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Opioids What caused this bizarre hydromorphone after-effect?

reflekt

Bluelighter
Joined
Feb 22, 2011
Messages
301
To make a long story short, I'll try and summarize the points of this post.

Sex: Male
Weight: 150lbs
Opiate tolerance: Little -- 125mg oxy total in ~30mg doses 3 months ago; .4mg buprenorphine 6 months ago; 60mg oxy in 3x20mg doses about a year ago; handful amount of various codeine doses in the past year

I obtained 30mg hydromorphone to use with my girlfriend while out of town last week. Our ROA was insufflation. I did research before hand and set a 10mg maximum for me. Prior to snorting the first line I had 5 shots of 40% alcohol + 2 beers several hours before and 2 more beers within the hour before. I'm aware of all the risks between alcohol and opiates and planned to adjust my dose accordingly.

However, I did not make the adjustment. For whatever stupid reason I probably ended up snorting ~25mg. I have no memory past the first line.

I passed out for 12 hours and my girlfriend tried to wake me up in every way possible, to no avail.

Here's the weird bit... When I woke up, I went to stand, and fell down; my left leg+foot was numb (along with my left hand and my right knee & thigh). This was terrible in addition to the other after-effects of the hydromorphone (vomited many many times throughout the day, hands shaking all day, couldn't eat for 24 hours)

I noticed feeling slowly coming back by being able to move my foot very slightly by that night (24 hours post-dose) so I told myself I'd be fine eventually and need not go to the hospital or anything.

It took 72 hours to be able to walk as normal, but still some numbness remained. It wasn't the pins and needles type of numb, it was just straight numb, as if your dentist numbs your mouth... just all over my legs.

I thought this was weird as hell and could find no similar stories. So, does anyone know wtf could have caused this? It was a bitch having to get around without feeling in your foot for 3 days -_-.

Obviously my dose was plenty too high, and it was stupid as hell, but I'm trying to figure out more specifically the cause of this. Just mind boggling.

ALSO, a major point to add: 7 months ago I fell down stairs resulting in an epidural hematoma traumatic brain injury and was hospitalized for 9 days, receiving the healthy OK to go back to normal life 2 months after that. I presume this dose plus residual damage equals this crazy experience? I facepalm myself.

Thanks
 
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Opiates make you feel no pain and make sleeping extremely comfortable. You normally move in your sleep when your body is uncomfortable, opiates stop this occasionally, resulting in stuff being asleep all the way to bad bad nerve damage. I get this quite often, but first time I took morphine I fell asleep woke up, and for a week my ribs hurt cause I slept wrong.
 
Yeah, you just slept in a way that pinched the nerve. I don't see anything weird about any of this. Stupid dose of a powerful opioid with no tolerance and a stomach full of alcohol, unconsciousness in an uncomfortable position resulting in a nerve being cut off for too long and numbness following...
 
Yeah, you just slept in a way that pinched the nerve. I don't see anything weird about any of this. Stupid dose of a powerful opioid with no tolerance and a stomach full of alcohol, unconsciousness in an uncomfortable position resulting in a nerve being cut off for too long and numbness following...

Mystery solved.
 
wow, you definitely need to to use more caution when ingesting drugs. 25mg of hydromorphone insufflated could easily od an opiate naive person. mix in all that alcohol and that's a od waiting to happen. consider yourself very lucky. i don't mean to sound so preachy, but shit man, what you took is a hell of a lot for a opiate naive individual. always use less then what you normally would when mixing opiates with other drugs. with all you had to drink plus having no opiate tolerance i think you could of snorted 5mgs and still felt great.

as for the numbness, when you passed out you may have been laying on your left side wrong cutting the blood flow to your arm and leg. you most likely stayed in that same position for the whole 12 hours you were past out and it probably took a toll on your nerves and they needed some time to recover. i'm not saying that is exactly what happened but i think it's very plausible. if the numbness returns i'd seek medical advice.

stay safe.
 
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Thank you all for the responses. Very informative. I know, I know, I'm stupid! Normally I'm overcautious. I don't understand what happened.
 
I agree with the others.

This explains it, but it's basically the same as what others have said, but may provide you with some reassurance.
 
I wouldnt be too sure you were asleep mate...You could have been in a slight coma????You dont remember past the first line and you fell asleep for 12 hours after? You have "slept" on your leg the wrong way and cut off the circulation for an extended period of time is my guess and i will be corrected if im wrong... you are lucky not to have permanent damage mate...Very lucky...You can lose limbs from this...Im not a preachy person man but i had to slip this in...
 
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