Someone close to me is on many prescribed drugs and is abusing them; what do I do?

[mickeyfinn79]

Dhc 120 mg 3 x a day
2 paracetamol 3x a day
Clonazepan 20 mg 2x a day
Narproxen 260mg 3x a day
2 prozac dosage?
Amiltryptaline 50mg at night

This person also tops up with codeine phosphate and slow release dhc bought elsewhere also at least twice a week they drink 2 bottles of 12% win on top of them...for 10 years

Is this dangerous and damaging to this person any advice would be much appreciated
Don't want to involve their gp as I don't want to go behind their back.

 

[Raasyvibe]

...

 

[mickeyfinn79]

Try singing to them.

OK then sounds good...........probably wait till they've killed themselves I will at the funeral
#cnut

 

[monstanoodle]

Dhc 120 mg 3 x a day
2 paracetamol 3x a day
Clonazepan 20 mg 2x a day
Narproxen 260mg 3x a day
2 prozac dosage?
Amiltryptaline 50mg at night

This person also tops up with codeine phosphate and slow release dhc bought elsewhere also at least twice a week they drink 2 bottles of 12% win on top of them...for 10 years

Is this dangerous and damaging to this person any advice would be much appreciated
Don't want to involve their gp as I don't want to go behind their back.

The booze and the Paracetamol will be causing more damage to their liver, plus Naproxen with booze can cause more damage to the gastrointestinal tract - stomach ulcers / bleeding and other things - (even Naproxen on it's own can cause such problems).
Mixing Fluoxetine (Prozac) with Amitriptyline is rather careless as mixing Antidepressants could cause Serotonin Syndrome.
Obviously mixing booze with the Codeine, DHC and Clonazepam, and even Amitriptyline, all increase respiratory depression and fucking hell man, this person really needs to watch out for themself!
I mean after all this time, then they will have a tolerance to the Opioids, Benzos and Ethanol. But still...
Even just by drinking they could end up with Pancreatitis and that is NOT good. Extremely fucking painful and potentially deadly!

Honestly - Really, really try get your friend some help or at the very least try and get them to make them realise how much potential danger they are in. Intervene if you can ASAP mate!

 

[mickeyfinn79]

Thank you very much I thought the same but having heard someone else say it has helped a great deal..... could I have a quiet word with the gp? There's kids involved and the person is worried if they tell their gp social services may get involved......thanks again

 

[knock]

Try singing to them.

raas, there's no need for such a facetious response, the OP has a serious question.

 

[monstanoodle]

Thank you very much I thought the same but having heard someone else say it has helped a great deal..... could I have a quiet word with the gp? There's kids involved and the person is worried if they tell their gp social services may get involved......thanks again

No thanks needed man, it's what BL's here for afterall
... As for a word with their GP.... It can't hurt and, seeing as you know about all their prescriptions then the privacy issue might be brushed aside.
But I really feel for them because of the kids being in the mix The worry they have about social services becoming involved should provide them with at least a foundation for them to build upon and start to change and cut down if it's effecting their children's lives....

Gaaaaahhhh..... This is really sad mickey and it must be proper hard for you also mate ~

Firstly - The mixing of Antidepressants and the drinking are likely the most dangerous things going on (with the Naproxen and it's Gastrointestinal damage and the Antideps with the possibility of Serotonin Syndrome).
The GP writing a script for both of those Antideps is not good GPing as far as I can see! And your friend should try take the lowest dose that they can with the Naproxen and Paracetamol... Well, with everything ofcourse! But those are not going to present withdrawal symptoms like all the other substances.

 

[T. Calderone]

Mickey, that might be a typo with the clonazepam. I believe it comes as .25, .5, 1 or 2 mg. The DHC and naproxen I'm assuming are for pain relief right and prescribed? Those dosages are not unheard of. The risk with paracetamol is liver damage and naproxen possible stomach bleeding. Like someone else pointed out it's risky to throw all that alcohol into the mix.
Do you feel comfortable having a talk with your loved one? I hope you can talk some sense into her/him. Good luck.

 

[mahoosive bendah]

could I have a quiet word with the gp?

no - they can only either talk to you about your health, or maybe some general advice that wouldnt differ so much to what you're reading here, although probably a little less 'alarmist'

here is an alternative point of view - lets say you have a long term mental health problem, maybe just a 'little' depression, or maybe you fuck up your back and have to take pain killers for ever

are you gunna give up your pleasures and luxuries and live like a monk ?

the wine intake does seems a little excessive to me, and maybe to you but if this person is getting thier kids to school on time, the kids have clean clothes, tidy house, love n attention and thier parent isnt pissed in front of em all the time maybe cut em some slack ?

