rotciv
Something In The Way
- Mar 25, 2023
- 633
Just a summary of how to increase the odds for oxycodone OD.
The LD50 in mice is 426mg/kg (almost 4x more than Pentobarbital) HED into close to 2.5 grams in a 70kg human, which is already a huge dose.
Efficacy should (if ctb) be increased by using as many CYP3A4 inhibitors as possible like grapefruit juice and even miconazole gel (which is OTC). Benzodiazepines also increase lethality due to CNS depression.
"Grapefruit juice increased the mean area under the oxycodone concentration–time curve (AUC0–∞) by 1.7-fold (p < 0.001), the peak plasma concentration by 1.5-fold (p < 0.001) and the half-life of oxycodone by 1.2-fold (p < 0.001) as compared to the water."
Miconazole Oral Gel Increases Exposure to Oral Oxycodone by Inhibition of CYP2D6 and CYP3A4
(graph below)
Oxycodone-Related Deaths: The Significance of Pharmacokinetic and Pharmacodynamic Drug Interactions
Thoughts?
The LD50 in mice is 426mg/kg (almost 4x more than Pentobarbital) HED into close to 2.5 grams in a 70kg human, which is already a huge dose.
Efficacy should (if ctb) be increased by using as many CYP3A4 inhibitors as possible like grapefruit juice and even miconazole gel (which is OTC). Benzodiazepines also increase lethality due to CNS depression.
"Grapefruit juice increased the mean area under the oxycodone concentration–time curve (AUC0–∞) by 1.7-fold (p < 0.001), the peak plasma concentration by 1.5-fold (p < 0.001) and the half-life of oxycodone by 1.2-fold (p < 0.001) as compared to the water."
Miconazole Oral Gel Increases Exposure to Oral Oxycodone by Inhibition of CYP2D6 and CYP3A4
(graph below)
Oxycodone-Related Deaths: The Significance of Pharmacokinetic and Pharmacodynamic Drug Interactions
Thoughts?
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