P@in
Member
- Sep 9, 2023
- 33
I have a possibility to purchase Fentanyl patches:
Fentanyl 100 (contains 16.5 mg of Fentanyl)
Fentanyl 75 (contains 12.375 mg of Fentanyl)
Fentanyl 50 (contains 8.4 mg of Fentanyl)
Fentanyl 25 (contains 4.2 mg of Fentanyl)
From another post I have found this link for a guide on how to smoke them for getting high:
drogoteca.blogspot.com
My questions:
1. How much should I smoke for being sure to CTB from an OD.
(As written in the guide you should scratch it off the patch with the glue. Then you can smoke it from a foil, or someway similar...)
Is 1 patch of 100 Fentanyl (16.5 mg) or 2 patches 50 (8.5mg X 2) would be enough?
2. As I smoke it do I need to take anything else like Oxycodone, and if so - how much?
3. Any info you would add that I didn't mention?
Fentanyl 100 (contains 16.5 mg of Fentanyl)
Fentanyl 75 (contains 12.375 mg of Fentanyl)
Fentanyl 50 (contains 8.4 mg of Fentanyl)
Fentanyl 25 (contains 4.2 mg of Fentanyl)
From another post I have found this link for a guide on how to smoke them for getting high:
Fumando parches de fentanilo... reduce riesgos!! Guía con fotos
Drogas. Historia. Química. Ciencia. Farmacia. Medicina. Política. Música. Manuales. Bitcoin Cash. Blockchain. Criptomonedas. Monero. Bitcoin.
drogoteca.blogspot.com
1- Read and search for information about the substance, the specific product you have and certify it through analysis if possible: look for everything that exists in this regard, dosages, interactions, side effects and the experiences of others who have described the effects of the substance. Read in many different sources until you can get an idea that is not influenced only by one person or group. Be critical in that selection of information and conservative when applying it: it is always preferable to sin less than more when it comes to opioids.
And if you are not sure that the compound is the one you believe and in the doses you believe, taking a compound without analyzing is an act with a certain degree of implicit suicide or contempt for life on the part of the person who performs it. Staying alive depends on you not taking the wrong amount of the drug you shouldn't, and you can only do that through the tests offered by drug risk reduction groups like AiLaket! on many occasions (there are not many such groups in the state).
In this case with fentanyl – not with another molecule of the family no matter how similar it may be – you should know that the usual minimum dose is about 50 micrograms by IV or IM (injection, for acute pain or induction of sedation / analgesia) for an adult although it is also used in pediatrics at much lower doses, by the proportion of weight and with the necessary individualization of each patient to that drug. But lower doses are active as well.
The current patches of plastic matrix and fentanyl adhesive (the presentation we bought at Silk Road) come in dosages of 12, 25, 50, 75 and 100 micrograms of release per hour (understood as an amount expressed on a free basis, which with molecules so powerful those details matter) when the patch is placed on the skin. The half-life of the compound ranges from 3 to more than 8 hours depending on the biochemistry of each one, but as a general rule its effect is shorter than that of other opiates such as morphine or semi-synthetic heroin.
The release expressed in the patch is a measure only useful for those who are going to use it in its transdermal form, since whoever is going to use it in another way, must have different quantities.
The patch is an impregnated plastic surface that releases in proportion to the surface of the same and the skin it touches, but in the patch there is not the exact amount that should be released in 2 or 3 days of transdermal use but much more, so that the release those days is a constant matter and that it does not reduce as the time that has to work passes.
The truth is that each manufacturer of fentanyl patches makes their patches with a different amount (they do not usually vary too much but it is important to know) in the total they put in the product.
In this case, we look for the leaflet of this presentation and we see that each patch of 25 micrograms per hour brings 4'12 milligrams in total and the 50 micrograms per hour brings double, a total of 8'25 milligrams.
The antidote is like in other opioids, IV naloxone, IM or nebulized since it is not active orally. And when dealing with a substance like this it is highly recommended that it is within our reach in the hands of a person who has the material and technical expertise to use it in an emergency while calling an ambulance (medical personnel are always notified after the administration of naloxone since its effect goes away in a few minutes).
2- Look for the right place, time and people: something essential with all the new drugs we are going to try. Depending on the type of drug, the expected effect, the associated risks and an extra degree of uncertainty that can always occur, we must look for the group or person with whom we will take it.
It is never good to try a drug for the first time without supervision from other people with some experience or, at least, with certain knowledge to know how to react if there was a problem.
We must find the kangaroo or kangaroos that give us confidence to do so and at the same time can take control and act if they see it necessary, and that we can find in our trusted group. The person or people we choose have to know what drug and in what dose we are going to take it and as much useful information as can help them react to a problem.
It is normal for many people not to want to tell anyone that they take drugs, or certain drugs, but the risk assumed by anyone who starts experimenting with fentanyl without some supervision until they can say they know thoroughly is very high. At best we won't need anyone, it's true. But in others we may need an ambulance.
How much do you value your life? Always have a person who is exercising the control function, for your own interest, until you know what exactly you are messing with.
The place also has its importance. Find a place where you cannot be disturbed, where you are not accessible to others who do not know – nor do they have to know – whether you are high or not, and where there are no materials with which you can harm yourself when you are under the influence of a psychoactive drug.
It is good that the site makes us feel comfortable because that will influence the experience and things like being able to count on our music or our comfortable toilet can have a special importance in those states.
The moment ends up being an agreement between options and possibilities. But anyway remember that although a moment seems perfect to experiment with a drug, until the last moment you are an adult capable of deciding not to take it, without that representing any problem. If for whatever reason you don't want to do it, whatever the time, you can always (and should) stop.
