|
|
#1
|
||||
|
||||
|
[Drugs-Forum note: Factual errors are contained in this post. Grapefruit juice does not affect CYP2D6 activity. See this thread for more information.]
This post is for those wishing to get the most out of any Codeine available to them. This has no doubt been posted before, and is well-known information, but I'd like to point out the advantages/disadvantages associated with each method of potentiation. First off, Codeine is - in every sense of the word - a weak opiate. This is determined by a number of factors ![]() 1. The Side Effects Okay, this is probably the most obvious of all. Yes, the use of Codeine at recreational doses brings with it some nasty side effects. Namely:
The majority of Codeine's recreational properties are noticed due to it being metabolised into Morphine in the body:
Aww, crap. Unfortunately something important has come up and I now have to leave my computer. I shall post this as it is. Don't bother replying I will complete the writing in another post later today. Apologies for a useless post so far.
Last edited by darkglobe; 04-10-2007 at 22:53. |
|
#2
|
||||
|
||||
|
Re: Codeine Potentiators
Codeine Potentiators Contd.
[Drugs-Forum note: Factual errors are contained in this post. Grapefruit juice does not affect CYP2D6 activity. See this thread for more information.] This completes the above unfinished post. I have split my list of substances which can be used to potentiate a recreational dose of Codeine into two sections. The first section is a list of good potentiators (those which work effectively with no known/significant drawbacks. The second is a list of bad potentiators (those which either do not work, or have significant drawbacks). Also included at the end is a list of non-drug potentiators and ingestion methods to increase efficacy. Here we go: 1. Good Potentiators Some of these substances are known well amongst recreational users of Opiates, while others are lesser known (or indeed very hard to obtain):
2. Bad Potentiators These drugs may be written about on the internet as helping out a Codeine nod. They're either too dangerous to use, ridiculously hard to get hold of, or simply too ineffective to bother with:
Non-Drug Potentiators These are mostly common sense, but can be easily overlooked:
Okay, you're probably not gonna like this...
So there you go. Above is actually ALL of my knowledge of Codeine. This post was intended to be a quick guide to all things Codeine, but ended up being a long-winded, boring mess of facts. If anyone notices any incorrect facts, wants something I've quoted removed/credited, wants to tell me anything important about this post, please PM me. Otherwise reply below. Everything here is for information purposes only and is in no way intended to encourage nor advise anybody into doing anything illegal or dangerous. I will accept no damage or liability arising from problems if people attempt anything described in this text. ~Dark Last edited by darkglobe; 04-10-2007 at 22:53. |
|
#3
|
||||||||||||
|
||||||||||||
|
Re: Codeine Potentiators
DXM may not be effective for the reason that codeine MUST be metabolized into morphine to be effective. Blocking or inhibiting one of the enzymes which performs this by taking DXM will lessen this process and render the opiate less effective. One would end up with more of a DXM high.
Also, it is NOT reccomended to combine other downers (benzodiazepines, barbiturates, high doses of antihistamines, etc.) with codeine or any opiate. To do so increases the risk of respiratory depression and even death! Other than that, this could look to be an informative post. Codeine is unique among the opiates in that it must be metabolized to be active, so many common potentiators (DXM, grapefruit juice, tagamet) will actually decrease it's action. |
|
#4
|
||||
|
||||
|
Re: Codeine Potentiators
Quote:
![]() Quote:
Quote:
. [Drugs-Forum note: Factual errors are contained in this post. Grapefruit juice does not affect CYP2D6 activity. See this thread for more information.] While Grapefruit juice does inhibit the enzyme which slows down metabolism, it's also an inhibitor of Cytochrome P450 (SWIM told me, but his brain is fried from antihistamine OD last night). I'm uncertain as to whether it's a US only substance, but I've never heard of Tagamet. EDIT: GFJ does NOT inhibit Cytochrome CYP2D6. See here for more details. In conclusion: Thanks a lot for the extra advice, and I hope readers of this thread will take all advice given into consideration and be safe while they experiment and have fun. Last edited by darkglobe; 04-10-2007 at 22:57. |
|
#5
|
|||||||||||
|
|||||||||||
|
Re: Codeine Potentiators
yea SWIM has heard a lot of mixed things on Codeine & grapefruit juice. Most say although it works for most opiates it inhibits the enzyme needed to convert codeine into morphine, while others say it inhibits a different enzyme responcible for turning codeine into norcodeine (bad), and therefore causes more codeine to be converted into morphine..
can anyone provide SWIM with a definitive answer.. thanks |
|
#6
|
||||
|
||||
|
Re: Codeine Potentiators
You want the long version or the short version?
