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RCs Serotonin Syndrome after smart drugs (MDPV suspected)

K

Kot789

Greenlighter
Joined
Sep 9, 2010
Messages
7
My first post at Bluelight. I need your advice on interactions between smart drugs and antidepressants.
I'm on 50 mg Sulpiryde since end of May and 20 mg Fluoxetine for a week; both once a day. I've got the "no one loves me" feeling and went to buy some legal highs in a nearby smartshop. Mephedrone has been delegalized since two weeks where I live and replaced by a bunch of relatively new analogues. I asked for something that had no MDPV inside, but one can never be sure what he buys.

I bought 500 mg of one kind of powder legal high and 500 mg of another one. I snorted some 100 mg at 8 pm on Monday, then snorted few more times that night, consuming some 700 mg total and 2 litres of beer. I couldn't sleep at all. I felt like shit and consumed the rest of his stash in the morning, divided into two or three doses. I'm not exactly sure on the amounts as I didn't use a balance and was high. The rest of the stash allowed me to feel reasonably OK, but things were getting worse. I've bought 250 mg of yet another brand of powder (the seller claimed they were similar) around 4 pm that day. I consumed it all in four hours, divided in a few doses, leaving a small bit for the day after. I experienced extensive sweating, twitching, inability to focus eyesight at near objects, among other symptoms. I felt more less the worst of his life Tuesday evening. Whole Wednesday was only a bit better; I still feels bad at the moment. I kept to his drug schedule all that time except for this morning. I thought that it was just a hard landing after the yet untested ingredients of the smart powders. After thinking about the whole situation, I'm now pretty sure it's serotonin syndrome. My symptoms closely match the descriptions of serotonin syndrome; what I was doing for the last days and the duration of the whole thing also support this conclusion, though I didn't consult a medical professional. I suspect, based on the effects of smart powders consumed, that there could have been MDPV inside.

The worst was on Tuesday, but I still feel bad. It is now about 24 hours since the last dose of my ADs. Fluoxetine has a half life of about 1-3 days. I expect to feel like shit for about 24 more hours. From what I've read, the medical professionals won't be able to relieve my feelings, they can only provide supportive care.


I have this doubt - should I treat this incident like a hangover after a big party, wait the syndrome over, stay away from the ADs for a week or so and keep my mouth shut

or

should I go to the emergency room, and/or call my shrink, tell them what I did, get the treatment and then explain to my family what I was doing at a toxicological unit for three days. Perhaps I could also be a one day star of a local newspaper in the anti-drug propaganda. I want to avoid this extra attention.

SomeoneWhoIsntMe will be grateful for any advice. Thinking clearly is still an effort for him.
 
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Well you seem to be thinking quite clearly, which can't be a bad sign. You haven't outlined specifically what symptoms you're suffering with, or how severe they are, both of which are important factors. It would also help if you said which branded powders you took as someone might have an idea of what's in them.

Ultimately, if you're genuinely concerned then you should visit a medical professional but if you feel you can ride it out then go for it.

No swimming! :)
 
I consumed following brands, in that order: Ivory, Puszek and Charge+. This shit is made locally where I live (Poland). I'm sure about Puszek, not exactly about the other two brands. There is a wide variety of brands, made by the local mixers. They have very similar names e.g, koko, cocolino, kokoloko and on purpose. The effects are relatively similar, but the active components and/or fillers might be different. There was a recent change in anti-drug law, which forced manufacturers to revise their cooking books. I checked on Polish boards, but all the data is pre law change.

My symptoms:
dilated pupils
difficulty breathing
burning heart
tensed muscles
urge to move, fiddling
I want to sleep, but can't, after waking up he I feel as if I did't sleep and basically same as before falling asleep
headache
difficulty maintaining attention
I felt cold and shivering, but this is not so now
increased heart rate
weird feeling in the bowel
loss of appetite
Insomnia while feeling tired and yawning, I slept 5h Tuesday/Wednesday and 3h Wednesday/Today.
urinate rarely, my piss has a weird scent and deep yellow color
difficult to describe feeling - my brain wants to be active, but the body feels tired, my mind wants to move, but the body is tired, I want to fall asleep, but can't. I experienced quite a few such pairs of paradoxically opposing needs, unable to satisfy any.
Elevated mood but, on the same time, feeling like shit.
I recall that I had a burst blood vessel in his left eye yesterday, but today it's gone.
Thinking clearly is not as much of a problem, as it is to concentrate on one thing.
Field of view seems narrowed
Vision seems distorted, the piece of paper on my desk sometimes seems to be a piece of plastic, I need to verify my reality.
I heard sounds that weren't there, now it seems that hearing is OK.
I sweat like a pig, but now it seems OK.
Tuesday evening I wasn't able to focus sight on my mobile phone to read text, I had to stretch my arm to have a focused vision. Now it's OK.
Trismus, still there, but not so bad as before.

