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Heroin Overwhelming paranoia around respiratory depression + heart rate

trevic

Bluelighter
Joined
Oct 27, 2014
Messages
44
So I’ve tagged heroin but this is about several depressants really. Lately I’ve just developed this deep seated paranoia around resp depression, especially since I’ve been using different drugs in the same day sometimes — though I wouldn’t say “combining”. So I have a few questions that I have working ideas of but I’m looking for input on it. I relapsed recently but back in the day I didn’t deal with this issue as much, except with genuine close calls — though I am prone to anxiety since I am diagnosed with generalised anxiety disorder.

So today for example I was doing some GBL this morning. Three hours after the last dose (dosed multiple times from 2am, my sleep schedule is a mess/nonexistant since I stay up for ages doing drugs) I felt sober and felt like I’d left enough time to smoke some gear slowly. My high is ruined though — and I’m not getting the euphoria I want — because I’m not smoking enough, because I’m so paranoid about breathing, because I feel like I’m combining depressants. Like there’s some G lurking in me that is going to suddenly result in severe depression. But if I’m no longer feeling active effects from the G, and I’m beyond the window that effects last, even if my body is still processing it out, then it’s not having any significant effect on my CNS right? So surely I should be fine smoking pretty much like normal? It’s been over four hours since I did it at this point! But the anxiety of course makes me feel like I can’t breathe and I intellectually know this but still worry. A couple of days ago I smoked into the early afternoon, left a good 7 hours and did some pregabs. Logically, I know the high from smoking gear doesn’t last that long and I was sober when I did the pregabs, still worried about it. It wasn’t until I’d fully peaked on the second pill I took an hour in (and instantly regretted anxiety wise, though the high was great in the end) that I felt safe, the whole time before I was drowning in anxiety. After that I was fine and ended up redosing and feeling great for the night (had gone a few days without pregabs and tolerance had dropped). It takes me personally about 2 and a half hours to peak off them though so that was three and a half hours of worrying I was gonna die which isn’t fun and I live alone which doesn’t help.

Also, I get paranoid when I’m not even very high, like I’m completely functional and you wouldn’t even know I’ve been smoking talking to me but the paranoia stops me from getting to where I want sometimes. I wouldn’t be at danger of serious respiratory depression if I’m not like, pretty fucked up right? Like if I’m not nodding, I’m walking about, maybe quite high but completely functional, there should not be any significant resp depression right? The other day I stayed up and did the pregabs cause I was afraid of sleeping after the gear, like I thought I’d stop breathing in my sleep. I’ve had that before back in the day when I was injecting, but I was actively nodding out heavily. Now I’m basically sober, only smoking, not smoked for hours and I get it…

Also also, I’ve become paranoid about my heart rate while using depressants. Worrying about high heart rate is an old standby of mine and a big part of why I can’t smoke weed anymore/ why I always hated stims. Now I’ve unlocked a new fear as a result of buying a bloody Apple Watch. When I do opiates or GBL, opiates most of all, my heart gets REAL slow. This is obviously a normal effect, but I’m talking like 41 bpm resting sometimes if I’m really high and laying on my bed. Apple Watch is quite accurate but I’ve double checked this manually too and still found it in high 40’s, obvi rises a bit checking it though. My normal heart rate is in the 60’s resting, is so low something to be concerned about, it definitely would be sober but I have no idea what others people’s heart rates are on these drugs? I feel fine when it’s this low until I notice and worry, not lightheaded, no chest pain, can get up and do stuff fine. Anyone else get their heart rate so low with these drugs? I suppose it might have always been like that but never noticed, my watch kept giving me notifications about bradycardia though until I changed the threshold to 40. I know they slow your heart rate, but that seems extreme.

This whole thread is just me being an anxious wreck, but that’s a big part of what I’m trying to eliminate doing these drugs, I’m frustrated that it’s beginning to ruin them for me, at least at points. Anyone have any input on doing another depressant on the same day but when the first has worn off, resp depression generally or the low heart rate?

Feel like my threads don’t get that much attention 😔 but I’d really appreciate some advice here even if this post is a bit of a rambling mess.
 
