Experiences - Fentanyl & Roxicodone- Took Too Much

[award11]

Chris was an experienced, opiate tolerant guy. He had often wondered how so many people accidentally OD. He had been wearing a 100mcg Fentanyl patch for a few months and taking roxicodone for breakthru pain. On this particular morning, Chris wasn't feeling real well and decieded he would up his dose of roxicodone. Chris took 120 mg of roxicodone while wearing his 100 mcg patch and continued playing online poker. After about 45 minutes, Chris started feeling very drousy and started to sweat. Sweat started absolutely POURING from his head non stop. Chris' head was like a wet sponge being squeezed, he'd never EVER felt anything like this before. He laid his head down on his wet pillow and started to go to sleep but then realized that he may have taken too much medicine. He reached up and yanked his patch off. In a few minutes, it all went away and SWIM felt fine. Chris wonders had he fell asleep would he have ever woke up. It scared him a little bit and humbled himself.

He would like for all of you people to know that even to opiate tolerant users, we are not invincible as we sometimes feel. He now knows how so many people accidentally OD.

Please learn from his mistake.

[RoboCodeine7610]

Glad to hear you're ok, but isn't 120mg of Oxycodone a little crazy?I thought the recreational dose for a non-opiate tolerant person would be like 10mg-20mg, was your tolerance really that high??

He had been wearing a 100mcg Fentanyl patch for a few months

How long do those patches last???

[Laudaphun]

It surprises SWIM that after wearing a 100 mcg fentanyl patch that oxycodone would have significant effect but then again all of our bodies react differently and SWIM is not particularly familiar with transdermally administered fentanyl but bioavailabilities are up around 90% right?

The patches are typically 3 days, but sometimes people use them every 48 hours as it is claimed by some that they do not work entirely for the full 72 hours? But, while the fentanyl is extremely potent, it enters the bloodstream at a slow, steady pace, whereas the oxycodone would take effect quickly and wear off quickly (hence, why it is used for break through pain in it's instant release forms).

Were you taking the 15mg or 30mg instant-release oxycodones? Just curious because for someone who took meds as prescribed, taking 4-8 times the regular dose on top of already saturating the body with fentanyl could definitely be risky. I could just picture my marmoset's grandma taking 4-8 times the prescribed dose of her percocet (oxycodone/acetaminophen) tabs.... yah, that wouldn't be good.

[RoboCodeine7610]

It surprises SWIM that after wearing a 100 mcg fentanyl patch that oxycodone would have significant effect but then again all of our bodies react differently

Yah, you're right how the hell did the oxy have an effect if you had the Fentanyl patch on?I mean wouldn't that like take the rush away kinda like methadone takes the rush away from heroin?

[Sib]

SWIM don't get a rush wearing fentanyl so the oxy would indeed bring on an OD.

[Laudaphun]

Originally Posted by Sib

SWIM don't get a rush wearing fentanyl so the oxy would indeed bring on an OD.

I'm not exactly sure how wearing a fentanyl patch which might prevent the oxycodone from giving a rush would necessarily implicate it in an overdose. Oxycodone is a powerful narcotic no doubt and 120mg "instant-release" very likely a lethal dose to an opiate naive person. However fentanyl is such an ultra powerful narcotic that anyone accustomed to wearing a 100mcg patch should be quite tolerant.

However, the impression that SWIM got from the original poster was that they were using prescription pain meds for therapeutic purposes for the most part and decided to try to up the dosage one night. SWIM's aunt who died of cancer would be in terrible pain, and SWIM's uncle who had been basically a zombie from heavy pain meds all his life due to a back problem (which was eventually corrected with surgery, thus he no longer continued taking pain meds... whoever he was quite familiar with them). When one patch wouldn't work, he tell her to stick another one or two on... and give her more pain meds than were prescribed on occasions, only he was not trying to get her high, just trying to ease her pain as she was dying.

Also, when SWIM was very young and not exactly opiate naive but only accustomed to 5/325 oxycodone/acetaminophen pills, and then there came along a pure oxycodone pill (40mg to be exact... we all remember those i'm sure). SWIM took far smaller amounts than what you speak of, but SWIM would insufflate 2 small doses a day, and sometimes 3. Occasionally, SWIM remembers a third dose making her heart race and she would break out in sweat... this always seemed odd as the dosage was no larger than the previous 2 of the day and they were not taken together within a close time-frame either. Never really understood what caused that sort of reaction, but it sounds very similar to what SWIY described. SWIM was young and SWIY would laugh at the doses that caused this reaction in her.... and there was no fentanyl involved... fentanyl probably would have killed her at that point in time. After she got older and more experienced with different things, heroin would occasionally cause a similar reaction if larger doses were taken... her marmoset has overdosed before and reported (of what she could remember) very different feelings before losing consciousness.

