wehadsomanyplans2

wehadsomanyplans2

Goddamnit I tried!
Jul 19, 2024
7
Looking for more info about using oxycodone pills to CTB. I have 300mg. I also have the antiemetic metoclopramide. Would I have a decent chance by just swallowing the damn things? If not, is there a way to insert rectally? Do you crush & mix with water or do you have to cook them or something?
 
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Rhizomorph1

Rhizomorph1

May you find peace in living or dying
Oct 24, 2023
604
Hi

How much time do I ACTUALLY need alone to die of a fentanyl overdose? I am injecting via intramuscular.
people have given me so many different answers. some have said 1 hour or 2 hours. one person said 7-9 is a perfect window. others have said 7-9 is more than enough.

I can only do 9 max 10. I would never be looking for an exact but 9 hours is a wide margin of time to say how many needed alone. it escapes me why it would take 9 hours to die unconscious.
Please only answer me if you have knowledge and know what you're talking about 🙏 opinions are appreciated but not now please. Thank you :)
Possibly an hour, possibly 9 hours... That's the major drawback of this method and why I caution against it; tolerance (and specifically tolsrance to the respiratory depressive effects) varies so widely.

It's impossible to say how long you would need and thus any person attempting this method should aim very conservatively to have as much time possible. Preferably the whole day.

Then again, getting discovered early could be ideal as it may reduce or prevent the risk of injury inherent to this method. That is to say, if you're sure about this method, dose large/conservatively, and make sure you have enough time.

It can take 9+ hours as there's a wide window of respiratory depression where the brain can incur significant damage while retaining basic functions (blood flow,, some minimal and interspersed breathing); just enough to keep you alive while slowly restricting blood flow to the more executive (personality, mood, decision making, memory) areas of the brain. Again, the risk of brain injury remains a significant concern.

Global toxicity can occur while the brain stem responsible for keeping you alive can persist well beyond the point where other systems fail. It's quite resilient.

I still encourage SN over this method, and as always, disclosure with a 3rd party; therapists, doctors, etc. and considering MAID, and other psychosocial supports/considerations in dying are important. There's a reason the PPH doesn't include this method. It's a side point but spontaneous ctb's incur far greater risk and have far greater potential for recovery ❤️
 
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F

figtree

Member
Feb 7, 2023
43
what are the odds of surviving this?

6 5mg oxycodone
20 5-325 hydrocodone (i realize acetaminophen is not ideal but i would hope to be gone before it affected me)
90 5mg valium
1 10mg ambien
2 0.5mg xanax
1-2 shots liquor

i have access to unlimited amounts of zofran and meclizine. i also have trazodone and risperidone but not sure they would add much. i weigh just over 80lbs.
 
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nottinghams

nottinghams

Official Written Apology for Being a Buzzkill
Apr 15, 2024
270

Please somebody answer me on that thread. lack of replies for an important part of ctb.
 
Spectre

Spectre

I am serious about not taking things seriously
Nov 27, 2023
234
Wish their was an equivalent to the SN bible on this method. I'm thinking of combining opoids and SN for maximum pain releif and lethality.
 
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D

death2022

Member
Feb 10, 2024
54
Hi all, I have some question, I have read about this post (https://sanctioned-suicide.net/threads/video-opiates-od-guy-drank-1g-of-methadone.152164/) about a guy drinking 1g of methadone to suicide, I have also read a lot around this site that you need to do IV injection for the opioid OD method, but this guy just drank the opioid and died, so the question is can you just drink the opioid and OD this way or do you really need to do IV injection?
 
B

Bapremp

Member
Aug 21, 2024
22
I did some research, or i rather asked the AI ChatGPT 4 version (which scans the litterature, like pubmed etc), and it says that rectal administration only have a bioavailability around 50-70%, were intramuscular is around 80-90%.
 
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nottinghams

nottinghams

Official Written Apology for Being a Buzzkill
Apr 15, 2024
270
Can someone help me? I'm desperate, I need assistance fixing my suicide method since it failed.

I had 700mg of F mixed in 24mL of water, applied in 7 IM syringes (23a gauge 3ml) intramuscular injection through my leg with 2-3 hours alone. I stuck in all 7 syringes in my vastus lateralis thigh muscle and pushed all the plunger's at once. to my surprise i wasn't immediately unconscious. in fact it took 5 minutes to be hit like a brick, and probably about 5 more to fall asleep.
I was found and awakened 2 hours later, but naturally, and with no narcan. I was brought only to the er for vomiting a lot suddenly, being very tired and not being able to stand up. I was asked questions, but still no one has any idea I tried to use fentanyl to kill myself.
How did I not die? I almost wonder to the 2 times I tested very very small amounts of F + water in a syringes through IM on my leg. It took more to feel something though than expected.

Please, does anybody have any idea what went wrong, and how I can adjust my method so it works? If you're knowledgeable about this, please PM me...
 
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G

GAAAAD

Member
Aug 13, 2024
6
Can someone help me? I'm desperate, I need assistance fixing my suicide method since it failed.

I had 700mg of F mixed in 24mL of water, applied in 7 IM syringes (23a gauge 3ml) intramuscular injection through my leg with 2-3 hours alone. I stuck in all 7 syringes in my vastus lateralis thigh muscle and pushed all the plunger's at once. to my surprise i wasn't immediately unconscious. in fact it took 5 minutes to be hit like a brick, and probably about 5 more to fall asleep.
I was found and awakened 2 hours later, but naturally, and with no narcan. I was brought only to the er for vomiting a lot suddenly, being very tired and not being able to stand up. I was asked questions, but still no one has any idea I tried to use fentanyl to kill myself.
How did I not die? I almost wonder to the 2 times I tested very very small amounts of F + water in a syringes through IM on my leg. It took more to feel something though than expected.

Please, does anybody have any idea what went wrong, and how I can adjust my method so it works? If you're knowledgeable about this, please PM me...
I'm pretty confused too
 
rotciv

rotciv

Something In The Way
Mar 25, 2023
566
what are the odds of surviving this?

