Tincture of opium

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nruth
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   Posted 2/29/2008 7:47 PM (GMT -7)   
Has anyone here tried opium for diarrhea? My doctor prescribed some for me today and I'm just curious if anyone has had any luck with it? Nothing else seems to help, and this is yet one more experiment. confused

randynoguts
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   Posted 3/1/2008 3:01 AM (GMT -7)   
took that about late 80's... worked pretty good . the only thing was the horrendous taste. i would fill a syringe and squirt it way into the back of my throat to get it down.. finally i just quit ordering it, i just couldn't stand it anymore.
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gardenlady
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   Posted 3/1/2008 4:23 AM (GMT -7)   
my aunt did that -- i forget what she said the name of teh stuff was -- and this was just within the last eight years or so. She agreed about the taste, though! She said it was hideous. But she'd take her two teaspoons and get on with her day -- she said it was well worth it.

Although I will pass on that bit about the syringe....
"Let me light my lamp,"
Says the star,
"And never debate
If it will help to remove the darkness."
-- Indian poet, Rabindranath Tagore


nruth
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   Posted 3/1/2008 8:23 AM (GMT -7)   
Thanks, guys. I took my first dose last night and I can stand the taste. If the results are good I don't care how it tastes. All I know is that I actually didn't have diarrhea all night, and that's rare indeed. At this point in my life I'm just looking for some relief.

stkitt
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   Posted 3/1/2008 8:30 AM (GMT -7)   

Opium preparations are used along with other measures to treat severe diarrhea. These medicines belong to the group of medicines called narcotics. If too much of a narcotic is taken, it may become habit-forming, causing mental or physical dependence. Physical dependence may lead to withdrawal side effects when you stop taking the medicine.

I would guess in your case it is just a temporary medication to try to control the D so I don't suspect it will be a habit forming issue for you. :)
Kitt

 
Kitt, Moderator: Anxiety ~ Panic  ~ Crohn's
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Matthew
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   Posted 3/1/2008 8:37 AM (GMT -7)   
The brand name was/is Paregoric. It is an excellent treatment for the Big D, but its taste is horrendous! I used to get this before Immodium was created, ( My grandfather was a pharmacist so we had a supply). This I could only stomach with about a tablespoon of sugar. I think that is where the song came from!

Matthew

Jillybean1887
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   Posted 3/1/2008 10:30 AM (GMT -7)   
I thought it worked well. Again, the taste was not great but there are ways to mask the taste. Good Luck.

Jill
Diagnosed with Crohn's Disease in 2000
Bowel Resections 6/05, 11/05 & 7/06 (removal of terminal ileum and appendix)
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B12 Injections monthly


nruth
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Date Joined Mar 2006
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   Posted 3/1/2008 10:32 AM (GMT -7)   
My diarrhea is the result of 2 re-sections: lasting nearly 30 years. Definitely not a temporary problem. It has gotten so much worse over the last year or so, I've lost a lot of weight and it has become almost unbearable. If this gives me some relief I'm more than willing to tolerate the bad taste and the potential side effects. I don't plan on becoming an opium addict.....I'd just like to have a reprieve from the constant running to the bathroom for awhile.
Immodium has no effect on me, or I'd use it.

gardenlady
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   Posted 3/1/2008 6:15 PM (GMT -7)   
thankyou, matthew...the name for that stuff was bugging me.
"Let me light my lamp,"
Says the star,
"And never debate
If it will help to remove the darkness."
-- Indian poet, Rabindranath Tagore


Matthew
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Date Joined Oct 2004
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   Posted 3/1/2008 9:20 PM (GMT -7)   
No problem. The taste is unforgettable, afterall. LOL

Matthew

straydog
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   Posted 3/1/2008 10:29 PM (GMT -7)   
Gee, I did not know this stuff was still around. Years & years ago, Pargoric was used for so many different things. It was given to babies that had colic, again this is going way back. I am with Ruth, if it stops the big D go for it. I have been hit with the big D too after a resection that was five yrs ago. In fact Ruth, you would have to drink an awful lot of it a day for any type of addiction problem, I am talking bottles. Hope it continues to work for you. Susie


nruth
Regular Member


Date Joined Mar 2006
Total Posts : 195
   Posted 3/2/2008 8:43 AM (GMT -7)   
I am talking a few drops. So far it has helped me greatly, the only thing I've ever tried that actually has any effect on my problem. I've gone to the bathroom at least a dozen times a day for years, and yesterday it was only 4. Able to sleep all night without the mad dash, so unless I have any really weird side effects I think I'll continue using it. The benefits outweigh the disadvantages so far. I really appreciate the feedback.

nawlinscate
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   Posted 3/2/2008 7:30 PM (GMT -7)   
My pediatrician used to prescribe paregoric for infants and toddlers with bad stomach cramps. My children called it "electric" because of the shocking sensation you get when you swallow it! It does work great, though. I hoard a supply of pills called Motofen, now very difficult to get (I had to get them from the Internet). They're an anti-diarrheal opiate, and they're fantastic. I react to them much much better than I do to Immodium or Lomotil (neither of which work for me).

