Mixing dilaudid and hydrocodone

Adderall contains two mixtures: amphetamine and dextroamphetamine. Adderall is the commonly used brand name to treat ADHD, OCD, and narcolepsy. Adderall is a controlled substance, and although it is on the verge of being mistakenly thought of as an opioid, it is a stimulant and not an opioid. Opioids are depressants1, so narcotics are used as painkillers and to practically numb a person from any pain or discomfort. Understandably, Adderall is not a narcotic. HOW CAN people be so ignorant. That old wench “I used to be a pharmacy technician..” ohhh. K.
Schedule II
Schedule II drugs, substances, or chemicals are defined as drugs with a high potential for abuse, with use potentially leading to severe psychological or physical dependence. These drugs are also considered dangerous. Some examples of Schedule II drugs are: combination products with less than 15 milligrams of hydrocodone per dosage unit (Vicodin), cocaine, methamphetamine, methadone, hydromorphone (Dilaudid), meperidine (Demerol), oxycodone (OxyContin), fentanyl, Dexedrine, Adderall, and Ritalin

Pre-surgery I lurked a lot on this thread and admittedly FREAKED myself out a lot BUT it did make me do a lot of prep work pre-surgery that I think ultimately made recovery a lot better and just wanted to share!
I’m 26F on day 8 of recovery from my tonsillectomy and adenoidectomy on 5/9/24. I’m honestly doing surprisingly well and was even able to eat pizza (sans crust) and honey hot wings without any issues today.
I want to emphasize that this has fucking sucked but I wouldn’t change my decision to have this surgery. While I did not have frequent illnesses or tonsil stones due to my tonsils I did have mild obstructive sleep apnea due to my tonsil size which my ENT said were large both from the front and the top (from the nasal scope). Already I feel less crowdedness in my throat and am able to breathe so much more easily.
I’ve keep a consistent schedule with pain medication, much more Vicodin in the beginning but by day 4 I was able to transition to mostly ibuprofen and tylenol and just doing Vicodin before bed and again 5.5 hours later (getting me around 10 hours of decently pain free sleep.) Set alarms, have caretakers set alarms, set back up alarms and strictly follow those alarms. The only times I was in excruciating pain were the times that I overslept an alarm or forgot a dose of medication, which only happened twice. The liquid forms of ibuprofen and tylenol have been amazing. Getting ready for sleep I would take the Vicodin (in applesauce), drink as much fluids as I could, then I would spray my throat with the mucinex instasoothe spray, put my ice pack on, prop myself up in a comfortable spot and then drift off.
In the comfort list I mentioned pillows, humidifiers and ice packs. Make a lil pillow nest 10/10, it’s hard to get comfortable so having a lot of different points to be able to adjust helps, especially when propping yourself upright ends up being the most comfortable position to sleep in. From the get go I had a cool mist humidifier running 24/7 which helped prevent dry mouth/nose and has definitely helped with healing and pain, I highly recommend this. I also bought an ice pack head wrap with extra ice packs to have fully frozen ones on hand at all times, this helped a lot with managing the pain.
No one warned me about not being able to blow my nose, sneeze, cough or clear my throat— this is me warning you. No matter how much it feels like you have to, you can’t, this is annoying. To help with this my ENT (who told me this only after surgery) recommended I avoid dairy as much as possible to prevent excessive mucous production.
The other thing people did warn about but I didn’t want to believe was the taste. It’s vile. It doesn’t go away until the scabs start going away. Which for me started on day 6 and by day 8 (today) the scabs are almost completely gone and with them the taste is gone too. I spent 6 days doing everything in my power to not think about the taste. I hated drinking regular water bc it just made the taste worse, so I took the less healthy route of drinking anything with flavors to mask the taste, it was a concession I was happy to make. That being said, swallowing hurts, just keep at it, the more you do it the less it hurts, again set alarms, stay hydrated it’s important.
I’ve seen a lot of mixed feedback on here about brushing your teeth but I asked my ENT and he said it’s fine as long as you don’t hit the back of your throat, which people normally don’t do anyways. For me brushing my teeth has been the best, it makes your mouth feel so much better and helps a ton with the god awful cauterized flesh taste.
As for food, I kept to jello, popsicles, broths, applesauce and my other fluids the first few days, by day 3 I was able to eat instant mashed potatoes and by day 4 I was doing mac and cheese and heartier soups. Today is day 8 and as I said I was able to do pizza and wings!
For drinks, like I said, hated the taste in my mouth so I did everything I could to mask it. I’ve been drinking a lot of water with liquid IV and a lot of Gatorade. I have a pebble ice maker, but you can buy bags of it from sonic, pebble ice is so nice to chew on and have in drinks.
Again, this has sucked, but honestly recovery has flown by (not sure if it’s the pain meds or the excessive amount of sleep) but it’s going by quickly and I’m very happy I did it and would make the same choice again.
Best of luck if you’re pre-surgery and reading this thread. You’ve got this!
List of everything:
Food - I premade a fuck ton of jello in different flavors, popsicles, sorbet, sherbet, Jamba Juice with protein, instant mashed potatoes, knorr pasta sides, Annie’s Mac and cheese (I went easy on the milk), applesauce, miso soup and chicken noodle soup/chicken broth (with both soups the early days I did strain out anything in it bc I was paranoid about things getting stuck in my throat) — I did buy protein yogurt drinks, pudding, and ice cream but I did end up AVOIDING those to prevent excessive mucous
Drinks - ice water, water with liquid IV, watered down apple juice, Gatorade, slushies, smoothies, lots and lots of pebble ice
Medication - prescription hydrocodone (which insurance would NOT fill the liquid form of because apparently they know better than my doctor and felt big pills would be better for me after the surgery… in my throat… :-) so wise) I crushed the pills up and ate them with applesauce, children’s liquid ibuprofen, children’s liquid tylenol, mucinex instasoothe sore throat and pain relief
Comfort things - pillows, a cool mist humidifier, head ice pack wrap with extra ice pack inserts