Choose based on the time, the usual calls to the mobile (a problem that did not exist before) and all those same variables that you would have to look at to choose what 4 or 5 hours you can take to disappear for the world. Make everything that is not the substance itself something designed to give you peace of mind and make you feel comfortable during the experience.
3- Prepare the material and remove the one that should not be near you: when the time comes prepare the material you will need, as in this case fentanyl is going to be smoked on silver we will need silver paper, lighters, scissors to cut the doses and little else. At this point it is worth mentioning how especially interesting it is to have tip scissors without a peak, which cannot be nailed.
When you are using opioids it is normal to stay nodging or dozing under their effects, and if that happens while you have scissors in your hands (because you were cutting something, like a patch) and you fall unconscious on them, you can since nothing happens to take out an eye, put them through your neck or cut a blood vessel and die in a few moments.
This seems like a minor advice should not be taken lightly using an anesthetic: accidents are frequent due to the person who was under the effects and consuming falls asleep standing and in the middle of a sentence, with all that this can imply of catastrophe.
Similar considerations could be made to all use of dangerous, sharp or cutting elements, large packages, explosives, fuels, kitchens and laboratories, other drugs and alcohol, benzos and GABA agonists especially - CNS depressant drugs - since they do not go well with opioids, vehicles, etc. Under the influence of drugs like this, we must keep away all dangerous material, because nothing good can come out of mixing both.
It's good advice when it comes to scissors and fentanyl consumption to have both in separate places. Doses can be prepared in one place previously and consumed in another.
Set some limits beforehand (once you start it is more difficult) and make them known to those who are in your care, even agreeing on them previously, so that they do not let you consume beyond what was planned at first.
4-Coming into contact with the substance: whenever we try a new substance, and with more reason the newer it is in its chemical structure and fewer characteristics we can previously infer from other analogous substances, we must do an allergy test.
No one knows if you are allergic to a substance, the poison of an animal or a food until you come into contact with the product.
Allergy is a reaction by which the product we consume causes the body to release a series of immune mechanisms that, far from helping us, can endanger our lives and, depending on the severity of the allergy and the amount of allergen, kill us in a few minutes if we do not have remedies and material to act. Allergies kill (regardless of what the allergen is) by anaphylactic shock and organ collapse, if not treated properly and quickly by trained personnel.
To avoid taking an active dose of a drug that we do not know if it may be an allergen for us, we take as a test a NON-ACTIVE dose to see any type of reaction that indicates an allergic reaction. In this case, as the presentation is that of a patch, we will cut a tiny dose, something like a piece of 1 millimeter by 1 millimeter of patch (millimeter, not centimeter) and we will put it adhered on our skin.
The amount of substance that the patch of that size will release in our body is insufficient to cause an effect due to the drug itself, so a strong redness and swelling of the area where we put the patch after an hour or so would be the best sign that that patch contains an allergen for us (which may be the active ingredient or not be and be an excipient, But the risk is the same to our health.)
If you have a positive response in an allergy test to a drug or a prepared mixture, you can never take it, because it will mean your death, almost certainly, since you will ingest a massive amount of allergen when consuming it.
In case the allergy test does not present any reaction, we will understand that in principle we are not facing a dangerous allergen for us and we can continue with our experiment.
5- Routes and forms of administration: to begin with, make it clear that, although it is possible to extract fentanyl and use it injected, we do not advise anyone under any circumstances to try to inject themselves, or others, outside of a hospital facility with the appropriate material and personnel.
Stretching a piece of fentanyl glue... Does it have consistency, huh?
Fentanyl is such a potent opioid that it is not given to someone who does not have long experience with other opioids, and its risks outside of a hospital are more akin to those of a general anesthetic than to those of a simple opioid agonist.
In the same way that we do not recommend that anyone use injected fentanyl derivatives, we would also advise other substances, such as propofol, which have nothing to do with that chemical family, whose risks in administration outside the hospital make it inadmissible (for the general public) as a recreational drug.
Ask Michael Jackson – and he had emergency material and a doctor for himself – that neither his precautions and his wealth were enough to save him from falling asleep forever, among the 'erotic dreams of propofol'.
Discarded any route with syringes, we are left with two possible routes: oral / buccal and pulmonary / inhaled.
As we are talking about fentanyl pharmaceutical patches, it is possible to trim a piece of patch with a known amount of active ingredient.
The operation is a simple rule of three with the total content in the patch, the total surface and the amount we want to take that will result in the square millimeters (if we operate in that unit of measurement) that we need to take.
If you don't know what a rule of three is, stop reading this, don't approach drugs and find someone to teach you basic arithmetic.
If we cut a piece of the patch to use it by mouth we must remember that 85% of fentanyl is destroyed when passing through the liver if we swallow it, so the goal is that the dose we have decided to take passes through our oral mucosa, without being swallowed.
Chewing the patch and given the conditions of the medium (the mouth) the active ingredient will be released much faster than when it is on the skin (by saliva and heat) and part will go to our stomach with saliva and another part will be absorbed by the mucosa.
The principle is the same as that of a fentanyl dryer or other analogous compound, but taking into account that the patch, because of how it is made, will take longer to release (as with fentanyl pharamaceutical lollipops). It serves as a reference that when dryers are sold in Silk Road, they claim to contain 200 micrograms (without analysis that certifies it can not be asserted). It can serve as an initial dose, but surely half would also do.
The effects taken orally, when a sufficient dose is reached, are similar to those of many other opioids, which cancel pain, dispel worries, relax, produce a general depression in the body in which everything slows down, and their effects do not differ just from other compounds such as morphine or oxycodone.
The biggest difference from other opioids is that fentanyl does not usually cause constipation but sometimes causes diarrhea. The opposite of their morphic companions. This is because fentanyl has little action on intestinal motility, and by not reducing it, the food bolus does not lose enough water to cause constipation.