----one more thing

the social services do a difficult job, and i guess they do the best they can...but be under no illuisions...they are utter utter cunts of the highest order. You do not want those people near you on a regular basis

just my 2c

 

[Raasyvibe]

raas, there's no need for such a facetious response, the OP has a serious question.

Oh come on. It's BlindHelperMonkey posting as an Alt user (which I might add, is against forum guidelines)

I took his kink thread more seriously.

--EDIT, unless I've got this totally wrong. I refer to This Post where shm reveals hes bhm, and mfinn doesnt deny it.

 

[StoneHappyMonday]

Ten years abuse, you know their exact dosages...why now Mr Finn? You certainly do start some 'interesting' threads.

FWIW, AFAIK, you cannot intervene with a GP on an adults behalf...because they're an adult.

 

[Shambles]

FWIW, AFAIK, you cannot intervene with a GP on an adults behalf...because they're an adult.

This. The GP wouldn't and couldn't discuss another patient with you without their permission. That's not a combination of drugs that I'd want to be on - you couldn't pay me to take half that shit alone let alone in combo - but you really need to speak to the person not the GP. Monsta spelled out the potential problem combos and if I were the bloke being prescribed all that shite I'd be very grateful if somebody would explain to me why I was puking blood daily so I could ask to be switched to less brutal combinations.

 

[Treacle]

Dhc 120 mg 3 x a day
2 paracetamol 3x a day
Clonazepan 20 mg 2x a day
Narproxen 260mg 3x a day
2 prozac dosage?
Amiltryptaline 50mg at night

The DHC won't be a massive issue to taper off and stop.
1000mg of paracetamol, three times a day is under the limit of 4,000mg a day - not an issue (except for the two days where they drink wine).
4mg of clonaz (not 40mg, I assume) is something that can be tapered off.
Naproxen can just be stopped.

The last two are interesting. My sister was prescribed amitriptyline and citalopram, simultaneously, with no nasty side effects. She just said she felt tired. Neither of them are MAOIs, so I don't think there's an issue with this combination, at this dosage. The serotonin will still be broken down, as usual. I don't think it's uncommon to be on two types of anti-depressant, actually.

If the person is tolerant to these things, then it's unlikely they're going to suddenly OD, after ten years. Maybe a liver function test would be a good idea, just to make sure there's no issues there.

If this is BHM, then seriously, go and fuck yourself.

 

[mickeyfinn79]

Thanks for the replies basically its my misses I think she may be bi polar but with all the meds its hard to be sure alli I can say over the years it has changed her mood personality everything she's like a different person very erratic and extreme mood changes and emotions.....this all originated from her addiction to co proximal!

 

[mickeyfinn79]

The DHC won't be a massive issue to taper off and stop.
1000mg of paracetamol, three times a day is under the limit of 4,000mg a day - not an issue (except for the two days where they drink wine).
4mg of clonaz (not 40mg, I assume) is something that can be tapered off.
Naproxen can just be stopped.

The last two are interesting. My sister was prescribed amitriptyline and citalopram, simultaneously, with no nasty side effects. She just said she felt tired. Neither of them are MAOIs, so I don't think there's an issue with this combination, at this dosage. The serotonin will still be broken down, as usual. I don't think it's uncommon to be on two types of anti-depressant, actually.

If the person is tolerant to these things, then it's unlikely they're going to suddenly OD, after ten years. Maybe a liver function test would be a good idea, just to make sure there's no issues there.

If this is BHM, then seriously, go and fuck yourself.

She takes four 5ml clonaz twice a day .........thanks BTW

 

[F.U.B.A.R.]

She takes four 5ml clonaz twice a day .........thanks BTW

I'm sure you must mean 0.5mg clonazepam, not '5ml' - as someone said earlier, the maximum dose tablet available is 2mg.

Anyway, just to reiterate, I would be far more concerned about the paracetamol/alcohol combination than anything else, though the benzos/alcohol combo can be a bit dodgy as well.

You said she often tops up with codeine phosphate. Is this the over the counter formulation that includes paracetamol as well (i.e. co-codamol)? If so, then she could easily be overdosing on the paracetamol.

