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  • BDD Moderators: Keif’ Richards

Need advice on new scripts

A

Aporia

Bluelighter
Joined
Aug 8, 2011
Messages
164
Hey All!

I had a few minor questions for those wiser than I.
I was just scripted some promethazine-codeine cough syrup for a cough left over from the flu last week along with some Butalb-Acetamin-Caff for a gnarly headache. The doc said that the headach meds had a barbituate in it and I was wondering what any of ya'll can tell me about these meds.

I do plan on taking them as directed while I'm still sick but would like to feel nice if I have to be laid up all day.
No barbie tolerance here but a midgrade opiate tolerance. (takes about 40mg hydro to get adequate pain relief). Any information would be greatly appreciated. Especially what dose of the syrup I'd need to take to get good relief, if I can get good relief from it with a midgrade tolerance.

And ANY info on the headache med would be great. Never really had a barbi before and would like to know what to expect. The doc said it'd make me "goofy". Do the two potentiate each other?

Thanks guys. I used the search engine but SOOOO much random stuff came up.

Much love <3
 
Strange, can you elaborate on which barbiturate you got? It's rare that they get prescribed nowadays, least of all for stuff like headaches.
 
Aha, I don't really know anything about barbiturates though, so can't really help in that regard :\

They're downers though, so you should be careful of combining them in recreational doses with the hydrocodone and codeine.
 
The barb is called Butalbital and it's 50mg mixed with 325 acetamenophen and 40mg of caffine

the syrup is 6.25 promethazine and 10mg codeine
 
The codeine syrup is pretty pointless IME. I hadn't had opiates in years and had never done codeine before and I drank a whole bottle and nothin. Kinda disappointin.
As for the barb, I'm not familiar with those so sorry, can't advise.
Altho havin hydro, you could probably use the syrup as a potentiator. Just try small doses to start. Don't wanna od!
 
Okay, if it takes 40 mg hydrocodone to relieve pain for you, I wouldn't bother with promethazine-codeine cough syrup because the amount of codeine needed to get you feeling good or anything for that matter would mean you would have to ingest a ton of promethazine, which in higher doses acts as a deliriant, and you DO NOT want that. I would save the promethazine-codeine cough syrup for maybe when you had other opiates around, so you could take a little bit of the syrup, and the little bit of codeine would have an additive effect to whatever other opiate you had. You certainly don't want to be combining promethazine and codeine in higher doses (which is what you would need to feel anything from the codeine) with the butalbital pills (Fioricet). The Fioricet will be nice for you I think since you have no barb tolerance, and I have found them to be quite fun. I would suggest 50 mg - 150 mg as a starting dose, and then dose a few hours later a little more if you want. One thing is that barbiturates are very dangerous drugs, the lethal dose is very close to the recreational dose (or the therapeutic dose for that matter), and combing barbiturates with anyother CNS depressants is really dangerous, like especially dangerous, so DON'T. Butalbital hits first with its best effects IMO, and it feels kind of light and floaty and relaxing and "fun", and then it gets more subtle after a few hours, but be cautioned, the depressant effects are very much there even a while after you have taken butalbital, so don't go re-dosing with large amounts or dosing other drugs for a while. I wouldn't go over maybe 300 mg in a single day, like a 24-hour day, but I doubt you will need that much to be relaxed. Barbiturates are enjoyable and euphoric IMO, and not quite like benzos, more like a "clean" alcohol feeling. Just BE CAREFUL. Also, be prepared to sleep really well. Out of all of the drugs I have taken, barbiturates induce the deepest, but still very pleasant sleep. It is a unique sleep that is just really good-feeling, not like benzos or booze.
 
Ah man, well I took two more of the barbies. 100mgs about 4.5 hrs ago and 100 mgs now. I was going to take 30mls of the syrup too but I guess I'll hold off on that and just bear with the cough. But my headache came back and it took me two of them to chase the headache away in the first place. Cough is back too but now I'm a bit scared to go redosing on it since I'm not sure how it'll react together. I am taking more than perscribed but not heroic doses like if I was getting high because thats the level I need for relief.

