Gerald Latimer wrote:
> Hi all!
>
> I am a relatively recent poster here so I suppose it would be polite
to
> introduce myself: I am a medical doctor from South Africa, and live in
> Johannesburg, the largest city in SA. I practise in a Provincial
> hospital (i.e. government owned).
> I have an active interest in drug addiction, mainly because of the
> shocking treatment addicts get here (To prescribe medicine to relieve
a
> "habit or craving" is a crime unless you or your institution have a
> special licence). Many doctors in (especially government-run) rehab
> wards have no idea what they are doing. To give an example, one
doctor
> (a doddering geriatric recently "shunted" from internal medicine) put
a
> cocaine user on methadone. On discharge the poor guy had an opioid
> addiction on top of things.
>
> Anyway, enough off-topic ranting.
>
> In our sole lecture on drug abuse in medical school (which one would
> expect to have presented by the pharmacologists, but no. The
> Department of Family Medicine (jumped-up GP's) did the honours).
> Amidst all the 'don't do drugs, if your patient is hooked, take him
off
> cold turkey except if he's on benzos or barbs in which case taper over
> 2 weeks or dump the guy on Psychiatry" claptrap, the twit lecturing us
> mentioned something called "T's and Blues".
>
> He said that the T's were an antihistamine called tripellenamine, and
> the Blues were pentazocine. This was then prepared and injected.
This
> sounds like utter bull****. Who would inject something like that,
> ESPECIALLY if he had a prior opioid habit! Anyone know the REAL
> components of this cocktail.
>
> Now the whole WORLD has a precis of the worst lecture I got in medical
> school. The rest of our training was pretty good, however.
>
> While we're on (or off) topic, my father told me about a preparation
> that was all the rage in Hillbrow (sleazy downtown JHB districr) in
the
> 1970's. It was called "Blue Velvet" and consisted of paregoric with
> the alcohol and camphor removed (I think by lighting and freezing),
> along with the contents of a 25mg promethazine amp. The high was said
> to be unique. Is this popular elsewhere in the world?
>
> Nobody does it in SA anymore, though. The govt. did restric phenergan
> amps to Schedule 5 (Prescription only), but paregoric is still
> available as are phenergan tabs and any number of other antihistamine
> amps. Either it was a five day wonder, or the increased heroin supply
> in the '80s killed it off.
>
> Who knows? Not me, certainly.
>
>
> -------------------------------------------------
>
> Salus aegroti, suprema lex
>
> Primum non nocere
T's & blues indeed were pentazocine & tripelennamine and the strange
thing is that it did actually work for most people; there are a number
of theories as to why this was. I personally think that it is because
the bad effects people have with pentazocine may come from places other
than the delta and/or kappa opioid receptors.
Pentazocine is commonly done with methylphenidate (Ritalin) by snorting
or injection as well.
Blue velvet was morphine and tripelennamine injection of the same type,
but also tripelennamine with terpin hydrate with codeine by mouth.
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