according to the pph, the sn method only takes 3 steps but… why is it more complicated in the tutorials here?

[notevenhere]

from the book, it said to fast for a few hours and take 10mg of meto x 3 then crush your benzos and put 2 glasses of 2 mix of sn and water with the ratio instructed

but here it's like, much more convoluted like 3 500mg paracetamol or something, won't you get a painful organ failure before an even takes you? or why do we need to take meto a full 48 hours before, is it for gastric reflux? i have gastric reflux, i also have a 100 tablets of domperidone x 2 — so do i follow that? if i just take sn impulsively (only planning a day for it like the book, i wake up, dont have breakfast, dont even drink liquids, at midnight drink the sn and benzos, would that leave me with a damaged kidney or liver that i would need dialysis forever for?

 

[name2come]

I do tend to think some protocols seem more complicated than needed, but its all a matter of how cautious you feel you need to be.

3 tablets of paracetamol/tylanol is not going to cause organ failure. Its just a slightly aggressive dose and still below a 24 hour maximum. The SN will cause your blood pressure to drop which can cause a headache, so the pain reliever is just to limit the impact of that.

For Meto, I gather there are two recommended regimens, one starting 36 hours out and one that just has a big dose shortly before ingesting the SN. I can't find much pro/con info on the two approaches, but its probably okay to just pick one. I expect I'll go with the 3x dose myself. I would guess the prolonged dosing allows the body to get used to its effects so it works more efficiently, but I think as long as you give it a little time before the SN, it should still work from one dose.

I think domperidone is an alternative anti-emetic. If you opt for that, I think you'd want to skip the meto. My general understanding is that you don't want to stack drugs don't the same thing because they don't always interact well. I've read that domperidone is the safest antiemetic option, but probably the least effective although that's among options that are still essentially effective. The Farewell Wiki has some info about antiemetic regimens: https://en.farewellwiki.org/wiki/Antiemetic_Regimen

I've not read anything about a risk of kidney/liver damage with SN. Generally, most people either die or recover fully. There can always be exceptions. Bodies don't act perfectly predictably in response to major trauma, but there haven't been many reports of lasting damage from failed SN attempts.

I hope you find what you need.

 

[DeathSweetDeath]

Yeah, it doesn't call for that much paracetamol. Why would you take the SN at midnight? When you wake up in the morning, if you've slept 8 hours, that means you've already fasted for 8 hours. Fasting for much longer than that will just increase stomach acid, which you don't want. Morning would be perfect. Finally, your last sentence threw me for a loop. If we go into an attempt expecting failure, the attempt is likely to fail. Dialysis? You would go on dialysis? Because I wouldn't. The sentence about going on dialysis suggests (imo) not that you want to CTB, but that you want to live, even on dialysis. Forgive me if I'm reading too much into it, but to me, that's how it reads.

 

[Carrot]

I'm planning to be tired when taking SN, hopefully that has a positive effect, but it's speculation. I'd be long gone but I'm scsred of tsking pure SN without anything else.

 

[h4ppyhypoxia]

i think its bc the pph is designed mostly for elderly people who are really physically ill so its sort of giving "bare minimum" guidance for them to have a peaceful death that is relatively easy to access in spite of their condition, most people on here are younger and so our bodies are more resilient, and most of us have more ability to source things compared to someone whos body is giving up on them more and more as each day passes

i also think there is a difference between the "target audience" of the pph and people on here, the pph is written for elderly people at the end of their life who would like a peaceful way out rather than being taken by a terminal illness, a lot of the people on here arent coming towards the "natural endpoint" of their life, rather we feel stuck in the middle of an undesirable intolerable point, which i think leads us to being more fixated on ctb, we NEED it to work because its unlikely we are going to die soon otherwise, so it makes sense that we would take extra precaution and develop methods more (not sure if i explained this well but hopefully you get my point, i just think the "mentality" around choosing to die is different in an elderly person suffering from a physical illness vs a younger person trapped in mental suffering)

also the consequences of survival could generally be considered "worse" for the average user on here vs someone who is terminally ill, bc its more "socially acceptable" for someone to desire to end their life due to physical suffering rather than mental suffering

ofc thats just a stereotype/generalisation but i suspect that could be why stuff is more "complicated" on here, bc we want to be thorough, we want it to work

 

[Serena 2026]

I do tend to think some protocols seem more complicated than needed, but its all a matter of how cautious you feel you need to be.

3 tablets of paracetamol/tylanol is not going to cause organ failure. Its just a slightly aggressive dose and still below a 24 hour maximum. The SN will cause your blood pressure to drop which can cause a headache, so the pain reliever is just to limit the impact of that.

For Meto, I gather there are two recommended regimens, one starting 36 hours out and one that just has a big dose shortly before ingesting the SN. I can't find much pro/con info on the two approaches, but its probably okay to just pick one. I expect I'll go with the 3x dose myself. I would guess the prolonged dosing allows the body to get used to its effects so it works more efficiently, but I think as long as you give it a little time before the SN, it should still work from one dose.

I think domperidone is an alternative anti-emetic. If you opt for that, I think you'd want to skip the meto. My general understanding is that you don't want to stack drugs don't the same thing because they don't always interact well. I've read that domperidone is the safest antiemetic option, but probably the least effective although that's among options that are still essentially effective. The Farewell Wiki has some info about antiemetic regimens: https://en.farewellwiki.org/wiki/Antiemetic_Regimen

I've not read anything about a risk of kidney/liver damage with SN. Generally, most people either die or recover fully. There can always be exceptions. Bodies don't act perfectly predictably in response to major trauma, but there haven't been many reports of lasting damage from failed SN attempts.

