• 🇬🇧󠁿 🇸🇪 🇿🇦 🇮🇪 🇬🇭 🇩🇪 🇪🇺
    European & African
    Drug Discussion


    Welcome Guest!
    Posting Rules Bluelight Rules
  • EADD Moderators: Pissed_and_messed | Shinji Ikari

(UK) can you get opioid replacement without them telling your doctor?

It would be a terrible idea to take them together.ypu can take them together but bupe first in small amounts THEN AND ONLY THEN can you have dhc.taking dhc then bupe WILL PUT U INTO WITHDRAWALS.opana and bupe yeah it's doable if you take bupe then opana.too much bupe blocks other stuff but if u have a habit taking enough bupe to feel good can be more than enough to block other stuff working so if u need to take both take bupe (less than 3mg.anymore and it starts to be a blocker) wait a few hours and then have your other shit.but it's a stupid idea just hit your doctor up for more stuff.going for bupe is asking for problems if u insist on having dhc as well.methadone is better than bupe.
 
It would be a terrible idea to take them together.ypu can take them together but bupe first in small amounts THEN AND ONLY THEN can you have dhc.taking dhc then bupe WILL PUT U INTO WITHDRAWALS.opana and bupe yeah it's doable if you take bupe then opana.too much bupe blocks other stuff but if u have a habit taking enough bupe to feel good can be more than enough to block other stuff working so if u need to take both take bupe (less than 3mg.anymore and it starts to be a blocker) wait a few hours and then have your other shit.but it's a stupid idea just hit your doctor up for more stuff.going for bupe is asking for problems if u insist on having dhc as well.methadone is better than bupe.

I'm on the max. dose of DHC and due to my history I have zero chance of getting anything stronger.
I hate methadone. I gained 20+lbs (when you're only 105, 20lbs gain is VERY noticeable) and I would constantly sweat, even in winter. It shoots up your tolerance, too. I didn't spend 10 weeks acutely sick cold turkey'ing from that stuff just to start again.
 
That's interesting. Sounds like they're separate from the NHS then? It does work different in different areas. Any drugs services run by the NHS will put the info on your record but if it's an independently run charity they may very well not tell your GP.
I'm on the max. dose of DHC and due to my history I have zero chance of getting anything stronger.
I hate methadone. I gained 20+lbs (when you're only 105, 20lbs gain is VERY noticeable) and I would constantly sweat, even in winter. It shoots up your tolerance, too. I didn't spend 10 weeks acutely sick cold turkey'ing from that stuff just to start again.
just decide between dhc or bupe. Both together is impossible as bupe will send you into withdrawals due to being a partiaö agonist and a antagonist(kor receptor side).
Bupe is much stronger than dhc but has a shittier high if that makes sense. It will snash you the first week,after that you pretty much feel nothing.With full agonists you still feel it even after years of using
 
just decide between dhc or bupe. Both together is impossible as bupe will send you into withdrawals due to being a partiaö agonist and a antagonist(kor receptor side).
Bupe is much stronger than dhc but has a shittier high if that makes sense. It will snash you the first week,after that you pretty much feel nothing.With full agonists you still feel it even after years of using

In that case I'd prefer the DHC.
I just dunno how to get enough opiate to not keep running out.
 
I went to a private doctor (£50 per 15 mins) to get two (one NHS) parallel Oxy scripts and it was fine.

I'm super confused about Subutex now. Would it be okay to take alongside DHC or not? Like I mentioned this woman on Intervention who got high by taking both Suboxone and Opana and somebody said that WOULD work. So would Subutex and DHC, or would the Subutex knock the DHC off my receptors?

I sit here again super nauseated, with the super-sweats...so I'm just desperate to get an every day thing so no more weekly withdrawals.

I actually pay £0 for my NHS scripts. I'm on 13 prescription meds and they're fortnightly so I'd be bankrupt otherwise. It'd cost me £252 a month! actually my DHC is weekly so £270 a month.

You could save a fortune by getting the Prescription Prepayment Certificate. it's £104 for a year, and doesn't matter how many pills or potions you get, it's all covered under the one payment.


Link in case it helps anyone else out.
 
