I seriously doubt even a person with zero tolerance can get hurt by one 40mg pill, no matter what they did with it.
PHARM: Come on, you didn't get a kick out of watching Mr Encyclopedia blow his top? Like you said, it was quite ironic. I just took issue with a newcomer here claiming to be the all-pervasive opiate expert, especially when even he admitted his experience in a lot of areas was limited.
Anyway, I'm one of the people who likes dilaudid. Try plugging it, trust me. Far better than iv, I think, for the reasons you stated - a short rush then it's over.
I've Been experimenting with the bottle of 40mg opana ER my doc gave me. Even with my huge tolerance, I can't say oral was totally useless. Maybe if you're looking for a huge high, but just one of those pills orally kept my withdrawals away all day long, plus I did feel a wee bit of opiate goodness.
Snorting def gave me a more intense experience, but its sort of a pain to go through the whole crushing & cooking thing (it's recommended that you heat the crushed pill until the particles turn brown, helps get rid of the time release crap that makes it gel up).
I've actually had the least luck plugging it. It works, but the resulting high isn't so special. After cooking it only gels up about half as much, but maybe that's still enough to make it harder for the rectal membranes to absorb it, I'm not sure. Would love to hear from someone with med experience chime in on this.