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541465 tn?1219427886

Can you mix methadone and tramadol?

HI, I normally take 120 mgs of methadone daily ( been clean off opiates or over 6 months now), take 2mgs of Klonopins daily, and 50 to 100mgs of phenergan (promethazine or promethazine hyrochloride, ) ,  AND 0.2 mgs of Chlonodine a day,. . . . .AND, 200mgs oF seroquel ( but only used for sleep.  Im prescribed all the meds so this pill i found which i knew was a Tramadol/Ultram 50 mgs.  Is that safe?   The only interaction that i am worried about is the methadone.  I was kinda bad and gave all all my klonopins to a friend (at the time she needed it, but I do have seizures so i must take benzo's),   All i had let was 1.5 mgs of Klonopin, 0.2mgs Chlonodine, 1 mg ativan (another pill i found with the tramadol)., the 200mg Seroquel  ( well right now, i cut them in  half i i dont need it),  Its hard to pee at the clinic when they have the random urins, and that 50 mg Tramadol.  I really want to know iit will work, its a waste, or will it sent me into withfdraws??? Pleae try to get back to me asap.  I keep staring at the thingl  please respomd quicly.  Thank ou,
Maradnb/ aka DJ Hotess
4.34 PM
32 Responses
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Avatar universal
It's a year later since that question was posted so you're either in recovery, dead, or in an institution of some sort because there were enough drugs to put you in a permanent coma. Want a coma?
Helpful - 2
Avatar universal
I'm in methadone clinic now down go 45 mg I'm detoxing out an what that guy said about suboxone is true an yea u could overdose on tramadol an methadone together... But unfortunely they cause adverse effect if taking with methadone they did on me!! Yes I wouldn't listen to the clinic nor google nor pharmacy ... I took my own a ice an mixed em... Boy did I regret it!!!! The feelings I got ugh!! My head felt bigger then ****!! I can tell u what u can do if u get off methadone save u some tramadol up cus wen your stepping off methadone it's suppose b best thing to get you off methadone ever was.... Good luck hope this helps...  God bless
Helpful - 1
1 Comments
I meant to say I took my own advice and mixed them
Avatar universal
HI the key to coming off methadone is to do it slowly talk to your clinic they can put together a taper plan for you we cannot talk about them on the forum but if you take your time you can minimize the withdrawal as for the drugs cloidine is helpful but not all doctors will prescribe it the actual withdrawal last about 7 to 10 days then you hit the post withdrawal witch is no sleep and the  energy crash it ruff stuff to get off off but if your determined it is doable I was on 150mg and it took me 8 1/2 mo to come off it but it was so so worth it so talk to your clinic they know your health risks and can give you a safe taper good luck and God bless......Gnarly
Helpful - 1
Avatar universal
Hi I have bad pain also and was looking for something to help. My doctor called in tramadol for me but for some reason i got sick from it last night and this morning. I went to get my 40 mg methadone dose this morning and asked the nurses about it. They said it act likes narcon and puts you right into withdrawal. So my suggestion is do not take it!!
Helpful - 1
Avatar universal
I think it is great you are helping out but, methadone in high enough doses does block the effects of other narcotics and tramadol  can cause you to go into withdrawal. There are many medications that can cause someone on methadone to go into withdrawal. If someone on methadone takes st. john wart they can go into withdrawal,tagamet for heartburn or acid reflux. There are many that can cause withdrawal just like many that can cause overdoes. It is great that he/she is asking for help but, I feel that they are asking in the wrong way. They don't seemed to be concerned about adverse effects while taking methadone, they seem to want to find medications to get them high while on methadone. If that is the case then why bother taking methadone? You are going to end up overdosing by mixing these meds. You are going to search for that high and your methadone dose is blocking the euphoric feeling that your searching for and your going to take too much because you won't find that feeling anymore . Please, stop doing what your doing. Your going to end up over dosing and may not come back from that. If you are still having these wanting to use feelings talk to your counselor at the clinic or the Dr. there and they can up your dose and get to that blocking dose in your mind and your body. Good luck to you. If you need to continue to ask questions for the right reasons then I am sure we are all here to help you.
