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  • EADD Moderators: Shambles

Phantom Withdrawals

I maintained on oxy for a while but the half life just wasn't long enough.

I remember taking it for the first time, 20mg and I was on a cloud. None of the doses I take do shit now just satisfy my cravings.

You ever had it?
 
no mate i mosly just do heroin. pharm grade ive had codeine, dihydrocodeine, oramorph which i thought was shit. and a different morphine liquid whch im not sure the exact name of. But it was better than oramorph. and subs years ago and the dreaded methadone.
Getting good gear round my way atm which has been constantly good for a good while now. I hope it keeps getting better.
How is oxy compared to h? is it a similsr high, if u take enough of it to feel ote
 
GarageFlower said:
... that withdrawal smell
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Bwaaaahahahahhaahhahaha!!! That is a smell I know so very well but rarely hear it discussed. I lived in a B&B for a while whilst I also worked (at a lingerie factory cutting the lace for gussets as it happens) so had money to fund a decent-sized habit legitimately when buying in bulk. Of course buying in bulk means using in bulk so never managed more than three days a week in work and spent the rest of the week either nodding or sweating. The landlady came in to change the bedding weekly and it clearly made an impression cos she specifically mentioned "a strange smell" when she complained to the local homeless charity who'd got me placed there when she found syringes in my drawer (charity worker told her I was a diabetic which earned her eternal brownie points and no mistake :D)

On the actual question, yup, the mind controls everything. Consider the "Brain in a Vat" scenario (or the basic premise of The Matrix if you prefer). There is really no way of truly knowing whether anything exists outside of your own mind. As such, anything the mind can do is real - or unreal if you prefer - because there is no possible alternative.
 
da man said:
i thought it was too good to be true. An addict of any sort getting precribed any opiate other than the shitty maintenance drugs that are subs or meth.
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I have a long history of substance abuse including opiate addiction and I can get myself scripted opiates pretty easily, was recently on 2 x 60mg morphine mst + DHC for breakthough. If you have a genuine reason for being prescribed them then it shouldn't be too hard to organise.
 
I'm not sure where this myth that pain management is so difficult to come by in the UK and also the myth that if you have a history of substance abuse and then sustain a painful injury or illness then you have no chance of getting any sort of (effective) pain relief comes from.... It's just not true.

I think some people are taking their own one off experiences with bad GPs and assuming they are universal .....they aren't.

I was in pain management for 20 years and had a history not of substance abuse in the conventional terms but running out early/ taking too much etc. And while I'm not saying it didn't make a difference, they duty to treat the pain that manifested itself from the legitimate medical condition was still there and the pain still treated.

As cat says, he has a history of substance abuse but when he had his shoulder op he had a genuine need for analgesia which was met. Yes if you don't have a genuine condition you won't be offered shit loads of opiates for no reason but saying that pain management is near impossible to obtain in the UK just isn't true and IMO sacres people unnecessary.
 
I finally got an appointment with a pain management clinic last week. Has taken several years and endlessly being passed off from GPs to addiction services and back again (neither wanting to treat me as GPs only see drug seeking and addiction services only see chronic pain). There are two specialist pain management consultants in all of Wales apparently. Unless you can pay for private treatment it is far from swift and straightfoward to be taken seriously in my experience. Yes when somebody has a clear and unequivocal diagnosis that's one thing but that is not necessarily the case.

I can only go by what I've seen but looks to me that pain management is very much a Cinderella service in the Welsh NHS at least. Tatty clinic in the middle of nowhere split between chronic pain management services and inpatient mental health care. The Welsh NHS is somewhat different to the rest of the UK though so not suggesting this is universal but it appears to be the very bottom of the barrel in terms of funding and support - the fact it's shoehorned in to an inpatient mental health clinic says it all really. Pain management and mental health care being barely on the NHS radar in my small and personal experience.

