Opioids Preparing an opioid w/d kit for unexpected situations

[speedballs_over]

This is not about sourcing, or how I source. This is about HR and easing the pain of opioid w/ds. Sorry for the longish post - thought you all might be bored...

We've discussed the best pharmaceutical and homeopathic substances for mitigating the hell of (un)expected opioid w/ds. This is not an attempt to rehash those debates & threads as they are quite complete.

I'm preparing a package of materials that I am currently prescribed or have been prescribed previously and still have around and are not outdated for the purpose of helping get through a requirement to taper, having lost control of your supply or just not being able to score for a while.

Coming off opiates safely at my place using the materials listed certainly is HR compared to kicking with no medical support. This assumes I don't/can't get to a clinic to help me and my only resort is home care administered by myself.

Here's what I have put together so far, additions to my list would be greatly appreciated. I'm mostly looking for different classes of compounds, i.e., adding alprazolam isn't what I'm after, but if pregabalin is better than gabapen I'd like to know that one (I don't know those well at all):

#90 300-mg gabapentin

#20 1-mg clonazepam

#10 8-mg Suboxone

#50 25-mg diphenhydramine

#30 0.1-mg clonodine

#100 2-mg loperamide (only for gut problems not as an attempt to cross BBB)

14-grams CO medical marijuana (hybrid and indica strains)

2 x sterile wound care kits from my syringe access program to treat sores & abscesses until a health care professional can look at it.

This kit is in a combination lock box, although I don't have kids, though I certainly have some "friends" better spelled "fiends"

I'm thinking maybe add:

DXM (it scares me personally)

other mu-receptor agonists with mild effects for after the subs are used up or as an alternative.

Kratom, PST?

Tramadol?

Trazodone?

The point here is to help myself and others interested in doing what I'm doing - create a first resort opioid detox 'first-aid kit'.

I encourage comments about the usefulness of this approach and if you folks think it's worthwhile.

Thank you.

 

[mew4]

the stuff u have will help alot, especially the clonidine and suboxone. the clonidine was the best at gettin rid of chills and shakes and stuff.

 

[edgewise1]

I have read a lot about Lyrica being 4-5 times stronger than gabapentin. I've never been prescribed gabapentin, but I am prescribed Lyrica, 450mgs a day. I don't run out of my opiate meds, prescribed 3 different ones monthly. But if you can get it then I would. Though there are many posts about how well gabapentin works for opiate withdrawal, in high doses that is.

I think tramadol is the BEST drug ever for opiate withdrawal! Only problem is that it is also addictive and easy to continue taking until you are addicted. I got to the point where I preferred tramadol over hydrocodone. It worked great for me, was so easy to get online, and lasted much longer than the hydrocodone. I quickly got addicted to it and in a year's time of taking it, everyday, I was up to 30 tablets a day.

So the key to using tramadol for opiate withdrawal is to do a quick taper and get off of it as soon as possible!

I think what you are doing is a very good idea. Making me think that I should do the same.

 

[theedeadmau5]

if you want to ACTUALLY withdraw, i wouldn't use tramadol, you are replacing one demon with another and you are just prolonging your withdrawal(IMO). but if you insist, start high(200mg) and taper down(50mg every other day).

lyrica is the tits for getting sleep, it is much more potent than gabapentin in lower doses but WAY more expensive.

trazadone is also good for getting sleep but your tolerance to this effect will build up very fast as this drug's intention isn't to aid in sleep.

the sub will help with your daily life

be care with the klonopin, it can leave you with something worse than what you started with(just ask stevie nicks).

i've never used kratom but a lot of people swear by it

everything else looks good to me, good luck

 

[mrflippy77095]

Sounds good to me. Of course a lot of people will say don't take the klonapin. But in opiate W/D I don't foresee picking up a benzo addiction. Now maybe taking it everyday once coming off opiates you may be in trouble. But this is just for emergency W/D and not everyday right?

Low dose Adderall surprisingly helps alot.

 

[Frydea]

Might as well throw in some acid

 

[lilczey]

Great sick day pack

 

[Sandbwoy]

Personally I've only had Gabapentin a couple of times, and when I did have it I didn't seem to get the relief that I get from using Pregabalin. Therefore, in my opinion I would say Pregabalin is superior. Definitely helped to take the edge off things, and at higher doses does a good job of putting me to sleep for longer periods.

Recently I've been feeling more withdrawals than usual as I've been using H on top of my Methadone prescription, and I must say Tramadol has been a life saver in the past few days. Without Tramadol I would have been having a much harder time. Now I've got through the worst of it I'm not taking any more Tramadol at the moment, so in short term I believe it can be helpful for taking away the worst of the withdrawals. However, I know some people will disagree with using this method as Tramadol is an opioid, and you don't want to replace one problem with another. But for me personally, it has made the past few days much easier for me.

I have a prescription for Trazadone but it doesn't seem to be working on me very well at the moment. When I first started on it a couple of months ago it really helped me get to sleep and stay asleep, but those effects seem to have worn off over time. I plan on going back to the doctors to get my medication reviewed as it no longer seems to be working for me. But it did really help me for months, so I think that would be a good addition for the pack.

 

[varimix]

Why do you need any of the other stuff if you have suboxone? You way more than enough to taper off with. You'd probably even be better tapering off with 4mgs starting at 1.5 to 1 to .5. But with you having that much suboxone on hand you'll probably just trade one for the other and could use the other meds when coming off suboxone. I'm going to be attempting to quit a 5 year suboxone maintenence with kratom and pramipexole the dopamine agonist. There are a few reports and one study that said pramipexole was succesfull at treating opiate withdrawal.

 

[szuko000]

Not much of an "energancy WD kit" as much as a "massive Stock pile of drugs" that much sub alone will stop them for weeks. Just saying

 

[speedballs_over]

that ^ is funny. The subs I'm prescribed and currently take them, they're in there in case I loose my 'script for some reason - theft, travel, whatever. I have a friend who can FedEx this kit to me anywhere, since it's all legit prescribed it's all good. Thanks for the replies. I thought it a decent topic to bring up.

 

[theedeadmau5]

Why do you need any of the other stuff if you have suboxone? You way more than enough to taper off with. You'd probably even be better tapering off with 4mgs starting at 1.5 to 1 to .5. But with you having that much suboxone on hand you'll probably just trade one for the other and could use the other meds when coming off suboxone. I'm going to be attempting to quit a 5 year suboxone maintenence with kratom and pramipexole the dopamine agonist. There are a few reports and one study that said pramipexole was succesfull at treating opiate withdrawal.

mirapex is only useful for RLS, but isn't very effective in RLS cases that are induced by drug withdrawal. in other words, if don't have a naturally occurring case of RLS, the likelihood of mirapex helping you is slim.