Help Best anti emetic regimen

[Chinaski]

I'm hearing different reports on the best anti emetic regimen prior to taking N. This link here has several different regimes:

https://en.m.wikibooks.org/wiki/Suicide/Toxification/Antiemetic_regimen

I've also read elsewhere that to guarantee success a meto pill must be taken hourly the day before. Too much of it is conflicting. Which is the most trustworthy?

 

[Hunter]

I know two persons who passed by N. both did a stat dose 45 min prior. I don't think hourly in the day is necessary but if you want to manage risk, 48 hour protocol seems reasonable.

 

[BellaKAT]

I know two persons who passed by N. both did a stat dose 45 min prior. I don't think hourly in the day is necessary but if you want to manage risk, 48 hour protocol seems reasonable.

with meto?

 

[RainAndSadness]

I'll go with the recommended schedule of A. I don't think it's gonna make much of a difference anyway.

 

[Hunter]

Consult the link chinaski posted. You can do it with Domperidone or Metro, but meto is stronger. Add on optional Ondansetron (Zofran) if you want. I might add on an extra dose or two same day but will likely do stat dose so I don't sit thinking about death for 48 hours.

 

[BellaKAT]

w

I'll go with the recommended schedule of A. I don't think it's gonna make much of a difference anyway.

what does a recommend?

 

[RainAndSadness]

w

what does a recommend?

2 tablets 8 hours before drinking the N 2 more tablets half hour before.

 

[Hunter]

I would think twice before following A's protocol. He's a drug dealer, not a doctor.

 

[RainAndSadness]

I would think twice before following A's protocol. He's a drug dealer, not a doctor.

Does the schedule really make a difference? I don't know. So many people left with his product already. I simply assume they used his schedule.

 

[Jupiter]

I think I'll go with the 25h-schedule. One every 8 hours. Two an hour before I'll take the N.

 

[NumbItAll]

How much should be taken for a stat dose of Metoclopramide? Lots of conflicting info.

 

[Hunter]

There isn't "conflicting" info, people just need to read Chinaski's link. It's simple. You do either a stat dose or a 48 hour regimen, then N 45 min later. Read the link.

Again, I wouldn't trust A's advice. He's a seller. Trust the research.

 

[Hunter]

I think I'll go with the 25h-schedule. One every 8 hours. Two an hour before I'll take the N.

Why improvise like this? 24 hours? Then taking a lower last dose? Why?

 

[Chinaski]

There isn't "conflicting" info, people just need to read Chinaski's link. It's simple. You do either a stat dose or a 48 hour regimen, then N 45 min later. Read the link.

Again, I wouldn't trust A's advice. He's a seller. Trust the research.

Worth noting here that PN has reduced the stat dose from 60mg to 30mg in the October PPEH, which suggests a dose of 30mg an hour prior is generally the way to go.

 

[Hunter]

Worth noting here that PN has reduced the stat dose from 60mg to 30mg in the October PPEH, which suggests a dose of 30mg an hour prior is generally the way to go.

Why did they change the last dose like that? I planned to take 45 mg meto and add on Ondsnsetron.

 

[Hunter]

Worth noting here that PN has reduced the stat dose from 60mg to 30mg in the October PPEH, which suggests a dose of 30mg an hour prior is generally the way to go.

I don't know what "PN" is but if you're referring to the PPH it might be because their suggested N dose is smaller.

 

[Chinaski]

Why did they change the last dose like that? I planned to take 45 mg meto and add on Ondsnsetron.

No idea. PN also suggested cannabis as an anti-emetic in the same update, it's a dog-eared offering and, frankly, he's phoning it in these days.

Still, at 60mg his was the highest suggested stat dose, so l guess this reduction does provide some consistency regarding this issue.

 

[Chinaski]

I don't know what "PN" is but if you're referring to the PPH it might be because their suggested N dose is smaller.

PN is the doctor we're no longer allowed to name, not to be confused with Philip Netzsche, who is not a doctor at all and just happens to have a similar sounding name.

The update is available here, in the resources section. There was a discussion in a separate thread which I'll find and link for you in a minute. The anti emetic advice is not specific to N but is for all drug cocktails, so N quantity is not important. Besides, anti emetics either stop you throwing up, or they don't - but the higher dose may cause more severe side effects.

 

[Chinaski]

https://sanctioned-suicide.net/threads/october-2018-vomiting-chapter.6919/

And further discussion here

https://sanctioned-suicide.net/threads/n-date-is-closing-by.7155/#post-119039

 

[Hunter]

Ok. So I guess I'll provide the inside scoop for the two people I know who passed by N.

They both took Metroclopramide as a stat dose of 45 mg roughly 40-60 minutes prior to drinking 16 grams (2 bottles) of liquid N. One person added an additional 16 mg of Ondansetron.

Good luck people

 

[Jupiter]

Why improvise like this? 24 hours? Then taking a lower last dose? Why?

I wanted to follow Idorus' and Mud's advice:

I posted this is in a different thread a few weeks ago so it's a copy & paste...

"One person close to me used N. to find peace.
It went perfectly smooth and painless (I've been told).

