Amitriptiline cocktail

[Mm80]

I find them useless and underfunded to be honest. How on earth did you survive a jump as i thought that was almost foolproof 99.9 percent success rate ?

 

[No capacity]

People look baffled when they find out I survived jumping from a bridge. In fact while I was an inpatient after it a student or junior Dr used my 'case' as a case study for her studies.
I asked for support 1 week before I did it but the people I saw said I didn't have a mental illness, funnily enough after jumping they decided I did. That was 9th Aug 2013 and I'm still under mental health team as I'm too high risk to discharge from services

Still?? After thus many year? Are you visited daily or what happens?

 

[TJuk]

Still?? After thus many year? Are you visited daily or what happens?

I'm seen weekly, see a pyschartist every 3-4 months unless they are concerned then I get to see him within same day or next day. I start with a support worker next week not too sure what he is going to do. I'm only allowed two weeks worth of medication at a time that is going to be reviewed in October to see if they can let me have more.
They are currently helping me find more suitable housing as I have completely messed my knee up in July 2019 so I have crutches now

 

[No capacity]

I'm seen weekly, see a pyschartist every 3-4 months unless they are concerned then I get to see him within same day or next day. I start with a support worker next week not too sure what he is going to do. I'm only allowed two weeks worth of medication at a time that is going to be reviewed in October to see if they can let me have more.
They are currently helping me find more suitable housing as I have completely messed my knee up in July 2019 so I have crutches now

:( Come live with me, although I have stairs I could use the company

 

[a.n.kirillov]

Exactly because it's faster , like I wrote:


SN acts within 10-15 minutes. Say you take benzo at 10pm :

• Say knock out is around 10.45pm .
• By 10.30pm you'll be too out of it to take SN .
• If SN taken at 10.20pm -- you'd still experience SN effects -- before benzo knock out.

Too damn quick ;)

Benzo are taken with SN to make it more peaceful , but not as a knockout .

Ah okay. I have no experience with benzos. Are they in any way comparable with alcohol regarding the sedative effects?

 

[TJuk]

I find them useless and underfunded to be honest. How on earth did you survive a jump as i thought that was almost foolproof 99.9 percent success rate ?

I have no idea, had two spinal fractures, several broken ribs, something to do with lung I think It was punctured, some sort of head injury. I then apparently had an allergic reaction to the dye they use in ct scans I don't really remember what happened though. I vaguely remember police and ambulance trying to keep me on stretcher and I was trying to get away, the next thing I remember is been in back of ambulance with blue lights and sirens and then waking up in intensive care with a police man at bottom of my bed.

:( Come live with me, although I have stairs I could use the company

Thanks, I have stairs but I'm living downstairs luckily my bathroom is downstairs and my sofa is comfy enough to sleep on

 

[No capacity]

I have no idea, had two spinal fractures, several broken ribs, something to do with lung I think It was punctured, some sort of head injury. I then apparently had an allergic reaction to the dye they use in ct scans I don't really remember what happened though. I vaguely remember police and ambulance trying to keep me on stretcher and I was trying to get away, the next thing I remember is been in back of ambulance with blue lights and sirens and then waking up in intensive care with a police man at bottom of my bed.

Some of the most desperate have the absolute worst luck. As someone on one threat said, "if you want to die, you will live, if you eat to live you will die." Bleak

 

[Mm80]

Ah okay. I have no experience with benzos. Are they in any way comparable with alcohol regarding the sedative effects?

Yeah if im correct benzos work on gaba, the same nuerotransmitter as alcohol by increasing it. Thats why they use it for alcohol withdrawal and advise not to use the two together as they are both central nervous system depressants

 

[No capacity]

Does anyone know if you can use Mirtazapine as the Ami substitute. I have researched what it is and looked on all the forums, its seems a "type" but isn't explicitly stated as a substitute?

 

[squirtsoda]

Does anyone know if you can use Mirtazapine as the Ami substitute. I have researched what it is and looked on all the forums, its seems a "type" but isn't explicitly stated as a substitute?

