befree
Time to do more enjoyable things _____Goodbye_____
- Mar 22, 2022
- 2,588
Translation from German
"Selbstbestimmt Sterben - Handreichung für einen rationalen Suizid (German Edition) Jessica Düber
Chloroquine
"General info
Chloroquine is a drug used for the treatment and prophylaxis of malaria and for the treatment of rheumatic diseases. Cause of death in case of overdose is cardiac arrest. Regarding the onset of death, data vary from 2 to 24 hours. It is important to note that chloroquine generally exists in two different dosage forms:
Chloroquine - salt (both as chloroquine sulfate or chloroquine phosphate). Hydroxychloroquine. Most of the documented successful cases of self-determined dying have been with chloroquine phosphate. Chabot lists the use of chloroquine sulfate and chloroquine phosphate as methods that meet the criteria for peaceful dying. In the absence of documented successful cases, the use of hydroxychloroquine does not meet these criteria (see Chabot: Dignified Dying. A Guide. 2014, p.52ff and p.98). The chloroquine available in Germany under the brand name "Resochin" is chloroquine phosphate. The dosage form is always indicated on the outer packaging and in the package insert.
Procurement
For procurement, I recommend to get a prescription from an online clinic on the Internet (you only have to fill out a questionnaire). As described above, you can either just have the prescription sent to you and then redeem it at a pharmacy of your choice, or you can have the medication sent directly to your home by a mail-order pharmacy that cooperates with the online clinic. This is, in my opinion, the easiest way to obtain the drug. In some countries, chloroquine is also available without a prescription. It is also possible to get a prescription from a family doctor or travel physician. Here it should be noted that one should inform oneself beforehand about what is best to tell the doctor in order to get the drug prescribed. The malaria pathogen is now resistant to chloroquine in many regions, so that for the prophylaxis and treatment of malaria more modern means are used and the doctor would prescribe a different drug. So you have to research beforehand in which regions there are currently malaria pathogens that are not (yet) resistant to chloroquine and possibly also tell the doctor that you would like to receive this drug (for example, you could state that you have used this drug before and tolerated it well, unlike other drugs).
When researching, it is important to ensure that the information is up to date, as the regional resistance of the malaria pathogens to chloroquine can change from time to time. Furthermore, it is advisable to familiarize yourself beforehand with the recommended dose of chloroquine to be taken as malaria prophylaxis in order to be prescribed a sufficient amount for self-determined dying (otherwise, you may have to see several doctors to obtain a prescription). The usual dose of chloroquine phosphate for malaria prophylaxis is 500mg weekly. You can start the therapy two weeks before the planned departure, keep it during the trip and continue it for about 4 weeks after the end of the trip. Assuming that the usual Resochin tablets with an active ingredient content of 250 mg of which you would have to take 2 tablets a week for malaria prophylaxis, you would probably be prescribed a package of 20 tablets for a four-week trip to a malaria area.
From the explicit information on dosage given below, it can be inferred that about three times the amount of chloroquine phosphate is required for self-determined dying. If necessary, it is promising to report a planned trip of several months in order to obtain a prescription for the required amount at once. Overall, despite these specifics to consider, it is easy to obtain chloroquine, and it is therefore one of the drugs used quite frequently for self-determined dying. There are sufficient documented cases of successful self-determined dying (see WOZZ - Foundation manual) to assess the method as safe and recommendable.
Tolerance
Chloroquine does not induce tolerance even when taken continuously (e.g., when used regularly for malaria prophylaxis). Therefore, prior withdrawal is not necessary. Since chloroquine requires combined use with benzodiazepines, withdrawal from benzodiazepines may be necessary.
Need to take a benzodiazepine
Chloroquine itself is lethal in overdose, but consciousness remains clear. The lethal effect on the heart can be very painful if consciously witnessed. Painful muscle spasms or an epileptic seizure may continue to occur. The effects start relatively quickly after taking chloroquine. Therefore, the use of chloroquine absolutely requires the use of both a long-acting and a fast-acting benzodiazepine. The long-acting benzodiazepine is necessary to induce a sufficiently deep sleep for many hours, since dying can drag on for several hours. The fast-acting benzodiazepine is important with the rapid onset of action of chloroquine to prevent experiencing the rapid onset of unpleasant side effects. Benzodiazepines are also not only able to ensure that the dying person does not consciously experience the side effects, but they are also able to suppress muscle spasms and epileptic seizures. This is advantageous, among other things, when self-determined dying is accompanied by close persons who might otherwise be irritated by convulsions of the dying person.
