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  • AADD Moderators: swilow | Vagabond696

jurnista (hydromorphone controlled release pills)

I've never plugged HM but the bioavailability of IV HM is 100% (obviously).

'Your friend' should probably look up a conversion chart to see what dose of jurnista he should really be on, going by the amount of Oxy/ poppy seed tea he was actually using daily. His doctor would have only given him the dose of jurnista that is equivalent the the amount of Oxy he was prescribing, so it makes see that jurnista dose would be too low.

The only way to get the amount of jurnista he needs to prevent wd's AND manage pain, is to be honest to the doc about how much he was taking....

And as tentram said, it takes a few days to build up the levels if HM in your system. So jurnista will take a few days before the analgesic benefits become evident. One of the joys if SR meds..

My best advice would be to tell the doc the truth about how much pain relief is actually being used and then take the jurnista as prescribed (at least until the levels are steady anyway).

Cheers.
 
*In regards to saying friend of a friend (CAUTION READER - Not related to HM):
If it is not about Me, I am definitel never going to say it is. that is just silly. When it is about Me, I probably wouldn't be bothered writing about it.
I am only one of a few different friends who use this account for any questions they have.

I think as long as it doesn't fill up too much unnecessary reading-space then I can't see the harm in saying its for a foaf instead of truthfully saying it was for a dude at College (not foaf).
I like the distance from myself that foaf implies.
I know this board doesn't approve of 'SWIM' and whatnot but I'm sure I've seen it recommended to 'try creative writing' when writing about an experience, and compared to 'creative writing' about my elephant or something I might as well just say foaf cos it takes up hardly any space. But I may well have read that on another board but I'm sure it was here, let me know.
Basically: No disrespect meant. Thought I was doing the approved thing.
Much of the time the questions I ask are genuinely not for me but for 2 or 3 other friends who never uses the internet, therefor it would feel a bit weird/wrong to be saying "I do this much drugz" when in fact it genuinely is someone else that the information is about.
 
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Did not know it was available in Oz at all! Had no clue hydromorphone or hydrocodone was available with a script.
 
Did not know it was available in Oz at all! Had no clue hydromorphone or hydrocodone was available with a script.

Yeah docs give it as an alternative to oxy / morphine etc once the patient has become tolerant to it. This way the chances are addiction to teh same substance may be less. Although in my eye an opiate addict (Like me) will use just about anything to feel that warmth high again (Apart from morphine, I dont like the effects of it at all, on teh other hand smack is completely different story LOL )
 
Live on the Beats! said:
For all intent and purpose it could well be a friend of a friend that this info applies to, not me. I think as long as it doesn't fill up too much unnecessary reading-space then I can't see the harm in saying its for a foaf instead of truthfully saying it was for a friend (not foaf).

I think the fact it took you a paragraph to explain you weren't taking up any space using 'a friend of a friend' pretty much negates that claim ;)

Here is AusDD we don't encourage creative writing when describing your experience. We don't allow SWIM, and we don't encourage 'friend of a friend'. Noone is going to force you to say your post is regarding you, but please make your post as clear and straightforward as possible. We're concerned with providing Harm Reduction advice here, so your post should be written in such a way that that is direct and to the point, the important details clear and concise, and with as few distractions as possible. Talking about friends of friends or using swim makes finding the questions or important points in a post hard to find, which is why we don't encourage those here - not to mention, it does absolutely nothing in terms of protecting you legally.
 
I've never plugged HM but the bioavailability of IV HM is 100% (obviously).

'Your friend' should probably look up a conversion chart to see what dose of jurnista he should really be on, going by the amount of Oxy/ poppy seed tea he was actually using daily. His doctor would have only given him the dose of jurnista that is equivalent the the amount of Oxy he was prescribing, so it makes see that jurnista dose would be too low.

The only way to get the amount of jurnista he needs to prevent wd's AND manage pain, is to be honest to the doc about how much he was taking....

And as tentram said, it takes a few days to build up the levels if HM in your system. So jurnista will take a few days before the analgesic benefits become evident. One of the joys if SR meds..

My best advice would be to tell the doc the truth about how much pain relief is actually being used and then take the jurnista as prescribed (at least until the levels are steady anyway).

Cheers.

According to the marketing material for Jurnista (I have a friend who works for Janssen) the 40mg oxy is equivalent to 16mg Jurnista.
They've lowballed the conversion so patients will switch from oxy to Jurnista and then up the dose as the docs believe the patient can get by on a lower equivalent opioid dose but quickly need to up the dose after 3 days. The selling point is 120mg codeine or 100mg tramadol equals 4mg Jurnista. Needless to say market share is only 2% and is vastly underperforming as doctors confuse the drug with the DPP4 inhibitor for diabetes Januvia by MSD.
 
