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Mixing advice for pain mgmt

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B

bjharfy

Greenlighter
Joined
Mar 17, 2011
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I had back surgery 2 wks ago and still in some pain.

I have at my disposal:

Tramadol (plenty)
Gebapentin (plenty)
Valium (2 ea)
Tylenol 3 (2 ea)--codein
Soma (plenty)
Blacklifin (plenty)
Provigil (25) (for pilots to stay awake)
800 Motrin (plenty)

Recently I was taking percoset/motrin and then soma/motrin at night for pain. Last 10 days I was taking tylenol 3 (x2)/motrin twice a day and motrin/soma at night for pain. Iam down to last 2 tylenol 3 (they suck) and I need a new concoction for pain.

I just took a valium, tramadol and gebapentin.

Should I include a provigil or codein?

Any suggestions for a new concoction to help with pain and some bonus euforia?

Note I have not taken the gebapetin or baclofin in a long time. I have been lucky enough to have access to vicodin and percoset for the last 6 yrs; that train has left the building.

Any help appreciated

B
 
Go out and purchase some percocet/vicoden/roxycodone/oxycontin from your local drug dealer

The valium would make you just not care about the pain so much, kinda take your mind off of it.
i dont know how bad you pain is (1-10), but those are rather weak medications for pain that you have. Like gabapentin is an anticonvulsant, which is to help control seizures, and also to relieve the burning, stabbing pain or aches after an attack of shingles.
Soma is a muscle relaxer, which again wouldnt help very much (unless your pain is from tense muscles.)

I would go to see your pain management doc, and ask for a stronger narcotic. I would recommend getting (5 or 10mg) vicoden/percocet, or if it is more serious (like you were in a car accident or something), i would recommend 15mg/30mg roxicodone

or for a buzz with mild pain relief, take like 200mg of the tramadol, and a valium or 2.

Hope this helped
(if you have any further questions, or anything you'd like it private- please PM me)


----bjharfy -> Please read!

*** DO NOT snort the Tylenol 3's. They have APAP in them obviously, and you must do a CWE to 'abuse' the T3's. I would recommend (if you have alot of them), to put like 10 in a shotglass, and perform a Cold Water Extraction (Below is a nice 'megathread' posted by Captain.Heroin)
I would strongly recommend doing the CWE on the T3's if you plan on taking a few. There is a risk in abusing medications with apap (Acetaminophen / Asprin), and you could severely damage your liver.
If your going to take 1 or 2 t3's, you should be fine- but do NOT snort the t3's. perform the cold water extraction, and then drink the liquid.. (or my personal fav.) plug the codeine liquid.

http://www.bluelight.ru/vb/showthread.php?t=548643&highlight=cold+water+extraction
^^^^(Cold Water Extraction MegaThread [Has INFO, and the HOW-TO on CWE])^^^^
 
Last edited:
Thanks for the response Ch1nawhite,

My pain is like 6.5 (post back surgery, 3 wks ago) Dr initially percribe percoset, then we moved down to tylenol 3 and now he wants to lay off the narcotics. I just get no relief from Tramadol alone so I was looking for other stuff to combine and increase pain reduction. All of the drugs listed I have been perscribe at some point over the last 6 yrs for pain, exceptin the provigil was perscribed to keep me away at work when some of the msucle relaxers were making my sleepy.

Now I am looking to creat a concoction from what I have to help with the pain.

I am in a foriegn country and can go out and buy any opiates.

thanks

B
 
well shit, if you can go out and buy opies, i would honostly pick up some 30mg roxicodone. they would work great, and you would only need 1, maybe 2. And if that wouldnt work, then just tell your doc, look- im in great pain, and these meds just arent cutting it. also poppy pod/seed tea is pretty strong from what i hear..
If you cant get perks or roxy's, then i would go to your nearest store, and pick up a bottle or 2 of some Tylenol 3's and perform a CWE on all of them, then drink or plug the concoction. dont drink ALL the t3 liquid, but maybe like half or something, and if you need more- drink the rest!! actually i would plug the liquid for better results, but thats just me
 
Shit one missing word completely changes the meaning...lol

I meant I can NOT go out and get any opiates and the Dr wants me to try using non narcotics to manage the pain. He is afaid of addicition and I dont want him to get it into his head so I wont push the issue.

