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Treatment - Compendium of unusual things used to help with opiate withdrawal.

Discussion in 'Opiate addiction' started by Dickon, May 11, 2010.

  1. Dickon

    Dickon

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    I would like to gather into one place a compendium of what people have used to help get through opiate withdrawal, including PAWS (post-acute withdrawal symptoms) that is not mainstream and studies about such things. I'm talking about things like nigella sativa, DXM, baclofen, ketamine and possibly non-medical things like hypnosis, bio-feedback, etc. In this thread I will not mind double-posting, so feel free to repost information here that has been posted in a dedicated thread, or better still post the salient details here with a link to the original thread where appropriate.

    Ideally posts should be detailed "trip reports" of individual experiences, successes and failures, of attempting to withdraw, with as much useful information as possible or should be details of research published in this area. If possible studies should be added to the file archive and linked to, with the summaries of results and anything else useful posted in this thread. Trip reports should include how the thing helped - did it cut the length of withdrawal, did it help with sleep, restlessness, temperature fluctuations, aches, etc. and where the thing failed to help along with other side-effects. Also, duration of use and dosage should be given.

    Also please give a subjective rating out of 5 as follows

    5) Excellent. Eliminates a good proportion of withdrawal symptoms, dramatically eases the process of withdrawal.

    4) Good. Helps with a good few symptoms. Makes withdrawal significantly easier.

    3) Somewhat useful. Helps with one or two symptoms (or mildly eases many symptoms). Makes withdrawal a little easier.

    2) Neutral. Doesn't help, or what it helps with is counterbalanced by other negative effects.

    1) Worse than useful. Makes withdrawal worse, or adds novel effects into the mix.

    I hear all the time about people trying various things but I think it would be good to gather as much information about novel methods of tackling withdrawal together, ideally with a view to providing someone who has tried the more conventional means of withdrawal the ability to sensibly choose another alternative method.

    Thanks everyone

    Dickon
     
    Last edited: May 12, 2010
  2. Spucky

    Spucky Palladium Member

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    AW: Compendium of unusual things used to help with opiate withdrawal.

    Oh, what a nice Thread! :vibes:

    For the Detox-Time the Cat highly recommend a warm Liver-Cataplasm/ Compress,
    the People need real Yarrow and a Dish Towel, let the Towel absorb
    the warmed up Yarrow-Water melange and put it on the Liver, lay down and rest for 30min.!

    This helped a lot in the Detox-Process!
     
  3. Nikonite

    Nikonite

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    http://www.drugs-forum.com/forum/showthread.php?t=124488

    I'm suprised this comment on Ondansetron/Zolforn has not gotten more interest. If it was just ones persons experience, I could understand the lack of enthusiasm, but the thread has links to some useful research which appears to not only help withdrawal, but also to lessen relapse/cravings.

    Swim will be following and contributing as much as possible here because He's in the process of tapering down swims Oxy use. Swim was at 150mg a day a few weeks ago, and is down to 60 now. It's been relatively painless. He's just been using the 30% every 3 day taper. Swim does use some Ambien, not only at night, but 1/4 doses (2mg) a few times throughout the day to calm down the anxiety. I take lot of very hot showers, and simple Aleve/Naproxen. When swim gets close to jumping, he may go to a pain MD and get some subs, and clonodin; and anything else I learn here. Swims been looking for a good pain MD in the Southern California area, but so far hasen't received any good recommendations. Any suggestions on where to look would come in handy.
     
  4. dyingtomorrow

    dyingtomorrow R.I.P.

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    DXM

    SWIM has gotten clean off a heavy heroin habit a couple times, and can speak onto the effectiveness of DXM.

    It's not going to do anything for the initial severe stage of withdrawal. Where it's usefulness comes in is after you get over the hump. Where you aren't acutely suffering pain, but rather the aches, lethargy, depression and anxiety of the latter stages. SWIM has gotten clean both with, and without DXM, and finds that taking DXM during the transitional phase between acute withdrawal and severe initial PAWS seems to greatly speed up how quickly the former ends. In summary, SWIM has found that borderline psychoactive doses of DXM in the late stage of acute withdrawal can speed recovery up. Combined with light exercise, hydration, and forcing oneself to eat healthily, SWIM can honestly say it will knock a few days off of how long you have to actively suffer.

    SWIM would rate it a 4.

    Cocaine

    Many times in withdrawal SWIM would inject cocaine. Simply put, the result of this was a moderate alleviation of withdrawal symptoms for approximately 30 minutes, followed by feeling even worse. It could be useful for making it through short periods of time while one is waiting for someone to bring them more opiates, but as a method to get through withdrawals completely it is the opposite of helpful.

