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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever And Pain At IV Of Drugs?

hi im 23y/o male about 6''1 and 165pds, drug user question. Over the past 20 hours or so Ive consumed 3 OP-80mg orally (between the hours of 11:15pm and 4:00a.m), very small amount of methamphetamine no more than 0.1grams nasally (today around 3am), around 20mg Dilaudid administered intravenously throughout the day and about 0.2grams of tar heroin once yesterday afternoon and once around 5pm today via IV that was a slight miss towards the end but the air pocket left almost immediatley but still hurts a bit, my sickboy symptoms are fever accompanied
-obviously no doubt im feeling sick after stopping abruptley after the 5pm dose
Wed, 10 Aug 2016
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Addiction Medicine Specialist 's  Response
Withdrawal will not produce fever.
Wow, that is an impressive quantity of drugs!. The black tar and the methamphetamine might not be exactly what you think and other agents in it certainly could have consequences.
But by far the most likely is that the injection was not sterile and germs got into the system. There are a lot of possibilities here! Regular skin germs which can be introduced by technique and even occur with sterile solutions and sterile unopened syringes (injected through dirty skin) are the most common. They can cause local boils but can have infection anywhere hit by the circulatory system. Heart valves can be infected and this can be quite hard to diagnose.
Other infections include but are not limited to hepatitis B and/or C, HIV, a lot of tropical diseases if someone connected to the injection was associated with areas outside of the US (malaria for example).
Then there can be a reaction to what was in the injection. Black tar is quite gummy and can trigger immune responses. These would not be expected to last as long as the high in general with the materials producing both are cleared from the body in hours.
Then, there can be total coincedences and infections/flu/illnesses occurring totally unrelated to drug use. happens.
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What Causes Fever And Pain At IV Of Drugs?

Withdrawal will not produce fever. Wow, that is an impressive quantity of drugs!. The black tar and the methamphetamine might not be exactly what you think and other agents in it certainly could have consequences. But by far the most likely is that the injection was not sterile and germs got into the system. There are a lot of possibilities here! Regular skin germs which can be introduced by technique and even occur with sterile solutions and sterile unopened syringes (injected through dirty skin) are the most common. They can cause local boils but can have infection anywhere hit by the circulatory system. Heart valves can be infected and this can be quite hard to diagnose. Other infections include but are not limited to hepatitis B and/or C, HIV, a lot of tropical diseases if someone connected to the injection was associated with areas outside of the US (malaria for example). Then there can be a reaction to what was in the injection. Black tar is quite gummy and can trigger immune responses. These would not be expected to last as long as the high in general with the materials producing both are cleared from the body in hours. Then, there can be total coincedences and infections/flu/illnesses occurring totally unrelated to drug use. happens.