Drug info - are solpadol harmful long term?

[littlemissnice]

Hi all
Swim is new here,been browsing for ages but this is swims first post in the codeine forum.
Swim has been taking solpadol tablets 30/500 for about a year now,they arnt prescribed for Swim she gets them off a mate and started taking them after a really bad patch in swims life last year.
Swim knows she cant really stop now and is worried about long term effects even though Swim dosnt exceed the daily dosage,will they still damage swims liver or anyting else for that matter?
Swim has been looking at how to do the CWE thingy but swim is a wife and mum and it somehow feels like swims admitting swims an addict if swim starts doing this even though swim thinks she is anyway its like saying it out loud sort of
swim is happy to carry on what swim is doing as long as it would be safe long term

[3xtr4]

Originally Posted by littlemissnice

Hi all
Swim is new here,been browsing for ages but this is swims first post in the codeine forum.
Swim has been taking solpadol tablets 30/500 for about a year now,they arnt prescribed for Swim she gets them off a mate and started taking them after a really bad patch in swims life last year.
Swim knows she cant really stop now and is worried about long term effects even though Swim dosnt exceed the daily dosage,will they still damage swims liver or anyting else for that matter?
Swim has been looking at how to do the CWE thingy but swim is a wife and mum and it somehow feels like swims admitting swims an addict if swim starts doing this even though swim thinks she is anyway its like saying it out loud sort of
swim is happy to carry on what swim is doing as long as it would be safe long term

How many is SWIY taking per day? They are 500mg paracetamol and the maximum daily aboumt is 4000mg from what SWIM knows. That doesn't mean 4000mg at once is OK, that will really damage your liver.

The daily 4000mg amount is not meant for long term. Taking that much, even if it is at 1000mg per dose, 4 times a day, for long periods of time WILL damage SWIYs liver. Liver damage has no symptoms until it is too late. For one year, SWIY could well have damaged the liver, especially if she has been thinking, "Ok, 4000mg a day means I can do 4000mg at once". Even 2000mg at once is dangerous.

Paracetamol is a very toxic and under recognised substance. People assume that because you can pick it up at Tesco that it's safe, it isn't safe for long term use.

The liver is, however, a very versatile organ and it can repare itself if you stop using for 6-12 months. If you aren't gonna' stop, then start CWE right away. It's better to admit you use it than to continue pounding your liver.

Also, bare in mind that CWE doesn't remove all the paracetamol. SWIY should be OK since you have 30mg pills and not 8mg (and thus you only need to use a few pills at once). There is a thread here of a user who used CWE on 8mg pills to get about 250mg of codeine a time, which means he would be filtering about 15000mg of paracetamol at a time and he came back with liver damage after years of use - thus demonstrating that CWE still leaves some paracetamol. In your case, however, it should be a very minimal amount since you only need to filter 2/3 pills (and thus only 1500mg of paracetamol).

Reputation Comments on this post:

	good information and logical explanation
	Good advice re paracetamol or apap that needs to be aired for newcomers.

[littlemissnice]

Thanks 3xtr4,your reply has opened swims eyes somewhat,
Swim has been using the max dosage of 1000mg per dose 4 times a day,so in other words as a doc would prescribe them.

Swim is now worried and is going to look into the CWE more as i dont think stopping is an option(yet) as swim is having loads of shit with her husband at the moment.

Could swi3xtr4 tell swim why the doctor has prescribed the same said dosage daily for swims friend who has been taking it for 6 years?
would her liver not be damaged and why is doc doing this if so?

[Horiz]

Can SWIM ask if SWIY still gets high on that low amount of codeine?
SWIM used to divert 30/500's from his ex-GF's mum and 2 would set him up nicely for 3-4 hours.

However, after a few months, he was having to CWE a fair amount (up to and above the "ceiling effect" and he barely felt it.

Luckily he managed to get out of it without any physical withdrawals, despite taking it 2-4 times a day.

By the way, if you do decide to stay on them and go down the CWE route, order lab grade filters from everyone's favorite auction site. Coffee filters are bullshit and usually let a stupid amount of paracet through.

Good luck with whatever you do, but please don't slip further down into the opiate spiral.

