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Getbig Main Boards => Gossip & Opinions => Topic started by: Kwon on July 20, 2022, 07:39:03 AM
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What is the most effective and strongest painkiller there is (that also has a high risk of getting addicted to?)
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Dilaudid
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Fentanyl is more powerful as well as faster acting than hydromorphone (Dilaudid). Hydromorphone is longer lasting though so more effective for pain management where Fentanyl is better for emergency administration.
Dilaudid is about twice the strength of morphine. Fentanyl is 100 times the strength of morphine to give you an idea of the potency. Both are similarly addictive.
Hydromorphone is an opioid derivative where Fentanyl is completely synthetic requiring no opiates.
I have taken Dilaudid and it is a very impressive sensation. I have never received Fentanyl but administer it relatively frequently.
Both pale in comparison to Carfentanil. That’s generally used to sedated large mammals.
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So it's either Fentanyl or Dilaudid?
Which has less risk? (for a human) I am not going to sedate large mammals with Carfentanil :D
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Well now you are asking the opposite question?
Do you want a low risk painkiller or did you want the most powerful?
Lowest risk I would say tramadol.
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Demerol was good but they don`t use it anymore as far as I know.
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Well now you are asking the opposite question?
Do you want a low risk painkiller or did you want the most powerful?
Lowest risk I would say tramadol.
Well, actually, i'd like the most powerful but not sure if the benefit outweighs the risk :D
So in order of Power (and Risk) is this correct?
Fentanyl (most powerful with most risk)
Dilaudid
Demerol
Tramadol
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Still used quite frequently Wes. It has a real tendency to cause nausea, so much there is a version combined with promethazine I believe called meperadine.
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Well, actually, i'd like the most powerful but not sure if the benefit outweighs the risk :D
So in order of Power (and Risk) is this correct?
Fentanyl (most powerful with most risk)
Dilaudid
Demerol
Tramadol
Of those four yes, not a fan of Demerol for earlier stated reason. You would likely be fine with a simple OxyCodone for strength and relative safety. It has Tylenol combined with a morphine derivative and short term is quite safe.
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Of those four yes, not a fan of Demerol for earlier stated reason. You would likely be fine with a simple OxyCodone for strength and relative safety. It has Tylenol combined with a morphine derivative and short term is quite safe.
Thanks Freemason!
Will add OxyCodone to the list of prospect
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Still used quite frequently Wes. It has a real tendency to cause nausea, so much there is a version combined with promethazine I believe called meperadine.
OK, thanks for that...I had no clue.
They gave it to me years ago when I broke three ribs in a fall on slippery stair covered in a powdery snow.....I couldn`t stand up straight and had to walk like Quasimodo.....once I got the shot of Demerol,I walked out of their strutting like a kid that just got his first piece of ass.....I was higher than a kite and feeling no pain whatsoever. ;D
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Dilaudid
that's the one. Hydromorphone
Brand name: Dilaudid
Narcotic
It can treat moderate to severe pain.
Controlled substance
High risk for addiction and dependence. Can cause respiratory distress and death when taken in high doses or when combined with other substances, especially alcohol or other illicit drugs such as heroin or cocaine. good stuff
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They also cause erectile disfunction.
Just sayin'
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They also cause erectile disfunction.
Just sayin'
!
In the immortal words of Eddie Murphy....."My dick gets hard if the wind blows" !! :D
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Aspirin.
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Bhanks, should know.
will wait for his elaborate pain killer story.
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Waiting for the resident dopehead / liar ESF to arrive and put this issue to bed.
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Pcp
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Probably fentanyl but it is not an easy answer for how the question is phrased.
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R.I.P.
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fentanyl was designed for animals not humans.
Oxy 120s were nuts
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where is esfitness when you need him
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fentanyl was designed for animals not humans.
