Professional Documents
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Micron Filter
Micron Filter
Micron Filter
1) Introduction
2)Incresased Risk of HCV
3)Syringe Choice
4) Micron Filtering
5) To Heat or Not to Heat?
6) Cold Water Extraction
7) Step by Step Guide to Micron Filtering
8) Bioavailability and Half-Life
9) Methods and Recipes
Crushing the Pill
Extracting the Active Ingredients
Using Isopropyl Alcohol to Extract Opana ER
Microwave Oxy Recipe
Citric Acid and MS Contin
10) Inactive Ingredients A-Z
11) Acknowledgements
Introduction:
Why Pill Injection Is Risky Business
Pill injection is risky business, and while there really is no “safe” way to inject prescription
pills, there are ways that are much safer. Armed with the proper education and equipment,
you can avoid most life-threatening problems that are associated with prescription pill injec-
tion.
Many of the dangers of pill injection come from the various other ingredients in the pills,
like binders and abuse-deterrents. These ingredients contain gelatin, wax, cellulose, sug-
ars, starches, and alcohols, none of which you want in your bloodstream. Some will cause
granulomas, which are “nodules” of hard tissue, created by the body’s response to a foreign
object, others will cause disruption of your red blood cells, which carry oxygen to your
body, some can cause thrombosis, which coagulation, or blood clots, floating in the blood-
stream, and some will remain crystalline or gelatinous in your veins. Talc is in many pills,
and has caused breathing problems as it attaches to your lungs. Acetaminophen is not water
soluble, and can remain in a crystalline form in your blood.
Because preparation of prescription pills can be such a lengthy process, your final product
has much more opportunity to be exposed to bacteria. Introducing bacteria into the blood-
stream can cause blood infections that could lead to sepsis, increased abscess, poor circula-
tion, poor wound healing, and bacterial endocarditis, which is a bacterial infection of one of
the heart valves, which can result in open heart surgery, or lengthy IV antibiotic treatments.
The micron filter is the solution to many of these problems, which can filter out many
of these harmful ingredients and also bacteria. It does not filter out viruses, however, so
HIV and HCV can still be a risk, if sharing equipment. More on micron filtering in a few
pages…
Pill Injection Increases the Risk for HCV
This project, however, was not spurred by the danger of these binders or abuse deterrents,
but began as a response to a study done by the CDC, studying the rates of Hepatitis C among
prescription pill injectors. According to this study, the pill injector is 5 times more likely to get
Hepatitis C, in comparison with the heroin injector. *
You may ask, “Why is that?” Several factors could be attributed to this. Pill injection
requires more water to render the drug from the solid form; so multiple injections may be needed
to do a single dose with the normal insulin syringes. Longer injection times have been proven to
increase the chance for transmission of disease. ** Additionally, the use of a 3mL syringe, which
would cut down on the injection time, as only one injection would be needed, could be a contrib-
uting factor. The 3mL syringe has more dead space, which can harbor the HCV virus for up to
63 days. Because this equipment is harder to come by, people may be more likely to share. There
is NO scientific evidence to say if bleach will definitively kill the Hepatitis C Virus. Finally, pill
injectors sometimes run with a different crowd, or are concentrated in more remote areas, both of
which can lead to less exposure to harm reduction information.
This pill injection kit is an attempt to solve all three problems that put the pill injector at
a higher risk for HCV. By providing the equipment for safer pill injection, we can reduce injection
times and the chance of sharing equipment. By providing education on safer pill injection, we can
reduce the chances of problems associated with pill injection, as well as reduce the chance of HCV
transmission. Hopefully, by providing specialized equipment for pill injection, we will gain more
clients to access our services.
While this project was in the final stages, an HIV outbreak occurred in a small town in
Indiana among Opana injectors, which fueled this project even more. It is dire that we get this
information to the pill injector, and we need every one of you to help spread this message. Peer
education is the best way to do this. We need you to share this information!
Syringe Choice and Pill Injection
Pill injection is a unique case when it comes to syringe choice, and there are down sides to any syringe that you
choose, so it is important to discuss syringes with pill injection.