So this was in November 2023 and due to my wack ass immune system, I (15M) had gotten myself extremely sick to the point where I was vomiting almost every time I'd eat. And my body has a way of cascading things like this, so I it was no surprise when I started sickling.
I'm laying in bed, nauseous and in pain, just praying for the oxy to kick in so I can fall asleep and not deal with this hell anymore when this sharp pain starts stabbing me in my chest and I feel like I'm literally DYING. This pain I was feeling in that moment was worse than any sickle cell crisis I've ever had and I just assumed the jig was up and organ failure was imminent.
I couldn't get up from where I was laying (my mom's bed) because of the severe pain so I'm just crying so loudly and my mom wakes up annoyed and tells me to lay on my back and go back to bed but as i shift over a wave of nausea crashes over me and i begin vomiting all over my mom and her bed (woops).
Fully awake and freaking out by this point my mom picks up her phone and dials 911 for an ambulance to get me and I'm just crying like a little baby now in a pile of my own bile (too scared to eat anything because I didn't wanna barf) praying for the ambulance to get here. And after what only felt like 5 minutes, my mom runs to the front door to open it for the paramedics who lay me onto the stretcher and give me this drug I'm in too much pain to notice.
And then it calms me down. A lot. So much so that it feels like whenever I breathe, I'm breathing out all the air in my lungs and taking my first breath again like I've just been born. I vaguely feel the pain in my chest but my mind is so empty I cant even bother to think about it. I take a few deep blinks and then wake up in the ER with my mom sleeping in the chair beside my bed.
After this, it becomes a cycle of them giving me medicine, the pain subsides somewhat, and then the medicine wears off and my chest feels like it's getting knifed by a million UK roadmen. They start me off with morphine, and that doesn't do the job like it usually does, so then they give me Dilaudid AND morphine, and still yet I feel like the end is near. So they decide to pull out the big guns that worked on me when I was in the ambulance. Fentanyl.
Initially I was very skeptic and lowkey refusing treatment because of the stigma around it and the doctors reassured me over and over that it was safe and I had been given it before and blah blah blah even though these were the same doctors that would ask me how long I've had sickle cell for. But I was in so much pain that I just gave up and gave in and gave them the a-ok because their nagging was just too much.
They set me up with this little green button thing attached to my IV, that would allow me to press it whenever I felt severe and constant pain but would not allow me to exceed the "maximum dosage" they had put in place for my body. And to be completely honest this little button scared me at first. The entirety of my night nurses shift I didn't press the button once and just writhed there in the cold hospital bed because I'd rather die than willingly administer my own fentanyl.
But I wouldn't even be typing this story if I simply just hadn't pressed the button for the entire duration of my stay. It was now day 3 in the hospital and I hadn't got a single wink of sleep in the past 32 hours so I decided to press the button. It didn't hit me like it had in the ambulance, but when i tell you i relaxed, i RELAXED. I was finally able to shut my eyes and go to bed and stop myself from shaking my leg (self soothing thing I do when in pain). I woke back up to my nurse doing my 8 hour check up and for some reason, she was still bringing me morphine and Dilaudid despite me having the fentanyl push button thingy, but I was so out of it I just took the medicine so I could go back to sleep. It became I cycle of me pushing the button, falling asleep, being woken up to take additional opiates i did NOT need, then going back to bed, until early on day 5 in the hospital, my friends from school came to visit me. So obviously I try to be a good host and not to fall asleep despite me having pushed my button already for more fent (clearly addicted but oblivious because of this phantom pain my body is forcing me to experience) and coincidentally as my friends are still here, my nurse comes in for the 8 hour check up and gives me the Dilaudid and morphine again. I take the medicine and I look down at my green button because I'm not sure i've been awake this long in days and I see its glowing again so I press it.
bad idea.
I'm talking to my friends but something seems off, their voices seem so far away and there is black dots clouding my vision, I of course am so out of it that I somehow don't see any issue with these two things until I realized I hadn't said a word in like 2 minutes. Matter of fact, I hadn't even spoken for 2 minutes. My eyes go wide because I can feel my vision fading, but for some odd reason it was all black except a tiny pinhole in the center of my vision. I hear this faraway annoying beeping that I realize is the pulse-ox thing going kookoo bananas because I haven't breathed in so long and I see shapes moving around and my friends running to the hallway to get me help and all I can focus on is "If I'm not breathing, why doesn't it hurt?"
The nurses rush in and can clearly tell I'm overdosing so they put an oxygen mask over my head and say "Can somebody give him some Narcan?" and I'm laying here spectating what's going on to my own body from inside of my head wondering "I wonder what narcan is"
WELL I SURE KNOW NOW
The nurses push the Narcan in through my oxygen mask and I can suddenly hear everything perfectly. I say "woah" and then my entire body gets a flash of heat all over so I jolt up and say "WOAH" again and I look to the left to see like 6 nurses with 3 of them doing something with my arm that I obviously just messed up. But then the heat is gone, replaced by this freezing cold feeling all over and INSIDE my body. I can feel every one of my organs touching each other and they all feel cold and I just feel nauseous. By this point i was just in agony. It wasn't like any pain I've ever felt before I felt like not only was I gonna die, but it was gonna be painful and I'd feel each individual organ dying from inside my body because of how hypersensitive I was to everything around me. I could feel the scratchy hospital blanket and the way the grip of the hospital sock felt against the bed and it was all just too much for me and my head cocked straight up and i began vomiting so much liquid it was scary to watch. Feeling each chunk of food run down my throat was a sensory nightmare and it caused me to KEEP VOMITING and every time I'd move one of my limbs, it would completely jerk itself all the way to a full extended position which would shake my body and all my senses would be on fire and I'd cock my head back and continue vomiting. This was a pediatric hospital so the nurses had never dealt with anything this severe before so they were all just freaking out because I was actually tweaking so hard and I had knocked over everything they had put on my bed to help me. In addition to all this mess, I'd torn out my IV and started bleeding all over the sheets and the smell of barf mixed with blood was just such a strong smell I had continued barfing onto myself. My entire being felt cold inside and out so I was trying profusely to wrap myself in a cocoon but the nurses were so fixated on my blanket being covered in vomit and me like "contaminating myself" but I did not give a single fuck bro I was in so much pain and was so cold the only thought on my mind was the fetal position, and a cocoon. two nurses jammed those tubes that they have at the dentists office to suck your saliva down my throat so I didn't continue choking on my vomit, while the other 4 removed the fitted sheet from the bed trying their best not to interfere with my tweakage.
After they removed the sheet I had laid down and then I felt my organs shift in my body so I began vomiting again because anytime I sensed a new sensation, the big kahuna of nausea would hit me. I threw up onto the plasticky cover that goes over the mattress of the hospital bed but at this point there was only like so much left to throw up so a nurse wiped it away with an alcohol wipe. And the SMELL of that wipe gave me such sensory overload that I began crying to the point of basically screaming. As I shut my eyes really hard praying I'd fall asleep and escape the pain and coldness of my insides.
And the weird thing about all this is, I was there the whole time, y'know? Like I felt perfectly conscious throughout the entire process of being Narc'ed. I had no control over my body and anything I did, it just felt instinctual and had no thought behind it, but I was still actively thinking throughout all of it. I felt shame, embarresement, surprise, all like I was watching a movie. Except it was one of those 4D movie theaters where you can feel whatever is happening on screen, but not control it.
Eventually sleep overcame me and I woke up in the ICU with like 40 million wires attached to me a heating pack over my belly, and these bags around my legs that would inflate and deflate over and over. And all I could think in my head, was thank GOD it was over.
I had ended up getting myself a bone eating staph infection because some of my vomit got into the IV hole I'd torn out (I see why there were trying to take the blanket off) and ended up having to stay in the hospital for 10 more days so they could give me heavy antibiotics,, and had to do an additional 5 days at home self administering the medicine through a PIC line that went all the way from my wrist into my heart (it was so gross because they kept me awake while they removed it and it felt so weird).
A few weeks later the hospital called us back and apologized but they were using so much avoidant language and deflecting blame off of themselves so hard that it was pathetic to watch. Like you gave a 15 year old kid fentanyl through a SELF REGULATED SYSTEM and didn't expect the worst? Especially since I was being given Dilaudid and morphine on top of the fent? Get out my face with that smh.