Helpful - 1
1 Comments
That's rite and true!! I know I want the help you can see my comments above
Avatar universal
Tramadol is not a good thing to take while on methadone. You can go into instant withdrawal not to mention the fact that it is highly addictive and the withdrawals are known to be bad. I have been on the program for 12 years and i get a month at a time take homes. I am very careful not to take anything without a script from the Dr. and call the clinic whenever I do get a script to find out about it. I was in a car accident(ped.vs van) and was given tramadol. I was told not to take it because I can go into withdrawal . The clinic should have a card that they can pass out that tells you what medications can put you into withdrawal and what can cause an overdose. I have one at home and I keep it handy. Good luck to you but my opinion would be not to take it.
Helpful - 1
2 Comments
But when your stepping down off methadone 5 mg a week til you get to 30 mg is it ok to taje them then while cutting down I hear you can I'm needing the help bad I know they cause adverse affect but would one tramadol hear an there be ok as lkng as I'm going down
When I get to 30 mg the doc is leaving on it for a week then I'm OUT
Avatar universal
i'm somewhat confused,the first thing that comes to mind is why on earth would you think about taking this pill you found(tramadol).if the methadone is helping you stay away from other opiates and keeping you out of trouble,stick with the program.i'm assuming you know that meth is an opiate,to take a tramadol while on meth really wont do a darn thing.meth is not a blocker like suboxone so any opiate you add to meth could enhance the effect of either but unlikely with tram.it will not send you into withdrawals.i think you really need to find as much info. as possible about your post and learn from it.i really wish the best and if you have any questions ,we're here.we want the best for everybody and anybody
Helpful - 1
Avatar universal
You're taking too many prescriptions. Each one has an effect on the rest of them. They're over-sedating you and need to cut back on the ones that duplicate the effect of many others you are taking. Make a list of all those prescriptions and take it to a reliable trustworthy doctor and see what they say about the level of your medication.
Helpful - 0
Avatar universal
Taking Tramadol with Methadone DONT GIVE YOU WITHDRAWALS!!! Fools! Both, methadone and tramadol are opioide agonists and taking them both at the same timewill make them work in synergy. Mean, effects of methadone/tramadol will be more potent, plus you are saying u also using Clonazepam, its strong benzodiazepine, like most ppl who know the topic, benzos + opioides = more potent high. U are taking 120mg of methadone (it isnt low, but also ist not very high dosage), plus 2mg of clonazepam + ativan + sertraline+ promethazine (its 1st generation antihistamin drug, who have great potency in making opioides more potent). Only with that mix of substances are u using u have to be high, and you are worrying about Tramadol? Please! U wanna know is it safe to take it and avoid withdrawals from methadone! You are junkie.
Helpful - 0
Avatar universal
IDK HO U RANDOMLY GOT THAT BU TLETS PUT IT LIKE TIS... ITS BASICALLY A SUPER SUPER SUPER SUPER SUPER SUPER HEAVY SOMA... AND MAKES U ITHCY AND EVEN TAKING ONE, YES ULL NOD OUT.. IT WILL NOT AFFECT THE METHADONE. FOR THOSE OF U WHO DONT KNOW WHAT SOMAS ARE THEY ARE A MUSCLE RELAXER. THE TREMADOL SOULD NOTTT AFFECT ANY METHADONE CLIIIC U/A'S AS IF IT DOES GET A NOTE FROM YOUR DOCTOR THERE MUSTVE BEEN A MISTAKE AS TREMADOL MAY SHOW A FALSE POSITIVE FOR WELL IT WILL SHOW POSITIVE FOR BARBITUTIES... BUT IM GUESSING U ALREADY FAIL FER THOSE ANYWAY CUZ OF THE OTHER SSRI'S UR ONE, HOWEVR IF U ARE PRESCRIBED K-PINS  ( THIS IS IMPORTANT) THEY MAY SHOW UP ON A HOME DRUG TEST WHICH IS WHAT CLINICS USE AS A BARBITUATE. ANY DOCTOR KNOWS THIS THESE TWO DRUGS ARE ONE IN THE SME AND WILL WRITE IT OFF FER U IF HES PRESCRIBING THAT MUCH OF THOSE THING TO U..
Helpful - 0
Avatar universal
I am thinking since tram. is an opiate agonist it should help me stretch out what little methadone I hv left. Soooo tired of trying to quit, hv many times. Considered suboxone, but the cost stops me.
