Discussion How does dignitas make sure that people won't vomit?

[Qverty7455]

So I was wondering since a lot of ppl vomited using SN and I think some of them even used meto, how does dignitas make sure that ppl won't vomit?
Of course they use smth like meto but even with meto there is a chance for people to vomit, so does anyone know how they do it?
Thanks for you ideas and take care ♥

 

[c824767]

they make you take an anti emetic

 

[Ame]

Most of the oral formulations used in physician assisted deaths/euthanasia contain some sort of barbiturate, like "N" (this is also the case in Switzerland, where Dignitas operates). All barbiturates have quite a bitter taste and a somewhat soapy "quality" which can make these oral solutions unpalatable. Bitter tastes supposedly slow gastric emptying and often bring on nausea. Preparing for the procedure by taking a course of anti-emetics and/or pro-motility medications is recommended in order to improve the absorption of the "barbiturate cocktail" (by boosting motility), reduce nausea and decrease the likelihood of emesis (vomiting).

In the Netherlands, Metoclopramide (the very same medication recommended in the PPH's SN method) is the drug of choice. By blocking specific dopamine and serotonin receptors, Metoclopramide has been shown to be effective in preventing the onset of nausea and vomiting. Further, this drug enhances gastric emptying and gastrointestinal motility (which, as mentioned above, does well to aid in the absorption of the barbiturate mixture).

This is the pre-treatment anti-emetic/pro-motility regimen used in the Netherlands as outlined in the KNMG/KNMP's "Guidelines for the Practice of Euthanasia and Physician-Assisted Suicide" (2012):

"Begin administering Metoclopramide HCl one day (twelve hours) in advance. Preferably, it should be administered according to the following schedule: 12 hours, 6 hours and 1 hour before the euthanasia procedure [for a total dose of 30 mg]."​

Some "viable" alternatives include: Ondansetron (selective 5- HT3 receptor antagonist), Haloperidol (butyrophenone antipsychotic) and even cannabinoids if they are inhaled (the onset of action for cannabinoids is too slow if swallowed). In countries where euthanasia is legal, physicians will often bring along a "back up kit" so that they may administer life ending drugs intravenously in the event that a patient does not die from the oral procedure within a pre-determined amount of time (usually ~2 hours or whatever time is agreed upon by the physician and the patient in advance).