In fairness I did also get an appointment to see the other pain management consultant who covers Wales a couple years back. That was held in an outpatient ward at a hospital, was insanely overcrowded and I got nothing other than being lied to and patronised to my face with a snotty letter to the GP telling him not to send any more "drug seekers" to see him as he's too busy to waste his time on "people like that" (words very much to that effect anyway).

As far as treatment goes, I was given a relaxation CD and a booklet on positive thinking with a place on their next course pencilled in for the end of the summer. Will have to see how that goes but urgency is very much not a part of the system as far as I can tell - chronic pain being chronic and not acute and all that, I suppose.
 
It does very much seem dependent on the area and of course ones view of the system will be dependent on personal experience .. My pain clinic was also in the same building as a mental health hospital as well for some reason but as for prescribing it is a lottery depending on the doctor you get. It shouldn't shouldn't be like that as NICE guidelines exist but unfortunately it is.

Apologies for all the typos but for.some reason ok it won't let me go back and correct them .. .. .. Bahhhh
 
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Shambles said:
I finally got an appointment with a pain management clinic last week. Has taken several years and endlessly being passed off from GPs to addiction services and back again (neither wanting to treat me as GPs only see drug seeking and addiction services only see chronic pain). There are two specialist pain management consultants in all of Wales apparently. Unless you can pay for private treatment it is far from swift and straightfoward to be taken seriously in my experience. Yes when somebody has a clear and unequivocal diagnosis that's one thing but that is not necessarily the case.

I can only go by what I've seen but looks to me that pain management is very much a Cinderella service in the Welsh NHS at least. Tatty clinic in the middle of nowhere split between chronic pain management services and inpatient mental health care. The Welsh NHS is somewhat different to the rest of the UK though so not suggesting this is universal but it appears to be the very bottom of the barrel in terms of funding and support - the fact it's shoehorned in to an inpatient mental health clinic says it all really. Pain management and mental health care being barely on the NHS radar in my small and personal experience.

In fairness I did also get an appointment to see the other pain management consultant who covers Wales a couple years back. That was held in an outpatient ward at a hospital, was insanely overcrowded and I got nothing other than being lied to and patronised to my face with a snotty letter to the GP telling him not to send any more "drug seekers" to see him as he's too busy to waste his time on "people like that" (words very much to that effect anyway).

As far as treatment goes, I was given a relaxation CD and a booklet on positive thinking with a place on their next course pencilled in for the end of the summer. Will have to see how that goes but urgency is very much not a part of the system as far as I can tell - chronic pain being chronic and not acute and all that, I suppose.
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Lets face in though you are a drug seeker same as I am.=D

Legitimate need or not I bet you try to manipulate the situation to result in the most amount of meds. What are they supposed to do without a diagnosis anyway? What's the issue?
 
Didn't you first get a codeine script and then later buprenorphine for your pain, Shambles?

Are you still on the buprenorphine? That's already a rather strong analgesic.. are you trying to get oxy or morphine now?
 
When I was in the hostel this kid used to sell his meds.

He was skint one week so he ended up selling me a 200ml bottle of morphine for under a tenner

Didn't really get anything from it though, even in massive doses! I was expecting to get fucked from it, read on here afterwards it wasn't very active orally.

Was good for keeping away WD's when my methadone script fucked up in there though!

I didn't think that their away a difference between Oramorph and Oral Morphine though?

A close member of the family gets the Oxynorm liquid. Made by NAPP Pharmeceuticals? Orange stuff?

That's what started my love affair with opiates....that's what I got my habit on before H. Still take it daily.
 
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As fair as I'm aware the only brand of instant release morphine sulphate elixir sold in the UK is Oramorph. It is sold in several different concentrations however. There are a few different brands of the pills but only one of the solution. The 10mg/5ml version isn't on the controlled drugs list as it's considered too low a concentration. The higher concentration ones are though.
 
Definitely yes. I get the same thing as most people here when the tube into the left testicle swells up and pushes back into the abdomen, causing a point at which a sore occurs.
 
