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  • EADD Moderators: Pissed_and_messed | Shinji Ikari

methadone amps/iv cylizine

I wasn't on all that at once lol!

Nah what it was is they couldn't figure out what was wrong with me (I had some rare form of reactive arthritis that was damaging my joints) and instead of trying other things he just kept switching opiates and upping the doses...he had a "thing" about opiates. I'd only been on them 6 months and he had me on diamorphine linctus (which they don't make anymore...just injections and tablets).

Generally the doses of methadone for pain are higher than for WDs as it's prescribed three times per day for pain as it's analgesic duration is only about 8 hours whereas 24hours+ for WDs.

The only thing in my favor is that after 20 years I'm not in a hurry. Don't get me wrong I want to be off as soon as but I'm gonna take it fast while I can and slow at the end. Also probably switch to subs at the end. Incidentally with subs it's the opposite. When I was prescribed it for pain it was the temgesic which were either 20 or 200mcg (I forget). As you know, for WDs it's mg amounts and often 20+mg
 
Yeah don't hurry at all. Definitely better to take things nice and easy if you can. Temgesic are 200mcg, you can be prescribed up to 4mg for pain relief though (I think the agonist effect stops after that so you don't get any increased analgesia).
 
Yeah partial agonists like bupe or nalbuphine (which was incredibly popular with bodybuilders in the '90s) have a ceiling effect on both respiratory depression and also analgesia.
 
Dikes have never had silicone in them probably an urban myth created by people who didnt filter properly. Cyclazine and 'done does give a pretty good approximation to the real thing and if you can be bothered the 5mg pills are easy to get the 'done out as its water soluble - But i wondered if it worked orally (as i have no veins) obviously no rush but a good high? any one tried?
 
Been on methadone pills for years and had cyclazine as an antihistamine...

Can't say it made any difference TBH.

It may have actually been dextramoramide that had the silicone. I'm mildly interested enough to look it up (but only mildly ;) )
 
The pills are almost as hard to find as the vials I would imagine as most drug agencies are under strict instructions not to prescribe them unless in special circumstances such as a client going on hollday. This is because they are far more "divertable" than the liquid. The only other people who get them are pain patients such as myself and those with a private script and these are very rare.

Re. the Diconal containing silicon thing there are some very conflicting pieces of information about. Some drug services including the Wales Drug and Alcohol Network claim it does but the official patient info leaflet lists the ingredients as:-

dipipanone hydrochloride 10 mg
and cyclizine hydrochloride 30 mg.
The other ingredients are lactose, starches, erythrosine (E127),
gelatin and magnesium stearate.

Maybe the vein damage could be from unfiltered magnesium sterate as that is a solid at room temp and isn't very water soluble 0.004 g/100 mL (25 °C) but magnesium sterate is a common binder in tablets.

I wouldn't mind getting to the bottom of it purely for harm reduction purposes (although the chances of anyone coming across these on the street now is pretty slim. Only 3 drugs in the BNF need a home office license to be prescribed to addicts and those are diamorphine, cocaine and diconal)
 
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...like i said dikes never had sillicone but when you had things like 'jacks' 5mg of morphine that you could cold shake so people thought that filtering pills wasnt needed - plus at that time , mostly pre 80's all the gear was #4.
My pills are from a private script and thats the only way you will get them now adays as the gloop is far cheaper (1 5mg pill is 10p) same as a valium as it goes plus they can be fixed - if you can be arsed.
 
I get the 5mg physeptone pills from my GP (although under directions to prescribe them from a pain clinic).

It's actually not the case that the liquid is way cheaper (I mean from an NHS standpoint). A box of 50 x 5mg tablets (total of 250mg costs 2.84 whereas a 500ml bottle of the 1mg/1ml solution is 8.69....meaning that the tablets are actually cheaper than the liquid (source BNF67)

It's established now that Diconal don't contain silicone just from reading the leaflet. The problem is that a lot of "respected" drug agencies are still saying (incorrectly) that they do.

That's the problem with drug agencies continuing to perpetuate urban myths....once people know it's untrue they will be hesitant to believe ANYTHING they say. Then when some genuinely life saving advice comes along it is then ignored......
 
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englandgz74 said:
I get the 5mg physeptone pills from my GP (although under directions to prescribe them from a pain clinic).

It's actually not the case that the liquid is way cheaper (I mean from an NHS standpoint). A box of 50 x 5mg tablets (total of 250mg costs 2.84 whereas a 500ml bottle of the 1mg/1ml solution is 8.69....meaning that the tablets are actually cheaper than the liquid (source BNF67)

It's established now that Diconal don't contain silicone just from reading the leaflet. The problem is that a lot of "respected" drug agencies are still saying (incorrectly) that they do.

That's the problem with drug agencies continuing to perpetuate urban myths....once people know it's untrue they will be hesitant to believe ANYTHING they say. Then when some genuinely life saving advice comes along it is then ignored......
Click to expand...



Re the methadone - i think your talking about the pre-made phyceptone litre bottles? but if its made up on site (like lots of the bigger meth clinics i would have thought it was cheaper - but hey just speculating, its all bollocks anyway they charge what the nhs will pay - like all the major industries; oil, pharma, gold etc its surprisig (not) who sits on the Boards of some of the holding companies , if you can be bothered to do te digging.
 
Yeah I am talking about the pre-made up litre bottles (not the physeptone which is a Martindale brand name but just the generic). I'd forgotten about the grams of pure powder that are available which are then added to a litre of green inert solution to make up. There isn't a price for these in the BNF but I'll find out. Lots of pharmacists prefer stocking the powder as it takes up so much less space in their CD safe (obviously the inert green liquid doesn't need to be stored in the CD safe until it's had the methadone added).

I know it's going off on a bit of a tangent but I was looking on the prescription pricing authority's website at basic drug prices for august the other day (I'm not a drug-price nerd...I needed to look something up for work!!) and they listed diamorphine hydrochloride powder - 2g priced at 56 pound.

Usually you can get diamorphone dry amps and vials up to a strength of 500mg and the diamorphone 10mg tablets but fuck knows why they had a price listed for 2 grams of raw diamorphine powder (not in an amp or vial just raw powder)....I can only guess it was for some type of research or something. It made me think of the methadone powder that you are describing but no-body dispenses heroin in that way...bit of a strange one..
 
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