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total knee replacement and IV?

E

edarrin

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Just had one. Just got home. Bastards gave me a rediculus Rx to take home.

Anyway I'm a (former?) IV opiate user and I was wondering if their are some science/medical people that have something worthwhile> I am understandably very wary and likely won't as it just seems too risky shooting street junk or pills and infection in the new joint.

I am in some serious f'ing pain though.

I have access to H, dillies or oxy's.

Think pills done very clean would be better than street H with who knows what in it?If this isn't in the right place please move. I just don't need a bunch of 15 year olds telling "don't do it man' without anything to back it up.

Anyone else have a protheses (sp?) (fake joint or some other type of implant?)

Maybe I should just chew a couple of 80's even though 1 80 IV'd doesn't get me high.
 
there are lots of bad outcomes related to shooting pills. you must use a micron filter.

if your are really in pain, i would suggest that you refrain from using the drugs for getting high . if you mess around and get your tolerance up, the pain pills wont work anymore and you will end up running out before your next scrip is ready. i can only imaging that going through withdrawal while already in pain from surgery would be terrible.
 
I had reconstructive leg surgery that was pretty intense... even though it had been a year since i recreationally used OC, the medication that was givin was 1. not strong enough to subdue pain and 2. ended up gone rather quickly as I battled the addiction and the attempts at managing the pain simultaneously. Its brutal running out the the pain coupled with acute withdrawls is bad. Eventually I just said to hell with it and lived in agony until the pain eventually, (9 months) subsided... because the pain by itself as bad as it was, was easier to deal with than the additon of the problems associated with resumed opiate use during this difficult time. In essence it was one or the other, both was too much for me.... jus my experience, hope this helps.
 
onmyway said:
there are lots of bad outcomes related to shooting pills. you must use a micron filter.

This is so true. Taking pill form narcotics and manipulating them into an IV form is not nearly as effective for pain managment when compared to taking them orally. Bioavailability has been the deciding factor when I make these types of choices. Orally taking the pill, whether you chew or swallow is a safer more effective way to manage the pain, through my experience when compared to IV use.

I stay away from IV'n pharms unless its designed for that mode of admn...
(when i start messin with rigs, it usually and almost always ends up exactly where i dont want it to in the end, so i steer clear)
Click to expand...
 
yeah but for pain management you want time release (hence oxy continuous) so you don't get super high for an hour and crash.

don't IV it. take your prescription AS PRESCRIBED and if that doesn't work, talk to your doctor.

if you do end up getting street drugs to supplement your pain management dose, don't IV it. eat or plug or snort so you get some kind of time released relief.

worst case scenario, maybe you could have a heart-to-heart with your doctor about past drug abuse and tell him that you have a predicament: due to your tolerance you need a large amount of opiates to keep your pain in check, BUT you don't trust yourself with a full script of opiates because you'll end up chasing a high and eating them all in one night. maybe he can give you a day or two's dose each time you come in if you can make it to the doc that frequently, just to make sure you don't destroy yourself.

acetaminophen and ibuprofen and antihistamines can help potentiate the pain relief of opiates, but the last one will make you drowsy as all hell. and i know that for maximum recovery of your surgery, you probably need to be doing physical therapy every day and getting exercise. opiates and sleep will make it difficult for your body to recondition and retrain your muscles back into functioning form.

try to take the lowest dose of pain pills that helps you. don't go chasing a nod or high. you are injured and need to take care of your body right now. good luck on your road to recovery. i hope you can taper off the pain pills entirely within a few weeks.
 
[QUOTEtake your prescription AS PRESCRIBED ][/QUOTE]

'
That's what I'm trying to do. I find I need 15mg MSContin q 12h on top of 12mg @ 0600h, 6mg @ 1400 & 2200h of hydromorph-contin from my previous tolerance/ Rx.
1 2mg SAO dilaudid@ 1430-1800h. All oral. All Rx although the MSContin is from the 'warehouse'. Actually I need to drop the one 12mg dose to 6mg in 8 days (or less). My long term Rx is 6mg TID with 1-2 2mg as 'breakthrough'. I am finding that I may not need thse f'ers as much as I thought. A lot of my chronic pain involved this knee and the surgery has corrected that. Here's hopin'.


I am using acetaminophen now along with a short course ( 2 weeks?) of Celebrex. Seems OK so far. I have guys trying to give me shit up the wazoo. I'm going to have to lose the phone for sure.


Tonight my plan is to substitute 1 15mg MSContin with a T3. This has worked for me in the past. If I end up on codeine for a while how bad could that possible get? (rhetorical)
 
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good. the faster you taper to codeine, the more you will be able to strengthen your muscles and save the hydromorph for breakthrough pain on those days you flare up because a storm's a comin ;)
 
Dissolve in boiling water & try plugging the MScontin (the molten wax matrix will float to the sutface while the morphine dissolves) as oral route for morphine is wasteful in the extreme (undergoes huge first pass metabolism so has only about 40% bioavailability). Works best for breakthrough pain

The suggestion about ibuprofen or other NSAID is about the best going (things like diclofenac or piroxicam are bloody good painkillers IMO)
 
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