[MEKONE]

Thank goodness he is O.K.!!! What was his usual roxi dose with the patches before he upped it and how long was he on this dose for?

[Laudaphun]

Originally Posted by MEKONE

Thank goodness he is O.K.!!! What was his usual roxi dose with the patches before he upped it and how long was he on this dose for?

Yes, that too SWIM is curious about. SWIM would be a little scared to wear a 100 mcg fentanyl patch and take 120mg oxycodone on top of it unless she had a pretty big tolerance. SWIM is assuming that for someone wearing that size patch, a 15mg or 30mg oxycodone IR tablet could be used. Wow, they sure have put a plethora of new opiates on the pharmaceutical market. We have oxymorphone now in the U.S. finally available in a formulation.

[award11]

Originally Posted by MEKONE

Thank goodness he is O.K.!!! What was his usual roxi dose with the patches before he upped it and how long was he on this dose for?

Chris' prescribed dose was one 30mg roxicodone every 8 hrs to go along with my 100mg patch which stays on. Before starting the patch, he used to take 5 of the roxis (30mg instant release) at one time (150mg) every morning as his start-up dose. Even at this high dosage, it really wasn't enough to make him feel high, he just felt okay and was able to get up and function but by no means was he "high". This is from years and years of opiate use and should not be tried as a recreational dose by anyone. It would probably kill an opiate nieve person.

The Fentanyl is so hard for him to figure out. There are times when he feel like he is getting too much and there are times when he feels like he is not getting enough. It's so different than taking pills orally, it's weird but sometimes it's just hard to gauge.

I think it's just typical addict behavior like Chris' that leads to a lot of people overdosing. What I mean is you already feel "pretty good" but hmmm.... I want to feel just a littttttttle better..." hmmm... maybe a liiiiiiittttle more...then just a little more....." and before you even realize it you have taken a lethal dose.

As in Chris' case, initially he wanted to lay down and just.......lay there. lol - You know how a good opiate buzz feels, real warm and fuzzy... just want to lay down and not be fucked with...? Had he fallen asleep, who knows what would have happened but I'm glad he had enough sense to immediatedly pull the patch off when he had the sudden onset of symptoms. I don't know about you guys but Chris loves his drugs and girls too much, he doesn't wanna die !!!

Since his scare, Chris has been taking his meds as prescribed. At this point in his addiction, the days of euphoria, itching and rushes etc are if not non existant, very short lived to say the leaset, so it doesn't really make any sense to take that much. If he can just wake up each day and actually feel "okay", that's enough for him. The actual PHYSICAL pain that he suffers from is a whole nuther story. For him, there's the ADDICTION aspect of it and then there is the PHYSICAL chronic pain he is in, two totally seperate issues.

Oh well, sorry so long. Guess you can tell I feel pretty good this morning. Be careful with all opiates, they can be very dangerous even to opiate veterans like Chris !

[MEKONE]

Originally Posted by award11

I think it's just typical addict behavior like Chris' that leads to a lot of people overdosing. What I mean is you already feel "pretty good" but hmmm.... I want to feel just a littttttttle better..." hmmm... maybe a liiiiiiittttle more...then just a little more....." and before you even realize it you have taken a lethal dose.

Exactly how it usually happens.

Originally Posted by award11

I don't know about you guys but Chris loves his drugs and girls too much, he doesn't wanna die !!!

SWIM can DEFINATELY relate!!

Originally Posted by award11

Since his scare, Chris has been taking his meds as prescribed.

Chris has made a VERY good decission KEEP UP THE GOOD WORK!!

Originally Posted by award11

For him, there's the ADDICTION aspect of it and then there is the PHYSICAL chronic pain he is in, two totally seperate issues.

SWIM is dealing with the same situation,it's good to see that Chris has found a way out(even though it was a scarry lesson).Hopefully SWIM will be able to go that route as well.

[cybergenesis]

It doesn't sound like you actually ODed. Sweating is a common side effect from opiates. Maybe the dose for you was strong and that caused more pronounced effects. You also said drowsiness but that's also a common side effect. It doesn't sound like you were nodding.

