Alabasster
Greenlighter
Hi All, I'll try and keep this simple as I need advice ASAP. Also, I hope I have the right forum and am abiding by the rules as this is my first post.
I have been on a range of opiate medications for a couple of months now, along with phenergan (promethazine) almost nightly and rarely a 5mg valium. The methadone I started titrating up on about 3 weeks ago to deal with chronic pancreatitis pain and now I'm on a steady dose of 90mg/day. Also, I have been taking Tramadol daily since late january and have leveled out on 2 x 50mg SR + 2 x 50mg normal release. For just as long I have been taking phenergan 25-50mg nightly to help me sleep. Valium 5mg has been a rare treat as I only ceased a 7 year valium dependency in October 2013.
My problem is this. I am starting to have issues with anxiety and vicious pangs of terror/panic feelings (like the beginning of serious benzo withdrawals) since I had an excessive night on Saturday just gone. On that night I decided to get wasted and took the following; my usual 90mg methadone dose (4pm), 200-300mg Tramadol, 1 x endone 5mg, 3 x 25mg phenergan, 1 x 5mg Valium and about 6 cones of lovely weed. It may not seem like a lot to the more experienced of you out there and, to be honest, I think the weed did the most damage, ie; got me wrecked. The issue is that since then I have been having potentially serious anxiety issues (similar to those I experienced when I had a major depressive episode), ridiculous headsweats, bad tremors, confusion, dizziness and weakness.
I have supplies of all the above mentioned substances so I plan to take what is necessary to get me through this rough patch and steer me away from a depressive episode...or worse. I've spent all day reading about the various interactions involved and really don't have a clue where to proceed to be safe and avoid (in my case) terror-ridden anxiety and probably a depressive episode. Did the tramadol jump cause a seratonin reaction??? Is something amongst all that causing a sort of withdrawal...the valium, the phenergan, what??? My doctor has advised me to do a slow decrease in Tramadol (down to 2 x 50mg SR) and gave me a script for amitryptaline (endep) 10mg. What should I do? I'm very scared and just want to take a lot of something calming (valium, phenergan, olanzapine) for a few days until I level out, but what???? I'm also worried that I have triggered some sort of instant benzo addiction although I did a really slow wean to finally get off it in October and basically haven't touched it until Saturday night.
My possible saviors in my opinion are: a few days on 3 x valium/day or lots of phenergan or a few days on my olanzapine 5mg wafers (I have some left over from my valium addiction). Any reasonable advice (with reasons to back up advice) would be GREATLY appreciated. By the way I have scripts/rx for all of the above.
I have been on a range of opiate medications for a couple of months now, along with phenergan (promethazine) almost nightly and rarely a 5mg valium. The methadone I started titrating up on about 3 weeks ago to deal with chronic pancreatitis pain and now I'm on a steady dose of 90mg/day. Also, I have been taking Tramadol daily since late january and have leveled out on 2 x 50mg SR + 2 x 50mg normal release. For just as long I have been taking phenergan 25-50mg nightly to help me sleep. Valium 5mg has been a rare treat as I only ceased a 7 year valium dependency in October 2013.
My problem is this. I am starting to have issues with anxiety and vicious pangs of terror/panic feelings (like the beginning of serious benzo withdrawals) since I had an excessive night on Saturday just gone. On that night I decided to get wasted and took the following; my usual 90mg methadone dose (4pm), 200-300mg Tramadol, 1 x endone 5mg, 3 x 25mg phenergan, 1 x 5mg Valium and about 6 cones of lovely weed. It may not seem like a lot to the more experienced of you out there and, to be honest, I think the weed did the most damage, ie; got me wrecked. The issue is that since then I have been having potentially serious anxiety issues (similar to those I experienced when I had a major depressive episode), ridiculous headsweats, bad tremors, confusion, dizziness and weakness.
I have supplies of all the above mentioned substances so I plan to take what is necessary to get me through this rough patch and steer me away from a depressive episode...or worse. I've spent all day reading about the various interactions involved and really don't have a clue where to proceed to be safe and avoid (in my case) terror-ridden anxiety and probably a depressive episode. Did the tramadol jump cause a seratonin reaction??? Is something amongst all that causing a sort of withdrawal...the valium, the phenergan, what??? My doctor has advised me to do a slow decrease in Tramadol (down to 2 x 50mg SR) and gave me a script for amitryptaline (endep) 10mg. What should I do? I'm very scared and just want to take a lot of something calming (valium, phenergan, olanzapine) for a few days until I level out, but what???? I'm also worried that I have triggered some sort of instant benzo addiction although I did a really slow wean to finally get off it in October and basically haven't touched it until Saturday night.
My possible saviors in my opinion are: a few days on 3 x valium/day or lots of phenergan or a few days on my olanzapine 5mg wafers (I have some left over from my valium addiction). Any reasonable advice (with reasons to back up advice) would be GREATLY appreciated. By the way I have scripts/rx for all of the above.
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