I am not an IV drug
user, so I can only speak from my experience, but let me say one thing right off the bat:
Some guy SHOULD NOT
and dilaudid. There is no way of knowing the purity/potency of the heroin and mixing them ups his chances of ODing by a lot, especially if he shoots them. One should always exercise caution when combining any opiates
(or taking them alone, for that matter), but at least the prescription medications are "real" and easily measurable.
Honestly, if Some Guy does roughly 300mg of oxycodone
a day, I'm not surprised he didn't get much from the dilaudid. I'm not even surprised he didn't get much from the H, depending on the potency. I don't have to tell Some Guy that is a pretty massive opiate
habit. No judgement, it's just a fact.
In my opinion, eating and sniffing Dilaudid are both wastes. I believe you really need to plug, or IV. If he is determined to make the dilaudid work, Some Guy will probably need to up his dose, but I can't tell you how much. Nothing works better than IVing dilaudid (I have only had this in the emergency room) but I would urge Some Guy to plug instead. I have found plugging
dilaudid to be fairly effective, though I don't have nearly the tolerance Some Guy would have at his current habit. Again, if he is determined, I would plug 8mg, see what happens, and change based on that experience. Even with a huge tolerance, I would advise against slamming more than 8mg at once. That is his call, but I really don't recommend it.
Before plugging, no CWE extraction is needed on Dilaudid.
I do have some questions for Some Guy, though. If he is happy with the oxycodone and it works the best, why is he so determined to make the dilaudid happen? Again, no judgement, but he should consider the fact he is already doing quite a bit of oxycodone a day (understatement) to be adding Dilaudid and H to the mix. Does he only snort or 30mg of oxycodone at once, or does he do multiple pills at a time? You didn't say, just said he does ten a day. And, is he really getting NOTHING from plugging oxycodone? I find that a bit hard to believe if it's the same dose as sniffing, since plugging should work fairly well. But if you say so then I do. "Nothing" is not the same as "not enough," though. Just some things to think about...