nikkicat
Newbie
Reged: 11/30/04
Posts: 28
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Hello,
I hope someone will be able to help me with this. I ordered Temgesic tab form and received viles of 0.3 mg each.
It says IM or IV. I am assuming this is suppose to be injected but there is no way I'm about to do this. What does IM mean? I wanted to use the Temgesic to ease W/D from Hydrocodone. Instead of injecting it could I just drink it?
Thanks ahead of time.
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armywife
Journeyman
Reged: 11/01/04
Posts: 55
Loc: mid-atlantic region
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IM means a shot into a muscle. It is my understanding that medicine that is meant to be injected can not be absorbed like medicine in pill or oral liquid form. What I have been told is that if you drink injectable meds you will not get any benefit from it. That is what a doc I used to work with told me about 3 years ago. If I am wrong, someone please let me know.
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rockystuart
Enthusiast

Reged: 03/11/04
Posts: 230
Loc: San Fran Bay Area, Calif
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Injectable temesic (Bupe) can be drunk (or used intranasially). The warning about not drinking/snorting injectable solution applies mainly to morphine, which taked gastrically is cleared 75% by the liver before it gets to the bloodstream.
Intranasal use is the best (like stadol) as the blood plasma absorbtion curve includes 40-60% of the dose within 5-10 minutes and teh remainder after 30-60 minutes gastrically.
Warning, depending on the contents of your stomach it COULD take up to 2 hours to reach peak concentration - so dont drink 2-3 vials waiting for it to come on. And Temesic(buprenorphine) is available in large dose sublingal tablets for opiate dependant/tolerant/addicted patients - so the effective dose is WAY below the leathal dose.
Temesic is only useful for 3-5 days - then most of teh analgesic effects are lost. But both temesic and stadol are REAL useful for pain relief when taking a holiday from opiates(cod, Hydro, Oxy)
Me personally, I would just reload my little insulin or imeprimine inj. pen with temesic and take it IM or subC( below skin - like insulin). I hate needles too - but use the pen for imeprimine for migranes.
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dmoe
Member
Reged: 03/25/04
Posts: 184
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IV = intravenus, into the vein
IM = itramuscular, into a muscle, butt arm etc,
you can buy needles for this at your local drug store without a script, you would probably need a 22 gage, depending on your size you may want a larger gage needle, but 22 gage is the agerage size used in IV cathators, if I remember correctly the larger the number the larger the needle, I have not worked as an active nurse for 5 yrs now, and just use that and inject it into your thigh while sqeezing your thigh, the squezing just reduces the pain of the needle, or have someone inject it into your butt, but diabetics stick themselves everyday in the thigh, I personally hate needle's, I am a nurse and I can give the shot but you cannot get near me with a needle. I don't think I would suggest drinking it.
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armywife
Journeyman
Reged: 11/01/04
Posts: 55
Loc: mid-atlantic region
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actually, the larger the gauge, the smaller the number. A 22 guage needle is smaller than an 18 guage needle.
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Listvoer
Old Hand

Reged: 01/14/04
Posts: 411
Loc: New America
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Isn't 22 a bit huge? i'd think more along the lines of a 28 microfine, but then if I have to take an injection, i prefer the needle as small as possible...
L
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Due to PM spam I rarely check mine so if you send me one, make sure to let me know...
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sustmike250
Newbie
Reged: 11/12/04
Posts: 33
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21-25 gauge is ususally used for IM inj for oil-based steroids, depending on what you can withstand. Using a 28-31 gauge 5/8in. still fine if going into the shoulder or tricep using temgesic
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justcurious
Stranger
Reged: 03/16/02
Posts: 11
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Drinking it certainay can't hurt if you have multiple viles.
Squirting it up your rectum would be equipotent to IM but I don't know how you would manage the logistics.
Don't forget to wait 3 or 4 hours after your last Hydro or it might trigger withdrawl symtoms.
Please keep us posted on the effects whatever you decide to do.
Good Luck
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astrophel2
Board Addict

