Injecting - Hydromorphone IV Vial

[nleksan]

Ok, so SWIM came across three medical vials today, one was labeled HYDROmorphone HCl 2mg/mL. There is .5mL remaining, meaning 1mg. The second vial was Morphine Sulfate 4mg/mL with .5mL remaining. The third was Lorazepam 2mg/mL with approximately .74mL remaining.

SWIM has never IV'd anything before, and consequently is very cautious. This is also the first time he would have SEEN hydromorphone, much less used it. SWIM also has a low opiate tolerance (opiates maybe 1-2x a month, doses being 150mg codeine, 15mg hydrocodone, or 10mg oxycodone; anymore will make him ill). The liquid in all three is a clear viscous liquid with no precipitates. The Lorazepam tastes sweet, while the other two are fairly bitter.

SWIM would like to know if these sound like they are the real thing, and if so how much should he inject?

[blackdb1]

Swim has never IV'ed before so can't tell you anything about using, etc. Swim has however been using opiates for the past couple of years struggling with some serious addiction problems at some points. He has never used more than 80mg's of oxycodone a day, and never felt the habit was anywhere toward swim using the needle. IV'ing is very addicting plus many other very dangerous factors! If swiy get's sick off of using more than 10mg's of oxycodone swiy should definately not inject!!! Playing around with opiates is very risky (even just taking them orally) and swim thinks swiy should not use the hydromorphone. Swim has no knowledege on the subject of injecting benzo's so maybe some other swimmer can help swiy out. If swiy is absolutely set on using it please read up very thoroughly how to safely and sterily inject, and be VERY, VERY careful! Oh and about what it looks like, swim has only seen vials of hydromorphone and they are clear liquid.

[nleksan]

SWIM is aware of the possibility of addiction, but this was a very unexpected find and one that will not come around again. One-time access, if SWIY will. SWIM also has access to sterile 29G needles, and knows how to cleanly inject something. SWIM just wants to try something he has never done before, and wants to make sure he is safe doing so.

[trptamene]

Are there any more details on the vial? Sometimes these say for IV or IM or w/e use.

It does not seem like there is a lot here to get addicted on. If one practices safe needle use and makes sure he has the right dose and is comfortable with needle use swim does not see why not. Swim would seriously think about it before doing it, but he has always been ignorant about IV drugs.

My drug handbook says IV hydromorphone dose is 1 to 4 mg injected slowly (over 2 to 5 minutes)...swim thinks he would just go with a lower dose and inject quickly for the rush.
morphine sulfate IV dose - 2.5-15mg
lorazepam IV dose- seems like IV use of this is mainly for pre-op sedation (2mg or .044mg/kg whichever is smaller)

Probably start with lowest dose if swiy has little/no tolerance

[nleksan]

SWIM injected the Lorazepam IM, and it worked, so he is no longer worried about any contaminants in the vials. SWIM just notes that the taste of the liquids is much different than he would have expected, very chemically. SWIM has just always been intrigued by the opiate "rush" people talk about, and wants to experience it once for himself. He is of course nervous about injecting anything into himself, but feels that 1mg Dilaudid isn't going to cause any bad effects. He has little/no tolerance to opiates, and does not find them to be addicting even when he comes across large amounts.

The vials say (starting from the top of the label to the botton):

(for the Hydromorphone): 1mL Carpuject Rx Only NDC 0409-1312-30 RL-0744(12/04)
Sterile Cartridge Unit with Luer Lock
HYDYROmorphone HCl Injection USP CII
2mg/mL (Warning: May be habit forming. PROTECT FROM LIGHT)
Hospira, Inc. Lake Forest, IL 60045 USA HOSPIRA 1JAN2009 49705LL

(for the morphine):All the same information except
Morphine Sulfate Injection, USP 4mg/mL JUN2008

Once again, both are viscous, clear liquid with a very chemical taste to them.

[jerbles]

the hydro and the morph would actually be much safer than injecting anything else off the street. And 1mg of hydro and 2mg of morph will not do much of anything to anyone, so I would probably do both of them... If I did drugs, of course.

