Vaya
Bluelight Crew
My Advice
Codeine is actually an opiate (as opposed to an opioid), since it is naturally-occurring (I feel like I'm just getting into the semantics, but FWIW!) and Kratom is neither an opiate nor opioid but its primary alkaloids (of which mitragynine is one) possess activity at the mu- and delta opioid receptors, thus mimicking the effects of classically-opiate compounds. As Captain.Heroin said, both will prolong your withdrawal because you will still be activating those receptors that just need a rest!
You've been given some really sage advice in this thread, and I definitely applaud all those who have contributed. I had some thoughts that I'd like to share; I've quit opiates for good so many times now I consider myself a pro
First of all, congratu-fucking-lations on getting down to a mere 7.5-10mg of your DOC!! (I'm assuming we're talking oxycodone or hydrocodone, at those dosages? I don't believe it was ever specified as to which pill you've been insufflating). Opiates are insidiously seductive, as you are no doubt aware. It's so easy to like them too much. I think that's evidenced by the sheer number of replies you've gotten thus far to your thread! In my own individualized way, I believe I have some semblance of relation to your situation and story, though your situation will always be unique to you.
I find that concept to be truly powerful, and empowering - that is, that others can really empathize with you and offer you advice. Case-in-point, I'm sure that you have discovered that you need not be afraid of offending someone who has had a larger habit than you may have had. It matters little, for we are in the same boat - trying to escape from the bondage of addiction.
To answer one of your questions: at 7.5-10mg/day, even if you were to quit absolutely cold turkey right now and not move down to 5, 2.5 then 0, the withdrawals would be quite mild. You'd be uncomfortable, no doubt, but they would not resemble the stereotypical nightmarish opiate withdrawal so many of us have endured in the past. Another poster mentioned Immodium for diarrhea, and I might recommend Aleve for any minor muscle aches you might have. [edit: now that I re-look at the quoted list above, Flexeril would be better for this purpose].
You say you have "benzo's" and also mention Kpin (Klonopin) which is, itself, a benzo. Which other benzodiazepines have you accumulated? In general I would recommend using these for promoting sleep (as you're likely to experience some insomnia), but I see you've got Ambien listed as well. I would suggest using Ambien as a first-line of defense against the insomnia, because the LAST thing in the world you want right now is to accumulate a benzo tolerance. As you may or may not know, benzo withdrawal is exponentially worse than that of opiates, and can even be fatal. I'd also suggest using the clonidine for any accompanying anxiety you might have instead of the benzo's. I have found clonidine to be surprisingly effective for anxiety, especially the type of anxiety which is the result of drug withdrawal.
Smoking pot might help alleviate some more muscle soreness and tension at the end of the day, but smoking anytime before winding-down at night personally kills my motivation. What else kills my motivation? Opiate withdrawal. So, you can see, the combination may not prove very worthwhile to you. This is where the Adderall you have may come in handy - since, going cold-turkey (and at the small dose you're at), you're likely to experience the symptoms of w/d for no more than 5-7 days (peaking on the 3rd or 4th day), you won't need a large stash of Adderall to combat low motivation.
Anyway, I feel as if my post is getting lengthy - I wanted, though, to be able to address all of the medications you'd asked for advice on. I'll conclude it with answering this part of your post:
Immodium - no interactions
Benzodiazepines - Steer clear unless their use becomes absolutely necessary. Increased sedation if combined with marijuana, ambien, clonidine, flexeril or kratom.
Ambien, clonidine and Flexeril are all relatively sedating drugs; as I mentioned before, you'd be in a much better position if you did not utilize the benzo's for this w/d at all since you've got things to cover sleep, muscle soreness and anxiety. Also, since the Ambien you'd presumably only be taking at night, I don't believe that the combination of Flexeril and clonidine wouldn't be too much of a sedative combination for you.
Adderall - Use this as a PRN (as-needed) medicine to combat amotivation. Interactions - could exacerbate anxiety potentially caused by either the w/d or marijuana.
Marijuana - Use this as a nightcap, "treat," or PRN for other w/d-related symptoms. In combination with the Ambien, may make it more difficult to get going in the morning.
Codeine - I would avoid this one altogether as you are trying to get off of opiates.
Kratom - Although I believe you'd be much better off not dipping into this stuff at all (even though many folks, including myself, have used it to ease w/d symptoms), keep it around in case, for some reason, your huge kit of other meds doesn't fulfill one of the purposes I outlined above. Kratom would increase the sedation produced by your anxiety, sleep and muscle-relaxant medications.
Honestly, though, that's one of the most thorough "Withdrawal Preparation Kits" I've heard of someone having before finally getting clean.
I hope my suggestions A.) have made sense and B.) will assist you in assembling what you need to get off the opioids. You've got such an admirable amount on your plate - Seriously, continue reaching for the stars, and don't let drugs pull you back down. You sound as if you're quite on-the-ball in your life otherwise. Respond here or PM me with any specific questions you've got, John, and the very best of luck to you!!
~ vaya
[BIG EDIT!! At your current tolerance level, there is absolutely no reason for you to bother with seeking Methadone or Suboxone. I believe there are ways of obtaining, at least, MMT without it tainting your medical record, but those drugs are really for those with much, much more grandiose levels of current addiction. Don't worry about them, buddy - You absolutely have the tools to do this as it is.]
