Is it true...

[Beautifully_Broken]

about the body not developing a tolerance to oxy's?

is that if you take them as prescribed, or snort/bang, etc?

my dr says that if you take them as prescribed (i.e. orally) you dont get high.....is that true?

how would one compare it to Hydrocodone?

thanks, dr is thinking of switching me for back pain

[orangejuice]

Any "body" will develop a tolerance to oxy.

If you snort bang or eat em, results will usually be the same, sometime one will happen faster than the other.(talking about tolerance build up)

LOL Mr "dr" hasnt taken any 80's latley has he. They will definitly get you high, yes, even if you eat them. In fact oxy has a very good bioavailibility when taken orally. which means they work most efficiently if you take them orally.

Oxy is stronger than hydro, different high, not too diffferent. You would take a lot less oxy to get you where you wanted to be taking hydrocodone.

Your welcome, you are lucky to have a good dr.

Have a good day, welcome to opiophile :)

[Babydollangel]

I just got done reading somewhere that what you say is true......however, i dont beleive it !!! Taken when in need of true pain relief there is no recreational value, and also there is the tolerence thing...

[CUBErt]

Well here's the thing. Brand name Oxycontin are time-release Oxycodone pills. In other words the opiate they contain is oxycodone. The brand name Oxycontin are designed to slowly release whatever dosage of oxycodone they contain over the course of a day, or several hours (not positive). But from my understanding the release is slow enough that most people with any opiate experience wouldn't feel it at this slow rate. You can still take them orally and get high if you chew them up or better yet grind them into a fine powder before dropping them down the ol' hatch.

[orangejuice]

yes, indeed, ive heard by many that when taking any pain medication (narcotic) experiencing a true pain, some do not feel the effects as much. However, i have little experience in taking medications for any pain except w/ds lol.

[orangejuice]

Well, cubert is right. BUT i get very good results with oxycodone, be it xr or regular. I have a high tolerance to methadone, which as pretty much killed my tolerance, execially to hydro. But i can definitly feel better when an 80 or 3 enter my system. And i dont even chew em, break em, or shoot em. Good ol just eaten em whole. Quick, fast, easy, clean. :D

[candy]

Body responds differently to pain and when taking opiates for pain control, it is true that one may not experience the same effects as those who use opiates for recreational purposes.

[WarmCyanide]

wonder if you go into ER with severe pain and tolerance to opiates. would one just have to tell the truth :confused-

[Babydollangel]

wonder if you go into ER with severe pain and tolerance to opiates. would one just have to tell the truth :confused-
Nope i wouldnt...lie lie lie...but i have wondered the same thing before and even asked everyones opinion on here in a thread a while back...does make you kinda think what would happen if something terrible happened and you couldnt get effective pain releif in an emergency situation though.

[candy]

Depends on your tolerance and your level of pain. With a drug like Morphine, they can continue to give it IV pretty often. It really depends on why your their. If you had accidently amputated a limb, no one will question your level of tolerance. If your there for a headache and 8mg of IV Morphine doesn't at least make you sleepy, one might start to ask questions.

Having been an ER nurse, I have seen some folks who never used opiates, start to respond to a high dose of Morphine that would knock me on my ass for pain. Pain is one of the most misunderstood aspects of medicine. With intense pain, the body reacts differently than in a pain free state. You almost go into a state of something similar to "fight or flight" that the body experiences. Brain sends out all those neurotransmitters and the receptors are firing all at once.

I have seen some patients with intense pain being put on a ventilator to protect their breathing because the amount of opiates was just incompatible with breathing.


But as a warning, if you are on opiates and go into the ER, and need to be medicated, you may want to let them know. Especially if your seriously injured.

Being on Methadone myself. I carry around an emergency card in my wallet that says I am on Methadone. I certainly don't recommend this for everyone who takes Methadone or other opiates. But if your going in for a procedure or your injured, you may want to say something, especially if your on a longer acting opioid like Methadone.
I went into a cardiac arrest during a minor out-pt. procedure when my doctor continued to give me Fentanyl to put me to sleep. Apparently, he administered enough Fentanyl to kill 3 people. Instead of using something like Versed with the Fentanyl to help with anesthesia, he kept loading me up with Fentanyl and I stopped breathing. And this doctor knew I was on Methadone.

Myself, I prefer to have Morphine if needed. I just say that Demerol gives me severe nausea and vomiting and they give me MS. MS is shorter acting and can be given more often.

I could always tell when someone was in real pain by the tightening of the muscles in the jaw. You could see they would clamp down and that muscle in the jaw would be working. I'm not suggesting anything...Just an observation I made!

[CUBErt]

That's pretty interesting about different reactions with pain/recreation but it makes alot of sense. So is morphine pretty standard when you are in the hospital? Prescriptions to it seem pretty rare, as most just get Vics or Percs, but when people are actually in the ER or something it seems like they hand morphine out left and right.

