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Not to mention Buprenorphine on top of the ketamine which is bad news with a hot tub.
Meh, I've been on bupe for 4 years and love hot baths and such, it's not that big of a deal. His previous issues were more of a problem than that. Buprenorphine is somewhat of a miracle drug for those of us who have been trying to battle opiate addiction. It has very very little side effects and does nothing more than stop the craving and make someone like myself feel like a normal person instead of like the fucking junkie that I am (was).
Not denying that it has depressive effects on respiratory and other systems. But if you're not abusing other drugs while using it, there's really not any problem with that.
I'm on bupe as well, but both together is a bad news with the hot water. It increases the chance to sleep, and falling asleep in a hot tub will make you drown.
Add to his known addictive personality that he has had a problem with for decades, he shouldn't have been on that combination.
I personally hate bupe because it rarely works on my chronic pain I've had for the last 20 years. The media blew up the legal fentanyl patches I safely took almost 10 years ago that gave me a normal life. This will be just another excuse to restrict medication that works. A buddy of mine has stopped his suicidal issues because of ketamine therapy.