Official Opiophile.org Narcotic Withdrawal Survival Guide

[Synack]

Hi Folks, I'm going to start putting this together and I'd like your input, just add a post and I'll add your info to the main post then remove your post...

I have a heavy habit - equal to approx: 400mg ORAL Morphine if taken as directed - but equal to 600mg ORAL Morphine if taken orally; Even higher since it's taken intranasally. These two medications (DXM & Loperamide) resolved at least 90% of my withdrawal symptoms - this is a viable solution for quitting or taking a break from dope at done at home, I only wish I was aware of this sooner.

OTC Medications:
Dextromethorphan Hydrobromide (Dextromethorphan Polistyrex)
Loperamide HCL
Polyethylene Glycol 3350
Diphenhydramine HCL
Doxylamine succinate
Ibuprofen
Naproxen Sodium

Prescription Medications:
Benzodiazepines
Clonidine HCL (Catapres)
Marijuana

Day 0 last day with narcotic medication:
Begin taking Loperamide HCL
Initial 50mg dose
wait 1 hour, then if needed re-dose 50mg
wait 2 hours, and if withdrawal symptoms persist, re-dose an additional 50mg
wait 2 hours, and if withdrawal symptoms persist, re-dose an additional 50mg

Dose 17g per day Polyethylene Glycol 3350 (Miralax) with AT LEAST 8 ounces of water or Gatorade/Powerade.

Each day without narcotic medication:
Take approx: 180mg to 250mg (sub-anesthetic doses) of Dextromethorphan Polystyrex when you wake up that morning. This will take approx. 2 hours to 'kick in'. This will ease the bone chill and RLS, as well as lower your blood pressure rather significantly - In my case, from 150/110 to 110/70.
Repeat every 10 - 12 hours if needed - not recommended for long peroids of time.
I have noticed that with a small dose of a narcotic that wouldn't help withdrawal seems to increase the effectiveness of Dextromethorphan - but this may have been placebo.


Continue taking Loperamide HCL
Initial 50mg dose
wait 1 hour, then if needed re-dose 50mg
wait 2 hours, and if withdrawal symptoms persist, re-dose an additional 50mg
wait 2 hours, and if withdrawal symptoms persist, re-dose an additional 50mg

Dose 17g per day Polyethylene Glycol 3350 (Miralax) with AT LEAST 8 ounces of water or Gatorade/Powerade.

For aches and pains, you can use Ibuprofen or Naproxen as needed.

At night, if you can't get to sleep you can dose Diphenhydramine HCL or Doxylamine succinate (or another sleep aid) at the recommended dose if you don't normally take these medications.

After day 3 to 5 - I'd recommend stopping the dextromethorphan to prevent toxicity issues and/or physical harm.

If you're quitting I'd recommend tapering down your Loperamide dose to prevent withdrawal symptoms - which I believe (but have no first hand experience with) should be less severe than a centrally acting full mu agonist.

Taper it down however you feel will work for you.

NOTE: High doses of Dextromethorphan over several days can be dangerous and are not recommended - please dose at or below 250mg per 12 hours.
NOTE: If you dose with Dextromethorphan Hydrobromide - split this 180mg to 250mg dose over 2 or 3 doses evenly spaced.
NOTE: If you dose Dextromethorphan above 250mg, you may feel the anesthetic effect of the medication - this feels numb, similar to laughing gas (N2O) - this can be dangerous if you bite your tongue or lip while eating.
NOTE: Dextromethorphan is also a dissociative at high doses, so be aware of this.
NOTE: The half-life of Loperamide is 9.1 to 14.4 hours with an average of 10.8 hours
NOTE: It is important to stay hydrated during this process as Loperamide will constipate the hell out of you in these doses.
NOTE: Lower Loperamide doses can still help, especially if you don't have a very large habit. As always, start slow and wait for the effects - I'm not sure of the full effects of these mega doses so be cautious and do this at your own risk!

Soon, I'll add prescription medications to this guide.

Do you have anything else to input?

edit: Also note that even though I took about 250mg of Loperamide in two days, my stool was still loose... my guess is tolerance to the actual effects - I don't know for sure though. I'll be taking 34 grams/day of Polyethylene Glycol 3350 for the first 3 days after that, then just 34g/every other day, or less, per day or EOD... just until I figure out what loosens me up without flushing me out. I'll update the guide to ensure you don't get stopped up to death.