I feel that most of these effects is due to general stimulant use. Even though, they seem to be a bit different than usual, last way longer than any of my previous experiences and do not go away the typical way. The duration of this whole shit is consistent with how slow Fluoxetine is exerted. I'm aware that my description is sometimes vague. I might be also inaccurate in recalling how he felt a day or two before. That's the best what I can do at the moment.

I feel that it is slowly getting better and the worst is over. Still, I feel bad and I'm worried that the whole situation might have yet unnoticed consequences. Frying your brain is more fun than frying your liver or kidneys. It is difficult to make a sound choice when one has an altered state of mind and is not a doctor.
 
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STOP USING SOMEONEWHOISANTME. It is against the rules, stupid, and won't legally protect you.
 
Kot789 said:
My first post at Bluelight. I need your advice on interactions between smart drugs and antidepressants.

SomeoneWhoIsntMe is on 50 mg Sulpiryde since end of May and 20 mg Fluoxetine for a week; both once a day. SomeoneWhoIsntMe got the "no one loves me" feeling and went to buy some legal highs in a nearby smartshop. Mephedrone has been delegalized since two weeks where SomeoneWhoIsntMe lives and replaced by a bunch of relatively new analogues. SomeoneWhoIsntMe asked for something that had no MDPV inside, but one can never be sure what he buys.

SomeoneWhoIsntMe bought 500 mg of one kind of powder legal high and 500 mg of another one. SomeoneWhoIsntMe snorted some 100 mg at 8 pm on Monday. He snorted few more times that night, consuming some 700 mg total and 2 litres of beer. SomeoneWhoIsntMe could not sleep at all. He felt like shit and consumed the rest of his stash in the morning, divided into two or three doses. SomeoneWhoIsntMe is not exactly sure on the amounts as he did not use a balance and was high. The rest of the stash allowed him to feel reasonably OK, but things were getting worse. SomeoneWhoIsntMe bought 250 mg of yet another brand of powder (the seller claimed they were similar) around 4 pm that day. He consumed it all in four hours, divided in a few doses, leaving a small bit for the day after. SomeoneWhoIsntMe experienced extensive sweating, twitching, inability to focus eyesight at near objects, among other symptoms. SomeoneWhoIsntMe felt more less the worst of his life Tuesday evening. Whole Wednesday was only a bit better; he still feels bad at the moment. SomeoneWhoIsntMe kept to his drug schedule all that time except for this morning. SomeoneWhoIsntMe thought that it was just a hard landing after the yet untested ingredients of the smart powders. After thinking about the whole situation, he now is pretty sure it is serotonin syndrome. His symptoms closely match the descriptions of serotonin syndrome; what he was doing for the last days and the duration of the whole thing also support this conclusion, though he didn't consult a medical professional. He suspects, based on the effects of smart powders consumed, that there could have been MDPV inside.

The worst was on Tuesday, but SomeoneWhoIsntMe still feels bad. It is now about 24 hours since the last dose of his ADs. Fluoxetine has a half life of about 1-3 days. SomeoneWhoIsntMe expects to feel like shit for about 24 more hours. From what he read, the medical professionals won't be able to relieve his feelings, they can only provide supportive care.


SomeoneWhoIsntMe has this doubt - should he treat this incident like a hangover after a big party, wait the syndrome over, stay away from the ADs for a week or so and keep his mouth shut

or

should he go to the emergency room, and/or call his shrink, tell them what he did, get the treatment and then explain to his family what he was doing at a toxicological unit for three days. Perhaps he could also be a one day star of a local newspaper in the anti-drug propaganda. SomeoneWhoIsntMe wants to avoid this extra attention.

SomeoneWhoIsntMe will be grateful for any advice. Thinking clearly is still an effort for him.
Click to expand...