Reged: 03/11/03
Posts: 300
Loc: Georgia
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if I remember correctly the larger the number the larger the needle
I know that's statement's been corrected, but I learned that the HARD way. I had some amps of Valium, and it was too viscous or something to be used with an insulin syringe (which doesn't hurt at all!). So--I order the needles with the smallest gauge on the internet, and about fainted when I saw 'em. I used 'em anyway. With as many hospitalizations (where they take your blood multiple times daily), tattoos, and piercings, I've lost my fear of needles. And I'm the kid who'd run out of the "nice doctor's" office whenever the lolipops and stickers would start being prepared for retribution for a "shot" child.
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-Melissa
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prettyday
Threadhead
Reged: 02/09/03
Posts: 965
Loc: Coastal Sage Scrub
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Post deleted by prettyday
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First they ignore you, then they laugh at you, then they fight you, then you win.
- Mahatma Gandhi
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nikkicat
Newbie
Reged: 11/30/04
Posts: 28
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Thanks for all the input guys! I was about to send them back but never made it to the mail box. Anyhow, due to getting totally screwed over by an OP which I will not name now, I will be experiancing hydro withdrawal in about 12 hrs. soooooooooo, I'll either squirt it up my nose or inject it. How much do the needles cost? Is there a kit or something? I have no idea what I am doing. It is only .3 mg of Temgesic so I can't OD, right? By the time I am in withdrawal i won't worry about sticking my thigh to get some relief! Has anyone ever done this before or heard of any bad products from mexrxonline? It's funny how I'm not scared to swallow but the idea of injection freaks me out. Where exactly on my leg? Hip? I have a fat [censored]. - or quad area? How far do I stick it in?
Thanks for all the help and please help!
NIKKICAT
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sustmike250
Newbie
Reged: 11/12/04
Posts: 33
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I would do the shoulder or tricep w/ an insulin needle maybe even in the thigh, but you dont wnat to hit that big nerve in there. For the butt, you would have to use a needle that is 1 in -1.5in long to get into the muscle, unless you have a small butt, then an insulin needle would work fine. Go to the drug store pharmacy an ask for a bag of 31 gauge needles. Its like a couple of bucks. You cannot OD on temgesic. My friend has used tem from them. He is still alive. So poke that needle into some kind of muscle an push! 
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nikkicat
Newbie
Reged: 11/30/04
Posts: 28
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Okay so where is the nerve located that I want to avoid. I won't stick the butt b/c i have a J. Lo butt and I don't want anything that long going in. Anyways, so your friend, Mike, would he get by w/ one .3 mg vile for awhile? like how long?
Thanks again and again . . .
NIKKICAT
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prettyday
Threadhead
Reged: 02/09/03
Posts: 965
Loc: Coastal Sage Scrub
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Isn't there something about a air bubble and injections?
Nikkicat, I hope you are doing a Google search, too!
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First they ignore you, then they laugh at you, then they fight you, then you win.
- Mahatma Gandhi
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febelee
Stranger
Reged: 12/02/04
Posts: 17
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(Squirting it up your rectum would be equipotent to IM but I don't know how you would manage the logistics.)
Buy empty gel caps & fill with needle!! Good luck in what ever you do!!
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astrophel2
Board Addict

