Need ID on difficult to identify pharm

[Chocolate-Salad]

Last night, somebody I know procured 5 mystery pills without taking harm reduction practices and consuming them without knowing what they were. She arrived at my house halfway in happy daze. Ten minutes later the effects became more apparent with hard to control laughing and a sort of 'stoned' facial expression. I had her lay down, and after about an hour of questions I finally got some clues as to what the drug was.

She fell asleep after going to the bathroom half on my bed half on the floor. I had to carry her to tuck her in and she didn't wake. She was alright though.

She would only describe that the pill was oblong, white, and had the letters ( as she recalls only ) MB6 (No idea on the spacing). I looked hard on the internet, everywhere I could, for what it was.

Supposedly the lettering was black which makes me assume the pills were coated. By the way she acted and how she is now upon waking, I believe it to be some form of benzo.

***After much more looking, I just discovered the pill to be Wellbutrin XL which makes no sense that it put her to sleep two hours after taking it. (5x 300mg XL) She was very happy and smiley, but then tired and fell asleep. She didn't complain of headaches. Can anybody explain if this is consistent with an excess of wellbutrin. I'm familiar with benzos but not the former. I'm just trying to make sure I made the correct ID.

Thanks BL

 

[NeighborhoodThreat]

Well, first of all, Wellbutrin isn't a benzo. It is an atypical antidepressant and very mild stimulant. I seriously doubt what your friend took was Wellbutrin if they went to sleep after taking 5 300mg extended release pills. There's literally hundreds of drugs that could have made your friend fall asleep, though.

No way for us to know what your friend took. All we can do is speculate which isn't harm reduction. Does your friend have any more of the pills? Get the full imprint and you'll be able to find it online.

 

[Chocolate-Salad]

Well, first of all, Wellbutrin isn't a benzo. It is an atypical antidepressant and very mild stimulant. I seriously doubt what your friend took was Wellbutrin if they went to sleep after taking 5 300mg extended release pills. There's literally hundreds of drugs that could have made your friend fall asleep, though.

No way for us to know what your friend took. All we can do is speculate which isn't harm reduction. Does your friend have any more of the pills? Get the full imprint and you'll be able to find it online.

I initially assumed benzos due to her behavior being consistent with such, but after going through a list of meds I found the bupropion which she identified as exactly what she took. It confuses me too. There are no pills remaining and I'm trying to find the person in possession to supply an accurate imprint. My focus is harm reduction, and I'm educating the person of the risk involved in taking such actions.

 

[Jackeh]

Is it possible that she misread MB6 as M36 ? If so, it could be amitriptyline hydrochloride; it's been known as treatment for insomnia in some people which could explain her dropping off to sleep? It's also an anti-depressant which could explain the stoned feeling.

 

[Chocolate-Salad]

Is it possible that she misread MB6 as M36 ? If so, it could be amitriptyline hydrochloride; it's been known as treatment for insomnia in some people which could explain her dropping off to sleep? It's also an anti-depressant which could explain the stoned feeling.

She described the drug as being coated with black text. We've come to the conclusion that it really was wellbutrin. Thankyou for the help

 

[Swimmingdancer]

Well as Neighborhood Threat said, we can't identify pills here so all you can really do is what you did, look up the description and imprint online. I'm glad your friend seems ok - but she may still be at risk if what she took was extended release bupropion. Please try to convince your friends never to take pills without knowing what they are. 1500mg is a LOT of bupropion (Wellbutrin) to take if that's what it was. To give you an idea, the normal starting dose for bupropion is 50mg. A dose of 600mg increases the seizure risk 10-fold.

Here's some info on bupropion overdose:

Overdose of bupropion results in significant clinical effects in over one-third of cases. The most common symptoms include sinus tachycardia, hypertension, drowsiness, lethargy, agitation, nausea and vomiting, and in particular delirium and seizures. Less commonly additional symptoms include auditory and visual hallucinations, coma, and ECG changes such as conduction disturbance or arrhythmia.

In teenagers and adults seizures are more commonly observed with the seizure rate increasing tenfold with doses of 600 mg daily. One overdose study suggested a dose-dependent relationship with seizures; patients ingesting more than 4.5 g were likely to have a seizure and nearly all patients ingesting more than 9 g had a seizure.

There is no specific antidote for bupropion; treatment is supportive, and focuses on maintaining airway patency and controlling seizures with high dose intravenous benzodiazepines or barbiturates if seizures are refractory to benzodiazepines. Gastric decontamination may be of little benefit given the risk of seizures and aspiration but activated charcoal is recommended. Additionally, whole bowel irrigation should be undertaken in those ingesting sustained release formulations. Toxic effects may be delayed in onset, with seizures developing as late as 32 hours. Subsequently patients should undergo electroencephalographic monitoring for 48 hours.

Bupropion overdose rarely results in death, although cases have been reported. Fatalities are typically associated with large overdosage and related to metabolic acidosis and hypoxia as complications of status epilepticus with associated cardiorespiratory arrest. There is one published case report of successful treatment of refractory cardiac arrest in overdose of bupropion and lamotrigine using lipid rescue.[from Wikipedia]

 

[BeachBum4u]

All I can say is UFB! I can't believe someone would come across 5 pills, not have any idea what they are and pop them. WOW! That's like playing russian roulette. She may very well have died! Thank goodness she was with some good friends who kept an eye on her to be sure she was safe and still breathing when she dropped off. Please please talk to her and ask her to at least find out what see has before she decides to take them. With the internet these days, making an accurate ID shouldn't delay things very much. Hearing things like this really scare me! Common Sense???

 

[Swimmingdancer]

I don't think we can say much more since we don't do drug ID and I've posted the effects and risks of a Wellbutrin overdose. I really hope your friend is ok and that this has been a learning experience to research drugs before taking them. I'm going to close this since it's been over 24 hrs since the OP last posted but feel free to PM me if you have any questions.