I need help, I'm feeling overwhelmed by too much info, and I'm exhausted
Here's the basics: Species: dog Age: 14 Sex/Neuter status: spayed F Breed: large chihuahua mix (probably some jack russel, but not sure) Body weight: 19 lbs History: 2 summers ago contracted Kennel Cough (was vaxxed), and after treatment developed lasting and chronic, loud cough. Clinical signs: consistent, prolonged coughing/hacking, wheezing, heart murmur Duration: 1 year, 9 months Your general location: Arizona, USA
Diagnosed with likely collapsing trachea in late 2022 after ruling out other possibilities. X-ray at time could not determine CT for sure, and showed no heart disease.
Prescribed hydrocodone/homatropine. Getting one pill 5mg/1.5mg three times a day.
Over time cough gets worse, uncontrolled by rx. Prescribed rounds of prednisone, which improves cough during treatment.
New x-ray March 21st, 2024 finally confirms collapsing trachea, all the way down at the base right before it splits off into the lungs. Also showing likely bronchitis. No obvious heart disease. Possibly slightly enlarged heart?
However, new heart murmur (mild) detected by stethoscope
In the meantime, I joined a FB support group for owners of dogs with collapsing trachea. I ask my vet about a few medications recommended by the group, but my vet dismissed them for various reasons. I wish I could tell you the reasons, but I'm always sleep-deprived at these visits because they're after several nights of lost sleep due my dog's hacking.
Anyway, in past two weeks the coughing/hacking got significantly worse, uncontrolled by medication. Sunday night, she could not get comfortable, was pacing from room to room, hacking, wheezing, only sleeping in very short bouts, with help of gabapentin. It was a terrible night for us both and I felt like she was pleading with me to help her go.
I visited vet the next day (Mon, May 13th). I was ready to discuss euthanasia due to her distressed state, obviously discomfort, uncontrollable hacking. I also had some new suggestions from the support group to ask about, including Vetmedin and Lasix.
On Monday's visit the vet said her heart murmur sounded more pronounced. However, she would not prescribe any heart meds without at least another x-ray.
Tbh, I don't have another $600 for an x-ray when I already paid that for one less than 2 months ago.
The vet prescribed another round of prednisone, and said I could increase the dose of hydrocodone to 1.5 pills every 6 hours if needed.
This combo does reduce her coughing, but that much hydrocodone basically just knocks her out.
So, I began seriously considering euthanasia again, because having her drugged all the time, and desperately hacking in the time between doses, is no quality of life to me.
Additionally, her coughing snd prolonged health deterioration is having significant impact on my own well-being due to lack of sleep and missed work, and just general constant stress. Last night was another sleepless night for us both.
However, the CT support group has me convinced I should push to try vetmedin. Some say it's been like a wonder drug.
I'm on such a roller coaster, having already mentally and emotionally starting to prepare to say goodbye. I even made an appt for in-home euthanasia on Saturday. Now I'm wondering if I'll feel guilty if I don't push for this medication.
Again, I cannot afford another x-ray, let alone a cardiologist. I've spent so much for so long for so little improvement, I'm also emotionally spent after almost 2 years of this.
But, I'm really needing to hear from some vets.
I'm ready to let her go. Do I owe it to her to try to convince the vet to let me try Vetmedin?
I'm attaching a link with two videos of her terrible night on Sunday, her medical history, and 3 x-rays from March.
https://drive.google.com/drive/folders/1saHMHDiIOW6Hov1EnOpWY44qVgokfjGW

Like the title says, I have been getting fentynal patches and dilaudid from my primary for almost 15 years. I have a new treatment set with pain mgmt that seems promising, but he told me he can't prescribe opiates as he is capped by the state. So, now I'm out of patches, and basically get told tough! My primary does care, so he switched me with the national hydrocodone shortage to oxycodone. For the patches he's trying er oxycontin. We shall see, but this some crap, especially since I've reduced my dosages over the years.

I have a 16.5 year old chihuahua mix who has a grade 6 heart murmur, significant left sided heart failure (mitral valve dysfunction), “severe” enlargement of the left atrium/ventricle, and signs consistent with early CHF. Additionally he is diagnosed with canine cognitive dysfunction and exhibits a myriad of symptoms associated with CCD. Mostly he is doing okay, and I would not say he is suffering, but he has a persistent cough that is most noticeable in the evenings, throughout the night (I am awakened by his coughing multiple times, every night), and in the morning. I was given hydrocodone/homatropine tablets for him, but he hates taking them (he actually bit me once when I resorted to pilling him), and they don’t seem to help that much anyway. Do you think this persistent coughing is enough to cause a poor quality of life?

Hello friends -- I have been using kratom recreationally for the last 7 or so months. I'm wondering how sustainable my use is for the long term, as I really enjoy the effects of kratom and want to ensure I can continue to enjoy the effects for the long term. It has helped me cut down on my drinking which has had great effects for my life as a whole, and the anxiolytic effects are welcome for winding down from the workweek.
Note that I was essentially opiate-naïve before I tried kratom, only having tried a 20mg dose of hydrocodone one time many years ago.
My use: I use on the weekends only, generally only saturday and sunday, but sometimes I'll use friday, saturday, and sunday. I have lab-tested powder (generally 1.3-1.5% alkaloid content) and I dose by mixing the powder with hot water and drinking it.
When I first started, I did not feel much of anything from 4 or less grams, and would take 5 or 6 grams to feel the effects. I originally settled on 8 grams as being my preferred dose. As time went on, I began to re-dose 3 to 4 hours after my first 8 gram dose; this re-dose would be around 4 grams to keep the effects going. The last few weekends of use, however, I've found that I need to take higher doses. I've been starting my sessions with 10 grams and redosing 5-6 grams every 2-3 hours for a total of 20-25 grams in a day. I've found that if I've used on saturday, the effects are less pronounced on sunday with the same dose. I haven't felt withdrawal effects throughout my time using kratom.
It seems like if I continue this pattern of use, my tolerance will continue to rise and I'll end up needing to take a comical amount of kratom to feel the effects. What is the best course of action to lower my tolerance or reduce the amount that I need to take? Will taking a weekend off be an effective way to reduce the tolerance? Is there a good potentiator I can use to reduce the amount that I need to take for effects? Overall, what is the most sustainable way to continue enjoying kratom for years to come?

