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Opioids Please please help!!!!!

L

LostinDenmark

Greenlighter
Joined
Sep 27, 2017
Messages
7
Hi Everyone,
Wow talk about babtism by fire lol8o
First time in a chatroom (52 years old...)never gor around to it and first time on Methadone!!!
As it says in my name I truly am an American Lost In Denmark and I could really use your help! I am scared to death about OD'ing on this stuff and I don't completely trust the healthcare over here!
So here we go: I have been on and off painmeds for the last 22 years! Been through expensive rehaps in the States but I have been really unfortunate to having many surgeries, childbirths gone wrong
etc etc and keep having to take the stuff when prescribed by Doc. I have for the past 6 years been on Tramadol Ext. Release, Gabbapentin, 30 pure codein tabs a week and Cymbalta for nervepain!!
I have through the years been offered to go on Methadone but ALWAYS refused as I always thought it would be like signing up for permanent drug use..like throwing in the towel! Now i'm not so sure and have met many people over here who are on it JUST for pain (they've never been addicts ) I'm still afraid to totally capitulate SO I did a REALLY stupid thing instead (what a knob8() I bought 20
20 mg Methadone tabs and started on it myself just to get a feel for what it would be like before being treated forever by my doctor, as an addict! YEAH, I KNOW, for a well educated soccer-mom it was and is a stuuuupid thing to do BUT NOW I'M HERE and it's too late! I have taken 3 x 5 mg the first day, yesterday, and today I have taken 4 x 5mg! I'm obviously opiate tolerant, I weigh 175 lbs at 5,9'....,,,AM I anywhere NEAR being able to OD at the levels I have taken????
I was SO afraid that I only slept in 2 hour intervals last night and gor very little sleep if any! Obviously I'm excausted now..(It's 6:30 PM here) but how do I differentate between nodding off because I'm excausted from no sleep and nodding off because I'm OD'ing?? HELP HELP HELP PRETTY PLEASE 8(8(8(
LostInDenmark
 
Hi there, sorry to hear about your situation.

Given that you're opiate tolerant, you're highly unlikely to have OD'd on that. However, we can't guarantee anything over the internet. Danish healthcare is among the best in the world, you'd be well advised to seek help there if you're still worried.

Good luck!
 
What you need to do is chill and get some sleep. So long as you haven't taken anything in the last hour that might not have taken effect yet, you are clearly not going to overdose. If you were close to overdosing, as in even in the ballpark, you wouldn't be here panicing. You'd be barely able to type at a keyboard. From what you said, that's 20mg a day max, that's not all that much. (EDIT: I thought it wasn't, not so sure now) But even if it was, like I said, if you were at risk you'd barely be conscious by now unless you only just took it.

Your mental state will only deteriorate the longer you're awake. And for me, Ive found anxiety problems get a lot worse with sleep deprevation. So right now, just get some sleep.
 
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The lethal dosis seems to be around 40-50 mg for an opioid naive person, you are opioid tolerant, so you should be fine, but as CFC, we can't guarantee anything over the internet. Do you have a friend that could come over and monitor your breathing ?
 
Ok here's the relevant question. Was that methadone, the 4x5mg, the last opioid drug (methadone, tramadol, codeine, etc) you took, and when did you take it?

Way I see it, regardless of your tolerance, If you haven't taken anything in the last hour or so, provided you don't keep taking lots more before you go to sleep, you are clearly nowhere near ODing.
 
Hi CFC
Thank you for your reply :) I HAVE made an appointment with an addiction specialist, Doctor, on Tuesday...I just wanted some input from y'all wise people:D
I might be my first time in a chat room but I seriously benefitted from the wisdom in here evertime I google! Love Bluelight and glad I finally got with it ;;-)
 
kleinerkiffer said:
The lethal dosis seems to be around 40-50 mg for an opioid naive person, you are opioid tolerant, so you should be fine, but as CFC, we can't guarantee anything over the internet. Do you have a friend that could come over and monitor your breathing ?
Click to expand...


40mg per kg maybe. Sorry but there's just no way that's right if you mean 40-50 by itself. I don't know exactly what IS right, but that can't be.

That would put the lethal dose at not much more than what they START addicts off with when they're being hyper-careful not to give you too much. I don't exactly know what the actual answer is, my googling found around 30mg per kg oral, which sounds a bit too high too me, I dunno, but 30mg just by itself is way too low to be right.

So even opioid tolerant, it can't be right.

EDIT: I might well be wrong in the above post, so just to be safe I'm editing it. Can't be too cautious with this kinda thing.
 
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If you take more in the next few days don't forget that methadone has a pretty long half life (8-59 hours) so if you take the same dosage each day the methadone could accumulate and could cause an OD
 
No, unfortunately not....My 17 year old daughter is here but I don't want to freak her out poor girl..Anyway, I'm eating, cleaning like crazy lol and I'm not taking anymore today. As I wrote to someone in here I HAVE made an appoinment with an addiction specialist (Doctor) on Tuesday morning....Just want to be alive by then lol
'
 
JessFR said:
40mg per kg maybe. Sorry but there's just no way that's right if you mean 40-50 by itself. I don't know exactly what IS right, but that can't be.