I wish I could but I really need what I take for pain. I can barely walk without it. I'd also rather die than not be on opiates; I just can't mentally cope without them rose tinting my world.

Does the DHC dose you're on still work as an analgesic or do you just want the high back?
 
Well, I'm prescribed 240mg/day which definitely isn't enough to make the pain bearable, but I never take that little. 240mg used to make me comfortable once upon a time. I need at least 360mg/day to make the pain tolerable (but still not be comfortable) now and I need at least 480mg/day to keep a decent buzz.
So I need/want more for both. I've told my doctor I sometimes take 12 pills in a day instead of 8 because otherwise just in too much pain an he gave me the go-ahead to do that but said I'd then suffer on other days because he can't legally (fucking NICE guidelines) give me more thanthe equivalent of 8/day (I get 56 a week).
I'd love enough to be high, but I need more just to cope with the pain.
There's a lad on my street who will sometimes give me some 60mg MSContins (in exchange for a "favour") and they're a godsend on my bad days, but it's still not enough. And the last 24-36 hours of the week I usually have nothing and That. Is. HELL. Imagine acute opioid withdrawal with simultaneous agonizing pain.
 
Well your GP is correct, under NICE guidelines they simply cannot prescribe more than 240mg per day of DHC. A private doc may be able to give you a better script (as in stronger opiates) if you don't tell them you are an addict (private docs usually don't ask to see NHS records), but again this is very expensive and likely unaffordable.

It used to be you could just order a private script of DHC off one of those online pharmacies without your GP knowing anything but new regulations killed that loophole off.

It sounds like you're in a tough situation as your tolerance has increased to the actual therapeutic effects of your medication and your history of addiction means you're lucky to even be getting DHC really.

I can understand the temptation to try and get bupe in that case. It does manage pain very well for some people although not others.

But consider the long-term... eventually you will get a tolerance to that too, especially if you try to chase a high as well as analgesia. And in the end you end up stuck with a far worse habit as bupe is way worse to come off than DHC.

Maybe someone can kick in with personal experience here, does bupe cause less tolerance because it's a partial agonist? I'm pretty sure tolerance would eventually become an issue even if more slowly, no?

This is the nature of opiates, you chase and chase something that just keeps running away from you.

Wrt pain management have you tried using cannabis alongside your DHC? I have back pain that's on and off myself and honestly although I like the high from DHC (until tolerance hits) I am happy with the pain relief from weed which is effective and non-addictive. I asked my GP to taper me off my DHC script which I was originally planning to get upped to morphine because I figure this is a better long-term solution.

I know it's not a magic medicine that works for everyone but it does help a lot of people with chronic pain so it's worth trying with an open mind.
 
Well your GP is correct, under NICE guidelines they simply cannot prescribe more than 240mg per day of DHC. A private doc may be able to give you a better script (as in stronger opiates) if you don't tell them you are an addict (private docs usually don't ask to see NHS records), but again this is very expensive and likely unaffordable.

It used to be you could just order a private script of DHC off one of those online pharmacies without your GP knowing anything but new regulations killed that loophole off.

It sounds like you're in a tough situation as your tolerance has increased to the actual therapeutic effects of your medication and your history of addiction means you're lucky to even be getting DHC really.

I can understand the temptation to try and get bupe in that case. It does manage pain very well for some people although not others.

But consider the long-term... eventually you will get a tolerance to that too, especially if you try to chase a high as well as analgesia. And in the end you end up stuck with a far worse habit as bupe is way worse to come off than DHC.

Maybe someone can kick in with personal experience here, does bupe cause less tolerance because it's a partial agonist? I'm pretty sure tolerance would eventually become an issue even if more slowly, no?

This is the nature of opiates, you chase and chase something that just keeps running away from you.

Wrt pain management have you tried using cannabis alongside your DHC? I have back pain that's on and off myself and honestly although I like the high from DHC (until tolerance hits) I am happy with the pain relief from weed which is effective and non-addictive. I asked my GP to taper me off my DHC script which I was originally planning to get upped to morphine because I figure this is a better long-term solution.

I know it's not a magic medicine that works for everyone but it does help a lot of people with chronic pain so it's worth trying with an open mind.