[orangejuice]

Well the morphine in the hospital depends. In my experience, with common pain, demerol, is more usual than morph. Sometimes a demerol+pheneragan mix (for nausea) it feels good, but not like the morphine. Ive only had morphine one time. I had kidney surgury 5 years ago, n they had to cut through 3 major muscles in my stomach so it was painful for a pretty long time after the surgery, i had to stay in the hospital for 7 days after the surgery n was on the morph pump :D i had a fairly small tolerance then (20 mgs of methadone would do me then) i was only 15 or 16 then. Yeah, to this day i hardly remember my stay in the hospital, but i do remember pushing that pump button every 10 mins (time alloted for "re-up" on the pump) it was great...

But CUBErt yeah it does seem that alot of people talk about recieving morph around here, i guess im not as lucky, but i think it depends on the injury. I do enjoy that shot of demerol, and the only reason it touches me is cuz the hospital around here sucks, we call it the bandaid station heh, and the docs dont kno much bout treating pain.



Plus even these days, morphine is still considered one of the best pain killers among most doctors/patients. that might be why its used so frequently. they should sw

[orangejuice]

Plus even these days, morphine is still considered one of the best pain killers among most doctors/patients. that might be why its used so frequently. they should switch it to methadone :D. but even methadone isnt as good for treating most pain as morphine is.

[antony]

my dad went bat-shit crazy on morphine when he was in the hospital. My grandmother brought him some pasta and in the sauce were mushrooms. He started hallucinating, and called my grandmother and freaked out on her and said she tried to poison him with magic mushrooms, and before he could check himself out, the doc told him that the hall. were due to the morphine.

[candy]

You know Cubert, it really depends on the factors involved in why you are there in the ER. Morphine has a shorter half-life than Demerol and is used when the patient will need pain meds more often. Demerol is not a good pain med for long term use as it can lead to toxicity because of the build up of it's metabolite.
Morphine may be used for patients allergic to Demerol.
Demerol can increase the seizure threshold.
You see Demerol used for anesthesia with Versed quite often often for proceedures.
Morphine has more routes of administration than with Demerol.
Morphine is the drug of choice for chest pain with a heart attack.

So, many factors can affect the choice of pain meds, especially in a ER situation.

[orangejuice]

all in a nutshell. Thanks candy, always appreciated.

[LayinLow]

So, many factors can affect the choice of pain meds, especially in a ER situation.

Last time I had to go to the ER for a real bad migraine, I was givin 1mg of Dilaudid. When the nurse was giving it to me (IM) I asked how much was in the shot, he said "1mg, it's about the same as 10mg morphine".

[Beautifully_Broken]

last time i was in the hospital (dehydration) i said I hurt and they gave me iv Nubain, when i was expecting a vicoden or somthing...most of the drugs i was given were given intravenously

in hospitals i think the mentality is whatever is making you sick will probably require pills that have to be processed by the liver. Maybe they tend to give morphine, demerol, nubain, things that are iv so a, you not in pain as long as waiting on a pill to work and b, could save from extra strain on the liver

[Badly Drawn Girl]

about the body not developing a tolerance to oxy's?

is that if you take them as prescribed, or snort/bang, etc?

my dr says that if you take them as prescribed (i.e. orally) you dont get high.....is that true?

how would one compare it to Hydrocodone?

thanks, dr is thinking of switching me for back pain

Yes, you will develop a tolerance. My mother has had her dosage increased many times over the years. My mom says she does not get any feeling of being high. She takes 5 of the 20 mg a day. Now I take them occasionally for chronic pain as well and they most certainly do make me feel high. A very nice warm, happy feeling. And my tolerance has gone throught the roof over the last few years. It's just the way the body works unfortunately. Oh and... I want your Dr! My dr has me on the same crappy dose of percocet that I've been on for three years straight. Needless to say, they aren't working for me at the level anymore.

[blenderqueen]

I don't feel the OC's but they do help for the chronic pain. I miss the feeling of the reg percs though:(

[LayinLow]

I don't feel the OC's but they do help for the chronic pain. I miss the feeling of the reg percs though:(

Just take some tylenol after you take your daily dose of OC. Wouldn't that sort of be a percocet? ;-) I know the APAP in vics/percs helps boost the strength to some degree.

[vaxn8]

wonder if you go into ER with severe pain and tolerance to opiates. would one just have to tell the truth :confused-

I'd have to agree with Candy on this one. If you don't let them know what you are on or what you normally take, and you are in severe pain, they are not going to come even close to helping you if you leave them in the dark!

Obviously, it's much easier if you have a legit Rx that you have been on for a chronic condidtion, they'll obviously react different and may treat you with more respect than if you say you shoot a couple g's of H a day. Either way, I'd still let them know. You may run into a doc that is an ass and who will refuse to treat you with enough if you are honest with him/her, but that kind of doc probably wouldn't have been all that helpful if you hadn't told him about your situation.

I've always been upfront about my situation with EtOH. I quit when i was 15, because i was already a drunken disaster at that point. It will usually cause them to call for a psych consult before they will give anything addictive, but by being completely honest about the situation, I have never gone untreated for an actual emergent condition.

Either way, if they don't know you are tolerant, you will not get enough of any drug to help unless they know about the tolerance. How you go about letting them know about that tolerance is up to you, but it's important that the treating doc knows!