I'll give you both... 1. The Short Version Codeine is metabolised by two things in the liver/small intestine. The first one turns Codeine into Morphine (gooooood )The second turns Codeine into Norcodeine (baaaaad )Grapefruit juice inhibits the one that turns it into Norcodeine (baaaaaad )2. The Long Version Codeine, unlike hydrocodone, has little to no intrinsic activity. It is a prodrug. This means, for codeine to work, it must first pass through an enzyme that chops off a methyl group, converting the codeine to morphine. This happens primarily in the liver or small intestine. This enzyme is known as Cytochrome P450 2D6, or "2D6" for short. AKA the codeine to morphine convertor in your body. Studies have shown that in population subgroups with a genetically inactive version of 2D6 have little to no response to codeine. Codeine is also metabolized by another enzyme, called "3A4", which metabolizes it to norcodeine, an undesirable product of little or no activity. So there are at least two major pathways by which codeine is metabolized. If one blocks the 3A4 enzyme without blocking the 2D6 enzyme, theoretically, more morphine is produced in your body. Grapefruit juice, being a specific inhibitor of 3A4, functions by blocking 3A4 and allowing more codeine to be converted to morphine via 2D6. Grapefruit juice is desirable because the active compound is specific to 3A4, with no effect on 2D6. 3. My Opinion I've never actually tried it. Theoretically, it works. Problem is, like you, I've heard confliction reports. Now, I know it inhibits Cytochrome 3A4, because every source says so. The only doubt I have is whether or not it also inhibits 2D6. I've also read on numerous occasions that taking an Antacid 30 minutes before taking Codeine works to potentiate it. Then again, I've read that it doesn't. What we need to find out for sure is whether Grapefruit Juice/Antacids inhibit both enzymes. If they do, then it may result in a net negative effect. |
|
#7
|
|||||||||||
|
|||||||||||
|
Re: Codeine Potentiators
thanks man!, I will have to give the grapefruit trick a few more trials, and I will report back with my own experience on the situation. I tried it before; however, from what I read I became very sceptic on it working, so I may have had a reversePlacebo effect.
as for the antacid, from what I have read it potentiates codeine by simply increasing absorption rates by making your stomach more basic. |
|
#8
|
||||
|
||||
|
Re: Codeine Potentiators
Below is more documentation discussing the potentiation of opiates with Grapefruit Juice.
The enzyme found in grapefruit juice is also found in Seville oranges. http://www.nytimes.com/2006/03/21/he...502a71&ei=5070 The grapefruit juice interaction with numerous medications, including certain benzodiazepines, is well documented. http://www.druginteractioncenter.org...ry=9&detail=61 So maybe there IS a chance tha chugging 16oz of grapefruit juice WILL make your Tylenol's into superpills. Also.... I'm currently working on some research into the potentiation of benzos/antihistamines with grapefruit juice. When I say research, I mean googling. A few people are under the impression that I'm a chemist (or even a professional at anything) for some reason. To clarify, I'm an unemployed school-leaver with a passion for drugs and how they do the things they do. All of the advice I present on this website belongs to other people. I do not claim that ANY of it is my own. I just research a lot harder than others. With my googling I am slowly teaching myself some basic Biology/Chemistry/Biochemistry and neuroscience. It's amazing what one can learn by merely reading stuff on a screen.... ~dark Last edited by Alfa; 25-09-2009 at 00:42. |
|
#9
|
||||
|
||||
|
Re: Codeine Potentiators
My (really rushed) Codeine recipe.
Apologies about spelling/general crappyness of this post. I'm in a rush gonna miss my bus. 1. Drink 8-16Oz of Grapefruit Juce. (Don't go overboard on this, it'a acidic) 2. Take an antacid or two 30 mins later 3. Take Codeine, but drop your dosage slightly. Say, 50mg less. There ya go. Don't mix with any other drugs. I suppose 25-50mg Diphenhydramine will be ok to soothe the itchies. Will sort this out soon. I fancy a little project.... compiling all information I can geton Codeine potentiation in general. Maybe others could have their input and help me out? I'm no expert after all. I love a challenge, but think it's best not to do it myself as I would not be aware of any errors. Post ideas here, don't PM me my inbox keeps getting full. Back online tomorrow. ~dark |
|
#10
|
|||||||||||
|
|||||||||||
|
Re: Codeine Potentiators
SWIM looks forward to trying your recipe... perhaps tonight
|
|
#11
|
||||||||||||
|
||||||||||||
|
Re: Codeine Potentiators
Swim has used the grapefruit and tums method quite a few times now and find that it works a treat, but if one has no opiate tollerence then they should decrease the dose to avoid OD.