[paddycue1977]

have you ever heard of a doc putting a patient on methadone maintainance for sopadol addiction if the sopadol addiction is severe enough with no cwe and huge level of parac and impending damage to liver or do they use df118 to detox just curious and bored

[Horiz]

I would say it's EXTREMELY unlikely and highly unethical to put someone on methadone maintenance for codeine. If you're lucky they would give you Dihydrocodeine, depending on your level of addiction they'd give either 30mg or 118 (time release).

Note to anyone not in the UK: we simply do not get "pure" codeine here (as far as I know anyway) so they would be forced to taper someone down with DHC, as it usually comes pure.

[paddycue1977]

Ya i was thinking they would use df118s but some one has confinced me in itreland that his fried got on the methodone maintance programe here in irelnd think he was on 90 nurofen plus a day he told the doc he would not give up the guy was pretty normal with not go near heroin but codeines was his thing and the doc got him on the programme tiny dose i can imagine it would be a lot safer on the methadone but you really are going a few steps up the opiate ladder ps do yee have dhc in the uk we dont here in the emereld isle just the nurofen+ which the pharmc will have pscribt only soon i believe im in an inquesitive mood which will put a lot of people in withdrawals a lot of people i know all wlks of life but mainly women go through a box a day

[Horiz]

I guess if they started someone on something like 5mg of Methadone a day and taper 1mg maybe every few weeks or months, depending on how bad they wanna get off, but it's still pretty risky to treat an addiction with a harder addiction.

As for DHC in the UK, I know of three forms. 30mg IR prescription, 118 Time R prescription and finally, 7.46mg/500para OTC, however it's pretty damned expensive.

[paddycue1977]

cant be as exp as here i dont kow if we are alowed to dicuss prices but its nearly 8 yoyou for 24 nurfen + 12.8 i think i have lost the buzz for codeine now think overloaded the recepters but wha u can get in this country if u look decent ie no hoodie or are a women codeine linctus 150ml bottle 15ml which beieve me is much better tahn those horrible tabs even with the cwe it not cheap bout 8 yoyou a bottle 1 will do but two is nice it is officially over the conter in this county over here but u look any sus not a chane i beieve its big in the stated sippin syrup with promethzine which i find terrible and the coceine over there is only bout 10mls i beielve but the bottles are big

paddycue1977 added 51 Minutes and 56 Seconds later...

plus it saves you liver because what it the linctus is mainly pure codeine linctus and some other Trace amts of flaving etc there are other one on the market that contain codeine only 5ml per 100g a no of diff chems than (dont need to be there if you know what i mean there just but there to stop well you know)dont take anything but pure linctus the other chem will sicken you at a pain releive dose but i dont really take codeine anymore but still cant get relieve from a few nurofen+i find the ibufrun very hard but i find the linctus the perfect subtitute dont over do it ,well where i live u dont geta chance to do its, not really know over where i live never heard anyone talk bout it i suspose the poor heroin addicts know this one but even though chemist do not like giving it out even though its over the counter they give u a knowing look i think it was abused lot during the eighties when h was at it peak in dublin it would keep them from not being sick for a few hours if they were stuck relalively safer than a pack of nurofen i know it a cough bottle which is not usally used for pain but it contain 300mgs for a 150ml bottle and its much better for me than 36 cwe nurofen+ hands down people would have a lot healthier livers if codeine which i believe loses all rec value if thats ur thing after a few weeks i think you just get a slight buzz but all the hangover effects well thats if you do the dog on them which i did i always did a cwe (i dont fully trust this method on nurofen+ and have tried all the methods do any of ye remember the splittable ones they were handy but if you cant get the syrup and your in pain do the cwe and do your home work b4 you go to the chemist do you know what swims mean ,this has saved swims liver hope i have not broke any rules again they actully have a 100mg bottle as well i dont want to name the brand but my heart you to drop when all they had was that one but if you ar taken large dose of codeine 500-800 i know the ceiling is 400mg but i often felt the extra when i was in pain Can some tell me dhc has no ceiling dose is that right??

[3xtr4]

In reference to why the doctor has kept SWIY on the drugs, SWIM reckons it was just a repeat prescription and that he didn't mean for SWIY to take it as long as SWIY has. If someone was to be on paracetamol containing products for long periods of time, the doctor would probably order liver function tests every 6 months or so and if damage is occuring, look at alternatives.