Also if it was an OD it would just pass after a few minutes, because at 45 mins the oxycodone would still probably not be at peak.

Also taking the patch off, would have no effect for at least 30 mins.

While theoretically the dose was VERY high, it just sounds like you got side effect.

There is no risk of a fatal or near fatal OD with opiates if you are smart and educated in your usage.

Sounds like your got anxious because of the sweating, had a panic attack.

If your breathing and pulse wasn't STRONGLY slowed, then it was not an OD.

[award11]

Originally Posted by cybergenesis

It doesn't sound like you actually ODed. Sweating is a common side effect from opiates. Maybe the dose for you was strong and that caused more pronounced effects. You also said drowsiness but that's also a common side effect. It doesn't sound like you were nodding.

Also if it was an OD it would just pass after a few minutes, because at 45 mins the oxycodone would still probably not be at peak.

Also taking the patch off, would have no effect for at least 30 mins.

While theoretically the dose was VERY high, it just sounds like you got side effect.

There is no risk of a fatal or near fatal OD with opiates if you are smart and educated in your usage.

Sounds like your got anxious because of the sweating, had a panic attack.

If your breathing and pulse wasn't STRONGLY slowed, then it was not an OD.

I think you are right to some degree but not all overdoses are fatal. I do not think that I was near death but as you said, probably just feeling more pronounced side effects because I took too much. Either way, it was pretty scary.... My heart rate with 100mcg a patch on is normally around 60 but I didn't check it because I knew it was low and didn't want to freak myself out. I think you are right, I wasn't about to die or anything, I was just seeing intense side effects that I normally don't. Thanks for your response.

[cybergenesis]

Originally Posted by award11

I think you are right to some degree but not all overdoses are fatal. I do not think that I was near death but as you said, probably just feeling more pronounced side effects because I took too much. Either way, it was pretty scary.... My heart rate with 100mcg a patch on is normally around 60 but I didn't check it because I knew it was low and didn't want to freak myself out. I think you are right, I wasn't about to die or anything, I was just seeing intense side effects that I normally don't. Thanks for your response.

Yeah Swim can understand you getting scared.Swim would get freaked out if swim started sweating profusely etc, even though swim has read its a fairly common effect. There is a part of swim that alwaus gets a bit anxious when swim feels pronounced effects from opiates. In fact they are known to sometimes cause anxiety, while they are also known to generally alleviate it. So its a bit of a paradox.

Its good that you were okay. Theoretically swim would say you took too much. As you know now, you always have to be patient and careful when dosing your opiates. Perhaps having two powerful opiates in your system at once caused some sort of interaction causing the effect you got. Swim admits that swim has not read much information about being under the influence of more than one opiate at a time. Tjats a complex area.

Anyway swim would definately say you were pushing the threshold. If you had taken any more you could have been in BIG trouble. As you said, you have given everyone a reminder to ALWAYS be very careful with opates. For some they are a great drug, but everyone should take it easu. Seeya

[Daytona71]

SWIM has eaten 100microgram patches and that is the only way he/she gets a warm and fuzzy anymore. Actually SWIM is tired of the opioids and is hoping to be rid of them but until that time what is long acting and available in the states. Oxymorphone does not do the trick as 160mgs. of ER is prescribed along with 120mgs. of oxymorphone IR daily also. This combo replaced the 40mgs. of methadone 3x a day plus 120mgs. of hydromorphone. SWIM believes that the Hydromorphone is just as good if not better than the oxymorphone but the methadone is not something that SWIM likes any longer. The clinic said that SWIM is past the 300microgram patches that is considered the maximum daily amount and SWIM would likely eat them anyways.
The cat has goten into knocking over the bottles of other products and that is where 50 tabs of Dextroamphetamine went, found 40 opf them luckily a few months later as they were really hidden by the cat, true! 150mgs. of Morphine does very little and that is not being considered. Clinic does not use oxycontins and 80mgs. insufflated did not impress either so is there an alternative for long acting meds? Thanks for the somewhat hijack.

[gmeziscool2354]

swim took a mg of suboxone (a rediculously high dose on its own for swims measly tolerance) and 2 days later took .4 mg's with 10 mg's of dexedrine.

holy shit swim nearly died from that combo too (not really tho, the naxelone would prevent that) but experienced exactly the same symptoms described by award11 except for extreme nauseau (remember swim isn't tolerant) he thinks this is an overdose in the litteral sense, but not life or health threatening