    SWIM gives it a 4 while active, but overall a 1.

    Diphenhydramine (DPH)

    In SWIM's area, almost all of the heroin was cut with DPH. From SWIM's understanding, heavy usage of DPH followed by abrupt cessation can cause it's own withdrawal issues. SWIM found that injecting DPH while he was withdrawing (from his DPH cut heroin) would take the edge off to a perceptible degree. It did not significantly alleviate withdrawal, rather, it felt like it eliminated some of the nuanced maladies - still leaving almost all of the severe ones. SWIM is not certain this would be applicable to many other regions in the country or world, as he doesn't believe there is a prevalent psychoactive substance so commonly used as a cut, but for those in areas with DPH cut heroin, it can help a little.

    SWIM gives it a 3.

    DVDs / Video Games / Books

    I know this is barely on topic, but one of the worst aspects of withdrawal is the fact that you are going out of you mind, incredibly bored, but have nothing to satisfy the itch. One of the best things to help get through withdrawal is to have a video game or large set of DVD series that will take up a couple days. If you don't find something to keep your mind occupied, it makes withdrawal many times worse. This seems obvious, but it's kind of like you get stuck in withdrawal, you want to crawl out of your skin and get your mind focused on something so badly, but you are paralyzed and don't think to do it while it's happening.

    If you can spark an interest in something in your mind right before you head into acute withdrawal, this can at least persist through the withdrawals so you mind obsesses over it and you are able to focus on it. In SWIM's experience, the times he start watching, e.g. the HBO Rome series on DVD as he was heading in withdrawal made it a lot easier and faster to get through the first phases, as opposed to not planning anything, and then being paralyzed with mind blowing anxiety/boredom and being unable to think of any way to cure it.

    The best thing to do when going in withdrawal is plan a number of little interesting things to do and start doing them before the worst sets in. Borrow some long DVD sets from people, start playing a long video game, and pick a book series to start reading. Since your attention span is so short in acute withdrawal, having little activities to switch to, that you've already sparked an interest in, can greatly help pass the time through the worst of it.

    SWIM would rate this a 4.

    Towel Tourniquet

    What is this I'm sure you are wondering. Another non-drug related unusual thing. In severe withdrawals SWIM's legs and knees would ache with horrible pain. SWIM found that taking towels and tying them tightly just above the knee would help a lot with the aches. Something about the pressure right there would make the leg pain a lot less severe, and allow his legs to be comfortable for a while until he had to retie the towels. SWIM knows that, for people who have a problem with leg circulation, there are these tight medical leggings which squeeze the entire leg. SWIM believes these might help a lot as well.

    SWIM gives it a 3.
     
    Last edited: May 11, 2010
  5. testodan

    testodan Silver Member

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    SWIM thought he should mention pharmaceutical antiparkinsonian anticholinergics such as trihexilphenidyl a.k.a. Artane and beperiden a.k.a. Akineton. He heard from a heroin addict, trihexyphenidyl at that occasion, greatly helped him with withdrawal, approximately at the 2-3x5 mgs/day dosage range. If he recalls correctly it was an off period of heroin use for the dude, that lasted ten days..as he said.

    This should make some sense, as my pet has tried this drug and a few other similar ones and the noticable warmness, (from hyperthermia), slight euphoria and the 'immobilization tendency' these drugs induce make them candidates.

    SWIM would rate these between 2-3 cause help with coldness, sweats, restlessness, depression/fatigue, spasms and lethargy but on the other hand are very bad for the brain, (terrible amnesic effects), which thinks, are symptoms account for opiates' withdrawal.
     
  6. YeaXTC

    YeaXTC Palladium Member

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    Here's some weird things swim's done before in WD:

    _Taking MDMA ("ecstasy")

    On about the 4th or 5th day of withdrawal, when swim was starting to feel better, he decided to roll and proceeded to take 2 pills. Swim rolled hard and had an amazing time, but right when the pills wore off he felt x100 times worse than before, the comedown was AMAZINGLY UNBEARABLE and swim thought he was literally going to die. Swim would HIGHLY suggest against ever rolling while in WD or even up to 2 weeks after WDs.

    Swim says its a 1 or even a 0.

    _DXM

    Swim never really liked dissociative drugs, but tried it once for withdrawal. He didn't take a lot but it was day 01 of withdrawal, and it didn't seem to help him at all. Swim's heard though that it takes greater amounts to help, but he's not sure.

    Swim says 2.

    _Marijuana (THC)

    Swim smoked a lot one time while withdrawaling, and would honestly have to say it makes the restless leg feeling x10 but, if one smokes all day long, it really does help the time go by WAYY faster, and also helps swim get to sleep. As long as one can get over the restless leg feeling, it really does make the whole day speed up (in swims opinion).