6 5mg oxycodone
20 5-325 hydrocodone (i realize acetaminophen is not ideal but i would hope to be gone before it affected me)
90 5mg valium
1 10mg ambien
2 0.5mg xanax
1-2 shots liquor

i have access to unlimited amounts of zofran and meclizine. i also have trazodone and risperidone but not sure they would add much. i weigh just over 80lbs.

The odds are aggainst u, sorry
 
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yaxleyblue

yaxleyblue

Member
Oct 24, 2023
8
I have a question regarding dosage of liquid morphine. I understand best method is via rectum to avoid the puking problem of taking by mouth. In the UK, oral syringes only hold a fairly small dose so I would presume the need to use several full syringes to be successful? Anyone have any idea how much is required? Also, how fast is it likely to take effect? If several full syringes are required, would I remain conscious long enough to administer fatal dose?
 
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G

GAAAAD

Member
Aug 13, 2024
6
confused at what I said? im sorry, I tried to make it concise.
How you woke up from so much fentanyl in 2 hours, like a few mg is deadly in the hospital its given in micro grams
 
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nottinghams

nottinghams

Official Written Apology for Being a Buzzkill
Apr 15, 2024
270
How you woke up from so much fentanyl in 2 hours, like a few mg is deadly in the hospital its given in micro grams
idk man. my only guess is it wasn't pure enough. I don't even think its my ROA as much as that.
 
B

badtothebone

Experienced
Aug 20, 2024
251
Preamble

I wanted to write something similar to Stan's guide to SN but I hesitate to call this a guide because I can't in good conscience make a guide for something so unreliable in terms of access, lethality, and risk of permanent injury. I.e., traumatic brain injury from hypoxia. SN is a far more reliable and lower-risk alternative in this regard.

Indeed, the PPH strongly recommends against opioids for these reasons.

However, many will still seek to ctb using opioids due to reasons of accessibility, their notoriety for taking lives in the current overdose epidemic, and/or their well-known status as euphoriants and painkillers. The PPH does not go into details about how to ctb with opioids and overlooks different routes of administration and available drug checking services that can inform people on what is in their drugs.

The major benefit of opioids is that if successfully performed, death will be guaranteed to be peaceful, and perhaps even enjoyable for some. At face-value opioids would seem like an attractive method for this reason alone. But, I encourage spending some time forming an unbiased/neutral assessment of both the risks and benefits of this method, before making a decision.

The goal of this thread is twofold:
  1. Help some to reconsider this method due to its poor reliability and risks of permanent injury/disability.
  2. Provide information to improve reliability and minimize risk for permanent injury/disability for those who choose this method anyways.
    1. **Even following the methods in this thread, opioid poisoning remains very unreliable due to variability in personal tolerance and uncontrollable factors related to drug quality.

Introduction

This thread is dedicated to compiling and discussing information on the method of opioid poisoning. Please feel free to comment with any additional information or recommended edits/criticisms to this post.

What are Opioids?

Opioids are analgesic (pain-relieving) drugs that, in high enough doses, result in death via respiratory depression. Examples include morphine, heroin, fentanyl, oxycodone (AKA Percocet or Oxycontin), hydrocodone, hydromorphone (AKA Dilaudid), codeine (AKA T3s), tramadol, and many others.

Pros and Cons

Pros
  • Nearly guaranteed to be peaceful, if successful
  • Accessible for people with pre-existing sources/dealers
  • Non-violent
  • Can easily be portrayed as "accidental", especially if one already uses drugs
Cons
  • Low to moderate reliability
  • Risk of permanent damage; traumatic injury, organ failure, etc.
  • Non-accessible for people without pre-existing sources/dealers or access to dark net
  • Reduced reliability for people with tolerance to opioids (e.g., from pre-existing opioid use)
  • Unpredictable: significant variance in effects from person to person (genetic/etc.-related tolerance & sensitivity)

How Do Opioids Work to Induce Death? What Does it Feel Like?

Opioid drugs bind to the opioid receptors in the brain which are the brain's primary pain-killing receptors. At high enough doses, this causes the nervous system to become depressed to a point where the brain stops sending signals to the lungs to breathe. This results in hypoxic death from lack of oxygenated blood to the brain and body. By the time of fatal respiratory depression, the person's brain will have been flooded with pain-killing signals and will also be completely unconscious (likened to a state of general anaesthesia); they will not experience any suffering.

Prior to losing consciousness, opioids can cause feelings of contentment, relaxation, euphoria, a warm and pleasurable feeling in the body, and has generally been described as being cozied up in a blanket beside a fire. Many people experience a cold flush and/or nausea and vomiting, especially their first time using opioids. Vomiting is not an issue for the effectiveness of ctb if the opioids were not consumed orally, but may be uncomfortable for some. Notably, the pleasurable opioid effects often make people indifferent to nausea. In some cases, intravenous injection may result in such rapid onset of effects that blackout occurs almost immediately, bypassing the pleasurable effects.

Which Opioids are Considered Best For CTB?

In short, heroin or fentanyl are ideal.

Stronger opioids such as heroin, fentanyl, or oxycodone are generally preferable as other types of opioids require much larger doses and thus have higher risk of failure. For example, heroin is about 10x as strong as morphine.

Pharmaceutical-grade opioids might be considered preferable by some given that their dosages are accurately labelled and they are not potentially contaminated or sold as different drugs entirely like with illegal markets. However, many pharmaceutical opioids also contain high concentrations of anti-inflammatory drugs such as paracetamol, acetaminophen, or ibuprofen (e.g., Percocet) that are likely to cause significant stomach pain and damage organs in the doses required to ctb. They also often contain fillers (e.g., Oxycontin) that make them unsuitable for injection or other routes of administration. Eating these medications is also not recommended as it is very likely to fail due to vomiting and oral bioavailability is low.

I highly recommend against using weak opioids like codeine, tramadol, or hydromorphone (dilaudid) as they are far too weak to reliably ctb.

