How much morphine IM?

[Objection (OP)]

So obviously I have a huge tolerance being on this morphine pump. I get 20mg/ml per hour. Now that I know I can play with leftovers, it's time for some fun. But I want to be safe. In the ER, a 2ml IV shot of dilaudid does nothing for me. I won't IV this stuff because all I have is 22 gauge needles.

So how much is safe to IM? The syringe is 30ml. I have about 80ml of morphine. Used common sense and started slow, only 30ml IM. But how much more is potentially safe? How much do they give in the ER when IM? How long should I wait between shots if i feel no effect?

And I've looked all over amazon, but can't seem to find a 30 gauge needle on a 30ml syringe. Anyone got suggestions?

I like there is a place I can ask real questions and not get lectured about it. I'm trying to be safe. To a point. I'm already on hospice, so ODing doesn't scare me. 

Much thanks!!

[Objection (OP)]

Waited 20 minutes, felt nothing, so did another 30ml IM in the butt muscle.. Still have 30ml Drawn up in syringe and probably another 30ml or so in glass. Guess I'll just keep doing 30ml every 20 minutes till I fell something.

For all the bad things that come with hospice, it's a pharmaceutical dream. I feel like that dude at the end of Drugstore Cowboy, when he was going to the best pharmacy, (Hospital). They are all about making you comfortable, no deep questions, no matter price. The only bad thing is constipation, but I found a cure. Just turn the morphine pump off for 8 hours, and then comes the squirts.

Know what is F'd up? If I go off of hospice and graduate to just Home Health Care, I'm not supposed to leave the house. Can't go to dinner, get a haircut, nothing. They figure if you can do those things, you don't need help. But on hospice, you can go anywhere, anytime. That's why I've been on hospice for 2 years. (Since the stroke), Like going to dinner is the same as trying to get in shower. I have to fake falls, just so I stay on and show need. Feel bad about it because there are people that really need it, but what choice do I have? And off hospice means no pain pump. And this pump works miracles. No ups and downs, constantly checking the clock to see when you can take next pill. Running out of pills early because your tolerance grows. Just a steady stream of mellowness. But sucks to constantly be attached to it. Size is like old tape recorder. Really hard also cause in wheelchair. I really miss walking. Hell, I did a through hike of the PCT. All 2650 miles of it over 6 months. Glad I got to do it while I still could.

Don't take walking for granted. So much changes when you're in a chair. Little things like holding a boys hand as we walk together. Grabbing a guy by the back of the neck and pulling him in for a kiss. And I won't get graphic, but certain positions in bed are no longer feasible. But I see a lot of shoes, so that's something.

Oh, a tip. If you're at a store and see someone in a wheelchair don't assume you have to get out of the way. It's OK to ask. Sometimes I'm looking at something and everyone rushes to create a path, and I almost feel I HAVE to move through that path since they rushed to make it. But I was fine just where I was.

And there's a special place in hell for anyone using a handicap placard to park in handicap spots when it's obvious they don't need it. Having the extra room means everything when you have to get a wheelchair out. But mine is cool. Just got an AirHawk electric wheelchair. Only 41lbs, and folds up and fits in trunk. Mine has a pirate flag on it. Just because I can't walk doesn't mean I won't pillage your shopping cart. I'm on hospice. What are they going to do, lock me up?

Have a good, and SAFE night....

[Z]

Hi.  Welcome aboard.  Great intro.  I laughed, I cried.


30ga is a small needle and 30ml is a huge syringe.  I've never seen 30s besides on insulin syringes I think.  Did you mean 30 mg or 30ml (600mg)?


25g or so works nice for Im.  A 1" syringe preferably to make sure you get nice and deep.  I think there is a certain amount of risk with injecting 30ml into a muscle. If it really is 30ml I'll ask someone to make sure.  Smaller muscles like felt a generally take a ml I think, but maybe I'm wrong with that.


My preference for Iv is a 27ga.  Those tiny 30a can get blocked easily and can be hard to find veins with sometimes.


An option might be to evaporate some of the morphine solution.  Put it in a Pyrex or some other wide shallow container and put a fan on it.  I'm not sure if you could do that in hospice.

[Objection (OP)]

DOH!!!!!

Just checked. It's a 22ga needle, a 3ml barrel. Damn. 30ml would kill even someone with my tolerance.  For what it is worth, I've done 21ml spread out over 6 hours. Def. feel it. Finally.

Know what a pirates favorite word is? You'd think it'd be RRRRRRRRR but really it'd be the CCCCCCCCCCC.

I do hospice like a pirate. Who cares about consequences? F you credit. F you Law School. F you algebra. It's a lot easier not to get attached to material stuff.

[traplord69]

Hey there, best of luck with everything that's going on and it's nice to see that you still have sense of humor .  Hopefully its not considered sourcing but if you're looking for some different sized syringe barrels and or needles there's a great site in the uk that ships to the US no problem without a prescription called exchangesupplies, they're all about harm reduction and pretty conscientious, they have some good info on the site and may even answer some questions about what gauge might be best etc.

[Thoms]

Okay so if my maths is right you have shot 60mg seven times. So like 350 mg? I’m sure I missed why you aren’t using it iv? I imagine you have a pretty strong histamine reaction with it im? I loved that histamine reaction that lit my body on fire when I shotbit. Anyway just curious if I’m reading right? Bioavailability is still 100% with im yeah?

[Z]

Yeah, morphine is great muscled.  Comes on a little slower but really good still.

[Thoms]

For me the best part was always that rush. From right when I pulled the pin out the next thirty seconds everything in life was perfect. I can see how that wouldn’t be everyone’s thing though I guess

[Chip]

@Objection, some IV (sorry, not IM) points for you to consider (but they are not verified):

WARNING/DISCLAIMER: These EXTREME dosages are ONLY for those with many years (maybe a decade at least) of a slowly built up tolerance of high dose opiates and will KILL the opiate naive or younger many, MANY times over !!!.

Morphine: I read somewhere that maximum euphoria and analgesia is reached at around 240 mg - anything above that is a waste and raises the risk of fatal respiratory depression.

Methadone: I never got any more stoned on doses above 300 mg Methadone.

Heroin: Doses above 500 mg Diamorph behave like Methadone.

[Thoms]

Christ a 240 mg shot of morphine is fucking gigantic. Even at maximum pharmaceutical strength you would need a 4 ml of solution so at least a 5 ml barrel.  I’ve shot a 3 ml barrel of Pharm grade oramorph so 180 mg and that was a fire fucking orgasm meeting god type of shot but I can’t not imagine another 60 mg on top of that.  Keep in mind he is using smaller amounts multiple times over a period of time so even if there is a ceiling (I’m not sure how there could be) that would negate the idea of a ceiling effect. God I miss morphine.



Upon further remembering and talking to my girlfriend, that shot I was talking about was not from oramorph but from IV solution. I forget sometimes, I’ve been clean from illicit opioids for a few months short of two years.
Methadone can truly be a miracle for people, not everyone but some of us.