Hey everyone. Going through some high stress with my sweet Malchi, Khaleesi, and wanted to get some input from you all.
She's a 9 years old maltese/chihuhua mix we got as a pup at around 6 months old. She's been an amazing family member but things started going downhill with her health about 6-7 months ago.
TL;DR: Malchi has collapsed trachea, with heart murmur, and enlarged heart. Has been fine for a few months now with little to no coughing episodes. We just spent a week at the beach where she had a blast and no issues. On Sunday we played a little game of run around the couch and when I realized she was out of breath she started wheezing and passed out. Last night at 1:30AM, while sleeping in bed with us, she woke up, coughed a bit, and passed out again. Seeking vet assistance today, but wanted community input.
She was diagnosed with a heart murmur over a year ago which progressed pretty rapidly and she was put on pimobendan (1.25mg twice a day) and has been on it ever sense. In September 2023 she developed a tooth abscess which broke through on her face and took some time to diagnose as an abscess, but she eventually had dental surgery to extract the tooth and all healed up without issue.
On December 26th, 2023 she began coughing/hacking/wheezing/honking almost non-stop. Emergency vet x-rayed and basically told us she had collapsed trachea, enlarged heart, and probably congestive heart failure. They recommended she start additional heart meds, and gave us hydrocodone for cough. We got in to normal Vet ASAP who, at the time, assumed the emergency vet was correct and prescribed additional heart meds, but advised us to seek heart experts at local university vet. At one point in between all this she had a coughing fit while laying on couch with my partner and then collapsed/feinted/pass out.
We immediately decided to seek attention at the uni vet via their emergency services first who prescribed theophylline which seemed to work well. We then visited their cardio team and had an ECG done. They ruled out congestive heart failure, but confirmed slight tracheal collapse and enlarged heart. Recommended staying on pimobendan, but no other meds. Giving hydrocodone as necessary. They actually thought the coughing was possibly a respiratory issue. She slowly recovered from cough and had been mostly issue free (outside of what we assume is an allergic reaction to something outside a month or so ago which caused some swollen area under her chin).
We spent the last week at the beach on vacation and she had a blast, no issues at all. Few walks on the beach (nothing fast paced) and she loved it (I carried her for some walks too, just in case).
We got home Saturday and everything was fine. Sunday while in the basement she got the zoomies and I chased her around the couch a bit, quickly realized she was out of breath so I stopped and sat down with her on floor and she started coughing. Within a minute she went off balance and fell over. She moaned a bit, legs stretched out, eyes rolled back, and let out the most gut-wrenching cry I've ever heard and was out. I swear I couldn't feel a heart beat. I freaked out, grabbed her up and started compressing a bit on her chest while running to get my partner. She came to within a few minutes and was obviously distraught but eventually seemed fine. I didn't immediately seek medical attention because I knew of the collapsed trachea and passing out, and felt it was my fault for letting her get so worked up/out of breath playing.
Then last night at 1:30AM we woke up to a cough and immediately realized she was passing out again. Same situation, but concerning since she had been resting/sleeping in bed with no intense exercise/etc.
I haven't noticed any blue gums/etc to indicate severe oxygen loss ( so far, I also didn't immediately look for it).
I'm just stressed to the max since we love her so much. Hoping the vet can help. I'm going to ask about theophylline again in hopes it's just oxygen loss and it can help.
Any advice/words of wisdom are greatly appreciated, and sorry for the wall of text!

It’s not “We Got Screwed” or “Oh Sh*t Moments” but basically he had surgery and the doctors mixed up the IV meds do he wasn’t getting proper painkillers. Mark told a nurse that he didn’t want to die, and then when a nurse checked with the pharmacy she realized the mistake. They gave him dilaudid afterward.
I’m like 80% sure he talked about this on the podcast at some point…but maybe I’m getting this confused with a video of his (I know in a different video he mentioned that Tyler’s mom was the nurse who caught the mistake).
TIA!!

So I've been prescribed ldn for chronic pain, inflammation and immune support. I'm down for all the benefits if in the long run it's going to be worth it. I have recently been diagnosed with hEDS, I know I have POTS with an occasional mix of orthostatic hypotension, and I most likely have MCAS though not officially diagnosed, but seems extremely likely given response to steroids, benadryl, monteleukast and famotidine. So my big question is related to pain. I have been on Lyrica for years for various neurophathies, brachial plexitis being the most profound (my shoulders are hypermobile). I've also been on Tramadol scheduled and hydrocodone for breakthrough pain. I have scoliosis with hypermobility in my lumbar spine which causes sciatica, sacroiliac joint dysfunction which is just pure pain but that comes and goes. I do get headaches, especially tension headaches (my C-spine is also hypermobile). Now these pains have been for years, so they are chronic but not constant as I imagine in fibromyalgia. I am completely off opiates, and started LDN only about two weeks ago and I stated as prescribed 1.5mg TID and really can't say that there were side effects. But what do you do if you have acute exacerbations of pain? I recently had an acute kidney injury related to NSAIDS, though that was completely my fault with combining those with other meds that are hard on the kidneys, but it served its purpose and I've backed off the ibuprofen. So that pretty much leaves Tylenol, but with the risk of liver damage (I only drink alcohol once every week to two weeks socially with friends). But is it safe in the long run and taking with Naltrexone which is also processed through the liver? I also take Turmeric, ginger, fish oil, glutamine, serrapeptase, apricot kernels, probiotics with prebiotics, eat a low carb diet, and drink occasional green tea. What's left? I've been doing PT for 7 months now but there's always still the flair up of pain, some of it is modifiable and some of it is not. Will LDN ultimately block all pain at some point? I do make use of heat and ice, use a TENS and have icy hot with lidocaine for the back and shoulders, and peppermint essential oil for the headaches. Any advice is welcome as I sit here writing this on the couch with the very old Mastiff who isn't helping the back pain at all.

I've worked critical care for many years. We have dual sign off for high risk drugs. When it comes to changing the rate of a narcotic infusion we must have a dual sign off. We never had to do it for a narcotic bolus, like Fentanyl or Dilaudid. Recently, there was a change to the narcotic drips in our health record and with that change the boluses not require to 2 RN sign off like a change in rate. It is insane to me that we have to do this now, especially if we don't have staff and with transports to CT. I'm getting mixed messages from leadership, APN and pharmacist regarding whether it's staying or just an error. Just for reference I work in California incase there is some sort of unique regulations.
What does other facilities do with these drips and boluses?

My father was diagnosed with lung cancer in early April which is in both lungs and his ribs. This has caused him immense pain.
At this time he's on a 50mg fentonyl patch, and 6mg Dilaudid every two hours or so with a dash of lorazapam as needed.
We are to the point where dad barely eats or drinks and awakes in significant agitation and confusion. My brother and I are primary caregivers with some outside help.
We are finding our hospice team to be slow to respond (even for just an estimated time to expect the nurse to arrive) and they have failed to provide timely medications 3 times in the last two weeks we've been doing this.
While my brother and I both want to care for our dad we are unsure if the care we are providing is adequate. We are wondering if finding a facility will provide him better care and possibly less stress on him. His physical care as toileting becomes more difficult is also a concern as he's frequently denied help with cleanups from accidents.
My heart is breaking, this is all happening very quickly (something I have very mixed feelings on.) I don't know the right call.

