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Opioids Breast milk of highly opioid-tolerant women: Effects in opioid-naive adults?

Etterwonde

Bluelighter
Joined
Jan 25, 2010
Messages
73
Greetings, all!

I have been wondering about something. Something that I don't think has ever been thought of (although) I might be wrong, but that may potentially have be used for future applications. I am posting this for two very important reasons, being:

  1. To start a debate, maybe encourage some of you to do your own research and receive some useful feedback;
  2. To come to a joint conclusion (as a community) and decide whether or not this is something that is worth exploring furter;
  3. If the above was satisfactory for both me and the community: how we will proceed regarding this topic.

I would like to thank you all in advance, especially those who did not only time to read the whole thing that I wrote, but even better yet: gave me a useful answer.

If certain opioids –Morphine (maybe even Codeine) and/or its metabolites in this particular case– get excreted by breast milk in significant high amounts to be dangerous for an infant, would it be safe to say that an opioid-naive individual could get high from consuming the breast milk of a female with an extremely high tolerance? Because, if this is the case (although this probably wouldn't work for people like myself, due to the fact that I have quite the opioid tolerance myself): now that would be a wonderful way to enjoy a nice opioid/opiate high!

Also, if the tolerant female in question was consuming, let's say, Oxycodone (or another opioid substrate for the involved Cytochrome P450 enzymes... Wouldn't that mean that the opioid-naive person would be consuming other opioids as well, apart from the opioid pro-drug –Oxycodone in this example–, like active (as well as inactive) metabolites, some of which are much more active, like the much higher/better regarded –at least by the vast majority of opioid aficionados– semi-synthetic opioid Oxymorphone. I'm asking this because Oxymorphone is an active metabolite of Oxycodone in a way that is analogous to the metabolic conversion of Codeine into Morphine, Dihydrocodeine into Dihydromorphine, Hydrocodone into Hydromorphone, or even Tilidine into Nortilidine, Tramadol into O-Desmethyltramadol (which, if I remember this correct, doesn't lower the seizure threshold due to lack of SNRI-activity), Buprenorphine into Norbuprenorphine (which acts as a full agonist on the opioid µ-receptor, as opposed to Buprenorphine, which is only a partial agonist and reportedly has a ceiling dose of ~32 milligrams).

This happens due to the endogenous Cytochrome P450 enzymes of the liver, which could also mean that when the opioid tolerant female consumes certain inhibitors of these enzymes, this could increase the concentration of the aforementioned active metabolites in the opioid tolerant woman's breast milk, therefore having breast milk containing some pretty hardcore opioids, especially in people who are opioid-naive!

Also, I know a lot of women bottle their breast milk and keep them in the freezer or store them one way or another. Wouldn't it be feasible to store a whole lot of this breast milk, even storing breast milk of multiple highly or extremely tolerant females over a longer period of time, and then (when slowly thawed) making a more practical concentration of the total amount stored, in order to facilitate easy consumption, all the while being extremely careful as to not ruin the active opioids in the breast milk (avoiding degradation by sunlight, temperature, and what have you not).

There is even colostrum powder, both human and from animals, for sale online (a quick Google search will show you this), so it would surprise me if this wasn't possible. After all, the reason people buy and consume powdered colostrum is because of the healthy molecules it contains, like (among others) a lot of antioxidants, as well as the antibody Immunoglobulin G, which is obviously not destroyed when turning the colostrum as it is excreted by the female, into a powder, hence the popularity of said powder on online reform shops. These are often sold in bulk amounts, usually ranging from up to a few hundred grams to 500 grams and more. Many of the molecules in colostrum are a lot more unstable than most opioid molecules, so again: I really think this is feasible, and I honestly do think I might be onto something here.

Thanks for reading! I'm looking forward to reading your replies about this, because I am correct, I think the implications of this could be enormous (of course, I have thought about ways to make such a thing economically viable, and I bet there are some ways, I even already have a crude idea on how to market "opioid-rich colostrum powder" for use in research).

Best regards,
Etterwonde
 
Hm. You might be on to something

http://www.jenniferschneider.com/pdf/Oxycodone_to_oxymorphone_PPM_Sep07_Schneider.pdf

They tested the urine of a bunch of patients taking oxycodone. Patients with higher concentrations showed up to 4,436ng of oxymorphone per ML of urine... which is a pretty significant amount. Mind you that subject was on the highest dose of oxy. Still, definitely enough for an opiate naive person to catch a buzz. A good one.

Mind you, lactation wouldn't have as much of a concentration, I don't think. Our urinary system exists to remove waste, and it looks like that's where most of it's going. I don't know how the body decides which nutrients / chemicals to ship out the nipple or not - it could be significant. Idk.

Question - does the oxymorphone that gets pissed out after dosing Oxy have any effect on the brain and/or body before it leaves?
 
Hm. You might be on to something

http://www.jenniferschneider.com/pdf/Oxycodone_to_oxymorphone_PPM_Sep07_Schneider.pdf

They tested the urine of a bunch of patients taking oxycodone. Patients with higher concentrations showed up to 4,436ng of oxymorphone per ML of urine... which is a pretty significant amount. Mind you that subject was on the highest dose of oxy. Still, definitely enough for an opiate naive person to catch a buzz. A good one.

Mind you, lactation wouldn't have as much of a concentration, I don't think. Our urinary system exists to remove waste, and it looks like that's where most of it's going. I don't know how the body decides which nutrients / chemicals to ship out the nipple or not - it could be significant. Idk.

Question - does the oxymorphone that gets pissed out after dosing Oxy have any effect on the brain and/or body before it leaves?
I believe that Oxymorphone does contribute to the effects (Oxycodone's pharmacological profile) when consuming Oxycodone, although just slightly, because the former is only a minor metabolite of the latter.