Regarding the combination of chloroquine and benzodiazepines, there has been controversy in the past, starting from the statement formulated in 1993 by Chris Docker in his book "Departing Drugs" that benzodiazepines are capable of overriding the lethal effect of chloroquine on the heart and are therefore less suitable in this combination. In the handbook of the WOZZ - Foundation from 2008, the authors state that they do not share this view. They state that the background to this assumption is probably that "in cases where an overdose of chloroquine has been taken, diazepam is used as an antidote in the hospital. The authors of "Departing Drugs" conclude that diazepam and all other benzodiazepines are unsuitable if one wants to end one's life with chloroquine.
Diazepam is indeed used to counteract chloroquine poisoning. But one cannot conclude from this that diazepam is an antidote for the lethal effect of chloroquine on the heart. Diazepam, in our opinion, has been used by physicians in emergencies against chloroquine poisoning because it suppresses muscle contractions and epileptic seizures" (quoted from Admiraal, Chabot, Ogden, Loenen, van, Pennings: Pathways to a humane, self-determined dying, Amsterdam, 2008, p.86). The view that benzodiazepine is not an antidote to the lethal effect of chloroquine on the heart is underscored by the authors of the WOZZ - book by providing a listing of documented cases of self-determined dying, of which all 37 documented cases were successful.
In 25 documented cases, 6 - 8g of chloroquine phosphate combined with a high dose (1000mg) of diazepam were taken in each case. In all cases, death occurred within four hours and without the occurrence of epileptic seizures. In the updated edition of his book "Five Last Acts", Docker qualifies his statements by stating that if chloroquine is taken in high enough doses, a benzodiazepine would not be able to counteract the lethal course ("Nevertheless, the statistics suggest that if you use enough chloroquine, that even the bezodiazepines will not be able to counteract the lethal action" (quoted from Docker: Five Last Acts - The Exit Path. 2015. p.332)). Nevertheless, he maintains the overall view that benzodiazepines are not the drugs of first choice for a combination with chloroquine: "True, if you ingest enough chloroquine there is very little that can be done to prevent death, even with medical treatment; but it makes little sense to take the standart antidote (benzodiazepine) with the drug chloroquine itself" (quoted from Docker: Five Last Acts - The Exit Path. 2015. p.342). Docker states that it is contrary to both mainstream and specialist sources to suggest that benzodiazepines have no effect on the cardiotoxic effects of chloroquine ("...suggesting they do not alter the effect on the heart is contrary to both mainstream and specialist sources which very specifically note the effect of benzodiazepines on cardiotoxicity in chloroquine poisoning" (cited in Docker: Five Last Acts - The Exit Path. 2015. p.332)). In the 2015 updated edition of his 2014 book Dignified Dying, Boudewijn Chabot, one of the authors of the WOZZ - book, states that according to toxicologist Ed Pennings (also co-author of the WOZZ - book), it has not been convincingly demonstrated in the literature that diazepam inhibits the toxic effects of chloroquine on the heart ("it has not been convincingly demonstrated in the toxicological literature that diazepam blocks the toxic effect of chloroquine on the heart" (quoted in Chabot: Dignified Dying. A Guide. 2014, p.53)). Furthermore, Chabot's book states that animal studies have reported contradictory results ("Studies on animals have reported results that conflict with each other" (cited in Chabot: Dignified Dying. A Guide. 2014, p.53)).
