Many people use offshore online pharmacies to obtain it without a prescription (feel free to PM me if you'd like a recommendation others have confirmed is used successfully without issues). It's up to each individual to assess the risks and research their sources, but many have successfully obtained it this way. Personally, I've had success with telehealth. There are plenty of avenues available if you're really looking for it.
Yes, there are documented cases of success without AEs. Ultimately, the choice is yours, but the general consensus is to include it to enhance prokinetic effects (or gastric emptying), which can help facilitate faster SN absorption in the small intestine. The goal is to move it out of the stomach and into the small intestine, which is why D2 dopamine antagonists are specifically recommended for this purpose, rather than just any type of AE.
See this post for various cases without the use of AEs:
I have combined and added all the brief summary of all the attempts, assumed successful and unsuccessful, of SN suicide. These are all posts that the member has made to document the method, news articles, and scientific articles. If I have missed any I apologise and it would be great if you can...
sanctioned-suicide.net
I've never heard of anyone reaching a fourth cup—if someone is still alive and able to drink after trying 3 glasses and vomiting etc, it might be time to reconsider and aborting. I seriously question whether it's SN if someone could be attempting a 4th! In fact, I can't recall anyone making it to even a
third off the top of my head (but it is possible of course). For me, if I was still alive and kicking enough to be considering the 4th cup I would probably opt to abort the attempt and get medical attention. If someone is making it to a 4th cup, it probably isn't SN and possibly something like sodium nitr
Ate instead.
It's also important to note that throwing up after the first cup and not getting to the second after throwing up also doesn't indicate failure; many successful cases never made it past the first cup even if they threw up. The amount is already intended as overkill (kind of pun intended).
That said, having a second (or even third glass) prepared is good planning. I'm sure there are examples I'm not considering, but the vast majority of people wouldn't need that much, let alone be able to drink it.
Correct, at lower doses (typically below 300 mg per day), quetiapine mainly affects serotonin receptors (5-HT2A) and to achieve significant blockade of D2 receptors (which is what matters for SN purposes), doses generally need to start to increase, typically around 300-400 mg per day or more, though individual responses can vary widely and this does needs to be gradually and with enough time for the medication to build up in the system. One-off or quick escalation doses will not achieve the the right properties from Seroquel (Quetiapine).
Which is why this is not really a preferred method to get AE effect when medications like metoclopramide or domperidone are far more suited for the task.
With whatever you decide, I hope you find everything you are looking for and get peace & serenity.
