Need advice on final phase (propranolol, tramadol)

[unlimited5722]

Hello!

I am in the final phase of preparation, I miss the place (I think a hotel, because at home I don't want my wife to find me, but I'm not enough sure).
I'm in the process right now, and wanted some feedback because I'm on regular propranolol and tramadol (and zolpidem) treatment. That's a lot yes, I have big health problems. I wanted to replace the painkiller with taking my tramadol (fast action). It is possible? It does not make me nauseous and relaxes me. For zolpidem it's no, it makes me nauseous sometimes so I leave it aside.
And for propranolol, I'm thinking of taking about 200 mcg at once 45 minutes before taking the SN then after I hesitate, 400mg seems huge to me, I'm afraid I can't stand it. Any reviews or updates on this?

thanks

 

[TydalWave]

Looking at the drug interactions and past cases involving tramadol - it seems to be an acceptable alternative to other recommended pain killers. The only thing I can see is that it does have the potential to raise BP more than most OTC pain killers when combined with SN. This is coming from my personal opinion and maybe someone with more expertise can step in, but I would refrain from lowering the propranolol dosage that significantly given that this could only excaerbate the symptoms of SN which are combatted by the propranolol.

Alternatively, you could consider taking a high dosage benzo in an effort to reduce the time of conciousness and avoid the tachyardia completely.

Any plan to include an antiemetic like meto?

 

[unlimited5722]

Looking at the drug interactions and past cases involving tramadol - it seems to be an acceptable alternative to other recommended pain killers. The only thing I can see is that it does have the potential to raise BP more than most OTC pain killers when combined with SN. This is coming from my personal opinion and maybe someone with more expertise can step in, but I would refrain from lowering the propranolol dosage that significantly given that this could only excaerbate the symptoms of SN which are combatted by the propranolol.

Alternatively, you could consider taking a high dosage benzo in an effort to reduce the time of conciousness and avoid the tachyardia completely.

Any plan to include an antiemetic like meto?

by BP do you mean blood pressure?
I planned as an anti-emitic Vogalene (Metopimazine) because I already have it at home. I'll just look at the mode of action if it works like Domperidone, otherwise I would have to go to the doctor.
For benzos I'm still thinking, I easily get nauseated with ..

 

[dev]

Sorry to hijack your topic. I'm looking for info on tramadolhydrochlorid. I'm new here and can't use the search function. Then I saw your topic.
Can anyone link me to a topic with info on tramadol?

 

[unlimited5722]

Sorry to hijack your topic. I'm looking for info on tramadolhydrochlorid. I'm new here and can't use the search function. Then I saw your topic.
Can anyone link me to a topic with info on tramadol?

hello, no problem. you can do a search after 5 messages posted it seems to me, that was the case for me

 

[TydalWave]

by BP do you mean blood pressure?
I planned as an anti-emitic Vogalene (Metopimazine) because I already have it at home. I'll just look at the mode of action if it works like Domperidone, otherwise I would have to go to the doctor.
For benzos I'm still thinking, I easily get nauseated with ..

Yeah blood pressure. From what I understand, opting for or against beta blockers entirely will not have much affect on the lethality of SN.

However, one of the most common ways people have reported failing with this method is from seeking medical help, often due to the SI that kicks in from the extreme tachyardia. Especially if you are opting against benzos, this is something to consider. You can be 100% committed to CTB and still succumb to SI when your heart is racing that fast. It can be very scary and even if it's just for an hour, time can feel much slower when you are suffering. This is part of the reason I have recently opted for adding benzos as recommended in the September update to the PPeH.

 

[well2hell]

You do not need propanolol. In fact, it is counterproductive because tachycardia leads to a quicker death per the data compiled by the American Clinicians' Academy of Medical Aid in Dying, who removed propanolol from their lethal drug mixture 3 years ago: https://www.acamaid.org/wp-content/uploads/2021/12/12-5-19-DDMA-instead-of-DDMP2.pdf

Instead, you can take one or two normal doses of a benzodiazepine ahead of time (about 1 hour before ingesting SN) to prevent anxiety and SI from the tachycardia caused by SN. The PPeH now calls for 500mg diazepam (or equivalent dosage with other benzodiazepines) at the time of ingestion, which should put you to sleep quickly. Whether you want to do so is up to you.

Metopizamine (Vogalene) is a weak antiemetic. Unlike metoclopramide, it has not been shown to be superior to placebo in randomized clinical trials. It would be better if you could obtain metoclopramide, or at least domperidone (which you could combine with ondansetron).