I hope you find what you need.

Your answer was very enlightening—thank you. My protocol is the "N" one, and although it acts quickly (or so I hear), would it be a good idea for me to take a painkiller as well? The protocol doesn't mention anything about that, so I wasn't sure!

 

[name2come]

Your answer was very enlightening—thank you. My protocol is the "N" one, and although it acts quickly (or so I hear), would it be a good idea for me to take a painkiller as well? The protocol doesn't mention anything about that, so I wasn't sure!

Tylenol is suggested in the SN protocol because of a specific symptom caused by SN, so I don't think that would carry over to N. If the N protocols don't mention it, I would expect you don't need to include that but always good to read a few different protocols if you can.

 

[PeaceSeeker83]

Just stick to what the PPH says.

 

[abcdefg789]

i think its bc the pph is designed mostly for elderly people who are really physically ill so its sort of giving "bare minimum" guidance for them to have a peaceful death that is relatively easy to access in spite of their condition, most people on here are younger and so our bodies are more resilient, and most of us have more ability to source things compared to someone whos body is giving up on them more and more as each day passes

i also think there is a difference between the "target audience" of the pph and people on here, the pph is written for elderly people at the end of their life who would like a peaceful way out rather than being taken by a terminal illness, a lot of the people on here arent coming towards the "natural endpoint" of their life, rather we feel stuck in the middle of an undesirable intolerable point, which i think leads us to being more fixated on ctb, we NEED it to work because its unlikely we are going to die soon otherwise, so it makes sense that we would take extra precaution and develop methods more (not sure if i explained this well but hopefully you get my point, i just think the "mentality" around choosing to die is different in an elderly person suffering from a physical illness vs a younger person trapped in mental suffering)

also the consequences of survival could generally be considered "worse" for the average user on here vs someone who is terminally ill, bc its more "socially acceptable" for someone to desire to end their life due to physical suffering rather than mental suffering

ofc thats just a stereotype/generalisation but i suspect that could be why stuff is more "complicated" on here, bc we want to be thorough, we want it to work

What excellent an interesting points! Make a lot of sense!

It is quite frustrating how many differences there are between different protocols.

 

[Serena 2026]

Tylenol is suggested in the SN protocol because of a specific symptom caused by SN, so I don't think that would carry over to N. If the N protocols don't mention it, I would expect you don't need to include that but always good to read a few different protocols if you can.

Yes, it's true... thank you!!

 

[UserFromNowhere]

i think its bc the pph is designed mostly for elderly people who are really physically ill so its sort of giving "bare minimum" guidance for them to have a peaceful death that is relatively easy to access in spite of their condition, most people on here are younger and so our bodies are more resilient, and most of us have more ability to source things compared to someone whos body is giving up on them more and more as each day passes

I'd also note that the PPH has gone through several revisions, as have SN protocols on this website. From my understanding, the PPH used to say that SN should be taken with paracetamol as well, but has since been revised to exclude that. There's a number of other substances which the PPH recommended to be used with SN as well which have since been taken out. Protocols on this site have either taken from the various iterations of the PPH or from other protocols on the site, so it is bound to be a confusing and contradictory mess if you're trying to look at "all the information" instead of just sticking to one protocol, even if that protocol is your own fashioned from all the other protocols. In my case, I'll probably be going without anti-emetics (if needed, substituting it with seroquel) and benzos simply to remove the hesitation.

 

[Serena 2026]

i think its bc the pph is designed mostly for elderly people who are really physically ill so its sort of giving "bare minimum" guidance for them to have a peaceful death that is relatively easy to access in spite of their condition, most people on here are younger and so our bodies are more resilient, and most of us have more ability to source things compared to someone whos body is giving up on them more and more as each day passes

i also think there is a difference between the "target audience" of the pph and people on here, the pph is written for elderly people at the end of their life who would like a peaceful way out rather than being taken by a terminal illness, a lot of the people on here arent coming towards the "natural endpoint" of their life, rather we feel stuck in the middle of an undesirable intolerable point, which i think leads us to being more fixated on ctb, we NEED it to work because its unlikely we are going to die soon otherwise, so it makes sense that we would take extra precaution and develop methods more (not sure if i explained this well but hopefully you get my point, i just think the "mentality" around choosing to die is different in an elderly person suffering from a physical illness vs a younger person trapped in mental suffering)

also the consequences of survival could generally be considered "worse" for the average user on here vs someone who is terminally ill, bc its more "socially acceptable" for someone to desire to end their life due to physical suffering rather than mental suffering

ofc thats just a stereotype/generalisation but i suspect that could be why stuff is more "complicated" on here, bc we want to be thorough, we want it to work

I agree with you, and your explanation was very clear! ️

 

[Jonah Byrde]

Just stick to what the PPH says.

What does pph mean? I see this shit everywhere.

 

[UserFromNowhere]

What does pph mean? I see this shit everywhere.

Peaceful Pill Handbook, sometimes referred to the PPeH which refers to the eBook version of it. A book released by Exit International documenting allegedly peaceful ways to end ones own life.

 

[PeaceSeeker83]

What does pph mean? I see this shit everywhere.

Peaceful pill handbook. Glad I got it because otherwise everybody is getting there knickers in a knot over the method.