The other route is the pulmonary, a route that should not be neglected for its power and speed of effect, and that does not present excessive complexity to use at home.
The most common way to smoke fentanyl patches is to previously cut the piece or pieces we want in the appropriate doses, and then stick them (removing the piece of protective plastic) on a piece of silver paper, in the style of the 'Chinese' heroin. Heat is applied with a lighter under the silver foil causing the evaporation of the existing compounds.
There are some texts that say that it is not possible to smoke fentanyl because it is destroyed by heat. I do not know the percentages that can be destroyed or not by heat, depending on whether it is in the form of base, hydrochloride, citrate, etc. But I have no doubt that the fentanyl in the patches, smoked by applying heat to a surface (whatever it is) or in a suitable pipe, is fully and intensely active: so much so that it can knock you unconscious with a single puff. And my impression is that although lung absorption is never 100%, there is not much product that can be destroyed by applying heat and being evaporated, by the perceived effects.
6- Reduction of damage within the pulmonary consumption of fentanyl: when applying a piece of patch on the silver foil, we apply the glue that has the active ingredient and also the plastic polymer matrix. I have not looked for health studies regarding the advantages or disadvantages of smoking plastic polymers (such as a garbage bag) but I am clear that their effects on the respiratory tract can not be in any way good, neither for throat nor for lungs, nor for the rest of the body to be smoking what comes out of the decomposition by combustion of a plastic polymer. And while in a patch dose there may be, say, 200 micrograms of fentanyl, maybe there's 30 times more plastic, but by smoking it that way, you smoke everything that's produced there. A clear damage and something that can be avoided with little work and without special material.
With care and good hands, we can separate the adhesive layer containing fentanyl from the patch of its plastic matrix. In this way we save smoking a lot of unhealthy and surely carcinogenic compounds, or at least we reduce their number in an overwhelming way.
Simply put the patch or a previously cut section of it depending on the final dose on a hard surface and gently scrape its inner face (the one with the glue) repeatedly and in the same direction.
This has to be done with the necessary care not to go through the plastic, so it is not a good idea to use pointed elements, but smooth and not too sharp elements. We can use a small knife or a knife that is not a saw, to scrape until all the glue accumulates in a small ball, whose greatest resemblance is with a mucus of the nose.
I recommend previously cutting the patch in intermediate doses, because it is not as accurate to have to make several pieces of a plastic patch than having to make them from a sticky mucus, so when dosing it we will appreciate that it has been done knowing how much is the maximum limit of active ingredient for each piece cut and "peeled". In other words: how much drug is in that mucus.
Once this procedure is done, we will obtain what they call 'fenta-glue' or fentanyl glue and that can be used to smoke it without having to smoke the plastic polymer matrix.
At this point we must include a reflection for all those who come into contact with these drugs. If in a "mucus" the size of a small lentil I can gather enough of something to kill a person, child or adult, a pet or myself, we must behave with the responsibility that comes from handling something so dangerous: maximum safety and never children or animals around when handling these substances.
As adults, with our actions we have the right to endanger our lives but only if we do not endanger that of third parties outside our activity.
7- Effects, side effects, first times, tolerance-addiction, user experiences, combos with other drugs and various miscellany.
If, despite having read all of the above about these drugs such as fentanyl, you plan to use them and assume the risk of using them, this story may be useful.
The effects of fentanyl, in a quick description, are the same as those of heroin or other similar opioids, much more potent than these. It should be noted that fentanyl is the opioid capable of creating tolerance to its effects faster: the dose that today can have you nodding for hours, in a few days will do almost nothing. Although as each substance has its own peculiarities.
The first few times you consume smoked fentanyl has a special quality experience. It may be part of the expectation but there are facets of its effect that are not repeated when use becomes chronic.
One of those facets that surprised me was its ability to induce states between opioid anesthesia and a world of geometric visions, of blue and yellow colors predominantly in my case, with relatively little of the product.
At the time, the term psychedelic opioid seemed amusingly apt. Now I don't think you can give it that name, although I recognize that it has some capabilities that I have not seen in any other opiate or opioid and I had found them in the oral mixtures of opium and hashish.
As seen in the photographs, normally the doses used to be smoked on silver were around 350 micrograms in its gross weight in the patch. They were about 1/12 (one twelfth) of a patch containing 4 milligrams. Fentanyl has a mean human lethal dose (LD50) of 0.03 mg/kg.
That means that for a human of 70 kilos, a dose of 2 milligrams, gives him a 50% chance of getting out alive. How much is 2 milligrams in a patch? Well, in this type of patches, the active ingredient that is in half a patch of 25 mcgs / h or one of 12 mcgs / h.
Of course we talk about active, countable, blood doses. Two milligrams of fentanyl, which would be deadly for any child and for some adults, if ingested and go to the stomach, will be reduced (luckily) to about 300 micrograms in your liver metabolism, and that will cause a great high but will not kill you.
As for the pulmonary pathway, it is difficult to quantify how much of the drug you are absorbing and how much may be being destroyed or lost by breathing out inhaled air. Although fentanyl inhalers exist, their data cannot be extrapolated to this situation because the form of administration although pulmonary is also not comparable. But always keep in mind that its effects last at least 2 hours (maybe up to 3 or 4) although the maximum effect is noticeable about a few minutes after smoking a piece. The effect usually comes as soon as you exhale the inhaled vapors (just like in the case of heroin or cocaine). This early peak of the effects causes the person to tend to redose repeatedly, without being very aware (or not at all) that fentanyl is accumulating in their blood.
