Discussion I want to use opioids to relieve pain from my serious illness but I want to keep them open a ctb option. how?

[Caribbean Sky]

I'm going to ctb soon. until then, I don't want to go insane from the pain of my chronic illness.

I'm thinking of taking opioids to relieve that pain.

But I want to leave them open as a ctb option - and I worry that would disappear as I start gaining tolerance to opioids.

Is there a way around that though ? can i still ctb with opioids with a tolerance? do i just increase the dose?
people hooked on them do still OD and die but I don't understand the mechanics of that and don't want to assume.


Please don't be upset with me about this choice. I understand the risks and i'll die anyway - whether it's from ctb or my illness.

 

[hoeni]

i heard that you can slow gaining tolerance by taking dxm with opioids. idk about using them to ctb. please stay safe and reconsider:(

 

[elenaboo25]

Get them prescribed and collect them, don't take any until you have enough to reliably ctb with?

It is a thing I am considering as well. I have chronic pain for which I have not yet gotten treatment because for my job I need my brain and I am afraid that if I told my GP about my chronic pain I would get opiods, or maybe some other painkillers, that would impact my ability to do my job. I need to keep my job because I need the money from my job to be able to live my life (ironic, I know) and dying does involve money as well, regardless of which method I end up choosing.

Maybe you already know this, maybe you don't: Assuming you don't have problems with your liver, kidneys, stomach, blood pressure or take blood thinners (or you don't care about those problems), you can safely combine Paracetamol and Ibuprofen.

 

[DeadManLiving]

The certainly help with the pain.

 

[Caribbean Sky]

i heard that you can slow gaining tolerance by taking dxm with opioids. idk about using them to ctb. please stay safe and reconsider:(

i know. but if i had a diagnosis i would receive opioids probably for pain anyway here.

I would still make sure tolerance wouldn't take this option away from me.

of course, then I might be offered euthanization, but that is why I am keeping this option open :)

 

[HangMan123]

Isn't that how the guy in knives out 1 died? It's a good movie; you should watch it if you haven't.
Anyway, due to the nature of opioids, I'd assume that the death would be painless. In the movie, they said he'd die in ten minutes, iirc. I think it was 100mg intravenously? At that high of a dosage, I don't think that any built up immunity would matter. In any case, you could just increase the dosage (100 mg isn't a lot volume-wise, but it depends on the opioid's concentration, which should be on the bottle).
Then again, it is a movie, and you should double-check everything I'm saying.

 

[Caribbean Sky]

Isn't that how the guy in knives out 1 died? It's a good movie; you should watch it if you haven't.
Anyway, due to the nature of opioids, I'd assume that the death would be painless. In the movie, they said he'd die in ten minutes, iirc. I think it was 100mg intravenously? At that high of a dosage, I don't think that any built up immunity would matter. In any case, you could just increase the dosage (100 mg isn't a lot volume-wise, but it depends on the opioid's concentration, which should be on the bottle).
Then again, it is a movie, and you should double-check everything I'm saying.

Thanks, that's a good start for research. only thing atp i'd be worried abt is addiction. I have an anti-habit forming brain but if it relieves pain I may crave it. Maybe I will alternate with K to avoid that

 

[OnMyLast Legs]

@Caribbean Sky I'm sorry but I think OD by pills is very unlikely to work

 

[Caribbean Sky]

@Caribbean Sky I'm sorry but I think OD by pills is very unlikely to work

I'm not planning on taking pills. if I was going to opioid OD it would be a very strong one (probably H) properly dosed and tested to see purity and up it and most importantly I would inject it into a vein IV not subcutaneous (IM)

Pills, I agree, is a very bad choice for opioid OD suicide

 

[A_Spartan_Dead]

Then how will you od from opioids?

 

[JonCody]

It takes quite a while, years actually to build up a high degree of tolerance. I've investigated using hydrocodone and, while it is true it takes a massive dose to ctb, you greatly leverage the affect by taking in conjunction with alcohol. You might want to get on one of the Ai bots (my favorite is chatgpt) and investigate various combinations.

As a aside, you might also want to use chargbt as a virtual therapist. You could be pleasantly surprised.
To followup on this, the note below is the result of a long session with chatgpt

Hydrocodone + Alcohol Safety Risk Reference
===========================================

Patient Context:
----------------
Opioid-tolerant adult (approx. 175 lbs) currently prescribed 10 mg/day hydrocodone for chronic neuropathic pain.
Considering scenarios involving higher-dose hydrocodone (e.g., 300 mg) and concurrent alcohol consumption.