In a study by Greg Scott, we found that longer injection times can increase the risk for transmission of
disease, like HIV and HCV. This is because the user has more opportunity for exposure to these diseases. Because
pill injection requires so much water to be added, the injection is usually too much volume to fit into an insulin
syringe and sometimes requires more than one injection.
Some will use the 3mL syringe for pill injection, as it only requires one injection. But, the 3mL syringe
poses its own risks that are important to know. The 3mL syringe has a high dead space, which refers to the amount
of space between the plunger and the needle (in the hub), in which a small amount of the solution remains in the
syringe after injection. Because HCV can live in the barrel of a syringe for 63 days, the high dead space syringe can
attribute to the transmission of HCV. Normally, we recommend that users do not use high dead space syringes, but
pill injection creates an exception to this rule.
It is very important to note that you should NEVER share a 3mL syringe, and since bleach may not kill
HCV, this is not a good alternative, either. It is far less risky to do several injections with an insulin syringe instead
of sharing or bleaching a 3mL syringe. By providing these syringes at the exchange, we hope to cut down on the
need to share them. With an adequate supply of 3mL syringes, this is probably the best choice for most pill injec-
tion.
One more alternative to using the insulin syringe is using a butterfly needle. This needle does not have
the high dead space, and so the risk is a bit lower in that department. But, the butterfly syringe poses its own risks,
too. First of all, the butterfly can more easily slip out of the vein if not properly anchored, which could cause an
abscess. Additionally, you have to flush the butterfly syringe with sterile water to get all of the drugs through the
plastic tube. Because you are already injecting more water than a traditional shot, adding even more to flush is not
always the best option. Adding too much water can blow out veins, but it cannot kill you, as many people think. If
you are injecting many times in the day, a butterfly is not the best choice. A number of users have found that the
butterfly is a good choice when injecting liquid methadone because there is such a large volume of solution.
These inactive ingredients are essential to proper absorption when the pills are taken orally. With-
out these binders, many medications would not make it to the stomach for optimum or proper
absorption, as they would be dissolved in the mouth or throat. These binders keep the medication
in tact until it reaches the stomach. The stomach is violent and acidic environment, and many of
these binders are made to be broken down by stomach acid, but not before it begins to churn in this
highly acidic environment. Can you imagine what these ingredients may do if they are in your blood
stream, but strong enough to withstand the harsh stomach acids? Micron filtering will eliminate
these harmful byproducts from entering your blood stream.
How Much Difference Does a Micron
Filter Make, Anyway?
Just take a look at the image below to see how much more effective a micron fil-
ter is. A “rollie” is a cotton filter, so the second images are after the solution is put
through both a cotton filter and a .22 micron filter.
Bioavailability and Half-Life
Understanding bioavailability is important when considering alternative Routes of Administration, ROA, with prescription
pills. Because injecting pharmaceutical pills has so many dangers, it really is not worth the risk with pills that have a high oral bio-
availability. Also, some prescription pills have a very low oral bioavailability, so injecting them, which have 100% bioavailability, can
be more than the user imagined, and the overdose risk is greatly increased.