nruth
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Date Joined Mar 2006
Total Posts : 195
   Posted 3/3/2008 9:25 AM (GMT -7)   
nawlinscate said...
My pediatrician used to prescribe paregoric for infants and toddlers with bad stomach cramps. My children called it "electric" because of the shocking sensation you get when you swallow it! It does work great, though. I hoard a supply of pills called Motofen, now very difficult to get (I had to get them from the Internet). They're an anti-diarrheal opiate, and they're fantastic. I react to them much much better than I do to Immodium or Lomotil (neither of which work for me).
Thanks for the tip about Motofen!  I'm having really good results with the opium, but I figure since it works so well my doctor will probably refuse to authorize a refill! The opium is horribly expensive, but well worth the cost. My experience is that if something works they make it impossible to get. confused

straydog
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   Posted 3/3/2008 9:37 AM (GMT -7)   
Ruth since you are having success with the Paragoric perhaps your dr will continue to prescribe it. Like I say its such an old drug and please don't worry about any addiction issues. You would have to take alot more than a spoon full a day to become addicted. Susie


nruth
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Date Joined Mar 2006
Total Posts : 195
   Posted 3/3/2008 12:10 PM (GMT -7)   
I'm not really concerned about becoming addicted to this. All I care about is just not being constantly in the bathroom. Whatever it takes! I seriously think my doctor will do whatever he can to shut me up. He's afraid of me anyway. :-)
straydog said...
Ruth since you are having success with the Paragoric perhaps your dr will continue to prescribe it. Like I say its such an old drug and please don't worry about any addiction issues. You would have to take alot more than a spoon full a day to become addicted. Susie


Matthew
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Date Joined Oct 2004
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   Posted 3/3/2008 8:31 PM (GMT -7)   
I cannot imagine someone who needed it for a medical problem becoming addicted to it. Afterall, as a kid, I only wanted the one dose. Which worked!
A hardcore addict might drink a bottle ( ugghhh!) but not an average person with a normal set of tastebuds! LOL.

Matthew

pb4
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Date Joined Feb 2004
Total Posts : 20576
   Posted 3/3/2008 9:13 PM (GMT -7)   
My sister is using oil or oregano for her IBS and says it's helped her tremendously, it's suppose to aid with IBD as well, next time I'm in the city I'm gonna buy some, she says it doesn't taste too bad at all, just 5 drops right on your tounge or on your food/in your drink.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


MishBall2
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Date Joined Apr 2007
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   Posted 3/4/2008 11:42 AM (GMT -7)   
I take Lomotil for diarrhea. It is a small dose narcotic that slows down your nervous system. It is mixed with another ingredient so that if you take too much you will vomit.

Maybe once you've gotten it under control, something like this could work for mainenance so you are not always in a narcotic fog.
33 years old. Diagnosed in 2002ish. 
Taking Asacol, Lomotil TID, and on Remicade since 2004. 
Lower Bowel area only, except for the short stint (about 2 weeks) that I had mouth sores.  Also have external/anal fistula and anal/vaginal fistula. 
 


nruth
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Date Joined Mar 2006
Total Posts : 195
   Posted 3/4/2008 11:55 AM (GMT -7)   
I've tried Lomotil. It had no effect on my problem. I don't take enough of the opium to be in a narcotic fog, but thanks for your suggestion.
MishBall2 said...
I take Lomotil for diarrhea. It is a small dose narcotic that slows down your nervous system. It is mixed with another ingredient so that if you take too much you will vomit.

Maybe once you've gotten it under control, something like this could work for mainenance so you are not always in a narcotic fog.


Albion
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   Posted 3/22/2008 4:14 PM (GMT -7)   
Hello everyone -- just wanted to clarify a couple things regarding opium tincture and paregoric, because confusing the two can be fatal. If you took teaspoons of opium tincture, you could die of overdose. What makes things even more confusing is that paregoric and opium tincture are both used to treat diarrhea.

Paregoric is NOT the same medication as opium tincture. Paregoric, which is also known as camphorated tincture of opium, is 1/25 the strength of opium tincture. Paregoric contains camphor (think moth balls), anise and alcohol, all of which taste terrible.

Opium tincture, on the other hand, contains powdered opium dissolved in alcohol. It also tastes terrible, as opium is very bitter.

Paregoric is usually dosed in teaspoons, while opium tincture is almost always dosed in drops. There have been several instances where pharmacists have accidentally filled opium tincture in place of paregoric, and patients have died from overdose.

Paregoric contains only 0.04 mg of morphine per mL, while opium tincture contains 10 mg of morphine per mL. A teaspoon of opium tincture would contain 5 mL, which would be the equivalent of 50 mg of morphine -- a whopping dose that would cause unconsciousness and even death in someone not tolerant to opiates.

