My SN 101 (Megathread Makes Me Dizzy)

[CaptainT]

Reading the 178 page SN Megathread causes as many symptoms as swallowing the damn salt, it's so messy. For my own sanity and selfishness I've distilled the essentials so I've got a guide to CTB with it myself. Hope it helps others, especially if you're in the UK and want details of where to get the ingredients.

You will need:
* 20-25g of SN
* 100mg Metoclopramide (enough for regime)
* x4 pills of 75 mg Ranitidine

Optional extra:
* 20mg Diazepam
* 100mg Propranolol

Where to get these if you're in the UK:

SN: E-bay (Polish seller)
Metoclopramide: online pharmacy after questionnaire
Ranitidine: online pharmacy, no questionnaire

Diazepam: From private walk-in GP in London (explain anxiety/stress)
Propranolol: From private walk-in GP in London (explain anxiety/stress)

What each thing does:
* SN: the kill shot. What ends your life via oxygen depletion)
* Metoclopramide: stops you vomiting the SN up
* Ranitidine: decreases stomach acid production for happy SN environment

* Diazepam: chills you out, makes you sleepy
* Propranolol: chills you out, stops the racing heart so you pass out sooner



Method:
1. 48 hours before begin metoclopramide regime (10mg every eight hours)
2. Fast from morning of final day
3. Final metoclopramide dose of 30mg 1 hour before
4. Ranitidine x4 75mg pills 50 minutes before
5. 20mg diazepam 40 min before (optional)
6. 100mg propranolol 30 min before (optional)
7. 20mg SN dissolved n 100ml water

Note: have an extra glass of SN prepared, good to go, in case you vomit original one up

Environment:
Final hour in bed, resting on pillows so as not to swallow vomit if it happens. Cool fan, light clothing, as accounts say you get hot. Will be in a rented apartment or hotel room. Letters written, music on, make sure you're not disturbed for 24 hours. Bon voyage, may the force be with you.

 

[woxihuanni]

* Ranitidine: decreases stomach acid production for happy SN environment

Adorable 101. But don't die, teach class on whatever. :( The world needs you.

 

[FallenX]

24 hours? You don't need 24 hours uninterrupted

Also some people after a test dose realize they cannot continue with Metocloprimide. The other option is Domperidone but then you can't take acid reducers because they will decrease Domperidone absorption.

Do a test dose of meto as the PPeH says because there is a black box warning for extrapyramidal symptoms and 1 in 10 gets some form of these. Especially at a stat dose of 30mg. This won't happen to everyone but search the forum it happens.

 

[Daniela]

* Diazepam: chills you out, makes you sleepy
* Propranolol: chills you out, stops the racing heart so you pass out sooner

How's depakote as a substitute?

Not going to lie, it's because depakote would - ideally - prevent seizures.

 

[Roger]

Reading the 178 page SN Megathread causes as many symptoms as swallowing the damn salt, it's so messy. For my own sanity and selfishness I've distilled the essentials so I've got a guide to CTB with it myself. Hope it helps others, especially if you're in the UK and want details of where to get the ingredients.

You will need:
* 20-25g of SN
* 100mg Metoclopramide (enough for regime)
* x4 pills of 75 mg Ranitidine

Optional extra:
* 20mg Diazepam
* 100mg Propranolol

Where to get these if you're in the UK:

SN: (Polish seller with SN from *********
Metoclopramide: ****** (fill out questionnaire for 'migraine' and online GP will ok it)
Ranitidine: simpleonlinepharmacy.co.uk (no questionnaire needed)

etc. etc.

Posting links to these sources is not only against forum rules, but also helps pro-lifers and police/public health officials to target suppliers.

Posting a document which includes your real name and address - twice - is lunacy.

The online pharmacy you mention will be somewhat less than delighted to read your assertion that they do not apply proper safeguards before supplying prescription medications.