Helpful - 0
Avatar universal
You're not clean off opiates if you take a whopping 12 ten Mg methadone a day. I'm a tolerant user, and that's WAY more than I take daily. Btw I took 5 tramadol and 2 methadone today, and it didn't send me into withdrawal. That whole line is a bunch a bull she©#. But yeah, just toss the trammy, you're already on too much to be''quitting''
Helpful - 0
Avatar universal
I read your post and i am in tears. I know that sympathy is not what you are looking for but relief. I am currently on tramadol. About 300 milligrams a day. And have been taking them for 13 years. I take them for carpal tunnel syndrome. I have also taken xanax. For around 10 years. 1 milligram 3 tid. I got off the xanax due to pregnancy with no problems whatsoever. Now, on the other hand, the tramadol are absolutely CONTROLLING my life. I know of 3 other women that also are in the same boat. I cannot express to you the benefits of the tramadol. They work like magic. ABSOLUTE MAGIC. They work as an SSRI, and a synthetic opiate. And while I am telling you the benefits, I am at the same time expressing to you that the withdrawals are so unbearable that they have caused me to miss class (college), by the way, I am a 38 year old mother of 5 children that mean the WORLD TO ME. The tramadol has given me the ability to juggle a new born, a toddler, a DIVORCE, a BSE, full time job, and a beautiful house. And yes, I am a highly intelligent, motivated person. And I am telling you that the tramadol was a MIRACLE DRUG. Now, I'll tell you that If you need relief from pain, and at the same time, relief from depression and to be CLEAR headed.... TRAMADOL will be your best friend. (i take 200 milligrams in the a.m. and no need for another dose as they are extremely long actiing). Having said this, if you do not want to suffer the worst form of withdrawal (the antidepressant) ....they will be your worst ENEMY. It appears that you have a long term need for the pain med. and an antidepressant wouldn't hurt in your circumstances. I read your post and could not help myself from telling you about this medication. I don't think that access to the drug is going to be a problem at all for you. It is totally up to you to give it a try. I have expressed my concerns as far as the withdrawal. But you are on methadone. So I really don't think it could hurt you to try them. They very well could make a huge difference in the quality of your life. It seems as though you are making a call out for help. And that is the reason for my reply. Again, one 50 milligram tablet is about the equivalent to like a .25 milligram xanax. (just to give you an idea). So i take 200 milligrams of the tramadol all at once only in the morning. They last all day. And they do not affect your judgement AT ALL. PERIOD. Sounds to me like this is your drug.
Helpful - 0
Avatar universal
It's saved lots of lives and marriages I'm glad, some of my friends are living now instead of dead because of Methdone therapy.                             The chalky Magnesium/Calcium Carbonate ant-acid are much safer for heartburn ESPECIALLY for Methdone patients. Zantac ranitidine will ruin your day. Why dont you eat better. refrain from heavy Foods,Red Meat,fast food and anything fried in that cheap hydrogenated oil That is what causes heart-burn in the first place and 3 other things tobacco; especially cigars,alcohol especially wine and liquor and finally lying down opens up a working stomach so wait until it digests. If youre on 120 mg methadone you guys are in no way clean and sober. I feel sorry for you for what's ahead. they won't give it you in jail so let them kill you instead of capture you. There is nothing in the world as addictive as methadone and 120 mgs is pretty much the Max allowable dose. To get off you've got to space it out gradually dose,skip 1 day, dose skip 2 days and drop 10 mg per week until your done then take a suboxzone or sub-tex 48 hours after your last methadone dose  then some small maintainance ,but just one week of this final therapy: Sboxzone, Sub-tex ,buphenepherine
best luck
Helpful - 0
Avatar universal
