Originally Posted by H Bomber
Before he begins, SWIM would like to make it absolutely clear that he IN NO WAY CONDONES, RECOMMENDS, ENCOURAGES, OR SUGGESTS FOR ANYONE TO ABUSE FENTANYL!!! He is an absolute fool for the reckless ways he has abused fentanyl and other drugs. He is not a role model and under no circumstances should you try any of this at home or anywhere for that matter. That said, here are his experiences with various methods of abusing fentanyl patches. It is worth noting that he always used Duragesic brand gel filled transdermal patches.
Oral: SWIM's first method of abusing patches was to simply cut a corner off the patch and squeeze out a dime sized spot of the gel for each dose, which he would then take and place between his gum and lower lip, much like 'dip style' chewing tobacco. He found this method to be effecacious and relatively safe, but it was hampered by a rather slow onset of action and lack of rush. Also, the approach of 'take a dose and wait and then take another' just to make sure a good high was obtained was slow and tedious.
Smoking- SWIM has the least experience with this method, though in spite of this it seemed effective enough. His approach was pretty much the same as chasing the dragon, albeit with different dosing. The efficacy of this method was comparable to actually chasing the dragon. He feels that he needs more experience to really speak on the subject though.
IV- SWIM has extensive experience with this dangerous approach to patch abuse. Before he continues, he would like to reiterate that he is not a role model and under no circumstances should you do any of these things ever. He begins by first procuring a 3cc syringe and a 26ga or larger (up to 21ga) needle. This is nescesarry because the gel is rather thick, even when in a solution. He then obtains USP grade 50-75% ethanol, though according to a veterinarian he knows vodka is injectable (at least it is for your dog) as it is pretty much just ethanol and water. He then takes 2ccs of the ethanol and adds it to a spoon. Into this a SMALL amount of gel is placed. It is then lightly heated (less than pre-boil bubbles) and then gently stirred with the back end of the plunger until it is more or less dissoved in the solution. He takes the syringe, with no needle attached, and using no filter he draws the solution into the syringe. He then attaches the needle, 'burps' the remaining air from the syringe, and checks to make sure his good buddy is ready to supervise him. This is essential because, being the damn fool that he is, he had in the past shot fentanyl without a spotter and he woke up on the bathroom floor 45 minutes later, lucky to be alive. Another time him and his friend both fixed up at the same time on fentanyl, and because of the good timing of an unwitting third party were lucky enough to just have to endure the sheer hell that is an IV injection of naloxone, rather than die. He now only shoots fentanyl with a spotter, someone who isn't wasted or getting high simeltaneously, to supervise in case he falls out. The trouble with fentanyl is that, unlike with, say, heroin, you do not feel it before you fall out, you just go from waiting for it to hit you directly to unconcious. Dangerous stuff.Anyway, he then proceeds to take his shot nod out for a bit, his buddy all the while sitting there smoking a joint or looking at a magazine or whatever, mindful of his breathing for the next half hour or so, making sure SWIM doesn't go out. SWIM may be a jackass, but at least he learns (a little) from his mistakes.
And that is how SWIM executes various methods of ingestion of a dangerous substance that it is generally (always?) a good idea to avoid.
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