My friend's wife died after years of alcohol and co-codamol use - she was boshing up to 20 x 500/7.5mg tablets a day after becoming addicted to the codeine in them. I tried to explain how to do a CWE to her but my mate intervened and told me not to 'encourage her' - something he now severely regrets. Her organs just packed up one day and she fell into a coma and never recovered. A real shame because she was slowly beating her alcoholism.

Regarding you having a word with her doctor, do it! It could well save her life. The doctor might not like it, but if you have genuine concerns then I'm sure they will listen. When my partner was severely depressed years ago, her doc was just doing the usual trial and error prescribing of SSRIs, none of which did any bloody good whatsoever. So I made an appointment to see her GP under her name. The doc didn't look too happy when I walked in instead of my partner, but she listened to my concerns and followed my suggestion that she needed counselling, not tablets. Since then, she's never looked back. So in my opinion you should just go ahead and see her doctor.

Hope you get things sorted mate!!

 

[Shambles]

Partner makes a big difference. I concur with FUBAR. Speak to the doc. But speak to yer missus first...

 

[mickeyfinn79]

I'm sure you must mean 0.5mg clonazepam, not '5ml' - as someone said earlier, the maximum dose tablet available is 2mg.

Anyway, just to reiterate, I would be far more concerned about the paracetamol/alcohol combination than anything else, though the benzos/alcohol combo can be a bit dodgy as well.

You said she often tops up with codeine phosphate. Is this the over the counter formulation that includes paracetamol as well (i.e. co-codamol)? If so, then she could easily be overdosing on the paracetamol.

My friend's wife died after years of alcohol and co-codamol use - she was boshing up to 20 x 500/7.5mg tablets a day after becoming addicted to the codeine in them. I tried to explain how to do a CWE to her but my mate intervened and told me not to 'encourage her' - something he now severely regrets. Her organs just packed up one day and she fell into a coma and never recovered. A real shame because she was slowly beating her alcoholism.

Regarding you having a word with her doctor, do it! It could well save her life. The doctor might not like it, but if you have genuine concerns then I'm sure they will listen. When my partner was severely depressed years ago, her doc was just doing the usual trial and error prescribing of SSRIs, none of which did any bloody good whatsoever. So I made an appointment to see her GP under her name. The doc didn't look too happy when I walked in instead of my partner, but she listened to my concerns and followed my suggestion that she needed counselling, not tablets. Since then, she's never looked back. So in my opinion you should just go ahead and see her doctor.

Hope you get things sorted mate!!

Yeah I checked they are 0.5 clonaz.............I've spoken to her about things and she's agreed to stop the narproxen,paracetamol and amitryptaline on the head and I've advised her if she does drink to at least take less of the dhc/clonaz it codeine phosphate and dhc slow release she tops up with but I've found out who she's been buying them off so I'm going to have a "quiet" word with the person not to sell her any more.she's going to arrange a liver function test so hopefully things will get better........thanks for all the help you all have given to me (I actually showed her this thread and she said reading it and hearing the opinions of strangers helped a lot because when I try to talk to her about it she thinks I'm "nagging" thanks once again)

 

[F.U.B.A.R.]

That's good news Mickey! Hope things work out for you both

 

[monstanoodle]

Yeah I checked they are 0.5 clonaz.............I've spoken to her about things and she's agreed to stop the narproxen,paracetamol and amitryptaline on the head and I've advised her if she does drink to at least take less of the dhc/clonaz it codeine phosphate and dhc slow release she tops up with but I've found out who she's been buying them off so I'm going to have a "quiet" word with the person not to sell her any more.she's going to arrange a liver function test so hopefully things will get better........thanks for all the help you all have given to me (I actually showed her this thread and she said reading it and hearing the opinions of strangers helped a lot because when I try to talk to her about it she thinks I'm "nagging" thanks once again)

That's really brilliant to hear mickey
And, if she's still reading this thread, mucho mucho respect!
The last thing I'd like to add is that if she starts to feel weird after stopping the Amitriptyline for a while, then she should take a small dose at night:
I didn't think I'd have much of a problem without it when I ran out by accident, but I personally was quite surprised to find out how much it either....
A. Was helping and really managing my depression and anxiety (not to mention getting me to sleep).
B. That I was going through withdrawals from it.
or
C. A likkal bit o'both.

I'll just say that it wasn't fun.
And that I wish you the very best!!! ~{^_^}~