I’m asking for a friend - I found this per Department of transportation’s official government website:
“The DOT testing at HHS-certified laboratories is a 5-panel drug test regimen. As of January 1, 2018, the ‘Opiates’ category was renamed ‘Opioids’:
Marijuana (THC) Cocaine Amphetamines Opioids Phencyclidine (PCP) Under ‘Opioids’, previously ‘Opiates’, DOT testing will continue to include confirmatory testing, when appropriate, for Codeine, Morphine, and 6-AM (heroin). We added initial and confirmatory testing for the semi-synthetic opioids Hydrocodone, Hydromorphone, Oxycodone, and Oxymorphone to this Opioids group. Some brand names for the semi-synthetic opioids include OxyContin®, Percodan®, Percocet®, Vicodin®, Lortab®, Norco®, Dilaudid®, Exalgo®.”
All that in short to ask, does kratom fall under one of these or qualify as any of these? Specifically the Opioids part? I know Mitragynine/7-HO-Mitragynine is molecularly different than all the other opioids.
Has anyone been tested with a 5-panel drug test who uses kratom? Have you ever had a false positive for any other opioid from using kratom?
Thanks in advance for any info 🙏

Proof read, edited, and formatted to hopefully be easy for The Trip Keeper to read on YouTube.
A lil about me: I have a family history of schizophrenia with two people in my family being diagnosed. I think that's why psychedelics hit me like a train. I know I'm one of the folks they say shouldn't tripping but I've already done it and I am not stopping anytime soon. I'm quite the spiritual hippie type. I live for the esoteric, bizarre, and werid side of tripping. I'm also quite experienced with psychedelics and drugs in general having tried alcohol, cigarettes, vapes, kava, Kratom, weed, oxycodone, hydrocodone, percocet, Hospital Morphine, Adderall, Ritalin, Vyvanse, Conserta, Nitrous, Acid, Shrooms, n-BOMEs, Synthetic shrooms, random Acid non n-BOME RCs, Hydroxyzine (only snorted while drunk), Phenibut, Promethazine w/o codeine, blue lotus, and a bunch of random herbs and nootropics.
A little context to story, I had got some liquid Acid dropped on Bottle Caps Candy from a family member we'll call R. R had called me up informing me he had liquid LSD and to bring a chalky candy when I came to pick it up. He dosed the candy in another room when I picked them up. When he brought them back there was a thick layer of liquid struggling to absorb into each hit so we smooshed another piece on top of each one, 3 tabs altogether. He told me each one was an equivalent of 2 to 3 hits of high quality LSD. I also hadn't tripped in 6 months at this point but that's a story for another sub. Though the reason why didn't have much to do with tripping itself nor anything fun like psychosis.
A couple days later I found myself with my bills caught up, a slow night on Doordash so no work, extra money, weed, some cigarettes, and my roommate was out visiting Family. I had showered and ate some Chinese before taking a short nap. When I woke up it was around 9pm, obviously already dark outside. I was in a good mood, had nothing to do, and didn't want to go back to sleep so I slapped an LSD bottle cap on my tongue and went for a walk.
One of the pieces dissolved really quickly, like less than a minute quick, while the other piece took atleast 15 to 20 minutes fully dissolve. I was slightly nervous about tripping the days prior and was even a lil scared before placing it on my tongue; but, that fear was completely annihilated when 5 to 7 minutes in I felt this electric tingle that started in the back of my head go down my spine. I started smiling, feeling super happy, and chilled out when the tingle reached the base of my spine. I thought to myself, "Wow, I can't believe I was scared to trip again, I feel amazing right now!!" I lit a cigarette and enjoyed my walk for awhile until I started coming to the end of a col-de-sac, the street I was on was on a downward slope I think this affected things but the end of the col-de-sac and the houses started stretching super tall and became super thin kind of like a fun house mirror. I was completely mesmerized by it till I was interrupted by this electric beeping that made my skeleton nearly jump out of my skin. I had looked over and saw this gray box with 2 pink lights on it sticking out of the ground and assumed that's where the beeping came from. I then straight sprinted home cause I wasn't sure if it was hallucination or not. I did go back a few days later and couldn't find the box.
After opening my front door the night is hard to remember linearly but I will try my best. I don't have the texts anymore from this night since I got a new phone. Once I got back home, I had to use the bathroom so I went did my business but while washing my hands I looked in the mirror and noticed my pupils are starting to look a lot like bowling balls. It was then, I noticed the reflection of the SpongeBob, Sandy, and Patrick on ketamine meme my roommate printed out and pinned on the wall. Their eyes were dilating more than normal and they were all swaying back and forth. I texted R to tell him I finally tried the acid and it's strong. It's roughly 10:40p.m. by this point, even though it had been 1 hour 40 minutes since dropping it had only felt like 30 or 40 minutes ago at the most. I was about to sit down and do a dab but I got a almost telepathic sense I was about to throw up rather than a physical feeling I was about to. After throwing up I texted R freaking out questioning if it was acid since it's not supposed to make you nauseous. He just told me "too much too fast" "calm down put your phone down and be safe". I didn't put my phone down.
I started finally doing some dabs after 2 or 3 big rips I looked over and saw 2 shadow people. One was a little girl with blonde hair, a yellow sun dress, no face, instead was an empty void. It was as if her head was an empty shell and her face was the hole. The other one was a middle aged man with short blackish gray balding hair dressed in overalls, no shirt, work boots, also no face. The second shadow person looked a lot like one of my deceased uncles. They didn't feel menacing or demonic nor even holy as one would expect an encounter of this type. I got up and walked to my kitchen probably to get water but I got distracted by a third shadow person who was a woman but I didn't get too good of a look before being distracted by my thoughts. I started stretching and thinking to myself, "well atleast the dark isn't so scary anymore compared to being schizophrenic" at the time it did feel very profound aswell as I am now genuinely less scared of the dark. There's also cardboard cut outs of the Elysian Full Haze and Full Contact IPA cans hung up in my kitchen. People were walking in and out of the giant head on the Full Haze poster, I thought they were sacrificing themselves to the massive head. Thought the dude on the Full Contact poster was holding my brain aswell.
I remember it was around this time the body load and vasoconstriction was getting so intense that my arms and legs felt lankier than normal and my jaw felt like it was wired shut. I drank some water and brought a glass back to my room. When I came back the ocean thunderstorm tapestry above bed had the clouds and ocean actually moving with the lightning striking. I have string lights behind that tapestry that wrap around to the conjoining wall. The string lights looked like technicolor rainbow stars forming beautiful constellations. Normally, they are only blue, yellow, green, red and twinkle but during the trip some were changing colors to pink, purple, violet, orange, and more colors that don't exist. While the tapestry was animated, it had no sound. There's a framed painting of a deer in a forest during the sunrise on the same wall. The light in the painting was actually coming through the painting as if it was a window with sunlight shining through. The deer even had his head down grazing when normally he has his head turned towards the viewer of the painting. I layed down and decided to throw on some music. I couldn't decide on a song, I hit skip on Spotify at least 30 times before settling on Pink Floyd's Comfortably Numb, cliche I know, but they're one of my favorite bands and usually seem to find me when things start getting intense on psychedelics. I couldn't actually read anymore so I only knew it was Comfortably Numb by the hook and album art.
As I layed in bed I started stretching out and looking around the room. I finally started to relax a lil and calm down from thinking these were possibly nBOMes. I started to really lose myself in the trip. The slight movement of my air mattress made feel like I was floating on the ocean sea, which gave way to a euphoric sense of oneness and that I am an ocean of pure consciousness. The string lights above my bed were twinkling and reflecting slightly off the ceiling. The reflections were blending with the moving geometry on the ceiling. Next, I looked up at my Pokémon 20th anniversary poster. It was a bunch of black and white silhouettes of starter Pokémon from the first five or six gens with the ones in the middle being colored and shaped like Pikachu's head. Every silhouette was pulsating and almost bubbling.
At one point, I watched this abstract splatter colored tapestry for what felt like two hours, in reality it was probably only 30 or 40 minutes at the most. There were rotating hexagonal and octagonal pillars shooting out of the tapestry between the pillars it appeared to boil, the bursting bubbles had sparks flying off of them.
I can't remember exactly when this happened in the night so might as well stick it here. While hanging out in my bedroom, I got up to do what else but smoke more dabs. I did multiple in a row where I would do the whole ritual and forgot I had done so and follow it up with another. While sitting there, I light a cigarette to pass time and to just smoke more while conserving a lil on the wax. On my second or third cigarette in a row I started thinking to myself out loud that, "Ya know, Family Guy is right!! Vaping does look pretty fucking goofy. My twin flame out there probably thinks vaping looks goofy as fuck!! And smoking might look cool to some bitches but they give you cancer and shorten your life. It's less money for weed and psychedelics. I think after tonight I'm done smoking forever." I chain smoked a few cigarettes.
I think this is when I started hearing voices in my head. I was hearing random YouTubers, friends, celebrities, family members, and other random voices saying random words over over again. I truly thought I was hearing my sleeping neighbors' thoughts. I genuinely believed I had Telepathy. The only words I could make out vividly; however, was The Trip Keeper saying, "Gassid" over over like it was a soundbyte looping. At the time I took this as a sign to do Nitrous with Acid and that there was something spiritual I needed to see/experience from it. I was right, however this wasn't the night I did that combo as I had no nitrous at the time and it's an equally crazy experience but shorter story. I'm planning on posting that experience soon, also DO NOT huff nitrous it actually KILLS your brain cells.
Thoroughly freaking out again about hearing voices. I start frantically texting R, however I can't remember what for though. I even vividly remember asking R what would happen if I took more phrasing it "will things get more colorful or last longer?" He never responded. Since I couldn't read I was using speech to text to text R. I also had got up to pace through the house. Ordinarly, I would've left to go on another walk but I had convinced myself if that I had left again one of my cats would get out of the house and somehow I'd get arrested. I look up from my phone to notice a swirling florescent neon colored vortex of geomtry in the middle of my living room. The vortex started swirling towards me and started to suck the words out of my mouth. I saw the phrase ,"The only words that make sense are the ones I say out loud" get sucked out of my mouth by the vortex in bubble letters that distorted and mixed with geometry. As the bubble letters got closer to center of the vortex they would distort super cartoonishly, individual patterns and a mix of colors appeared over each letter. The vortex itself had a wigwag shape to it. At the time I thought in my head, "Damn this is what Jerry Garcia probably ment by "Steal your face right off your head"". I actually attempted to draw this out later on. See the drawing here if I can get imgur to work. I don't really remember turning the lights on all through my house but I vividly remember all the lights being off when the vortex stole my words. I don't remember how the vortex incident ended just that next all I know is all the lights are on suddenly and I'm walking out of my bedroom. It's probably 3 or 4am at this point cause I started hearing my neighbor cough and going in and out for cigarettes the rest of the night. I had laid my recliner, the voices had stopped but that was replaced with an intense loud buzzing inside of my head. I had my head on one of armrests, legs hanging off the other armrest, chair reclined, facing the wall. I was watching the logo on my clawhammer wall flag drip like white blood. My cats, of which I had 10 at the time, 5 being kittens still nursing, were running back and forth and playing with each other. Below the wall flag is a table with a wooden CD tower, my cats Cinderella and Oreo had jumped on the table at the same time. Completely in sync and as one fluid motion they stood up, turned to look at me, arched their backs, and sat down. Their coats were flowing and Cinderella had extra golden stripes in her fur. They stared deep into my eyes for a long time and were trying to ask me telepathically if I was doing okay. I more or less alternated between laying on the floor and my recliner for the next couple hours.
Every now and then I'd hear my neighbor out front coughing. I was debating whether or not to go talk him and wait for the sun to come up. Normally, I would've put on a show from myself at various points through the night but I had no internet at the time.
As the sun was starting to really come up and I was starting to really come down, I went outside and talked with my neighbor for awhile. Told him about my night, he's actually a little bit of a hippie too. I walked to the gas station to get some food. I felt like a zombie the whole way there and back. The light made my eyes sizzle like bacon on the Texas pavement in the middle of July. It felt like my brain was a steaming bowl of scrambled eggs. My jaw felt like I got my shit rocked by Mike Tyson. I came home, ate my powdered donuts despite only being able to taste it's texture which was low-key wigging me out, and watched either Space Ghost Coast to Coast or The Trip Keeper on my phone till I passed out.
The next morning (afternoon), my dad picked me up and we hung the whole day while I recovered and slowly returned to feeling human again. I bummed a cigarette off my dad and decided while smoking it that it was my last cigarette. I actually quit all nicotine for a month and half after this night. I started back up purely because of a bad (tested real) Acid/Nitrous Trip.
I do wanna add while not using nicotine I had vivid dreams about smoking cigarettes and vaping. Keep posted for the follow up stories about my bad Acid/Nitrous Trip, Smoking Dreams, and Snorting Hydroxyzine with Alcohol cause I bet The Trip Keeper wants to hear that last one.