Hydrocodone Toxicity Framework:
-------------------------------
- 300 mg hydrocodone = 30 tablets of 10 mg each (full bottle)
- This dose is 15x typical daily dose for the patient
- Alone, 300 mg may cause severe respiratory depression, unconsciousness, or death
- LD50 in humans is not precisely known, but lethal doses often start at 100–120 mg in opioid-naïve individuals

Alcohol Potentiation:
---------------------
- 1 shot (50 mL) of 80-proof whiskey = ~1.3 standard drinks (~20 mL ethanol)
- Alcohol depresses the central nervous system (CNS), slows breathing, and impairs judgment
- It enhances the sedative and respiratory depressive effects of opioids

Lethality Risk Table:
---------------------
| Hydrocodone Dose | Alcohol (Shots) | Risk Level | Notes |
|------------------|------------------|------------------|--------------------------------------------|
| 10 mg | 0 | Low | Standard therapeutic use |
| 10 mg | 1 | Mild–Moderate | Sedation and slowed breathing |
| 10 mg | 2+ | High | Significant risk of CNS depression |
| 300 mg | 0 | Very High | Respiratory arrest possible |
| 300 mg | 1–2 | Critical | Very high risk of fatal overdose |

Key Takeaway:
-------------
Combining high-dose hydrocodone (e.g., 300 mg) with even 1–2 alcoholic drinks creates a life-threatening situation,
even in opioid-tolerant individuals. Respiratory arrest, coma, or death can result without intervention.

Recommendation:
---------------
Avoid any alcohol use when taking moderate or high doses of opioids. Inform clinicians about any alcohol consumption
and discuss opioid risk mitigation (e.g., naloxone access, supervised dosing).

 

[Caribbean Sky]

Then how will you od from opioids?

that's what I'm trying to find out. Make sure I'm not taking away the possibility of opioid od as ctb method

It takes quite a while, years actually to build up a high degree of tolerance. I've investigated using hydrocodone and, while it is true it takes a massive dose to ctb, you greatly leverage the affect by taking in conjunction with alcohol. You might want to get on one of the Ai bots (my favorite is chatgpt) and investigate various combinations.

As a aside, you might also want to use chargbt as a virtual therapist. You could be pleasantly surprised.
To followup on this, the note below is the result of a long session with chatgpt

Hydrocodone + Alcohol Safety Risk Reference
===========================================

Patient Context:
----------------
Opioid-tolerant adult (approx. 175 lbs) currently prescribed 10 mg/day hydrocodone for chronic neuropathic pain.
Considering scenarios involving higher-dose hydrocodone (e.g., 300 mg) and concurrent alcohol consumption.

Hydrocodone Toxicity Framework:
-------------------------------
- 300 mg hydrocodone = 30 tablets of 10 mg each (full bottle)
- This dose is 15x typical daily dose for the patient
- Alone, 300 mg may cause severe respiratory depression, unconsciousness, or death
- LD50 in humans is not precisely known, but lethal doses often start at 100–120 mg in opioid-naïve individuals

Alcohol Potentiation:
---------------------
- 1 shot (50 mL) of 80-proof whiskey = ~1.3 standard drinks (~20 mL ethanol)
- Alcohol depresses the central nervous system (CNS), slows breathing, and impairs judgment
- It enhances the sedative and respiratory depressive effects of opioids

Lethality Risk Table:
---------------------
| Hydrocodone Dose | Alcohol (Shots) | Risk Level | Notes |
|------------------|------------------|------------------|--------------------------------------------|
| 10 mg | 0 | Low | Standard therapeutic use |
| 10 mg | 1 | Mild–Moderate | Sedation and slowed breathing |
| 10 mg | 2+ | High | Significant risk of CNS depression |
| 300 mg | 0 | Very High | Respiratory arrest possible |
| 300 mg | 1–2 | Critical | Very high risk of fatal overdose |

Key Takeaway:
-------------
Combining high-dose hydrocodone (e.g., 300 mg) with even 1–2 alcoholic drinks creates a life-threatening situation,
even in opioid-tolerant individuals. Respiratory arrest, coma, or death can result without intervention.

Recommendation:
---------------
Avoid any alcohol use when taking moderate or high doses of opioids. Inform clinicians about any alcohol consumption
and discuss opioid risk mitigation (e.g., naloxone access, supervised dosing).

this is very informative and quite the relief, tysm.

this matches somewhat what I found that tolerance to the deadly effects builds much much slower than the drug effects and barely widens the margin for the possibility of death especially if od is purposeful.

I guess now I need to see how to medicate myself appropriately like I was in hospice care so that I don't experience much side effects or addiction.
also would need to make sure the street samples I received were safe to take and draw out cut in substances and adjust. But I can learn how to do that on the darkweb.