I also recommend against research chemical opioids as too little is known about them to reliably ctb and the risk for pain, adverse effects, etc. is high.

Where Can I Get Opioids?

As mentioned above, some people get them by prescription, but most people will opt for heroin or fentanyl which are rarely prescribed. Illicit opioids can be found by contacting a dealer on the street or sourcing them via the dark net. See: How to Access Dark Net Markets for Ctb Resources or download tor browser and look up the Dark Net Market Buyer's Bible which you can find a .onion link for on the https://tor.taxi/ directory (.onion links in this directory can only be accessed using the tor browser).

Street drugs may be more accessible for some, but tend to be much more contaminated with other drugs and have significant variability in concentrations. Fentanyl, for example, tends to vary from around 5-25% concentration in a given sample. It is often cut with caffeine, benzodiazepines, cocaine, heroin, paint thinners, even concrete, and a range of other drugs. This webpage shows data on common cuts and buffs in the opioid supply, demonstrating how unreliable quality sourcing is off the street.

Dark net markets tend to have higher quality drugs due to their review system which adds some (but far from perfect) level of accountability. The gold star method would involve sourcing from a vendor with a long track record of positive reviews combined with utilizing drug-checking services (see below). China white #4 heroin is advisable.

The Importance of Checking Your Drugs

Because the drug supply on the street and dark net markets are heavily contaminated and inconsistently dosed, it is important to get your drugs checked using harm reduction services such as Energy Control (EU; possibly worldwide) or Get Your Drugs Tested (Canada) to determine approximate concentrations, to confirm the presence of your expected opioid, and to rule out the presence of other drugs. Some jurisdictions have local services where you can get your drugs checked legally, anonymously, and confidentially in-person.

*Energy Control has confirmatory chromatography testing meaning they can tell you more precise information without the limitations below. They should be able to tell you the exact concentration. Try to figure out if the service you use utilizes confirmatory/chromatography testing or an FTIR machine.

*Important: The FTIR spectroscopy technology used by Get Your Drugs Tested and many similar organizations has some limitations:
  1. It can only detect concentrations within a margin of error that is around 10%. I.e., Results will usually say, for example "between 40-50% heroin". Some organizations prefer not to share concentrations unless explicitly asked.
  2. It can only detect the presence of drugs that are above 5% concentration within the sample. There could be multiple other drugs present in a given sample below the 5% detection limit.
  3. The "chocolate chip cookie effect": it can only detect what is in the portion of the sample you send them; just like in a cookie if you break off a chunk, there may or may not be chocolate chips in the chunk. Some drugs tend to clump together and won't be present in the "chunk" you send for testing. Grinding your sample to ensure it is a homogeneous mixture before mailing a portion may reduce this risk.
Fentanyl test strips can also be accessed online and via many pharmacies. However, they will only detect the presence of fentanyl and provide no information on concentrations. Plenty of fentanyl samples are massively under-dosed so fentanyl test strips alone are insufficient.

The Method

Now that you have sourced your opioid of choice, determined its relative concentration and ruled out the presence of other drugs, you need to ensure the right amount enters your body the right way.

Dose

A lethal dose of heroin for a person without any tolerance is technically 30mg. For fentanyl, it is considered 3mg. However, it is unlikely your sample will be 100% pure or even close to it. These doses are also on the lower end of the spectrum and will only be lethal in a proportion of people. A more conservative/reliable aim is at least 150mg for heroin and 15mg for fentanyl.

You will need to do some math based on the relative concentrations provided by the drug checking services you accessed previously. If you have a gram (1,000mg) of powder with a concentration/purity of 10-20% fentanyl, this means there is between 100-200mg of fentanyl in the gram of powder.

Here's an example of the math for a 500mg sample that has a concentration of 30-40% heroin:

500mg x 0.3 (30%) = 150
500mg x 0.4 (40%) = 200

Therefore, 500mg of 30-40% heroin will contain between 150-200mg of heroin. It is recommended to dose conservatively to ensure that the lower end of the range includes the lethal dose.

If you have any tolerance to opioids, this will also reduce the method's reliability further as you will have to do some guesswork to increase your dose accordingly. Erring on the side of caution by taking a larger dose will improve reliability.

Regarding Polydrug Poisoning & Potentiation

Some may wish to combine their opioid with other depressants which can potentiate the effects of opioids, making them more lethal. This is not necessary if you have a large enough dose of opioids but doesn't hurt to improve reliability or if the dose of opioids itself is too small to ctb on its own. The drugs below potentiate the effects of opioids meaning each individual drug has its own effect, but there is an additional effect due to the interaction between these drugs (almost like a 3rd effect on top of the individual effects of the 2 drugs). Potentiation will make the opioid more lethal by causing respitatory failure with a lower dose.

*Important: Although potentiating small doses of opioids with depressants will increase its reliability, it is still very unreliable compared to just using a high dose of opioids. Ideally one would use a sufficiently large dose of opioids in the first place and the addition of sedatives will only be included as a fail-safe.

Potentiating drugs that can be included are below:

- Benzodiazepines (e.g., Xanax (alprazolam), Klonopin (clonazepam), etizolam, Ativan (lorazepam), Valium (diazepam), etc. Benzodiazepines are drugs that reduce anxiety and cause sedation and relaxation. The combination has become increasingly associated with overdose deaths as dealers are cutting the fentanyl supply with benzodiazepines to make them feel stronger. The current supply of fentanyl in Canada witnesses around half of samples containing benzodiazepines. Check your drugs with the services above so you know whether yours contains benzodiazepines.

- Alcohol

- Z-drugs such as zolpidem (ambien) or zopiclone. Z-drugs are commonly prescribed for insomnia/as sleeping pills.

Route of administration (ROA)

The two ideal ROAs are intravenous injection and rectal administration. Other options are less ideal for the reasons described below.

