Harm Reduction Urinary retention from stimulants

[pharma-sutra]

I'm sure alot of us has suffered from this side effect, but ive reached a certain extent where I feel its getting worse as i continue to use stims. Although its always been particularly worse for me when I compare to others who share the same experience. *diuretics like caffeine and ephedrine dont count.
im talking about traditional stims to entactogens. its not so bad with amp sulphate or d-amp, but horrible with mdxx,m1,4mmc,mpdv. but nothing compares to trying take a piss on mdma. I've always had some kind of public piss syndrome, so i'm not sure if this contributes to exacerbating this side effect.
anyways, its getting to a point where its unbearable, with most of the time, the waves of euphoria are wasted, spent inside cubicles and bathroom stalls trying to take a damn piss. and it gets really uncomfortable, as I want to move about and dance, socialize or what not, but in the back of my head I really need to piss. Sometimes it would take about 4 or 5 hrs later since consumption until I can properly urinate and it takes ALOT of effort.

so my question is, how does one consult a medical practician about this, while at the same time not want to stir any suspicion of drug abuse (in order to keep rx for ADD, which is much needed)? I've read somewhere about alpha-blockers as a treatment.

 

[gman7104]

i too have always had urinary incontinence, and when I do stims it get horrible. Taking a piss takes forever and then drippy lasts for hours afterwards.

 

[MrKitty2]

thats your typical amphetamine side effects, for me it has always caused urinary issues while on it, i solve it by drinking more fluid and using less amps/meth at a time

 

[T. Calderone]

thats your typical amphetamine side effects, for me it has always caused urinary issues while on it, i solve it by drinking more fluid and using less amps/meth at a time

This makes sense because I used to get feeling dehydrated too on stims even when drinking tons of beer.
I just couldn't pee. So make yourself drink lots of water or gatorade.

 

[JohnnyVodka]

If you can't piss, perhaps it's not a great idea to 'back up' the bladder with loads of extra water/beer. A full bladder that can't be emptied is potentially dangerous. I get this too... It's well known that MDMA somehow tells the body to retain water. Plus if you're in a situation where you're not relaxed (struggling to pee already when others are in the queue!), that's not going to help matters at all. It's normally a bit easier at home... I usually find if I'm properly 'up' I can stop think about peeing for a good few hours. I'd recommed going just before you come up, not doing MDMA often (more tolerance = more MDMA = more physical side effects like piss problems and gurning) and limiting your redoses so you're high for just however many hours you can comfortably go without a piss for.

 

[tentram]

incontinence does not equal urinary retention.

 

[pharma-sutra]

yea...all helpful advice, but I've tried everything I could. On proper stims, like amps , it only happens when a huge dose is taken or have been binging. And usually pretty easy to force out the flow.
However, stims like mdpv (especially the tail end, taking a piss a fuckin hassle) same with GHB I find, its comparable to trying to take a piss while on mdma. This totally ruins the experience. I love mdma, but man not being able to pee feels like shit, its worst during the peak and then when you've comedown. I drink Gatorade for electrolytes, and sip water through any sesh with stims. It totally makes it worse, because on stims, people tend to piss more often due to increased metabolism. However, a couple beers does do the trick sometimes, but doesn't do shit when you are peaking off your nuts.
So again, any advice as how I can procure some medications for this? I find, that when urinary incontinence is at its worst, my member becomes shriveled the fuck up. But once a flow gets started, the shriveling is kept to a minimum. Anyone with more knowledge on this give us more insight? I'm afraid of kidney failure or something

 

[Foreigner]

Uva ursi, comfrey tea, and marshmallow root do well with this.

A remedy I've used on children with urinary retention is plain old black pepper. If there is no structural reason for why they can't pee, then making them sneeze will make them go.

I would not recommend a diuretic like caffeine because it will make you piss away your electrolytes and while on MDMA that's a no no.

 

[tricomb]

incontinence does not equal urinary retention.

This, I'm going to change the thread title accordingly, incontinence means that you don't have control over your bowel movements.

I would recommend being proactive and consuming healthy amounts of water and gatorade or alternative forms of electrolytes.

The only thing you can really do is control your dosing.

 

[Foreigner]

^ Incontinence can also mean loss of urinary control too, but it still doesn't apply.

 

[pharma-sutra]

This, I'm going to change the thread title accordingly, incontinence means that you don't have control over your bowel movements.

I would recommend being proactive and consuming healthy amounts of water and gatorade or alternative forms of electrolytes.