Reged: 03/11/03
Posts: 300
Loc: Georgia
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I'm not sure about this, but the bubble-death thing only happens when you are "main-lining" or injecting into a vein. Just to be safe, hold the needle needle-side-up after you fill it, tap or flick it to make the air bubbles come to the surface, and give the plunger a tiny push so that a very small amount of liquid shoots out (you've seen ER, right?). Stick the needle in your bicep at a 90 degree angle (like a dart). If the amp says "FOR IM USE ONLY," you're going to want to make sure you're not injecting into a blood vessel (hold the needle with your nondominant hand, and aspirate a tiny bit by pulling up on the plunger to make sure no blood comes up in the needle; if it does, pull out, take the plunger out of a NEW NEEDLE, and squirt the temgesic into it, turn it upside down as you re-insert the plunger, and get the air out again). If no blood comes up into the needle, push the plunger on down, and pull it out when you're done.
It's really not as bad as it seems!!! Especially if you're using an insulin needle - I promise you'll barely FEEL the needle go in. You can do it as slowly as you like. It's the temgesic that might burn when you inject - I don't know, I've never injected it. Some meds can be injected without a hint of pain; these darned valium ampules I got once burned like hell (anyone have use for amps of valium)? In all liklihood, the most uncomfortable part of the process is going to be asking your pharmacist for syringes!
You can come on over, and I'll "shoot" ya if you can't muster whatever it take to self-inject. Otherwise, try to get through the withdrawal with some OTC immodium, or find some ORAL temgesic/subutex/suboxone. Clonidine is also supposed to help with withdrawal. Mastersmarketing is a good source for that. See your PM.
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-Melissa
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Trey_McC
Member
Reged: 12/07/04
Posts: 100
Loc: Utah
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Are any of you really qualified to tell this person what to do?
Why dont you suggest a gun?
I am appalled!
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sustmike250
Newbie
Reged: 11/12/04
Posts: 33
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I would say that i am qualified for i had done probably over 150 Im injections in all kinds of muscle sites. I have done very much research and have gotten tips from docs and pharmacists. The proper way to be totally safe would to flick out all of the air bubbles ok. Rule # 1 when injecting something to make sure that you are not in a vien , blood vessel etc., You aspirate. Which means to draw back the plunger to make sure that there is no blood. That means you are in the muscle nicely. That is just the safe thing to do. I have heard stories of when accidentally injecting oil( steroids) into a vien. There is a possibility of dying but not likely. You can taste what you have just injected and cough so bad that you think you're gonna hurl. I myself have never aspirated and never actually injected into a vein. If you see blood when you pull the needle out, this is very normal. It doesnt mean you have went into vein. It happens to me almost every time, whether going into the buttocks, shoulder tricep, etc. It is nothing to worry about. Just aspirate if you are that afraid. Thats the only way you will know. Do your research. I am not a doctor, so do not take my word for it
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Trey_McC
Member
Reged: 12/07/04
Posts: 100
Loc: Utah
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So you think you are qualified to kill someone?
Why? Because you are some kind of junky?
And you have survived 150 injections?
There is no doubt that youre not a doctor.
Oh! You mean that you have researched the subject and doctors and pharmacist gave you tips? I really doubt this for sure.
How does the conversation go? Hey doc, what would be the correct way to shoot up?
I really hope there is no one here stupid enough to listen to you.
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sustmike250
Newbie
Reged: 11/12/04
Posts: 33
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Have you ever heard of cobalamin or humulin-R smart guy? I have a prescription for both. You obviously have no clue what you are rambling about Jonny Journeyman. Maybe you should think a little more, though that may be hard for you, before referring to me as a junkie. Maybe you should do some research for yourself maybe you can learn something champ. Have a pleasent day.
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Imago
Member
Reged: 01/12/02
Posts: 154
Loc: Lone Star State
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I'm not going to criticize posters who are trying to be helpful by instructing Nikkicat on injecting but I have to admit it makes me uneasy.
Many years ago, my son needed allergy injections twice weekly. His doctor was very far away and I soon tired of driving so much. So I asked him if I could inject my son at home. He agreed, but with certain conditions. Under the watchful eyes of the nurse, I first had to practice on an orange. Then I had to actually give my son his injections in the doctor's office for two weeks. Only then would they ship the medication to my house.
Nikkicat knows zero about injecting. Not only does she say this herself ("I have no idea what I am doing.") but it's very obvious by the comments she makes and questions she asks in her posts. Maybe I'm overly cautious or paranoid or whatever but it seems to me that trying to teach someone, in a post, how to give injections might not be the best idea.
I don't think drinking the buprenorphine is okay. I thought it wasn't effective when this method of delivery was used. Also, when taking Suboxone or Subutex sublingually, you're supposed to spit out the saliva that's in your mouth once the tab has dissolved, as swallowing it can cause a massive headache. Someone suggested injecting the solution into an empty gelcap and inserting rectally. That sounds good. It seems as if this would pose less of a risk to a novice than injecting.
Nikkicat, please let us know what you decide and how it works out for you.
Imago
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prettyday
Threadhead
Reged: 02/09/03
Posts: 965
Loc: Coastal Sage Scrub
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Where is Nikkicat? I was fretting about that too. If you are reading this Nikkicat, W/Ds are as bad as one lets them get. I am nervous about injections but on pain med w/ds trust me, it will pass...
You are better off getting a Thomas Recipe Kit together,
drinking so much water you want to float,
and doing all sorts of crazy tips
watching something funny
going outside
forcing yourself to have clean sheets on the bed so you can collapse somewhere and not get depressed more
eat fruit
eat soup
Showers and Baths
Some comfortable clothing that is not stained or ripped
This is all cognitive stuff
You are in school, so you know...
Tomorrow is Monday; you can resolve a lot.
But the wrong injection can leave a lump for months IM, I had it done to me, and then I had pain there, because part of my problem is buildup in tissues...
I have not wanted to come off like a mom when I have no kids, but I am forty and I have seen more than I have done...and avoid judging as much as possible. Please PM if you need any comfort or questions about if this will last.
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First they ignore you, then they laugh at you, then they fight you, then you win.
- Mahatma Gandhi
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nikkicat
Newbie
Reged: 11/30/04
Posts: 28
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Sorry for not keeping you guys informed! I changed my mind about injecting the stuff and just went to the ER in the middle of the night. I will be held over for 2 days. Trying to come up with a solution to quickly get some hydro or codeine atleast. I have records. My OP just screwed me over with refills.
So, no needles for me. The suggestions sound great but I have three children, 2 under 2 and my husband is working 70-80 hr. work weeks. Everything falls apart if I have to W/d. I am waiting for insurance to become effective then will go to a pain management specialist and work on tapering down or holidays or whatever, just get some pro. help.
Thanks for all the advice and concern. If anyone knows a records op or nrop that moves quickly could you suggest them to me, please?
Also, so you think the rectal thing would actually work? Like a suppostitory or something?
peace out
NIKKICAT
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febelee
Stranger
Reged: 12/02/04
Posts: 17
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I took care of my Mother & Uncle while they were on hospic.. It worked very well for them.. Good luck
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nikkicat
Newbie
Reged: 11/30/04
Posts: 28
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Febelee,
I'm sorry that you had to go through that. How long ago was it and how are you handling it now?
What exactly did they use to inject the medication rectally? I just didn't know that the alternative to an IM injection was rectal insertion. I thought that you were kidding about the rectal thing.
What kind of empty gel caps are you referring to? Would the pharmacist be able to answer my questions and what medication should I say I will be injecting rectally?
I apologize for the barrage of questions.
Thanks for all of you help and take care!
NIKKICAT
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astrophel2
Board Addict