That would put the lethal dose at not much more than what they START addicts off with when they're being hyper-careful not to give you too much. I don't exactly know what the actual answer is, my googling found around 30mg per kg oral, which sounds a bit too high too me, I dunno, but 30mg just by itself is way too low to be right.

So even opioid tolerant, it can't be right.
Click to expand...

Well, 40-50 mg sounds pretty small, but it's what the german wiki states
Bei Personen ohne Opioid-Toleranz können weniger als ein Milligramm pro Kilogramm Körpergewicht tödlich sein. Das heißt, dass die tödliche Dosis für ein Kleinkind weniger als 10 mg und für Erwachsene 40–50 mg betragen kann.
Click to expand...
Roughly translates to: For a person without an opioid tolerance less than 1 mg per kg bodyweight can be lethal. For infants this could be as less as 10 mg and for adults 40-50 mg

Edit: another source (sorry that it's in german again) http://www.opioidforum.com/oi/methadon.htm
Methadone: gefährlicher Dosisbereich oral: ab 0,3 - 0,5mg / kg KG; i.v.: ab 0,2 - 0,5mg / kg KG
Translates to: dangerous dosage: oral: starting at 0,3 - 0,5 mg/kg bodyweight, I.V. starting at 0,2 - 0,5 mg/kg bodyweight
 
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Danke Schon ;-) Thank you so much for all the great info!!! I truly appreciate the time you spent !!!
 
kleinerkiffer said:
Well, 40-50 mg sounds pretty small, but it's what the german wiki states Roughly translates to: For a person without an opioid tolerance less than 1 mg per kg bodyweight can be lethal. For infants this could be as less as 10 mg and for adults 40-50 mg

Edit: another source (sorry that it's in german again) http://www.opioidforum.com/oi/methadon.htm
Methadone: gefährlicher Dosisbereich oral: ab 0,3 - 0,5mg / kg KG; i.v.: ab 0,2 - 0,5mg / kg KG
Translates to: dangerous dosage: oral: starting at 0,3 - 0,5 mg/kg bodyweight, I.V. starting at 0,2 - 0,5 mg/kg bodyweight
Click to expand...

I just don't buy it. Not for even a fairly small adult.

My estimate of 30mg/kg came from a materials safety sheet, which "should" be more credible. It still seems kinda high though.

Right now I'm just going with "I don't know". But just based on how crazy careful most methadone clinics are, the fact you can often go get a starting dose of 30 or 40mg based purely on your say so of how much you use (I've had clinics not bother to confirm I still use anything at all), I don't believe they would give you that if they thought it was all that likely to kill you in even a worst case scenario.

My tolerance was way too high when I first started methadone to have any idea how 30mg might affect a normal person, but I just don't see them giving people 30-40 in ANY circumstance where all that keeps it from being potentially lethal is the addicts claim of what they use.

If it were true, the dose they give normal people for pain would be far lower than it is. Otherwise the therapeutic index would render it unusable as a drug for pain. The staring dose for pain relief wouldn't be much lower than potentially lethal. Simply put, it doesn't track. It can't possibly be right.
 
Hmm. If that's so I'm pretty surprised.

I still wonder what that really means. Like, is that at all common? "As low as" is kinda vague.

Still, I wouldn't have thought that. In someone the size of most grown adults anyway. Maybe I was wrong after all.

Good to know.

It seems to me that article is talking about 30mg after several daily doses in the context of accumulation due to the long half life. Which means 30mg probably isn't likely to kill a grown adult. But even if that's the case, even if it's 30mg over a couple days in rare cases, that's still more dangerous than I first thought.
 
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I guess as low as means LD0 (lethal dose 0), the lowest dosage that can kill a test subject, but it's not really significant as the test subject is extremely sensitive to the drug. Then there's Ld50, which is commonly used, it's the dosage that kills half the population of test subjects.
But everyone reacts different, there are people that can tolerate more than the Ld50 and some die after taking less than the Ld50
 
kleinerkiffer said:
I guess as low as means LD0 (lethal dose 0), the lowest dosage that can kill a test subject, but it's not really significant as the test subject is extremely sensitive to the drug. Then there's Ld50, which is commonly used, it's the dosage that kills half the population of test subjects.
But everyone reacts different, there are people that can tolerate more than the Ld50 and some die after taking less than the Ld50
Click to expand...

I know, but unless "as low as" in practice is stupidly unlikely, if it's a plausible risk at all in an adult of roughly normal size that's still riskier than I'd have initially thought.

I'm having trouble finding reliable information at all.

Around here, 40mg is the highest dose they will ever start you on with methadone, and apart from what you report your use to be, there's nothing that says for sure you have much of a tolerance at all for certain.

So the idea that some people could die from that, I'm just surprised.
 
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