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  • BDD Moderators: Keif’ Richards

Lexapro blocking my codeine??

SaciPerere

Bluelighter
Joined
Oct 24, 2013
Messages
39
EDIT: I meant BLOCKING on title

Hello ladies and gents, even though this is SWIM's 1st post, SWIM has been a lurker here for many years. SWIM can usually find the answers for all his questions here, but there is a particular one I can't, and therefore created this account.

Anyway, SWIM is a hardcore veteran of most drugs: weed, cocaine, LSD, MDMA etc... but has never tried opioids before. Swim managed to get his hands on a box of pills of 50mg of codeine(pure, no Acetaminophen etc...) and, after reading the forums, decided to go for a 150 mg dose. After about 2 hours, SWIM didn't feel ANYTHING , so SWIM dropped another 150 mg, totalling 300 mg, which, from most accounts SWIM read, should be more than enough for a decent buzz, especially for someone who is opiate naive. But again, nothing happened. SWIM didnt even feel relaxed, sleepy, or other effects that are associated with opioids at low doses.

After doing some research, SWIM found out that LEXAPRO has the potential to completely block CODEINE, and SWIM has been on LEXAPRO for a good 2 years now (10mgs). SWIM would like to know if there are any ways to bypass this metabolic restriction, don't know, maybe chewing the pills, railing them, mixing with alcohol etc... or alternatively, for how long SWIM would have to quit Lexapro to get some nice opioid effects.. LEXAPRO has a half life of 32 hours, so SWIM assumes that going cold turkey on Lexapro for 3 days would be enough to drop some opioids and get a nice buzz? Tips are welcome!!

According to Wikipedia, this is the process through which SSRIs can block codeine conversion to morphine:

The conversion of codeine to morphine occurs in the liver and is catalysed by the cytochrome P450 enzyme CYP2D6. CYP3A4 produces norcodeine and UGT2B7 conjugates codeine, norcodeine, and morphine to the corresponding 3- and 6- glucuronides. Srinivasan, Wielbo and Tebbett speculate that codeine-6-glucuronide is responsible for a large percentage of the analgesia of codeine, and, thus, these patients should experience some analgesia.[16] Many of the adverse effects will still be experienced in poor metabolizers. Conversely, 0.5-2% of the population are "extensive metabolizers"; multiple copies of the gene for 2D6 produce high levels of CYP2D6 and will metabolize drugs through that pathway more quickly than others.
Some medications are CYP2D6 inhibitors and reduce or even completely block the conversion of codeine to morphine. The most well-known of these are two of the selective serotonin reuptake inhibitors, paroxetine (Paxil) and fluoxetine (Prozac) as well as the antihistamine diphenhydramine and the antidepressant, bupropion (Wellbutrin, also known as Zyban). Other drugs, such as rifampicin and dexamethasone, induce CYP450 isozymes and thus increase the conversion rate.
 
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So, SWIM went to the doctor and told Codeine wasn´t working, SWIM tried to convince doctor to prescribe SWIM with morphine but failed. Instead, doctor supplied swim with a prescription for Acepromazine. SWIM never heard of this drug before, but going online found out that *snip*
 
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I edited your title for you.

I'm going to move your question over to Basic Drug Discussion. Regarding your second post, however, you must understand that we are not here to promote manipulating your doctor into prescribing heavier narcotics, nor are we here to offer you suggestions on how to abuse the medication(s) you already do have. Please refrain from this kind of discussion in the future, and I suggest reading the Bluelight User Agreement (link in my signature) to provide clarification.

Thanks,

~ Vaya

Homeless >>> BDD
 
So, SWIM hasnt been taking the Escitalopram for about 5 days now, think SWIM is ready to enjoy the effects of codeine or should he wait for a couple more days? Swim only has 300 mg of codeine left, the half life of Escitalopram is 3 days so theoretically Swim should be clean by now, though SWIM is not sure how long it takes for the human liver to produce the needed enzymes again.
 
this is SO TRUE!! SSRI's diminish the effects of codeine drastically. back years ago when I would take 5-6 codeines, I would be high for hours...when I went on paxil (SSRI) I took codeine one time, and I was high for 20mins ,and the high disappeared. idk if it does this for opiates but im surprised no one else complains about this
 
I fucking HATE SSRI's!!! Besides the fact they block a lot of drugs I like from working, they also make you dumb as shit. I couldn't have a conversation without asking the person I was talking to what I was talking about multiple times.

But yea, they will block codeine and various other drugs effects.
 
Escitalopram like just about every other SSRI inhibits the cyp2d6 enzyme. This is the enzyme that converts codeine into morphine so yes it can block or greatly diminish the effects of codeine. However i have taken codeine while on bupropion which is a strong cyp2d6 inhibitor and i still got the effects from the codeine. So i don't know i guess everyone is different.
 
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