Oxy 120s were nuts
Jannsen developed Fentanyl for people. Not animals. And the 80 OxyContins were much more powerful as a perceived dose because the 120s are extended release only. You can circumvent the ER by crushing them and snorting. I don’t recommend that though. :)
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where is esfitness when you need him
(https://ugc.futurelearn.com/uploads/images/4f/f3/large_hero_4ff317aa-8c9d-4b31-8e2f-682ae8f8066c.jpeg)
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Where does Nubain place in this question
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Nalbuphine (no longer manufactured under the brand name Nubain) is an unscheduled medication in a class of its own. Actually quite effective only available as an injection or IV med. typically IM. We used it pretty frequently as an alternative to Toradol and it is impressive. Not generally tested for in screenings as well. Still quite available and in certain circles very popular. Not an opiate it is still quite addictive.
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be thankful that some thing blows it
ZING !!! :D
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Cold Ice Therapy is actually more effective than drugs for pain reduction
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Cold Ice Therapy is actually more effective than drugs for pain reduction
fucking moron
you literally have no idea
Ice for immedaite injuries heat therapy for long term
Ice reduces inflammation
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Fentanyl (most powerful with most risk)
Dilaudid
Demerol
Tramadol
Nalbuphine (Artist formerly known as Nubain, in a class of it's own)
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What is the most effective and strongest painkiller there is (that also has a high risk of getting addicted to?)
Oxy
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Aspirin.
Bro...
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Anacin or Robitussin
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I like how no one even asks why the question is being asked.
Getbig is a special place. No homo
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What hooks someone can be individual. Someone said earlier that tramadol is probably the safest but remember, tramadol led ESFitness to heroin, dilaudid etc.
I can't rank them although I would guess codeine would be the least dangerous in my case.
Gotta be careful...
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Agree with everything Freemason has stated so far.
From top to bottom:
Fentanyl
Heroin (illegal, but is in fact an opioid)
Dilaudid
Oxymorphone
Methadone
Oxycodone (studies suggest there is no remarkable difference identified either in analgesic efficacy or in tolerability between oxycodone and morphine)
Morphine
Hydrocodone
Codeine
Meperidine (ie Demerol)
Tramadol (centrally acting synthetic opioid)
I would stay away from these drugs, as they can lead to cardiac arrhythmias, depress your respiratory rate and ultimately lead to death. They can also cause terrible constipation, which sucks. Additionally, long term use can mess with your hormones (Testosterone).
If the pain you're experiencing is more muscle or bone related by way of inflammation following say Orthopedic surgery, consider alternating between Acetaminophen (up to 4 grams per day, say 1000mg every 6hrs) with an NSAID (Naproxen can work, but if you can get a healthcare buddy to start an IV, Toradol works like a charm) throughout the day.
Anyhow, best of luck!
"1"
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bullet to brain is fastest and most effective painkiller.
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Thanks everyone and OneMoreRep!
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fucking moron
you literally have no idea
Ice for immedaite injuries heat therapy for long term
Ice reduces inflammation
Immediate or not Ice is more effective than opiates I have had half a dozen orthopedic surgeries I know what I am talking about. Ice will numb away the pain you will feel nothing on enough ice. You will still feel pain no matter how much opiates you take.
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Immediate or not Ice is more effective than opiates I have had half a dozen orthopedic surgeries I know what I am talking about. Ice will numb away the pain you will feel nothing on enough ice. You will still feel pain no matter how much opiates you take.
Is this what you learned in your court ordered NA meetings?
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Immediate or not Ice is more effective than opiates I have had half a dozen orthopedic surgeries I know what I am talking about. Ice will numb away the pain you will feel nothing on enough ice. You will still feel pain no matter how much opiates you take.
This is one of your top five dumbest posts.
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What hooks someone can be individual. Someone said earlier that tramadol is probably the safest but remember, tramadol led ESFitness to heroin, dilaudid etc.
I can't rank them although I would guess codeine would be the least dangerous in my case.
Gotta be careful...
200mg Tramadol would hit really hard.
Damn.
All i used when I've had surgery is Tramadol because i don't like the spaced out feeling of other pain killers.
I was taking 150-200mg per day, 50mg at a time.
The problem i have with it is that it seems to interrupt sleep.
