Come on UK H users - lungs or bum

[steewith2ees]

I down mine in one, btw. Bigger hit but mostly just because it tastes so foul.

It did work. They gave me "gas and air" (is that the same as nitrous oxide?) and then 5mg IV morphine in the ambulance* and then another 10mg IV morphine after I saw the doctor. They sent me home with a weeks supply of codeine 30's. I was a bit over-enthusiastic, though ,and it was a bad break, whereas I was aiming for more hairline-fracture lol.

*I was home alone and would be for hours, I can't drive and had no money for public transport otherwise I wouldn't have "wasted" an ambulance.

That all sounds a bit much. Please do not think I am disputing anything that happened as I get how extreme people get when desperate and I have done some, to be frank, really despicable things when desperate to score (driving for one as I do not see a distinction between being mashed and being in severe heroin WD - I would often crack around the 72 hour mark by which time I would be tripping balls from the light plunging into my dilated pupils and noradrenaline coursing through me).

As someone who used to self harm bona fide dickhead style as a youngster by punching / headbutting walls and such I also get how easy it is to get to such a flashpoint, but even as a calculated method of accessing the medication you were still lucky to have it administered as its use, while likely to an extent, is never guaranteed. You are right about the gas and air - it is nitrous oxide mixed with oxygen ('Entanox') and a strip of Rx strength codeine is better than a kick in the nuts although on the whole it sounds like an expensive deal. Regardless of the pain at the time I just hope your finger was ok in the long run and if you have been away from gear for a few years and are able to still get good effect from medium strength stuff like tramadol and dhc you have taken a turn for the better somewhere. The only thing I would add is that while I also know how easy it is to just eat combination medicines rather than fuck about with a CWE it is still no hassle in relative terms - before I was in treatment I would occasionally use Rx strength co - codamol to ease WD symptoms and just bosh the max amount (4 grams / 24 hours) but while doing the lot in one go isn't going to cause to much harm in 99 % of cases, it is not something that I repeated too often so if you are using stuff with APAP in it regularly it is better to get in the habit of doing an extraction every time. The harm that could be avoided makes the detour more than worth it, as while it is a pain the arse having paracetamol sludge all over the kitchen it is still the 2nd most simple method of deriving an opiate from a OTC combination medicine.

 

[ChemicallyEnhanced]

That all sounds a bit much. Please do not think I am disputing anything that happened as I get how extreme people get when desperate and I have done some, to be frank, really despicable things when desperate to score (driving for one as I do not see a distinction between being mashed and being in severe heroin WD - I would often crack around the 72 hour mark by which time I would be tripping balls from the light plunging into my dilated pupils and noradrenaline coursing through me).

As someone who used to self harm bona fide dickhead style as a youngster by punching / headbutting walls and such I also get how easy it is to get to such a flashpoint, but even as a calculated method of accessing the medication you were still lucky to have it administered as its use, while likely to an extent, is never guaranteed. You are right about the gas and air - it is nitrous oxide mixed with oxygen ('Entanox') and a strip of Rx strength codeine is better than a kick in the nuts although on the whole it sounds like an expensive deal. Regardless of the pain at the time I just hope your finger was ok in the long run and if you have been away from gear for a few years and are able to still get good effect from medium strength stuff like tramadol and dhc you have taken a turn for the better somewhere. The only thing I would add is that while I also know how easy it is to just eat combination medicines rather than fuck about with a CWE it is still no hassle in relative terms - before I was in treatment I would occasionally use Rx strength co - codamol to ease WD symptoms and just bosh the max amount (4 grams / 24 hours) but while doing the lot in one go isn't going to cause to much harm in 99 % of cases, it is not something that I repeated too often so if you are using stuff with APAP in it regularly it is better to get in the habit of doing an extraction every time. The harm that could be avoided makes the detour more than worth it, as while it is a pain the arse having paracetamol sludge all over the kitchen it is still the 2nd most simple method of deriving an opiate from a OTC combination medicine.