The only thing you can really do is control your dosing.

oops, my bad, how do you change the title of threads?
And I've read somewhere on BL that if it becomes a problem, a lot of people were suggesting alpha-blockers. I dose very small when it comes to these substances, I have maintained very little tolerance. 80 mg of mdma will have me buzzing good, yet still won't be able to pee after the comeup until comedown is over or sometimes until the next day when I wake up. By the way, anyone know why this happens? I know people who suffer "speed aka Colombian dick" but are able to still urinate with ease , just needs that extra push and focus. But for me, it is like trying to mind control my bladders to evacuate already! Also anyone notice its its worst during the peak and comedown? I can get the peak, but during comedown, all my limbs, spine, muscle are getting sore, but mind still feeling great, eyes still beaming, but this time around, its even harder to take a damn piss!

Should I talk to my MD about this? I do get a bad case of public piss syndrome (can't urinate in busy urinals, can't urinate under stress and loud music, etc)

 

[tentram]

^ Incontinence can also mean loss of urinary control too, but it still doesn't apply.

they're having trouble pissing which is urinary retention. if they couldn't stop pissing or shitting themselves it would be incontinence.

 

[Coraline]

Urinary retention can be life threatening. Idk about medications you can take while on stims. You should not let your bladder fill with 1,000ml of urine. If you empty your bladder you should not release more than 1,000 ml at a time. Some say 800ml is max. I learned 1,000ml.

When you let your bladder fill with this much urine it backs up to the kidneys and causes damage.

I would suggest if you don't seek medical attention go to a medical supply store or online and ask for straight caths. You don't need a prescription. They are very cheap. There is no bulb to inflate and you can carry them with you. Practice at home when you are not on stims and use them when you feel the urge to pee and can not. It may not be very attractive or comfy but you will save your kidneys and enjoy the buzz.

https://www.google.com/url?sa=t&sou...yH46juM_OL-63e_DA&sig2=I_tEGyTzB_a4G1-dMR1qBw

 

[blight12]

I have been wrecked on retard dosages of hardcore stims like meth and mdma and still am able to urinate fast and properly.
I had to learn however that pushing hard like feels natural is what screws you and does not work.
The secret is a bit of patience and total relaxation of the muscles in that area and you wont have any further issues.
This applies to taking a dump and stim dick issues as well FYI.

 

[SafeTrouble]

This makes sense because I used to get feeling dehydrated too on stims even when drinking tons of beer.
I just couldn't pee. So make yourself drink lots of water or gatorade.

LOL beer does not hydrate you dude. It actually dehydrates you. Drink some water+electrolytes for gods sake.
8)

 

[blight12]

LOL beer does not hydrate you dude. It actually dehydrates you. Drink some water+electrolytes for gods sake.
8)

Lol i wish it didnt, if beer didnt dehydrate you the world would be a much sweeter place.
But keep in m ind it can really help with vasoconstriction but be sure to drink alot of proper fluids along with the alcohol.

 

[kingme]

I would suggest if you don't seek medical attention go to a medical supply store or online and ask for straight caths. You don't need a prescription. They are very cheap. There is no bulb to inflate and you can carry them with you. Practice at home when you are not on stims and use them when you feel the urge to pee and can not. It may not be very attractive or comfy but you will save your kidneys and enjoy the buzz.

https://www.google.com/url?sa=t&sou...yH46juM_OL-63e_DA&sig2=I_tEGyTzB_a4G1-dMR1qBw

Im sorry, but i cant let this one go. I must really advise against this.
Urinary retention can be indeed a serious problem. however, it is only in certain situations that retention will lead to kidney damage (when there is an associated reflux present, which is a relatively rare occurence). It will give you pain and a lot of it, and it can be threatening, but not in this manner.

However, self catheterization is not the answer, trust me. Doing it without reason, and without proper medical supervision or training can result in serious and permanent damage that is way worse and persistent than retention in the short term, as it is a leading cause for urethral strictures (the channel that takes urine out from the bladder). In females, where this channel is short, you might get away with self catheterisation. but in males, especially young ones, you DO NOT WANT ANYONE TO DO IT BUT A TRAINED PROFESSIONAL. One may bleed, get life threatening infections or recurrent strictures that may require surgery to correct.

Think about it like this. If you get retention, and somehow it outlasts the duration of the stim, you may seek medical attention, and at best it may only ruin your high. Do an improper catheterisation and you re stuck with a dysfunctional penis in so far as peeing is concerned.

I feel i cannot stress this enough.

Here is a solution instead. After you of course try to solve it by relaxation and other physiological techniques....