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Kwon, are you battling cancer, suffering from a broken bone, or simply just trying to assuage the anguish that's arising from growing old and realising that a lonely and undignified death looms closer with each passing year?
If it's a broken bone, you should try ice. For cancer, just insert the ice rectally. If it's existential dread, also insert the ice rectally but take a big dose of dihydrocodeine, too. You'll be back on your feet in no time.
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Waiting for the resident dopehead / liar ESF to arrive and put this issue to bed.
Yeah, that video above reminded me of a really detailed and intredasting thread about all this stuff a couple of years back Edit: FIVE YEARS AGO FFS!! (strongest opiate, etc)
Alcohol + Opiates + Benzodiazepines
http://www.getbig.com/boards/index.php?topic=633126.0 (http://www.getbig.com/boards/index.php?topic=633126.0)
And ESF was doing some solid work in it - example below
Which is exactly why I went to heroin. I have been clean from opiates since 2001 when I had a shoulder back neck injury, also found Out i had degenerative disc disease in my neck and degenerated discs from c4-c7 comma in 2012/2013 and was prescribed Tramadol (I'd declined Oxycodone slash Percocet, Vicodin, and tylenol3 codeine from the doctor). I agreed to the Tramadol believing it was non addictive because that's what I used to detox myself from nubain in 2001. Doctor prescribed eight tablets per day, however after a while I was not liking side effects and out of fear of serotonin syndrome I weaned myself down to 3 tablets per day. Like I said before 3, maybe 4 tablets per day 150 mg total was the lowest dose I could get to without going into withdrawal. Even 2.5 tablets would put me in withdrawal. Since Tramadol at the time wasn't a scheduled drug or whatever I accepted it that was something I would just have to live with since it wasn't a difficult drug to get in case I ran out too soon or whatever. I could get 180 tablets every 3weeks and i could order online and have it delivered Next Day Air (cash-on-delivery/C.O.D. even first & only thing I've ever bought "COD" btw lol)... Then the gov't scheduled it and required a doctor visit for every refill and limited how much and how often you could get. After a while my stockpile ran out and I had to go to the doctor for a refill and he wrote the script for 3 tabs per day but only enough for 3 weeks (I've talked about this here before), and the next available appointment for a refill wasn't for another 4 or maybe 5 weeks (I forget). Just dumb luck day one or two of withdrawal a client happened to have Dilaudid which help me over for a month.. Long story short, I switched to heroin.. Believing it would be much stronger and I would #1, get more "bang for the buck", & #2 have be much easier to get. Since I wouldn't have to rely on finding people with pain killer prescriptions and being first in line to buy their supply
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Kwon, are you battling cancer, suffering from a broken bone, or simply just trying to assuage the anguish that's arising from growing old and realising that a lonely and undignified death looms closer with each passing year?
If it's a broken bone, you should try ice. For cancer, just insert the ice rectally. If it's existential dread, also insert the ice rectally but take a big dose of dihydrocodeine, too. You'll be back on your feet in no time.
If somebody pushed ice up my arse, I'd spring to my feet immediately!!!!
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Fentanyl (most powerful with most risk)
Dilaudid
Demerol
Tramadol
Nalbuphine (Artist formerly known as Nubain, in a class of it's own)
I was given liquid Valium (Diazepam) yesterday prior to having cataract surgery. -Stuff tastes foul.
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200mg Tramadol would hit really hard.
Damn.
All i used when I've had surgery is Tramadol because i don't like the spaced out feeling of other pain killers.
I was taking 150-200mg per day, 50mg at a time.
The problem i have with it is that it seems to interrupt sleep.
Yes I also have great difficulty sleeping on tramadol. Interesting side effect is also very difficult to orgasm on even 50mg of tramadol. Does not affect erection so you can literally fuck all night on tramadol. Little known off label use is for premature ejaculation. Just a side note fyi.
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I was given liquid Valium (Diazepam) yesterday prior to having cataract surgery. -Stuff tastes foul.