Opium tincture is usually dispensed with a syringe or dropper to make calibrating the dose easier -- the usual dose is 0.6 mL (about 10 drops) every 4-6 hours.

Paregoric is dosed in teaspoons (5 mL) or even tablespoons (15 mL) -- the usual dose being 1-2 teaspoons every 4 hours.

Both drugs are useful for diarrhea, but opium tincture is usually reserved for patients who have failed paregoric and other antidiarrheals.

Opium tincture is a Schedule II drug, along with cocaine, raw opium, morphine and the like. Paregoric is Schedule III, along with Tylenol with codeine, Vicodin, etc. Opium tincture is tightly controlled. No refills are allowed for Schedule II prescriptions, and special DEA order forms are required. Paregoric may be refilled up to 5 times in 6 months.

I have used both in the past for diarrhea associated with IBS. Opium tincture is by far more effective, and requires only a tiny dose (5 to 10 drops). Of course, both can be habit-forming, but if opium tincture is used as prescribed, the risk of addiction is actually quite low, because the dose needed to control diarrhea is far below the dose required for analgesia. That is, if you take opium tincture as prescribed, you usually will not feel the "high" associated with larger doses of opiates.

Do a google search of "opium tincture," "paregoric," and "confusion" and you'll pull up a ton of links about the hazards discussed above. Below are two cases from the Institute of Safe Medical Practices.

1. The patient was prescribed camphorated Tincture of Opium to treat chronic diarrhea. The pharmacy dispensed Opium Tincture, which contains 25 times the amount of Morphine as Paregoric. After taking the Opium Tinc ture in the morning, the patient became weak and complained of feeling tired and achy. Later the patient was found unresponsive and could not be revived. The medical examiner's office found that the patient's death was caused by morphine intoxication.

2. A patient was prescribed Opium Tincture camphorated, 5 mL p.o. b.i.d./t.i.d. 2-3x/day until diarrhea stops. That evening, the patient just lay in bed with difficulty breathing. He could not talk or even open his eyes. Three days later the patient passed away. The foster care had all of the prescriptions delivered from a community pharmacy. A family member learned that evening pharmacy personnel came back with a new bottle of Opium and took the original bottle. The new bottle was labeled Opium 10% Tincture 0.6 mL 2-3 times a day until diarrhea stops.

Post Edited (Albion) : 3/22/2008 5:22:34 PM (GMT-6)


wildfire07
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Date Joined Oct 2007
Total Posts : 61
   Posted 3/23/2008 6:41 AM (GMT -7)   
now, what's the difference between this stuff, and the donnatol elixir I was prescribed, which, by the way tastes awful as well! Donnatol (phenabarbitol/belladonna) Is this the same?
 currently rediagnosed with probable crohn's disease with IBS with d...need blood test? Had the Prometheus serology 7 blood test done, now get results 18th of this month (Mar./08) Ha!  Now need another colonoscopy....          
2 4 asacol 3x daily for UC/UP.  
Canasa suppositories, also 3x  daily,
3tsp. Donnatol elixir every 6 hours, as needed
1 20mg tab aciphex daily
1-2 depakote 3x daily for bipolar disorder
1 tramidol hcl 50mg. every 6 hours as needed for pain
2 caps of probiotics 3x daily (acidophilus)
4 caps Pentasa 2x day (500mg. ea.)


dunny2
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Date Joined Jan 2007
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   Posted 3/23/2008 9:18 AM (GMT -7)   
I was also given tincture of opium, with belladonna. The biggest problem it caused for me, was, it slowed me too much.
so the GI stopped it. This was a few years ago now...

I do remember being amazed at the use of such two old drugs, they obviously still have a place in this world, if you can
tolerate it.

I wonder if we could get some laudenum (sp) darn a bottle of that stuff cured everything from gut rot to consumption, which
thinking about it, could have been ye olde crohns (smile)

Happy Easter to one and all. Hope it's not snowing where you are.. (Stupid weather)
Vicky

Too many years with CD
Two bowel resections, several obstructions.


Laughter is the brush that sweeps the cobwebs from our hearts


Albion
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Date Joined Mar 2008
Total Posts : 2
   Posted 3/23/2008 9:05 PM (GMT -7)   
Donnatal Elixir contains a small amount of a barbiturate, phenobarbital, belladonna alkaloids, and alcohol. It does taste terrible. It's FDA-approved as "possibly effective" in treating IBS, but it is not specifically an anti-diarrheal medication, and it does not contain any opiates. It is not a controlled substance.

Opium tincture is the same thing as Laudanum. Laudanum typically contains 10 mg of morphine per mL, but the amount of alcohol varies depending on the formulation.

nawlinscate
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Date Joined Jan 2007
Total Posts : 656
   Posted 3/23/2008 10:51 PM (GMT -7)   
Thank you, Albion, for the clear and thorough explanation of the differences between all of these medications. What you posted is informative and potentially lifesaving. Thanks!
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