Posted by Ame Sans Vie on September 17, 2003, at 9:52:03
In reply to Re: Forgot morning Ultram dose -- *never again*!!!!, posted by temoigneur on September 17, 2003, at 2:12:26
> Hi Michael, thank you for your reply, is dextromethorphane spelt the same in English, I'll check my drug database, but again, thank you for your thorough outline of why you prefer this over other NDMA antagonists. One thing, if you come to Vancouver, make sure you keep in contact with your American doctor, Ultram is not available in Canada. I am fortunate, that my mom has a friend who's an MD in the states, it's just convincing my doctor up here to let me try different medications that is difficult.
Hi Ben,
Dextromethorphan is the English spelling; it's the dextro isomer of methorphan, which is a very powerful opioid. DXM itself though is not an opioid. In Canada, it's much easier to buy than down here -- people occasionally abuse it as an NMDA antagonist just like PCP and ketamine. So down here they like to either put DXM into a nasty-tasting syrup or package it along with two or three other ingredients (i.e. guaifenesin, pseudoephedrine, phenylpropanolamine, APAP) to prevent abuse. Anyway, it should be available over the counter up there in pill-form (which we don't have here) -- some trade names of Canadian DM are Balminil DM, Croncho-Grippol-DM, DM Syrup, Koffex, Neo-DM, Ornex-DM, Robidex, and Sedatuss. Robitussin Maximum Strength Cough, Vick's Formula 44, and some Sucrets lozenges contain only DXM... they might be available up there.
Thanks for warning me about the tramadol situation north of the border... maybe I could switch to something else before I make the move. Is buprenorphine available there?> Also, Michael, do you know anything about the long term effects of opiods on the brain, I read that they can slow down thought processes, not to alarm you, obviously it is working brilliantly for you right now, you speak french like a native.
I've never read anything on the subject, though I imagine opioids could have effects similar to benzodiazepines taken long-term (in some people, pretty minor memory loss). And thank you for complimenting my French. :-)
> I want so much to find something that will allow me to get back into the main stream, I'm on zyprexa and clonazapam right now and it really dulls my mind. Anyway, where do you buy dextromethorphane and can I ask what your dosage is? Also did you start off on the dosage of Tramadol that you take now
As far as I know, DXM is available over-the-counter up there, just as it is here -- I take 15mg three times daily (one dose with each dose of tramadol). I started off at 200mg/day tramadol, and we raised it by 100mg each two weeks until I hit 400mg, which is the maximum.
poster:Ame Sans Vie
thread:259342
URL: http://www.dr-bob.org/babble/20030917/msgs/260962.html