[anonuser30500]

Originally Posted by 3xtr4

If someone was to be on paracetamol containing products for long periods of time, the doctor would probably order liver function tests every 6 months or so and if damage is occuring, look at alternatives.

Swim has never had a doctor suggest that he ought to have a liver function test ever. Swim has been prescribed co codamol for 15 years (30/500 for past ten years) and has never done a CWE up until a few months ago.

[3xtr4]

Originally Posted by anonuser30500

Swim has never had a doctor suggest that he ought to have a liver function test ever. Swim has been prescribed co codamol for 15 years (30/500 for past ten years) and has never done a CWE up until a few months ago.

How much paracetamol were you taking daily? You probably should get your liver checked out.

[littlemissnice]

Swi3xtr4
thanks again for your reply,
Swim dosnt get a buzz as such anymore,but as swim is a very depressive and paniky person by nature,they make her feel relaxed and chilled,stop her stressing out as much you might say.
Swim realises that she prob shouldnt have started self-medicating though and should have gone to her doctor.
one more question,Swim had a blood test (fasting) about 3 mnths ago and is now wondering if her liver function would have been checked with this? or maybe not? can anyone tell swim?

[anonuser30500]

Solpadol are the effervescent tablets and Swim thinks they are more addictive than the basic 30/500 tablets. Reason is that its like a ritual taking it - and you feel relief right away due to the codeine mixed in water.

No doubt its the codeine that makes you relax more than feel 'high'. Either way its addictive. Especially if your Swim has a nervous disposition and is maybe not as confident as you'd maybe like to be. Suppose everyone is that way in some degree, but panicking and feeling nervous really ought to be resolved by something better than sending your brain the easy shot of endorphins.

Maybe for the meantime, it might have helped your Swiy. Opiates will calm down people suffering extreme stress and pain, physical and mental, so people maybe veer towards opiates. The key word is 'opiates' and be aware that although your sailing in easy water (to some extent and compared to others habits) your best to avoid opiates to combat day to day stress.

As for liver damage, don't think you should worry really. If you have not been taking over the daily max (8 tablets) and your only at this for a year its not a great concern.

If your Swiy is married, then remind your husband about the 'for better or worse' part! Hope he understands. Ask how you'd feel if he told you he was addicted to prescription pain killers. Its not exactly grounds for divorce, its just a normal problem recognised by every health worker with an IQ above 80.

Good luck.

In answer to other questions, Swim has used co codamol for 15 years or so. 30/500 for ten or more. Only done a few CWEs and might buy the proper flask and filter if Swims GP does not want to just give Swim the codeine without the apap.

Swims GPs have never shown any concern or even mentioned Swims liver could be damaged. When asked, one stated many took what I took and lived to a ripe old age. His words, not mine.

I was not convinced the GP would not take a liver function test or tell a friend to do so.

May push that one. Privately Swim could get it tomorrow. Maybe sue if it was bad.

[littlemissnice]

SWIanon,
Thanks for your useful reply,swim has been to the GP yesterday and he has given her propranolol to help with her anxiety,although swim was this close to admitting her solpadol fetish,she bottled out last minute but has taken only 2 doses since yesterday as she is now a little concerned that they might interact with the propranalol although it dosnt say so on the leaflet.
As for swims husband,he would most prob fly off the handle as he is not one for talking at the best of times unless it suits him,and swim is coming to realise that he is a big part of swims panicky feelings,as swim is always trying not to upset him so as not to cause arguments in the house.
This is why swim has been to the gp cos she is seriously thinking of evicting him,but this is making swim so anxious that her nerves are out of control.
swim just hopes the propranolol help,and she gets her head sorted and can then do soething about swims solpadol fetish.

[Horiz]

^^ anonuser30500, Solpadol is a brandname for both types; effervescent and normal caps/tablets.

SWIM personally gets Solpadol 30/500's prescribed and they are not effervescent.

Also it's worth noting that the effervescent versions of drugs often contain a huge amount of sodium (salt) which is not removed via CWE, and we're talking about enough sodium to cause damage here. Just a little heads up to anyone who gets the effervescent (dissolvable) ones.