There's some misunderstandings that I'd like to clear up. First, to coolhandluke, this "torsade de pointes" with the Methadone
must sound crazy as it did to me because I was told that I can take Percocet and not Methadone. I had the same questions as you did because they're both opiates
, so what's the big deal, right? When I popped on early morn and posted, I forgot to say that taking Methadone alone can do the same to you, so it's not just taking the two drugs
together, but when you do, it increases the risks bigtime.
Taken from thefreedictionary online: tor·sade de pointes
) n. Paroxysms of ventricular tachycardia
in which the electrocardiogram shows a steady undulation in the QRS axis in runs of 5 to 20 beats and with progressive changes in direction. torsade de pointes
–twist, Cardiology A form of polymorphic ventricular tachycardia with prolonged Q-T intervals initiated by a premature ventricular depolarization striking near the apex of a delayed T wave; torsades have irregular rates of 200-250/min with marked variability in amplitude and direction of a QRS wave that seems to twist around an isoelectric baseline; torsades may spontaneously resolve or evolve to ventricular tachyarrhythmia and may be nonspecific or due to drugs–eg, adrenergics, antihistamine
, phenothiazine, procainamide, quinines, sotalol, and tricyclic antidepressants
, electrolyte imbalance–eg, hypokalemia, hypomagnesemia, CNS hemorrhage or trauma, long Q-T wave syndrome, liquid diet, and underlying heart disease Management Isoproterenol.
With that being said, having these arrhythmia's can cause you to have a stroke, heart attack, or they can instantly kill you, but having torsade de points alone, I believe is worse than having just any arrhythmia (I'm guessing on that one). Now, put them both together and you're in double trouble. This information was originally found on the web when making sure all meds didn't interact once the Methadone was prescribed. Pharmacies screw up and don't always check to see if an interaction is gonna happen, and THIS pharmacy really screwed up! Nickie already has a heart condition, so again, double trouble. She could have died from taking the Dones, and my apologies, but I can't remember why she can take the Percs and Dillies and not the Dones. I've been looking all over the web for the answer and I'm unable to find it, but I do believe it has something to do with the QT interval with the Dones when it doesn't happen with the Percs and Dillies. As far as getting a second opinion, there were a lot more opinions than that. LOL! This is scary stuff! Many phone calls were made and much bitchin' was done, believe me! All the above wasn't easy to explain, but I hope I helped out somewhat.
About the hubby, he's ALREADY home which leads me to say HI SG! and thanks so much for popping in with your advice as well. I want you to know that amazingly so, for over 20 years, Nickie has been trying to save this man from addiction
, but you all know how that works. What happened was the fact that Nickie's illness got the best of her, and after all those years of HIS addiction, and him always pushing drugs on her to take away the pain, she finally tried Dillies (orally). She was always against it because she was afraid of getting addicted as well because she already had that type of personality. Well, it didn't take long....and now she feels SO incredibly stuck. Today, she feels torn. The hubby, the drugs, her pain level, the confusion, the pressure...almost peer pressure.
SG, she didn't use in front of him. Nickie wanted this life for him for so long, and was really under the impression that he wanted to stay straight (as he was when they first got married for a brief period), and boy was Nickie wrong. He kept pounding on the bathroom door each time she went in, and he wasn't convinced that she was just going to the bathroom. Nickie was going as fast as she could to get her fix and get out of there, but he kept at it, and she eventually opened the door and said, "Ya happy now?" Sigh. "Yup, now give me some." The Dillies that she was doing were his anyway, so as much as she wanted to say "NO!", she couldn't. And he can sometimes get abusive, so she gave in. He went from 2mgs to 4mgs in a matter of hours, and he's starting to get frustrated with that dose, so I'm sure it's gonna get worse real soon. The guilt.
And yes, you did a great job in giving me support, and I very much appreciate it! Nickie's already been at 14mgs so 16mgs is really nothing, but it's getting a bit scary for her. Now that the hubby's home and she wants to wean, the drugs are going fast, and she doesn't know where to turn, where to get more, or even if she CAN do it. Coolhandluke or SG, how does Nickie go about getting Suboxone
? Does she have to admit to her doctor that she's an addict
? Does it help with pain? I'll also check out the other forums and do some research and reading on the web about it as well.
Thank you, thank you, thank you!
Originally Posted by Coolhandluke
has she looked into info about wheel filters at all? i also saw you said she was getting percocet, tell her to never inject those because of the acetaminophen
(tylenol) contained in them, just something i though id add.
Nah, she'd never inject the Percs. Hell, she probably does more damage by popping over 20 a day when she gets her script. The difference in pain management....from Dillies to Percs, what a struggle! The wheel filters were never heard of, but she did check them out on Google. Weird looking things. She probably won't use them, in fear of breaking the needle. Good advice, though. She just wants to keep things simple and change isn't easy for her.
Originally Posted by Coolhandluke
also was she able to switch injection sites? have her arms heeled up well if so. what is that situation. this thread can help her, but can also help many other people in her situation which is why i am asking for a little more info. as much info as she can give can and will help many other people in the future. its what this site is about, your sister has gotten information and she could help others by giving more info about her situation.
She didn't switch injection sites, although she should have. Again, change isn't easy, but she really wanted to, but fear got in the way. What if this happens? What if that happens? You know? Her arms did heal (some) as she took a two week break, and she believes it all happened because she was using the same syringe for days or longer and it was most likely barbed. Nickie was too afraid to buy syringes at the Pharmacy but finally got the guts, and boy, what a HUGE difference!