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  #1  
Old 06-09-2009, 15:04
usagi usagi is offline
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prednisone heroin interaction

SWIM has pneumonia and was put on prednisone (the steroid) along with an antibiotic. If you take prednisone for a long time it can fuck up your kidneys and shut them down. SWIM only has to take it for a week. SWIM does not know if it shuts down your kidneys if you only take it for a week. SWIM is on a tapered dosage, so as the week goes on, their dosage goes down. If they stop taking the heroin they will get very very very very very sick, and that won't help matters much either. SWIM's question is... will SWIM's kidneys be okay for one week taking both the steroids for her lungs, and the heroin so she doesn't have to detox while she has pneumonia? Does anyone have experience with a similar situation? at this point, both drugs are pretty damn necessary for SWIM, but if only one drug can stay it's going to be the dope. that's not good. helllp!
p.s. swim detoxing is not an option.
p.p.s. SWIM is also worried about the germs she is exposed to when injecting, because on prednisone you're supposed to avoid that kind of thing.
  #2  
Old 06-09-2009, 15:34
Helene Gold member Helene is offline
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Re: prednisone heroin interaction

What does your doctor say about it all? Have you not told them you're on heroin? It would be a whole lot safer all round to do so, you know. You should always be honest with doctors about any other drugs you're taking, particularly opiates, for this very reason.

The best advise anyone could give you is to speak to your doc about it asap. Maybe get on a meth/ bup script, for the duration of your treatment.

Best not to take any risks with things like this, especially considering the risk of infection, and also the whole pneumonia thing, heroin not being the greatest for your respiratory system.

Good luck,

H
  #3  
Old 06-09-2009, 15:46
usagi usagi is offline
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Re: prednisone heroin interaction

SWIM went to a low income clinic, and SWIM'S intentions were to be completely honest, but the nurse practitioner actually said she knew SWIM'S mom, so SWIM chickened out. also, SWIM tried methadone before and it doesn't work at all. and SWIM is hypersensitive to suboxone and has been trying to get subutext for like a year. it's hard to find. but even if SWIM could take one of them, it's not something SWIM could get organized in the next week, let alone the next day. it's a bit of a pickle. swim is thinking about going back to the clinic today to talk to someone. thanks so much for your input.

usagi added 0 Minutes and 33 Seconds later...

the above reply is for helene.

Last edited by usagi; 06-09-2009 at 15:46. Reason: Automerged Doublepost
  #4  
Old 06-09-2009, 19:12
Helene Gold member Helene is offline
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Re: prednisone heroin interaction

Swim knows how difficult it is to trust medical practitioners' confindentiality. She has been in this very situation herself, where the doc she was seeing revealed she worked with swim's mother. However, their job depends on confidentiality. They would lose their job if they revealed anything you had said to them in confidence. Do you really think they'd risk that? Also, you say the nurse knows your mum. It's not a nurse you need to see, it's a doctor. Make an appointment with a doc, it's unlikely he'll know your mum too, isn't it? But even if he does: He can't break doctor/ patient confidentiality. Really.

Okay, now, about the meth...swim is on a hell of a lot of gear at the moment. She takes about 2g a day IV, maybe four days a week. Those other three days, cos she's so broke after rinsing all her cash, she takes meth. This is the worst possible way to take meth, just taking it for one or two days, every now and then. It never gets a chance to build up in your system. To get the full effects of methadone, you need to take it consistantly, for a few days in a row. It has such a long half life, that by day four, you've got a hell of a lot of the meth from days 1, 2 and 3 still in your body. Anyway, swim doesn't do this, cos she's a bit of an idiot. However, the point I'm trying to make is, it still holds her. She takes around 100ml a day, on the day's that she doesn't take gear. And she still feels okay. Obviously not as great as she would if she took the meth properly, or had gear, but she's nowhere near full-on rattling. And by the second or third day, she's fine.

How long have you stuck at the methadone for? Maybe if you let us know how long you've had a habit? And how much heroin you're on, i.e. how much you take in a day, and what amount of meth you took per day when you tried it, and how long you stuck it out for, swim would be able to help out more.

Regards to the length of time it takes to get on a script; if you find a doctor who agrees you should be on a script (which shouldn't be hard), you'll get scripted that same day. So that's no reason not to follow it up.

Methadone does work. Go see a doctor! And let me know the answers to all the questions above, yeh?

Take care,

H
  #5  
Old 06-09-2009, 19:30
missparkles missparkles is offline
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Re: prednisone heroin interaction

Sparkles had MRSA a few years ago while she was on heroin. She was Prednisolone for a few weeks (30mgs a day) and she was fine. A weeks taper would be 30mg dose on the first day, reducing by 5mg a day...right?
That shouldn't affect SWIY at all. Just be aware that it will suppress SWIYs immune system, but a weeks dose wouldn't affect it too much. It's not long term steroid use, that's what can usually affects the liver.
But SWIY needs to sort out a script as soon as possible. Having a clean source of meds, especially after pneumonia, would be the best option.
Sparkles realises that in the US it's not a straight forward procedure like here in the UK, cost, clinic availability, and insurance all play a part.
Try not to worry about SWIYs mum, getting well is the major concern here.
All treatment should be confidential, and if SWIY talks to the doc and explains the worried SWIY has, they'll understand.
Take care.
Sparkles.
  #6  
Old 06-09-2009, 20:20
Helene Gold member Helene is offline
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Re: prednisone heroin interaction

Swim has just read up a bit on prednisone, and corticosteroids in general. Whilst swim can't find anything for prednisone in particular, it seems that corticosteroids, generally speaking, potentiate the effect of other drugs, including opiates. So be careful with your dosage, there's a real risk of OD here.

Also, because prednisone has a immunosuppression effect, you're right to be concerned about contracting a bacterial/ viral infection whilst on it. Your body isn't going to be fighting bugs as well as it would normally. Combine that with the fact that you've been unwell recently, and you really don't wanna be taking any more risks than necessary.

Swim would have to agree with Sparkles here, even if it turns out it's okay for the week or so you're on prednisone, surely it'd be better all round, what with your health concerns, to get on a script?

Aldo, swim read your first post from earlier this year. Was this breathing problem what lead to the pneumonia? If it's been going on that long, your body is likely to be in a fairly run-down state. Again, with the OD risks, but it's times like these that your body surprises you, with how little extra stress it can handle. Get on a script asap. Take good care of yourself, eat lots of fresh fruit and veg, get as much good quality sleep as possible, and don't take any risks.

H

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drug chemistry, drug interactions, drugs, heroin, heroin combination, heroin interaction, iv drug use, meth, opiate, opiates, prednisone, steroids

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