Unlike with heroin, which you smoke it but you can see how progressively you get more into a state of semi-sleep and nodding, with fentanyl that progression is not so easily visible. Rather, it tends to happen that at an inadvertent moment, when your body has reached a certain amount of fentanyl in its system, it behaves like the anesthetic it is, knocking you out... for a few minutes, a few hours, or forever (that will depend on the dose, among other things).
To put it another way, there are two ways to consume fentanyl: one would be looking for a certain opioid state in which to be active and enjoying it, and the other is the one that leads directly to physiological unconsciousness.
The logical thing is to use the amount previously arranged and not to make subsequent exceptions when under the effect of the drug, but from experience I have seen that the tendency to redose with a new puff of the drug is very high and it is quite easy to become unconscious, with a cigarette stuck in an ear or in the hair, or with the scissors holding your neck... We are talking about situations that are as dangerous or more dangerous than those of the physiological effect of the drug and that should not be despised, situations in which we can kill ourselves or cause a fire.
The need for a person who is in the care and control of us is maximum when we approach drugs of this potency the first times, and their presence can save our lives.
Another thing that fentanyl smokers report is the strong vomiting and nausea it causes, which many associate and treasure as the first times it happened to them when they used heroin. It is true that fentanyl, as soon as you exceed a certain amount, stimulates vomiting until it empties your stomach, your gallbladder and any other emptyable organ inside you. And it's true. This is one of its greatest dangers.
Fentanyl causes intense, repeated vomiting that doesn't allow you to have anything in your stomach. If this happens to us when we are unconscious due to the effect of fentanyl, we can die of suffocation by breathing in our vomit.
It is advisable to have a completely empty stomach before smoking fentanyl to avoid life-threatening situations. This is one of the main issues to be monitored by whoever is taking care of the person, who does not fall asleep on his back and can suffocate with vomiting.
How unconscious is it by smoking fentanyl? To a very high one. It is an anesthetic, and kills relatively easily. Never forget it. From my experience if someone touches you or calls you (and you are not in overdose) you wake up although you can go back to sleep in a few seconds, but surely with higher doses this is not the case. How do you know if a person is asleep or about to die from a fentanyl overdose?
It is a notable question since it is common for users of smoked fentanyl to fall into these states of unconsciousness, usually in bed, and that often one learns to see it coming and acquires some management over them (always limited).
But for the caregiver it can be a problem to decide if he has to call an ambulance after administering the naloxone if he has it available, or if on the contrary you are in one of the dream places that you travel under the influence of fentanyl.
As consumers we must always bear in mind that the person in our care must have the last word if they are trusted and have the appropriate instructions (if not, it is not worth it as a caregiver).
And whenever a person is in a state of unconsciousness in which he does not respond to stimuli (to be grabbed, to be yelled at, to be given a couple of cakes as a last resort of evidence) an ambulance should be notified and try to keep the patient in a position lying on his side and side, so that in case of vomiting the airways are clear and suffocation is not caused.
Control and surveillance must be constant. In case this situation has been caused by the abuse of an opioid (whatever) and if we have the antidote naloxone, either in injectable form or in the form of a nebulizer and we know how to use it, it is time to do it to save the life of the person without forgetting to call 112 immediately after and stay next to the person trying to keep them as awake as possible, with all kinds of annoying stimuli that serve to increase your level of activation and help avoid dying asleep.
In case of doubt it is always preferable to sin of excessive protection than otherwise: if you are not sure, call the emergency services. Nothing will happen to you or the person because of anything you are doing. This is not like the USA where in many places people do not call ambulances so as not to be arrested and imprisoned later, for being drug users. This is not yet USA and a person's life is not above their drug behaviors.
As for combinations of fentanyl with other drugs, mixing fentanyl with other opioids, benzodiazepines, barbiturates, GABA agonists, alcohol and other depressants is strongly discouraged. The synergistic effect will enhance the effects of both drugs, moving what would be level X intoxication to 10 times higher level intoxication.
Most deaths involving opioids also involve benzodiazepines and alcohol in most cases. The use of benzodiazepines is especially dangerous and discouraged (even for those with benzodiazepine tolerance) in the mixture with fentanyl. Mixing them leads to death easily.
The mixture of fentanyl with stimulants has similar characteristics to other examples of 'speedball' either with cocaine or with amphetamine or another stimulant, in which the usual limits of both drugs are exceeded with the support and effects of the mixture of stimulant and depressant.
It is a dangerous practice especially when the effects of the stimulant are of shorter duration than those of the depressant, because when the effect of the stimulant disappears we will be overwhelmed by the effect of the opioid that we still have active in our body and at that moment we can find an overdose that we would not have seen coming before.
I can't talk about the combination of fentanyl with dissociatives, psychedelics and entactogens because I don't know about it. The most psychedelic thing I've taken along with fentanyl is cannabis.
Cannabis deserves a section at this point. Although it is a drug that shares depressant actions on the CNS and it is evident that it enhances the effects of fentanyl – taken by the route taken – as with other opioids, it has the advantage of being a great antiemetic (prevents vomiting).
When trying something for the first time I never recommend that two substances be mixed, but later and if the person has experience with cannabis, you can take advantage of its characteristics to avoid turning the experience into a picture of vomiting that does not make it pleasant at all. The best way, in my experience, to use cannabis to prevent vomiting is not to smoke at the same time as the other substance is smoked, but to have previously smoked and to have allowed the psychoactive effects to wear off mostly or completely before smoking.
In this way vomiting can be avoided and in addition, less of the opioid is necessary to achieve the same effects.
If we are already vomiting after having smoked fentanyl, it is best to stop consuming for at least a couple of hours and not try to smoke anything else in that state because at first the effect of cannabis by synergistically increasing the potency of fentanyl, will increase vomiting. As for tobacco/nicotine, I have not noticed any interaction or change in appetite when consuming nicotine.