 

[woxihuanni]

Posting links to these sources is not only against forum rules, but also helps pro-lifers and police/public health officials to target suppliers.

Posting a document which includes your real name and address - twice - is lunacy.

The online pharmacy you mention will be somewhat less than delighted to read your assertion that they do not apply proper safeguards before supplying prescription medications.

Skimmed over that, damn. OP, can you please edit these out?

 

[CaptainT]

We are not allowed to provide links to sources.
The antacid recommended is cimetidine, 800 mg, not ranitidine.
The amount of propranolol recommended is 2 grams.

Cheers, links removed

Posting links to these sources is not only against forum rules, but also helps pro-lifers and police/public health officials to target suppliers.

Posting a document which includes your real name and address - twice - is lunacy.

The online pharmacy you mention will be somewhat less than delighted to read your assertion that they do not apply proper safeguards before supplying prescription medications.

Understood. Apologies. My first day posting on here. Have deleted links.

24 hours? You don't need 24 hours uninterrupted

Also some people after a test dose realize they cannot continue with Metocloprimide. The other option is Domperidone but then you can't take acid reducers because they will decrease Domperidone absorption.

Do a test dose of meto as the PPeH says because there is a black box warning for extrapyramidal symptoms and 1 in 10 gets some form of these. Especially at a stat dose of 30mg. This won't happen to everyone but search the forum it happens.

Just read up on those scary metocloprimide side effects (that seem common). So with domperidone, does that mean no acid reducers at all (so more pain)?!

 

[Daniela]

Just read up on those scary metocloprimide side effects (that seem common).

The scariest seems diarrhea? What am I missing?

 

[CaptainT]

The scariest seems diarrhea? What am I missing?

https://www.drugs.com/comments/metoclopramide/ - loads of freak outs, huge panic attacks, restlessness, meltdowns etc.

 

[Timetoleave]

Has anyone in the U.K. successfully reviewed their Sn from Poland? Mine hasn't arrived yet. If anyone can pm me

 

[JSauter]

Diazepam: From private walk-in GP in London (explain anxiety/stress)


You do this where I live and they will prescribe you a non-benzo. If you insist on a benzo, they will kick you out for 'drug-seeking' behavior. They will only prescribe benzos if you have tried other options with them. I can't imagine a place where you walk into, say "I have anxiety", and have the doctor give you these drugs in the same day. Not saying that doesn't happen, but i doubt it.

 

[CaptainT]

Diazepam: From private walk-in GP in London (explain anxiety/stress)


You do this where I live and they will prescribe you a non-benzo. If you insist on a benzo, they will kick you out for 'drug-seeking' behavior. They will only prescribe benzos if you have tried other options with them. I can't imagine a place where you walk into, say "I have anxiety", and have the doctor give you these drugs in the same day. Not saying that doesn't happen, but i doubt it.

I've done it multiple times but with private doctors ("same day GP") where you pay the £50-£65 consulting fee and specifically ask for what you want. The doctors in London dish out diazepam like sweets if you say you're going through a "stressful week of presentations"

Has anyone in the U.K. successfully reviewed their Sn from Poland? Mine hasn't arrived yet. If anyone can pm me

I'll let you know when mine comes - middle of next week. The ebay seller is linked to a legit-looking chemical company website in Poland

24 hours? You don't need 24 hours uninterrupted

Also some people after a test dose realize they cannot continue with Metocloprimide. The other option is Domperidone but then you can't take acid reducers because they will decrease Domperidone absorption.

Do a test dose of meto as the PPeH says because there is a black box warning for extrapyramidal symptoms and 1 in 10 gets some form of these. Especially at a stat dose of 30mg. This won't happen to everyone but search the forum it happens.

Just sourced domperidone (sounds like a champagne company lol) to replace the metoclopramide and found zofran too. Does anyone know why zofran is recommended with the final dose?