Being on Klonopin for extended periods ecpecially when taken for seizures. What you are doing is dangerous in several instances. Here is an example, I myself have been on Klonopin for 3 years. I also have Hep C which is a disease that effects my live & since Klonopin is metabo'd in the liver I asked my Dr. to switch me to Ativan because it is metabo'd in the  kidneys. What I did not know is that Klonopin has a 30- 60 hr half life while Ativan has only a 10- 20. Needless to say I went into benzo withdrawl syndrome. Seziure, hallucinations, weakness, life threatening withdrawl so I would recommend that you find a way to replace your Klonopin O forget about the tramadol before you find yourself in some real trouble. God bless and pls, from now on worry about your saftey & well-being instead of a "friends" drama. Good luck
Helpful - 0
Avatar universal
hI , THIS IS MY FIRST TIME ON THIS PAGE . i ASKED A QUESTION , THE SAME ONE IM ABOUT TO ASK U AND MY COMPUTER SENT ME TO THIS PAGE. NICE TO KNOW THAT SOMETHING LIKE THIS IS HERE. ANYWAY,IVE BEEN ON 120 MILLIGRAMS OF METHADONE FOR A YEARAND HONESTLY ITS COMPLETLY SAVED MY LIFE. IVE BEEN CLEAN AND SOBOR FROM ANY AND ALL OTHER CHEMICALS FOR 1YR. MY QUESTION IS THAT IVE BEEN HAVING HORRIBLE HEARTBURN FOR A WEEK NOW,IS ZANTAC OKAY TO TAKE OR WILL IT SEND ME INTO WITHDRAW????? THANKS
Helpful - 0
1 Comments
Hi Triska I hadon't the same prob I would get bad heart burn and ulcers I started the garcinia cambogia and vinegar(with the mother) u only need 2 tsp of the vinegar and a lil over a cup of water to dilute it then take 2 garcinia down with it itso good for all around health problems but it completely took my heart burn away! Hope this helps..also ginger or lemon peal are not only natural but wrk wonders fr heart burn the ginger is also a natural pain killer..
Avatar universal
i took 150 mg of Tramadol and 25 mg.of methadone for about 3 years..no withdrawal from Methadone precipitated by the Ultram for me, but everyone is different..in fact in the beginning,the Methadone-Ultram combo was the best high i ever had,but it never lasts and you end up chasing the monkey[high] till you die if you don't get clean..
the constipation,as all opiate addicts know all to well,becomes unbearably uncomfortable and dangerous as toxins/bacteria/fecal matter build up in your gut instead of being eliminated timely as you try every laxative known to man..Casara Sagrada is the ONLY thing[herb] that kept me semi regular..
my advice? DON'T MIX UM TOGETHER..get off all opiates now before they ruin you[check yourself b 4 ya wreck yourself] and then prematurely kill you..i did 5 rehabs between 2000-2012...the first 4 were traditional BS and 2 of them put me on "Subuxone/Subutex/buphenephrine therapy" which is just a more powerful opiate and will keep you firmly hooked on opiates for their bosses/rulers owners over at big pharma as most rehab centers ARE OWNED BY BIG PHARMA INTERESTS!.. i finally got my *** up to RDD in Michigan 2 weeks ago and did rapid detox with Naltrexone therapy and it works..still ain't no picnic afterward but it can be done and miles ahead of traditional rehab centers,
2 hour twilight sleep procedure on Weds. in hospital will get you opiate free in 2 hours ,and the withdrawal period for methadone users is much easier & shorter than any other tradtional rehab center [except for the rapid detox subuxone clinics because they are simply replacing your opiate of choice with yet another more powerful opiate,subuxone, for big pharma and dying psychopath,sociopath,inbreed.insane,satanic kingpin David Rockefeller & his insane Rockefeller-Rothschild family inbreds prescription drug cartel/monopoly empire] ever hear of the Rockefeller Foundation? they brought at least 2,000 insane Nazi scientists over here in 1940 something to develop all the poison drugs we are all hooked on now..except  for "Adolphine"[Methadone] which was developed in 1937 in Nazi Germany by Nazi scientists for da fuhrer Hitler

my opiate use history:
2003-2006 Morphine & Morphine Contin daily as prescribed by pain doc
2006-2012  30 mg.Methadone daily as prescribed by pain doc
2009-2012 mixed Methadone & 150-200 mg. Ultram/Tramadol daily each morning[ not presribed]

why RDD in Michigan?
$8700 plus $20 an hour "if" you need caretaker after procedure back at hotel......about 10 grand less than the other 6 rapid drug opiate detox centers in U,S.and its a 1st class operation...no BS promises..they get the opiates off the receptors in 2 hr.procedure on Weds..
.you stay in hospital 1 day..
