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EvisceratedJester

EvisceratedJester

|| What Else Could I Be But a Jester ||
Oct 21, 2023
4,651
From what I know, codeine isn't recommended due to it being a weak opioid. You would need a stronger opioid, such as heroin or fentanyl.
In short, heroin or fentanyl are ideal.

Stronger opioids such as heroin, fentanyl, or oxycodone are generally preferable as other types of opioids require much larger doses and thus have higher risk of failure. For example, heroin is about 10x as strong as morphine.

I highly recommend against using weak opioids like codeine, tramadol, or hydromorphone (dilaudid) as they are far too weak to reliably ctb.
 
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tercermundista

tercermundista

Member
Apr 23, 2024
38
From what I know, codeine isn't recommended due to it being a weak opioid. You would need a stronger opioid, such as heroin or fentanyl.



But if I mix this shit with alcohol, could it increase its lethality? This has already killed some people.
 
ForeverLonely82

ForeverLonely82

Student
Dec 22, 2021
185
I done it with vicodin. I slept great but it's such a ghetto concoction. once was enough. I recommend sipping it.
 
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grapevoid

grapevoid

Mage
Jan 30, 2025
529
But if I mix this shit with alcohol, could it increase its lethality? This has already killed some people.
Likely killed them due to being mixed with other drugs, underlying health conditions or interactions with meds.
 
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Rhizomorph1

Rhizomorph1

Psychology (B.A.) & Substance Use Researcher
Oct 24, 2023
635
But if I mix this shit with alcohol, could it increase its lethality? This has already killed some people.
It will increase lethality but you have to put some things into perspective statistically. Any marginal increase is not very meaningful if we don't account for the actual proportional size of that effect.

E.g., Tripling the odds of dying if the base-rate odds are e.g., 0.1% only puts it up to 0.3%.

I'm not sure the exact odds of successful ctb with codeine or alcohol alone but working off the aggregate statistic of overdose suicides altogether being successful 1-6% of the time, we can assume polydrug suicide attempts are included; especially with alcohol considering it's one of the most accessible and commonly used drugs.

Inferring from this aggregate statistic, I doubt your method is much better than the higher end of this range; being perhaps closer to 6%

I wouldn't count on it considering the likelihood of vomiting and unreliable pharmacokinetics of both drugs, even when used conjointly.

For even just moderate (but far from good reliability still) Stick with stronger opioids used in massive doses preferably via IV or rectal administration; check out my opioid mega thread for more info. Even this method is only moderately reliable and has major confounding issues making it far from reliable even when controlling for drug purity and other vectors of error; the pharmacology of opioids are fundamentally unreliable no matter what peripheral controls you implement.

The only proven and reliable drug overdose methods that are accessible are SN or inert gasses *when extra-pharmacological factors such as environment, exit bag configuration, or antiemetic regimen* are tightly controlled. A few others are mentioned in the PPH but they typically lose some points on either reliability, comfort/painfulness, and accessibility (e.g., nembutal)
 
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CantTurnBack

CantTurnBack

everyone's connected · (she/her)
Sep 21, 2023
70
My grandmother died from a codeine overdose, but it was likely the additive butalbital/acetaminophen in her pills and not the controlled substance itself.

When rappers are rapping about "sizzurp" they're referring to Promethazine based cough syrup with codeine. This is often mixed with Sprite to create the iconic "purple drank" that you've heard about in pop culture. Sometimes they may also add the syrup to their blunts or lace it with other drugs for the crossfade.
 
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