Injections are preferable for anyone who has experience using needles or those willing to learn. Just make sure you draw visible blood into the syringe before pushing the plunger down, and don't hit an artery. Use sterile needles. 30-31 gauge syringes are provided no-questions-asked at most pharmacies or can be obtained online. More detailed instructions on preparing your shot can be found with a quick google search. I recommend following all harm reduction protocols (except "start low, go slow - for obvious reasons) such as sanitary procedure, in case of ctb failure or abort. I know the risk may seem trivial, but you don't want to fail ctb only to be hospitalized and in pain due to a serious blood infection.

Rectal administration is the second most effective method as it has high bioavailability and is suitable for those who wish to skip the stress (or potential phobia) of needles. All you need is a small oral syringe, some water, and some lube for your bum hole. It is marginally less reliable as absorption will be slightly slower. This guide is great for detailing how to do it.

*Note: regarding the homophobia/stigma of men penetrating their butts with a syringe, it does make you gay. That's the best part! Jokes aside, straight men all over the world insert things in their butts to consume drugs (recreational, suppositories, to die), and sexual pleasure. There would be a lot less of us on this forum if not for homophobia… Show your support for us queer folk by dying with heroin up your arse <3

Oral administration is not suitable as it has a low bioavailability and vomiting is incredibly likely. Anti-emetics can be used, but this ROA is still inadvisable due to slow absorption/poor bioavailability. Snorting is also not recommended as absorption can be slow and is effected by the amount of powder in your nostrils; the more powder, the slower the absorption. It is also less bioavailable than injection or rectal administration.

Regarding Naloxone/Suicide Reversal

I feel compelled to advise people on how naloxone works in case anyone should want it by their side. Although most of us aim to ctb without potential for hesitation or reversal, cases where people will consume their lethal dose by whatever means and regret it or contact help are not out of the question.

Should you wish to have a means of reversal (up until the point where you cannot move your body or notify others for help; this will occur very quickly in most cases), naloxone is an effective reversal agent. Naloxone kits usually come with 3 vials and 3 syringes. You may wish to prepare the naloxone by drawing it into the syringes in advance in case you change your mind last minute. There is nothing wrong with changing your mind.

*Injection use of opioids will provide less/potentially no opportunity for reversal as the onset is so quick one may blackout immediately. Rectal administration will take place in approximately 5 minutes after adminstration.

You should dose yourself with at least 2 or more doses as you will have taken a dose that is likely considerably larger than what most people overdose on. If comfortable, contact emergency services after dosing the naloxone as it has a short half-life and when it wears off the opioid effects can cause you to collapse and die later on. If you aren't comfortable contacting emergency services, consider getting 2 or more naloxone kits so you can dose yourself repeatedly until certain the opioid effects have worn off.

Naloxone works by kicking the opioid off your brain's opioid receptor. You can access naloxone kits legally and confidentially at most local pharmacies. It is relatively intuitive to use and will not harm you in any way; it has virtually no interactions with other drugs. You will feel sober afterwards and that is about it.

Final words

I figured I would write this post while I wait my SN to be delivered. I hope this post serves as a way of giving back to this community for what it has provided for me. Thank you to those operating this site, the mods, and contributing members. I'll stick around for a bit to edit this post as needed.

Thanks to @zel for inspiring me to write this.

With love in finding peace in living or dying,
Rhizo :heart:
You can only get H&F from the street.
 
standingfast

standingfast

Member
Aug 29, 2024
37
I know ODing is tricky and I prefer the exit bag method, but I have:

- 385 mg of Oxycodone (left from a surgery.a year ago. 77 - 5 mg tablets) crushed up.
- 150 mg Ambien (30 - 5 mg tablets)

I also have Ondansetron as an anti-nausea.and anti-vomiting agent.
I also have seen GasX is helpful in combination with the above.
I also have alcohol, which wine experts I asked said was easiest on the stomach.

How likely would people say this would be effective at CTB?
 
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S

sadbabyyata

Member
Sep 19, 2024
10
Preamble

I wanted to write something similar to Stan's guide to SN but I hesitate to call this a guide because I can't in good conscience make a guide for something so unreliable in terms of access, lethality, and risk of permanent injury. I.e., traumatic brain injury from hypoxia. SN is a far more reliable and lower-risk alternative in this regard.

Indeed, the PPH strongly recommends against opioids for these reasons.

However, many will still seek to ctb using opioids due to reasons of accessibility, their notoriety for taking lives in the current overdose epidemic, and/or their well-known status as euphoriants and painkillers. The PPH does not go into details about how to ctb with opioids and overlooks different routes of administration and available drug checking services that can inform people on what is in their drugs.

The major benefit of opioids is that if successfully performed, death will be guaranteed to be peaceful, and perhaps even enjoyable for some. At face-value opioids would seem like an attractive method for this reason alone. But, I encourage spending some time forming an unbiased/neutral assessment of both the risks and benefits of this method, before making a decision.

The goal of this thread is twofold:
  1. Help some to reconsider this method due to its poor reliability and risks of permanent injury/disability.
  2. Provide information to improve reliability and minimize risk for permanent injury/disability for those who choose this method anyways.
    1. **Even following the methods in this thread, opioid poisoning remains very unreliable due to variability in personal tolerance and uncontrollable factors related to drug quality.

Introduction

This thread is dedicated to compiling and discussing information on the method of opioid poisoning. Please feel free to comment with any additional information or recommended edits/criticisms to this post.

What are Opioids?

Opioids are analgesic (pain-relieving) drugs that, in high enough doses, result in death via respiratory depression. Examples include morphine, heroin, fentanyl, oxycodone (AKA Percocet or Oxycontin), hydrocodone, hydromorphone (AKA Dilaudid), codeine (AKA T3s), tramadol, and many others.

Pros and Cons

Pros
  • Nearly guaranteed to be peaceful, if successful
  • Accessible for people with pre-existing sources/dealers
  • Non-violent
  • Can easily be portrayed as "accidental", especially if one already uses drugs
Cons
  • Low to moderate reliability
  • Risk of permanent damage; traumatic injury, organ failure, etc.
  • Non-accessible for people without pre-existing sources/dealers or access to dark net
  • Reduced reliability for people with tolerance to opioids (e.g., from pre-existing opioid use)
  • Unpredictable: significant variance in effects from person to person (genetic/etc.-related tolerance & sensitivity)

How Do Opioids Work to Induce Death? What Does it Feel Like?