Also 32mg and 64mg is for specialist doctors RXing for cancer pain. The government has been turning down permits for doctors as specialist pain doctors like Dr Andrew Taylor, Robert Weiss and others have labelled Jurnista the next problem drug due to hydromohone's highly addictive nature and the ease of circumventing OROS with 24hrs soaking in water. In NSW hydromohone even requires a separate permit as well as a S8 permit for the patient. Hydromohone is regarded as a cancer pain treatment by doctors in Australia for good reason
 
And as tentram said, it takes a few days to build up the levels if HM in your system. So jurnista will take a few days before the analgesic benefits become evident. One of the joys if SR meds..

My best advice would be to tell the doc the truth about how much pain relief is actually being used and then take the jurnista as prescribed (at least until the levels are steady anyway).

Cheers.

Steady state by day 3 according to PI. Similar to Durogesic (fentanyl) patches
 
Yeah docs give it as an alternative to oxy / morphine etc once the patient has become tolerant to it. This way the chances are addiction to teh same substance may be less. Although in my eye an opiate addict (Like me) will use just about anything to feel that warmth high again (Apart from morphine, I dont like the effects of it at all, on teh other hand smack is completely different story LOL )

some doctors actually try to push it on you first before going down the morphine and oxy route - they are easily abusable in comparison and a single HM tablet releases over 24 hours. some will go tram to bupe patches to HM to oxy then morphine onto fentanyl. of course there are factors which lie within the path your doc/s will take, ie - condition, age, tolerance, etc.
 
Yo cheers for the info DJSim!
Wow so the Jurnistas really have a whole other permit required (along with the obvious S8) if prescribed in NSW?
That's interesting, can you elaborate possibly?


And -
Thanks for the info/opinion about the oxyc>jurnista dose equivs are a bit too low thereby facilitating a dose-increase soon after... I also take Jurnista (lower dose than my mate though) and I too have found that there was NO WAY that 16mg HM taken ORALLY felt annnnnywhere NEAR equivelent to 40mg oxycontin taken orally... not in any terms, e.g. not even close to as much analgesic efficacy...

I actually had told my Dr I wanted to ''try an equi-analgesic dose of an alternate opioid instead of just raising my oxycontin dosage/tolerance.'' and so was kind of ashamed that I had to ask for more effective pain relief cos I was hoping I could get by on the lowest dose possible and prove to my Doc I'm serious about my pain management (which I am - employing many non-drug techniques). So when you stated that the official equivs may not be right, that sets my mind at ease a bit.

Interesting opioid HM... though, at the moment, I think I prefer oxycodone in terms of energetic pain-relief... But it is nice to be able to have a painkiller You only have to consue once in the morning, once a day, and then manage to go about your day slightly easier. very thankful.
 
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Well, I've been IVing my Jurnista.of about 6mths now. I've refined the method and never heat, always micron etc etc. I managed to get my daily dose down from 80mg daily (with 32mg IVed usually) to currently on 20mg daily (16mg of which I still IV). I really don't get any kind of rush from it. It's just helping me deal with a pain issue and I find IVing gets me off the couch or out of bed a bit more easily. I was determined to get my tolerance down because I was having surgery soon but even though I got it down that low, basically my tolerance is still stuffed. I coukdnt even feel the morphine pump. Not even after they upped the dose and I was hitting that button every 4minutes exactly. After I came home from hospital I IVed a 20mg/2ml vial of morphine really quickly with no dilution, band NOTHING. Just a slight histamine reaction.
So there you have it folks. 6mths of IVing Jurnista solutions & I doubt I will ever feel high on anything ever again. Sucks majorly :( be careful kids.
 
Of course u wont feel high anymore, uve abused the hell out of it. IV-ing 32mg is a very large dose, then again ur using it for pain relief, maybe its time to switch to a different opiate? I really wish u the best of luck coming off that crap, it has worse WD's than smack. Its a horrible drug.
 
Thanks. I have always used it for pain relief but began chasing that hight too once I learnt more about the drug. Hopefully over the next few months I will be able to taper off it completely. I'm worried I'll never get that warm opiate high off any drug ever again though. When you're using it for pain, you never really find out why everybody loves the stuff. Then I imagine when the pain is gone, I won't have access to opiates any more. Or I will still have a high tolerance. No win situation...
 
Hey, I just wanted to say, to anyone thinking of IVing their jurnista,

DON'T DO IT!

I was only ever using it for pain relief but I started IVing it once my tolly grew. It is one of the strongest opiates available on the market. If used in the way it is prescribed, you will still develop a high opiate tolly eventually but hopefully it will help with your pain.

If you have jurnista pills and you are just looking to get high, put them the f@%k away & go snort some oxys or something else. Leave the jurnista the HELL alone!!

I very much regret my earlier posts in this thread describing how to make it into an IVable solution. I don't think it counts as harm reduction, honestly. If you IV jurnista, it will only make your problems worse! I am now in a detox/mental health clinic trying to deal with my addiction to this drug.

please learn from my mistake & heed my warning. DO NOT IV JURNISTA!
 
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