In view of the different assessments in this regard, everyone is advised to independently review the literature cited in the appendix and current scientific results to decide whether benzodiazepines should be combined with chloroquine. Personally, I am of the opinion that a combination of chloroquine with benzodiazepines is the only sensible combination (apart from the use of a barbiturate as a sleeping pill, which, however, is unlikely to be a realistic alternative in most cases because of the difficulty of obtaining it). Finally, it seems convincing to me that in "Dignified Dying" Chabot reports on the experiences of Dr. Uwe - Christian Arnold, a German physician who actively campaigns both medically and politically for self-determined dying (his highly recommended book is also in the bibliography). Arnold has knowledge of numerous cases in which a combination of chloroquine phosphate with high doses of diazepam led to rapid death. I would also like to point out that, should one decide to use a sleeping pill other than a benzodiazepine in combination with chloroquine, extensive research is necessary to determine which drug is suitable.
In the WOZZ book, the use of zopiclone as a sleeping pill, a modern sleeping pill from the group of so-called Z-drugs, which act similarly to benzodiazepines, but are supposed to have a lesser influence on sleep architecture, is also reported in the context of the documented cases: "5 persons took zopiclone as a sleeping pill; 2 of them took 300mg. Sleep aid; 2 of them took 300mg. In the others, the dose was unknown. In 2 subjects taking zopiclone, it took longer than half an hour for them to fall asleep. One of them experienced painful muscle contractions triggered by chloroquine while fully conscious. For the relatives present, this was an extremely upsetting experience. The authors therefore plead against the use of zopiclone" (quoted from Admiraal, Chabot, Ogden, Loenen, van, Pennings: Wege zu einem humanen, selbstbestimmten Sterben, Amsterdam, 2008, p.88).
Necessity of taking an antiemetic
Taking an antiemetic is definitely necessary
Lethal dose
The lethal dose of chloroquine phosphate is reported to be between 8g and 17.5g
The lethal dose of chloroquine sulfate is reported as 11g.
The lethal dose of hydroxychloroquine is given with an amount between 12g and 15g.
In the WOZZ - Foundation manual, a lethal dose of 11g is given for chloroquine sulfate and chloroquine phosphate alike. In the listing of documented cases of self-determined dying with chloroquine, successful executions with an amount of 6g to 8g of resochin are also described, but also in combination with the rather high amount of 1000mg of diazepam (cf. Admiraal, Chabot, Ogden, Loenen, van, Pennings: Wege zu einem humanen, selbstbestimmten Sterben, Amsterdam, 2008, p.85 and p.88 - 89). These quite possible, successful executions with lower dosages of chloroquine should not, in my opinion, be regarded as universally valid. Chabot, one of the co-authors of the WOZZ - book, gives in his more recent work an amount of 17.5g chloroquine phosphate as a lethal dose (cf. Chabot: Dignified Dying. A Guide. 2014, p.54). Chris Docker, in the most recent edition of Five Last Acts, recommends taking 8g to 10g and also seems to refer (though this can only be interpreted from the photographic image of a drug box below the text) to the dosage form as chloroquine phosphate.
He writes: "Although as little as 5g is usually fatal, 8 to 10 grams is considered a more reliable lethal dose - simply as no - one has never survived the amount" (quoted from Docker: Five Last Acts - The Exit Path. 2015. p.349 - 350). The indications of the lethal amount of chloroquine sulfate do not differ in the works of the WOZZ - Foundation and in Chabot's book of 2014 (or in the updated version of 2015) - both give here a dose of 11g chloroquine sulfate as lethal (cf. Admiraal, Chabot, Ogden, Loenen, van, Pennings: Wege zu einem humanen, selbstbestimmten Sterben, Amsterdam, 2008, p.85 and Chabot: Dignified Dying. A Guide. 2014, S.54) Docker does not explicitly refer to a dose difference between chloroquine sulfate and chloroquine phosphate. For hydroxychloroquine, an amount of 12g is given as a lethal dose in the WOZZ - book (cf. Admiraal, Chabot, Ogden, Loenen, van, Pennings: Pathways to a Humane, Self-Determined Dying, Amsterdam, 2008, p.85). Chabot later gives a lethal dose of 15g (cf. Chabot: Dignified Dying. A Guide. 2014, p.98), however, also points out, as already described above, that there are hardly any successfully documented cases on this dosage form. In summary, I would recommend that everyone educate themselves on what dose is recommended as lethal based on the cited literature and current scientific research. Personally, I consider (for an average weight human) a dose of 15g of chloroquine phosphate to be appropriate for the performance of self-determined dying. The amount of 15g of chloroquine phosphate is contained, for example, in 60 pieces of the tablets "Resochin 250mg" available in Germany.
