ORDER FENTANYL LIQUID
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- Fentanyl transdermal patch is available as a generic drug and as a brand-name drug. Brand name: Duragesic.
- Fentanyl also comes as a buccal and sublingual tablet, oral lozenge, sublingual spray, nasal spray, and injectable.
- Fentanyl transdermal patch is used to treat chronic pain in opioid-tolerant people.
How is it used?
Ketamine can be swallowed, snorted or injected. It is also sometimes smoked with cannabis or tobacco. The effects of ketamine may be experienced within 30 seconds if injected, 5–10 minutes if snorted, and up to 20 minutes if swallowed. The effects of ketamine can last for approximately 45 to 90 minutes.3
Effects of ketamine
There is no safe level of drug use. Use of any drug always carries some risk. It’s important to be careful when taking any type of drug.
Ketamine affects everyone differently, based on:
- size, weight and health
- whether the person is used to taking it
- whether other drugs are taken around the same time
- the amount taken
- the strength of the drug (varies from batch to batch).
The following effects may be experienced:
- feeling happy and relaxed
- feeling detached from your body (‘falling into a k-hole’)
- confusion and clumsiness
- increased heart rate and blood pressure
- slurred speech and blurred vision
- anxiety, panic and violence
- lowered sensitivity to pain.2,3,5
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If you take a large amount or have a strong batch, you could overdose. Call an ambulance straight away by dialling triple zero (000) if you have any of these symptoms (ambulance officers don’t need to involve the police):
- inability to move, rigid muscles
- high body temperature, fast heartbeat
- coma and ‘near death’ experiences
In the day following ketamine use, you may be experience:
- memory loss
- impaired judgement, disorientation
- aches and pains
Regular use of ketamine may eventually cause:
- poor sense of smell (from snorting)
- mood and personality changes, depression
- poor memory, thinking and concentration
- ketamine bladder syndrome (see below)
- abdominal pain
- needing to use more to get the same effect
- dependence on ketamine
- financial, work and social problems.2,3,5
Ketamine bladder syndrome
Large, repeated doses of ketamine may eventually cause ‘ketamine bladder syndrome’, a painful condition needing ongoing treatment. Symptoms include difficulty holding in urine, incontinence, which can cause ulceration in the bladder. Anyone suffering from ketamine bladder syndrome needs to stop using ketamine and see a health professional.2,5
Using ketamine with other drugs
The effects of taking ketamine with other drugs– including over-the-counter or prescribed medications – can be unpredictable and dangerous, and could cause:
- Ketamine + alcohol or opiates: lack of awareness of effects of the depressant drugs, which may lead to taking too much and vomiting, slowed breathing, coma and death.5
- Ketamine + amphetamines, ecstasy and cocaine: enormous strain on the body, which can lead to fast heart rate.2
Giving up ketamine after using it for a long time is challenging because the body has to get used to functioning without it. Withdrawal symptoms usually last for 4-6 days. These symptoms can include:
- cravings for ketamine
- no appetite
- chills, sweating
- restlessness, tremors
- nightmares, anxiety, depression
Fentanyl Liquid (also known as fentanil) is a potent, synthetic opioid pain medication with a rapid onset and short duration of action. It is a strong agonist at the μ-opioid receptors. Fentanyl is estimated to be between 50 and 100 times as potent as morphine.
Fentanyl Liquid was first made by Paul Janssen in 1960,following the medical inception of pethidine (also known as meperidine, marketed as Demerol) several years earlier. Janssen developed fentanyl by assaying analogues of the structurally related drug pethidine for opioid activity. The widespread use of fentanyl triggered the production of fentanyl citrate (the salt formed by combining fentanyl and citric acid in a 1:1 stoichiometry), which entered medical use as a general anaesthetic under the trade name Sublimaze in the 1960s. Following this, many other fentanyl analogues were developed and introduced into medical practice, including sufentanil, alfentanil, remifentanil, and lofentanil.
Fentanyl Liquid In the mid-1990s, fentanyl was introduced for palliative use with the fentanyl patch, followed in the next decade by the introduction of the fentanyl lollipop, dissolving tablets, and sublingual spray which are resorbed through the skin inside the mouth.As of 2012 fentanyl was the most widely used synthetic opioid in medicine.In 2013, 1700 kilograms were used globally.
Fentanyl is also used as a recreational drug, and this use has led to thousands of overdose deaths each year in recent years. Deaths have also resulted from improper medical use. Fentanyl has a relatively wide therapeutic index (270) which makes it a very safe surgical anesthetic when monitored carefully; however, its extreme potency requires careful measurements of highly diluted fentanyl in solution; attempting to accurately measure a dose of pure fentanyl powder is impractical without advanced scientific equipment as an effective dose and a lethal dose of fentanyl powder placed next to each other would be difficult or impossible to differentiate with the naked eye
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