Opiate Antagonists
Naloxone: Oral 2-4%. Elimination half-life 1-1.5 hours
Naltrexone Oral 5-40%. Protein binding 21%, Half life-4 hours (naltrexone),
and 13 hours (6-β-naltrexol) (metabolite)
Bioavailability and Half-Life of Commonly Injected
Prescription Drugs
Benzodiazepines
Alprazolam: Oral 80-90%. half-life 9-20 hours
Bromazepam: Oral 84% half life 10-20 hours
Cinolazepam: Oral 90-100%, Half-life 9 hours
Clobazam: Oral 90%. Elimination half-life 18-hour half-life
Clorazepate: Oral 91%. Elimination half-life 36-100 hours
Chlordiazepoxide: Oral 100%; IM 90-95%. Elimination half-lives of its metabolites range from 14—100 hours
Clonazepam: Oral 90%; IM 93%
Diazepam: Oral 85-100%. Protein binding: 94% to 99%
Estazolam: Oral 93%. Elimination half-life 10-24 hours
Lorazepam: Oral 85-90%; Intranasal 78%
Midazolam: Oral 36-40%; Intranasal 55%, IM 90%
Flurazepam: Oral 83%. Elimination half-life is 40-250 hours
Temazepam: Oral 96%. Elimination half-life is 8-20 hours
Quazepam: Oral 29-35% Half-life 39 hours
Stimulants
Methylphenidate: Oral 11–52%; Rectal is significantly higher, however an exact figure is not currently known. Elimination
half-life 2–4 hours
Cocaine hcl: Oral 30%; Intranasal 40-60%. Elimination half-life .8-4 hours (depending on MOA)
Methamphetamine: Oral 62.7%; Intranasal 79%; Smoked 90.3%; 62.7%
Amphetamine: Oral 4L/kg; low binding to plasma proteins 20% Elimination half-life 10–13 hours
Ephedrine: Oral 85%. Elimination half-life 3–6 hours
Dextroamphetamine: Oral 75%. Elimination half-life 10-28 hours
Bupropion (Wellbutrin): Oral 5-30%. Elimination half-life is 20 hours
Bioavailability and Half-Life of Commonly Injected
Prescription Drugs
Benzodiazepines
Alprazolam: Oral 80-90%. half-life 9-20 hours
Bromazepam: Oral 84% half life 10-20 hours
Cinolazepam: Oral 90-100%, Half-life 9 hours
Clobazam: Oral 90%. Elimination half-life 18-hour half-life
Clorazepate: Oral 91%. Elimination half-life 36-100 hours
Chlordiazepoxide: Oral 100%; IM 90-95%. Elimination half-lives of its metabolites range from 14—100 hours
Clonazepam: Oral 90%; IM 93%
Diazepam: Oral 85-100%. Protein binding: 94% to 99%
Estazolam: Oral 93%. Elimination half-life 10-24 hours
Lorazepam: Oral 85-90%; Intranasal 78%
Midazolam: Oral 36-40%; Intranasal 55%, IM 90%
Flurazepam: Oral 83%. Elimination half-life is 40-250 hours
Temazepam: Oral 96%. Elimination half-life is 8-20 hours
Quazepam: Oral 29-35% Half-life 39 hours
Stimulants
Methylphenidate: Oral 11–52%; Rectal is significantly higher, however an exact figure is not currently known. Elimination
half-life 2–4 hours
Cocaine hcl: Oral 30%; Intranasal 40-60%. Elimination half-life .8-4 hours (depending on MOA)
Methamphetamine: Oral 62.7%; Intranasal 79%; Smoked 90.3%; 62.7%
Amphetamine: Oral 4L/kg; low binding to plasma proteins 20% Elimination half-life 10–13 hours
Ephedrine: Oral 85%. Elimination half-life 3–6 hours
Dextroamphetamine: Oral 75%. Elimination half-life 10-28 hours
Bupropion (Wellbutrin): Oral 5-30%. Elimination half-life is 20 hours
Bioavailability and Half-Life of Commonly Injected
Prescription Drugs
Dissociative/Psychedelics
PCP: Oral 65%; Smoked 50%
Ketamine’s: Oral 20±7%; IM 93%; Intranasal 25-50%; IV dose 96% and oral dose 20±7%. Ketamine is rapidly
distributed into brain and other highly perfused tissues, and is 12% bound in plasma. The plasma half-life is 2.3 ± 0.5
hours.
MDMA: Elimination half-life of the “S” isomer has a shorter half-life (about 4 hours), whereas the “R” isomer has a
much greater half-life. (About 14hours)
Anti-depressants
Tianeptine: Oral 89 +/- 11%. Elimination half-life 2.5 hours
Trazodone: Oral 89 to 95%.