I don't think so, it's a different and less toxic type of drug, amitriptyline is a tricyclic antidepressant. The kind of stuff they used to use in the 60s and 70s predominantly

 

[Quarky00]

Does anyone know if you can use Mirtazapine as the Ami substitute. I have researched what it is and looked on all the forums, its seems a "type" but isn't explicitly stated as a substitute?

Google ? Really just google ..........

https://www.google.com/search?q=mirtazapine+overdose

In summary, mirtazapine overdose is associated with tachycardia, mild hypertension and mild CNS depression. There is no association with QT prolongation, seizure activity, serotonin toxicity, delirium or any need for intervention. Doses less than 1000 mg are unlikely to cause major toxicity.Nov 14, 2013
Mirtazapine overdose is unlikely to cause major toxicity - NCBI

--------

You may want that in Wikipedia format ---

https://en.wikipedia.org/wiki/Mirtazapine#Overdose

--------

Or in SS format --
https://sanctioned-suicide.net/threads/propranolol-mirtazapine.19790/

modern antidepressants are safe in absurdly high quantities

But it's really out there

 

[No capacity]

Google ? Really just google ..........

https://www.google.com/search?q=mirtazapine+overdose



--------

You may want that in Wikipedia format ---

https://en.wikipedia.org/wiki/Mirtazapine#Overdose

--------

Or in SS format --
https://sanctioned-suicide.net/threads/propranolol-mirtazapine.19790/



But it's really out there

Thanks, I just have so many different types and its my preference because I tried before and just went peaceful to sleep (but was found). Can eliminate that easily this time but don't want to land up with brain damage and causing more debt / pain to my family. The other methods all scare me.

 

[Mm80]

Thanks, I just have so many different types and its my preference because I tried before and just went peaceful to sleep (but was found). Can eliminate that easily this time but don't want to land up with brain damage and causing more debt / pain to my family. The other methods all scare me.

I think the reason they hand modern antidepressants out to depressed people like sweeties is for the above reasons, they are generally non toxic and fairly safe in large overdoses.
The older tca antidepressants are quite toxic in od. I believe amitriptiline is a sodium channel blocker and stops the heart to cause death, over a long period hence the massive amounts of benzos needed.
Im sorry you are in this position and i can sense your needs, balanced with your fears, and also the consideration for your family which is kind. May i ask what you tried before?

 

[No capacity]

My last one was accidental. As in, I didn't take my 15mg of diazapram 3 x per day and instead when I got home I just wanted to sleep so I took them with my 15mg zopiclone (and I don't remember the rest but I then proceeded to go to the shops, buy a bottle of gin, drink the gin and empty my remaining months supply of diazapram (so another 435mg of diazapram and another 425mg of zopiclone, mixed with a few packets of paracetamol). I was found about an hour later in the bath but had not run the water and was fully clothed so probably fell in. I was nearly dead when the paramedics arrived. My GSK reading in the ambulance was a 3. 15 we functioning normally, 7 is critical, 0 is dead. Had I just been left a little longer and maybe run the water it would have had a different outcome I am sure. Now I am trying to stockpile, and add an anti-emetic to ensure I don't get sick and go to a hotel and run the bath beforehand. It has to work. So many celebs have "accidentally" died this way. Plus I just found this.

https://www.nrscotland.gov.uk/files/statistics/ve-reftables-2011/ve-2011-t6-12.pdf

 

[Mm80]

My last one was accidental. As in, I didn't take my 15mg of diazapram 3 x per day and instead when I got home I just wanted to sleep so I took them with my 15mg zopiclone (and I don't remember the rest but I then proceeded to go to the shops, buy a bottle of gin, drink the gin and empty my remaining months supply of diazapram (so another 435mg of diazapram and another 425mg of zopiclone, mixed with a few packets of paracetamol). I was found about an hour later in the bath but had not run the water and was fully clothed so probably fell in. I was nearly dead when the paramedics arrived. My GSK reading in the ambulance was a 3. 15 we functioning normally, 7 is critical, 0 is dead. Had I just been left a little longer and maybe run the water it would have had a different outcome I am sure. Now I am trying to stockpile, and add an anti-emetic to ensure I don't get sick and go to a hotel and run the bath beforehand. It has to work. So many celebs have "accidentally" died this way. Plus I just found this.