Hi there emergency docs, pharmacology needs, and any experienced drug givers!
I’m a paramedic and have been for a little over two years now. I’ve recently moved services where I have access to different pain meds. I used to have fentanyl and ketamine. Now I have dilaudid added to the mix.
My question is what in your experience and hopefully backed by some pharmacology raining, are your choices for different types of conditions?
Fentanyl has been my go to. Never really got a chance to try ketamine though I really wanted to. One time I think I should have, though my partner wanted to just not go through with it was on a nerve pain call, patient recently had back surgery Had pain going down both legs and was likely a disc issue. Fentanyl did not help when I figured ketamine would be the better choice due to it being a nerve pain and ketamine hits more receptors as well as it’s a dissociate anesthetic. I am guessing it still has somewhat of a dissociative type effect, though not noticeable even in its lower pain control. I was always described to me that ketamine essentially separates the person from pain in away while fentanyl just makes the pain smaller. But with nerve pain I feel like fentanyl just would not cut it as well.
I’ve seen people diss Toradol, even though I’ve used it and seen it work very well in a clavicle fracture in a 10-year-old, whose mother was not keen on the idea of fentanyl.
And the rest is more trial and error I assume, but I would like to have a greater understanding going into situations rather than just trying different meds. Looking such things up, has proven to be difficult.
For example, would ketamine be better for burns or does fentanyl work?
Is muscular skeletal pain have a preferred drug in most peoples experience, or does anything really work and it just depends on the patient?
What about Organ pain like bowel obstruction or other things going on in the abdomen?
How about the Dilaudid? How does that compare? It’s still an opiate so I assume it has similar effects to fentanyl?
This also brings up the question of using an opiate as well as a benzodiazepine for things like intense back, spasms with pain. My current service does not have Ativan or Valium, only Versed.
I had a doctor told me diazepam is better for muscle spasms anyway well, Ativan is better for anxiety and sedation. What’s the science behind that?
Any links are pharmacological, explanations and experiences are greatly appreciated! This is to help my future clinical skills.

