IV MDPV use, suspect ischemia/compartment syndrome? urgent. need advice

[dutchie3k]

I have become very concerned about something that has been occuring for about 3 days now,, and certainly is not abating and may be getting worse.

WHAT I AM CONCERNED ABOUT:
Compartment syndrome? Ischemia?
The area does seem slightly shiny, hard, and there is some bruising.
The pulsing pain and very worrisome obvious changes in the vein seem to suggest this might be it. There is also occasionally strange feelings running through the back of my calf/leg, and some tightness and pain in the chest.

What I am asking is if there is any good way to identify this positively on my own. The only reason I don't go straight to a doctor or the hospital is that I am in a very complicated and serious legal situation, and If any evidence of my use came out my life would be over....

I have been injecting MDPV as of late, usually 1-3 injections early in the day close together and no more.

I experience pretty severe vasoconstriction and heart rate jump, BP change.

I have been re-using rigs, as well as using a shit brand (Sure Comfort I believe) and have been rough on both of my inner forearm veins.

One particular incident that was very very worrisome was using a rig that apparently got banged on something before I used it. it was brand new, so when I went to slide it in to my right arm's vein I thought it would be smooth like always. it was so incredibly dull that it did not even break the skin, but however CRUSHED the vein. Not even a scratch, but swelling and insane amounts of pain. This feeling developed to a strange pulsing and swelling of the vein to what I believe is a much larger size than before. It also just drops off after the place where it was hit, no more pulse and I cant even feel it.

I have developed a wierd pulsing somewhat Pins and Needles in this place, as well as on the left arm where something similiar but not so bad happened. it seems to travel down the forearm where the vein would be randomly, and severely at the site where it happened, upon seemingly unidentifiable specific motions and positions of the arm.

What so fucking much further complicates the thing is the extreme vasoconstriction caused by the MDPV. I've had instances of my whole left leg and butt falling WAY asleep long after use of the drug, and the strange horrible painful pulses in the right arm are constant.

I do believe I went a day or two without using it and it remained. I will not be using it any more as it seems to have gotten worse. I have been taking NSAIDS (aleve, ibuprofen) consistently, dont know how much good it is doing.

If anyone can offer any advice or suggestions I would appreciate it immensely....

- terrified.

 

[sekio]

Sorry, you're a tool. Re-using rigs is a cardinal sin.

First off, stop putting MDPV into yourself. Especially via IV route. The vasoconstriction is simply not good for you and it's a shit stimulant anyway. If you must, insufflate it.

It sounds like you may have collapsed a vein. Rest, ice, elevation. There's nothing more you can do if you are unwilling to see a doctor. I think compartment syndrome would have progressed to limb loss by now.

Be aware you are running the risk of infection, scarring, gangrene, and all that other nasty stuff if you continue down this path.

 

[DeLee]

Well if you have swelling of the feet or the area then it could be blocking arterys and veins from transporting oxygen to the muscles in the area. Its not THAT common for it to happen,
as I take you are not homeless and shooting up rainwater from the alley.

Anyway I would stay away from that crap (mdpv) that shit f's people over faster and harder than amphetamine/meth.

Ive seen too many get into those chemicals and get damaged for life.

 

[negrogesic]

I'm the defacto resident physician here, but note, I am not YOUR physician, and any advice given here should not be presented to your physician. I will not write any scripts, with a few exceptions to those I know personally here, and even then, I won't write a Rx for any scheduled compound without physicial examination (even then, I do not 'hook-up' the OC-80s, etc......in my relatively short career as a physician, I have never written an oxycodone script exceeding 40mg-tablet; in all honesty a patient is lucky if I go out my way to specify percocet).

Ok, disclaimer aside. If you want a rough diagnosis/prognosis, post photos of the inject site. Also, for the sake of brevity, list you symptoms (including body temperature, HR etc). Also list relevant medical conditions, medications, and the dose of injected MDPV.

Is the area feel as though its hot or generating heat? Post pictures for a better Dx, but again, this is not a substitute for your personal physician. Have you continued to use the MDPV since then, and if so by what route? Vomiting, pain, headache etc?

It is unlikely to be a TIA and while possible, a hypertensive encephalopathy is probably unlikely.

Just without seeing it, I suggest you go to the nearest pharmacy and buy a salve (black salve) containing itcthammol, as well as a topical antibiotic ointment. You may have a infection (again, photos would help alot), with staph being the main culprit. Without a prescription I believe you can buy oral antibiotics at pet stores, but note that these are not meant for human consumption. The injection site, depending on severity, may need to be drained using a large syringe. While not ideal, erythromycin is available in veterinary form without prescription.

Back to work; post add info and images and I can assess the situation further. In the case of some sort of malignant hypertension, TIA etc, extensive imaging is necessary (2D echo, son, cat etc). The more pressing issue is likely the spread of the possible infection.