Jesus Christ that was a fucking headache to read.
 
Okay that's more like it. I'm sure someone around here will know roughly what to expect from those powders.

In regards to your symptoms, my advice would be to do everything in your power to get to sleep. In all the times I've had issues to to over-indulgence, the sleep deprivation has had far worse symptoms than the drug use itself (for me, these have included auditory and visual hallucinations, physical and mental fatigue and heart palpitations). I know it can be near-impossible to get to sleep, but once you manage it you'll probably find it fixes a lot of your issues.

Other things you can do to ease your symptoms (again, this is only anecdotal) include eating carbohydrate-rich foods and drinking a small amount of alcohol. Your symptoms do sound pretty severe though, so I would recommend that if they persist or worsen over the next few days you go to the hospital.
 
Sry for the "SomeoneWhoIsntMe". Apparently I still wasn't that rational few hours ago.

I'd expect this powders to contain same legal stimulants and/or euphorics that are popular all over Europe, including mephedrone replacements (e.g. methylone), MDPV etc. My symptoms are still there, though weakened. It's such a weird feeling to be exhausted all over my body while at the exactly same time I have elevated mood and I'm shining with energy.

glenjih I experienced similar symptoms of sleep deprivation as you did the few times I studied sleep deprived only on coffee. It seems impossible to say which symptoms come from the powders themselves, which from the interaction with SSRI and which from the sleep deprivation. One thing I'm quite sure about - it wouldn't last that long if it wasn't for the Fluoxetine.

I've been walking around my neighborhood for 4h and I'm about to drink 330 ml of beer. See what it does. So far I'm slowly recovering, more or less as fast as Fluoxetine is removed from my body. What is weird for me is that I slept twice during the last four days (once for 5h, second time for 3h), I felt little improvement over how I felt before falling asleep.

As I haven't consulted any MDs, my case is still anecdotal. I also can't pinpoint the molecules I ingested, but SSRI + legal highs should turn on big red warning light in everyone's head. The last four days is my new definition of hitting the bottom.

I haven't found much on legal highs + SSRI combo on the net (quite possibly I wasn't able to find it in my condition), so I'll keep the thread updated. Perhaps this info can prevent someone from experiencing same crap.

Fuck, it took me an hour to write this post
 
MDPV is safe with ssris, as long as theres no enzymatic factors involved

there is nothing the doctors can do to help you if you have serotonin syndrome. its only supportive and to make you feel better. since you are writing here, you are fine
just take a benzo. thats what the docs would do if you tell them you suspect serotonin syndrome

mephedrone ISNT safe with ssri!!!!!
 
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kken said:
MDPV is safe with ssris, as long as theres no enzymatic factors involved

there is nothing the doctors can do to help you if you have serotonin syndrome. its only supportive and to make you feel better. since you are writing here, you are fine
just take a benzo. thats what the docs would do if you tell them you suspect serotonin syndrome

mephedrone ISNT safe with ssri!!!!!
Click to expand...


It wasn't mephedrone because it's illegal for like two weeks. I asked the guy to sell me smth without mdpv, so I've probably got one of the recently introduced ketones intended to replace mephedrone.

How probable is serotonin syndrome in my case? What else could it be? Just don't tell me it's lupus :P

AFAIK, to get benzo I need an Rx. There are no OTC benzos, are they? To get the benzo, I'd still have to go to the doctor and tell him my story...
 
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how do you know that? that actually increases the chances it was mephedrone because these people want to get rid of their stock. You dont have to worry about it. If you had a HIGH fever then you could be worried but before that, chill :)

yes benzos need Rx in most countries. if you tell me your country i might know if there is an OTC version
you can also tell the dr the truth but not revealing too much: "i havent slept well in days. can you help me?" since you probably look like shit with huge bags under your eyes they would know its for real use. There is also the option of going to a hospital and ask them to take you in. You dont have to tell them anything about any illegal or legal substances
 
You can't be sure what's inside. But Polish government tries to hit hard at those shops giving high fines for small infringements like missing fire extinguishers. Police did some random checks for mephedrone after the law has changed. Getting busted means few years in prison and being kicked out of very lucrative business. The shop owner snorts the stuff he sells. He is becoming a bit zombie-like, so he knows what he is selling and he said he got rid of all his mephedrone. For the last 30 days I stayed clear of any drugs except for my prescriptions, weed and alcohol. I took mephedrone like 20 times before and each and every time I was blown through the roof for the first few minutes. This effect was missing this time. The high was pleasant, but not even close to having my brain flooded with pleasure. It just didn't feel like mephedrone. Now I'm pretty sure it was one of the mephedrone replacements.

