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- Title : Codeine FAQ
- Author : mdh@debug.cuc.ab.ca
- Newsgroup : alt.drugs
- Last Revision : June 28, 1994
-
-
- Introduction
- ~~~~~~~~~~~~
- Codeine is a member of the drug class opiates. Opiates
- include all naturally occurring drugs with morphine-like effects
- such as codeine and all semi and fully synthetic drugs with
- morphine-like effects such as heroin and meperidine (Demerol).
-
- Codeine was first discovered as a natural constituent of
- opium in very small concentrations, in the range of 0.7% - 2.5%
- by weight. Most codeine found in pharmaceutical products today
- is synthetically produced via the methylation of morphine.
-
- Codeine is available by prescription only in most areas
- of the US. Exceptions are seen in some states where codeine can
- be purchased over-the-counter (OTC) in products containing a small
- dose of codeine. Also in Canada, some codeine containing products
- are available OTC in most if not all provinces. With the codeine
- available in the US OTC, release forms may have to be signed,
- including your name and address, in order to keep track of how
- much codeine you are buying.
-
- The amount of codeine allowable by law in OTC products is
- 8mg per unit dose of a drug. A example is 325mg of acetaminophen
- (a unit dose of acetaminophen) and 8mg codeine per tablet. This
- law is used to prevent the excessive use of codeine as one would
- have to take doses reaching toxicity of acetaminophen before any
- real problems with the codeine administration would occur. It's
- the same situation with aspirin. With OTC cough medications, the
- highest amount of codeine allowed is 3.3mg/ml. This
- concentration is _so_ low that this FAQ will not be discussing
- cough syrups as a source of recreational codeine. The tablet
- form of OTC codeine products usually also includes 15mg of
- caffeine in each standard dose.
-
- Prescription codeine containing products are usually not
- available without another drug included such as acetaminophen.
- Rx (prescription) products include the Tylenol w/ codeine series
- (#1,2,3,4) containing respectively 8mg, 15mg, 30mg, 60mg of
- codeine. Each tablet also contains caffeine in doses of 15mg,
- 30mg, 30mg and 0mg respectively. Thus Tylenol #4 w/ codeine
- (the most desired one) contains 325mg of acetaminophen, 60mg of
- codeine and no caffeine. Another Rx product is the 222, 292,
- 293, 294 series. They are identical to the Tylenol w/ codeine
- series, except aspirin replaces the acetaminophen. The Rx
- products are good sources of codeine for recreational use except
- most of us don't have sources that can obtain these drugs,
- therefore this FAQ contains a procedure so that one can easily
- obtain large amount of codeine from OTC products.
-
- Effects and Uses
- ~~~~~~~~~~~~~~~~
- Codeine is mainly used as a pain reliever, but is also
- used for the relief of a non-productive cough, and as a
- anti-diarrheal agent. 120mg of codeine administered SC
- (subcutaneously, injected under the skin) provides pain relief
- equal to 10mg of morphine administered by the same route. Doses
- used to relieve cough or diarrhea range from 5mg to 30mg.
-
- Codeine is absorbed quickly from the GI tract and it's
- first pass through the liver results in very little loss of the
- drug. This contrasts with morphine in which over 90% of the drug
- is metabolized in the first pass through the liver resulting in a
- considerable loss of potency when administered orally. This is
- why codeine is a common opiate in the relief of pain, the ease of
- oral administration.
-
- Codeine can be administered by many routes, this includes,
- SC, IM (intramuscularly), as an enema, and orally. Note, codeine
- can't be administered safely by IV (intravenously) injection as
- it can result in pulmonary edema (fluid in lungs), facial swelling
- and other life threatening complications.
-
- Codeine is converted to morphine in the brain. This of
- course will result in a positive result in a drug test for the
- opiates. It is not known whether or not the drugs heroin,
- morphine or codeine can be separately determined on a drug test.
- In other words it isn't likely that the drug tester can determine
- which of the three above drugs you have taken, he just knows
- you've taken one or more of them.
-
- Note! Addiction to codeine can occur. Tolerance is also
- seen with chronic use. Although the withdrawal is minimal with
- codeine, it is not a fun time. Please be cautious in your use
- of the drug.
-
- Some common side effects from codeine include drowsiness,
- light-headedness, dry mouth, urinary retention (difficulty in
- urination), constipation and of course, euphoria. Adverse
- effects can include itchiness (common), confusion, nausea and
- vomiting. The nausea experienced with codeine is less common
- and less intense than that experienced with the stronger opiates
- such as morphine. A tip to all those using opiates, lying down
- does wonders to the nausea. If you ever experience nausea on
- opiates it is different than the commonly experienced nausea as
- it is more of a light-headed nausea. Lying down will almost
- always relieve the nausea in a couple minutes, which after you
- can attempt to stand up again.
-
- Codeine is a _excellent_ opiate to start experimenting
- with. Although the euphoria is not as intense as that
- experienced with the stronger opiates, the euphoria can still be
- quite intense. It also must be noted that like most other drugs,
- some experience is required before the full effects can be
- noticed and enjoyed. The best dose to start at is the
- 30mg - 60mg dosage. That way you won't experience many adverse
- effects and you can continue to take this small amount until you
- feel the desired effects, after that you can increase the dosage
- as you please. Most people settle around the 250mg mark for the
- best euphoria, with the least side effects. The best idea is to
- take in a situation where you won't become distracted. You can
- get yourself into a comfortable position and relax because you
- will become _quite_ relaxed. It may take 5 to 20 times before
- you can appreciate the effects. The effects are subtle like
- marijuana and it takes some time before you come to recognize
- them all.
-
- The LD50 (lethal dose for %50) is 800mg in the average
- person. Death from codeine, unlike most opiates, includes
- restlessness, seizures and eventually death from respiratory
- arrest.
