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Harm Reduction Multiple Drug Intoxication - It's a Killer, let us help prevent it.

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doppelganga196

doppelganga196

Bluelighter
Joined
Jun 30, 2009
Messages
1,084
Location
London
Okay, before I reach my 1000th post I wanted to start an important thread on Harm Reduction.

Combined drug intoxication, from polydrug use/abuse, occurs most commonly under the effects of the following drugs - Opiates when combined with other central nervous system depressants such as Alcohol, just one drink you fall down drunk, two drinks you fall down dead.

Right now i'm on Methadone 55 mg Amitriptyline 125 mg, 50 in the day to potentiate the analgesic effects of methadone & 75 at night to help sleep. Diazepam down to 4 mg per day from 30/40mg per day.

This is what i currenly take everyday & i'm very aware that it could easily result in m.d.i, like by having one too many beers or benzos, or perhaps adding another "breakthrough opiate" like poppy tea or heroin, in combination with (even low) doses of benzos & or even light drinking.

* Apologies if this thread appears unfinished, i'm having some problems with my connection.

Anybody on here that feels they are on a combo that is on the edge of fatality post it please Thanks.

Fentanyl, Methadone & Heroin seem in combination with benzodiazepines & or alcohol to be the most risky of combinations, oft resulting in fatality.

How many bluelighters here take powerful pharmaceticals, either frequently or daily, maybe because of pain management, feel adding drugs like alcohol, benzos or maybe antihistamines could result in serious even fatal case of multiple drug intoxication?
 
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^
show it to me man^ With the above combos mentioned on here by bluelighters everyday i think it should be sticky
 
Celebritys of course are an excellent example,

Jimmy Hendrix - Alcohol in combination with barbiturates caused his unnatural death

Heath Ledger - died taking Vicodin everyday along with Valium & temazepam at night, then going on benders & taking oxycodone with the antihistamine diphenhydramine which caused him to just stop breathing.

These combos i see mentioned here on Bluelight allll the time.

Whitney Houston - Xanax, cocaine, alcohol & flexeril.

Anna nicole Smiths son died just from taking Zoloft & Lexapro with Methadone.
 
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I never take combos anymore unless I have thoroughly researched them and am taking them for medical reasons. I learned my lesson a long time ago as a teenager by taking benzos and heroin and being lucky to survive. I also found myself puking my guts out all night from drinking alcohol while on heroin, not at all fun. Mixing drugs is the number one cause of drug related deaths (as far as I know).
 
i think it is already pretty common knowledge that combinations are pretty dangerous. I don't think people are ignorant that combining downers can cause respiratory depression (which can lead to death), and combining uppers and downers can cause heart problems/increased strain on the body (which can lead to death). I think instead of preventing combinations, as preventing things from happening doesn't work, we need to educate on how to consume them safer (look at the war on drugs, you can't stop people from using drugs). We can tell people to not combine them all we want, but we need to more importantly tell people to not drink more than 1 shot, or take half the amount of benzos you are used to with the reduced dose of opioid, etc.
 
Effexor 150mg and Pregablin 450mg for anxiety and I also dabble in Opiates , I reckon there is a cross tolerance with opiates and pregablin, my opiate use is mild maybe 300mgs of codeine via OTC stuff I hate being on it as I'm off Alcohol the past 10 years :)
 
^ " " (look at the war on drugs, you can't stop people from using drugs). We can tell people to not combine them all we want, but we need to more importantly tell people to not drink more than 1 shot, or take half the amount of benzos you are used to with the reduced dose of opioid, etc. "" ^ * Quote - Cloudy

I'm not about telling people not to combine, i'm saying, let us talk about how we can manage reducing harm if/when taking, ingesting, administering such drugs.

"" We can tell people to not combine them all we want, but we need to more importantly tell people to not drink more than 1 shot, or take half the amount of benzos you are used to with the reduced dose of opioid, etc. "" Quote - Cloudy

That is exactly what i want to discuss; for example if a person takes say, morphine. Then mixes an antihistamine to "potentiate" the morphine, maybe decides to drink a beer or take a benzo too - always use moderation. Take half your benzo dose (less really is more) just one drink, we all know sometimes even just one drink can spoil the true nature of an opiate high anyway.