[maycausedrowsiness]

This is extremely helpful. Great post Synack, great contribution.

[Paregoric Kid]

I'd add cannabis to that list, that is if the person doesn't get bad reactions from cannabis. loperamide is great but I don't use it much because, in my experience, continued use constipates me way too much.

[Chemical_Boy]

I'd add cannabis to that list, that is if the person doesn't get bad reactions from cannabis. loperamide is great but I don't use it much because, in my experience, continued use constipates me way too much.

It does constipate you pretty bad, but I would take this over full blown WD. 150mg of Lope will keep me able to go to work (albeit miserably) even if my habit is full blown (1-2g of good tar daily). I don't think that lower doses would. I am not saying to take that much cuz it probably is dangerous..... Fecal impaction, bowel obstruction, etc.... But when I dose lope like this I take max dose of stool softener and bulk forming fiber laxitive starting from day one. Even with that, forget about taking a real shit for a few days (up to a week) . I have added stimulant laxitives on that when needed, but I hate the severe cramping that comes with that territory.

Really I think the lope forms the backbone of this recipe. If you have a sizeable habit, I don't think you would get much relief from this without the high dose loperamide, unless maybe you go for a second or third plateau DXM ride (I have never tried this in WD but hear it helps. I am afraid to trip while in WD.). If you are able to get relief from just the other stuff and bud, awesome! But to me that would indicate that the habit is small enough that you could ride it through un-aided with little assistance to stay somewhat human feeling. Not that that's a bad thing!

Good guide though Synack.

[opi8]

I know some people don't find smoking herb during w/d, and it probably wouldn't for people who aren't normal smokers, but it really helps me when I'm in w/d's.

[KoDeInaaaae]

aww good shit,its like a worst case scenario guide for WD (u know the book?)

[SHELLEY]

counterpoint: this may not be for everyone
personally, when i took DXM while in withdrawal (mainly because i needed fucking ANYTHING at that moment)
it just made every little symptom 1000x worse, especially nausea and twitching/needing to move
and on top of that i was seeing shit which just made the normal anxiety into all-out fear
i'd rather kick CT than with DXM

not saying it can't work for a lot of people, because i've heard this from a few folks that it works
but still, be careful
brain chemistry is a funny thing...

[Synack]

counterpoint: this may not be for everyone
personally, when i took DXM while in withdrawal (mainly because i needed fucking ANYTHING at that moment)
it just made every little symptom 1000x worse, especially nausea and twitching/needing to move
and on top of that i was seeing shit which just made the normal anxiety into all-out fear
i'd rather kick CT than with DXM

not saying it can't work for a lot of people, because i've heard this from a few folks that it works
but still, be careful
brain chemistry is a funny thing...

Shelly, how much did you take? I found 180-200mg to be the perfect dose for me - it's about 1.3mg/lb for me - and this was delsym... I never tried the instant release and I hated anything over sub-anesthetic doses since they made me feel shitty, but at least it took away the bone pain and skin crawling/melting/burning sensations.

I imagine the delsym worked better since it was milder, and longer in duration - and I only needed it to lower my BP since the loperamide helped a ton.

Thanks for your input.

[Logistics]

counterpoint: this may not be for everyone
personally, when i took DXM while in withdrawal (mainly because i needed fucking ANYTHING at that moment)
it just made every little symptom 1000x worse, especially nausea and twitching/needing to move
and on top of that i was seeing shit which just made the normal anxiety into all-out fear
i'd rather kick CT than with DXM

not saying it can't work for a lot of people, because i've heard this from a few folks that it works
but still, be careful
brain chemistry is a funny thing...

Damn, sounds like you took wayyy too much DXM, that or you're one of the rare people with extreme sensitivity to it.

[austinslacker]

Besides saving on my computer, I am actually going to print it and put under withdrawal tips in my file cabinet. Very good info Synack!

[Restharrow]

These two medications (DXM & Loperamide) resolved at least 90% of my withdrawal symptoms - this is a viable solution for quitting or taking a break from dope at done at home, I only wish I was aware of this sooner.

Do you have anything else to input?

Good post Synack!