Opioid drugs bind to the opioid receptors in the brain which are the brain's primary pain-killing receptors. At high enough doses, this causes the nervous system to become depressed to a point where the brain stops sending signals to the lungs to breathe. This results in hypoxic death from lack of oxygenated blood to the brain and body. By the time of fatal respiratory depression, the person's brain will have been flooded with pain-killing signals and will also be completely unconscious (likened to a state of general anaesthesia); they will not experience any suffering.

Prior to losing consciousness, opioids can cause feelings of contentment, relaxation, euphoria, a warm and pleasurable feeling in the body, and has generally been described as being cozied up in a blanket beside a fire. Many people experience a cold flush and/or nausea and vomiting, especially their first time using opioids. Vomiting is not an issue for the effectiveness of ctb if the opioids were not consumed orally, but may be uncomfortable for some. Notably, the pleasurable opioid effects often make people indifferent to nausea. In some cases, intravenous injection may result in such rapid onset of effects that blackout occurs almost immediately, bypassing the pleasurable effects.

Which Opioids are Considered Best For CTB?

In short, heroin or fentanyl are ideal.

Stronger opioids such as heroin, fentanyl, or oxycodone are generally preferable as other types of opioids require much larger doses and thus have higher risk of failure. For example, heroin is about 10x as strong as morphine.

Pharmaceutical-grade opioids might be considered preferable by some given that their dosages are accurately labelled and they are not potentially contaminated or sold as different drugs entirely like with illegal markets. However, many pharmaceutical opioids also contain high concentrations of anti-inflammatory drugs such as paracetamol, acetaminophen, or ibuprofen (e.g., Percocet) that are likely to cause significant stomach pain and damage organs in the doses required to ctb. They also often contain fillers (e.g., Oxycontin) that make them unsuitable for injection or other routes of administration. Eating these medications is also not recommended as it is very likely to fail due to vomiting and oral bioavailability is low.

I highly recommend against using weak opioids like codeine, tramadol, or hydromorphone (dilaudid) as they are far too weak to reliably ctb.

I also recommend against research chemical opioids as too little is known about them to reliably ctb and the risk for pain, adverse effects, etc. is high.

Where Can I Get Opioids?

As mentioned above, some people get them by prescription, but most people will opt for heroin or fentanyl which are rarely prescribed. Illicit opioids can be found by contacting a dealer on the street or sourcing them via the dark net. See: How to Access Dark Net Markets for Ctb Resources or download tor browser and look up the Dark Net Market Buyer's Bible which you can find a .onion link for on the https://tor.taxi/ directory (.onion links in this directory can only be accessed using the tor browser).

Street drugs may be more accessible for some, but tend to be much more contaminated with other drugs and have significant variability in concentrations. Fentanyl, for example, tends to vary from around 5-25% concentration in a given sample. It is often cut with caffeine, benzodiazepines, cocaine, heroin, paint thinners, even concrete, and a range of other drugs. This webpage shows data on common cuts and buffs in the opioid supply, demonstrating how unreliable quality sourcing is off the street.

Dark net markets tend to have higher quality drugs due to their review system which adds some (but far from perfect) level of accountability. The gold star method would involve sourcing from a vendor with a long track record of positive reviews combined with utilizing drug-checking services (see below). China white #4 heroin is advisable.

The Importance of Checking Your Drugs

Because the drug supply on the street and dark net markets are heavily contaminated and inconsistently dosed, it is important to get your drugs checked using harm reduction services such as Energy Control (EU; possibly worldwide) or Get Your Drugs Tested (Canada) to determine approximate concentrations, to confirm the presence of your expected opioid, and to rule out the presence of other drugs. Some jurisdictions have local services where you can get your drugs checked legally, anonymously, and confidentially in-person.

*Energy Control has confirmatory chromatography testing meaning they can tell you more precise information without the limitations below. They should be able to tell you the exact concentration. Try to figure out if the service you use utilizes confirmatory/chromatography testing or an FTIR machine.

*Important: The FTIR spectroscopy technology used by Get Your Drugs Tested and many similar organizations has some limitations:
  1. It can only detect concentrations within a margin of error that is around 10%. I.e., Results will usually say, for example "between 40-50% heroin". Some organizations prefer not to share concentrations unless explicitly asked.
  2. It can only detect the presence of drugs that are above 5% concentration within the sample. There could be multiple other drugs present in a given sample below the 5% detection limit.
  3. The "chocolate chip cookie effect": it can only detect what is in the portion of the sample you send them; just like in a cookie if you break off a chunk, there may or may not be chocolate chips in the chunk. Some drugs tend to clump together and won't be present in the "chunk" you send for testing. Grinding your sample to ensure it is a homogeneous mixture before mailing a portion may reduce this risk.
Fentanyl test strips can also be accessed online and via many pharmacies. However, they will only detect the presence of fentanyl and provide no information on concentrations. Plenty of fentanyl samples are massively under-dosed so fentanyl test strips alone are insufficient.

The Method

Now that you have sourced your opioid of choice, determined its relative concentration and ruled out the presence of other drugs, you need to ensure the right amount enters your body the right way.

Dose

A lethal dose of heroin for a person without any tolerance is technically 30mg. For fentanyl, it is considered 3mg. However, it is unlikely your sample will be 100% pure or even close to it. These doses are also on the lower end of the spectrum and will only be lethal in a proportion of people. A more conservative/reliable aim is at least 150mg for heroin and 15mg for fentanyl.

You will need to do some math based on the relative concentrations provided by the drug checking services you accessed previously. If you have a gram (1,000mg) of powder with a concentration/purity of 10-20% fentanyl, this means there is between 100-200mg of fentanyl in the gram of powder.