,and you go home on Friday and feel like crap,
but nooooo where near as bad as regular withdrawal at/like other traditional no- subuxone rehabs..but obviously a lot depends on how long you used opiates and i used for 9 years so i figure it will be 2 months - 6 months before i feel totally normal again, but you can do this rapid opiate detox and finally get clean if you have the money to do it..insurance will not cover the cost..why? BECAUSE IT PHUCKING WORKS!..I tried cold turkey Methadone withdrawal twice..no way baby..no can do and i can't see ANYONE being able to do it that has been on methadone over 5 years..the acute withdrawal CAN last 30-60 days! and the protracted withdrawal a year or more! another thing..Ultram/Tramadol has a 2 fold action..its synthetic codeine AND its a anti-depressent w/ very similar molecular make up as the anti-depressent "Effexor"..so when you come off Ultram you get the constant electrical shock all over body feeling from coming off anti-depressent AND codeine/opiate withdrawal..DOUBLE WHAMMY BABY  Ulltram/Tramadol/Ultracet is nasty stuff..don't let anyone tell you otherwise because THEY ARE LYING..I KNOW !
Helpful - 0
Avatar universal
I am ready to come off methadone. Several reasons....teeth, constipation, weight gain. I have heard of a cocktail of phenergan, phenobarbitol and chlonodine help with the withdrawals. Did you do this or what? What wre your withdrawals? How long? and how severe?
Helpful - 0
185545 tn?1331074866
Hey there scarecrow. Im sorry to hear you are gaving such a difficult time today. Im also sorry your post has taken so long to attract a reply but you have posted on an old and obselete thread. I suggest you copy and paste your original post and begin a thread of your own. Maybe then more people will be able to read your post and offer some advice.

From what I can gather, you still have enough methadone and clonazepam to last you until your next script arrives in addition to a secret "exit strategy"cache of tramadol.  I am not exactly sure what medications you have run out of. I have little or no knowledge of MS and even less about the (non narcotic) meds you are meant to be taking. I dont know how this will affect your health but the fact you were prescribed them at all suggests someone (a doctor) believes they a necessary for your own well being.

Anyways, please try to repost your message in a thread of your own. If you have any difficulties and/or queries please do not hesitate to private message (PM) me and I will do my best to assist you.  
Helpful - 0
Avatar universal
I am a disabled Vet, I get my meds all from one place, that helps watch for interactions. I have had MS for most of my life. In 1998, I was told I only had about 2 more years to live. I had small daughters then. And one on the way... I refused to give in to the chair, much less, the grave. I went on and off various narcotics over the years, but do not like being a slave to them, and always would get off when that incident that led to them was over. (Kidney stones, which are common enough in MS, as well as various accidents, strained back, etc.) Once I was better, I'd get off it, what ever it was, and i was on them ALL at one time or another. But, I was staying home with the kids, my ex was out working. I needed a clear head. I asked what I could do with my pain management Doc. He Rx'ed Methadone. i thought that was only for Heroin addicts. Like a lot of people do. I later learned why it was invented, but after about 3 mos, i tried to kick it. What a B**ch! I caved, not feeling too happy with myself. Doc says, why, if it was insulin, would you want to not be 'addicted' to that? If it was digitalis for your heart, would you not want to be 'addicted' to it? This is NO different! You have a life altering disease as serious as any of those... Take the meds that let you do what you need to be doing, raising your kids. Made me feel a little better. But I knew, I was still an addict, no matter what he said.At about the 6 month mark, i tried kicking again, against medical advice. I lasted about three weeks. It was living hell. And it just never seemed like it was getting any better. i caved again. that was about 1994 0r 95. I never tried since. My ex used to steal some of my meds, including her fav, my Clonazepam. i had to hide my pills from her. I take as little as I can get by with, and have kept the progression as slow as possible, knowing, someday,. i'll have another kidney stone, *5 so far, 3 that wouldn't pass) or some car wreak, or something that will have me in a world of hurt, and strange docs who don't know me. i know damned well, the drugs of choice for a kidney stone, demerol and visteril., won't work next time. I may not be able to speak for my self. My kids are getting almost old enough to leave home. I'll be alone. no one to speak for me. No one to explain. i used to wear a medic alert bracelet. I don't, turns out I'm allergic to the metal in then! It's always something. Anyway, I'm still only on 30 to 40 mg of methadone after all these years, now a single dad, I