https://www.nrscotland.gov.uk/files/statistics/ve-reftables-2011/ve-2011-t6-12.pdf

Im sorry that sounds awful.
But 435mg of diazepam and 425 of zopiclone doesnt sound like an accident, mixed with spirits id say thats a lot! Do you mean it was more impulsive rather than an accident, and not researched? Sounds like you were in a dark place and still are, but youre not alone here x

 

[No capacity]

Im sorry that sounds awful.
But 435mg of diazepam and 425 of zopiclone doesnt sound like an accident, mixed with spirits id say thats a lot! Do you mean it was more impulsive rather than an accident, and not researched? Sounds like you were in a dark place and still are, but youre not alone here x

I was i a severe dark place (when you find out your husband, whose child you are carrying has been cheating with both men and women and you are renovating your house for expected baby so living at family and can't cause a scene so just wanted to sleep. Genuine, was not intentional. Just wanted to sleep and obviously not in the right state of mind and also lost the baby when I found out). No excuses, but its been 18 months and not recovered.

 

[Mm80]

My last one was accidental. As in, I didn't take my 15mg of diazapram 3 x per day and instead when I got home I just wanted to sleep so I took them with my 15mg zopiclone (and I don't remember the rest but I then proceeded to go to the shops, buy a bottle of gin, drink the gin and empty my remaining months supply of diazapram (so another 435mg of diazapram and another 425mg of zopiclone, mixed with a few packets of paracetamol). I was found about an hour later in the bath but had not run the water and was fully clothed so probably fell in. I was nearly dead when the paramedics arrived. My GSK reading in the ambulance was a 3. 15 we functioning normally, 7 is critical, 0 is dead. Had I just been left a little longer and maybe run the water it would have had a different outcome I am sure. Now I am trying to stockpile, and add an anti-emetic to ensure I don't get sick and go to a hotel and run the bath beforehand. It has to work. So many celebs have "accidentally" died this way. Plus I just found this.

https://www.nrscotland.gov.uk/files/statistics/ve-reftables-2011/ve-2011-t6-12.pdf

There areca lot of 1 s on those statistics !

I was i a severe dark place (when you find out your husband, whose child you are carrying has been cheating with both men and women and you are renovating your house for expected baby so living at family and can't cause a scene so just wanted to sleep. Genuine, was not intentional. Just wanted to sleep and obviously not in the right state of mind and also lost the baby when I found out). No excuses, but its been 18 months and not recovered.

Fuck. Thats awful. I can see why you would feel this way. Thats harsh. Are you any better at all or is everything still just as painful ? X

 

[No capacity]

There areca lot of 1 s on those statistics !

Fuck. Thats awful. I can see why you would feel this way. Thats harsh. Are you any better at all or is everything still just as painful ? X

Worse than ever
need out soon
Have a potential partner to help.
But secretly just wanna take my meds and dose to never ever land
And I really struggle with how these accidental overdoses happen (Heath Ledger etc) and I really wound hang if I wasn't such Bridget Jones who got EVERYTHING wrong. Would seriously pay for help just to secure a noose. I have the financial means, just "not the capacity"

 

[squirtsoda]

I think the reason they hand modern antidepressants out to depressed people like sweeties is for the above reasons, they are generally non toxic and fairly safe in large overdoses.
The older tca antidepressants are quite toxic in od. I believe amitriptiline is a sodium channel blocker and stops the heart to cause death, over a long period hence the massive amounts of benzos needed.
Im sorry you are in this position and i can sense your needs, balanced with your fears, and also the consideration for your family which is kind. May i ask what you tried before?

I was not prescribed amitriptyline as an anti depressant, I only had it because of a neurological reason. It is pretty rare to see it prescribed for depression these days because of its toxicity. It is statistically pretty effective and keeps up with or exceeds modern antidepressants, but is obviously risky because you can CTB with it and doctors know that.

 

[No capacity]

There areca lot of 1 s on those statistics !

