INSUFFLATING (SNORTING) OXYCONTIN FOR PAIN, WILL BLOOD TESTS BE IDENTICAL TO SWALLOWING THE OXYCONTIN TABLETS?
Question by rudeboy311:
Insufflating (snorting) Oxycontin for pain, will blood tests be identical to swallowing the Oxycontin tablets?
Hello everyone,
Sorry, this is the second time I have posted this question. I stated the question was “resolved”, and I believe it might be, but on second thoughts I truly would be a lot more reassured with the recommendations of a qualified physician/medical doctor, or anybody who can give me an authoritative yes/no answer.
My female buddy requires 20mg oxycontin twice each day for chronic pain relief (I stated 30mg final time, found out it’s really 20mg). She has heard that insufflation (crushing the pill and snorting) could provide far superior analgesia than oral consumption.
I comprehend there might be substantial wellness risks linked with insufflation, and so does she, but she has heard insufflation might possibly aid her anguish much better, and I believe she is determined to experiment.
Each so typically her medical physician takes a blood test to make positive the right amount of oxycontin is in her technique, to verify she hasn’t been taking too significantly, or even too small (and then selling it and so on.).
My question is, if she insufflates 20mg twice daily, will it show up in her bloodstream the identical as if she took the tablets orally?
She’s by no means been a recreational drug user, just searching for anguish relief, but her physician is not keen to enhance her dose.
I am scared she will have her oxycontin taken away altogether if the blood test final results are inconsistent. She is in adequate pain as it is, it would be tragic if her painkillers had been taken away totally. I will do everything in my power to recommend she seeks choice pain relief, but if she insists on insufflation, I require to know that her blood final results will at least remain consistent.
Also, is it often the case that X amount of oral Oxycontin shows up the exact same in the blood stream as X quantity of Oxycontin insufflated? For example, for someone who took 80mg Oxycontin twice a day, if they made the decision to crush and snort their 80mg pills twice a day, would it show the exact same in the blood as 80mg taken orally twice a day?
This stupidly long post is essentially asking, if Oxycontin is snorted twice a day, will it show in the bloodstream precisely the exact same as the same amount of Oxycontin taken orally and swallowed twice a day?
Thanks for any information, actually appreciate any assistance.
Thank you.
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Answer by Heather-Marie
Either way it will show up the exact same. Her body is nonetheless receiving the exact exact same medication, whether it’s orally, or nasally. It is not altering the chemical composition in any way. If she is determined to snort one particular though, tell her to rinse her nose with saline afterwards – otherwise she risks her nose getting eaten from the inside out… just like with cocaine.
Snorting the pill will not genuinely support her out considerably even though. All it will do is grant the medication to kick in faster, but it will not final nearly as extended. Perhaps she could do a 50/50 split? Snort 1/two of the pill, and take the other half orally. That way she would get the anguish relief rewards more quickly, but it would also be in her technique longer.
Answer by Drew
I am not going to criticize or judge the practice of employing oxycontin intra-nasally or intravenously rather of swallowing it whole as is advised by the manufacturer. As a health specialist I believe that people are entitled to total disclosure about the medications and chemical substances that are being introduced into their bodies. I actually hope that no one takes issue with my line of thought nor my response as such.
The act of crushing an oxycontin tablet breaks down a matrix that has been created to gradually liberate/release the medication more than a rather extended period of time as a result resulting in a significantly stronger impact. In turn the medication is not gradually released more than time and then its effects put on off much sooner than a tablet left intact at swallowing. The most suitable strategy to take in a case such as this would depend on the nature of the pain becoming felt. If it is break-by means of pain that happens with physical therapy or movement then a medication for breakthrough pain should be given to address pain knowledgeable from particularly strenuous activity and its effects final only a brief time, this prevents stronger addiction to a higher dose even though enabling the patient to obtain superior control more than their discomfort. If the anguish is constant in nature, then the dose of the extended acting anguish medication is too low. The management of pain is based on each situation seen so it is hard to give a blanket statement about what to do to accomplish much superior anguish relief. Also the DEA does keep an eye on each and each medical physician in the nation and how much pain medication they are prescribing and to whom and how ofter. It might sound like huge brother, but it is for that cause that each controlled substance prescription should have its DEA amount on it… So I am sure you can envision that medical physicians could be afraid to prescribe a significant quantity of these types of drugs.
In response to your question as to whether or not it would show up on a blood test, it depends on how extended ago it happened. If it occurred 20 minutes prior to arriving at the doctor’s workplace it would just be hitting your blood stream in an extremely high dose, but considering that it is much shorter acting when employed this way, it would search like you were giving it away if you took the test 12 hours right after last insufflating there would be small to none in your system. You do receive more impact from insufflation than oral dosing because you have broken the matrix and the complete drug is released at the very same time. Moreover when utilized via the nose the drug is not topic to 1st pass metabolism. All of the blood that leaves the stomach and intestines amongst other locations arrives at the liver by way of the hepatic portal vein prior to entering the common blood stream, as a result insufflation, inhalers, injections, implants, eye drops, patches and other types of medicine call for lower doses that oral medications
In brief it would be extremely probably to see quite erratic lab final results in a drug level that when taken at the same time each single day right after the patient has been utilizing the oral tablets for a even though need to be exactly the same.
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