In the future use micron filter and use sterile syringes. Due to the psychotomimetic of MDPV, you may or may not be magnifying the issue. Nonetheless, it needs treatment. Ibuprofen is not bad.....aspirin sometimes works better at around a gram, but it is CRITICAL to monitor body temperature; if you have a persistent fever, you mist go to the ER.....

 

[dutchie3k]

Seems a so far mild infection is present, a small redness has suddenly formed on the spot where maybe ~3 units was missed a day or two ago and treated into disappearance, but apparently some remained.

The drastic and traumatic area is apparently a venous thrombosis. Hence the insane pain and pulsing on the spot and 3 inches above and below. Starting cephalaxin tomorrow for the infection, looking into a thrombolytic or this new drug marketed in canada for treatment of venous clots. Not liking the idea of it randomly deciding to break off and ride up to my heart and kill me some day soon, as it is quite large...

The PV certainly didn't help my state of mind in the affair but it is indeed pretty serious. I'm actually quite good about my procedure and materials usually, but as is pretty inherent in any IV use, there is a degree of dontgiveafuckivity sometimes. I decided NOT to clean a work i reused on that funky red spot that one time. The resharpened one worked just fine suprisingly. Micron filts sure are on the top of my wish list still, and the DMV finally decided to stop fucking me around and I'll be back on the road tomorrow, so no more goddamn reusing sharps (I usually break them immediately after use so I can't decide at a later point that I don't care, but not always..)

The cardio, circulatory effects of the PV seem to be accumulating each day even though use only occurs in the early morning and never after noon these past few days, only 1 or 2 doses too. No more for me, not for a while anyways. I'm not the sort to fiend as should be obvious by the 1 or two doses despite an utterly unlimited supply...I'm well versed in the law of diminishing returns.... I suppose all I have to do now is pray I don't have a pulmonary embolism...

 

[fastandbulbous]

If worried about clots causing embolisms, take some aspirin as it reduces clot formation, but really you should go see a doc and get a heparin injection from them (DO NOT think you can give yourself a heparin injection - you will fuck it up and the consequences of such are bad, really bad)

 

[FlippingTop]

have to tried the smoking method? I have never IVed, but you may find the high comparable, or at least enough to not feel the urge to IV.

 

[negrogesic]

Sounds like a typical infection, but it is critical that you monitor body temp, and if possible HR and BP. Pulmonary embolism is unlikely given the nature of specified symptoms, and a vegetation/endocarditis is 'probably' not the issue (although some cases can be hard to detect, particularly with strep).

Administer po Keflex at at 500mg qid, for up to two weeks. Again, monitor body temp frequently. And please, follow safer IV drujg admin in the future.........

 

[aushippy]

The street slang for what happened to your needle is called a fish hook in my area. Basically when the needle gets bumped on something and yeh ya get the picture. Anyone who's been in full blown addiction has no leg to stand on judging another user including myself cause I noticed the further into addiction I have travelled the more often I found myself justifying crossing over that line into self-degradation. And yeh I have used a "fish hook" before and yes one has been so bad I had a very similar effect. I don't know any of the science behind it and was deep in addiction so ignored it, I was so stoned on opiates it didn't hurt. But basically it ripped through my vein wall as I was dragging the needle out and collapsed the vein.

 

[aushippy]

have to tried the smoking method? I have never IVed, but you may find the high comparable, or at least enough to not feel the urge to IV.

Other drugs I've found really difficult to take that step downwards to a lesser high and also being very addicted to the needle itself. See I have friends who smoke alot of crsytal meth and they say to me that it hits you faster than it does injecting. What they don't realise is you can't smoke a quarter weight of meth in one puff. It takes many many puffs so that intense rush is split up over time.
Which takes me back to the MDPV... Considering now the dosages are in a far smaller ball park would it be possible to vaporise a 10-20mg dose in one breath? Also I wonder if that would be any different to injecting the same amount

 

[8L4YN3]

^atko your a madman ^^^^whats up andrew?

 

[1sth4monic]

I'm the defacto resident physician here, but note, I am not YOUR physician, and any advice given here should not be presented to your physician. I will not write any scripts, with a few exceptions to those I know personally here, and even then, I won't write a Rx for any scheduled compound without physicial examination (even then, I do not 'hook-up' the OC-80s, etc......in my relatively short career as a physician, I have never written an oxycodone script exceeding 40mg-tablet; in all honesty a patient is lucky if I go out my way to specify percocet).

Ok, disclaimer aside. If you want a rough diagnosis/prognosis, post photos of the inject site. Also, for the sake of brevity, list you symptoms (including body temperature, HR etc). Also list relevant medical conditions, medications, and the dose of injected MDPV.