The required amount of benzodiazepines for combination with chloroquine is given by the authors of the WOZZ - book as 500mg of a long-acting benzodiazepine and 100mg of a fast-acting benzodiazepine. This recommendation coincides with the current indications of Chabot (cf. Admiraal, Chabot, Ogden, Loenen, van, Pennings: Ways to a humane, self-determined dying, Amsterdam, 2008, p.89 and Chabot: Dignified Dying. A Guide. 2014, S.54).
Intake
Taking the antiemetic (e.g., starting 24 hours before planned intake of the lethal drugs, one tablet of metoclopramide 10mg every 6 hours / the last tablet should be taken about 1 hour before intake of the lethal drugs).
Do not eat anything from about 12 hours before the scheduled intake of the lethal drugs (drinking is quite normal).
Crush the drugs (you can do this the day before and store the crushed substances in an airtight and dark place in a screw-top jar).
About 30 minutes before taking the lethal drugs, you can eat a snack (e.g. a slice of toast).
The lethal drugs in crushed form (e.g. 60 crushed Resochin 250mg - tablets) can be stirred into a small bowl of pudding, soy yogurt or fruit puree along with the crushed long-acting benzodiazepine (e.g. 500mg diazepam).
The fast-acting benzodiazepine (e.g., 100mg midazolam or lorazepam) is stirred into a separate small bowl of pudding, yogurt, or fruit puree.
1 to 2 glasses of liquid are provided to wash it down.
It´s best to take the substances in an upright sitting position in bed, placing supportive pillows to the left and right.
The bowls are spooned up quickly one after the other, with the bowl containing the fast-acting benzodiazepine spooned up last.
Then rinse with one or at most two glasses of liquid and, if necessary, drink a small amount of alcohol (alcohol is not absolutely necessary)."
This translation of the book is not meant to encourage you to commit suicide and to use this method. The reader acts on his own responsibility.
"Selbstbestimmt Sterben - Handreichung für einen rationalen Suizid (German Edition) Jessica Düber
Chloroquine
"General info
Chloroquine is a drug used for the treatment and prophylaxis of malaria and for the treatment of rheumatic diseases. Cause of death in case of overdose is cardiac arrest. Regarding the onset of death, data vary from 2 to 24 hours. It is important to note that chloroquine generally exists in two different dosage forms:
Chloroquine - salt (both as chloroquine sulfate or chloroquine phosphate). Hydroxychloroquine. Most of the documented successful cases of self-determined dying have been with chloroquine phosphate. Chabot lists the use of chloroquine sulfate and chloroquine phosphate as methods that meet the criteria for peaceful dying. In the absence of documented successful cases, the use of hydroxychloroquine does not meet these criteria (see Chabot: Dignified Dying. A Guide. 2014, p.52ff and p.98). The chloroquine available in Germany under the brand name "Resochin" is chloroquine phosphate. The dosage form is always indicated on the outer packaging and in the package insert.
Procurement
For procurement, I recommend to get a prescription from an online clinic on the Internet (you only have to fill out a questionnaire). As described above, you can either just have the prescription sent to you and then redeem it at a pharmacy of your choice, or you can have the medication sent directly to your home by a mail-order pharmacy that cooperates with the online clinic. This is, in my opinion, the easiest way to obtain the drug. In some countries, chloroquine is also available without a prescription. It is also possible to get a prescription from a family doctor or travel physician. Here it should be noted that one should inform oneself beforehand about what is best to tell the doctor in order to get the drug prescribed. The malaria pathogen is now resistant to chloroquine in many regions, so that for the prophylaxis and treatment of malaria more modern means are used and the doctor would prescribe a different drug. So you have to research beforehand in which regions there are currently malaria pathogens that are not (yet) resistant to chloroquine and possibly also tell the doctor that you would like to receive this drug (for example, you could state that you have used this drug before and tolerated it well, unlike other drugs).
