^ That is why said Hydroxyzine; it will take care of nausea pretty well, it is relaxing, and for some it can help with anxiety(not really if you’re on the heavy stuff) and it is not anti-cholingeric for practical purposes, so the side effects you would get with say, Promethazine, which is quite popular, yet has limitations on dose, are a non-issue.
You are right though, normally can take Benadryl(have nausea a lot, and am underweight) though in WD, have to limit my dose, or eliminate it completely, which is why it sucks not having Hydroxyzine around for emergencies; even when attempting to stretch out benzos or having to take something more mild than an used to and sometimes less effective, Hydroxyzine helps a lot. We are talking about opioid wd, which have plenty of experience with, though some of the same issues pop up
Back in the day in severe opioid we would have my legs and sometimes even arms jumping if my hands were not shaking; Seroquel(not a large dose, smaller doses are more like a potent H1 antagonist/inverse agonist with some other minor effects) though basically, it is a really strong sedative, at like 25-100mgs, so have taken it, and was so drowsy/weak didn’t want to move, yet still RLS. Was even worse for someone close to me; don’t know the dose however they would actually fall asleep with legs jumping;
Gabapentin is useful for RLS
KittyCat5, yeah, insomnia is hitting me, kind of missed that part, although he is talking about crushing about the beads and maybe even plugging anyway!
For me personally, Morphine is completely superior to hydromorphone, of course can counteract side effects that bother some, however it is just such a powerful, physical opiate and psychologically works to do what it needs to do, and is excellent analgesic, it and methadone are at the top for me personally(aside from H, of course, though haven’t touched that in a long time, and aside from the almost immediate rush and corresponding relief, it is mostly a faster acting morphine, as you know)
Op seems to be in a rough state, and if the hydro wasn’t cutting it to begin with, thought a change would be at least worth considering. Though yeah, it’s unlikely even as a pain patient would get enough methadone for this type of transition, and they are seeming to want to try they’re script, however it may not be enough, and don’t just mean more opiates.
Still if they are dedicated, and take appropriate measures, and get at least a couple of the meds we have mentioned,(mostly you guys/gals) then they have enough hydromorphone to get by and eventually be comfortable, as previously said.
Not even a big fan of hydro, though would take a 48mg script if offered