|
|
#12
|
||||
|
||||
|
Re: Codeine Potentiators
Quote:
A hypothetical person's hypothetical dose of a hypothetical opiate (which I'll call Codeine) is currently 330mg. The hypothetical person combines the hypothetical 330mg with a hypothetical 50mg of Diphenhydramine. Mr Hypothetical still hasn't attempted the Grapefruit juice 'trick' because he simply can't stomach the stuff. |
|
#13
|
||||||||||||
|
||||||||||||
|
Re: Codeine Potentiators
Here's my spin on the whole codeine and grapefruit combo discussion;
It seems to me that some people think grapefruit potentialtes codeine, some people who think it does nothing and some people who think it inhibits codeine. The bottome line is when a drug is potentiaited by grapefruit juice, it is generally such an obvious potentiation that nobody disputes it (eg, DXM). If the jury is still out over codeine after all this time (I keep reading both sides of the story all over the net), I think it is safe to say that even if grapefruit juice does add to the experience, it clearly doesn't make a particularly significant difference. The other thing is, codeine is generally cheap. In fact it is cheaper to use a few extra pills in a CWE than it is to buy a bottle of grapefruit juice. Long story short; if you want a stronger codeine experience, then wouldn't it just be easier to take more codeine? |
|
#14
|
||||
|
||||
|
Tortoise: yes yes it would.
Not too much though. Safe upper limit for new users would be 150mg. swims currently on 330mg. and he cant stop. its really affecting him. im sure he'll tell you more when his head feels better. ~dark ps: hello again drugs-forum. not beeon on in a while. Last edited by Forthesevenlakes; 24-01-2007 at 23:41. Reason: no links to other forums! |
|
#15
|
|||||||||||
|
|||||||||||
|
Re: Codeine Potentiators
Quote:
|
|
#16
|
||||
|
||||
|
Re: Codeine Potentiators
ironmics, pehaps you could elaborate on your codeine sensitivity. Information would be interesting to read.
Anyway, thanks for the tip, and yes - IT IS NOT SAFE.... TO DO ANYTHING. But yeah, diphen and codeine can make for an evil couple, but I (personally) believe it to be relatively safe. PS: I never recommended anything
|
|
#17
|
|||||||||||
|
|||||||||||
|
Re: Codeine Potentiators
He has no idea what causes his codeine sensativity, the assumption is that his morphine converting enzyme works really well. The most swim has ever taken is 90mg of codeine and this experience is similar to 15mg of percocet he said. But he tried the benadryl codeine thing one more time to see if it might be hang over related. He tried 30 mg of codeine this time with 50mg of benadryl and he could barely move. This is definitely not something he'll be trying with any higher doses of either again. He thinks its safe and read a lot about it being fine but it was kinda scary for him not being able to talk unless he really wanted and tried to.
|
|
#18
|
|||||||||||
|
|||||||||||
|
Re: Codeine Potentiators
SWIM is new to opiates and what works for him is to get Nurofen Plus which contains 12.8mg codeine and 200mg ibuprofen and take NO MORE than 5 in 24 hours unless you extract - SWIM makes it easy without extracting by not going over 1000mg Ibuprofen/24hrs which is still a therapeutic dose.
SWIM then takes 5mg Valium, 10mg temazepam and .5mg xanax together after about 15 mins of the codeine (these are all very low and safe doses - probably about 20mg of valium worth at the most) This seems to be the safest way for a new user to start and to feel the effects and see if you like it or not - maybe just try 15mg valium. Oh do not drink alcohol because SWIM woke up about 10 times during the night with stomach cramps after taking 7 standard drinks (Australian Standard means 1 standard drink = 355ml bottle of 4% beer) SWIM is on a daily dose of 50mg Zoloft, he is not sure if this makes this mix stronger/weaker/neutral but he says it feels like a nice calm warmth all over his body , and can sit back and relax after taking this combo and just lay back listening to music. Oh and if you are new to codeine and feel stomach aches or pains SWIM finds the best thing to do is lay on your back and it will pass. Last edited by riotpack; 09-02-2007 at 11:54. |
|
#19
|
||||
|
||||
|
Re: Codeine Potentiators
Whoa, dude! That's some risky combination. I strongly advise you not to mix so many drugs. It's up to you, like, but I do advise that you be a bit more careful. Also, 1000mg/day of Ibuprofen is NOT safe. Neither is mixing Valium with Codeine.
