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420chan is Getting Overhauled - Changelog/Bug Report/Request Thread (Updated April 10)
Little help regarding my father Ignore Report Reply
Ian Debbleforth - Fri, 08 Mar 2019 21:59:09 EST ID:jvIrmArv No.603741
File: 1552100349060.jpg -(160849B / 157.08KB, 1000x1333) Thumbnail displayed, click image for full size. 160849
To give a little background, my father has cancer and is currently taking 100mg of Tramadol every 6 hours everyday. This 400mg per day, which is the maximum dosage (as far as I know).

However, on top of that, he's taking 1mg of alprazolam to help him sleep. This is somewhat an old habit of his, maybe for the last ~1 and a half years.

Is he in danger? Will these medications interact?

I just discovered TODAY that his taking both, and this (tramadol whole day + alprazolam to sleep) has been going for like 2 weeks. Until now he's ok, some difficult to breathe, but that may be the tumor.

Also, what could substitute the alprazolam? We live in Brazil and it's really easy to get access to controlled drugs (e.g. he bought the alprazolam just going to the pharmacy lol).
>>
Hannah Simbleham - Sat, 09 Mar 2019 02:27:14 EST ID:7Y8izlLY No.603745 Ignore Report Reply
>>603741
actually the combo, while opi and benzs are not usually recommended to be mixed, the alp could be keeping him from having a seizure. Tramadol should be outlawed.

That is kind of bullshit though. 400mg tram for cancer, come on.
>>
Rebecca Smallville - Sat, 09 Mar 2019 05:04:02 EST ID:COK2+s94 No.603746 Ignore Report Reply
>>603741
Damn dude your dad has cancer and they only gave him fucking tram? That's ridiculous. Get him to ask for oxy instead. Also 1mg seems like a lot just to sleep and is dangerous to mix with opiates, see if he can cut down to 0.25-0.5mg instead which is more than enough to sleep. Additionally, taking over 300mg of tramadol a day can cause seizures so watch out for that.
>>
Phoebe Clunkinbadge - Sat, 09 Mar 2019 05:37:47 EST ID:t4iBZhzw No.603747 Ignore Report Reply
>>603745
Listen to this guy

>>603746
Not this guy
>>
Phoebe Clunkinbadge - Sat, 09 Mar 2019 05:39:00 EST ID:t4iBZhzw No.603748 Ignore Report Reply
>>603747
At least as far as your question about interactions. He’s right about asking for oxy instead.
>>
Augustus Gooddale - Sat, 09 Mar 2019 07:17:23 EST ID:yQ1JgEb9 No.603750 Ignore Report Reply
>>603745
Alprazolam is shit when it comes to protecting from seizures but better than nothing still
>>
James Bessleson - Sat, 09 Mar 2019 14:42:13 EST ID:W74v3dn7 No.603755 Ignore Report Reply
>>603745
This. He's fine and the tramadol for cancer is the stupidest fuck thing I heard of.
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m - Sat, 09 Mar 2019 17:13:52 EST ID:oMFWy81X No.603758 Ignore Report Reply
>>603741

Ask for oral morphine since it's easier to get than oxy in Brazil.
>>
Lillian Fennerford - Sat, 09 Mar 2019 19:06:10 EST ID:jvIrmArv No.603760 Ignore Report Reply
>>603745
>>603746
>>603748
>>603750
>>603755
>>603758
>>603747

Thanks for the answers everyone.

Now about the tramadol:

Here in Brazil "opiates" and "opiods" are words unheard of. The general public isn't aware of this and "heroin" is something that you only see in movies.
For moderate to severe pain management, those who are dependent on the universal healthcare system (Sistema Único de Saúde - SUS) only have a few options, which are codeine, morphine and methadone. That's what those who are poor are entitled to when they have a terminal disease that causes severe pain. In the last days of life my grandfather had unbearable pain, but all he could get was morphine. There's also a misconception here that "morphine is the strongest pain medication" and that "there's nothing stronger than morphine".

The first medication that was given to my father was codeine, which didn't work. Then the doctor prescribed him tramadol, and said that the longer he could stand the pain with tramadol the better, so she could use morphine when the pain is greater in the future.

Thank God I know that there's a lot of medications beyond these. He's doing alright with the tramadol for now, but when needed, I know the kind of talk I'm going to have with the oncologist about pain management. Paying for the medication is not going to be a problem.
>>
Pandazie - Sat, 09 Mar 2019 19:49:39 EST ID:J7chCGsY No.603762 Ignore Report Reply
>>603760
That is terrible to hear but at the same time, it does not surprise me to hear. Do u a have a vehcle or a way to transport out of the country? I have heard that it is very easy to get stronger pain meds South American countries like Colombia. Pharmacies there will sell u stronger meds like oxycodone and even hydromorphone. I would see if this is something you could possibly do. If u are able to get the oxycodone. I would also look into getting some valium as well to go with it. This benzo has good muscle relaxing properties as well as anxiety relief making it good for cancer like pain and pairs well with oxycodone or oxicodona as u would call it in SA. If u can find the oxy u will be able to get valium asd well. Look for the drug name "Endocodil" as this is the name of oxy in Colombia. "Biogenfine" or "Analfin" is the name of the morphine or morfina and hidromorfona is "himop" . Doloff is another good pain med and a bit stronger than the tramadol.
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Lillian Fennerford - Sat, 09 Mar 2019 20:14:21 EST ID:jvIrmArv No.603763 Ignore Report Reply
>>603762

Thanks for the tips. However, I do think we can find oxy here in Brazil. We live in a small city and one of the pharmacies here sell any kind of med without prescription, but they'll hardly have oxycontin. If someday we need it, I'll ask the doctor. If she denies it and morphine becomes weak, then I may consider "alternative" resources.


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