I live in the UK. Healthcare is free here so it didn't cost me a penny.
I said I fell and landed awkwardly on it, I obviously didn't say "I smashed it for drugs" lol.
Probably wasn't the best idea I've ever had, I admit. Finger is fine now thanks
Heroin was never my main opiate. I started on opiates when I developed severe acute pancreatitis and they gave me IV morphine in hospital every four hours for 12 weeks (subsequently releasing me on a relatively high oxy rx).
I've used heroin due to it being much cheaper to buy than pills and while homeless it was much more readily available but generally I like my prescription stuff (mostly opiates and benzo's).

 

[axe battler]

I'm now on 85ml methadone, and even when I triple my dose, I still don't feel as nice as I did on 300mg DHC back when my tolerance was sensible.
I think I want off this shit now, or at least to go on a much lower dose, so doubling up or occasionally smoking a half G is worth it.
At the moment, I find the more I increase, the more I want, the less I get out of it. Fucking opiates man.

 

[axe battler]

I knew a guy, who went to his meth clinic, but also had a script for DHC. Possible? Well, definitely, because he did, but why did he get away with it?

 

[axe battler]

Also, I've also always liked me brown, but I loved my DHC and mst100mg. Never tried oxy but I've a feeling I'd like that.
Bupe and methadone without a tolerance are bliss

 

[steewith2ees]

I live in the UK. Healthcare is free here so it didn't cost me a penny.

So do I (I worked in the NHS as a registered mental health staff, charge and community nurse, getting struck off due to my heroin addiction in 2008 ) and as this is a European and African forum, many of our continental members also live in countries with socialised health care. By 'a bit much' I meant it sounds like you had to suffer a disproportionate amount of discomfort for a relatively small amount of drugs which were never guaranteed (if you were in severe wd the medics may have picked up on this and administered a different analgesic, especially if one had been suggested triggering a desperate / panic reaction).

Plus, just remember that healthcare, while free at the point of service, still costs money, something my colleagues and I would constantly struggle for within our various services and departments.

 

[ChemicallyEnhanced]

So do I (I worked in the NHS as a registered mental health staff, charge and community nurse, getting struck off due to my heroin addiction in 2008 ) and as this is a European and African forum, many of our continental members also live in countries with socialised health care. By 'a bit much' I meant it sounds like you had to suffer a disproportionate amount of discomfort for a relatively small amount of drugs which were never guaranteed (if you were in severe wd the medics may have picked up on this and administered a different analgesic, especially if one had been suggested triggering a desperate / panic reaction).

Plus, just remember that healthcare, while free at the point of service, still costs money, something my colleagues and I would constantly struggle for within our various services and departments.

I tell myself that because my dad is in the high tax bracket and has never needed any NHS treatment (apart from the VERY occasional prescription of antibiotics) he's essentially paid my way haha.
I didn't notice which forum this way in at the time.
The physical symptoms of withdrawal often match those of pain (tachycardia, sweating, dilated pupils, pallor).
Like I said, I was just desperate at the time and not thinking clearly. I used to self-harm (a long, long time ago), too, so I think when you have a history of that plus suicide attempts, it makes this sort of thing seem as less of a big thing than it would to someone without that history.

 

[steewith2ees]

...Like I said...

I do gets ya and as easy as it is to pick at from my high horse I know, as a problematic drug user myself, that a cost - benefit analysis of any given situation tends to go out of the window especially if at wits end.

It sounds like you have been in some dark places in the past, so its good to hear that you have moved away from the heroin and I hope that your mental health and quality of life in general continues to improve x

 

[ChemicallyEnhanced]

I do gets ya and as easy as it is to pick at from my high horse I know, as a problematic drug user myself, that a cost - benefit analysis of any given situation tends to go out of the window especially if at wits end.