I know, I've been on opiates for 8 years, both prescribed and recreationally (Codeine, Tramadol, Dihydrocodeine, Morphine, Oxycodone, Methadone, Buprenorphine, Fentanyl). I could get opiates on the dark web very, very easily but I'm currently living with my parents and one of the conditions of me living here is that my dad keeps my debit card and controls my money, specifically so that I CAN'T do just that.
I guess for the time being there is no answer :/ I'm just stuck with what I've got.

I don't really like Cannabis and it usually gives me myoclonus anyway. I do use CBD oil, though. And I have Naproxen.
 
Can't you go to a different doctor and get something like panadeine forte they usually don't make enquiries for a box of codeine which should get you through a day or two.how bad are dhc withdrawals? I found codeine to be rather mild even at its worst.
 
I'm thinking of trying to get on an adequate dose of DHC, because Codeine is shite and it hasn't really helped my pain out for a good quarter of the time I've been on it.
Infact I'd rather be on Pregabalin than Gabapentin also, as I can eat 3g of it and while it does stop me having to pull myself off my bed due to my legs being in so much pain that they may well as be "locked", they take too long to take effect, their bioavailability is shite and only just help with nerve pain in the first place ?

Actually I've been putting off asking for a medication "upgrade" for the good part of a year + because I know what the majority of Gps, plus the one I usually see, will say.

But after exercising more, eating more frequently and better and getting a good sleep pattern in the works after stopping my AntiDep, I feel I have no choice..... or I'm bound to end up having a VERY BAD relapse.... and I really don't need that now ?
 
You need to talk with your GP or see a pain specialist who can upgrade your existing regime.tramadol is great for backpain and such but is shit for headaches and will make a headache worse.also it's not really abusable as in it can't be injected has no street value and after an decent initial dose (couple of hundred mg) there's very little desire to compulsively redose.i get 400mg a day and if I start with 150-200mg I don't get the urge to redose until 8hrs later usually with 50mg and occasionally a bigger stronger 100mg top up around dinnertime.its great for keeping me stable as it doesn't make you desire more than 2doses a day.and taking a massive amount one day means the next day you'll feel like crap if u dont have a smaller dose.point being they aren't reluctant to give it out and if used as an initial dose then take your dhc after the tramadol it'll help you get through the week without wd's.
 
This idea of tramadol being non-abusable is utter bollocks. If you have a low opiate tolerance you absolutely can get mashed off tramadol. I used to take the stuff all the time at uni right up until it gave me a seizure at 350mg spread over 12 hours. After that I tapered off.

But it was everywhere since it was uncontrolled at the time so all the girls I knew got scripts for period pain and sold boxes of 30 for a tenner. I was getting loads of it. Often a strip or two was thrown in for free with weed deals too. It was even used as a currency in some places, I heard a few stories of people using strips of tramadol to get into clubs. It was fucking nuts. Before it was controlled it was free flowing and everyone was on the shit. Non-abusable my arse.

My guy threw a strip of tramadol 50mg in with some oxy he sent me this week so I just took 200mg alongside 2mg Rivotril (as clonazepam is a top epilepsy med) just to see what will happen now I've had a tolerance break from opiates for a good two weeks. I'm really not expecting much from it since opiate tolerance ends up as perma-tolerance past a certain point but hey, point is when I was more opiate naive trams were my DOC for a good year or so.

But as for how to use tramadol. You want an initial dose of 150mg or so then a redose of 50mg every few hours. The 50mg redose should feel the same as the initial 150mg dose. I dunno why but that's how tramadol works, and if you stagger your doses like that you end up mashed by the end of the day. Again assuming your tolerance is low enough.

As for just seeing another doctor for something to tide you over... problem is any NHS doctor will still have access to OP's medical records which have a history of drug addiction on them. So the same problem still exists no matter what doctor OP sees. Doctors will be reluctant to increase an opiate prescription for someone with a history of opiate addiction.
 
@draculic acid69 - I've tried Tramadol and other than being good to mix with other Opioids, it didn't do much to me other than make me a bit wired (must be the SNRI aspects).

Some vast amounts of O-Desmethyltramadol would not go amiss though ?
 
Top