-
-
- Using Codeine
- ~~~~~~~~~~~~~
- Again a good dose to start using codeine at is in the
- 30mg to 60mg range. At this dosage range the adverse effects
- tend to be minimal, and the pleasurable effects quite noticeable.
- It is usually a good idea to take the drug on a empty stomach,
- and if nausea is experienced or you get hungry (not likely) you
- can have something to eat. On an empty stomach the effects will
- become noticeable within 15 min depending on the dose. With
- higher doses the effects can begin in as little as 7 min. The
- effects peak at around 1 hr with the experience nearing it's end
- at around the 3 - 4 hr point. Again with higher doses effects
- may last 4 - 6 hours.
-
- The effects will usually begin with a slight sedation,
- and a feeling of warmth coming over you body. Muscular relaxation
- is also quite noticeable. The subjective effects are quite hard
- to describe beyond the word euphoria. The sedation associated
- with codeine is quite a lot less than that experienced with
- morphine or other stronger opiates. A strong feeling of
- contentment is usually also experienced. Most people enter
- a phase where you become quite content and tend to lose interest
- in their surroundings. A heavy feeling in the limbs also
- becomes quite noticeable. This will peak at 1hr with the effects
- slowly tapering off after 2hr.
-
-
- Codeine Extraction Technique
- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~
- Due to the difficulty in obtaining Rx drugs containing
- enough codeine to be used recreationally, I have included a
- procedure that allows one to extract the codeine from OTC
- products to obtain enough of the drug to use recreationally.
-
- This extraction can *only* be used on OTC products
- containing either acetaminophen or aspirin in addition to the
- codeine. There is one exception to this rule. Products
- containing caffeine can be used with the knowledge that the most
- of the caffeine contained in the OTC product, *will* be found
- in the finished product. This should not matter to most people,
- but to those with problems in taking caffeine, *you have been
- warned*!
-
- The idea behind the following extraction is that
- acetaminophen and aspirin (I'll use A/A from now on) are very
- _insoluble_ in cold water. Codeine phosphate (the most common
- salt of codeine) is very _soluble_ in water including cold water.
- The following table explains:
-
- Solubility (31C water) Solubility (21C water)
-
- Aspirin 1g / 100 ml 1g / 300ml
-
- Acetaminophen 1g / 70 ml 1g / 150 ml
-
- Codeine 1g / 2.3 ml 1g / 0.7 ml
- Phosphate
-
- So as you can see, both A/A aren't very soluble in 21C
- water, so if you cool the water to around 10C, the solubility will
- drop even further. That way you can dissolve 20 tablets in 50ml
- of hot water, cool the water down to 10C, filter the solution and
- end up with the same amount of codeine as the tablets contained
- but only a fraction of the original amount of A/A.
-
- It must be noted that because most of the caffeine will
- also be in the finished product, using large amount of tablets in
- the following procedure will result in large amount of caffeine
- in the finished product. For example the use of 20 tablets will
- result in about 300mg of caffeine in the finished product
- (15mg/tablets * 20 tablets). I personally haven't experienced
- any adverse reactions due to this amount of caffeine. Because
- of codeine's sedative effects the "jitters" and other adverse
- effects of large amount of caffeine are not experienced.
-
-
- The Procedure
-
- 1. Obtain a quantity of tablets containing codeine, check to
- see if they contain anything other than codeine, caffeine,
- acetaminophen or aspirin. If they do, and you don't know whether
- or not it will be a problem, your best bet is not to use them.
- Measure out your desired amount of codeine (ex. 64 mg = 8 tablets
- * 8mg/tablet). You may want to add 2 extra tablets as it is quite
- likely you will lose some codeine in the procedure. As you get
- more experience with the procedure you will be able to get
- approx. 95% of the codeine extracted.
-
- 2. Measure out some nice hot water, use approx. 40ml / 20 tablets
- or more if needed. I would suggest you don't go over 50ml for 20
- tablets. I don't know if the use of boiling water would destroy
- any of the codeine but your best bet is not to use it. Use hot
- water but not boiling. Make sure the tablets dissolve completely.
- Some dissolve on contact with water while others need some help
- dissolving by crushing them. Note : not all of the tablet will
- dissolve, there are water-insoluble fillers in the tablet and not
- all of the A/A will dissolve either(which is what we want).
-
- 3. Place the solution in a cold bath, I just use some ice cubes
- in a container of water. Stir the mixture occasionally until the
- solution drops to about 15C or lower. You won't need a
- thermometer to measure the temperature, just make sure it's
- "cold". This will take about 30 min. If you wish to speed this
- up, you can use less water to dissolve the tablets, and add ice
- chips to cool the mixture faster. Just make sure you don't add
- so much ice that you drastically increase the volume of the mixture.
-
- 4. Filter the solution using whatever you have. Coffee filters
- work well, but lab filters work the best. Just make sure you
- don't end up with obvious solids in the filtered solution. This
- will take about 1 hr. You may also want to rinse the solids left
- over in the filter with some ice-water to extract any remaining
- codeine.
-
- 5. Drink and enjoy! The solution will be _very_ bitter, so I mix
- a little Kool-aid powder into the solution. The taste isn't really
- bad but it's similar to sucking on a lemon.
-
- 6. Sit back and wait for the effects. Because the codeine is
- already in solution it only needs to be absorbed, while codeine
- in the tablet form must dissolve before being absorbed. Because
- of this, the effects will probably become noticeable within 15min.
-
- Note : I don't suggest you evaporate the mixture unless you are
- willing to wait a while. The Merck index warns that codeine is
- sensitive to heat and light. For that reason if you wish to
- evaporate the mixture, do it without heat, and shield the solution
- from light.
-
- ----- End of FAQ
-
-