Fuck. Thats awful. I can see why you would feel this way. Thats harsh. Are you any better at all or is everything still just as painful ? X

Worse than ever now and its been over a year. I seem to get worse each day.

 

[enjolras]

Just out of interest, if you have to knock yourself out with benzos for it to be peaceful, why couldn't you just do the same with SN which is safer in a lot of ways and acts a lot faster?

An OD of Amitriptyline, also used to treat insomnia, alone is enough to send someone to sleep peacefully in 30-60 minutes. Technically, no extra med is required for the initial drifting away part

Nonetheless, historically, complementary benzos were strongly advised, especially long acting ones, in order to maintain the state of unconsciousness later on when the Ami ends the job. Bypassing benzos or targeting only too short-acting ones puts at risk to retrieve awareness in agony for quite a dreadful time.

To this extent, PPH recommends Midazolam.
From what I read, the properties of this drug appear controversial.

Execution drug midazolam causes a slow and excruciating death, protesters say

The sedative has been linked to a series of botched executions.

www.newsweek.com

In reaching this conclusion, the court sweeps aside substantial evidence showing that, while midazolam may be able to induce unconsciousness, it cannot be utilized to maintain unconsciousness in the face of agonizing stimuli,"

Thoughts ?

Time left undisturbed may require up to 48 hours with the Ami cocktail, according to

https://www.dignifieddying.com/publicaties/EN/2006%20Guide%20to%20Self-Chosen%20and%20Humane%20Death.pdf

 

[Mm80]

An OD of Amitriptyline, also used to treat insomnia, alone is enough to send someone to sleep 100% peacefully in 30-60 minutes. Technically, no extra med is required for the initial drifting away part

Nonetheless, historically, complementary benzos were strongly advised, especially long acting ones, in order to maintain the state of unconsciousness later on when the Ami ends the job. Bypassing benzos or targeting only too short-acting ones puts at risk to retrieve awareness in agony for quite a dreadful time.

To this extent, PPH recommends Midazolam.
From what I read, the properties of this drug appear controversial.

Execution drug midazolam causes a slow and excruciating death, protesters say

The sedative has been linked to a series of botched executions.

www.newsweek.com

Thoughts ?

Time left undisturbed may require up to 48 hours with the Ami cocktail, according to

https://www.dignifieddying.com/publicaties/EN/2006%20Guide%20to%20Self-Chosen%20and%20Humane%20Death.pdf

Thanks for this info.
Most guides i read said (after antienemic regime) at least 8gms of ami, followed by a long lasting benzo like diazepam approx 300 gms, followed by short acting one like the one above.
Ive also read that tge diazepam can be upped to 5 to 600 mg and used as an alternative.
The unsure part for me is the time taken to pass away. Ive heard of as little as 6 hrs to as much as 48. I wonder id 600mg of diazepam would keep one knocked out for 48 hrs.
Thanks

 

[enjolras]

So sorry, I made a mistake. PPH does not recommend Midazolam but 600mg of Oxazepam, which is a short to intermediate acting benzo

I wonder id 600mg of diazepam would keep one knocked out for 48 hrs.

I wonder that too

Also, alcohol is a recommended potentiator for the Ami cocktail, don't know how many

 

[Mm80]

So sorry, I made a mistake. PPH does not recommend Midazolam but 600mg of Oxazepam, which is a short to intermediate acting benzo



I wonder that too

Also, alcohol is a recommended potentiator for the Ami cocktail, don't know how much

It's OK lol I'm just happy that anyone is discussing ami cocktail. All the cool kids are talking about sn lol.
I read final exit, and the author recommends that you do an experiment. Leave the curtains open, and take a large but not too dangerous amount of diazapem. Maybe 100 mg and see how long you are out for. He also states the importance of not having any tolerance to benzos and not to have taken any for about a month.
I think with the alcohol it's personal preference. As in how much can you ingest without getting too drunk and making mistakes. If you are a drinker like I am, you could probably have a few. If not obviously be cautious.
Another consideration is how to rake the ami. It is supposed to taste very bitter dissolved in water and is almost unbearable. I bought a pill crusher, empty capsules and a filling machine so I could pop it all into about 12 capsules

 

[schizomom]

Y'all are talking about how amitriptyline is a peaceful death. Pretty sure to know that, you'd have to ask a dead guy. My son tried this method twice. You puke and have seizures then this last time, he had cardiac arrest and was given CPR for 1 hour. He is on life support and has brain damage. If you want to go this way, be alone but no, it's not peaceful. Oh, and leave a note for your mom along with a signed DNR. One morsel of hope is enough to stick around... just to see what happens. - no peace for me.

