Harm Reduction Tramadol and diazepam

[Sublimit]

Ok guys, I'll be going on subs soon, but in the meantime i want to avoid a pretty bad heroin WD as i won't be able to source any subs until monday/ most likely tuesday. It's friday night here and i last used H on friday afternoon.

I've used 3 days in a row pretty heavily.... about 2 grams of good quality Heroin to be precise.

At my disposal i have 1 pack of panefen+ which is 30 tablets of ibuprofen 200mg/codeine 12.8mg. so if i CWE them i should get 384mg of codeine.

I also have 50 5mg tablets of diazepam, and finally i have 30 50mg tablets of tramadol.

I've come off this amount of smack cold turkey before and it aint fun so i want to minimise the WD as much as possible before switching to subs.

I was thinking about CWE'ing the codeine before i go to bed and have it ready for the morning, but i'm not sure if i should dose all at once or split it into 2 190mg codeine doses. and then start using the tramadol. for the next 2-3 days which will be 1.5 grams of tramadol all up. (i also have a repeat of 20x50mg tramadol if needed, but will try not to fill it.... only if necessary)

My main concern is the seizure threshold of the tramadol and how much the diazepam will lower it.

I've taken up to 700mg of tramadol over a 24 period several times before without any benzo's and haven't had any problems... not even close to getting any symptoms.... i guess it could come out of nowhere though, I'm not sure, and i don't fancy having a seizure.

10 of the 50mg trams are sustained released, while the rest are instant release.

the problem with codeine is that it has a short HL compared to tram and even if i did split the dose i don't think it will hold me for the whole day tomorrow.

i could save the codeine for day 2 and pop the 10 SR trams(500mg) first thing in the morning with 50mg of diazepam, and then using the codeine on day 2 in two doses of 190mg and maybe 300mg of tram around the late afternoon.

and then day 3 i'd be left with 700mg of tramadol with plenty of diazepam to lower the seizure threshold.

I guess i don't really need much advise on how i'm going to be using the said medication, but i have scoured the net about how much a benzodiazapine will lower the tramadol's seizure threshold and havent found anything really conclusive...... so i 'm after some hands on experience with this

Any advise/experience on that would be great, cheers.

Sublimit

 

[Cane2theLeft]

I'm not sure anyone here will be able to answer this but we'll see if we can get any info. I'm curious as well but this comes up regularly without conclusive resolution.

Also, the tramadol *lowers* the seizure threshold and the valium *raises* it. I know you have the right idea in mind, you were just mixing up the wording. Lowering the threshold (as tramadol does) increases the risk and conversely, diazepam raising the seizure threshold decreases the risk of seizing.

Good luck with your kick and you may want to check out the guide to narcotic withdrawal in the directory, there are lots of suggestions in there. Loperamide has certainly saved my ass many times (yes, corny pun intended).

 

[TerminalIsland]

the diazepam should come in handy for some of the symptoms, but your concern on ballancing out the high dosing of tramadol should be weighed on this suggestion.

I am Rx'd Alot of trams every month for pain, in researching the drug before I took it, I read some initial studdies that showed tramadol has a efficacy ceiling. I think it was about 300mg in the blood and any higher and no improved effects could be seen, except increasing seizure risk and seritonin syndrome risk. With that in mind my suggestion is that you may be "wasting" allot of tramadol on your planned kick.

With what you have in mind, I am going to +1 the previous comment about Lopermadine. I would start with a 20-30mg Lope dose after w/d have set in, then in an hour measure how you are feeling and use the tram as a "breakthrough" medication. Because of its nature, tram is pretty short lived, I get 3-4 hour breaks from being in pain from a single dose.

You may be able to make your cache of meds last longer, and make your detox safer and with much less pain by adding the lope in, and taking the benzo and tram as an "as needed" medication to a regimen of lope. At least that has been working for me solidly on off/on binges the last few months.

 

[Sublimit]

thanks Cane2theLeft for the clarification regarding the seizure threshold.

When i woke up this afternoon i took 500mg of the SR tramadol and 50mg of diazepam all at once which was at 1pm. I think i didn't waste any of the tram by doing this solely because of the sustained release.... obviously it would have been a different story had they been instant release. it is now close to 10pm and i'm still feeling normal... no WD what so ever.

I've never tried Loperamide as it's pretty expensive here and i have plenty of tramadol + codeine is pretty cheap compared to Loperamide(both OTC here), and i never knew immodium was in fact an opiate until recently! well like a year ago, but yeah, hopefully i'll never have to use it!

tomorrow(sunday) will be a different story as i have a gram of instant release tramadol to utilise as well as the said ibroprofen/codeine.

I think i will try and not have any tramadol tomorrow and see if i can get by with 2 doses of codeine and valium as i still have 40 5mg tablets of diazepam left.... if needed i will dose some tramadol tomorrow evening and save the rest for monday/tuesday

I guess on monday/tuesday with the IR tram i will dose 100mg an hour until i hit 300mg and then do the same roughly 7 hours later...maybe stop at 200mg taking the daily total to 500mg of tramadol.

so far so good. tempted to take more valium and a couple of ibprofen200mg/codeine12.8mg tonight, but like i said i'm feeling fine at the moment and the SR tramadol is supposed to last 12 hours as opposed to 6-7 hours with the IR trams.... theoretically i should be right till 1AM and should be fast asleep(hopefully)

even if i could be fucked going to the chemist and getting some loperamide, i don't really have enough money from all the H i bought and plus i need to be able to have enough for the 3 weeks worth of subs i plan to purchase.... which aint cheap! god bless CH's micron/bupe threads.... saved me alot of dollars Iv'ing subs : )