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Pentazocine (Fortwin) Addiction: A study of the dangers

Pentazocine (Fortwin) Addiction: A study of the dangers

De addiction centre

In the early days, Pentazocine (Fortwin) was known to be the safest substitute for morphine and a narcotic drug to treat chronic pain, without the fear of addiction. It belongs to the group of medicines called narcotic analgesics (pain medicines). It works by acting on the central nervous system to relieve pain.

Fortwin is the official brand name for pentazocine an opioid (narcotic) drug that is used to treat moderate or moderately severe pain.

There are many brand names for pentazocine; Fortwin among them is an injectable form of this drug. It is often used as an anaesthetic before surgery. It can be injected by doctors or under their direction, usually administrated on the thigh region.

Is Fortwin (Pentazocine) dangerous?

Consumption of drugs (opioids) in any form can have adverse effects on an individual. So, before you start any medication, you must weigh in all the risks associated with it.

Intake of Fortwin drugs must be well thought out because of the risks of addiction, abuse, and misuse. Besides, accidental overdose of the drug can be fatal.

So, if your health care provider recommends you to consume pentazocine, take into consideration the following risks:

Allergies: Be truthful and tell your doctor about any earlier or unusual signs or allergic reactions to any of the opioids. If you have a medical history of any other form of allergies from food, dyes, animals, etc. mention it as well.

Risky for children: None of the studies conducted by far have ascertained the safety of the usage of pentazocine injection in kids of up to 16 years of age. This is especially true for infants and newborns, and hence, necessary precautions must be undertaken.

Risky for elderly: Similar to pediatrics, none of the studies demonstrate geriatric-specific problems that limit the benefits of pentazocine injection in aged individuals.

However, senior citizens have more probability of facing the aftereffects in comparison to the younger folks. They might suffer from kidney-related issues and others due to which a significant change in the dosage for patients who receive pentazocine (Fortwin) drug injection may be required.

Risks during pregnancy: In general, opioids like Fortwin are known to cross the placental barrier and are contraindicated in pregnant women. So, prolonged usage of opioids can lead to withdrawal signs in the neonate.

Abrupt discontinuation of opioids usage can lead to pregnancy complications (miscarriage / still-birth). If you’re breastfeeding, you must analyze the pentazocine side effects and other risks carefully before administering the medicine to the women.

Contraindications with other drugs: Generally, it’s advised to avoid combining two different medicines as it can adversely affect your wellbeing. However, there are cases when it’s okay to intake two or more medicines together even if an interaction might occur.

In such cases, your doctor might adjust your dosage, or recommend other precautions. In case you’re taking opioids like Fortwin (pentazocine), your medical advisor must have complete knowledge of whether you’re taking any other medicines.

Kindly avoid taking Fortwin injection dose with the following medicines as it can hamper your mental and physical health:

  • Acepromazine
  • Almotriptan
  • Aprepitant
  • Buspirone
  • Cetirizine
  • Codeine
  • Dezocine

Risks associated with alcohol consumption: The consumption of alcohol or tobacco along with medicines can also lead to interactions and may trigger certain side effects.

To avoid mishappenings, the doctor may change your dosage intake or give you special instructions for using this medicine or about the use of food, alcohol, or tobacco.

Staying safe: Precautions to take if you are prescribed Fortwin (Pentazocine)

To ensure the medicines aren’t affecting you negatively, you must take them as prescribed by your doctor. You mustn’t use pentazocine in larger amounts or more than the duration listed by your medical practitioner.

Each medicine comes with a predefined instructions list. So, for best results, follow the directions listed on the prescription label and notify your doctor if the medicine doesn’t seem to be working or has stopped relieving your pain.

Generally, Fortwin is given as an injection under the skin, into a muscle, or a vein under the guidance of your doctor or healthcare provider.

If you’re at home and want to inject it by yourself, you’re given proper training for the same wherein you learn how to use the injection and dispose off the needles and syringes properly. In case you have doubts understanding the process, it’s better to avoid self-injecting this medicine.

Collect all used syringes and needles into a puncture-proof bag and keep it out of the reach of your kids and pets.

Since, Fortwin is usually given in the form of an injection, inserting it at the same place tends to weaken your internal tissues and muscles within that area.

So, inject the medicine at different places on your body and seek the help of your medical practitioner to understand the right places on your body where you can inject the medicine without worrying about your safety.

Note:  Do not mix pentazocine with other medicines in the same syringe or IV line. Use separate needles each time and dispose them off. Keep your pentazocine injection at room temperature and away from heat, moisture, and light.

In case, you missed out a dose, take it immediately. However, if it’s already time for your next dosage, it’s better to skip the missed dose and go back to your regular schedule. The overdose of medicine can harm you, so avoid it.

The quantity of medicine varies from person to person and depends on the strength of the medicine. The number of injections (each day), the timeline, and the duration all depend on the intensity of the medical problem you are treating.