Tasted foul because liquid Valium usually given anally. :)
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Interesting side effect is also very difficult to orgasm on even 50mg of tramadol. Does not affect erection so you can literally fuck all night on tramadol. Little known off label use is for premature ejaculation. Just a side note fyi.
I noticed the same.
Confirmed. :D
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In the early 2000's I supplied Nubain to various amateur bodybuilders that I met on the old bodybuilding boards of the early 2000's. I got it from Trip Pharmacy in Tijuana where I got it wholesale, and it was VERY hard to find so the markup was insane because of the scarcity. Bodybuilders loved it because they didn't feel like they were drug addicts when Duchaine and others talked about how it allowed you to train during brutal contest prep, and a bunch of other hocus pocus surrounding the drug. I realized it was quite addictive when I got reports that people were setting up an I.V. drip where they would sit on their couch and have a constant supply of "Bain" as we called it back then, and would just change the bottle when the drip ran out.
That was MANY years ago and I have NO idea what is going on today with Nubain or if it even exists.
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Good advice from the Phantom Spunker
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Kwon, are you battling cancer, suffering from a broken bone, or simply just trying to assuage the anguish that's arising from growing old and realising that a lonely and undignified death looms closer with each passing year?
If it's a broken bone, you should try ice. For cancer, just insert the ice rectally. If it's existential dread, also insert the ice rectally but take a big dose of dihydrocodeine, too. You'll be back on your feet in no time.
Thanks Phantom!
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In the early 2000's I supplied Nubain to various amateur bodybuilders that I met on the old bodybuilding boards of the early 2000's. I got it from Trip Pharmacy in Tijuana where I got it wholesale, and it was VERY hard to find so the markup was insane because of the scarcity. Bodybuilders loved it because they didn't feel like they were drug addicts when Duchaine and others talked about how it allowed you to train during brutal contest prep, and a bunch of other hocus pocus surrounding the drug. I realized it was quite addictive when I got reports that people were setting up an I.V. drip where they would sit on their couch and have a constant supply of "Bain" as we called it back then, and would just change the bottle when the drip ran out.
That was MANY years ago and I have NO idea what is going on today with Nubain or if it even exists.
Im pretty sure you cant get it anymore, it was discontinued
You cant get it in the UK
I know a few people who almost ruined their lives with it
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Tasted foul because liquid Valium usually given anally. :)
Are you suggesting buttholes have taste buds? ???
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Are you suggesting buttholes have taste buds? ???
no he's making it up
Enteral medications that are intended for rectal administration come in suppository form, not liquid.
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Are you suggesting buttholes have taste buds? ???
They "taste" capsicum (the heat in chilli) That's why your asshole can burn a little while after eating spicy food.
Your balls have taste receptors too.
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This is one of your top five dumbest posts.
Opiates simply mask the pain Ice will actually stop the pain and treat the inflammation when iced you feel nothing when on opiates you feel pain masked by being doped up. I have had several major surgeries and have bone on bone joint degeneration opiates will not touch it when bad cold ICE therapy when properly applied will end the pain. They even have machines that will pump ice water through joint braces they give people post surgery those machines are way more effective than drugs.
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Opiates simply mask the pain Ice will actually stop the pain and treat the inflammation when iced you feel nothing when on opiates you feel pain masked by being doped up. I have had several major surgeries and have bone on bone joint degeneration opiates will not touch it when bad cold ICE therapy when properly applied will end the pain. They even have machines that will pump ice water through joint braces they give people post surgery those machines are way more effective than drugs.
what a fucking idiotic comment
If its masked you don't feel it, thats fucking basic English grammar
And yes, Ice does mask pain, but you cant leave it on a long time or you will damage the tissue.
Fucks sake you are mind numbingly dense
Take a tramadol, 12 hours relief or put ice on for 20 minutes...take your pick
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what a fucking idiotic comment
If its masked you don't feel it, thats fucking basic English grammar
And yes, Ice does mask pain, but you cant leave it on a long time or you will damage the tissue.
Fucks sake you are mind numbingly dense
Take a tramadol, 12 hours relief or put ice on for 20 minutes...take your pick
From what I've been told by physical therapists:
Ice at first to reduce inflammation, then heat to increase blood flow and help speed up healing.