I'm not here to preach, just remember like they say on Erowid - " Know your body, know your mind, know your substance, know your source "
 
I had a couple of friends that did too much mixing and stopped breathing for the last time. Both were oxy and xanax and both were opiate and benzo experienced. Goes to show that no matter how much you do day in and day out that last one can tip the balance and over you go.
 
What more is there to discuss? All the info people need to avoid bad combinations is right here already.
 
i've often taken speedballs (coke + whatever strong opioid/opiate i could find) and they are also supposed to be dangerous as fuck.
i've never had much of a problem mixing benzos with alcohol as long as my alcohol and benzo intake was low to moderate. popping a medium to large dose of benzos and then hitting the hard liquor is a guaranteed recipe for disaster, even if it doesn't end with a trip to the ER or death, you're liable to do some really, really stupid things on that combo, because of the strong disinhibition, also there's a very good chance to get anterograde amnesia and whatnot.
also, alcohol and mdma. never took it together, but a friend of mine once popped two hits of x after drinking about half a fifth of pernod, undiluted and on an empty stomach. we were all, very very sure that he'd have a complete collapse or a coronary or something, he couldn't talk right, couldn't walk in anything but s-lines and generally looked like he was an inch away from dying. i was almost sure i'd have to phone an ambulance, but he pulled through without anything happening, but i'm sure it was a very close call.

edit: i don't want to endorse anyone mixing benzos and liquor. i have a high tolerance to both, so a few beers with 3-4mgs of alprazolam is a good way to spend a relaxing evening. this may certainly not apply to you.
 
doppelganga196 said:
^ " " (look at the war on drugs, you can't stop people from using drugs). We can tell people to not combine them all we want, but we need to more importantly tell people to not drink more than 1 shot, or take half the amount of benzos you are used to with the reduced dose of opioid, etc. "" ^ * Quote - Cloudy

I'm not about telling people not to combine, i'm saying, let us talk about how we can manage reducing harm if/when taking, ingesting, administering such drugs.

"" We can tell people to not combine them all we want, but we need to more importantly tell people to not drink more than 1 shot, or take half the amount of benzos you are used to with the reduced dose of opioid, etc. "" Quote - Cloudy

That is exactly what i want to discuss; for example if a person takes say, morphine. Then mixes an antihistamine to "potentiate" the morphine, maybe decides to drink a beer or take a benzo too - always use moderation. Take half your benzo dose (less really is more) just one drink, we all know sometimes even just one drink can spoil the true nature of an opiate high anyway.

I'm not here to preach, just remember like they say on Erowid - " Know your body, know your mind, know your substance, know your source "
Click to expand...

Ahh kk, misunderstood your intent. I totally support spreading knowledge on dangerous combos, and I regularly do. It doesn't matter if I know they have been bluelighters for a while, a junkie whose been using for years, a friend who really doesn't know, or an acquaintance I hear discussing dangerous combinations. Harm reduction is a huge part of my life, and I push everyone on bluelight to spread HR to everyone you can. If you can save one life, then you've done one of the most beautiful things you can in this world imo.
 
xxxyyy said:
i've often taken speedballs (coke + whatever strong opioid/opiate i could find) and they are also supposed to be dangerous as fuck.
Click to expand...

Unless you take too large of an opioid dose and OD when the coke wears off, they really aren't all that dangerous. Using IV coke and heroin has a host of problems associated with them but lots of people have a false believe that combining the two is exponentially more dangerous or that mixing stimulants and sedatives is inherently very risky. The treatment for a lot of stimulant overdoses is sedatives (benzodiazepines)!

I would not advise people to go out and mix lots of uppers and downers but just wanted to not promulgate that particular misconception.

I am also of the mindset that this thread is redundant when the rest of this forum is dedicated to keeping people safe and as I expected, not much has come from this thread. If this was that necessary or interesting, you wouldn't need to bump it yourself, OP (which you shouldn't do anyway as it violates the guidelines).
 
Meh (as the kids these days say)

My intentions were good. I felt if bluelighters (as many on here do) talk about their polydrug use/abuse, that they do freqently, it would help them acknowledge the dangers & how best to keep them safe even if we decide to do them (drug combos) anyway.