 

[Mm80]

Y'all are talking about how amitriptyline is a peaceful death. Pretty sure to know that, you'd have to ask a dead guy. My son tried this method twice. You puke and have seizures then this last time, he had cardiac arrest and was given CPR for 1 hour. He is on life support and has brain damage. If you want to go this way, be alone but no, it's not peaceful. Oh, and leave a note for your mom along with a signed DNR. One morsel of hope is enough to stick around... just to see what happens. - no peace for me.

Your son is on life support right now with brain damage from an amitriptiline cocktail?

 

[Quarky00]

Y'all are talking about how amitriptyline is a peaceful death. Pretty sure to know that, you'd have to ask a dead guy. My son tried this method twice. You puke and have seizures then this last time, he had cardiac arrest and was given CPR for 1 hour. He is on life support and has brain damage. If you want to go this way, be alone but no, it's not peaceful. Oh, and leave a note for your mom along with a signed DNR. One morsel of hope is enough to stick around... just to see what happens. - no peace for me.

Sorry about that horrible trauma Yes this has been discussed. Lots of sedation is a must to avoid seizures etc (also need 8g to avoid coma , several hours , etc) :

The only thing that makes it feel not painful is the benzo. Otherwise, as I understand things, it's quite horrible. Someone here described their daughter found (dead) aftet Ami -- room trashed, vomit everywhere, yikes.

 

[Mm80]

Sorry about that horrible trauma Yes this has been discussed. Lots of sedation is a must to avoid seizures etc (also need 8g to avoid coma , several hours , etc) :

I never knew that brain damage could occur i thought only heart failure, rather than heart attack ?

 

[enjolras]

Y'all are talking about how amitriptyline is a peaceful death. Pretty sure to know that, you'd have to ask a dead guy. My son tried this method twice. You puke and have seizures then this last time, he had cardiac arrest and was given CPR for 1 hour. He is on life support and has brain damage. If you want to go this way, be alone but no, it's not peaceful. Oh, and leave a note for your mom along with a signed DNR. One morsel of hope is enough to stick around... just to see what happens. - no peace for me.

I'm utterly sorry to learn about your story. The level of emotions hitting on you must be devastating. I'm also schizo and my mom is my only treasure left. Love her to pieces. Many of us postpone until running out of options, then it's facing realities.
I sincerely feel for what you're both going through and will pray for any outcome of relief, for what it's worth.

 

[Quarky00]

I never knew that brain damage could occur i thought only heart failure, rather than heart attack ?

Yeah Ami has risks , brain damage if regimen not followed or rescued too soon . It usually brings comatose state before death . So if one took too little , vomited too much , or saved during that stage -- one would remain alive .

I guess with Ami there's death (common) , coma (possible) , disabled (rare) , and impaired (common) . But I did that research long ago .

Some members reported that months after failed Ami attempt they had motor , memory , speech , concentration problems -- those were pronounced though not seriously debilitating in itself (?) . The worst reported was terrible migraines , but like , those were debilitating . I'm sure there are worse cases not reported here .. Not sure how common ..

There are several reports of members that tried . And few parents posted here (other than mom on this thread) . I read them but too tired to look/search now . Although failed attempt took its toll they appear to be doing okay , considering , with some lasting effects , but obviously they wanted to ctb regardless (I cannot speak on their behalf, just what I remember ). I think their biggest "regret" was taking too little (like 5g) or being rescued .

Really need that high dosage (8g+) , lots of sedation , soaking/crashing preparation (avoid pharmacobezoar?) , and time not to be rescued -- then it's peaceful and certain .