Regime dosage the same: 10mg, 3 times a day, 8 hours apart, then final 30mg dose (plus the 8-16mg of zofran)

 

[FallenX]

Cheers, links removed

Understood. Apologies. My first day posting on here. Have deleted links.

Just read up on those scary metocloprimide side effects (that seem common). So with domperidone, does that mean no acid reducers at all (so more pain)?!

Right. None. Acid reducers will prevent absorption of Domperidone. This is on the Domperidone leaflet in the box.

Doesn't mean more pain but apparently it means less SN is absorbed? Not sure it's true or not

https://www.drugs.com/comments/metoclopramide/ - loads of freak outs, huge panic attacks, restlessness, meltdowns etc.

Extrapyramidal Symptoms. Legs, facial muscles, arms moving involuntarily. Tardive Dyskinesia is possible at higher doses. Example is doing the regimen and then doing a stat dose of 30mg at once. That's a much higher risk than just taking 10mg each dose for 2 days like Dr. Admirral says. Even dignitas I think gives 10-15mg Meto as a Stat Dose.

 

[onlyinsleep]

Right. None. Acid reducers will prevent absorption of Domperidone. This is on the Domperidone leaflet in the box.

Doesn't mean more pain but apparently it means less SN is absorbed? Not sure it's true or not



Extrapyramidal Symptoms. Legs, facial muscles, arms moving involuntarily. Tardive Dyskinesia is possible at higher doses. Example is doing the regimen and then doing a stat dose of 30mg at once. That's a much higher risk than just taking 10mg each dose for 2 days like Dr. Admirral says. Even dignitas I think gives 10-15mg Meto as a Stat Dose.

So what can we use to substitute acid reducers? Some of us have to use domperidone

 

[FallenX]

So what can we use to substitute acid reducers? Some of us have to use domperidone

I have to use Domperidone too. You don't take acid reducers because it prevents Domperidone from working. There is no substitute. But if you're sensitive to meto you avoid potentially irreversible EPS disorders.

What I am worried of is that PPeH upgraded SN reliability from a 6 to a 7 due to the effect of acid reducers.

But I won't risk tardive dyskinesia or other EPS just to take an acid reducer. I already had EPS effects from similar meds so meto is out for me.

 

[CaptainT]

I have to use Domperidone too. You just don't take acid reducers because it prevents Domperidone from working.

What I am worried of is that PPeH upgraded SN reliability from a 6 to a 7 due to the effect of acid reducers.

But I won't risk tardive dyskinesia or other EPS just to take an acid reducer. I already had EPS effects from similar meds so meto is out for me.

Likewise, I'm going to have to go with domperidone as I've had similar EPS in the past. Look at the SN guide posted today by Stan (very thorough and clear) where he says he doesn't believe in the acid reducer, just an otc antacid. Thoughts?

 

[FallenX]

Likewise, I'm going to have to go with domperidone as I've had similar EPS in the past. Look at the SN guide posted today by Stan (very thorough and clear) where he says he doesn't believe in the acid reducer, just an otc antacid. Thoughts?

The acid reducer is the OTC antacid. In the Domperidone leaflet it says no antacid medications and lists Tagamet cinitidine. Same thing for ranitidine. Can't take it with Domperidone.

 

[CaptainT]

The acid reducer is the OTC antacid. In the Domperidone leaflet it says no antacid medications and lists Tagamet cinitidine. Same thing for ranitidine. Can't take it with Domperidone.

So eliminate all antacids, even lightweight OTC ones? Just SN and domperidone

 

[Yes]

Has anyone in the U.K. successfully reviewed their Sn from Poland? Mine hasn't arrived yet. If anyone can pm me

I couldn't figure out how to pm you so i'll reply here, maybe it's because i've only just joined the site? Anyway, mine was supposed to arrive a week ago. I kept checking the tracking number and all it ever said was dispatched, until about 2 days ago. It finally got updated saying it is now in transport to the UK. I guess there have been delays recently. I hope mine arrives on monday, and I wish you the best of luck.