I was aware of the loperimide effect to ease 90% WD symptoms since the late 1990's. I had NOT told a lot of people lately because:

1. They accused me of lying

2. Sources for anything but tiny boxes of Lope are drying up AND raising price. It used to be available from Walmart (box of double bottles with 192 tablets) for about $9. First the price went up, then Walmarts near me are NOT carrying anything but the 24 to 48 blister packs.

If I think I am going to need it, I buy it from the mail order store I told you about for $5 for 400 tabs way ahead of time.

With LOPERIMIDE the liquid form of it will be absorbed more quickly than the tablets. The difference is noticeable to me, but the cost difference is huge. NOT the multi-product liquid, just liquid Loperimide drunk on an empty stomach.

Will

[lespaulpower]

Great info here.

But personally, I hope I NEVER again have to use something like this..
Ever since the last few times I've endured this shit, I've made a pact to myself to never have to experience it again. Don't get me wrong, I've been full-blown SICK plenty of times, but it just wears on me after a while and DESTROYS MY SOUL. Hell, I'm surprised I haven't blown my brains out.

[Synack]

Besides saving on my computer, I am actually going to print it and put under withdrawal tips in my file cabinet. Very good info Synack!

Hey AS, you may want to wait a week or two before printing it out since I'll be updating this to include additional OTC medications, as well as prescription medications.

Great info here.

But personally, I hope I NEVER again have to use something like this..
Ever since the last few times I've endured this shit, I've made a pact to myself to never have to experience it again. Don't get me wrong, I've been full-blown SICK plenty of times, but it just wears on me after a while and DESTROYS MY SOUL. Hell, I'm surprised I haven't blown my brains out.

Yeah, I read on one of the ban oxycontin websites that someone actually did blow his brains out during withdrawal... that ungodly depression just consumes me too...

[Synack]

If someone could test this out, and verify that you're getting the same results that me, Uncle Wiggly, JMohawk and RestHarrow did, that'd be great... a testimonial from some other members will definitely help.

[JonnyM]

If someone could test this out, and verify that you're getting the same results that me, Uncle Wiggly, JMohawk and RestHarrow did, that'd be great... a testimonial from some other members will definitely help.

It would be cool to know who else gets the effects of loperamide, for me if I take a large dose 80-100mg it will completely stop my withdrawals, a miracle over the counter drug for me.

[Synack]

I'm doing this again for a few days... it really works... it's not perfect, but other than more meds - this is the best solution I've found so far...

[hovadagod]

Completely stopped my WD every time I tried.

[Dolofinell]

Bored today, had a bottle of 100 loperamide, this has had me so curious
I had to try.

Been at between 100mg and 130 mg(present dose) of methadone maint.
for 6yrs. now. I get 2 weeks worth of takehomes and just picked up yesterday
so I have 13 botttles of "juice" sitting in my lockbox right here but I dont
believe that compromised this mentally for me at all.

I am a complete wuss when it comes to W/D, I wake up every morning
at 5am in "slight" W/D and dose right away. I cannot make it until 9am,
already sneezing, yawning, skin crawling, hot/cold . Bad quick.

Anyway long to short I dosed 60mg lope. at 5a.m., 50mg lope. at
7a.m. and 40mg. at noon. Ibuprofen at 600mgs. 3x today. No methadone
It is 9:30pm here and I have not felt ANY signs of W/D at all today
except a little achy, just a little.

I realize I just dosed Fri. a.m. and this is just Sat. but if it wasnt
for the lope. which at this point I am 95% good, I would have been
drinkin my dose by 8am tops , my skin is already crawlin and I have
the cold sweats by then if I dont.
So in crisis Loperamide is an A+ in my book. Just my experience judge
it how you will. Dolo...

[NOLA]

So what OTC thing can you buy for the DXM?

[Opiyum]

^ Lot's and lots of stuff....Robotussin, Delsym, Dimetapp, Coricidin, generic store shit and lots of other places Im sure.



Though it's been a long time since I've needed it or used it I still remember Lope being a huge help at least a dozen times.

[DCBA]

never used loperamide in that doses but since 15 years i never go coldturkey... I usually use codeine every 2 to 4 hours and thats enought because the ceiling of codeine is "over" in a couple hours allowing to take more and increase the quantity of morphine inside you.
When my codeine is running low i add tramadol and kratom to it and stops me my WDs almost completly.
Also if my smack habit is large enought for the codeine (and the others above) to improve my emotional WD, so when i need more than just "not be in WD" then i would use poppies tea and maybe methadone, that will keep me not WDing and felling normal.