Here's an example of the math for a 500mg sample that has a concentration of 30-40% heroin:

500mg x 0.3 (30%) = 150
500mg x 0.4 (40%) = 200

Therefore, 500mg of 30-40% heroin will contain between 150-200mg of heroin. It is recommended to dose conservatively to ensure that the lower end of the range includes the lethal dose.

If you have any tolerance to opioids, this will also reduce the method's reliability further as you will have to do some guesswork to increase your dose accordingly. Erring on the side of caution by taking a larger dose will improve reliability.

Regarding Polydrug Poisoning & Potentiation

Some may wish to combine their opioid with other depressants which can potentiate the effects of opioids, making them more lethal. This is not necessary if you have a large enough dose of opioids but doesn't hurt to improve reliability or if the dose of opioids itself is too small to ctb on its own. The drugs below potentiate the effects of opioids meaning each individual drug has its own effect, but there is an additional effect due to the interaction between these drugs (almost like a 3rd effect on top of the individual effects of the 2 drugs). Potentiation will make the opioid more lethal by causing respitatory failure with a lower dose.

*Important: Although potentiating small doses of opioids with depressants will increase its reliability, it is still very unreliable compared to just using a high dose of opioids. Ideally one would use a sufficiently large dose of opioids in the first place and the addition of sedatives will only be included as a fail-safe.

Potentiating drugs that can be included are below:

- Benzodiazepines (e.g., Xanax (alprazolam), Klonopin (clonazepam), etizolam, Ativan (lorazepam), Valium (diazepam), etc. Benzodiazepines are drugs that reduce anxiety and cause sedation and relaxation. The combination has become increasingly associated with overdose deaths as dealers are cutting the fentanyl supply with benzodiazepines to make them feel stronger. The current supply of fentanyl in Canada witnesses around half of samples containing benzodiazepines. Check your drugs with the services above so you know whether yours contains benzodiazepines.

- Alcohol

- Z-drugs such as zolpidem (ambien) or zopiclone. Z-drugs are commonly prescribed for insomnia/as sleeping pills.

Route of administration (ROA)

The two ideal ROAs are intravenous injection and rectal administration. Other options are less ideal for the reasons described below.

Injections are preferable for anyone who has experience using needles or those willing to learn. Just make sure you draw visible blood into the syringe before pushing the plunger down, and don't hit an artery. Use sterile needles. 30-31 gauge syringes are provided no-questions-asked at most pharmacies or can be obtained online. More detailed instructions on preparing your shot can be found with a quick google search. I recommend following all harm reduction protocols (except "start low, go slow - for obvious reasons) such as sanitary procedure, in case of ctb failure or abort. I know the risk may seem trivial, but you don't want to fail ctb only to be hospitalized and in pain due to a serious blood infection.

Rectal administration is the second most effective method as it has high bioavailability and is suitable for those who wish to skip the stress (or potential phobia) of needles. All you need is a small oral syringe, some water, and some lube for your bum hole. It is marginally less reliable as absorption will be slightly slower. This guide is great for detailing how to do it.

*Note: regarding the homophobia/stigma of men penetrating their butts with a syringe, it does make you gay. That's the best part! Jokes aside, straight men all over the world insert things in their butts to consume drugs (recreational, suppositories, to die), and sexual pleasure. There would be a lot less of us on this forum if not for homophobia… Show your support for us queer folk by dying with heroin up your arse <3

Oral administration is not suitable as it has a low bioavailability and vomiting is incredibly likely. Anti-emetics can be used, but this ROA is still inadvisable due to slow absorption/poor bioavailability. Snorting is also not recommended as absorption can be slow and is effected by the amount of powder in your nostrils; the more powder, the slower the absorption. It is also less bioavailable than injection or rectal administration.

Regarding Naloxone/Suicide Reversal

I feel compelled to advise people on how naloxone works in case anyone should want it by their side. Although most of us aim to ctb without potential for hesitation or reversal, cases where people will consume their lethal dose by whatever means and regret it or contact help are not out of the question.

Should you wish to have a means of reversal (up until the point where you cannot move your body or notify others for help; this will occur very quickly in most cases), naloxone is an effective reversal agent. Naloxone kits usually come with 3 vials and 3 syringes. You may wish to prepare the naloxone by drawing it into the syringes in advance in case you change your mind last minute. There is nothing wrong with changing your mind.

*Injection use of opioids will provide less/potentially no opportunity for reversal as the onset is so quick one may blackout immediately. Rectal administration will take place in approximately 5 minutes after adminstration.

You should dose yourself with at least 2 or more doses as you will have taken a dose that is likely considerably larger than what most people overdose on. If comfortable, contact emergency services after dosing the naloxone as it has a short half-life and when it wears off the opioid effects can cause you to collapse and die later on. If you aren't comfortable contacting emergency services, consider getting 2 or more naloxone kits so you can dose yourself repeatedly until certain the opioid effects have worn off.

Naloxone works by kicking the opioid off your brain's opioid receptor. You can access naloxone kits legally and confidentially at most local pharmacies. It is relatively intuitive to use and will not harm you in any way; it has virtually no interactions with other drugs. You will feel sober afterwards and that is about it.

Final words

I figured I would write this post while I wait my SN to be delivered. I hope this post serves as a way of giving back to this community for what it has provided for me. Thank you to those operating this site, the mods, and contributing members. I'll stick around for a bit to edit this post as needed.

Thanks to @zel for inspiring me to write this.

With love in finding peace in living or dying,
Rhizo :heart:
Do you know if we can crush up pills for anal insertion
 
S

sadbabyyata

Member
Sep 19, 2024
10
Preamble

I wanted to write something similar to Stan's guide to SN but I hesitate to call this a guide because I can't in good conscience make a guide for something so unreliable in terms of access, lethality, and risk of permanent injury. I.e., traumatic brain injury from hypoxia. SN is a far more reliable and lower-risk alternative in this regard.

Indeed, the PPH strongly recommends against opioids for these reasons.

However, many will still seek to ctb using opioids due to reasons of accessibility, their notoriety for taking lives in the current overdose epidemic, and/or their well-known status as euphoriants and painkillers. The PPH does not go into details about how to ctb with opioids and overlooks different routes of administration and available drug checking services that can inform people on what is in their drugs.