Looks like I am going to have to talk to my doc tomorrow and let him know that the meds aren't working. I'm okay taking more than perscribed with opiates but I know nothing about barbs.
 
unfortunately the codeine promethazine syrups you hve to check that the rtio of prometh isnt too high compared to the codeine.. as for the butalbital based med (barb) i doubt you can get high on it because the APAP and other ingrediant will be too large a proportion of the medication.. but this is mostly speculation
 
Butalbital goes nicely alongside codeine and for potentiating other opioids. Not particularly recreational on it's own, but relaxing and anxiolytic.

I had some Fiorcets w/ 60mg Codeine; those were the shit, even the caffeine wasn't hateful. Keep me awake n' buzzin' during class. My tolerance hasn't been low enough to catch a high off codeine in awhile though. :(
 
Fiorcets are regularly prescribed locally for headaches, usually migraines. I've seen lots of them and had them many times. Just be careful with them, one time I slept in the bathtub all night long because of them.
 
The barbies (for headache) made me VERY sleepy last night. I'm actually worried about taking them during the day for my massive headache. My hubby doesn't really want me sleeping all day...

What a hassle. The work great, if I take double the scripted dose but they also make me loopy and very very tired.

So just how much codeine is in a tyelnol III? My doc said that each dose of my syrup had the same amount of codeine as a tyelnol III.
 
Last edited:
I was but one barb didnt phase my headache so I took two but not any cough syrup. I called my doc today to let him know that the doses he scripted wasn't working. Now just awaiting the call back.

Thanks for the info :-)
 
nsauce said:
I thought you planned on taking them as directed?
Click to expand...

That was my impression as well.

How do they work on your symptoms (not referring to your need/desire to get high)? Are you feeling any better?

Also, I find that butalbital gives me a major headache - I won't touch that shit anymore. Blech. Codeine either, for that matter.
 
Neither one worked that great on my symptoms. I've just been dealing with the headache till I can get back to the doc tomorrow. Does anyone have a suggestion for headache meds to help tension headaches? The doc said that the barb was suppose to relax me and that would take my headache away, however the barb just puts me out like xanax and I kinda need to be able to function headache free.
 
Meperidine/pethidine (Demerol) can work very well for headaches of all sorts. It relieves tension and pain due to the opioid action, and also via other action. I believe it works on NMDA-receptors, and is serotenergic as well, but I am not sure on that. It doesn't last terribly long. Some find it very euphoric, others don't really care for it so much. Be careful though if you do use Demerol for it shouldn't be taken in really high doses or for prolonged periods of time, it is neurotoxic and cardiotoxic (IIRC) and lowers the seizure threshold. If this headache is in anyway migraine-related, even if it isn't, an anti-histamine might be worth a try preferably a first-generation sedating one like diphenhydramine or even promethazine, but you said that didn't help. I am surprised the butalbital didn't work. It is quite a good headache med. Fully natural or semi-synthetic opiates COULD help, but they could also make it worse. Carisoprodol (Soma) is quite relaxing, both physically and mentally, and has some analgesic properties. You could try that. NSAID's can help a good deal with headaches in general, naproxen (Aleve) is a good one, but there are also rx NSAID's like meloxicam (Mobic) or celecoxib (Celebrex). I hope you find relief.
 
Thank you! It's good to go to my doctor with some knowledge under my belt. The barb's did work but I had to take two of them and they made me super sleepy-I have a youngin so I need the relief without the grogginess, ya know?

The headache came along with the flu but the flu is gone and the headache is still here. I wake up fine and as the day goes along the headache gets worse till it's pounding at night.

And I tried the over the counter meds-even at double the max dose and they didn't work. That's why I went to the doc in the first place! Thank you again :)
 
For those who were helping I finally got to see a real doc today and he ordered xrays and a cat scan and percribed imitrex and hydrocodone with apap. I hope they help but unfortunately my insurance doesn't cover the imitrex and the hydrocodone he perscribed was polygesic and no pharmacy where I live has that medication. So for now I'm stuck with the headaches till my doc gets a hold of me :(

Thank you all again for your help! I just wish the doc would give me something without the apap in it as I've consumed enough in the last two weeks to give me stomach pain :(
 
The Imitrex will likely not help, hate to say this, but it is true. Triptans like Imitrex are best taken right before a migraine headache begins, not after it has been existent for some time. The hydrocodone could help, likely will due to its opiate analgesic effects in general. One drug I forgot about is prednisone, a steroid, which could help a great deal with the inflammation. You could take it for a few days, and then due a really quick taper, and that might get rid of your headache.
 
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