I am betting I can make suitable cocktail from what I have (listed above). I know at night I take 2 or 3 soma, a motrin and a few drinks and that works. looking for something else.

BTW I just added a motrin, soma and 1/2 flexiril to the cocktail I took earlier...(I just took a valium, tramadol and gebapentin and provigil)will post results

Still looking for any advice.

Sorry for not proof reading my last post before sending

thanks though

B
 
Snorting the T3 will be useless, as codeine needs to be metabolized by the liver into morphine first before it's active.

I would take the Motrin (don't combine with other NSAIDS, e.g. ibuprofen, aspirin, etc...) and tramadol for starters. Both can be decent analgesics, especially when the pain isn't too extreme.

Soma and Baclofen will also be useful; combined with the tramadol and/or codeine especially. Since you have a limited amount of T3 I doubt you will get much out of them, but definitely use them if you are having a particularly bad day of pain.

The Gabapentin I would save for a little later on, say a week or two when the pain is starting to subside a bit. It could also be useful as a sleep aid. and in fact can increase your quality of sleep. The Valium is also good; again, since you have so little of it, save it for a day when the pain is very bad.

Hope this helps somewhat and that you pull through. :)
 
Its ok everybody makes mistakes. Can i ask you a question though, how is your opiate tolerance? Do you use opiates regularly? if you take ONE 5mg Hydrocodone/Apap will you get a good buzz? or how about a 10mg hydrocodone / oxycodone pill? if you take only one vike/perk will you get a good buzz? Because if so (low-tolerance) then i might have a decent solution for your pain. If you have a high tolerance, most likely it will not effect you, but if you have a low tolerance for opies, it would work with great effects, myself and others have had great reviews for KRATOM with a low-opie tolerance.

Go to your local smokeshop, or just browse online for a reputable vendor, and pickup a bag of kratom. I have some capsules with me here at my place, and when i dont take any roxis/perks/vikes, and start to get sick, i just take 5-10 kratom '00' capsules, and it takes care of my sickness, and i get a very VERY slight subtle (possible placebo) buzz. I took kratom a few times once i got out of jail for 6 months (NO tolerance to opiates), and i took 5 kratom capsules, and i felt really really good. Great results with kratom when i had NO/little tolerance, but now that im use roxycodone daily (60-90mgs) kratom will have no effect on me, unless i wait a few days and take alot.

So give kratom a try, Mitragyna speciosa is supposedly 20x stronger than morphine, but small traces of mitragyna in kratom means you have to take alot (like me taking 10 capsules)
wik said:
higher concentrations of mitragynine are attributed to act as a stimulant, 7-hydroxymitragynine is the most significant alkaloid for sedation with more potent analgesic activity than that of morphine.[4] Effects come on within five to ten minutes after use, and last for several hours. The feeling has been described as happy, strong, and active, with a strong desire to do work. The mind is described as calm
Click to expand...

Also try poppy pod/seed tea. Im actually going to try and switch from the 30mg roxycodone pills, to poppy pod/seed tea. I can get poppy seeds locally but unsure of price and if their treated or not.

Hope this helped! I strongly recommend Kratom if you have a low opiate tolerance. Ive also heard of people going and ordering 7-hydroxymitragynine (the 20x stronger that morphine chem) off the internet. you can get 7-hydroxymitragynine as a research chem, but i would be very careful with dosing, so i dont recommend ordering the RC

ch1
 
^ Poppy pods can be hit and miss, but not as bad as poppy seeds. Even if you get them unwashed and untreated, you can still drink a lot of tea one time and feel nothing and the next be somewhat buzzed or smashed if you have little tolerance.

I liked poppy pods, I had a small tolerance (around 600mg codeine or so) and would get high for 12-24 hours off a single dose. But you never know if they are going to be good or not.

