Dilaudid + Phenergan

[Hydro-Joe]

After reading several threads on taking Dilaudid orally, I assume the effects of using such via the oral administration route is basically worthless (not that I am afraid of needles, I just won't shoot them!). Would it be wise/unwise to also take a 25mg Phenergan tablet with the Dilaudid to increase its effects?

Comments welcome.

Hydro-Joe

[oxy kid]

would you be afraid to snort them?

[Hydro-Joe]

I've never snorted anything in my life, except for nose spray. I wouldn't even know where to begin. I hate to sound like an idiot, but is it done by just crushing them into a powder and maybe rolling up a dollar bill and breathing it in? Any danger of choking using this method (lol)?

[Uncle Wiggly]

I'm not sure about using Phenergan as a potentiator but I'm sure one of our health care professionals will be able to answer. I do agree that oral Dilaudid has a low bioavailability but I've found there are a few ways to help it out. I've found that crushing Dilaudid and mixing it with a small amount of juice seems to help it along. I have to crush mine because I have a very hard time swallowing pills. I've also found that taking 25Mg of Diphenhydramine (Benadryl) helps to potentiate Dilaudid.

I've never experienced any significant increase an its effects from snorting, but that's just me and I'm not sure what the official verdict is on that ROA. I would expect the next best thing to IVing them would be to crush the pills, mix with some water and plug em. (Up the butt) I hope this helps. Good luck.

I agree with Brony. Oral Dilaudid is not a waste, especially if you're in pain and it decreases your pain level. I know plenty of folks who take their Dilaudid as directed, I'm one of them, and find it very helpful for pain control.

[Hydro-Joe]

Speaking of tolerance, I do have a pretty high tolerance. I've been on either hydrocodone or oxycodone for the past ten years, not to mention regular past use of methadone, fentanyl, demerol, and oxycontin, just to name a few.

[oxy kid]

I would def try taking them orally and see what you think, then try snorting one and see what you think.

You are going to get a lot out of them regardless. I think you will be fairly impressed.

[bigNasty]

I think the phenergan will over power the oral dilaudid and just make you fall asleep. Take it by itself to see if you like it and then think about combining it with promethazine

[edhorfin]

You've been taking opiates for 10 years and NEVER snorted? Is it safe to assume you've never IM/IV'd as well?

I think a poll may be in order. Which members have never taken their opiates other than orally?

I guess I can imagine that scenario, especially with someone who came to opiates thru pain control only, and even then probably started after their teen/twenties....Still, I'm curious.

Once someone crossed the bridge from use to abuse, which I define as taking any med in a manner other than directed, specifically for the purpose of achieving an altered state of consciousness, it seems that considering a more efficient ROA a pretty small step.

Lord knows, it wasn't a big step to IV for me, it just seemed logical at the time, not wanting to waste any of the substances potential. (we're big on maximizing potential here)

Anyone else curious?

Ed

[Hydro-Joe]

I've never IV'd ANY drugs myself. Of course, I have a history of chronic kidney stones (I currently have six up in my left kidney now, and three in the right kidney), and I have received demerol and dilaudid IV and IM in the emergency room.

I have NEVER snorted any of my medications. I came to use these medications through genuine medical problems. I've been on narcotic pain medications for over 10 years and my tolerance is indeed through the roof. As previously mentioned, my doctor has allowed me to try other narcotic pain medications, namely, Opana/Opana ER, Fentanyl 100mcg q 48, hydrocodone, percocet, oxycontin, demerol, avinza (sp?), and a few others. Unfortunately, it seems like plain old oxycodone (like percocet or primalev) targets my particular pain more than the other medications. It also seems as if plain old oxycodone works better for me than oxycontin.

I have to take about 6, 10mg oxycodone (not oxycontin) tablets at a time just to get some sense of relief from the pain I am in on a daily basis. I do crush up more of the oxycodone if I use cold-water extraction to allow for the natural loss that occurs during the CWE method. These primalev tablets I am currently prescribed only have 300mg of acetaminophen per tablet, but if I have to take more than six at a time, I still do a cold-water extraction, because all of that acetaminophen does add up. I have crushed and used up to 4-6, 15mg oxycontin tablets (orally, not snorted or injected), but it seems that the oxycontin just made me more tired.

I've read other threads on this forum about the different ROAs, and I was curious about snorting to see if it would actually help me. I would like to cut down on the amount I am using on a daily basis, and it seems that snorting possibly would allow one to cut back on the amount of pills required to achieve the same effect.

It's been about 8 years since I have received dilaudid in any form. I believe the last time I had dilaudid, it was given IV in the emergency room. I was also prescribed 10, 2mg dilaudid suppositories to take home during that same hospital visit.

[bronyraur]

Originally Posted by Hydro-Joe

After reading several threads on taking Dilaudid orally, I assume the effects of using such via the oral administration route is basically worthless (not that I am afraid of needles, I just won't shoot them!). Would it be wise/unwise to also take a 25mg Phenergan tablet with the Dilaudid to increase its effects?

Comments welcome.

