Community Munchausen's by Internet (Malingerers, Munchies, Spoonies, etc) - Feigning Illnesses for Attention

[Flourishing Pinecone ❧]

Also versed, valium, and lidocaine. Why the two benzos??

The Midazolam (versed) has a pretty short half-life of a few hours, but the Diazepam has a fairly long one of about 24 hours. So that's why you use Midazolam for things like sedation for procedures (it will wash out by the end of the day) and Diazepam for things like alcohol withdrawal (it will keep hanging around and slowly wash out to hopefully prevent seizures).

However would I give this in an infusion with a huge fuck off dose of ketamine? Not unless I had them on lots of monitoring like in an Anaesthetic or Resus bay.
Also IV Diaz is extremely irritating to the veins and I've only ever had to use it for someone who was trying to go into the DTs in a fairly emergent situation.

 

[glioblastoma multiforme]

http://www.darwins.org.uk/banditspage

Woman who gets anxious around school children goes to the zoo. And that's why she needs Bandit, fucks sake why don't you just not go to the zoo?

Yeah, I'm pretty sure it's terrible for your bladder.

It is. Have lived in a city with a lot of ketamine casualties. While its funny seeing them sort of wobbling around in clubs (a bit like this but imagine being able to actually walk kinda: https://www.youtube.com/watch?v=1IKp5nODkO4) have been told ketamine bladder can essentially give you urinary incontinence by someone who really should know better. Maybe there is a way for doctors to mitigate damage if they're prescribing it but I doubt it can fully be prevented.

Totally shit drug for clubbing, just don't understand the appeal. Tolerance increases really quickly too which is why you see people doing such absolutely massive lines (or just keying continuously) by the end of a festival even if they aren't regular users. That's probably why Natalia got on such a high dose so quick. Its shit to be around people on it as well, but I guess that's not a concern for most users.

 

[Mayhem]

Is ketamine use/abuse more common now that opioids have become so difficult to get for longer-term pain management? I know a lot of people were experimenting with microdosing LSD or mushrooms, but that seems to have fallen out of fashion in favor of ketamine.

 

[Fapcop]

Is ketamine use/abuse more common now that opioids have become so difficult to get for longer-term pain management? I know a lot of people were experimenting with microdosing LSD or mushrooms, but that seems to have fallen out of fashion in favor of ketamine.

The other day I actually saw an, I kid you not: MAIL ORDER KETAMINE INFUSION KIT FOR HOME!

(Supposedly to treat depression.)

You go on their website, talk to a doctor (who’s basically hired to sling K scripts) order it and drop into Kholes in the comfort of your own home a week later.


Now I know Ketamine SUPPOSEDLY shows promise as a treatment for depression as well as substance abuse. But shit…

Kinda reminds me of the good ol days where you could order hydrocodone from o linen pharmacies.

 

[everybody in Portugal]

Is ketamine use/abuse more common now that opioids have become so difficult to get for longer-term pain management?

I can only speak anecdotally, of course, but when my generation were partying with it about 15, 20 years ago I remember getting warnings at the time from my dad, because he and his gen had been doing the same 30 or so years ago. Even back then, the bladder and other assorted problems were well known about among recreational users and both of us know contemporaries who have messed themselves up despite knowing the dangers ... Seeing it being more widely used in a legit therapeutic setting was the weird bit for me, my cohort only ever knew it as a party/blackout aide. And as a veterinary medicine, ofc.

 

[Flourishing Pinecone ❧]

Can't remember if I mentioned this elsewhere, but the rescue of the boys from the cave in Thailand was facilitated by the use of ketamine:

The boys were dressed in a wetsuit, buoyancy jacket, harness and a positive pressure full face mask. Harris administered the anaesthetic ketamine to the boys before the journey, rendering them "fully unconscious."[117] This was to prevent them from panicking on the journey, which would risk their own lives as well as the lives of their rescuers. They were also given the anti-anxiety drug alprazolam and the drug atropine to steady their heart rates and reduce saliva production to prevent choking.[118][99][119] A cylinder with 80% oxygen was clipped to their front, a handle attached to their back and they were tethered to a diver in case they were lost in the poor visibility. The rescue divers described each child as "a package."

Ketamine is great for uses for anaesthetics because someone can be unconscious but maintain an airway (keep breathing voluntarily and they don't obstruct/block off their airways).
So in this instance the boys could be unconscious but not need to be on any kind of special breathing support.
Along the way on the trip, there were check points that contained prefilled syringes to give ket top ups if needed.

Also the amount needed to bomb someone out really isn't a lot, ampoules come with 200-250mg and you rarely need a whole ampoule per patient. 50-100mg will knock most people out.