In case you missed it from the inbetween lines, I live in Poland.

I didn't stick a thermometer into my butt during the worst time of my experience, but it didn't feel like the usual high fever you get from those nasty microorganisms. So basically, despite feeling like shitty shit, is it unlikely that there are any fried livers or any other serious long term effects of my serotonin adventure?

It is a bit unsettling that such a nasty ride ends up with no serious effects while lethal conditions like the death cap shroom poisoning give no serious symptoms until the most damage has been done.

Even though little can be done except for just waiting for the whole ride to finish, I'd like to thank you for your advice and reassurance.
 
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ykm420 said:
Gah, all the SWIM'ing was ridiculous on my eyes..
Click to expand...

Edited my previous posts. Today is OK, I've managed to sleep normally. All the bad effects seem to be gone. The elevated mood stayed, so I'm happy about it.
 
i've heard that ivory contains MDPV which is ridiculously strong and you only need 10-15mg doses of it for a normal hit - its been sending people crazy here in the UK and has caused a lot of psychoses in otherwise healthy teenagers

i would be VERY careful consuming those random RC"s that dont even have a list of contents, as some vendors are clearly rebranding their old stocks of now banned substances to clear them out, or have no scruples about making money

MDPV = Careful! I did a 30mg line and nearly had a strong anxiety attack - luckily i had a valium just as i started to realise i was panicking and i am an experienced tripper and tried to relax/meditate until it wore off...

so just be careful what you try!
 
i would go to the doctor and say you went to a party some day this week and your friends or some people had some powder that they were doing lines of and offered you some, tell the doctor you did a couple/few lines and ever since you haven't felt right and make sure you say your anxiety is bad and you have a hard time sleeping (that should get you a benzo, hopefully) or you can tell the complete truth and see how it turns out but saying you bought it and kept buying more is going to make your doc think you're a drug user, if you say the thing about other people having it and you just tried it he will think you were just at the party and happened to experiment a little bit and it didn't turn out well. just my advice, good luck. and if you dont wanna go thru a doc to get a benzo (im not sure of the legality of it in your country) but you could get phenazepam and that's a pretty good benzo IMO.. others don't like it, but it's my second favorite after clonazepam and above diazepam and lorazepam.
 
^hardcore greenlighters know lorazepam is one of a kind amongst all benzos
 
LivingOnValium said:
^+1

i've taken it while on effexor. Now i'm on zoloft and have taken PV with it also and not encountered any problems.
Click to expand...

Seriously watch out.

I'm on 150mg zoloft, have been for the past 5 years. I started using ridiculous amounts of MDPV and experienced no harsh side effects for a couple of weeks and then BAM...like the serotonin slowly accumulated in my blood stream over the course of 2 weeks.

I got hit with serotonin syndrome and now every time I have tried to use even the smallest amount of MDPV (within few days of a relatively large amount consumed) it unmistakably comes back with the same harshness.

Also exacerbated with alcohol/nicotine/marijuana.

I've gotta take a break from MDPV for a month or two, let my serotonin concentration balance out and then be much more careful.

The hard part is the symptoms of serotonin syndrome are similar to symptoms of high concentration of MDPV.

Symptoms I got:
-extreme agitation (can not stay still no matter what), anxiety...worst ever felt
-unable to focus vision...vision had red tint to it along with hallucinations
-burning/red forehead
-nausea/dizzy
-unsteady gait
-tired but at same time unable to sleep
-unable to think, just kept saying I am not going to die over and over in my mind
-unable to remember what happened 5 seconds prior
-tremors/twitches...eyes darting off to one side uncontrollably
-shivering uncontrollably yet at the same time needed fan on full blast on my face, otherwise felt like I would blackout...also feet drenched in sweat
-felt like blood vessels were bursting in eye lids, tightened throat, runny nose
-dehydration-consuming approx 2 liters of water every 10 minutes for an hour



Gotten progressively worse, to the point that this reaction will happen at 10mg.

Took about 5 days to get fully back on track...back to 100%

Converting to christianity....HA HA JK!
 
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