[nleksan]

SWIM forgot to add that the source from which he procured these vials works in an ER, but is also a college professor in a subject dealing with healthcare. So, while SWIM is 99.9% sure that what is in them is as advertised, it is also very unlikely but still possible that these were used as "dummies" or examples in a classroom setting. SWIM does not believe they are, being that they do not have anything on them indicating that the contents are anything other than morphine or dilaudid. However, that is really just what is holding him back from shooting them.

[jerbles]

even if they were used as dummies, they probably wouldn't have put anything dangerous in them just in case. Worst case scenario, swiy might just not get anything off it. Of course, I doubt anyone would feel 2mg of morphine anyway. 1mg of hydromorphone might do something to the opiate intollerant though.

[nleksan]

SWIM pretty much came to the same conclusion as SWIJ, but he is glad for the input. SWIM plans on taking the Hydromorphone and giving the morphine to a friend. SWIM wonders if there is anything he could use to potentiate the high? He was considering taking .25 or .5mg of clonazepam beforehand, but is worried about respiratory depression.

[nleksan]

Well, SWIM rallied up and decided to go ahead and do it. The experience follows:

1:00PM - SWIM arrives at his friend's apartment ready to go. He has two sterile 29G Insulin syringes, two alcohol pads, and the vial of Dilaudid and Morphine.

1:10PM - SWIM's friend decides to go first. SWIM preps his arm, swabs the vial clean, and opens the needle. He pulls in 1unit of air into the syringe, inserts the syringe into the Morphine Sulphate vial, pushes in the air, and pulls out the morphine. He taps the syringe to loosen any bubbles, then clears the remaining air out.

1:11PM - SWIM's friend is holding the tourniquet while SWIM sticks the needle into his friend's arm. He manages to get it in the first try, pulls back and sees blood, then pushes the morphine.

1:13PM - SWIM's friend begins giggling as the euphoria sets in. He reports that he feels a little wobbly, and the backache he mentioned earlier was completely gone. He says the high is present, somewhat subtle, but at the same time very warm and fuzzy. SWIM's friend is completely opiate-intolerant.

1:15PM - SWIM prepares for his own injection. He swabs the vial, swabs his arm, removes the needle, and pulls the Hydromorphone into it. His friend helps him with the tourniquet because SWIM was having trouble keeping his veins big. SWIM was also very nervous at this point, though somewhat comforted that his friend's experience started without a hitch. SWIM wished he could have had some alprazolam or clonazepam in his system to calm his nerves, but knows not to mix such strong depressants.

1:16PM - SWIM has trouble getting the needle into the vein, as it is his first time using a needle and is understandable nervous/shaky. On his sixth attempt, he finally hits the vein and pulls blood back into the syringe. He pushes the Hydromorphone in over the course of probably 5 seconds (it was .5mL of solution, he knows not to overload his vein with fluid). He removes the needle.

1:17PM - SWIM's entire body becomes very warm and comfortable, he could feel the rush from his arm to his head. It was like all his body's muscles that were tense immediately relax.

1:20PM - The effects are at their peak, and SWIM has trouble carrying on conversation. He feels very floaty, and despite the low dose (he also has a very low tolerance), he feels the beginning of a "nodding out", but never completely does. He also gets very pleasurable "rushes" through his legs and arms.

2:30PM - The peak has worn off, but SWIM is left with a very strong high. He is able to drive, and feels so comfortable sitting down in the car that he didn't even want to stand up to get out.

4:30PM - SWIM eats a small dinner (has to go to work soon), and around this time the high has worn off. He actually feels fantastic afterward, but would love to have some more.

Overall, SWIM reports that it was by far the most euphoric opiate he has tried (codeine, hydrocodone, oxycodone, tramadol, morphine sulfate). It was also much "cleaner" feeling than any of the others. He experienced no nausea or vertigo such as when he takes 200+mg of codeine or 30-50mg morphine, and although his palms did get pretty sweaty, he did not break out into cold sweats like he has on 20-30mg Hydrocodone or 20-40mg of Oxycodone.

[jerbles]

congratulations, bud

[nleksan]

Once again, SWIM would like to thank SWIJ for his input.

[jerbles]

no problem. I just hope you didn't like it too much....