Fentanyl smoked in this way, despite its potency, is a substance that asks to be redosed several times, and each time less aware of its accumulation in our body. Under the influence of fentanyl it is very common to skip the rules established by ourselves in terms of the limits marked prior to its consumption.
The figure of a caregiver that we respect (and can be respected if we get silly) is essential to avoid falling into a spiral of redosages of successive doses that have led many users of this drug to die. And they weren't "rookies who didn't know what they were doing." In fact, fentanyl should only be consumed by those who have a broad and strong prior tolerance for the use of opioid narcotic agonists.
If you think you can't die because a certain substance is smoked, you're wrong: killing yourself using fentanyl recreationally, outside of the control and guidelines of a specialist, is pretty straightforward.
And if you are not sure that the compound is the one you believe and in the doses you believe, taking a compound without analyzing is an act with a certain degree of implicit suicide or contempt for life on the part of the person who performs it. Staying alive depends on you not taking the wrong amount of the drug you shouldn't, and you can only do that through the tests offered by drug risk reduction groups like AiLaket! on many occasions (there are not many such groups in the state).
In this case with fentanyl – not with another molecule of the family no matter how similar it may be – you should know that the usual minimum dose is about 50 micrograms by IV or IM (injection, for acute pain or induction of sedation / analgesia) for an adult although it is also used in pediatrics at much lower doses, by the proportion of weight and with the necessary individualization of each patient to that drug. But lower doses are active as well.
The current patches of plastic matrix and fentanyl adhesive (the presentation we bought at Silk Road) come in dosages of 12, 25, 50, 75 and 100 micrograms of release per hour (understood as an amount expressed on a free basis, which with molecules so powerful those details matter) when the patch is placed on the skin. The half-life of the compound ranges from 3 to more than 8 hours depending on the biochemistry of each one, but as a general rule its effect is shorter than that of other opiates such as morphine or semi-synthetic heroin.
The release expressed in the patch is a measure only useful for those who are going to use it in its transdermal form, since whoever is going to use it in another way, must have different quantities.
The patch is an impregnated plastic surface that releases in proportion to the surface of the same and the skin it touches, but in the patch there is not the exact amount that should be released in 2 or 3 days of transdermal use but much more, so that the release those days is a constant matter and that it does not reduce as the time that has to work passes.
The truth is that each manufacturer of fentanyl patches makes their patches with a different amount (they do not usually vary too much but it is important to know) in the total they put in the product.
In this case, we look for the leaflet of this presentation and we see that each patch of 25 micrograms per hour brings 4'12 milligrams in total and the 50 micrograms per hour brings double, a total of 8'25 milligrams.
The antidote is like in other opioids, IV naloxone, IM or nebulized since it is not active orally. And when dealing with a substance like this it is highly recommended that it is within our reach in the hands of a person who has the material and technical expertise to use it in an emergency while calling an ambulance (medical personnel are always notified after the administration of naloxone since its effect goes away in a few minutes).
2- Look for the right place, time and people: something essential with all the new drugs we are going to try. Depending on the type of drug, the expected effect, the associated risks and an extra degree of uncertainty that can always occur, we must look for the group or person with whom we will take it.
It is never good to try a drug for the first time without supervision from other people with some experience or, at least, with certain knowledge to know how to react if there was a problem.
We must find the kangaroo or kangaroos that give us confidence to do so and at the same time can take control and act if they see it necessary, and that we can find in our trusted group. The person or people we choose have to know what drug and in what dose we are going to take it and as much useful information as can help them react to a problem.
It is normal for many people not to want to tell anyone that they take drugs, or certain drugs, but the risk assumed by anyone who starts experimenting with fentanyl without some supervision until they can say they know thoroughly is very high. At best we won't need anyone, it's true. But in others we may need an ambulance.
How much do you value your life? Always have a person who is exercising the control function, for your own interest, until you know what exactly you are messing with.
The place also has its importance. Find a place where you cannot be disturbed, where you are not accessible to others who do not know – nor do they have to know – whether you are high or not, and where there are no materials with which you can harm yourself when you are under the influence of a psychoactive drug.
It is good that the site makes us feel comfortable because that will influence the experience and things like being able to count on our music or our comfortable toilet can have a special importance in those states.
The moment ends up being an agreement between options and possibilities. But anyway remember that although a moment seems perfect to experiment with a drug, until the last moment you are an adult capable of deciding not to take it, without that representing any problem. If for whatever reason you don't want to do it, whatever the time, you can always (and should) stop.
Choose based on the time, the usual calls to the mobile (a problem that did not exist before) and all those same variables that you would have to look at to choose what 4 or 5 hours you can take to disappear for the world. Make everything that is not the substance itself something designed to give you peace of mind and make you feel comfortable during the experience.
3- Prepare the material and remove the one that should not be near you: when the time comes prepare the material you will need, as in this case fentanyl is going to be smoked on silver we will need silver paper, lighters, scissors to cut the doses and little else. At this point it is worth mentioning how especially interesting it is to have tip scissors without a peak, which cannot be nailed.
When you are using opioids it is normal to stay nodging or dozing under their effects, and if that happens while you have scissors in your hands (because you were cutting something, like a patch) and you fall unconscious on them, you can since nothing happens to take out an eye, put them through your neck or cut a blood vessel and die in a few moments.
This seems like a minor advice should not be taken lightly using an anesthetic: accidents are frequent due to the person who was under the effects and consuming falls asleep standing and in the middle of a sentence, with all that this can imply of catastrophe.
Similar considerations could be made to all use of dangerous, sharp or cutting elements, large packages, explosives, fuels, kitchens and laboratories, other drugs and alcohol, benzos and GABA agonists especially - CNS depressant drugs - since they do not go well with opioids, vehicles, etc. Under the influence of drugs like this, we must keep away all dangerous material, because nothing good can come out of mixing both.