The major benefit of opioids is that if successfully performed, death will be guaranteed to be peaceful, and perhaps even enjoyable for some. At face-value opioids would seem like an attractive method for this reason alone. But, I encourage spending some time forming an unbiased/neutral assessment of both the risks and benefits of this method, before making a decision.

The goal of this thread is twofold:
  1. Help some to reconsider this method due to its poor reliability and risks of permanent injury/disability.
  2. Provide information to improve reliability and minimize risk for permanent injury/disability for those who choose this method anyways.
    1. **Even following the methods in this thread, opioid poisoning remains very unreliable due to variability in personal tolerance and uncontrollable factors related to drug quality.

Introduction

This thread is dedicated to compiling and discussing information on the method of opioid poisoning. Please feel free to comment with any additional information or recommended edits/criticisms to this post.

What are Opioids?

Opioids are analgesic (pain-relieving) drugs that, in high enough doses, result in death via respiratory depression. Examples include morphine, heroin, fentanyl, oxycodone (AKA Percocet or Oxycontin), hydrocodone, hydromorphone (AKA Dilaudid), codeine (AKA T3s), tramadol, and many others.

Pros and Cons

Pros
  • Nearly guaranteed to be peaceful, if successful
  • Accessible for people with pre-existing sources/dealers
  • Non-violent
  • Can easily be portrayed as "accidental", especially if one already uses drugs
Cons
  • Low to moderate reliability
  • Risk of permanent damage; traumatic injury, organ failure, etc.
  • Non-accessible for people without pre-existing sources/dealers or access to dark net
  • Reduced reliability for people with tolerance to opioids (e.g., from pre-existing opioid use)
  • Unpredictable: significant variance in effects from person to person (genetic/etc.-related tolerance & sensitivity)

How Do Opioids Work to Induce Death? What Does it Feel Like?

Opioid drugs bind to the opioid receptors in the brain which are the brain's primary pain-killing receptors. At high enough doses, this causes the nervous system to become depressed to a point where the brain stops sending signals to the lungs to breathe. This results in hypoxic death from lack of oxygenated blood to the brain and body. By the time of fatal respiratory depression, the person's brain will have been flooded with pain-killing signals and will also be completely unconscious (likened to a state of general anaesthesia); they will not experience any suffering.

Prior to losing consciousness, opioids can cause feelings of contentment, relaxation, euphoria, a warm and pleasurable feeling in the body, and has generally been described as being cozied up in a blanket beside a fire. Many people experience a cold flush and/or nausea and vomiting, especially their first time using opioids. Vomiting is not an issue for the effectiveness of ctb if the opioids were not consumed orally, but may be uncomfortable for some. Notably, the pleasurable opioid effects often make people indifferent to nausea. In some cases, intravenous injection may result in such rapid onset of effects that blackout occurs almost immediately, bypassing the pleasurable effects.

Which Opioids are Considered Best For CTB?

In short, heroin or fentanyl are ideal.

Stronger opioids such as heroin, fentanyl, or oxycodone are generally preferable as other types of opioids require much larger doses and thus have higher risk of failure. For example, heroin is about 10x as strong as morphine.

Pharmaceutical-grade opioids might be considered preferable by some given that their dosages are accurately labelled and they are not potentially contaminated or sold as different drugs entirely like with illegal markets. However, many pharmaceutical opioids also contain high concentrations of anti-inflammatory drugs such as paracetamol, acetaminophen, or ibuprofen (e.g., Percocet) that are likely to cause significant stomach pain and damage organs in the doses required to ctb. They also often contain fillers (e.g., Oxycontin) that make them unsuitable for injection or other routes of administration. Eating these medications is also not recommended as it is very likely to fail due to vomiting and oral bioavailability is low.

I highly recommend against using weak opioids like codeine, tramadol, or hydromorphone (dilaudid) as they are far too weak to reliably ctb.

I also recommend against research chemical opioids as too little is known about them to reliably ctb and the risk for pain, adverse effects, etc. is high.

Where Can I Get Opioids?

As mentioned above, some people get them by prescription, but most people will opt for heroin or fentanyl which are rarely prescribed. Illicit opioids can be found by contacting a dealer on the street or sourcing them via the dark net. See: How to Access Dark Net Markets for Ctb Resources or download tor browser and look up the Dark Net Market Buyer's Bible which you can find a .onion link for on the https://tor.taxi/ directory (.onion links in this directory can only be accessed using the tor browser).

Street drugs may be more accessible for some, but tend to be much more contaminated with other drugs and have significant variability in concentrations. Fentanyl, for example, tends to vary from around 5-25% concentration in a given sample. It is often cut with caffeine, benzodiazepines, cocaine, heroin, paint thinners, even concrete, and a range of other drugs. This webpage shows data on common cuts and buffs in the opioid supply, demonstrating how unreliable quality sourcing is off the street.

Dark net markets tend to have higher quality drugs due to their review system which adds some (but far from perfect) level of accountability. The gold star method would involve sourcing from a vendor with a long track record of positive reviews combined with utilizing drug-checking services (see below). China white #4 heroin is advisable.

The Importance of Checking Your Drugs

Because the drug supply on the street and dark net markets are heavily contaminated and inconsistently dosed, it is important to get your drugs checked using harm reduction services such as Energy Control (EU; possibly worldwide) or Get Your Drugs Tested (Canada) to determine approximate concentrations, to confirm the presence of your expected opioid, and to rule out the presence of other drugs. Some jurisdictions have local services where you can get your drugs checked legally, anonymously, and confidentially in-person.

*Energy Control has confirmatory chromatography testing meaning they can tell you more precise information without the limitations below. They should be able to tell you the exact concentration. Try to figure out if the service you use utilizes confirmatory/chromatography testing or an FTIR machine.