Hydro-Joe

Well, let's see...Dilaudid is not worthless when taken orally. Most people like Dilaudid for the *intense* rush it provides when used IV. But if you've never IV'd–like yourself, and you have a relatively low tolerance, chances are you'll get a buzz it you take it orally–granted, you're not gonna get the "so this is what heaven is like" rush from IV-ing it, but if you haven't done it before, don't start.

And you have the basic idea behind snorting pills down–crush it into a fine powder, them make a some lines out of the powder, and get a straw (money is dirty–you don't want that shit up your nose) and snort it.

And if you choke–you're definitely doing something wrong. If anything, you might cough a little bit.

[rockbottom]

Originally Posted by Hydro-Joe

After reading several threads on taking Dilaudid orally, I assume the effects of using such via the oral administration route is basically worthless (not that I am afraid of needles, I just won't shoot them!). Would it be wise/unwise to also take a 25mg Phenergan tablet with the Dilaudid to increase its effects?

Comments welcome.

Hydro-Joe

we gave IM diliaud plus phenergan at a cliic i worked at--- even the docs wont waste it orally

[Hydro-Joe]

I'm still at a point in my life where IV'ing any substance is just out of the equation. For once, I'm going to put my family life and/or career first. If I started IV'ing my meds, I'm almost sure my physician would pull the plug on any future opiates. He has been really good to me for years, and he will RX anything I want to try, and I'm just not willing to cross that line for an "IV high."

I have degenerative spine disease and if I didn't have my daily meds, I don't know what I would do. My physician ordered some simple x-rays years ago, and that's ALL of the diagnostic testing that I have had since. He told me the only way I would ever get any real relief would be to "stick" a steel rod into your spine." He said it wouldn't be worth the risk to perform that procedure, so he would just try and make my daily life more tolerable.

He really does understand tolerance and he allows me to choose whatever meds I feel I need. He also writes me quantities that allow for uninterrupted use for the month. He has been the best doctor I have ever had. I ran out of my meds early a few months ago, and I made an appointment to see him because I was starting to WD. He took one look at me and instantly knew what I was going through. He immediately ordered an intramuscular injection of Demerol (not the best of course) to hold me over until I could get my prescription to the pharmacy and get it filled. The only thing he said was that "you are physically dependant on these meds, and you do NOT need to run out, or quit taking them."

Before I left the office, he gave me his cell phone number. He told me if I ever faced the situation again to call him personally on his cell phone and he would get me into the office immediately without scheduling an appointment.

Seems like some days I just cannot get any relief no matter what I take. However, most days are tolerable. I asked the dilaudid + phenergan question to see if it was a viable option for the really bad days. Thanks to all who responded to my questions.

Hydro-Joe

[digby]

Boy, does your last post sound like my life and circumstances, even the time frames. I am also one of the few that will not IV/IM my dilaudid and find the oral route to be very helpful as far as pain control, and even some euphoria. More power to you in sticking to your guns. 30% bioavailability isn't really that bad, and a good doctor takes that into account and prescribes quantities accordingly so patients shouldn't find themselves running short.

The biggest problem I have at times with the oral route is that it can take an hour to an hour and a half before the dilaudid really kicks in. When I'm in a pain flare, that is not so very acceptable. Insuffilation of the same drug will kick in in about 10 minutes, so I can understand why some people would choose to go that route on those extreme occasions. Snorting is far less damaging than IV/IM, especially if done infrequently. But the amount of powder I would have to put in my nose would be counter-productive, so even if I chose that route, I would have to still take the majority of my dose by mouth anyway. At the larger doses of any opiate, I don't think potentiators have nearly as much effect as they do for those people that have lower tolerances, so personally I don't bother with them much. Taking a large quantity of a pure drug makes life much simpler and the dose much easier to adjust in my opinion.

I guess this is where fent pops or fentora might be the best alternative.

Anyway, was good hearing from you and best of luck to you Joe.

[Hydro-Joe]

Posted in duplicate (error): Removed

[Hydro-Joe]

Thanks digby for the comments. I, much like yourself, have trouble sometimes with the wait to achieve pain relief. It doesn't happen often, but some days seem like I have more pain than I can stand. My doc writes me some 'emergency' doses of my meds so that I don't run out before the first of the month.

I've thought about snorting some of mine on really bad days, but thus far, I have not been able to do it. Honestly, I'm thinking about how high my tolerance will really go if I snort some of them. As previously mentioned, I've been on prescribed opiates for 10-12 years, and I have abused my meds from time to time, so my tolerance is already very high. I also went the methadone route about 6-7 years ago, and I was up to 160 mg day (if I remember correctly). I've also been prescribed Fentanyl, Opana (instant relief and ER), OxyContin, and many other Class II susbstances.

So far, I've tried to do the right thing and take my meds as prescribed, but we all know how that winds up...extra 2 here, extra 4 there. When I have a really bad day, I usually just do my best to tolerate the pain. Hopefully, I will figure out something that will work. Thanks for the 'no IV' support. I know LOTS of people who use these meds by injecting them. I also know people that snort them. Personally, I don't have a problem with either ROA, but it's just not the right thing for me right now. I hope no one takes that the wrong way as I am NOT judging anyone!

Have a good day!
Hydro-Joe