It's good advice when it comes to scissors and fentanyl consumption to have both in separate places. Doses can be prepared in one place previously and consumed in another.
Set some limits beforehand (once you start it is more difficult) and make them known to those who are in your care, even agreeing on them previously, so that they do not let you consume beyond what was planned at first.
4-Coming into contact with the substance: whenever we try a new substance, and with more reason the newer it is in its chemical structure and fewer characteristics we can previously infer from other analogous substances, we must do an allergy test.
No one knows if you are allergic to a substance, the poison of an animal or a food until you come into contact with the product.
Allergy is a reaction by which the product we consume causes the body to release a series of immune mechanisms that, far from helping us, can endanger our lives and, depending on the severity of the allergy and the amount of allergen, kill us in a few minutes if we do not have remedies and material to act. Allergies kill (regardless of what the allergen is) by anaphylactic shock and organ collapse, if not treated properly and quickly by trained personnel.
To avoid taking an active dose of a drug that we do not know if it may be an allergen for us, we take as a test a NON-ACTIVE dose to see any type of reaction that indicates an allergic reaction. In this case, as the presentation is that of a patch, we will cut a tiny dose, something like a piece of 1 millimeter by 1 millimeter of patch (millimeter, not centimeter) and we will put it adhered on our skin.
The amount of substance that the patch of that size will release in our body is insufficient to cause an effect due to the drug itself, so a strong redness and swelling of the area where we put the patch after an hour or so would be the best sign that that patch contains an allergen for us (which may be the active ingredient or not be and be an excipient, But the risk is the same to our health.)
If you have a positive response in an allergy test to a drug or a prepared mixture, you can never take it, because it will mean your death, almost certainly, since you will ingest a massive amount of allergen when consuming it.
In case the allergy test does not present any reaction, we will understand that in principle we are not facing a dangerous allergen for us and we can continue with our experiment.
5- Routes and forms of administration: to begin with, make it clear that, although it is possible to extract fentanyl and use it injected, we do not advise anyone under any circumstances to try to inject themselves, or others, outside of a hospital facility with the appropriate material and personnel.
Stretching a piece of fentanyl glue... Does it have consistency, huh?
Fentanyl is such a potent opioid that it is not given to someone who does not have long experience with other opioids, and its risks outside of a hospital are more akin to those of a general anesthetic than to those of a simple opioid agonist.
In the same way that we do not recommend that anyone use injected fentanyl derivatives, we would also advise other substances, such as propofol, which have nothing to do with that chemical family, whose risks in administration outside the hospital make it inadmissible (for the general public) as a recreational drug.
Ask Michael Jackson – and he had emergency material and a doctor for himself – that neither his precautions and his wealth were enough to save him from falling asleep forever, among the 'erotic dreams of propofol'.
Discarded any route with syringes, we are left with two possible routes: oral / buccal and pulmonary / inhaled.
As we are talking about fentanyl pharmaceutical patches, it is possible to trim a piece of patch with a known amount of active ingredient.
The operation is a simple rule of three with the total content in the patch, the total surface and the amount we want to take that will result in the square millimeters (if we operate in that unit of measurement) that we need to take.
If you don't know what a rule of three is, stop reading this, don't approach drugs and find someone to teach you basic arithmetic.
If we cut a piece of the patch to use it by mouth we must remember that 85% of fentanyl is destroyed when passing through the liver if we swallow it, so the goal is that the dose we have decided to take passes through our oral mucosa, without being swallowed.
Chewing the patch and given the conditions of the medium (the mouth) the active ingredient will be released much faster than when it is on the skin (by saliva and heat) and part will go to our stomach with saliva and another part will be absorbed by the mucosa.
The principle is the same as that of a fentanyl dryer or other analogous compound, but taking into account that the patch, because of how it is made, will take longer to release (as with fentanyl pharamaceutical lollipops). It serves as a reference that when dryers are sold in Silk Road, they claim to contain 200 micrograms (without analysis that certifies it can not be asserted). It can serve as an initial dose, but surely half would also do.
The effects taken orally, when a sufficient dose is reached, are similar to those of many other opioids, which cancel pain, dispel worries, relax, produce a general depression in the body in which everything slows down, and their effects do not differ just from other compounds such as morphine or oxycodone.
The biggest difference from other opioids is that fentanyl does not usually cause constipation but sometimes causes diarrhea. The opposite of their morphic companions. This is because fentanyl has little action on intestinal motility, and by not reducing it, the food bolus does not lose enough water to cause constipation.
The other route is the pulmonary, a route that should not be neglected for its power and speed of effect, and that does not present excessive complexity to use at home.
The most common way to smoke fentanyl patches is to previously cut the piece or pieces we want in the appropriate doses, and then stick them (removing the piece of protective plastic) on a piece of silver paper, in the style of the 'Chinese' heroin. Heat is applied with a lighter under the silver foil causing the evaporation of the existing compounds.
There are some texts that say that it is not possible to smoke fentanyl because it is destroyed by heat. I do not know the percentages that can be destroyed or not by heat, depending on whether it is in the form of base, hydrochloride, citrate, etc. But I have no doubt that the fentanyl in the patches, smoked by applying heat to a surface (whatever it is) or in a suitable pipe, is fully and intensely active: so much so that it can knock you unconscious with a single puff. And my impression is that although lung absorption is never 100%, there is not much product that can be destroyed by applying heat and being evaporated, by the perceived effects.