But its good to know loperamide works... But the thing is... In my country loperamide costs a lot more than codeine so i would buy codeine instead.. Codeine is not OTC but i got my ways to easy get it!

[Dolofinell]

Just wanted to update that I went to bed at about 11:30pm sat. night.
Slept like a baby until 7am this morning, dosed my regular methadone dose.
I metabolize my 'done very fast and am just absolutely shocked at how
well the Lope. worked. I have never missed a day of dosing methadone
in 6 years, cant make it past 24 hours without the onset of some W/D.

Made it 48hrs. without a dose and felt 90-95% fine. Unbelievable!
Just FYI, judge me how you will.

[jdub]

This thread is great. I haven't W/D in a long time because I take done. I wanted to add that this stuff may work for making it through short term withdrawal, but for me to put together any long term sobriety, I need some sort of rehab. Just throwing that in.

[Synack]

on lope again... fucking hell, since I found out lope could help this much (more than tramadol)- I'm absolutely CARELESS with my meds... ouch.

[erica]

Loperamide is a godsend. It does not even nearly get rid of all my withdrawal symptoms, but it does well enough to make it where I can sit still and not want to smash my brains out with a mallet. I would really recommend it...I take about 40 mgs every few hours for the first few days, and taper from there. I'm about 11 days out from my last shot of heroin and I'm still taking about 20 mgs a day. It helps a ton.

And really, I could care less about being able to shit. That's like the last thing I am worried about. It comes out eventually.

[limitless_euphoria]

I've noticed that there's been plenty of drug names thrown around but has anyone addressed what to do let's say you're home kicking and you aren't able to get all of those things (maybe only a partial list)?

We're all adults here so I'll just say it. An "auto-erotic release," can provide a nice little respite from some of the symptoms. I've found for me it provides anywhere from 10-30 minutes of lowered symptom levels and perhaps a tiny bit of pleasure (as if most of us haven't burned out our pleasure centers already). It's helped me in the past so I figured why not share it, even at the risk of being laughed at. I'd imagine it might help women too but I couldn't say for certain as I have external plumbing. Has anyone else ever done this, if, for nothing else than to pass time?

That's another good point: passing time. If you have a DVR or a DVD collection, save up a whole bunch of your favorite shows or movies. When I was in severe w/d in the past with a monster habit about all I could do was lie on the couch or in my bed and watch the tube. Actually, Trainspotting just made me think of combining idea #1 with idea #2 except a content change (x-rated DVD, net porn, whatever you've got).

Doing those two things has helped, albeit maybe 10%, but then again every little bit helps, right?

P.S. Per someone else's post about lopermide, what, are they cracking down on that (DEA)??? I mean, now you need ID to buy pseudofed, benedryl and DXM products. What a friggin' world, eh?

[FiendMan]

several doses of lope (about 100mg) throughout the day does wonders for me. however, it does not get rid of the chills/sweats. i have to add a few doses of about 200mg of dxm to help w/ the chills. even while on subs i still have to use the dxm to get rid of the chills. dxm and mdone seem to be the only thing that will help this annoying little aspect of the w/ds.

[DanTilly]

I've always been lucky in the sense that very low doses of loperamide (20mg or so) work wonders for me.

Not sure if it has been mentioned but here in VA we have a store called "Dollar General" they sell bottles of 48 for $3 -- screw walmart/walgreens prices

[Synack]

10 more days of lope maintaince... ugh.

Sams' club has a bottle of 350 2mg pills for $5.24 after tax..

edit: With high dose lope, my withdrawal is 100% allevoated - I'm approx. 40 hours since my last dose of oxym. This is from a habit of intranasal 300mg oxym with a 5 day piss-poor excuse for a taper at 100mg intranasal per day.

[hansardo]

Synack -

Can you sleep when using the lope maintenance? I find that the lope helps every symptom but the insomnia... nothing helps that short of benzos/seroquel and way too much diphenhydramine. I've accidentally sort-of tripped on benadryll trying to get to sleep in hardcore WD. Kept losing my balance and shit.. it was a nightmare.

Just curious because everyone seems to be very different when using lope for WD.

PS sorry to hear that you're short on meds that sucks and happens to me a lot lately, as well.