    Swim says its a 4 (because it makes the long, born out day go by way quicker and helps with sleep)

    xo

    Jesse
     
  7. dyingtomorrow

    dyingtomorrow R.I.P.

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    Heheh, forgot about MDMA.

    One time SWIM was stuck withdrawing at his grandmothers house in Michigan with his family there (SWIM lives in Chicago). SWIM had a bag full of ecstasy pills and apparently (as related by his brother who was on methadone and okay) just hid in the basement and kept eating pills the entire 2 1/2 days. He doesn't remember anything that happened. His next memories start on the car ride back to Chicago going to get some dope, he felt unbelievably horrible, but okay since he was about to score.

    So I guess it worked great to blank out whatever happened.
     
  8. Neznam

    Neznam Silver Member

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    >>MDMA<<
    Swim found MDMA to help with PAWS even if its for 1 day. While coming down he'd have valiums all the time. Haven't done it many times maybe 2twice since not being allowed anywhere atm and not trusted with money.

    1 thing that SWIM KNOWS wont help PAWS is being in the house. GET OUT cause he knows being inside only makes you want to do drugs more and you think about the worst of things just to get a fix.
     
  9. KingODays

    KingODays

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    My lab rat has had to endure a few relatively bad withdrawal episodes over the past year and a half (basically when he first used a real opiate... being experienced with a large assortment of other drugs, he assumed that he'd have the foresight and willpower to never have to face real physical addiction. Needless to say, he was wrong).

    Anyway, he's pretty surprised that he hasn't seen much mention of zanaflex (aka tizanidine, an a-2 adrenergic agonist like clonidine) as a way to help with the physical wd symptoms. From his personal experience, it's extremely effective in dealing with the sweats and hot/cold flashes that are the hallmark of his personal little bouts of hell. Though he'd also definitely recommend caution in terms of dosage, the stuff is extremely strong and a normal 2mg tablet is generally far more than necessary.

    Definitely a 4 for the physical side of things


    In terms of other symptoms, especially the fatigue and general malaise, modafinil has been a lifesaver for my rat. It's relatively easy to get, at least in my rat's area, and it doesn't seem to intensify feelings of restlessness or anxiety nearly as much as amphetamines. He'd only recommend it if you can't possibly avoid having to go to work or otherwise attend to your responsibilities... his general feeling is that stimulants are something to avoid during wd, at least for the first few days. Feeling like absolute shit yet having plenty of energy is potentially a recipe for disaster or simply relapse...

    As long as it's used carefully, at least a 3 and maybe a 4...

    Good luck to anyone who's wd-ing right now and reading this... my lab rat is certainly with you at the moment
     
  10. iwanttobreakfree

    iwanttobreakfree Newbie

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    SWIM's babys mommas daddys cousin found something that helps out a lot!

    Simply jumping in a pool and floating around made him feel so much incredibly better. Multiple times a day he would jump on and paddle around for a while and get out feeling a bit better.

    It helps physically and ESPECIALLY MENTALLY
     
  11. TheBigBadWolf

    TheBigBadWolf Cold Member

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    AW: Compendium of unusual things used to help with opiate withdrawal.

    best things SWIM experienced while withdrawaling of opiates was
    ad primam: smoking lots of MJ/hash (while MJ was fine during the day at nighttime Hash was better because of helping into sleep).SWIM'd score it a three
    ad secundam: while having used THC listening to music because it made time run faster.
    SWIM'd also score it a three.
    Ad tertiam: Masturbating... just to make the night go by.

    TBBW
     
  12. hookedonem

    hookedonem Silver Member

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    Some useful info here.
    Swim would not recomend drinking any alcohol at any point when 'clucking'.
    In swim`s experience the beginning of the night seemed to be o.k, but later on in the evening and early morning withdrawal symptoms where amplified two or three times in severity.
    Not good.


    Rating: 1 or 2
     
  13. coolhandluke

    coolhandluke Titanium Member

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    benzo's: swim finds that benzos work fantastic for withdrawal. they help swiy sleep, take the anxiety away.

    4

    Booze: also good for getting asleep and relieving anxiety. not so good when swiy is throwing up.

    4

    the above apply to people only trying to kick opiates, not stay completely substance free.

    exercise: lifting weights, running, climbing, hiking, badminton, whatever sports swiy likes. swim finds that when he starts feeling jetter, having anxiety, and bored, he finds going frisbee golfing, or taking a bike ride helps keep his mind occupied, and afterwards always feels better.

    3

    great idea dickon, swims tapering off soboxone and will find it a lot easier to access this info.
     