Something adorable and heartbreaking I learned from reading about the Thai rescue was that the order the boys were rescued was decided amongst the boys themselves, with the boys living furthest away going first - they thought they had to cycle home once they were outside

 

[Fapcop]

Can't remember if I mentioned this elsewhere, but the rescue of the boys from the cave in Thailand was facilitated by the use of ketamine:


Ketamine is great for uses for anaesthetics because someone can be unconscious but maintain an airway (keep breathing voluntarily and they don't obstruct/block off their airways).
So in this instance the boys could be unconscious but not need to be on any kind of special breathing support.
Along the way on the trip, there were check points that contained prefilled syringes to give ket top ups if needed.

Also the amount needed to bomb someone out really isn't a lot, ampoules come with 200-250mg and you rarely need a whole ampoule per patient. 50-100mg will knock most people out.


Something adorable and heartbreaking I learned from reading about the Thai rescue was that the order the boys were rescued was decided amongst the boys themselves, with the boys living furthest away going first - they thought they had to cycle home once they were outside

Yeah, that was cute. They had no idea what huge story it had become. (Absurdly so.)

That whole ordeal really set them up for life.

Not even talking about movie deals or anything, but they’re all from this little border area where a lot of people don’t even have citizenship, because the border is very porous, and there’s a decades old refugee population as well.

Following that whole circus, not only did they get a bunch of freebies, gifts and money, they also all got Thai citizenship.

(And probably will be able to make a nice living as tour guides etc.)

 

[McSneaks]

Darwins Dogs give an account of the woman who takes her support Chihuahua to the zoo, stressing every animal they encounter.

When you thought you couldn't get more entitled then general dog owners this support bullshit came along. They literally give ZERO fucks about anything besides their attention


"Oh, you don't want your restaurant shut down by the health inspection? You're allergic to dogs and that's why you're in an animal free place? These zoo animals don't like random dogs walking around? Well I WANT TO DO IT! ME!!!!! SO I'M GOING TO YOU'RE A RACISTPHOBDISCRIMINATOR"


Absolute worst people in existence

 

[everybody in Portugal]

That whole ordeal really set them up for life.

Not even talking about movie deals or anything, but they’re all from this little border area where a lot of people don’t even have citizenship, because the border is very porous, and there’s a decades old refugee population as well.

Following that whole circus, not only did they get a bunch of freebies, gifts and money, they also all got Thai citizenship.

The captain of the team actually ended up in the UK and sadly took his own life last year. I'll admit I haven't looked into it, but I hope the others are, as you suggest, set up for life and not scarred by what they went through.

 

[Mitt Doggy Dogg]

Is ketamine use/abuse more common now that opioids have become so difficult to get for longer-term pain management? I know a lot of people were experimenting with microdosing LSD or mushrooms, but that seems to have fallen out of fashion in favor of ketamine.

It's more common than it was in the 90s, I know a few "recovering" addicts who go to a k clinic and get infusions, the stuff they get to take home is bomb too, I've done a few lines of the stuff from various local clinics and it's way stronger then the shit I used to get back in the 90s.

 

[Fapcop]

The captain of the team actually ended up in the UK and sadly took his own life last year. I'll admit I haven't looked into it, but I hope the others are, as you suggest, set up for life and not scarred by what they went through.

Must be a giant culture shock to come from the jungle in Thailand/Burma to the goddamn UK.

I think it’s noteworthy that many third world countries, even ones with massive problems, have lower suicide rates than Europe and the US.

There is something fundamentally unhealthy about the way we have arranged our lives. You can buy anything but own nothing. You got freedom of speech but can’t say anything. Family? Nah… “Chosen family.”

 

[glioblastoma multiforme]

The other day I actually saw an, I kid you not: MAIL ORDER KETAMINE INFUSION KIT FOR HOME!

Fucking hell. I honestly think pharmaceutical grade heroin is better for you.

It's like calling smackheads "depression/trauma patients doing at home IV diamorphine infusions"

I know a few "recovering" addicts who go to a k clinic and get infusions, the stuff they get to take home is bomb too,

Oh great. Can't see anything going wrong with that. Cross addiction definitely isn't a thing.

Spoiler: OT drugs ramble

Over here addiction treatment strongly advocates total abstinence from all substances because the belief is that the addict brain just isn't wired to be able to do them sensibly. Anecdotally I believe this to be true, seen someone in recovery from heroin addiction have "just one drink" arrested within 12 hours cos it ended up a massive polydrug bender and he caused havoc.

There are also probably addicts who can, with enough time and work put into recovery, can have the odd drink or line and not be straight back into stealing to fund a habit or whatever. How you differentiate those, I do not know.

Re knowing the consequences and doing it anyway, I think its the case for all drugs. Someone whoring themselves out for crack crossed a lot of lines before they got to that point and probably never believed at the start that they'd end up in that state despite knowing it happens.