 

[CaptainT]

I couldn't figure out how to pm you so i'll reply here, maybe it's because i've only just joined the site? Anyway, mine was supposed to arrive a week ago. I kept checking the tracking number and all it ever said was dispatched, until about 2 days ago. It finally got updated saying it is now in transport to the UK. I guess there have been delays recently. I hope mine arrives on monday, and I wish you the best of luck.

Cheers for that info, fingers crossed we get it, sending you warm wishes and a good journey too

 

[Are you lost too?]

Diazepam: From private walk-in GP in London (explain anxiety/stress)


You do this where I live and they will prescribe you a non-benzo. If you insist on a benzo, they will kick you out for 'drug-seeking' behavior. They will only prescribe benzos if you have tried other options with them. I can't imagine a place where you walk into, say "I have anxiety", and have the doctor give you these drugs in the same day. Not saying that doesn't happen, but i doubt it.

I live in Brazil and it happens here.. also meto ís otc

Does SN stand for sodium nitrite or sodium nitrate? What's the difference? And what are the chemical formulas. It's really easy to mix up the 2.
Are both good for ctb or only 1? I think nitrite is the one for CTB. And it seems like SN plus carbon monoxide could have an addictive effect. So it seems combining the 2 methods would raise the reliability : "Relatively low levels of methemoglobin could complicate concomitant carbon monoxide poisoning by additive or synergistic effects on oxygen binding and delivery. " https://www.ncbi.nlm.nih.gov/pubmed/2648673

Nitrite!
not an expert but I don't think mixing methods is a good idea. Usually The simplest answer is the correct one

 

[snowman626]

What good is having that extra cup of SN? If you thre up the first cup why would the second cup stay down?

 

[CaptainT]

What good is having that extra cup of SN? If you thre up the first cup why would the second cup stay down?

Increase SN concentration asap. Reports on here of members CTB even after vomiting the SN

I couldn't figure out how to pm you so i'll reply here, maybe it's because i've only just joined the site? Anyway, mine was supposed to arrive a week ago. I kept checking the tracking number and all it ever said was dispatched, until about 2 days ago. It finally got updated saying it is now in transport to the UK. I guess there have been delays recently. I hope mine arrives on monday, and I wish you the best of luck.

Just to confirm the same company, did it cost "49.20 PLN"?

 

[CaptainT]

Update to my SN 101 plan:

Can't take the metoclopramide as the antiemetic so switching to domperidone (same 10mg dosing schedule with 30mg just before, plus zofran for extra kick).

Problem with domperidone is it doesn't work with anti-acids so that removes one of the three "classic" ingredients of this method's cocktail.

Any thoughts on the method working with just SN and domperidone?

 

[Neverod]

Update to my SN 101 plan:

Can't take the metoclopramide as the antiemetic so switching to domperidone (same 10mg dosing schedule with 30mg just before, plus zofran for extra kick).

Problem with domperidone is it doesn't work with anti-acids so that removes one of the three "classic" ingredients of this method's cocktail.

Any thoughts on the method working with just SN and domperidone?

I don't see why it wouldn't work like that, the important thing is to don't vomit.
How about using bicarbonate? it says in the megathread that it's useful, but not as much as an anti acid.

 

[Foster13]

Update to my SN 101 plan:

Can't take the metoclopramide as the antiemetic so switching to domperidone (same 10mg dosing schedule with 30mg just before, plus zofran for extra kick).

Problem with domperidone is it doesn't work with anti-acids so that removes one of the three "classic" ingredients of this method's cocktail.

Any thoughts on the method working with just SN and domperidone?

When are you planning to ctb?

 

[CaptainT]

When are you planning to ctb?

As soon as the drugs arrive by post

 

[Daniela]

As soon as the drugs arrive by post

do you live alone?

 

[CaptainT]

do you live alone?

No but I'll be going to a hotel to CTB

 

[Daniela]

How will you cope in the interim?