    Last edited: Jun 11, 2010
  14. Spucky

    Spucky Palladium Member

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    AW: Compendium of unusual things used to help with opiate withdrawal.

    Don't understand it, this Thread was about "unusual things",
    all this Medications, XTC, Hash and Booze are imo not unusual
    they are typical and mainstream Weapons to fight something People don't want to accept!

    sorry for my input!
     
  15. edarrin

    edarrin

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    I find most usefull in order of preference are;

    1)buprenorphine taper....by far the easiest way to get off opiates bar none IMO. Taper only though. No longer than 3 weeks. Otherwise you will become dependent on it. Super easy to taper with compared with full agonists as you are not high. If you are you are taking way too much rating 5

    2) Seroquel...only thing that can KO me in acute withdrawal.Nothing has ever been able to put me to sleep in that cold turkey mania state. I think just being knocked unconcious helps speed up the process somewhat.Plus it makes your senses duller which I think is beneficial under th ecircumstances. Still use all the usual goodies listed below rating 3

    3) what everyone else does I guess. Benzos, clonidine,loperimide, and I have Lyrica which does help a bit. Wait out the 5 days of Hell and then slowly start to feel better....until PAWS strikes rating 2

    3) I'm going out on a limb a bit here but I find methylphenidate really helps with the apathy,anhedonia and dysphoria of PAWS. I'm in a situation where I have to work and be alert when I do it. rating 5 although..

    Being an addict I've discovered that different ROA make it much more fun so it is a double edged sword as far as I'm concerned.

    I have modafnil which I will try to use. It doesn't provide the energy and motivation that methylphenidate does. Also there seems to be this place where the combo of methylphenidate at a high enough dose (none orally) 70-80mg at least mixed with either hash or hydro bud gives me a very pleasant body stone with an amazing ability to get so involved in nothing .
    Sort of a pleasant relaxed alertness. So there you have it. Methylphenidate is addictive in it's own right although it is easier to kick than dope by far. Defiitely a double edged sword. Haven't had any OP's for 66 days though which is something. A record actually.

    rating on this side 1

    I should include that I find cannabis very useful in w/d. Good for nausea,stomach cramps, some pain relief or at least a distraction. Sometimes help with sleep (esp combined with 50-75mg Seroquel...good night)
     
    Last edited: Sep 5, 2010
  16. dugg

    dugg Silver Member

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    Nitrous oxide, preferable Entonox (50%N2O 50%O2) 5
    You'll actually forget your in wd, and be able to sleep, it'll be next doc though.
     
    Last edited: Aug 10, 2011
  17. FreeBliss

    FreeBliss Silver Member

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    marijuana a big one gotta have that - 4

    benzos if you can only use for a short time id give it a 5

    Exercise - 2

    Ive heard massive doses of vitamin C worked well like 10,000 mg. I never tried it. Maybe someone around here will try it.
     
  18. dugg

    dugg Silver Member

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    I found sleep improved using 5g Vitamin C, couldn't say for certain if attributed to the supplement or it may just be improving anyway as its 4 weeks now.
     
  19. rokman nash

    rokman nash Palladium Member

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    My friend Dave has found that Lyrica in doses between 600-800 mgs to be especially helpful with acute WDs. It may not be unusual but in combination with low doses of Bupe Dave has had virtually no WD symptoms while doing a quick taper. Daves really suprised that more people havent tried this.

    He started a thread about this a while back. He will put a link to it in here directly.

    Good Thoughts:thumbsup:

    Here it is, it may not be for everyone, but Dave and many others have used this successfully.

    http://www.drugs-forum.com/forum/showthread.php?t=127929
     
  20. Holly021255

    Holly021255

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    This sounds kind of odd, but for SWIM, having tons of sex (4-5x daily) is always a huge help in easing withdrawals. It seems as though opiates, especially heroin and methadone, really take a toll on one's sex drive, and for SWIM and many users that she knows, orgasm and ejaculation are very difficult to reach, and in SWIM's case, having an orgasm while heroin is in her body is completely out of the question. As many studies have shown, ex-users going through opiate withdrawal are often capable of having a greater number of orgasms than they normally do, maybe as a result of the re-awakening of one's sex drive?

    SWIM would give this a 4-4.5, as the endorphins released by sex make her feel much better, eliminate her body aches almost completely, allow her to sleep, and greatly reduce her feelings of anxiety and restlessness. Also, SWIM gets very, very cold during WD's, and finds it almost impossible to stay warm, but frequent sex warms her up, as does the body heat of her partner. Even if SWIY feels too sick for sex, sharing a bed naked with an electric blanket goes a long way in reducing chills.