6- Reduction of damage within the pulmonary consumption of fentanyl: when applying a piece of patch on the silver foil, we apply the glue that has the active ingredient and also the plastic polymer matrix. I have not looked for health studies regarding the advantages or disadvantages of smoking plastic polymers (such as a garbage bag) but I am clear that their effects on the respiratory tract can not be in any way good, neither for throat nor for lungs, nor for the rest of the body to be smoking what comes out of the decomposition by combustion of a plastic polymer. And while in a patch dose there may be, say, 200 micrograms of fentanyl, maybe there's 30 times more plastic, but by smoking it that way, you smoke everything that's produced there. A clear damage and something that can be avoided with little work and without special material.
With care and good hands, we can separate the adhesive layer containing fentanyl from the patch of its plastic matrix. In this way we save smoking a lot of unhealthy and surely carcinogenic compounds, or at least we reduce their number in an overwhelming way.
Simply put the patch or a previously cut section of it depending on the final dose on a hard surface and gently scrape its inner face (the one with the glue) repeatedly and in the same direction.
This has to be done with the necessary care not to go through the plastic, so it is not a good idea to use pointed elements, but smooth and not too sharp elements. We can use a small knife or a knife that is not a saw, to scrape until all the glue accumulates in a small ball, whose greatest resemblance is with a mucus of the nose.
I recommend previously cutting the patch in intermediate doses, because it is not as accurate to have to make several pieces of a plastic patch than having to make them from a sticky mucus, so when dosing it we will appreciate that it has been done knowing how much is the maximum limit of active ingredient for each piece cut and "peeled". In other words: how much drug is in that mucus.
Once this procedure is done, we will obtain what they call 'fenta-glue' or fentanyl glue and that can be used to smoke it without having to smoke the plastic polymer matrix.
At this point we must include a reflection for all those who come into contact with these drugs. If in a "mucus" the size of a small lentil I can gather enough of something to kill a person, child or adult, a pet or myself, we must behave with the responsibility that comes from handling something so dangerous: maximum safety and never children or animals around when handling these substances.
As adults, with our actions we have the right to endanger our lives but only if we do not endanger that of third parties outside our activity.
7- Effects, side effects, first times, tolerance-addiction, user experiences, combos with other drugs and various miscellany.
If, despite having read all of the above about these drugs such as fentanyl, you plan to use them and assume the risk of using them, this story may be useful.
The effects of fentanyl, in a quick description, are the same as those of heroin or other similar opioids, much more potent than these. It should be noted that fentanyl is the opioid capable of creating tolerance to its effects faster: the dose that today can have you nodding for hours, in a few days will do almost nothing. Although as each substance has its own peculiarities.
The first few times you consume smoked fentanyl has a special quality experience. It may be part of the expectation but there are facets of its effect that are not repeated when use becomes chronic.
One of those facets that surprised me was its ability to induce states between opioid anesthesia and a world of geometric visions, of blue and yellow colors predominantly in my case, with relatively little of the product.
At the time, the term psychedelic opioid seemed amusingly apt. Now I don't think you can give it that name, although I recognize that it has some capabilities that I have not seen in any other opiate or opioid and I had found them in the oral mixtures of opium and hashish.
As seen in the photographs, normally the doses used to be smoked on silver were around 350 micrograms in its gross weight in the patch. They were about 1/12 (one twelfth) of a patch containing 4 milligrams. Fentanyl has a mean human lethal dose (LD50) of 0.03 mg/kg.
That means that for a human of 70 kilos, a dose of 2 milligrams, gives him a 50% chance of getting out alive. How much is 2 milligrams in a patch? Well, in this type of patches, the active ingredient that is in half a patch of 25 mcgs / h or one of 12 mcgs / h.
Of course we talk about active, countable, blood doses. Two milligrams of fentanyl, which would be deadly for any child and for some adults, if ingested and go to the stomach, will be reduced (luckily) to about 300 micrograms in your liver metabolism, and that will cause a great high but will not kill you.
As for the pulmonary pathway, it is difficult to quantify how much of the drug you are absorbing and how much may be being destroyed or lost by breathing out inhaled air. Although fentanyl inhalers exist, their data cannot be extrapolated to this situation because the form of administration although pulmonary is also not comparable. But always keep in mind that its effects last at least 2 hours (maybe up to 3 or 4) although the maximum effect is noticeable about a few minutes after smoking a piece. The effect usually comes as soon as you exhale the inhaled vapors (just like in the case of heroin or cocaine). This early peak of the effects causes the person to tend to redose repeatedly, without being very aware (or not at all) that fentanyl is accumulating in their blood.
Unlike with heroin, which you smoke it but you can see how progressively you get more into a state of semi-sleep and nodding, with fentanyl that progression is not so easily visible. Rather, it tends to happen that at an inadvertent moment, when your body has reached a certain amount of fentanyl in its system, it behaves like the anesthetic it is, knocking you out... for a few minutes, a few hours, or forever (that will depend on the dose, among other things).
To put it another way, there are two ways to consume fentanyl: one would be looking for a certain opioid state in which to be active and enjoying it, and the other is the one that leads directly to physiological unconsciousness.
The logical thing is to use the amount previously arranged and not to make subsequent exceptions when under the effect of the drug, but from experience I have seen that the tendency to redose with a new puff of the drug is very high and it is quite easy to become unconscious, with a cigarette stuck in an ear or in the hair, or with the scissors holding your neck... We are talking about situations that are as dangerous or more dangerous than those of the physiological effect of the drug and that should not be despised, situations in which we can kill ourselves or cause a fire.
The need for a person who is in the care and control of us is maximum when we approach drugs of this potency the first times, and their presence can save our lives.
Another thing that fentanyl smokers report is the strong vomiting and nausea it causes, which many associate and treasure as the first times it happened to them when they used heroin. It is true that fentanyl, as soon as you exceed a certain amount, stimulates vomiting until it empties your stomach, your gallbladder and any other emptyable organ inside you. And it's true. This is one of its greatest dangers.