 

[unlimited5722]

Yeah blood pressure. From what I understand, opting for or against beta blockers entirely will not have much affect on the lethality of SN.

However, one of the most common ways people have reported failing with this method is from seeking medical help, often due to the SI that kicks in from the extreme tachyardia. Especially if you are opting against benzos, this is something to consider. You can be 100% committed to CTB and still succumb to SI when your heart is racing that fast. It can be very scary and even if it's just for an hour, time can feel much slower when you are suffering. This is part of the reason I have recently opted for adding benzos as recommended in the September update to the PPeH.

I am decided and sure to want to leave. Indeed, my only fear is that my body if it suffers too much at once (much too fast heart for example, shortness of breath), it decides to activate the survival instinct and asks me to call for help assistance. Thats why I wanted to take propranolol.
I've had heart problems before or went up to 160 bpm for 1 hour but I imagine you explode even more with the SN.
Thank you i will read the updates

You do not need propanolol. In fact, it is counterproductive because tachycardia leads to a quicker death per the data compiled by the American Clinicians' Academy of Medical Aid in Dying, who removed propanolol from their lethal drug mixture 3 years ago: https://www.acamaid.org/wp-content/uploads/2021/12/12-5-19-DDMA-instead-of-DDMP2.pdf

Instead, you can take one or two normal doses of a benzodiazepine ahead of time (about 1 hour before ingesting SN) to prevent anxiety and SI from the tachycardia caused by SN. The PPeH now calls for 500mg diazepam (or equivalent dosage with other benzodiazepines) at the time of ingestion, which should put you to sleep quickly. Whether you want to do so is up to you.

Metopizamine (Vogalene) is a weak antiemetic. Unlike metoclopramide, it has not been shown to be superior to placebo in randomized clinical trials. It would be better if you could obtain metoclopramide, or at least domperidone (which you could combine with ondansetron).

Same answer as above for propranolol. That makes me doubt myself. I'm thinking of going to read the feed of successful people to see what they took.
For the Vogalene it's actually not perfect, I'll see quickly with the doctor if he can prescribe me domperidone or métoclopramide.

Unfortunately I don't have benzos, and I don't know how I would react to them. Nausea? Vomiting while asleep that could cause failure?
I had thought of zolpidem at first because it puts me in a stable state, where I'm not afraid of anything, really. But unfortunately it sometimes gives me slight nausea.

I will still document myself a little, because my attempt is for the day after tomorrow

 

[well2hell]

I am decided and sure to want to leave. Indeed, my only fear is that my body if it suffers too much at once (much too fast heart for example, shortness of breath), it decides to activate the survival instinct and asks me to call for help assistance. Thats why I wanted to take propranolol.
I've had heart problems before or went up to 160 bpm for 1 hour but I imagine you explode even more with the SN.
Thank you i will read the updates



Same answer as above for propranolol. That makes me doubt myself. I'm thinking of going to read the feed of successful people to see what they took.
For the Vogalene it's actually not perfect, I'll see quickly with the doctor if he can prescribe me domperidone or métoclopramide.

Unfortunately I don't have benzos, and I don't know how I would react to them. Nausea? Vomiting while asleep that could cause failure?
I had thought of zolpidem at first because it puts me in a stable state, where I'm not afraid of anything, really. But unfortunately it sometimes gives me slight nausea.

I will still document myself a little, because my attempt is for the day after tomorrow

You can legally acquire so-called "designer" benzos, otherwise known as research chemicals, unless you are in the UK, Sweden, Finland, France, Switzerland and some US states (e.g. Virginia).

If you plan to CTB in the evening, it seems sensible to take your regular dose of propanolol in the morning so that you keep your heart rate under control as usual. This would avoid extra tachycardia on top of that induced by SN. But the ACAMAID is pretty clear on the negative effect of adding propanolol to a lethal drug combination, so no need to take any along with SN.

 

[unlimited5722]

You can legally acquire so-called "designer" benzos, otherwise known as research chemicals, unless you are in the UK, Sweden, Finland, France, Switzerland and some US states (e.g. Virginia).

If you plan to CTB in the evening, it seems sensible to take your regular dose of propanolol in the morning so that you keep your heart rate under control as usual. This would avoid extra tachycardia on top of that induced by SN. But the ACAMAID is pretty clear on the negative effect of adding propanolol to a lethal drug combination, so no need to take any along with SN.

Thank you for your information
I managed to get metoclopramide from the doctor today simulating nausea and vomiting, but no benzo. I live in France and indeed without a prescription you cannot have it.
I am already happy to have received the metoclopramide