The heart rate thing isn’t out of the ordinary, cardiovascular collapse is a secondary worry to respiratory depression for opioid use.

As for your anxiety with mixing drugs, this can happen as you get older and gain worry from previous close calls. Would you be able simply not use the gbl and pregabalin? I know it’s not the answer you may be looking for, but it is the safest route.
 
My advice is to switch to lighter drugs that don't cause respiratory depression or super low heart rate.
 
The heart rate thing isn’t out of the ordinary, cardiovascular collapse is a secondary worry to respiratory depression for opioid use.

As for your anxiety with mixing drugs, this can happen as you get older and gain worry from previous close calls. Would you be able simply not use the gbl and pregabalin? I know it’s not the answer you may be looking for, but it is the safest route.

Thanks for the response, I thought I had email notifications on but I guess I didn’t so I missed this response.

I know CNS depressants cause bradycardia but low 40s just seemed rather alarming. Looking into it more though sinus bradycardia seems to not necessarily be dangerous as long as it it doesn’t drop below 40 and especially 35 and there is not like fainting or chest pain or anything. I can get up fine, heart rate is able to raise to meet my needs even if it’s still lower than it would normally be. I guess I just need to live with it cause dropping the depressants isn’t really an option. I was just wondering if anyone else’s drops so low.

When I made this thread I was particularly anxious but I’m feeling a bit better with it now. I’ve realised that for whatever reason I’m EXTREMELY sensitive to sleep deprivation — even 24 hours seems to affect me much more severely than the average person. When I add opiates to the mix I become kind of crazy to be honest, it magnifies it massively to the point that I have symptoms of like 36hr or more sleep deprivation. I slept the other night on gear though and felt safe doing it cause I was more logical, hadn’t been up for 24hrs-40hrs and fried my self with an opiate on top of it. I think I need to focus on being better with my sleep to help my anxiety.

As for dropping the GBL and pregabs, I’m addicted to the pregabs though not physically dependent — I feel fine without them, no withdrawal, but I’ve definitely got a psychological dependency. The GBL is nice but I can take or leave it. Dosing it is a nightmare cause the line between a really intense, great high and passing out is so thin. Not had a dangerous overdose on it or anything, feel fine when I wake up from like a brief period of being unconscious but it is annoying. Wish it lasted longer too. Passed out twice at my desk the other day and woke up with one arm completely numb the first time and then half my tongue numb (which lasted the whole bloody day) cause I’d passed out slightly biting it on one side the second, desk chairs aren’t great for passing out in. But anyway, I’m rambling again. The GBL and pregabs are how I stave off a physical dependency on the gear/oxy’s since they help me get more days between using (I currently use twice a week) so dropping them isn’t really an option for me. I’ll try to just use a single drug in a day though but if I do use two, once the high has completely gone it’s relatively safe to use another drug if I’m careful about it right?

I’ve brought a pulse oximeter which is helping with my anxiety. Obviously it would be useless if I was IV’ing but I figure since I’m smoking slowly it’s useful to see if my sp02 is starting to drop, certainly helps me mentally when I’m worrying and then it’s actually like 98%. Not as useful with the oxy of course but I’m mostly doing the gear now, just using up the few oxy’s I have left.

Anyway thanks for the response and sorry for writing a novel back.
 
My advice is to switch to lighter drugs that don't cause respiratory depression or super low heart rate.

What lighter drugs? Weed? I wish I could but it just makes me crazy anxious, though I have thought about maybe trying again soon. When I used to smoke heavily all the time years ago, at first I had the crazy anxiety but it faded in time. It would be the perfect drug to space out my heavier drugs if I could enjoy it again. Ultimately though, I’m addicted to these drugs so switching is difficult.
 
No, definitely not weed. Weed is terrible for people with anxiety. I was thinking you could switch out the GBL for kava and switch the opiates for kratom and akuamma seed.

Those are some great suggestions and I really appreciate it.

Sadly, as much as I wish I were, I'm just not that kind of guy. I have to go all the way, It's just how I'm wired.
 
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