Also, I believe I have read somewhere that Oxymorphone itself has a metabolite which is multiple times stronger than its parent drug, but I can't seem to find anything about it at this moment. This would in turn be a metabolite of Oxycodone (well, more of a metabolite of a metabolite, in that regard; although a very minor one, obviously).
 
Check out this link http://www.tandfonline.com/doi/full/10.3109/15563650.2011.635147
I guess you'd need to drink a lot to feel the effects
That's why I suggested saving the breast milk of the opioid-tolerant female for an extended period of time and than not only concentrating it (by slow and carfeul evaporation, for instance, as to not degrade the opioids) and/or even turning it into a powder form, like they do with colostrum (which contains molecules that are a lot more prone to degradation). So no, you wouldn't.
 
That's why I suggested saving the breast milk of the opioid-tolerant female for an extended period of time and than not only concentrating it (by slow and carfeul evaporation, for instance, as to not degrade the opioids) and/or even turning it into a powder form, like they do with colostrum (which contains molecules that are a lot more prone to degradation). So no, you wouldn't.

Right. So to further the question.. you mentioned that you were interested in this idea because some of the metabolites were stronger than the parent compound. But, they're going to be delivered through the breast milk/urine, I'd imagine, in proportionate amounts to the dose taken.

So I don't think the oxymorphone you'd find in breast milk would be significantly stronger than otherwise. Even if you saved up the lactations for a while, I think the oxycodone would still overpower it, if it's excreted in any similar ratio to the study I linked to on pissing out oxy. Roughly 2:1 codone to morphone.

But I still have a strong suspicion that the ratio will be completely different in breast milk. Wouldn't the oxy(codone) making it into brst milk be delivered from the bloodstream and thus before it's metabolized into oxymorphone?
 
I'm just going to follow this thread, I'm interested in other peoples opinions as a lady who breastfed for 2 years with one son, and another for nearly 3 years and I'm currently studying to to be a lactation consultant so I'm well educated on this topic :)
 
I'm currently studying to to be a lactation consultant so I'm well educated on this topic :)

i've never heard of that job title before! could you give us a brief little job descriptor? like, is it only for breastfeeding women or do you occasionally get a guy with a weepy nip?
 
Right. So to further the question.. you mentioned that you were interested in this idea because some of the metabolites were stronger than the parent compound. But, they're going to be delivered through the breast milk/urine, I'd imagine, in proportionate amounts to the dose taken.

So I don't think the oxymorphone you'd find in breast milk would be significantly stronger than otherwise. Even if you saved up the lactations for a while, I think the oxycodone would still overpower it, if it's excreted in any similar ratio to the study I linked to on pissing out oxy. Roughly 2:1 codone to morphone.

But I still have a strong suspicion that the ratio will be completely different in breast milk. Wouldn't the oxy(codone) making it into brst milk be delivered from the bloodstream and thus before it's metabolized into oxymorphone?
Well, I actually started this thread for several reasons, one being that I am wondering whether or not an opioid-naive person would experience a decent opioid high after consuming the breast milk of a woman with an (extremely) high tolerance.

I wrote that part about metabolism because metabolites are often excreted in rather high amounts (often just plain higher) when compared to the parent drug (admittedly, I base this on numbers I've read about secretion in urine). For instance: (again, in urine) Diacetylmorphine is metabolized in a plethora of metabolites, including Morphine and 6-MAM, but no Diacetylmorphine is excreted. This is the reason that urine tests detect metabolites instead of the parent drug; like how they don't test for Diacetylmorphine when they test a person for Heroin use, but rather for its metabolites, for instance 6-Monoacetylmorphine or the toxic 6-Monoacetylcodeine. This applies to a lot of compounds (not only opioids). They do this because, in a lot of cases, the parent drug undergoes extensive (first-pass) metabolism. For this reason, depending on which parent drug we're talking about, an excreted sample is likely to contain a higher amount of (active) metabolites than it does contain an amount of the drug ingested.

To use the example that you gave: you mention "Roughly 2:1 codone to morphone" in the excretion of Oxycodone. Now, as you know, Oxymorphone is a lot stronger than Oxycodone. So if I were to piss out, say, 10 mg of Oxycodone (this is a fictional number, obviously, it's just to give an example) and 5 mg of Oxymorphone, the latter would be equal to 20 mg of Oxycodone (this was converted assuming oral consumption).
 
Hey Keeping!!! lol @ weepy nip XD Well, we do more then teach the art of breastfeeding, we are also trained to offer specialised assistance with both common & uncommon problems, LC's can be women with no personal experience of breastfeeding too, with which we are working to change because really, a woman who has the actual hands on experience is by far the best choice when it comes to choosing a LC, we've been through it all, both the beauty & the brutality of it. Honestly no-one knows how hard it is unless one has been through it, just imagine your nipple is so goddamn raw from being constantly scratched (bad latch) that it bleeds & whilst you are feeding, you are also crying with the pain, for some woman it can be really traumatic, my weight dropped from 9 & a half stone down to 7st 3lbs in the first 2 weeks of feeding my 2nd son, he was a buster at birth (9lb 2oz) so a very hungry baby he was, I was a human soother. My now ex partner had a great time though, no middle of the night feeds, crying baby (BF babies cry less then formula fed babies) or bottles to sterilise so he is very pro-BFing! Why, have you problems with a weepy nip? I can give you some tips on how to hand express if you're over full :) XDDDD
 
I am honestly stunned by the lack of responses in this topic.

But then again, maybe that's just me.
 
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