She followed the following routine...

25 hours before consumption she took 2 tablets of antiemetics (Metoclopramide).
She stayed sober, didn't eat, only drank water.
Then she took 1 pill every 8 hours, taking the last pill 1 hour before consumption of N.

She ate a small biscuit half an hour before drinking..
For the aftertaste, she took a spoon of honey immediately after drinking.

She also took some Oxycodon and Diazepam to keep her calm in the hours leading up to it."

 

[Jupiter]

And here:

From Dignified Dying 2006 (page 85);

We are informed by reliable sources that it is common practice for patients to take anti-emetic medications only 1 hour prior to h the barbiturate. In Chapter 2.2.8 we recommend that one begins using anti-emetics at least 36 hours before carrying out a humane self-chosen death.
Regurgitation has been reported in 12 (5%) of the 246 cases. wozz believes this complication would be reduced with an earlier start ofthe use ofanti-emetic medication. https://www.dignifieddying.com/publicaties/EN/2006 Guide to Self-Chosen and Humane Death.pdf

However, they changed to 24 hours in the dutch 2008 edition of Dignified Dying (page 107 - I translate);

It seems that patients usually take an anti-emetic agent just one hour before taking the barbiturates. We advise you to start at least 24 hours in advance. Regurgitation with the patient was reported in 12 (5%) of the 246 cases. Possibly this would occur less frequently if an anti-emetic agent was to be started earlier. https://dignifieddying.com/publicaties/NL/2008 NL Guide to a Self-Chosen and Humane Death.pdf

My end-of-life counselor (who's keeping an entire database of N takers - asking family to report back how it went etc.) was clear as well with a total of 5 tablets;

- 25 hours (before..) 2 tablets
- 8 hours after that ^ 1 tablet
- 8 hours after that ^ 1 tablet
- 8 hours after ^ 1 tablet (< that's 1 hour before the final step)

 

[therhydler]

I would think twice before following A's protocol. He's a drug dealer, not a doctor.

He's a vet

 

[creationisdeath]

He's a vet

Which is very far off from an MD.

Funny how he apparently sends out recommendations now. When I contacted him to get the prices a while ago he didn't comment on that at all.

 

[Arak]

I just don't see the point of the 'ahead' schedule.

Desensitizing receptors ? To me, that's just weird.

 

[Jupiter]

I just don't see the point of the 'ahead' schedule.

Desensitizing receptors ? To me, that's just weird.

Are you a general practitioner?

 

[gingerplum]

I just don't see the point of the 'ahead' schedule.

Desensitizing receptors ? To me, that's just weird.

I'm not sure if the "ahead" method makes sense; that would be a question for a pharmacist or maybe a gastroenterologist.

That said, why not? It's not going to hurt anything to dose yourself every 8 hrs round the clock for a couple days; then if you want a big "stat" dose just prior, you could do that, too.

Even if you change your mind, no harm done, and all bases doubly covered.

 

[Chinaski]

I'm not sure if the "ahead" method makes sense; that would be a question for a pharmacist or maybe a gastroenterologist.

That said, why not? It's not going to hurt anything to dose yourself every 8 hrs round the clock for a couple days; then if you want a big "stat" dose just prior, you could do that, too.

Even if you change your mind, no harm done, and all bases doubly covered.

From what l gather both methods work equally successfully so it's a case of each to their own. Some people may prefer the added mental security of an ahead regime, others may be more impulsive and prefer a stat dose in order to expedite matters. I'd certainly fall into the latter.

Dignitas give 30mg of concentrated liquid meto an hour or so prior, personally I'd prefer to stick as close to the Dignitas method as possible but l also understand that vomiting is not a *huge* thing with N in the same way it would be with other cocktails, the anti-emetics are a necessary precaution but l don't think there needs to be a hard and fast rule beyond take meto, drink N, eat chocolate.

 

[gingerplum]

From what l gather both methods work equally successfully so it's a case of each to their own. Some people may prefer the added mental security of an ahead regime, others may be more impulsive and prefer a stat dose in order to expedite matters. I'd certainly fall into the latter.

Dignitas give 30mg of concentrated liquid meto an hour or so prior, personally I'd prefer to stick as close to the Dignitas method as possible but l also understand that vomiting is not a *huge* thing with N in the same way it would be with other cocktails, the anti-emetics are a necessary precaution but l don't think there needs to be a hard and fast rule beyond take meto, drink N, eat chocolate.

Honestly, I think either method will result in a good outcome. I just want to emphasize for those in doubt or questioning methods, you really can't overdo it. If it gives you added peace of mind to take excessive amounts of metoclopramide, go to town... there's no downside.

 

[Chinaski]

Honestly, I think either method will result in a good outcome. I just want to emphasize for those in doubt or questioning methods, you really can't overdo it. If it gives you added peace of mind to take excessive amounts of metoclopramide, go to town... there's no downside.

Depends imo, l always thought PN's 60mg was a bit OTT when you consider possible side effects. Drinking N requires a steady hand, you can live without muscle spasms kicking in, so going too far above and beyond the recommended could be problematic for some.