The difference with ket is how normalised it is, at least in the UK. If you do crack or heroin, you know you are doing something deeply wrong. Most recreational drug users will never encounter those drugs first hand, but they will probably encounter ketamine fairly frequently even if they don't partake. So a lot of the lines you have to cross to become a hard drug addict, due to the taboos around those drugs, just aren't there for k.

There was a Vice (yeah I know they are generally a joke) documentary on ketamine where a guy was doing gram long lines, he had to switch nostrils halfway through. He showed a picture of his urine, it was red. He knew his bladder was fucked and couldn't stop. It was fucking dark.

 

[Mitt Doggy Dogg]

Oh great. Can't see anything going wrong with that. Cross addiction definitely isn't a thing.

Well, some famous actor just died a few weeks ago due to K and he went to the same kinda clinics I'm talking about, I think the college in CO did some studies 6-10 years ago on K and depression/anxiety kinda stuff and decided it was helpful now these K clinics have popped up all over the US, I think there are about 6-10 within a 1-2 drive from my house. there are 3-4 within a few mins but they don't give the take-home supply like the ones in the next city over so most people go there. It costs about $3600 cash to get in one of those places and insurance isn't gonna cover that.

On addiction, there are 2 schools of thought on that, either total abstinence or med-assisted detox then abstinence, when you do heroin/fent for 20-30 years it changes your brain chemistry and you're not gonna be able to just say I'm not gonna use today, it doesn't work like that. Honestly with suboxine and that new med that starts with a V, there's a good chance people can get off heroin after a lifelong addiction. Most of the ppl I knew who were taking K for addiction were on suboxone for years and then used K to get off that, I think what most addicts do to get on K is to piss clean and claim they are there for depression which they probably are depressed if they were a heroin addict for life, that shit changes your brain chemistry and I doubt it will ever change back no matter how long you stay clean.

And a slight power level, I was a heroin addict for over 30 years, the way I got clean finally was micro-dosing K, I tried suboxine, methadone, pretty much everything that was available and that shit didn't work, with K I was able to get clean and stay clean

 

[Zemblan Physics]

There have been several randomized studies done on various ketamine compounds for treatment resistant depression. Systematic reviews have not shown very impressive effects (here’s one). Also, the studies are generally poorly designed with endpoints (the final follow-up) often within days or weeks of treatment, and that’s basically useless in a condition like MDD. Blinding is a problem as well, because, well, if you’re in the K hole you know it…

I was a heroin addict for over 30 years, the way I got clean finally was micro-dosing K, I tried suboxine, methadone, pretty much everything that was available and that shit didn't work, with K I was able to get clean and stay clean

Good for you! Did it help with physical withdrawal or with cravings? Or both?

 

[Mitt Doggy Dogg]

There have been several randomized studies done on various ketamine compounds for treatment resistant depression. Systematic reviews have not shown very impressive effects (here’s one). Also, the studies are generally poorly designed with endpoints (the final follow-up) often within days or weeks of treatment, and that’s basically useless in a condition like MDD. Blinding is a problem as well, because, well, if you’re in the K hole you know it…


Good for you! Did it help with physical withdrawal or with cravings? Or both?

It helped with both, when you are on K you don't feel any withdrawal symptoms or cravings, so after about a week you will have gotten thru the withdrawal and you can start dropping the K massively from there.

I haven't used K or H in a few years now, the way I did it was to do a tiny amount like .1mg once or twice a day, and I was able to work and nobody knew I was on anything there was a few times I did to much and it made me stutter real bad. What I probably was doing was replacing the times of day I'd normally do a shot with a tiny amount of k.

I've also heard people using LSD in microdoses to get off H.

One thing I will say is that its alot easier to get help nowadays my city will give you free suboxone, and counseling, they will even come to get you and take you to the place that gives that shit away, from what I was told during the pharmacy industry bailouts the feds gave money to every state to setup programs like my state has, if someone needs help nowadays I would suggest checking with your local state mental health counselors and they probably have something similar.

 

[Free the Pedos]

Same my lil nigga doesn’t have a job htf is he supposed pay rent

Um, maybe he would get a job if you would stop enabling him.

 

[glioblastoma multiforme]

On addiction, there are 2 schools of thought on that, either total abstinence or med-assisted detox then abstinence, when you do heroin/fent for 20-30 years it changes your brain chemistry and you're not gonna be able to just say I'm not gonna use today, it doesn't work like that.

Oh yeah for sure.

Spoiler: more OT drug sperging

They push suboxone massively now over methadone here and will stick you on a massive dose to make sure you can't use on top. You can only get take home doses if you piss clean for a while. It ends up putting a lot of people off getting maintenance at all, or if they do go for it then they'll start using again as soon as they get on take home then sell their script. Then most people need to go to a detox clinic to get off the buprenorphine. A close friend of mine did it last summer and did well enough not to score on her way home, but not well enough to not be back on a script now.