When researching, it is important to ensure that the information is up to date, as the regional resistance of the malaria pathogens to chloroquine can change from time to time. Furthermore, it is advisable to familiarize yourself beforehand with the recommended dose of chloroquine to be taken as malaria prophylaxis in order to be prescribed a sufficient amount for self-determined dying (otherwise, you may have to see several doctors to obtain a prescription). The usual dose of chloroquine phosphate for malaria prophylaxis is 500mg weekly. You can start the therapy two weeks before the planned departure, keep it during the trip and continue it for about 4 weeks after the end of the trip. Assuming that the usual Resochin tablets with an active ingredient content of 250 mg of which you would have to take 2 tablets a week for malaria prophylaxis, you would probably be prescribed a package of 20 tablets for a four-week trip to a malaria area.
From the explicit information on dosage given below, it can be inferred that about three times the amount of chloroquine phosphate is required for self-determined dying. If necessary, it is promising to report a planned trip of several months in order to obtain a prescription for the required amount at once. Overall, despite these specifics to consider, it is easy to obtain chloroquine, and it is therefore one of the drugs used quite frequently for self-determined dying. There are sufficient documented cases of successful self-determined dying (see WOZZ - Foundation manual) to assess the method as safe and recommendable.
Tolerance
Chloroquine does not induce tolerance even when taken continuously (e.g., when used regularly for malaria prophylaxis). Therefore, prior withdrawal is not necessary. Since chloroquine requires combined use with benzodiazepines, withdrawal from benzodiazepines may be necessary.
Need to take a benzodiazepine
Chloroquine itself is lethal in overdose, but consciousness remains clear. The lethal effect on the heart can be very painful if consciously witnessed. Painful muscle spasms or an epileptic seizure may continue to occur. The effects start relatively quickly after taking chloroquine. Therefore, the use of chloroquine absolutely requires the use of both a long-acting and a fast-acting benzodiazepine. The long-acting benzodiazepine is necessary to induce a sufficiently deep sleep for many hours, since dying can drag on for several hours. The fast-acting benzodiazepine is important with the rapid onset of action of chloroquine to prevent experiencing the rapid onset of unpleasant side effects. Benzodiazepines are also not only able to ensure that the dying person does not consciously experience the side effects, but they are also able to suppress muscle spasms and epileptic seizures. This is advantageous, among other things, when self-determined dying is accompanied by close persons who might otherwise be irritated by convulsions of the dying person.
Regarding the combination of chloroquine and benzodiazepines, there has been controversy in the past, starting from the statement formulated in 1993 by Chris Docker in his book "Departing Drugs" that benzodiazepines are capable of overriding the lethal effect of chloroquine on the heart and are therefore less suitable in this combination. In the handbook of the WOZZ - Foundation from 2008, the authors state that they do not share this view. They state that the background to this assumption is probably that "in cases where an overdose of chloroquine has been taken, diazepam is used as an antidote in the hospital. The authors of "Departing Drugs" conclude that diazepam and all other benzodiazepines are unsuitable if one wants to end one's life with chloroquine.
Diazepam is indeed used to counteract chloroquine poisoning. But one cannot conclude from this that diazepam is an antidote for the lethal effect of chloroquine on the heart. Diazepam, in our opinion, has been used by physicians in emergencies against chloroquine poisoning because it suppresses muscle contractions and epileptic seizures" (quoted from Admiraal, Chabot, Ogden, Loenen, van, Pennings: Pathways to a humane, self-determined dying, Amsterdam, 2008, p.86). The view that benzodiazepine is not an antidote to the lethal effect of chloroquine on the heart is underscored by the authors of the WOZZ - book by providing a listing of documented cases of self-determined dying, of which all 37 documented cases were successful.