To us we might think "oh, we all know it's not safe to drink when you're on prescibed opiates, or throw in 4 mgs of lorazepam when you're on fentanyl", but people really are talking about doing these combos all over bluelight.

Maybe i should have given the thread a different title like - 'How to avoid death if you are going to mix opiates, benzos & other cns depressants'.

For example, somebody who is prescribed Vicodin & Ativan & takes them everyday, decides one night they want to get high so they take a sedative antihistamine to "potentiate" the opiate, maybe even adds an extra opiate like morphine or oxycodone because they no longer even feel the Vicodin & also throws in a couple Valium cos they're so used o the Ativan. Even if they use low-ish doses of the recreational drugs they could easily fall asleep & wind up with a permanant case of not breathing.
 
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Cane2theLeft said:
Unless you take too large of an opioid dose and OD when the coke wears off, they really aren't all that dangerous. Using IV coke and heroin has a host of problems associated with them but lots of people have a false believe that combining the two is exponentially more dangerous or that mixing stimulants and sedatives is inherently very risky. The treatment for a lot of stimulant overdoses is sedatives (benzodiazepines)!

I would not advise people to go out and mix lots of uppers and downers but just wanted to not promulgate that particular misconception.

I am also of the mindset that this thread is redundant when the rest of this forum is dedicated to keeping people safe and as I expected, not much has come from this thread. If this was that necessary or interesting, you wouldn't need to bump it yourself, OP (which you shouldn't do anyway as it violates the guidelines).
Click to expand...

thanks a bunch for the reply.

edit 2: yeah, i know that combining a speedball is no more or less risky tha shooting h or coke, it's just that you have to get two dosages right. i mean there are tons of things so much more dangerous, like huffing glue or taking deliriants.
i know that speedballs aren't the horrrrrible shit the media maded it out to be, but when i feel like a speedball, which for me is the absolute epitome of drugs if the gear is good, it has happened once that i mixed up a morphine shot with with a white powder i believed was coke, but was actually a very poorly cut mishmash of left over drugs he slung to highschool (well, the german equivalent of it) kids and thank god, since his coke was very good back then i only added a little (the morph was mine). while not really 'a horror trip', the morph was top notch and when i started to get the picture, i popped the rest of my flunitrazepam and decided to bail.
i made it home okay, the combination of morph and flunitrazepam took the worst of, it was some batfuck blend of hallucinogens (mostly natural), a shitload of ground up pills stolen from his parents - and off course useful stuff, like tilidine, bromazepam or carisoprodol he pocketet and some batfuck concentrate he slowly boiled from all those deliriant scopolamine plants, in which he then soaked the powder. good thing i was tired as fuck and put really, really litlle into my shot

even though it probably was self evident, i shoulda mentioned that i was at a party

yeah, i mean kids 'try' to get high on scopolamine/hyascamine containing plants, an acquaintance (now dead) had no qualms sharing needles, always saying that HIV is a myth created by the pharma industry, a girl i knew in college once drank a magnum of absinthe on a dare (she survived unfortunately) ah god. the list goes on.
 
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also, really? my mother was given high-dose fentanyl 4 times a day orally, 2mg all in all, and 4 IM injection of morphine 10mg every few hours.
on top of that i had her on a shitload of lorazepam, because it was the only thing that curbed her nausea and panic adequately.
and i know, she was terminal, so who gives a fuck, but still, sometimes it does bother me at how sensitive people get about poly-drug abuse.
just because you combine two or three cns depressants, doesn't make you a dead man walking. i've been doing this shit with very little pauses for ten years, and yeah, maybe i miscalculate and die, but so far i know my body and what i can mix and how much of that fairly well. i'm saying, i've never waken up in the ER because i don't know my limit, and i've spend a considerable amount of my time reading up on the shit i take.
it really is not the same as some teenager coming in and saying, LOL i found all these funny pills in my parents bedroom, and the computer tells me they get you super fucked up! better get a mike's hard lemonade from the fridge so i can really partay.

(put in italics because it was a slightly unfair rant, i'm running on super little sleep and that always makes me edgy as fuck. welll that, and the EPH.
 
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