Alpha blockers, that are selective to the alpha 1 recepteror, work for these problems. Depending on countries, they may be even OTC... tamsulosin is frequently prescribed for elderly men with retention... see if it works for you. Caferul though about the lowering of blood pressure it causes....!!!

Another solution may be tadalafil, commonly known as Cialis. This has been shown to have similar effects on urinary retention in elderly males as alpha blockers and has the added advantage of treatink limp dicks as well. Start with a low dose, something like 5mg and see if it helps at all. In fact, ive been using this from time to time (but for the sex advantage more than anything)


As far as hydration is concerned, try to avoid all alcohol during rolls and stick to water / juices and the like, as all alcohol dehydrates and one you are in retention, chances of releaseing the urine actually decrease with the increase of urine volume (so if you have 1000ml that you have to evacuate its less likely that it will happen than if you had 500ml).

best of luck and dont try putting things up your penis. seriously. youll thank me for it

 

[blight12]

^ Yes and especially as more urine increases the retention, you want to take a leak as often as possible as this should help much.

 

[Coraline]

Im sorry, but i cant let this one go. I must really advise against this.
Urinary retention can be indeed a serious problem. however, it is only in certain situations that retention will lead to kidney damage (when there is an associated reflux present, which is a relatively rare occurence). It will give you pain and a lot of it, and it can be threatening, but not in this manner.

However, self catheterization is not the answer, trust me. Doing it without reason, and without proper medical supervision or training can result in serious and permanent damage that is way worse and persistent than retention in the short term, as it is a leading cause for urethral strictures (the channel that takes urine out from the bladder). In females, where this channel is short, you might get away with self catheterisation. but in males, especially young ones, you DO NOT WANT ANYONE TO DO IT BUT A TRAINED PROFESSIONAL. One may bleed, get life threatening infections or recurrent strictures that may require surgery to correct.

Think about it like this. If you get retention, and somehow it outlasts the duration of the stim, you may seek medical attention, and at best it may only ruin your high. Do an improper catheterisation and you re stuck with a dysfunctional penis in so far as peeing is concerned.

I feel i cannot stress this enough.

Here is a solution instead. After you of course try to solve it by relaxation and other physiological techniques....

Alpha blockers, that are selective to the alpha 1 recepteror, work for these problems. Depending on countries, they may be even OTC... tamsulosin is frequently prescribed for elderly men with retention... see if it works for you. Caferul though about the lowering of blood pressure it causes....!!!

Another solution may be tadalafil, commonly known as Cialis. This has been shown to have similar effects on urinary retention in elderly males as alpha blockers and has the added advantage of treatink limp dicks as well. Start with a low dose, something like 5mg and see if it helps at all. In fact, ive been using this from time to time (but for the sex advantage more than anything)


As far as hydration is concerned, try to avoid all alcohol during rolls and stick to water / juices and the like, as all alcohol dehydrates and one you are in retention, chances of releaseing the urine actually decrease with the increase of urine volume (so if you have 1000ml that you have to evacuate its less likely that it will happen than if you had 500ml).

best of luck and dont try putting things up your penis. seriously. youll thank me for it

There is no damage from straight caths when done properly. You don't need to be a professional to do this. It's the foley caths that can do damage if not done properly. These are the ones that are left in the bladder.

I am a medical professional and I have seen men and women treat their urinary retention this way. They had a neurogenic bladder.

He's doing stims. If he doesn't see a doctor or stop using the stimulants then he will keep the urinary retention. He can develope damaged kidneys.

It's not very pleasant but it protects the kidneys from too much pressure from not being able to void/ urinate. Also when there is too much pressure of the kidneys it causes other problems too.

I think if he don't see a dr or stop using stimulants this is a good idea. Stimulants raise blood pressure and that's bad for the kidneys. Then you back them up with urine too? Your just asking to be on dialysis. That's no fun.

 

[pharma-sutra]

@coraline, that doesnt sound pleasant at all. At first, I was ecstatic when you said there was a simple solution, but i had no idea what cath meant. after a little google search, I was fucking scared shitless and wondered if you were being serious or not. Sorry, I will not have anything shoved up my penis! lmao no way. I understand your concerns about the health risk, and that is exactly the reason I'm seeking medical attention from my MD and asking for help on BL.

@kingme, thanks. exactly what I was looking for. alpha 1 recepteror alpha blockers. are there any that doesn't affect blood pressure as much but requires a prescription? Do you think my MD would script if I asked?

I've also read about ephedrine being helpful to a degree. But for me, it makes it worse. Not fond of the memories spent in portapotties struggling with much frustration. However, green tea, particularly cold not hot-steeped teas. Like greentea lemonade and iced green tea helped somewhat.