It sounds like you have been in some dark places in the past, so its good to hear that you have moved away from the heroin and I hope that your mental health and quality of life in general continues to improve x

Thanks

 

[Jabberwocky]

experienced h users can tell the difference between fentanyl and h anyway, the main problem is that not many users do small tester doses before shooting it up or smoking. I've seen on drugs inc on nat geo there was a dealer in ny or jersey I do not remember clearly that sold very pure h, mostly uncut but for every small dealer he selled to he had a package mixed with a lethal dose of fentanyl. the small dealers knew this so they mainly gave them to people they did not like or random people. so for some dealers dead customers are indeed a form of marketing, it sometimes works with the persons that have that mentality of "oh that killed X, it must be proper fire gear".

sometimes the gypsies do it too in the synth noid scene here and hospitalized people are a form of advertising for them and of course dumb fucks fall for it. when I used to tell them that it was way too strong in the past, they always said to use less, but I did use a veeeeery small amount when they were that potent and it was impossible to add even less without a microscope lol.

 

[apocalypse_when]

Back in May 2017 there was a batch in Middlesbrough (where most Noeth East heroin comes from) laced with carfentanil.....we had about 12 ODs in one night shift... Most died and many disnt respond to as much as 8 shots of 400mcg narcan

 

[ChemicallyEnhanced]

Back in May 2017 there was a batch in Middlesbrough (where most Noeth East heroin comes from) laced with carfentanil.....we had about 12 ODs in one night shift... Most died and many disnt respond to as much as 8 shots of 400mcg narcan

Do you mind me asking what part of the North East you're from? Depending what city you're based in, you will almost definitely have treated me.

 

[apocalypse_when]

I worked South of the Tyne from the river all the way down to South Durhan way but occasionslly worked the theTeeside, Stockton area (which i hated cos im from up near the river Tyne and I dont know the roads too well in Teeside which made bkue light driving difficult)

 

[ChemicallyEnhanced]

I worked South of the Tyne from the river all the way down to South Durhan way but occasionslly worked the theTeeside, Stockton area (which i hated cos im from up near the river Tyne and I dont know the roads too well in Teeside which made bkue light driving difficult)

Ah, I'm north of the Tyne in Newcastle, so you probably haven't treated me then. So close, though!

 

[apocalypse_when]

Ah, I'm north of the Tyne in Newcastle, so you probably haven't treated me then. So close, though!

Ive worked North Division too but just not as often as its less busy once you get North of the river (we go as far up as North Berwick) up that way and there's not a huge demand like is around the lower Tyne area, Gateshead, Jarrow, South Shields etc.

Ive worked Newcastle city centre a lot too

 

[TimeSprout]

Back in May 2017 there was a batch in Middlesbrough (where most Noeth East heroin comes from) laced with carfentanil.....we had about 12 ODs in one night shift... Most died and many disnt respond to as much as 8 shots of 400mcg narcan

The actual fuck?
Who in the right mind adds carfentanyl to product? At that point you’re playing Russian Roulette with chemical weapons.

 

[ChemicallyEnhanced]

The actual fuck?
Who in the right mind adds carfentanyl to product? At that point you’re playing Russian Roulette with chemical weapons.

Can't you just keep on giving narcan until they do respond?

 

[blondin]

.....If you take enough poison no matter how much antidote you take yer still gonna die. Ceiling dose i suspect

 

[apocalypse_when]

Can't you just keep on giving narcan until they do respond?

I believe carfentanil rarely responds to narcan (naloxone)

It does sometimes respond to naltrexone though IIRC (which paramedics dont carry)

 

[apocalypse_when]

So do I (I worked in the NHS as a registered mental health staff, charge and community nurse, getting struck off due to my heroin addiction in 2008 ) and as this is a European and African forum, many of our continental members also live in countries with socialised health care. By 'a bit much' I meant it sounds like you had to suffer a disproportionate amount of discomfort for a relatively small amount of drugs which were never guaranteed (if you were in severe wd the medics may have picked up on this and administered a different analgesic, especially if one had been suggested triggering a desperate / panic reaction).

Plus, just remember that healthcare, while free at the point of service, still costs money, something my colleagues and I would constantly struggle for within our various services and departments.

Nah, that wouldn't happen.. Even if in obvious opiate WD I and every other paramedic would titrate from 5mg IV morphine upwards along wirh entanox (which is useless IMO for severe pain)... It's within our duty of care to do so.