Muscle Relaxants
Carisoprodol(soma): Oral 65%. 60% protein binding. Elimination half-life 8 hours
Meprobromate: Oral 60% protein binding. Elimination half-life is 10 hours
Baclofen: Protein binding 30%. Elimination half-life 1.5 hours
Dantrolene: Oral 70%
Sleep Aids
Zolpidem: Oral 67%. 92% is bound in plasma
Zaleplon: Oral 30%. Elimination half-life is 1.1 hours
Diphenhydramine: Oral 86%. Protein binding 98 to 99%. Elimination half-life 1-4 hours
Eszopiclone (Lunesta): Protein binding 52-59%. Elimination half-life 6 hours
Zopiclone: Oral 52-59%. Bound to plasma protein. Elimination half-life 6 hours, and 9 hours for over 65
Barbituates
Hexobarbital: Oral 25%. Protein binding
Methohexital: Rectal 17%. Elimination half-life is 5.6 hours
Phenobarbital: Oral 95%. Protein binding 20-45%. Elimination half-life is 53 to 118 hours
Primidone: Oral 90%. Protein binding 70%. Elimination half-life of Primidone 5-15 hours, active metabolite (Pheno-
barbital) Elimination half-life- 100 hours
Methods and Recipes:
Crushing Into Powder
These days, prescription pill injection is tricky because so many of the pills out there are abuse-deterrent. These
mechanisms generally make the pill very hard to crush and they also “gel” when water is added. Of course, there are
ways to get around these mechanisms, but it is often a lengthy and sometimes complicated process. Often times, the
process involves additives that are dangerous if injected. What follows is a compilation of recipes and methods for
injecting various pills. Some of these recipes have worked for some people, and others claim they fail. These recipes
have been compiled from personal contacts, as well as Internet sites like Bluelight and Drugs Forum.
The first challenge with some pills is to get the pill into powder form. Before beginning, you want to re-
move any coating that may be on the outside of the pill. DO NOT put the pill in your mouth to remove the coating
if you plan to inject it. Your mouth can contain bacteria that could really harm you if injected. Be careful with ap-
plying much water because you do not want the pill to begin to gel. Using a slightly damp paper towel works really
well.
With pills that are easily crushed, you can place it between two spoons, smashing the contents into a pow-
der, or you could cover the pill with a piece of paper and crush it with the backend of a lighter before using the edge
of the lighter to rub over the pill until it is a very fine powder. Unfortunately, many pills today are nearly impossible
to crush this way because of their abuse deterrent properties. Crushing some pills requires using some sort of filing
device, so you can file the pill rather than crush it. A Dremel tool is a great option, if you have access to one. Most
will use a PedEgg, or some other fine filing device. A hose clamp is another really great option that can be purchased
at a hardware store for a dollar or two. Just straighten out the hose clamp and use it as a file.
Methods and Recipes:
Extracting the Active Ingredients
The next step is to extract the active ingredient, and because many of these abuse-deterrent pills
gel in water, this can be challenging. One way of breaking the gel is cooking the powder. The
powder can be laid onto a Pyrex baking dish, flattening it out as much as you can, and baking it at
a low temperature until the powder turns a brown color. You can also achieve this by microwav-
ing it. You must keep a close eye on it in the microwave because it can burn quickly and ruin the
pill. Another way to break the gel is by adding some other ingredient, such as alcohol or citric
acid. Please note than injecting alcohol is dangerous, and you will need to burn the alcohol off
before injection. Not all pills are the same, and their properties can even vary from maker to
maker.
The following recipes have been taken from various sources, from Internet forums to personal
contacts. Some claim these recipes work, and others have not had good results. There are so
many variables when it comes to preparing a pill for injection, that it is hard to say that any one
method is foolproof. Please remember that the lengthy process that can be involved also creates
more of an opportunity for the drug to be exposed to bacteria or other contaminants, so try and
maintain as clean of a workspace as possible and use sterile equipment when possible.
Methods and Recipes:
Using Isopropyl Alcohol to Extract Opana ER
You must use 91% Isopropyl Alcohol to break the gel in Opana ER. Anything less has too much water and
will not work.
This recipe is specific for a 30mg Opana ER, so you will adjust accordingly.
