Hey guys, i know that narcain has saved SEVERAL of my friends lives some of them MANY times..... i read somewhere that suboxone has narcain in it and i was wondering if anyone knew if someone was ODing here (or myself) could suboxone be IVd into the ODing person to counter their overdosing like pure narcain can?
-
N&PD Moderators: Skorpio
since suboxone has narcain in it can it be IVd to counteract an overdose?
- Thread starter d420
- Start date
dread
Bluelighter
Well yes, but it's not the naloxone that helps with the OD. The effect will be exactly same as injecting someone with subutex. Which has also saved a few people from OD:ing, buprenorphine being a partial agonist at MOR -> acts the same as antagonist wrt. OD situation.
Naloxone's binding affinity is so much lower than buprenorphine's, it will have no effect when injected together.
WSB15
Bluelighter
- Joined
- Aug 20, 2005
- Messages
- 288
^what he said. Buprenorphine basically displaces the heroin or other opiate (like naloxone would). It would still be better from a safety viewpoint to inject Naloxone if you have that, because injected Suboxone can cause serious complications if its not done right--I think because of the binders and crap in the pill itself--someone correct me if I'm wrong.
dread
Bluelighter
Not any more than injected subutex. The important part is to filter properly, preferably with a micron filter if available.
The main danger is missing a vein, which more easily causes infections.
WSB15
Bluelighter
- Joined
- Aug 20, 2005
- Messages
- 288
Oh ok. Well regardless, either way anyone trying to revive someone should really know what they're doing and has a steady hand in a high pressure situation.
Possible complications (PDF, graphic):
www.annals.edu.sg/pdf/34VolNo9200510/V34N9p575.pdfSupreme
Greenlighter
Yea,I did it on my girlfriend along with cpr so I dont know which worked
A snaggletoothed bulldog of a fire captain told me that CPR revives 5% of people who've gone into cardiac arrest, and that the main value of CPR was to keep the cells oxygenated until a defibrillator becomes available.
I dunno if that percentage is right cuz I had CPR done on me after my heart stopped due to heroin and vodka. The CPR alone brought me back. Maybe I'm a 5 percenter.
The suggestion in this thread is that we dissolve, extract and micron-filter buprenorphine to resuscitate someone who's on their way to the afterlife? You guys are cool under fire.
dread
Bluelighter
Under those circumstances, I might consider skipping the micron filter... I think it's probably better to get the drug faster in the patient's system and maybe give him some pill binders in the blood, which is not a huge deal with only one shot. When compared to spending a long amount of time to properly filter the solution, while the patient's brain is starving of oxygen...
I don't know exact percentages either, but it entirely depends on the cause for the arrest. In most adults it will be due to a problem with their heart - myocardial infarction, for example, or an abnormal rhythm. CPR forces oxygen into your lungs and blood around the body, and will keep tissues oxygenated, but you will need something doing about the primary heart problem as well.
Defibrillation is for when your heart goes into a specific, chaotic rhythm (fibrillation). The idea is if you apply a shock, you temporarily stop the heart and hope it restarts in a normal rhythm. It will not work for people who are "flatlining" and who's hearts have stopped completely, whatever medical shows may show you! Myocardial infarction is a common cause for fibrillation, but there are many.
Sorry, going slightly off track here. My point is that cardiac causes of cardiac arrest have a low recovery rate, essentially because the heart itself is damaged. In an OD situation, a respiratory arrest occurs. Cardiac arrest will follow shortly if nothing is done, as the heart muscle is deprived of oxygen. In this situation, the problem is not with the heart itself, and chances are a lot better for making a recovery following CPR and appropriate treatment. This depends on the amount of time the body is starved for oxygen, of course, so early and efficient CPR is essential.
