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Dose - how much acetaminophen can I take on a one day binge?

Discussion in 'Codeine' started by wings of wax, Apr 5, 2011.

  1. wings of wax

    wings of wax Silver Member

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    I know, I know - UTFSE, but this is kinda last minute, sorry about that. My dog has quite a few para-codamol (30mg codeine per pill, 500mg paracetamol)

    Can my dog take the following with 3 hour intervals throughout the day?
    1g para-codeine
    1g para-codeine
    1,5 para-codeine
    1,5g para-codeine

    My dog has no tolerance, but he does have an 800mg habit of tramadol. The idea is to shift addiction, and so far it's working.
     
  2. TheFakeBass

    TheFakeBass Palladium Member

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    Please don't do that. The recommended maximum in the USA is 4g a day, taken as 1g every 4-6 hours.

    If you need that much codeine that often, I'd recommend performing a cold water extraction to remove the acetaminophen. Post #14 in this topic:
    http://www.drugs-forum.com/forum/showthread.php?t=31275
    contains information on cold water extractions.
     
  3. wings of wax

    wings of wax Silver Member

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    So taking 1 g too much of acetaminophen on one day only is a bad idea? I was under the impression that unless you do it every day, it would be okay to take 5g for one day instead of 4g.
     
  4. TheFakeBass

    TheFakeBass Palladium Member

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    Well, it probably wouldn't be very harmful, but it's an unnecessary risk. Considering that your dog is trying to shift from habitually using tramadol to habitually using codeine (or, that's what I gathered from your first post), this might not be a one-time thing. A cold water extraction is simple to perform, doesn't require any special equipment or chemicals, and does not result in a large loss of codeine.
     
  5. wings of wax

    wings of wax Silver Member

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    Sidenote: I am 1.90cm and weigh about 95 kgs. That's, uh, 6f3. Point is, I am big.

    But maybe I should just do a little tramadol instead. I mean, it is cold turkey after all for the tramadol part.

    And no, I would not exceed the 4g per day limit in the future. This is a one-time thing to get off tramadol, and it is really working well. My plan is to switch between drugs - 4gs of acetaminophen on one day, and tramadol on the next.
     
  6. Ghetto_Chem

    Ghetto_Chem Palladium Member

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    To be honest bro,

    Best thing to do is ween on the tramadol or completely go cold turkey off it. Switching addictive opiate for another maybe even more addictive opiate (depending who you are) is probably not the best plan.

    Also its bad on the liver to take such large amounts of acetaminophen, let alone the opiates on it too.

    If the objective is to get clean, ween down 50-100mg each day, then when down to 50-100mg a day use that for 2 days then quit. Not sure how exactly tramadol is but this would probably work ok.

    Cold turkey is the best option if possible.

    Peace
     
  7. wings of wax

    wings of wax Silver Member

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    I took 1g only, but fortified it with 100mg of tramadol. It'll work fine, no risk of seizures, as I have taken handfulls of clonazepam.

    Still considering taking 1,5g (90mg codeine) tonight, which will then be 4,5g of acetaminophen total.. I have a hard time seeing why not, if it's a one-off.
     
  8. Ghetto_Chem

    Ghetto_Chem Palladium Member

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    This isn't bringing swiy down, this is just replacing it with another opiate for a day. Swims friend doesn't see how this is going to work in getting clean. Why put the stress on the liver? When he can just bring his tramadol dosage down.

    With such a weak opiate already such as tramadol, replacing it with a similarly weak opiate will not help in cleaning up. If swiy was doing H daily and then went to a few hydrocodones a day, that would be a good example of using one opiate to help clean off of another. Swims friend used to do this but would still be in hell. If swiy aint in hell he aint getting clean.

    Peace
     
  9. Phenoxide

    Phenoxide Super Moderator Staff Member

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    Some people will experience acetaminophen toxicity at much lower doses than others. If you are one of those statistical outliers then 4.5g could cause permanent liver damage. Even people that take acetaminophen as prescribed can have a toxic response. In any case 4.5g will put substantial and unnecessary strain on the liver.

    Perform a cold water extraction. It's a quick and easy to perform procedure that requires no specialist equipment, and that will substantially reduce the acetaminophen content of what is then consumed, without significant loss of codeine.

    Because there's always next time. And the time after that...
     
    Last edited: Apr 5, 2011
  10. Potter

    Potter Platinum Member & Advisor

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    Oh good, the kid who couldn't be bothered to do basic research because it was "last minute" is taking "handfuls of clonazepam". That sounds JUST FANTASTIC!

    Ham reduction is the teaching of responsible drug use. We teach people how to research drugs and learn what they do, how much it takes, what their risks are, and coming to sensible conclusions. THEN they get to take the drugs. You don't start taking them and then demand someone helps you take more, especially a dangerous amount.

    It was just stated that 4.5g of paramectol is dangerous to the liver. NOT that If taken every day it is dangerous to the liver. Like cyanide, too much of this stuff at once will cause permanent Madge if not kill a person.

    "So it's cool to play Russian roulette just once right?"

    No, this isn't "cool cause it's a one off thing" because that is all it takes. PLUS doing a cold water extraction takes all of 20 minutes and can be done by a monkey, so there is no reason what so ever to be taking that much acetaminophen, none at all.

    Don't be stupid, listen to people when they say "no doing that is not a good idea".
     
  11. wings of wax

    wings of wax Silver Member

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    Thanks you guys, I know you're trying to help, and I have decided to take your advice. I was just so happy that the switch between codeine and tramadol went so smooth that I wanted to be sure by taking a little extra codeine. But I will stop at 4gs.

    Oh, and by the way - Potter, go bitch somewhere else. Jesus Christ, I am only human.
     
  12. TicksAndLeaches

    TicksAndLeaches Newbie

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    So i know this is a harm-reduction website but I think people have a little bit of misinformation on apap toxicity. Yeah its true that you should not take more than 4-5g a day the actual toxicity ranges from 7.5g-15g. Chronic use and 4-5g a day can cause liver damage but why do people on here cite the medicine bottle instead of actual figures. I mean look at dxm capsules its say to not take more than 30mg 4 times a day but nobody complains when 1g is taken. True this is because DXM does not kill at that levels and apap does but 4g usually won't kill a healthy adult. Of course CWE should always be done and apap is dangerous and should be avoided but I just wanted to help clarify some misconceptions on an otherwise accurate website. This is not condoning apap abuse as it should always be avoided but to defend the OP here are some links I found.

    http://www.pharmweb.net/pwmirror/pwy/paracetamol/pharmwebpic9.html
    http://www.hawaii.edu/medicine/pediatrics/pedtext/s14c10.html

    So one says 7.5g could result in an overdose and the other says 12-15g is the threshold level. These levels should not be used as a basis on how much apap to take since as any responsible adult knows getting close to the overdose level is insanely stupid. If one will die after taking 25 shots one should not take 20 shots as its really close.
     
  13. wings of wax

    wings of wax Silver Member

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    Ticks: I think you're absolutely right. Thank you very much for those links and your insight.

    Think about it - 4g a day limit for both a 90 pound female and a 200 pound man?
    I guess it's all about being totally safe and covering ass. Anyways, not planning on taking more than 4g a day, it's not about that.

    Please take a look at my other thread "Doing codeine to taper from Tramadol" if you want to help. I need it.