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Just drink whisky. It will take years to get addicted.
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From what I've been told by physical therapists:
Ice at first to reduce inflammation, then heat to increase blood flow and help speed up healing.
Even the doc who coined the term "RICE" conceded ice doesn't speed recovery and does the opposite. That's what the research says. But I've iced injuries many times and it feels good and somehow feels like it helps. I don't know.
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no he's making it up
Enteral medications that are intended for rectal administration come in suppository form, not liquid.
While that was a joke, not making it up. We give liquid meds rectally to pediatrics all the time-especially benzodiazepines for seizures. Rarely see an adult take a Benzo liquid, unless they have a disability and cannot take a pill.
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While that was a joke, not making it up. We give liquid meds rectally to pediatrics all the time-especially benzodiazepines for seizures. Rarely see an adult take a Benzo liquid, unless they have a disability and cannot take a pill.
Yeah, due to the bite-risk, mainly - seizures are scary as fuck until you get used to seeing them :-\
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While that was a joke, not making it up. We give liquid meds rectally to pediatrics all the time-especially benzodiazepines for seizures. Rarely see an adult take a Benzo liquid, unless they have a disability and cannot take a pill.
I know a guy who posts here who got a benzo up the ass when he was seizing up due to tramadol overdose. He has permanent epilepsy it seems from tramadol abuse.
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Yes I have a family member with epilepsy, I have a box of liquid lorazepam in my fridge as well as all our other family’s homes. If she is seizing I have the ability to give it IV but all other family members are instructed to give it rectally if actively seizing, as it is very simple to jam a syringe in the browneye.
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While that was a joke, not making it up. We give liquid meds rectally to pediatrics all the time-especially benzodiazepines for seizures. Rarely see an adult take a Benzo liquid, unless they have a disability and cannot take a pill.
ok pediatrics is a different story,you might be right there as I have little experience in that field. Regardless, giving rectal benzos to an actively seizing patient is terrible practice as IM/IV injection is much quicker--both in administration and in onset. And giving a patient with swallowing difficulties a liquid instead of a pill is a great way to have them aspirate it.
You speak as if you are a medical professional but your knowledge of current best practices is lacking. Are you a student or intern or something?
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ok pediatrics is a different story,you might be right there as I have little experience in that field. Regardless, giving rectal benzos to an actively seizing patient is terrible practice as IM/IV injection is much quicker--both in administration and in onset. And giving a patient with swallowing difficulties a liquid instead of a pill is a great way to have them aspirate it.
You speak as if you are a medical professional but your knowledge of current best practices is lacking. Are you a student or intern or something?
Apparently you’re not very experienced in emergency medicine. 25 years here.
Also managed a primary care office for years.
Difficulty swallowing pills does not mean unconscious. Read what I wrote again. Small kids and mentally challenged people often do better with liquids, not much risk of aspiration. Any CVS pharmacist will tell you the same.
I have literally treated hundreds of actively seizing patients. Maybe over a thousand. Guaranteed more than you. There are countless situations when starting an IV is impossible and sticking an IM is unsafe. And in the living room of my parents house where zero people are trained to inject anything pushing a med rectally is quite safe and effective.
I don’t care if you’re a doctor, most are idiots and you sound like a pretentious prick.
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Apparently you’re not very experienced in emergency medicine. 25 years here.
Also managed a primary care office for years.
Difficulty swallowing pills does not mean unconscious. Read what I wrote again. Small kids and mentally challenged people often do better with liquids, not much risk of aspiration. Any CVS pharmacist will tell you the same.
I have literally treated hundreds of actively seizing patients. Maybe over a thousand. Guaranteed more than you. There are countless situations when starting an IV is impossible and sticking an IM is unsafe. And in the living room of my parents house where zero people are trained to inject anything pushing a med rectally is quite safe and effective.
I don’t care if you’re a doctor, most are idiots and you sound like a pretentious prick.
Absolutely no need to mock Shizzo's relapse like that.