@BleedingHeart I got it as a prescription for nausea with migraine (faked that one) but I have (genuine and known to the doctor) insane nausea due to motion sickness, so if I get on a plane, I do need something stronger than over the counter medication, so he gave me 100 straight away. If you do get EPS and it doesn't disappear on it's own in a day or so, I would see a doctor. EPS should be, in most cases, transient.
People here read the side effects very closely, which is good, BUT it also creates a lot of fear and panic. Most medications have side effects and everything that could potentially go wrong needs to be listed. The doctor who prescribed meto asked specifically if I was taking medication that otherwise effects dopamine signaling. As I do not take any medication otherwise, he said it was fine. Based on his question I assume that people taking medication affecting dopamine signaling should not take Meto to begin with, but someone more medically versed than me should confirm that.
If you check here:
https://www.rxlist.com/reglan-drug.htm
It says:
'Acute dystonic reactions, the most common type of
EPS associated with metoclopramide, occur in approximately
0.2% of patients (1 in 500) treated with 30 to 40 mg of metoclopramide per day. Symptoms include
involuntary movements of limbs, facial grimacing,
torticollis, oculogyric crisis, rhythmic protrusion of tongue,
bulbar type of speech,
trismus, opisthotonus (
tetanus-like reactions), and, rarely, stridor and
dyspnea possibly due to laryngospasm; ordinarily these symptoms are readily reversed by
diphenhydramine (see
WARNINGS).'
EPS chance of 0.2% in patients with 30-40 mg/ day. You start with 10 mg. If you get nothing 8 h later, you take 10 mg. If you have nothing 8 h later, you take 10 mg. If you get EPS, you discontinue and change to domperidone.
I had no problem doing a trial with these odds for myself, 0.2% is a very slim chance in my opinion. If you want to be extra careful, start with half a pill (5mg), see how you feel. If you're fine, take a whole one 8 h later and see how you feel then. If you feel you want to see a doctor, you can always say you got it abroad when you got a migraine. They cannot check if you've recently been to Europe and had a migraine there and what prescription you got for that. Someone else here recommended saying you got it from your aunt who suffers migraines. I don't know where you are from, but doctors here will not press you to tell where you got medication if you come to the practice complaining about side effect from xyz. I think you're overthinking it a bit. :)
I have planed on doing the following for my regime:
11pm 10 mg meto
7am 10 mg meto + light breakfast, fasting from then on
3pm 20 mg meto
11pm 30 mg meto
12am 20 capsules of sodium nitrite (total 14 g) followed by 50 ml 20g sodium nitrite
Reasoning:
I don't want to do 48h, I think that will make me hyperaware and very much increase SI for me. 24 h should be fine for me. Based on the thread where meto buildup and elimination in the system was described, I think I should have full meto coverage at the time I take SN. I do not vomit easily, so I am very content with this.
I am still debating an antacid, but unless I happen upon one by accident, I will just go with that.
I think the more you complicate the regimen by adding benzos and whatnot, the more you set yourself up for panic, interaction of meds and failure. The real challenge is to know your time and to know yourself. When you're ready, you're ready and not overthinking.
One thing that I am contemplating, but I don't know how to incorporate it, is pentobarbital. I have some, but not enough to kill me. I'd just.. I don't know, I like the idea of having it there, just because.. and it will give whoever is doing the toxicology report a headache. I like that idea. Anyone have any good idea on that front? :)
www.drugs.com