Codeine is actually an opiate (as opposed to an opioid), since it is naturally-occurring (I feel like I'm just getting into the semantics, but FWIW!) and Kratom is neither an opiate nor opioid but its primary alkaloids (of which mitragynine is one) possess activity at the mu- and delta opioid receptors, thus mimicking the effects of classically-opiate compounds. As Captain.Heroin said, both will prolong your withdrawal because you will still be activating those receptors that just need a rest!
You've been given some really sage advice in this thread, and I definitely applaud all those who have contributed. I had some thoughts that I'd like to share; I've quit opiates for good so many times now I consider myself a pro
First of all, congratu-fucking-lations on getting down to a mere 7.5-10mg of your DOC!! (I'm assuming we're talking oxycodone or hydrocodone, at those dosages? I don't believe it was ever specified as to which pill you've been insufflating). Opiates are insidiously seductive, as you are no doubt aware. It's so easy to like them too much. I think that's evidenced by the sheer number of replies you've gotten thus far to your thread! In my own individualized way, I believe I have some semblance of relation to your situation and story, though your situation will always be unique to you.
I find that concept to be truly powerful, and empowering - that is, that others can really empathize with you and offer you advice. Case-in-point, I'm sure that you have discovered that you need not be afraid of offending someone who has had a larger habit than you may have had. It matters little, for we are in the same boat - trying to escape from the bondage of addiction.
To answer one of your questions: at 7.5-10mg/day, even if you were to quit absolutely cold turkey right now and not move down to 5, 2.5 then 0, the withdrawals would be quite mild. You'd be uncomfortable, no doubt, but they would not resemble the stereotypical nightmarish opiate withdrawal so many of us have endured in the past. Another poster mentioned Immodium for diarrhea, and I might recommend Aleve for any minor muscle aches you might have. [edit: now that I re-look at the quoted list above, Flexeril would be better for this purpose].
You say you have "benzo's" and also mention Kpin (Klonopin) which is, itself, a benzo. Which other benzodiazepines have you accumulated? In general I would recommend using these for promoting sleep (as you're likely to experience some insomnia), but I see you've got Ambien listed as well. I would suggest using Ambien as a first-line of defense against the insomnia, because the LAST thing in the world you want right now is to accumulate a benzo tolerance. As you may or may not know, benzo withdrawal is exponentially worse than that of opiates, and can even be fatal. I'd also suggest using the clonidine for any accompanying anxiety you might have instead of the benzo's. I have found clonidine to be surprisingly effective for anxiety, especially the type of anxiety which is the result of drug withdrawal.
Smoking pot might help alleviate some more muscle soreness and tension at the end of the day, but smoking anytime before winding-down at night personally kills my motivation. What else kills my motivation? Opiate withdrawal. So, you can see, the combination may not prove very worthwhile to you. This is where the Adderall you have may come in handy - since, going cold-turkey (and at the small dose you're at), you're likely to experience the symptoms of w/d for no more than 5-7 days (peaking on the 3rd or 4th day), you won't need a large stash of Adderall to combat low motivation.
Anyway, I feel as if my post is getting lengthy - I wanted, though, to be able to address all of the medications you'd asked for advice on. I'll conclude it with answering this part of your post:
Immodium - no interactions
Benzodiazepines - Steer clear unless their use becomes absolutely necessary. Increased sedation if combined with marijuana, ambien, clonidine, flexeril or kratom.
Ambien, clonidine and Flexeril are all relatively sedating drugs; as I mentioned before, you'd be in a much better position if you did not utilize the benzo's for this w/d at all since you've got things to cover sleep, muscle soreness and anxiety. Also, since the Ambien you'd presumably only be taking at night, I don't believe that the combination of Flexeril and clonidine wouldn't be too much of a sedative combination for you.
Adderall - Use this as a PRN (as-needed) medicine to combat amotivation. Interactions - could exacerbate anxiety potentially caused by either the w/d or marijuana.
Marijuana - Use this as a nightcap, "treat," or PRN for other w/d-related symptoms. In combination with the Ambien, may make it more difficult to get going in the morning.
Codeine - I would avoid this one altogether as you are trying to get off of opiates.
Kratom - Although I believe you'd be much better off not dipping into this stuff at all (even though many folks, including myself, have used it to ease w/d symptoms), keep it around in case, for some reason, your huge kit of other meds doesn't fulfill one of the purposes I outlined above. Kratom would increase the sedation produced by your anxiety, sleep and muscle-relaxant medications.
Honestly, though, that's one of the most thorough "Withdrawal Preparation Kits" I've heard of someone having before finally getting clean.
I hope my suggestions A.) have made sense and B.) will assist you in assembling what you need to get off the opioids. You've got such an admirable amount on your plate - Seriously, continue reaching for the stars, and don't let drugs pull you back down. You sound as if you're quite on-the-ball in your life otherwise. Respond here or PM me with any specific questions you've got, John, and the very best of luck to you!!
~ vaya
[BIG EDIT!! At your current tolerance level, there is absolutely no reason for you to bother with seeking Methadone or Suboxone. I believe there are ways of obtaining, at least, MMT without it tainting your medical record, but those drugs are really for those with much, much more grandiose levels of current addiction. Don't worry about them, buddy - You absolutely have the tools to do this as it is.]
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