Also, OP if you are in a foreign country with harsh drug laws that doesn't look favorably on law breaking foreigners (i.e. almost anywhere in South-East Asia) then be very careful about trying to get anything illegal.
 
Mid to high tolerance to pain

Unfortuntley I have a fairly high tolerance to pain meds. I was on 5 ml vics (4 a day) for 5 yrs, then I went on to 7.5's twice a day then 2/3 percosets a day. I always tried to be careful and not dose to heavy and I would dry myself out every 2/3 mos for a few weeks to reset my tolerance. I am just coming off 4 percs a day and then the T3 (which suck). I just had my second back surgery and I agree with the Dr about taking breaks from opiates but I need to find an alternative for the pain for now

Should I but my last two percs into water and let them disolve for a stronger effect?

How many tramadol can you safely take at a time and can you do something to remove the acteo and reduce chance of toxic shock and harmful liver effects.

Update on my coctail (tramadol, valium, gebapetin, motrin, 1/2 fleril, soma)...I feel relaxed but minor pain reduction, no euphoria and it has been about 2 hrs.

Keep the suggestions coming...side not I am subjected to random drug testing often...everything I have used I have been perscribed and I run the drug program but consider this with your suggestions pls

Tell me more about Kratom? What is it? You get it at a smoke shop? What is the active ingrediant? I have never heard of it and it sounds safe for Drug testing where are Poppy is not always safe.

v/r

B
 
^ Exceeding a dose of 400mg tramadol total in 25 hours puts you at increased risk of a seizure. Also, avoid combining it with serotonergic drugs as this could lead to serotonin syndrome.

Be very careful combining flexeril with tramadol; it can increase your risk of a seizure. I would probably lower the amount of tramadol I was consuming with the cyclobenzaprine.

Apart from the risk of increased CNS depression with the combinations, the only other thing I can see to watch out for is the modafinil possibly decreasing clearance of the carisoprodol (Soma).

If your cocktail isn't working (and euphoria is not important, analgesia is), then all you can really do is go back to the doctor and try something else. It sucks, but hey, there's not much else that can be done.
 
nah you dont need to cwe or dissolve your perks, it would be best since theres only 2, to just pop em, or break em in halfs then pop em.

tramadol doesnt have any apap, or anything in the, just tramadol so there is no toxic risk, unless you take (i think) more than 400mgs? i think, im not into tramadol. So i would take 150-200mgs of the ultram.

here is a link for basic info on kratom, the rest could be found on a simple search on this wonderful BL website
http://en.wikipedia.org/wiki/Mitragyna_speciosa
7hydroxymitragynine is a very powerful chem found in kratom, with pain reliefing properties. the plant kratom is actually in the coffee family. at low doses, kratom could be stimulating, and in the higher doses, kratom will be pretty sedating. The chem 7hydroxymitragynine in the plant is the sedating/pain relieving substance, that acts on the mu-opiate receptors in your brain. with high doses, the receptors get more and more activity.
Other active alks / chems in the kratom plant can be stimulating at lower doses, Kratom contains many alkaloids including mitragynine (once thought to be the primary active constituent), mitraphylline, and 7-hydroxymitragynine (which is currently the most likely candidate for the primary active chemical in the plant)

kratom belongs in its own class of drugs, since its so different than morphine or other substances.

hope this helped
 
Thanks bMr Blonde

But the problem with going back to the dr is I was honest after the last surgery; let me explain.

Pre 1st surgery I was in increadable pain and I worked my way up the ladder from vicodin, to morphine right before surgery. After surgery I moved back down to percoset but my tolerance was thru the roof by now. No plroblems the dr was issuing me what ever I needed. After a few weeks I was woken up in the middle of the night wanted more percoset (first time for that). It kinda freaked me out out so I did the responsibile thing and went to the dr the next morning and gave him all my percoset and anything stronger and had him issue me vicodin, then we made a plan to tailor down off of the narcotics. Ever since then he is hesitant to issue me too much or too strong of a painkiller.