THECATINTHEHAT said:
Lets face in though you are a drug seeker same as I am.=D

Legitimate need or not I bet you try to manipulate the situation to result in the most amount of meds. What are they supposed to do without a diagnosis anyway? What's the issue?
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I've consistently argued down the offered prescriptions whenever it has come up. Unfortunately it has come up so rarely that I give up and end up looking after my own needs to obvious results...

If I knew what the exact issue was it would not be such an issue would it. All I know is that I have been in pretty extreme pain off and on since early childhood. If it is drugseeking it is the world's worst example of it due to almost never getting any. Plus the fact I would have had to have planned this sometime during primary school due to the sheer quantity of time off school I had to have. Even fukkin ATOS accept it as being genuine chronic pain. It's only the NHS which doesn't which really is quite irritating after 30-odd years of asking for help.

lurching said:
Didn't you first get a codeine script and then later buprenorphine for your pain, Shambles?

Are you still on the buprenorphine? That's already a rather strong analgesic.. are you trying to get oxy or morphine now?
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Sort of...

The codeine (and benzos) were stopped a couple years back because the governent specifically clamped down on scripts for chronic pain. This meant people in such situations had to find a pain management specialist to take them on and - as stated - there are two for all of Wales. And at least one of them is a cunt.

I have been bounced on and off bupe for addiction because that is the only way I get any treatment at all so I simply get myself addicted to opies if needs be. I'd much rather not do this but I also cannot function properly without a certain basic level of analgesia. Bupe is almost certainly too strong at the prescribed levels but is the only option open to me currently and then only at junky levels (which are way higher than when it is used as analgesia alone). I take less than I am prescribed but is difficult in Subutex form. Temgesics come in much lower dosed pills so easier to titrate. As such, am either overmedicated or borderline disabled and left with fuck all.

The system is shite.

(to be clear, i'm asking to be reduced to maybe dhc or perhaps a lower dose of bupe at temgesic levels rather than subutex levels)

EDIT: Possibly of some interest to some: Practical Pain Management. US-based site but looks to have some interesting articles all the same.
 
I believe temgesic come in 200 microgram strength compared to subutex which comes in 8 milligram strength that is just ridiculous for pain management levels.....40 times as strong.

If you were on temegesic (which i was once),its usually 200-400mcg at prescribed levels. Whereas you hear of subutex patients commonly being prescribed 24mg so between 60-120 times as much....thats rediculous

Im sorry you havr had sucj bad experiences shsmbles but unfortunately living in a rural area as you do the choice to just keep trying different doctors and practices until you find a good one probably isnt available to you.
 
Pain killing effect of bupe runs out at 4mg with the stop in agonist activity (I believe). They not going to be keen to switch you from a scripted long acting opiate to a short acting one I can tell you that now.
 
To be fair, this second consultant (covers all of south Wales, "cunt" one covers all of north Wales, I live slap bang in the middle of Wales) didn't bat an eyelid when I outlined the DHC option. He simply noted that I would need to be tapered down from my current script and at some stage shunted over to what he described as a DHC maintenance script. I'm actually a little annoyed that I forgot to bring up Temgesic as I happen to find bupe to be a truly excellent painkiller for the specific type of pain I have - far better than morphine, codeine or DHC (the latter being the best of the rest, as it were). Yes oxy, diamorphine and fent provide even better pain relief but I know damn well they are overkill in my current situation and would much rather leave any such option open for the future if it ever becomes truly necessary than waste opportunity chasing highs I can quite easily get elsewhere if I really want to. I want basic, effective analgesia. Simple as that.

Except it very much is not as simple as that this last lifetime or so. I can't even blame it on the rural Welsh setting cos I lived in the heart of England with Oxford, Birmingham and London all within an hour or so's drive for a good decade or so and dealt with numerous GPs and specialists over that period just as I have done before and after. I honestly believe the chronic pain issue is a systemic problem for NHS patients in general. Good luck to those of you who slipped through the net and actually received sensible treatment but from all I've seen and heard y'all are massively in the minority.
 
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