system getting back to levels to metabolize it AND the innevitable paracetamol and ibuprofen in it even with CWE its an issue.

So is that purely for heroin (the sub)? would I have a case or be told my prob is small fry and be sent packing by a doc?
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Im not sure if its prescribed for codeine maybe some other BL'ers can shed some light into that, having said that imo if your honest with your doctor and tell him you cant see yourself stopping without some sort of support (ie drugs) then he may be able to sort you out,

Can anyone else help??
 
I am seeing 3 Healthcare Professionals. A psychiatrist, a neorologist, a GP.

The psychiatrist only manages my anxiety and depression problem, the neurologist only manages my headache problem, but none of those 2 are willing to prescribe a substitute for my codeine use. The GP gave me Tramadol, by an Authority Script, indicated for Codeine withdrawal. I find it a bit strange, it's Tramadol 150mg twice daily, with 3 repeats, instead of Buprenorphine or methadone.
 
mcwally said:
most people here would say thats overkill suboxone for codeine wouldnt they? I mean would a doctor here even consider it for my level of codeine use (use as much as i can get usually 1-2 boxes of 30 ibuprofen or 40 panadeine type ones a day).

Its hard to deal with due to it being a fucking pro drug and so I cant really smooth out the dosage due to the cyp2d6 system getting back to levels to metabolize it AND the innevitable paracetamol and ibuprofen in it even with CWE its an issue.

So is that purely for heroin (the sub)? would I have a case or be told my prob is small fry and be sent packing by a doc?
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Have a read through this thread mcwally: Suboxone, is this right for me?. Posted by a young lass in a similar position taking codeine daily and considering bupe treatment.
 
titstypedthis said:
^ yeah yeah, it was a joke.
ive never actually sprinkled codiene phosphate powder onto my meals..

i have necked several litres worth of codiene containing tap water in my time though..
its actually quite tasty when you've got something to cleanse the palate with shortly after.
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with your general demeamour and attitude toward the posters it's a little hard to figure out when you're being sarcastic or saying things just to be an asshole. there are younger impressionable posters around so it doesn't hurt to try set an example, you know?
 
^a sense of humor is a symptom of a healthy individual:\

what part of using codeine phosphate as salt on my fish and chips could be taken seriously?
Let alone be a danger to the younguns?

I know you don't like me but you're just making a fool of yourself by dropping down to my level.
 
My doctor offered me Suboxone or Subutex, can't really remember which one, I was using 4x30 packs of Panafen Plus a day for months. I went cold turkey and he prescribed some catapres, valium, loperamide and something else for the nausea. It was helpful and the wd symptoms went away after 3-4 days. It really did help with the symptoms as I had tried to stop before. I've cut back to once or twice a week but my tolerance is still through the roof. I'd go see a GP and go cold turkey first before going on Suboxone.
 
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