However, as a practice, you mustn’t stop using pentazocine as it can trigger unwanted withdrawal symptoms like:

  • Stomach Pain
  • Fever
  • Runny nose
  • The feeling of anxiety and restlessness
  • Watery eyes

So, always consult your doctor first and then stop your medications to avoid above-listed aftereffects.

Known Signs, Symptoms and Side Effects of Fortwin Injection Addiction


The signs of overdose are similar to general cases of immediate withdrawal. So, if you’re using an opioid of any kind and feel there’s an overdose, it’s always better to seek emergency medical care.

Side effects of the pentazocine can be seen under two conditions. One condition is when there is an over dosage of the drug and another is when a person develops dependency towards it.

You can also keep a check on the following symptoms to better understand your situation:

  1. Overdose side effects

It is usually combined with other form of drugs or alcohol. Some of these combinations can be deadly as it slows down the central nervous system and results in coma and eventually death.

  • Hallucinations
  • Seizures
  • Low blood pressure
  • Lethargy and dizziness
  • Drowsiness
  • Anxiety and headache
  • Vomiting
  • Confusion and Hallucinations
  • Hard lump wherein the medicine was injected
  • Sleeping issues (Insomnia)
  • Blurred vision
  • Sweating
  • Mild itching and skin rash
  1. Dependency side effects

Pentazocine usage may result in dependency but under doctor’s supervision it can be stopped with no withdrawal symptoms. But once the addiction becomes severe and especially when the individual’s choice of drug is unavailable, the effect becomes adverse.

  • When injected there can be a specific damage to skin like ulcers and destruction of tissues due to infection and pus formation.
  • It could at times leads to amputation of hands, arms or legs due to severe damage
  • The lungs might damaged permanently causing respiratory depression and cessation of respiration process itself in the worst scenario
  • Results in memory loss
  • Increased chances of having an anxiety disorder and severe emotional depression
  • Psychosis can also be observed where the person might lose touch with reality. 

Fortwin should not be used when there is a brain injury or damage and when a person is allergic. Pregnant women should also avoid its usage.

Fortwin addiction treatments-

Opioids may have a negative reaction to the body and brain. Fortwin injection addiction treatment will require professional help and this usually begins with medical detox. Here are some treatment processes that are used to beat fortwin addiction

Fortwin medical detox-

When a patient is suffering from a fortwin injection addiction, they are dependent on the drug as well. Dependence is not the case, always, because it does refer to a scenario where someone is physically used to the presence and effects of the drug.

When a medical professional wants the patient to stop depending on fortwin, then they have to expect certain withdrawal signs that can get intense; it’s vital that professionals know how to handle the withdrawal symptoms and make the patient feel as comfortable as possible.

Before a patient begins with addiction treatment, they have to go through a full medical detox, from all substances. A fortwin detox is a situation where the patients will go through withdrawal in a controlled setting, where it will be managed by a professional. The setting will provide constant care and 24/7 supervision.

Fortwin rehabilitation programs-

Once the patient is fully detoxed from fortwin injection side effects, along with any other substances that they might use, they may begin the rehabilitation program.

A fortwin addiction treatment program is a way of helping patients suffering from substance abuse and addiction and stopping them from seeking and using drugs compulsively.

Many people don’t understand that addiction, especially drug addiction, is a chronic disorder that affects your mental and physical health. It also negatively impacts a person’s life, along with their loved ones as well.

Fortwin addiction treatments are evidence-based, and it can include a combination of modified treatments. For instance, opioid addiction treatments can include a combination of behavioral and pharmaceutical therapies to induce the best outcomes.

There are no standard treatment plans, they are highly individualized because no two patients have the same needs or addictions.

Inpatient fortwin addiction Rehabilitation-

Inpatient fortwin rehab programs can be short or long term treatments. The inpatient program can last from 28 days to six months or more. Some of the key features and benefits of an inpatient program are-

  • Patients can stay at the facility for a certain period
  • There is stability and structure
  • Includes supervision and constant care
  • Many fortwin rehabs include addiction treatment and supplemental therapies like vocational and nutritional counseling
  • The inpatient program will require the patients to leave their professional and personal lives behind, this way they can avoid any stressful triggers.
  • The whole inpatient is quite intensive and really focused on recovery and treatment

Outpatient fortwin injection addiction rehab-

This program is where a patient participates in treatments after a residential stay, and this is the only type of treatment they can participate in. Outpatient rehabs are less structured and there is no residential element like inpatient programs.

There are intensive outpatient programs, but the patient will have to sleep at their homes and not at the center. Outpatient rehab centers will allow the patient more flexibility, and they can continue with their personal and professional commitments while receiving the necessary treatments.

However, this rehabilitation program is not recommended for someone who lacks support from their family and who is surrounded by an environment that is stressful and triggers their addiction.

Fourteen percent of all those who have been prescribed pentazocine for medical use will get addicted to it. So, there are high chances that it can cause dependency. However, with medical supervision and doctor’s advice, the dosage can be reduced gradually with no withdrawal symptoms.

Call us @ 96111 94949 to learn more about Fortwin or opioid related treatment and deaddiction options. 

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