HAVE to stay clear headed, and avoid the fatigue that MS and the pills bring. I can't do much about the fatigue of MS, but the pills, I can. My problem is, lately, I've been having bad headaches again. That's what got me diagnosed with MS in the first place. I have here on my desk, a bottle from the VA, of over 260 Tramadol. I never took them, I tried a couple, two or three times, and they seemed to do nothing at all, not as much as a Tylenol, seriously. That was BEFORE the Methadone...So I stashed them away, and forgot about them. until now. I had a hiccup at the VA and my neds, long story short, I'm running out of many meds... About all I Do have left are clonazepam and methadone. cause I never took all I was allowed to, and once I got divorced, no one was stealing them anymore. the extras piled up. Nothing I've tried helps the icepick in the back of my eyeball feeling. It was gone for years, but it's back. I can't even see good, and my eye is watering, and hurts like a mutha. If the thamadol won't help, what will? i set it aside as my 'exit stratagey', for when that time comes. That day is not THIS day. And it won't be for some time to go... MY youngest is only 12. i have a number of years I HAE to stick around, no matter what, and stay in the best shape possible. What the hell can I take? I'm on the methadone, 30 to 40 mg a day. (My choice, usually, only 30) and 2 mg of Klonopin, or clonazepam, same thing, Baclofen, for spasticity, Some cholesterol and stomach acid meds, some Gabapentin for nerve pain, (worthless) some Zanafles, or tizanidine for muscles, , and 15mg at nite of Temazepam for sleep, those are all the main ones. I also usuallt take 200mg od provigil to help with fatigue, but I ran out long ago. over a month. I'm running out of almost every narcotic except clonazepam and methadone. I called the VA, many times, and finally, got some refills, I think, coming in the mail soon. But for now? I know I'm already in withdrawal from some of this stuff. That's bad enough. Can't sleep, tired, all the time, hurt like hell, muscles in knots all over my body, and cranky as hell with the kids... And THAT'S where I need to draw the damned line. I was granted full custody by the court, despite my MS, and my ex being employed and 14 yrs younger, and not sick, (except of me being sick) I have a job to do. It's the most important thing I'll ever do. I don't want to take something that will take me away from them even for a short time. But I can't take out my hurt on them either. Help me please!
The Scarecrow (needs a brain)
Helpful - 0
Avatar universal
Be very careful with Tramadol. The doctor say it is safe however I know someone who was addicted to Vics, and then she decided to take Tramadol thinking it was ok, but the withdraws from the Tramadol were even worse than the withdraws from the Vics. I don't think they will interact because your body process it differently. I suggest not taking it and tampering yourself off of the methadone. A lot of people I know have taken methadone to help with withdraw symptoms, and they ended up getting hooked on the methadone. Good luck and I hope this helps.  
Helpful - 0
1814148 tn?1332485798
Hey there..you are on an addiction forum so moralizing people's behavior is not helpful or tolerated. I'm glad you take all your medications as prescribed. The simple concept of addiction is to be POWERLESS over a substance. Methadone and benzos are a dangerous combo. Clinics have standards in place to keep people safe...including yourself. When addicts are prescribed what they feel they need then there is no recovery in sight. Addicts have differing ideas of what sobriety looks like. Being free of all mood altering substances and learning how to cope without them is ideal but not a reality for everyone...
Helpful - 0
1984562 tn?1326491206
Why would you go to the icu?unless you were taking way to much of either or both?I amgoing to a methadone clinic,and I have been prescribed 0.5 mg of xanax 3 times daily.I amonly allowed to be on 100 mg of methadone or less to keep the benzo.that is how most clinics do things now,after some people died from being on high doses,or abusing meds,or taking them when theyare not prescribed therefore your body is not use to them.Its allabout sticking to proper dosages,taking them only "as needed'.People have realy messed things up for the ones that dont do that crap!now it is a big,because of the misuse,and people ending up in the E.R.overdosing.it makes me sick.the bottom line is "people give benzos a bad name''-sad....
Helpful - 0
Avatar universal
well your coming off 2 of the hardest drugs to detox from and its not going to be plesent even if you taper methadone your still dope sick for a month and dont really start to feel like yourself for 3mo as for the tram I personally dont have experence with it but we have members who do I will send some messages out so they know your here but for the next few weeks your going to feel like hell good luck and God bles.....Gnarly
Helpful - 0
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