TLDR: Can I take hydrocodone for an upcoming surgery if I had a dependency 10 years ago?
33 trans man, 170 lbs.
Current medications: cellcept, celixicob, duloxetine, plaquenil.
When I was a freshman in college, I got sick and one of the main symptoms was chronic pain. My rheumatologist at the time couldn’t figure out what was going on, and had genuinely good intentions of wanting me to be able to live a normal life, so he prescribed me twice daily hydrocodone-acetaminophen at 5-325 (eventually upped to 10-325). This was also at the height of the opioid epidemic, ofc.
When I moved out of my small college town into an actual city at 22, my new doctor was super alarmed and stopped my prescription, but gave me no guidance on stopping taking the meds, so I didn’t know how to wean off and stopped overnight. I wouldn’t have classified myself as an addict- I didn’t ever take a pill that wasn’t prescribed - but I was definitely dependent. I experienced a full blown opioid withdrawal that lasted several days, but got thru it. With that same city doctor, I was finally diagnosed with Mixed Connective Tissue Disease, and a regimen of disease controlling meds brought my symptoms under control.
Two years after that, I was prescribed hydrocodone-acetaminophen for recovery from the excision of a peripheral nerve sheath tumor on my spine. I took it for about 10 days before the script ran out, and experienced a full withdrawal again. That withdrawal/post nerve surgery recovery was the single worst experience of my life and I never want to deal with that again. I had two surgeries since then, with just a rotation of ibuprofen and acetaminophen for pain management (and gabapentin briefly for one.)
This brings me to today: in October, I broke my humerus and had orthopedic surgery to repair it with a plate. Again, I only had ibuprofen and acetaminophen, and the pain was very very poorly controlled - it was honestly pretty damn hellish. It’s not healing, so I’m going to have to have follow up surgery to rebreak it, add in a bone graft and replace the plate with a longer one. I’m really scared of the pain, since it was so bad with the first humerus surgery. My doctor suggested opioids for post surgical pain, but I’m not willing to risk another withdrawal.
I’m not finding much research or other experiences like mine. Any specialists have thoughts?

So some back story. I am type 1 diabetic and bi polar and with both of those things i get low energy at times, anxiety at others. And sometimes just the feeling of my sugar dropping, anxiety mixed with caffeine makes me jittery. I use to be able to drink 2 to 3 bangs a day and not get very jittery, but I also use to take 6 to 10 mg of klonopin a day, sometimes with ativan, sometimes with xanax, promethazine, codeine, hydrocodone, dxm. I was a poly drug user for years. Opiates from age 13 to 28 Benzos from 22 to 28.. I started to get clean in the start of the pandemic. Idk if its age, or years of abuse. But im almost always tired, I barely touch caffeine ( only matcha or yerba mate) or else the only effect i get is jitters, stomach pains And my anxiety flares up in certain situations ( like high blood sugar and having to drive a car with my reactions feeling slower) I'm wondering if there is anything safe I can take with my history. I dont like taking kava because it makes my appetite even lower and makes me feel not present. I cant smoke weed anymore, so I use edibles for sleep I sometimes get anxiety relief from lions mane, amanita muscaria , golden teachers I take some adaptogens ( ginseng with ginko, ashwaganda ) I take turmeric, magnesium , creatine , d3, zinc I eat raw honey, I exercise daily.. I dont really know what else I can do to try to feel less anxiety, less pain, more energy.
Sorry if this is hard to read, im unfocused and anxious