~Dark PS: I'm bacl
|
|
#20
|
|||||||||||
|
|||||||||||
|
Re: Codeine Potentiators
Valium and codiene is relatively safe IF one is only taking the 5mg of valium and 60mg of codiene. SWIM's taken this combo probably 5 or 6 times as prescribed by a doctor and never experienced any breathing problems. However, the temazepam is what you should worried about. Temazepam is one of the strongest benzo sedatives and we all know that sleep can be a problem.
|
|
#21
|
||||
|
||||
|
Re: Codeine Potentiators
Fair point, Ironmics.
These days I tend to be more cautious than reckless, and only base my opinions on what the literature says. I'm no doctor, in fact I'm just a drug 'fan' and not an expert, but I now say that they wouldn't have safety guidelines if there was nothing to be worried about. This is a naive viewpoint, but I'm just looking out for people. Tell ya what, SWIM fancies some Valium. He hasn't a clue how to go about getting so he gave up. Just stay safe, and enjoy your Codeine. |
|
#22
|
|||||||||||
|
|||||||||||
|
Re: Codeine Potentiators
so, SWIM uses codeine mainly as a pain killer, using legal tablets he bought on holiday (one strip is 10 tablets, each containing 10-12mg codeine and some other stuff, it's name is "caffetine" and the strips are golden-colored, and it's really cheap).
the strongest pain killer you're getting here legally without prescription is Ibuprofen 400 (SWIM once asked the apothecary once why the 800mg ones aren't free to buy but the 400mg ones are - as you just could take TWO 400mg's ding ding ding. he had no answer to it). so, how can SWIM get out the most out of these tablets, and SWIM really means not as a drug, but as a painkiller? he usually takes 2 tablets and they help a lot easing pain, but it takes somewhat 30 minutes... does anybody even know caffetine? (think its paracetamol + codeine) |
|
#23
|
||||
|
||||
|
Re: Codeine Potentiators
*has no idea* .... Search Engine, maybe?
First off you need to determine what "other stuff" is actually in these tablets. I will take this opportunity to remind all drugs-forum users to thoroughly check what the active ingredients in their drugs are. Example: 10-12mg instantly tells me that you really don't know much about the tablets. Your second task is (once you've found out exactly what they contain) to decide upon a method of Codeine extraction. 10-12mg of Codeine is not a great deal, but if a Cold Water Extraction (CWE, described in other threads) is performed - provided the tablets contain only paracetamol/Acetaminophen and codeine - then you could realistically increase the amount of Codeine you use. In short: Find out what's in the tablets, learn how to accurately and safely perform a CWE, decide how bad your pain is and take the relevant Codeine dosage. For painkilling purposes, around 60mg would probably be sufficient. As far as getting the most out of them, CWE is your best option. I don't really believe in many of the codeine potentiators. If you believe in any, it's important to remember that the placebo effect is still an effect ![]() I know this post isn't the most informative, but users should use the forum search engine and re-read other threads. Hope it helped, though. ~Dark |
|
#24
|
||||||||||||
|
||||||||||||
|
Re: Codeine Potentiators
grapefruit juice has an adverse effect on codeine. benzodiazapines are ineffective potentiators in SWIM's experience, they tend to swallow the experience whole. antacids work wonders by killing off some of the straight acids in your stomach and leaving the digestion of the drug up to enzymatic processes. its not so much a potentiator as it lengthens the experience.
|
|
#25
|
||||
|
||||
|
Quote:
I've read conflicting reports on grapefruit juice, and I believe it to be pretty neutral. Many swear by it - go for it! The placebo effect is still an effect, after all. As far as benzos go, my old mate SWIM tells me they made the experience stronger, and as such he considers them potentiators. I understand that for some the change in nature of the experience may be too great, and would constitute a waste of time. With regards to antacids... I didn't know that! I'll tell SWIM, he'll be thrilled. Again thanks for the help. I and SWIM both appreciate it ![]() ~Dark |
![]() |
| Bookmarks |
| Thread Tools | |
| Display Modes | |
|
|
Similar Threads
|
||||
| Thread | Thread Starter | Forum | Replies | Last Post |
| Drug info - Codeine Basics | MrJim | Codeine | 30 | 19-11-2009 14:13 |
| Drug info - Metabolismof Codeine, Dihydrocodeine and other Opiates | tyranny4u | Codeine | 3 | 15-04-2009 18:09 |
| Drug info - CWE Faq - improvement? | 0utrider | Codeine | 19 | 18-03-2009 02:38 |
| Drug Info - Codeine | trptamene | Codeine | 0 | 27-10-2007 02:34 |
| Sitelinks: | Site Functions: |