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Opioids IV dilaudid while on fentanyl??

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etard7007

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Feb 12, 2009
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Poppy Fields, Forever.
im currently on 50 mcg fentanyl patches for severe nerve pain and dilaudid for breakthrough pain. the patches dont really work and the pain is pretty unbearable.. my doctor said the next step is oxycontin if i dont like the patches although i dont want to ask for oxycontin just yet because i dont want to sound suspicious... so im kind of stuck for a while.

basically i want to IV my dilaudid but i want to know if it would be safe to do that while on fentanyl... i could just take the patch off but it takes away some pain and i would be worse off w/out it.

i think ill be okay to do it seeing as i dont really feel any effects of the fentanyl but id much rather be safe you know! any advice would be great, thanks.

(also, whats a good dose to get a decent nod from plugging dillies?? ie, how much higher are doses compared to IV? i havent ever done it with d's and want to try.)
 
At the right dose, sure. Keep in mind there is cross tolerance, so the rush, euphoria, analgesia, etc. will all be diminished from the hydromorphone. Also, you'd be increasing your OD risk.


If you're taking this for pain management, iv'ing doesn't really make sense. First off, you're shooting a pill and will have to repeatedly if it's for bt pain, and secondly its duration will be diminished.
 
I second for not doing it in your sit. The duration is SO much shorter IV.

For competing doses and cross tolerance, and do NOT take what I say as fact here!

Check the BioAvail of Dill and then peg that to your docs recommended dosage, then saying that bio is 20%, recommended dosage is 10mg, you would start iv'ing 2mg which is 80% less than your oral dose.

Basically trying to match the efficate dose to the BA route, though if not done by a medical professional you are playing with fire.

As far as taking your patch off to "play", you would need to wait at least 48hrs to be sure that it is all out of your system, so I would probably leave the patch on.

Once you break that barrier and start to IV, you are going to be out of med quick, then with half a month or whatever to go with no breakthrough med, what are you going to do?
 
if your doing it to get rid of pain... IVing them is a bad idea... if your doing it to get high... then slam away...
 
phrozen said:
At the right dose, sure. Keep in mind there is cross tolerance, so the rush, euphoria, analgesia, etc. will all be diminished from the hydromorphone. Also, you'd be increasing your OD risk.


If you're taking this for pain management, iv'ing doesn't really make sense. First off, you're shooting a pill and will have to repeatedly if it's for bt pain, and secondly its duration will be diminished.
Click to expand...

wow, suggesting IV anything while on something like fentanyl? ill leave it at that. HR productive fo sho.



just my .2 but it would be extremely dangerous to even experiment with such things. sure at the right dose you could do it but with chemicals and strong as fentanyl and dilaudid why chance it? first off you wont get a rush if the fentanyl is still in you and thats basically the only appeal to dilaudid, the rush.


If you were dead set on trying it i would remove the patch and stay off ALL opiates for atleast 36 hours. at that point i would attempt to IV 4-8mg of dilaudid and see how that goes. again i think its a terrible idea to mix any opiate or mind altering substance with fentanyl let alone a strong opiate like dilaudid.
 
also as terminalisland stated, if you begin to IV dilaudid and find it appealing you will run out of your meds with the quickness and then you would be stuck with something you claim doesnt help with your pain at all and more than likely would be forced to go back to your PM doctor which, depending on what is said/done during the visit, could raise some serious red flags
 
^excellent advice. A pain patient abusing opioids is straight up unsustainable and eventually you'll have to choose pain management or getting high. If you push it too far, choices will be made for you and you may find yourself unable to get pain relief licitly.
 
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