TL;DR at the end
Firstly, let me just say that y'all were right. I came across this subreddit when researching lion's mane for its ability to promote neurogenesis and brushed off the reports I read as psychosomatic or the result of adulterated extracts. I thought how could a mushroom that doesn't contain psilocybin and is available in grocery stores possibly cause such profound effects? So, I ended up ordering about a month's supply of organically grown, American lion's mane tincture made solely from the fruiting bodies to see if I would notice any benefits.
My goal was to try Paul Stamet's stack without microdosing (I hate how microdosing makes me feel) thinking there might be unrepaired damage resulting from the severe concussions I received as a teen that might need addressing. I had high hopes for the stack, having using psilocybin mushrooms on and off for the past ten years to cure the prominent issues I had from my concussions. Well, that wasn't my intention for using shrooms to begin with but I noticed after about a dozen trips that my verbal fluency greatly improved and after many more trips I no longer stammered at all.
Anyway, fast forward a few days and I received the tincture and immediately took a dose. The bottle stated that 1ml contained 50mg of LM extract and to take 1ml twice daily which is the protocol I followed. I didn't have any shrooms at the time so I figured I'd just trial LM on its own and add shrooms to the mix once I had some. I felt no effects for the first two days. On the third day, I noted a slight spacey feeling along with a dampened mood but thought nothing of it. The spaciness did not grow but my mood continued to worsen over the next two days. I had no reason to feel down other than perhaps the gloomy spring weather. Based on my life circumstances, I should have felt the opposite.
Feeling uncharacteristically down, I reasoned that the mescaline I had been planning on doing that Saturday would lift my spirits and restore me to a state of gratitude. Well, Saturday morning arrived and the spaciness had grown stronger and my mood had not really improved despite the now sunny skies. I proceeded to down a cup of San Pedro tea and took my dog for a long walk as I waited for the mental clarity and mood lift from the mescaline to kick in. It never came. I've had cactus tea probably around 100 times and even weak doses will reliably brighten my mood. Or perhaps it did brighten my mood but was counteracted by LM as I wasn't feeling depressed, anxious, or any other negative state. I guess the best description would be emotionlessness/emptiness which is highly abnormal for me sober much less while on mescaline. At the time I had not even considered that LM was a factor in how I was feeling.
It was over 5 hours post dosing when the most terrifying experience of my life began. I was cleaning up my kitchen counter when all of a sudden my heart rate more than doubled and I became dizzy, nauseated, shaky, and lightheaded. Cold sweat started to bead on my forehead as my vision began to fade white. The first thing that came to my mind was "OMG am I having a heart attack?" I didn't experience any pain at this point so I thought it must be hypoglycemia instead (my father was a type 1 diabetic so I'm well aware of the symptoms). I downed two tablespoons of honey and went to lay down. I no longer felt like I was going to pass out or die but my heart rate would not decrease and I had this awful sense of impending doom.
The feeling of dread continued to persist no matter what I did and I reasoned that I was losing my mind since I couldn't pinpoint a cause. Usually with a bad trip there's a catalyst whether it's one's own negative thoughts, something askew with the surroundings, or ego death from a high dose. None of the above were present in my case. I hadn't even taken a heavy dose. I kept reassuring myself that it would pass by evening. A few hours later the intense fear was gone though the rapid pulse remained. I could not for the life of me figure out what had gone wrong but was relieved that I didn't seem to have suffered any lasting damage. The mescaline had worn off around sunset and I felt back to normal save for the elevated heartrate. Sleep eventually came to me that night though it was cut short as I spontaneously awoke two hours earlier than my alarm which is abnormal for me.
Sunday morning greeted me with a pounding headache, dull chest pain, and dizziness. My heart was still racing despite being exhausted from the previous day's experience. I pondered what I had done differently and the only thing that I could think of was lion's mane. I never had a bad trip cause lingering physical effects like this so it couldn't have been the mescaline. I came to this conclusion after already having taken that morning's LM tincture and consuming fresh, roasted LM for lunch. Apparently what I had experienced was similar to a panic attack. I've never had a panic attack before in my life and I don't have an anxious personality. I'm certain that the mescaline amplified what I experienced but I have no doubt that the LM caused it, especially given what followed afterwards.
That night I was awakened at 2am by a racing heart, sweating, strobing white light behind my eyelids, and feeling of impending doom. I walked around a bit trying to convince myself it was all in my head and managed to briefly fall asleep 30 minutes later only to be interrupted by the most intense nightmares. The feeling of doom persisted into Monday morning as I forced myself to go about my routine life. The elevated pulse, dizziness, headache, and chest pain were still present while the spacey feeling that began days prior had grown to the point where everything seemed on the verge of being unreal. It was like I was stuck in a state of fight or flight but while being shrouded in a fog at the same time. Somehow I managed to fake my way through the day. I couldn't believe this was happening to me. Unfortunately, sleep would not provide any solace.
Vivid nightmares along with the random light flashes prevented me from sleeping for more than an hour between awakenings. Tuesday morning provided a glimpse of hope in that my pulse had returned to normal. The chest pain and headache were still there but the spaciness had decreased to a more manageable level. This improvement was contrasted by that night's panic attack at 2am along with continued vivid nightmares and frequent awakenings. Fortunately, the next morning the spaciness and dizziness cleared up further though the headache and chest pain still lingered. At this point, I knew what I could expect come nightfall. Wednesday night did not fail to deliver another panic attack at 2am though its severity was mercifully weaker. The vivid dreams of course persisted.
Thursday morning saw the welcome disappearance of both my headache and chest pain. This would be the last day I experienced any dizziness as well though the gradually dissipating spaciness would last through Friday. I felt 100 percent back to normal the following Monday with no more interrupted sleep. I continued to have vivid yet not unpleasant dreams for another two weeks after that. The only supplement I took was thiamine hcl but I'm uncertain if this played any role in my rapid recovery. Hitting the gym also provided marked relief for hours afterwards.
If I had discovered that LM contains a kappa opioid receptor agonist I would have never tried it in the first place. Its neurogenesis-promoting properties are inferior to that of psilocybin's in my opinion. The only positives I noticed were an increase in memory recall of childhood events though this could have been placebo. I thought LM side effects could never happen to me. It's one thing to read other's reports but going through the hell that LM can cause is beyond harrowing. When people say it made their life a living hell they are not exagerating. This was easily the most terrifying experience of my life, testing the boundaries of my resolve. I urge anyone considering LM to weigh the risks against the paltry benefits.
TL;DR:
Took high quality Lion's Mane extract for 7 days. Experienced low mood later followed by panic attack-like symptoms, interrupted sleep, tachycardia, chest pain, and mild derealization precipitated by a moderate dose of mescaline on day 6. Negative effects gradually resolved over the course of a week resulting in a full recovery. Took strong dose of mescaline a month later with zero side effects.
***Edit 4/30: Three days ago I took a strong dose of mescaline. I just had to prove that LM was the culprit for my last experience and that my brain had made a complete recovery. Besides, it was my birthday and I wanted to make it one to remember. Admittedly, I was a bit nervous, especially once a feeling of unease crept in 30 minutes after dosing. I couldn't help but think "what if I'm suddenly catapulted back into a state of panic without any warning or trigger like last time?"
Fortunately, my fears were unfounded as the anxiety I felt vanished, never to reemerge, even after the effects grew to the point where I was forced to lay down. I had a fantastic time, with the experience being on par with all my previous trips on mescaline. None of the disturbing physical side effects from the previous experience made an appearance. My sleep since then has been deep and sound while my mood and sense of well being is slightly elevated. There's no shadow of a doubt in my mind now that LM was the catalyst for my previous bad experience and was the sole agent responsible for the effects that followed it.
One element that I neglected to mention that may explain why I had such rough time with LM is my idiosyncratic experience with opioids. I'll try to keep it brief. The first time was when I was prescribed hydrocodone in high school for a horrible cough from the flu. The first night I took it I felt warm and fuzzy but the second night I felt cold and depressed. I discontinued it as a result. My second experience came when I tried kratom out of curiosity in college. I think I took 2 or 3 grams. I felt warm and fuzzy for about ten minutes. After that, I somehow blacked out and woke up on the floor with intense nausea and dysphoria that lasted all night. I never tried it again nor will I. It's the only thing that has ever made me faint/black out, which I understand is basically unheard of for kratom.

Currently on sustanon 250. Had an injury and was prescribed hydrocodone for pain. Is it dangerous to mix the two?

Our rescue Shih Tzu/Pug mix is having an extra hard time this week and it is freaking me out. My heart is breaking for him. He was with a friend for the last 10 days while we were away, and that friend didn't give him the cough medicine I provided. I also don't think he prevented him from playing when his cough was bad (part of his care instructions) because he has never been this irritated.
For those who've dealt with this, do you have any tricks or tips to recommend? Some way to help soothe his irritated trachea.
He won't eat right now, I imagine from a sore throat. Simply getting up to walk sends him into a cough/hack fit. If I pick him up and hold him vertically he stops coughing. I just feel so bad for him. The cough syrup from our vet honestly seems useless, but it's all we have for treatment.
I called his vet clinic today but his usual vet is now on mat leave and the other vet is not in until Thursday.
Species: Dog
Age: 6 (guessing)
Sex/Neuter status: Male, Neutered
Breed: Shih Tzu/Pug mix (guessing)
Body weight: 15lbs
History: rescued from a bad situation in Mexico Nov 1, 2023 (tied up tight on a chain outside his entire life). Has been diagnosed with severe tracheobronchomalacia, hip dysplasia, bladder stones.
Clinical signs: dry hacking/honking cough
Duration: since Nov 2023 (likely preexisting)
General location: Canada
Diagnostics performed: Fluoroscopy (airway): Severe tracheobronchomalacia characterized by: moderate to marked narrowing of the intrathoracic trachea; marked narrowing to complete collapse of the carina and both mainstem bronchi; and marked cranial lung lobe herniation
Treatments:
Current - a cough suppressant liquid hydrocodone
Previously
- cartrophen shots completely stopped his cough. This worked for 3 months (Nov-Jan) and then stopped working.
- Tracheal elixir for 1 month that didn't help at all:
Potassium Iodide 10mg/ml
Anhydrous Theophylline 3mg/ml
Ephedrine 0.83mg/ml
Phenobarbital 0.4mg/ml
Isoproterenol 0.004mg/ml
Absolute Ethyl Alcohol 3.3%

I was prescribed hydro for pain and promethazine for pain/nausea. Mind you tolerance to drugs is decently high (4ml morphine is a normal/small dose for me) However… mixing hydro and promethazine (not taking more than prescribed) put me in the hospital with a mini heart attack. Just didn’t want anyone else going through this… I never physically felt as if I OD’d just got some good sleep and painless relaxation finally. So yeah be safe out there yall. Maybe im dumb for not knowing that prior but…..