1)Grind the pill to powder.
2)Put the powder into a metal cooker.
3)Add 1 cc of 91% Isopropyl Alcohol
4)Swirl the contents. Let sit for 20 minutes, stirring every minute or so.
5)Using a draw needle, draw up the contents in the cooker.
6)Put cotton into a 3mL syringe, packing with the plunger. This is used for the first filtration.
7)Back load the contents from the cooker into the 3mL with the cotton, and push this through the
cotton and back into a metal cooker.
8)Now, you must cook off the alcohol. Remember that Isopropyl Alcohol is VERY flammable.
Be very careful if you use an open flame for this. Place the cooker on the eye of the stove
at the lowest possible setting.You can use a candle, but only with caution.
9)Allow the solution to cook until ALL of the alcohol is burned off. You will be left with a film coating
at the bottom of the cooker.
10)Remove the cooker from the heat, and scrape the film coating off the cooker, and cut into small
pieces, while remaining in the cooker.
11)Add 1 cc of sterile water and stir vigorously for 5 minutes. You may have to add more water until
the film is dissolved.
12)Using a draw needle, pull the solution into a 3mL syringe.
13)Replace the draw needle with a wheel filter. Be careful here, and tilt the syringe back so there is air
near the top of the syringe, because you do not want to lose any of the solution when you switch
to your wheel filter. Some people will backload the solution into a separate 3mL with the wheel
filter already attached.
14)Push the contents through the wheel filter into a 3mL syringe with a new needle for injection.
15)Inject.
Remember!! Oxymorphone (Opana) is 10 times stronger when injected compared to oral
ROA. It is 3-4 times stronger when snorted. Less is more! You can always take more, but
once you have done too much, you cannot take it away.
Methods and Recipes:
Microwave Oxy Recipe
Prepare the Pills
1) Grind the pills into a fine powder.
2) Spread powder out on ceramic plate. (not too thin)
3) Microwave 4-6 minutes. WATCH IT THE WHOLE TIME!! It can burn easily.
Remember, cooking times vary in different microwaves.
4) As soon as the powder begins to turn brown, turn off the microwave. Almost all of the powder
will be golden brown. (some white flakes are ok)
5) Place in the freezer 5-7 minutes. Carefully remove from freezer and place on counter.
6) Scrape up the powder, chop finely. You could snort or plug it now, but you need more work
to IV.
Note:This method requires a lot of water to get it to dissolve. The solution will also look
gelatinous before it is pushed through the filtration system, but it will go through and the
gelatinous material will stay in the cotton.
Alternative to Injecting
Prescription Pills
Because injecting pills in dangerous, there are other options. One option
is to use your pills rectally. Booty bumping often has a higher bioavailability than
snorting or orally taking these pills. By breaking the time release, you will get
all of the medication and once with this route, and the rectal tissue often has a
higher absorption rate than other ROAs.
Another really fascinating gem that I came across is that Coca-Cola will
break the abuse deterrent and time released properties of OxyContin. If you
fill a shot glass with Coca-Cola, drop your pill in, and let it sit overnight, the pill
will be dissolved in the Coca-Cola, without the time release. Take the shot of
Coca-Cola orally, and many people feel the full effects of the OxyContin. DO
NOT INJECT COCA-COLA!!!!
Inactive Ingredients A-Z
It is the inactive ingredients in prescription pills that can be most dangerous when injecting them. A list of
all the inactive ingredients in common pills follows, along with some vital information about many of these harmful
inactive ingredients. First, you will find the pill you plan to inject, make a note of all the inactive ingredients in that
pill, and then look to the end of the list for the water solubility and particle size of those inactive ingredients. The pores
of a cotton filter will filter out particles that are 50 micrograms and larger, while the wheel filter that is generally used
for pill injection will filter out particles that are .22 micrograms and larger. Injecting particles that are water soluble
and smaller than .22 micrograms will be injected into the bloodstream. The wheel filter will filter out MOST inactive
ingredients in the pill. This list is vital when you are only using a cotton filter.