Discussion N failure from "Final Exit" -- Question?

[BrokenBliss]

Final Exit 2020 by Derek Humphrey had this to say about N (my question is at the end):

Without the direct help of a doctor, there are only two commonsense ways for self-deliverance from hopeless physical suffering: with powerful barbiturate drugs such as a secobarbital (Seconal) or pentobarbital (Nembutal). If you are lucky enough to have a choice, pick Nembutal, because it absorbs into the system faster.

We know from eight years of data from Oregon's physician-assisted suicide law that patients ingesting barbiturates died in a median range of 25 minutes. A tiny few took up to 48 hours. Only one woke up – but he had over-diluted the lethal mixture with lots of indigestion remedy. Most of the barbiturate passed through him and he awoke three days later.

My question: Can meto be considered an "Indigestion remedy"?

 

[Red Scare]

Up to 48 hours?? I'd be worried about that happening to me, I only planned to book a hotel for the night. Granted I read that only happened in about 10% of cases... but the thing about waking up 3 days later really freaks me out too. Damn. I could not imagine being all ready to lay down and end it all and falling into a deep drug induced coma only to be awoken 3 days later and stuck in a hospital.

My question: Can meto be considered an "Indigestion remedy"?

I would assume so, but I don't know. When I hear indigestion remedy, I think of pepto

 

[Smart No More]

No I don't think so. I think over the counter medicines like renees, gaviscon and peptobismol, and presceiption meds like proton pump inhibitors lansoprazole, omeprazole and esomeprazole might be more along the lines of indegestion remedies. Meto is known to speed up gastric transit but I think this is considered synergistically beneficial with N. As the quote points out that N is absorbed more quickly. N is a weak acid I think, (might need checking) but a certain amount of stomach acid is beneficial to its absorption. I previously made the mistake of thinking that a proton pump inhibitor would be a beneficial part of the regimen when taking N but its only useful (but optional) in the SN regiment.

 

[BrokenBliss]

I only planned to book a hotel for the night.

I would definitely book for more than one night.

 

[Red Scare]

I would definitely book for more than one night.

How many nights would be good?

Now I'm wondering if I should drink a third bottle, or if it really makes a difference... also if it could take up to 48 hours, worrying about someone intervening before then.

 

[WhiteRabbit]

The word diluted makes me think the indigestion remedy was a liquid, not pills.

 

[justtiredofit]

No I don't think so. I think over the counter medicines like renees, gaviscon and peptobismol, and presceiption meds like proton pump inhibitors lansoprazole, omeprazole and esomeprazole might be more along the lines of indegestion remedies. Meto is known to speed up gastric transit but I think this is considered synergistically beneficial with N. As the quote points out that N is absorbed more quickly. N is a weak acid I think, (might need checking) but a certain amount of stomach acid is beneficial to its absorption. I previously made the mistake of thinking that a proton pump inhibitor would be a beneficial part of the regimen when taking N but its only useful (but optional) in the SN regiment.

Does proton have a negative effect on N?

 

[Smart No More]

Does proton have a negative effect on N?

I think too much might from what I've been told here but I don't think it's an issue if you're prescribed a daily dose. I'm not sure though. Purely based on what people have said to me on the forum (when correcting me on adding it to my N protocol/regiment) I get the impression that a certain amount of stomach acid is beneficial to the uptake of N so I would probably consider either missing it out all together on the day I plan to ctb or take it many hours before taking the N. Truth is I'm not entirely sure of the science surrounding it. The way it was described to me was that N is a weak acid and using a proton pump inhibitor to rid your stomach of acid would potentially slow the digestion of the N. I did follow up by asking if I should skip the prescribed ppi but there was no reply. I've been meaning to look further into it but not entirely sure on where to start. I guess a search of how pentobarbital is digested might be useful. Particularly in relation to stomach acid. I'm not sure how many useful results the search would garner though as barbiturates were essentially obsolete many years ago.

 

[justtiredofit]

Guess I could skip my pill for a couple of days or so, to play it safe. I'm glad I saw this.

 

[BrokenBliss]

How many nights would be good?

Now I'm wondering if I should drink a third bottle, or if it really makes a difference... also if it could take up to 48 hours, worrying about someone intervening before then.

From all I've read, the main reason CTB with N fails is being found too soon. One night at a hotel, which is less than 24 hours, seems cutting it close. An extra night is cheaper than buying a third bottle, which would make it more likely you'll vomit anyway.

 

[Red Scare]

An extra night is cheaper than buying a third bottle, which would make it more likely you'll vomit anyway.

I'm not going to need my money after I ctb so buying another bottle and a couple nights at a hotel should go be a big deal... I just get weirded out reading that it took some people up to 48 hours to die. I want it to work, and fast. I don't want to be laying there for up to 48 hours, a lot could go wrong in that time. I could wake up, or someone could find me.

I don't plan to use an ae, because I heard meto has some uncomfortable side effects and isn't completely necessary to use with n.

 

[lmon]

"Maurice Chevalier attempted suicide in March 1971 by swallowing a large amount of barbiturates and slitting his wrists. While he lived, he suffered severe organ damage as a result and died from multiple organ failure nine months later".,

how often do you think organ damage + survival combo happens? I wonder which barbiturate he had. I wonder if the organ failure was partially bc of the wrist slitting

 

[BrokenBliss]

"Maurice Chevalier attempted suicide in March 1971 by swallowing a large amount of barbiturates and slitting his wrists. While he lived, he suffered severe organ damage as a result and died from multiple organ failure nine months later".,

how often do you think organ damage + survival combo happens? I wonder which barbiturate he had. I wonder if the organ failure was partially bc of the wrist slitting

To be fair, we'd need more detail on what happened with Chevalier. What barb did he take, how much of it, what medications was he on, did it fail because he was found, was he an alcoholic (which causes the extended coma), etc, etc. I'd focus more on your own situation and what you would need to do (if that's your intent). Looks into your own details so you can address them. It's more productive.

 

[lmon]

To be fair, we'd need more detail on what happened with Chevalier. What barb did he take, how much of it, what medications was he on, did it fail because he was found, was he an alcoholic (which causes the extended coma), etc, etc. I'd focus more on your own situation and what you would need to do (if that's your intent). Looks into your own details so you can address them. It's more productive.

Yeah true. I tried finding more out, I could not find more details.if someone finds it please lmk. Ty

 

[Foresight]

I really doubt anyone needs a third bottle. An extra night doesn't hurt though.

 

[Sunset Limited]

I don't understand why Dignitas still insists on oral administration. If someone prefers oral over IV, why not? But I think the first choice should be IV. Still, this presents a good dataset for users here.