opiates and opioids, what's the difference? Codeine and Tramadol questions as well

[Dirtyven]

is there a difference between opiates and opioids? If so, what?

Tramadol, on a scale of 1-10, how likely is it to cause respiratory depression? 1) alone and 2) mixed with high doses of benzos
Codeine, on a scale of 1-10, how likely is it to cause respiratory depression? 1) alone and 2) mixed with high doses of benzos

 

[Dr.HR]

Opiates are opioids.

The ability of pain medications to cause respiratory depression and the severity of it is due to a few factors like dose, strength, and tolerance you have. No way to give a clear answer.

Please be careful!

 

[Dirtyven]

yeah but there must be some sort of like scale, which one is more likely to cause respiratory depression
i heard tramadol has less of a chance of causing that, if that's true or not, i don't know, which is why i'm asking
i'm trying to find a chart, but it's hard

 

[Dirtyven]

i'm gonna go to a school and become a pharmaceutical technician, that's why i'm making all these threads and asking all these questions

 

[MindWeather]

There is most likely no chart as respiratory depression is dose dependent, anything you find will be probably be based on personal experience / anecdotal evidence.

 

[Dirtyven]

ah right, oh well
there's no one that can provide a chart? not a 100% accurate but like
A) Tramadol - how likely is it to cause respiratory depression?
B) Codeine - how likely is it to cause respiratory depression?
C) Hydrocodone - how likely is it to cause respiratory depression?
D) Oxycodone - how likely is it to cause respiratory depression?

Or if someone knows a link with what i'm trying to learn, link me, please
I will be googling at the same time as i'm waiting for an answer haha

 

[laCster]

Opiates are opioids.

The ability of pain medications to cause respiratory depression and the severity of it is due to a few factors like dose, strength, and tolerance you have. No way to give a clear answer.

Please be careful!

sorry, but this is wrong. opiates are naturally occurring alkaloids that a present in the opium poppy. morphine, codeine, thebaine, ect...are all opiates.
opioids are synthetically produced psychoactive substances that are derived from any of the opiates. this would include oxycodone, hydrocodone, buprenorphine, ect...

generally anything that binds to the opiate receptors i call an opiate, but technically speaking ^this is the correct terminology

ah right, oh well
there's no one that can provide a chart? not a 100% accurate but like
A) Tramadol - how likely is it to cause respiratory depression?
B) Codeine - how likely is it to cause respiratory depression?
C) Hydrocodone - how likely is it to cause respiratory depression?
D) Oxycodone - how likely is it to cause respiratory depression?

Or if someone knows a link with what i'm trying to learn, link me, please
I will be googling at the same time as i'm waiting for an answer haha

a) not that likely to cuase CNS depression especially because it inhibits the reuptake of NE
b) not that ikely to cause CNS depression because it does not bind strongly to any of the opiate receptors
c) depends on the dosage and tolerance of the individual, hydro is a medium-strong opiate..id say less likely than morpine but more than tramadol
d) more likely than hydro to cause CNS depression, there is still a risk, but again tolerance and dosage are key factors

 

[Dirtyven]

sorry, but this is wrong. opiates are naturally occurring alkaloids that a present in the opium poppy. morphine, codeine, thebaine, ect...are all opiates.

opioids are synthetically produced psychoactive substances that are derived from any of the opiates. this would include oxycodone, hydrocodone, buprenorphine, ect...


generally anything that binds to the opiate receptors i call an opiate, but technically speaking ^this is the correct terminology

So tramadol would be an opioid then, right?
Is it safe to mix opiates with opioids?

 

[laCster]

yes tram is an opioid, and what do you mean by safe?? mixing CNS depressants isn't really safe if you dont have a tolerance and take to much.

is it safe to mix them? my answer is yes and no

 

[mrflowers00]

opiates are naturally occuring drugs in the opium poppy and opioid drugs are synthetic or semi-syintetic derivatives of opiates

 

[Dirtyven]

i thought it was just dangerous to mix like opiates/opioids with alcohol or benzo
but is it risky to mix opiates with opioids as well?

 

[laCster]

yes, mixing 2 CNS depressants together is dangerous

 

[Dirtyven]

even those two?
thought it was just like opiates mixed with alcohol or benzos etc

 

[laCster]

yes, idk how many times i have to say it loool

opiates are CNS depressants. mixing opiates with other opiates or opioids would be like taking more of the same opiate/opioid.

 

[Dirtyven]

yeah but that's what i don't understand, they're practically in the same group, is it really risky mixing tramadol with codeine, i'm sorry for asking so many times but i can't wrap my mind around it

 

[laCster]

its not really risky, but its a little risky..

dude im not condoning mixing drugs, but i mix drugs all the fucking time. as long as you know what you are doing and keep your doses low you will be fine. taking 100mgs tramadol with 50-100mgs codeine isnt going to kill u

 

[NeighborhoodThreat]

Yes, just because they're in the same group of drugs doesn't mean they are safe to mix. In many cases, the opposite is true.

Mixing an opioid with an opiate is still mixing a depressant with another depressant.

 

[Dirtyven]

ah right, thanks for clearing all this up for me

 

[NeighborhoodThreat]

Not a problem. In practice, many people (including some medical professionals) interchange the terms "opioid" and "opiate" with each other.

 

[Dr.HR]

sorry, but this is wrong. opiates are naturally occurring alkaloids that a present in the opium poppy. morphine, codeine, thebaine, ect...are all opiates.
opioids are synthetically produced psychoactive substances that are derived from any of the opiates. this would include oxycodone, hydrocodone, buprenorphine, ect...

Thanks for clearing that up laC I was looking at it in the broad sense of the medical use.


Anyway, in general its just dangerous to mix meds/drugs together anyway. I was on a regiment from my doctors that included many CNS depressants and looking back I cant believe I am still here.

Your not looking to take these combos? Just inquiring how they would work together?

I took tramadol and norco together for a long time and while I would not recommend it, I did not have many issues as far as respiratory depression but one thing is, I had quite a tolerance at the time. I have never found tramadol to slow down my breathing by itself. But thats just me. For some people, tramadol can work too well and maybe affect their breathing.