Is the area feel as though its hot or generating heat? Post pictures for a better Dx, but again, this is not a substitute for your personal physician. Have you continued to use the MDPV since then, and if so by what route? Vomiting, pain, headache etc?

It is unlikely to be a TIA and while possible, a hypertensive encephalopathy is probably unlikely.

Just without seeing it, I suggest you go to the nearest pharmacy and buy a salve (black salve) containing itcthammol, as well as a topical antibiotic ointment. You may have a infection (again, photos would help alot), with staph being the main culprit. Without a prescription I believe you can buy oral antibiotics at pet stores, but note that these are not meant for human consumption. The injection site, depending on severity, may need to be drained using a large syringe. While not ideal, erythromycin is available in veterinary form without prescription.

Back to work; post add info and images and I can assess the situation further. In the case of some sort of malignant hypertension, TIA etc, extensive imaging is necessary (2D echo, son, cat etc). The more pressing issue is likely the spread of the possible infection.

In the future use micron filter and use sterile syringes. Due to the psychotomimetic of MDPV, you may or may not be magnifying the issue. Nonetheless, it needs treatment. Ibuprofen is not bad.....aspirin sometimes works better at around a gram, but it is CRITICAL to monitor body temperature; if you have a persistent fever, you mist go to the ER.....

Hi Brad from the Bronx,

If I were you, since you are apparently a physician, it would be wise to not have other things on the internet which show your picture and contact info in "real life"... such as your myspace profile with a bunch of pics of you... which is the first result I get when I type your username into google.

If anyone at the hospital you apparently work for, or one of your patients, types your screename into google after using bluelight, they will find you and realize that their doctor is a druggie (no offense... but i mean.... just looking at some of your posts) then it would be a pretty fucking shitty way for your career to end over.

just a thought.

I would have PM'ed you.... but bluelight wont let me until i reach bluelighter status

 

[sekio]

Oh no, a doctor who actually knows about street drugs? Surely the world is over.

 

[1sth4monic]

No. It isnt. I was just attempting to point out that he could get into serous serious trouble due to the fact his face/contact info in "real life" is easily accessable via a google search.... which is incriminating and could end his career....


which. is not a good thing.

EDIT:

Ahh.... but with a little bit of further checking.... it seems as if this negrogesic character is NOT I repeat... NOT a Doctor... just someone who thinks he is or is a medical student.

He graduated high school in 2005.... which would mean... assuming that he went straight to college... he graduated college in 2009 (assuming everything went ok)... So.... bluelights resident physician... is not a physician. man. i love the internet.

 

[Nortyy]

MDPV IV use in my expierence is quite harmless. I never re-use, use 31gauge rigs, I also use saline solution. vasoconstriction is no problem for me because my veins are pretty huge due to the amount of exercise I get.

 

[negrogesic]

Oh no......it seems like ive been 'exposed'. As to any photos that purport to be" negrogesic"; they are the product of some kid in Hawaii who attempted to impersonate me a number of years ago (it was actually the late PhreeX who first informed me that someone had made a myspace page purporting to be negrogesic). There are zero photos, names, or any other specific information that personally link me to this handle. It would take a true idiot to make a myspace or facebook page linking their handle here to their actual persona.

This is the sort of thanks for taking my time to genuinely address an issue that appeared to be a medical emergency of sorts (as implied by the thread title).

Greenlighters: If you do not have anything to materially contribute to a topic of here, get the fuck out of here. This subforum (ADD) in particular is not the place for social chatting or gossip.

And to the moron in question, all I will say is that I graduated high school long before '2005'. I have no need to further entertain this stupidity. This conversation is over. Do not reply or attempt to retort (there is no retort). Once again, do not post in this forum if you have nothing to contribute.

 

[skillet]

this could use an

 

[LivingOnValium]

No. It isnt. I was just attempting to point out that he could get into serous serious trouble due to the fact his face/contact info in "real life" is easily accessable via a google search.... which is incriminating and could end his career....


which. is not a good thing.

EDIT:

Ahh.... but with a little bit of further checking.... it seems as if this negrogesic character is NOT I repeat... NOT a Doctor... just someone who thinks he is or is a medical student.

He graduated high school in 2005.... which would mean... assuming that he went straight to college... he graduated college in 2009 (assuming everything went ok)... So.... bluelights resident physician... is not a physician. man. i love the internet.

 

[nj754]

MDPV IV use in my expierence is quite harmless. I never re-use, use 31gauge rigs, I also use saline solution. vasoconstriction is no problem for me because my veins are pretty huge due to the amount of exercise I get.

The difference is whether you manage to get it all in the vein or some of it leaks into the surrounding tissue. If MDPV is a strong-enough vasoconstrictor, it could cause local ischemia and necrosis if some of it misses (extravasation).