In 25 documented cases, 6 - 8g of chloroquine phosphate combined with a high dose (1000mg) of diazepam were taken in each case. In all cases, death occurred within four hours and without the occurrence of epileptic seizures. In the updated edition of his book "Five Last Acts", Docker qualifies his statements by stating that if chloroquine is taken in high enough doses, a benzodiazepine would not be able to counteract the lethal course ("Nevertheless, the statistics suggest that if you use enough chloroquine, that even the bezodiazepines will not be able to counteract the lethal action" (quoted from Docker: Five Last Acts - The Exit Path. 2015. p.332)). Nevertheless, he maintains the overall view that benzodiazepines are not the drugs of first choice for a combination with chloroquine: "True, if you ingest enough chloroquine there is very little that can be done to prevent death, even with medical treatment; but it makes little sense to take the standart antidote (benzodiazepine) with the drug chloroquine itself" (quoted from Docker: Five Last Acts - The Exit Path. 2015. p.342). Docker states that it is contrary to both mainstream and specialist sources to suggest that benzodiazepines have no effect on the cardiotoxic effects of chloroquine ("...suggesting they do not alter the effect on the heart is contrary to both mainstream and specialist sources which very specifically note the effect of benzodiazepines on cardiotoxicity in chloroquine poisoning" (cited in Docker: Five Last Acts - The Exit Path. 2015. p.332)). In the 2015 updated edition of his 2014 book Dignified Dying, Boudewijn Chabot, one of the authors of the WOZZ - book, states that according to toxicologist Ed Pennings (also co-author of the WOZZ - book), it has not been convincingly demonstrated in the literature that diazepam inhibits the toxic effects of chloroquine on the heart ("it has not been convincingly demonstrated in the toxicological literature that diazepam blocks the toxic effect of chloroquine on the heart" (quoted in Chabot: Dignified Dying. A Guide. 2014, p.53)). Furthermore, Chabot's book states that animal studies have reported contradictory results ("Studies on animals have reported results that conflict with each other" (cited in Chabot: Dignified Dying. A Guide. 2014, p.53)).
In view of the different assessments in this regard, everyone is advised to independently review the literature cited in the appendix and current scientific results to decide whether benzodiazepines should be combined with chloroquine. Personally, I am of the opinion that a combination of chloroquine with benzodiazepines is the only sensible combination (apart from the use of a barbiturate as a sleeping pill, which, however, is unlikely to be a realistic alternative in most cases because of the difficulty of obtaining it). Finally, it seems convincing to me that in "Dignified Dying" Chabot reports on the experiences of Dr. Uwe - Christian Arnold, a German physician who actively campaigns both medically and politically for self-determined dying (his highly recommended book is also in the bibliography). Arnold has knowledge of numerous cases in which a combination of chloroquine phosphate with high doses of diazepam led to rapid death. I would also like to point out that, should one decide to use a sleeping pill other than a benzodiazepine in combination with chloroquine, extensive research is necessary to determine which drug is suitable.
In the WOZZ book, the use of zopiclone as a sleeping pill, a modern sleeping pill from the group of so-called Z-drugs, which act similarly to benzodiazepines, but are supposed to have a lesser influence on sleep architecture, is also reported in the context of the documented cases: "5 persons took zopiclone as a sleeping pill; 2 of them took 300mg. Sleep aid; 2 of them took 300mg. In the others, the dose was unknown. In 2 subjects taking zopiclone, it took longer than half an hour for them to fall asleep. One of them experienced painful muscle contractions triggered by chloroquine while fully conscious. For the relatives present, this was an extremely upsetting experience. The authors therefore plead against the use of zopiclone" (quoted from Admiraal, Chabot, Ogden, Loenen, van, Pennings: Wege zu einem humanen, selbstbestimmten Sterben, Amsterdam, 2008, p.88).
Necessity of taking an antiemetic
Taking an antiemetic is definitely necessary
Lethal dose
The lethal dose of chloroquine phosphate is reported to be between 8g and 17.5g
The lethal dose of chloroquine sulfate is reported as 11g.
The lethal dose of hydroxychloroquine is given with an amount between 12g and 15g.