I did the right thing and now I am labeled and paying for it for the rest of my life. If anyone were to ever ask me I would snow say only tell your dr if you cant handle things yourself. Honesty is not always the best policy.
 
nah you dont need to cwe or dissolve your perks, it would be best since theres only 2, to just pop em, or break em in halfs then pop em.
Click to expand...

I agree, and the APAP will even help with the pain relief somewhat.

tramadol doesnt have any apap, or anything in the, just tramadol so there is no toxic risk, unless you take (i think) more than 400mgs? i think, im not into tramadol. So i would take 150-200mgs of the ultram.
Click to expand...

Some tramadol preparations have APAP in them. And tramadol can cause seizures or other harms in some people below 400mg, it's just less common then when it is used in excess of that amount or when in combination with other substances.

bjharfy said:
I did the right thing and now I am labeled and paying for it for the rest of my life. If anyone were to ever ask me I would snow say only tell your dr if you cant handle things yourself. Honesty is not always the best policy.
Click to expand...

Unfortunately, in the current drug climate this is what happens when most people are honest with their doctors. It will prevent you from getting proper pain relief from that doctor (or others, possibly) in the future when you do actually need it.
 
^^ because too many people are ripping of doctors now, so they have to watch their back. i agree that they need to watch out for themselves, but they shouldnt just throw anybody "on the list" , just because you brought in your perks, now they're all going to think you get addicted very fast, and all theyll give is probably tramadol, or tylenol 3's. its just not right, they need to come up with a new way of sifting through the scammers, and people who actually need their medications. my mom use to get 3 bottles of hydrocodone 10/325, each bottle containing 90 pills, MAILED to her house from her doctor. Now they tried switching her to nucynta, and she told them it wasnt cutting it. they were very hesitant to give her vicoden back, but they did anyway. but now they give her 30 vicoden, 0 refills, and drug test her every time she comes back for more. its bullshit, and she has severe back problems, and needs her meds.. when i say severe, i mean excruciating pain, she has humps in her back, and her spine literally is in the form of an S, not only side to side, but in and out too.. its very very bad, and they're playing games with her prescriptions like shes selling them or abusing them, yet she can hardly walk, let alone lay on the couch without crying 70% of the time.... but honostly she takes only 1 every 6 hours, and her doc tells her take 2 every 6 hours, or 3 if needed. but shes worried and wants to play it safe. it just really sucks that people who NEED their meds, dont get them- but the scammers get what they want.
 
there is always Mexico

That's ok, soon as I go back to my home in South Texas; I will just run down to Mexico and get perscriptions for pain meds when I need them. Then I will claim them and the expense trips on my taxes as a business expense. Serves the freakin medical communitty right for forgetting their Hippo oath...to take care of the patients needs and the patients rights to not be subjected to undue amounts of pain when relief is available.

Sorry to hear about your moms pain. I would say she is in my prayers but I have not been given the gift of faith. I do believe in "The Secret" so I will say I will send thoughts of healing and pain relief her way. If you arent familiar with "The Secret" you should rent the video; a life changer.

Med update: No change, a little relaxed but no significant pain reduction or euphoria

v/r

B
 
Yeah I really felt screwed on that one....I mean here I am doing the responsible thing; I signed a pain contract and I am being the responsible patient and I get fucking labeled. Really gets me pissed off when I think about it. What about the guy who does the classic one where he get a pain perscription takes all of them in 3/4 days then comes back and says they didnt work for him so he had to self/over medicate and does not have any left but needs a stronger med? That guy or gal gets their new med by the Dr when they just abused the perscription. They should have tried to reach the dr by phor e-mail and id'd the meds werent working and that he intended to increae the dosage until he could be seen again at the very least. But No that A-hole gets rewarded and I get fucking punished for being honest. So he sits around getting high and I sit around in pain.

Sorry, had to get that out...I will stop bitching now

v/r

B
 
I was hesitant about keeping this open - I consider telling pain patients to go cop drugs illegally the antithesis of harm reduction (largely because of the effect this could have if discovered by their physician) and when the OP started to talk about driving to mexico to get drugs that seals it.

If you want to legitimately discuss pain management, check out the mega thread in OD... if not -

CLOSED
 
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