So it was fucking pointless, I really don't see why they fund detox without funding rehab after. Like yeah you can go to meetings, but you can't just magic away whatever issues caused you to use in the first place. She was supposed to have some post-detox group therapy at drugs services, plus home help, plus a load of other mental health help, and not a single thing materialised. I'm irrationally angry about it.

We don't have much fent over here thank fuck. It just doesn't catch on, cos killing you, or sending you to sleep then wake up rattling again, word gets round quick not to buy that shit and dealer is stuck with a batch he can't shift. I don't understand how it took hold in the states at all.

I remember trying to look up studies on long term effects of heroin. Best I could find was based on autopsies cos a proper trial is not gonna pass an ethics review, the people's brains were basically turned into mush. Dread to think what fent is doing to them.

 

[Mitt Doggy Dogg]

Oh yeah for sure.

Spoiler: more OT drug sperging

They push suboxone massively now over methadone here and will stick you on a massive dose to make sure you can't use on top. You can only get take home doses if you piss clean for a while. It ends up putting a lot of people off getting maintenance at all, or if they do go for it then they'll start using again as soon as they get on take home then sell their script. Then most people need to go to a detox clinic to get off the buprenorphine. A close friend of mine did it last summer and did well enough not to score on her way home, but not well enough to not be back on a script now.

So it was fucking pointless, I really don't see why they fund detox without funding rehab after. Like yeah you can go to meetings, but you can't just magic away whatever issues caused you to use in the first place. She was supposed to have some post-detox group therapy at drugs services, plus home help, plus a load of other mental health help, and not a single thing materialised. I'm irrationally angry about it.

We don't have much fent over here thank fuck. It just doesn't catch on, cos killing you, or sending you to sleep then wake up rattling again, word gets round quick not to buy that shit and dealer is stuck with a batch he can't shift. I don't understand how it took hold in the states at all.

I remember trying to look up studies on long term effects of heroin. Best I could find was based on autopsies cos a proper trial is not gonna pass an ethics review, the people's brains were basically turned into mush. Dread to think what fent is doing to them.

Fent is everywhere over here man, and just from personal experience I'd say suboxone is way better than methadone, if you combine Xanax, methadone, and say roxy you pretty much just made a compound version of the best heroin you'll ever try, there's even a documentary talking about shit like that, I remember about 10 yrs ago a friend of mine was prescribed all three and we were laughing our asses off at that documentary. Another issue with methadone, is you can use on top of it and you can mix it with shit to get high.

Atleast the suboxine kinda has a blocker even if it sucks and you can overpower it with a strong enough opiate. I used to be prescribed Opana, Xanax and Suboxine, I had to goto 2 doctors to get both Opana and Suboxine but I would wake up so sick from the Opana I couldn't fucking hit a vein so I started taking suboxine to get the shakes off then shoot up a opana a hour or so after waking up. I still have massive scars from missing that plastic opana shit and having to cut open an abscess.

I doubt heroin turns addicts' brains to mush, most addicts I knew were very functional, held highly skilled well paying jobs.

 

[unwieldy_object]

I doubt heroin turns addicts' brains to mush, most addicts I knew were very functional, held highly skilled well paying jobs.

This is just anecdotal and have no idea if it's true.
I had a relative who used to work in the prison system and they said that the heroin addicts weren't an issue, after they'd gone clean no problem but the ones addicted to benzos got real fucked up and continued to have issues from the drug abuse long after they were clean.

They put it "heroin in itself is no issue, if you could provide them with that they could function like anyone else, it's the stealing and living rough that makes them go crazy" while benzos in their opinion fucked up people's minds in a whole different way.

 

[glioblastoma multiforme]

I doubt heroin turns addicts' brains to mush, most addicts I knew were very functional, held highly skilled well paying jobs.

I was being hyperbolic, there definitely are functional addicts in high skilled jobs. I found a more recent study, it states "These preliminary findings suggest that heroin abuse is significantly associated with damage to white matter integrity." I think this is the one I read originally and I interpreted "A distinct entity, spongiform leukoencephalopathy, has been described mainly after inhalation of pre-heated heroin" as "mushy" cos I have no idea what it means.

Being able to use on top of methadone is exactly why addicts prefer it. Most over here only get on maintenance so they don't get sick if they can't get money to score, so they don't wanna be on something that will make them sick if they use.

@unwieldy_object that is surprising. I suspect its cos GABA receptors take much longer to recover, once you have gone through the initial withdrawal from benzos, your ability to sleep and regulate anxiety will still take a very long time to get back to normal. Just not being able to sleep properly for months will drive a person mad. PL, got addicted to heroin when my doctor told me I'd kill my liver if I kept drinking and abusing benzos, used heroin to make withdrawals tolerable, then couldn't stop. So have done withdrawals from both. Would take a smack rattle over benzos any time.