In the WOZZ - Foundation manual, a lethal dose of 11g is given for chloroquine sulfate and chloroquine phosphate alike. In the listing of documented cases of self-determined dying with chloroquine, successful executions with an amount of 6g to 8g of resochin are also described, but also in combination with the rather high amount of 1000mg of diazepam (cf. Admiraal, Chabot, Ogden, Loenen, van, Pennings: Wege zu einem humanen, selbstbestimmten Sterben, Amsterdam, 2008, p.85 and p.88 - 89). These quite possible, successful executions with lower dosages of chloroquine should not, in my opinion, be regarded as universally valid. Chabot, one of the co-authors of the WOZZ - book, gives in his more recent work an amount of 17.5g chloroquine phosphate as a lethal dose (cf. Chabot: Dignified Dying. A Guide. 2014, p.54). Chris Docker, in the most recent edition of Five Last Acts, recommends taking 8g to 10g and also seems to refer (though this can only be interpreted from the photographic image of a drug box below the text) to the dosage form as chloroquine phosphate.
He writes: "Although as little as 5g is usually fatal, 8 to 10 grams is considered a more reliable lethal dose - simply as no - one has never survived the amount" (quoted from Docker: Five Last Acts - The Exit Path. 2015. p.349 - 350). The indications of the lethal amount of chloroquine sulfate do not differ in the works of the WOZZ - Foundation and in Chabot's book of 2014 (or in the updated version of 2015) - both give here a dose of 11g chloroquine sulfate as lethal (cf. Admiraal, Chabot, Ogden, Loenen, van, Pennings: Wege zu einem humanen, selbstbestimmten Sterben, Amsterdam, 2008, p.85 and Chabot: Dignified Dying. A Guide. 2014, S.54) Docker does not explicitly refer to a dose difference between chloroquine sulfate and chloroquine phosphate. For hydroxychloroquine, an amount of 12g is given as a lethal dose in the WOZZ - book (cf. Admiraal, Chabot, Ogden, Loenen, van, Pennings: Pathways to a Humane, Self-Determined Dying, Amsterdam, 2008, p.85). Chabot later gives a lethal dose of 15g (cf. Chabot: Dignified Dying. A Guide. 2014, p.98), however, also points out, as already described above, that there are hardly any successfully documented cases on this dosage form. In summary, I would recommend that everyone educate themselves on what dose is recommended as lethal based on the cited literature and current scientific research. Personally, I consider (for an average weight human) a dose of 15g of chloroquine phosphate to be appropriate for the performance of self-determined dying. The amount of 15g of chloroquine phosphate is contained, for example, in 60 pieces of the tablets "Resochin 250mg" available in Germany.
The required amount of benzodiazepines for combination with chloroquine is given by the authors of the WOZZ - book as 500mg of a long-acting benzodiazepine and 100mg of a fast-acting benzodiazepine. This recommendation coincides with the current indications of Chabot (cf. Admiraal, Chabot, Ogden, Loenen, van, Pennings: Ways to a humane, self-determined dying, Amsterdam, 2008, p.89 and Chabot: Dignified Dying. A Guide. 2014, S.54).
Intake
Taking the antiemetic (e.g., starting 24 hours before planned intake of the lethal drugs, one tablet of metoclopramide 10mg every 6 hours / the last tablet should be taken about 1 hour before intake of the lethal drugs).
Do not eat anything from about 12 hours before the scheduled intake of the lethal drugs (drinking is quite normal).
Crush the drugs (you can do this the day before and store the crushed substances in an airtight and dark place in a screw-top jar).
About 30 minutes before taking the lethal drugs, you can eat a snack (e.g. a slice of toast).
The lethal drugs in crushed form (e.g. 60 crushed Resochin 250mg - tablets) can be stirred into a small bowl of pudding, soy yogurt or fruit puree along with the crushed long-acting benzodiazepine (e.g. 500mg diazepam).
The fast-acting benzodiazepine (e.g., 100mg midazolam or lorazepam) is stirred into a separate small bowl of pudding, yogurt, or fruit puree.
1 to 2 glasses of liquid are provided to wash it down.
It´s best to take the substances in an upright sitting position in bed, placing supportive pillows to the left and right.
The bowls are spooned up quickly one after the other, with the bowl containing the fast-acting benzodiazepine spooned up last.
Then rinse with one or at most two glasses of liquid and, if necessary, drink a small amount of alcohol (alcohol is not absolutely necessary)."
This translation of the book is not meant to encourage you to commit suicide and to use this method. The reader acts on his own responsibility.
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