Reged: 03/11/03
Posts: 300
Loc: Georgia
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Quote:
Are any of you really qualified to tell this person what to do?
Why dont you suggest a gun?
I am appalled!
Quote:
So you think you are qualified to kill someone?
Why? Because you are some kind of junky?
And you have survived 150 injections?
There is no doubt that youre not a doctor.
Oh! You mean that you have researched the subject and doctors and pharmacist gave you tips? I really doubt this for sure.
How does the conversation go? Hey doc, what would be the correct way to shoot up?
I really hope there is no one here stupid enough to listen to you.
Quote:
10000 x OXYCONTIN 40mg
1000 x PERCOCET 5mg/325mg
1000 x HYDROCODONE 10mg / NO ACETAMINOPHEN
12000 Items
Total: $119,400.00
Is this your order?
Quote:
I must be missing something here?
What are you all ordering?
This place can't be legal can it?
Quote:
If you clowns keep fooling around with these carriers they will refuse to deliver.
Get it?"
Trey - this board is for advice and information, and that's what was given. No one is telling anyone what to do.
Surely you have better things to do than antagonize other users, call them names, and offer offensive insinuations.
Geez.. someone is registered for a month, creates 60-odd posts (mostly about NROP's-which, by the way, TREY, is NOT LEGAL), and has the gall to call someone a "junkie" for knowing how to stick a sharp thing into a soft thing.
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-Melissa
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astrophel2
Board Addict

Reged: 03/11/03
Posts: 300
Loc: Georgia
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Quote:
I thought that you were kidding about the rectal thing.
What kind of empty gel caps are you referring to?
lol. The rectum is really good at absorption, and thank god for that!
I think you can get empty gel caps from health stores, or maybe even in the vitamin section of wal-mart (I've seen them on ebay). They're typically made of cellulose. If he asks, just tell the pharmacist you're filling them with herbs. You could even make your own; gelcaps are easy to open and empty.
But I'm not sure that you can put liquid temgesic in a gelcap...i think it'd start to dissolve before you could use it. Not sure, though.
If you can find a sort of pipet, you could just squirt it "up there."
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-Melissa
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febelee
Stranger
Reged: 12/02/04
Posts: 17
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I lost my mother in 1990 & my Uncle in 2004.. When they both got were they could not take there pain meds.. The Doctor had me get empty gelatin capsules from pharmacist .. I would fill with liquid pain meds, using a needle & then insert into rectum..
You dont need to tell the pharmacist why you need them.. Theyre made by Lilly and the size you need is no.0.. This is the biggest one.. If you get no.4.. it is very small.. To small to use.. The smaller the number the larger the gel cap... Hope this helps...
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febelee
Stranger
Reged: 12/02/04
Posts: 17
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Quote:
But I'm not sure that you can put liquid temgesic in a gelcap...i think it'd start to dissolve before you could use it.
You do need to fill it and be ready to put it in..Use some lubricating jelly so it will go right in..Let me know if you don't understand.. Good Luck
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rockystuart
Enthusiast

Reged: 03/11/04
Posts: 230
Loc: San Fran Bay Area, Calif
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Drinking Bupe is OK; nasal or sublingal is better as it doesnt get digested. There is no 'clearing' by the liver as is the case with morph. You would be better to pop the cap, tilt you head back and nasally inhale. but if you use orally, hold in mouth (like chew" as long as you can. what you dont get (nasally or sublingulally(oral absorbtion through gums, will still end up in your GI tract.
Nasal absorbtion (direct to blood) is 40-60%. Sublingul varies.
Some of the postersz on this thread seem like they are more worried about WD than pain - if your addicted there are website with authorized(i.e trained in a day class) MD's that WILL perscribe suboxone/subutex(=Bupe=temesic). And their target dose is 16mg/day for opiate maintnence - thats equiv to about 30mg morph IV/IM a day. It wont get you loaded after the first week and analgesia diminishes over time. It WILL prevent WD.
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