Fentanyl causes intense, repeated vomiting that doesn't allow you to have anything in your stomach. If this happens to us when we are unconscious due to the effect of fentanyl, we can die of suffocation by breathing in our vomit.
It is advisable to have a completely empty stomach before smoking fentanyl to avoid life-threatening situations. This is one of the main issues to be monitored by whoever is taking care of the person, who does not fall asleep on his back and can suffocate with vomiting.
How unconscious is it by smoking fentanyl? To a very high one. It is an anesthetic, and kills relatively easily. Never forget it. From my experience if someone touches you or calls you (and you are not in overdose) you wake up although you can go back to sleep in a few seconds, but surely with higher doses this is not the case. How do you know if a person is asleep or about to die from a fentanyl overdose?
It is a notable question since it is common for users of smoked fentanyl to fall into these states of unconsciousness, usually in bed, and that often one learns to see it coming and acquires some management over them (always limited).
But for the caregiver it can be a problem to decide if he has to call an ambulance after administering the naloxone if he has it available, or if on the contrary you are in one of the dream places that you travel under the influence of fentanyl.
As consumers we must always bear in mind that the person in our care must have the last word if they are trusted and have the appropriate instructions (if not, it is not worth it as a caregiver).
And whenever a person is in a state of unconsciousness in which he does not respond to stimuli (to be grabbed, to be yelled at, to be given a couple of cakes as a last resort of evidence) an ambulance should be notified and try to keep the patient in a position lying on his side and side, so that in case of vomiting the airways are clear and suffocation is not caused.
Control and surveillance must be constant. In case this situation has been caused by the abuse of an opioid (whatever) and if we have the antidote naloxone, either in injectable form or in the form of a nebulizer and we know how to use it, it is time to do it to save the life of the person without forgetting to call 112 immediately after and stay next to the person trying to keep them as awake as possible, with all kinds of annoying stimuli that serve to increase your level of activation and help avoid dying asleep.
In case of doubt it is always preferable to sin of excessive protection than otherwise: if you are not sure, call the emergency services. Nothing will happen to you or the person because of anything you are doing. This is not like the USA where in many places people do not call ambulances so as not to be arrested and imprisoned later, for being drug users. This is not yet USA and a person's life is not above their drug behaviors.
As for combinations of fentanyl with other drugs, mixing fentanyl with other opioids, benzodiazepines, barbiturates, GABA agonists, alcohol and other depressants is strongly discouraged. The synergistic effect will enhance the effects of both drugs, moving what would be level X intoxication to 10 times higher level intoxication.
Most deaths involving opioids also involve benzodiazepines and alcohol in most cases. The use of benzodiazepines is especially dangerous and discouraged (even for those with benzodiazepine tolerance) in the mixture with fentanyl. Mixing them leads to death easily.
The mixture of fentanyl with stimulants has similar characteristics to other examples of 'speedball' either with cocaine or with amphetamine or another stimulant, in which the usual limits of both drugs are exceeded with the support and effects of the mixture of stimulant and depressant.
It is a dangerous practice especially when the effects of the stimulant are of shorter duration than those of the depressant, because when the effect of the stimulant disappears we will be overwhelmed by the effect of the opioid that we still have active in our body and at that moment we can find an overdose that we would not have seen coming before.
I can't talk about the combination of fentanyl with dissociatives, psychedelics and entactogens because I don't know about it. The most psychedelic thing I've taken along with fentanyl is cannabis.
Cannabis deserves a section at this point. Although it is a drug that shares depressant actions on the CNS and it is evident that it enhances the effects of fentanyl – taken by the route taken – as with other opioids, it has the advantage of being a great antiemetic (prevents vomiting).
When trying something for the first time I never recommend that two substances be mixed, but later and if the person has experience with cannabis, you can take advantage of its characteristics to avoid turning the experience into a picture of vomiting that does not make it pleasant at all. The best way, in my experience, to use cannabis to prevent vomiting is not to smoke at the same time as the other substance is smoked, but to have previously smoked and to have allowed the psychoactive effects to wear off mostly or completely before smoking.
In this way vomiting can be avoided and in addition, less of the opioid is necessary to achieve the same effects.
If we are already vomiting after having smoked fentanyl, it is best to stop consuming for at least a couple of hours and not try to smoke anything else in that state because at first the effect of cannabis by synergistically increasing the potency of fentanyl, will increase vomiting. As for tobacco/nicotine, I have not noticed any interaction or change in appetite when consuming nicotine.
Fentanyl smoked in this way, despite its potency, is a substance that asks to be redosed several times, and each time less aware of its accumulation in our body. Under the influence of fentanyl it is very common to skip the rules established by ourselves in terms of the limits marked prior to its consumption.
The figure of a caregiver that we respect (and can be respected if we get silly) is essential to avoid falling into a spiral of redosages of successive doses that have led many users of this drug to die. And they weren't "rookies who didn't know what they were doing." In fact, fentanyl should only be consumed by those who have a broad and strong prior tolerance for the use of opioid narcotic agonists.
If you think you can't die because a certain substance is smoked, you're wrong: killing yourself using fentanyl recreationally, outside of the control and guidelines of a specialist, is pretty straightforward.
My questions:
1. How much should I smoke for being sure to CTB from an OD.
(As written in the guide you should scratch it off the patch with the glue. Then you can smoke it from a foil, or someway similar...)
Is 1 patch of 100 Fentanyl (16.5 mg) or 2 patches 50 (8.5mg X 2) would be enough?
2. As I smoke it do I need to take anything else like Oxycodone, and if so - how much?
3. Any info you would add that I didn't mention?