*Important: The FTIR spectroscopy technology used by Get Your Drugs Tested and many similar organizations has some limitations:
  1. It can only detect concentrations within a margin of error that is around 10%. I.e., Results will usually say, for example "between 40-50% heroin". Some organizations prefer not to share concentrations unless explicitly asked.
  2. It can only detect the presence of drugs that are above 5% concentration within the sample. There could be multiple other drugs present in a given sample below the 5% detection limit.
  3. The "chocolate chip cookie effect": it can only detect what is in the portion of the sample you send them; just like in a cookie if you break off a chunk, there may or may not be chocolate chips in the chunk. Some drugs tend to clump together and won't be present in the "chunk" you send for testing. Grinding your sample to ensure it is a homogeneous mixture before mailing a portion may reduce this risk.
Fentanyl test strips can also be accessed online and via many pharmacies. However, they will only detect the presence of fentanyl and provide no information on concentrations. Plenty of fentanyl samples are massively under-dosed so fentanyl test strips alone are insufficient.

The Method

Now that you have sourced your opioid of choice, determined its relative concentration and ruled out the presence of other drugs, you need to ensure the right amount enters your body the right way.

Dose

A lethal dose of heroin for a person without any tolerance is technically 30mg. For fentanyl, it is considered 3mg. However, it is unlikely your sample will be 100% pure or even close to it. These doses are also on the lower end of the spectrum and will only be lethal in a proportion of people. A more conservative/reliable aim is at least 150mg for heroin and 15mg for fentanyl.

You will need to do some math based on the relative concentrations provided by the drug checking services you accessed previously. If you have a gram (1,000mg) of powder with a concentration/purity of 10-20% fentanyl, this means there is between 100-200mg of fentanyl in the gram of powder.

Here's an example of the math for a 500mg sample that has a concentration of 30-40% heroin:

500mg x 0.3 (30%) = 150
500mg x 0.4 (40%) = 200

Therefore, 500mg of 30-40% heroin will contain between 150-200mg of heroin. It is recommended to dose conservatively to ensure that the lower end of the range includes the lethal dose.

If you have any tolerance to opioids, this will also reduce the method's reliability further as you will have to do some guesswork to increase your dose accordingly. Erring on the side of caution by taking a larger dose will improve reliability.

Regarding Polydrug Poisoning & Potentiation

Some may wish to combine their opioid with other depressants which can potentiate the effects of opioids, making them more lethal. This is not necessary if you have a large enough dose of opioids but doesn't hurt to improve reliability or if the dose of opioids itself is too small to ctb on its own. The drugs below potentiate the effects of opioids meaning each individual drug has its own effect, but there is an additional effect due to the interaction between these drugs (almost like a 3rd effect on top of the individual effects of the 2 drugs). Potentiation will make the opioid more lethal by causing respitatory failure with a lower dose.

*Important: Although potentiating small doses of opioids with depressants will increase its reliability, it is still very unreliable compared to just using a high dose of opioids. Ideally one would use a sufficiently large dose of opioids in the first place and the addition of sedatives will only be included as a fail-safe.

Potentiating drugs that can be included are below:

- Benzodiazepines (e.g., Xanax (alprazolam), Klonopin (clonazepam), etizolam, Ativan (lorazepam), Valium (diazepam), etc. Benzodiazepines are drugs that reduce anxiety and cause sedation and relaxation. The combination has become increasingly associated with overdose deaths as dealers are cutting the fentanyl supply with benzodiazepines to make them feel stronger. The current supply of fentanyl in Canada witnesses around half of samples containing benzodiazepines. Check your drugs with the services above so you know whether yours contains benzodiazepines.

- Alcohol

- Z-drugs such as zolpidem (ambien) or zopiclone. Z-drugs are commonly prescribed for insomnia/as sleeping pills.

Route of administration (ROA)

The two ideal ROAs are intravenous injection and rectal administration. Other options are less ideal for the reasons described below.

Injections are preferable for anyone who has experience using needles or those willing to learn. Just make sure you draw visible blood into the syringe before pushing the plunger down, and don't hit an artery. Use sterile needles. 30-31 gauge syringes are provided no-questions-asked at most pharmacies or can be obtained online. More detailed instructions on preparing your shot can be found with a quick google search. I recommend following all harm reduction protocols (except "start low, go slow - for obvious reasons) such as sanitary procedure, in case of ctb failure or abort. I know the risk may seem trivial, but you don't want to fail ctb only to be hospitalized and in pain due to a serious blood infection.

Rectal administration is the second most effective method as it has high bioavailability and is suitable for those who wish to skip the stress (or potential phobia) of needles. All you need is a small oral syringe, some water, and some lube for your bum hole. It is marginally less reliable as absorption will be slightly slower. This guide is great for detailing how to do it.

*Note: regarding the homophobia/stigma of men penetrating their butts with a syringe, it does make you gay. That's the best part! Jokes aside, straight men all over the world insert things in their butts to consume drugs (recreational, suppositories, to die), and sexual pleasure. There would be a lot less of us on this forum if not for homophobia… Show your support for us queer folk by dying with heroin up your arse <3

Oral administration is not suitable as it has a low bioavailability and vomiting is incredibly likely. Anti-emetics can be used, but this ROA is still inadvisable due to slow absorption/poor bioavailability. Snorting is also not recommended as absorption can be slow and is effected by the amount of powder in your nostrils; the more powder, the slower the absorption. It is also less bioavailable than injection or rectal administration.

Regarding Naloxone/Suicide Reversal

I feel compelled to advise people on how naloxone works in case anyone should want it by their side. Although most of us aim to ctb without potential for hesitation or reversal, cases where people will consume their lethal dose by whatever means and regret it or contact help are not out of the question.

Should you wish to have a means of reversal (up until the point where you cannot move your body or notify others for help; this will occur very quickly in most cases), naloxone is an effective reversal agent. Naloxone kits usually come with 3 vials and 3 syringes. You may wish to prepare the naloxone by drawing it into the syringes in advance in case you change your mind last minute. There is nothing wrong with changing your mind.

*Injection use of opioids will provide less/potentially no opportunity for reversal as the onset is so quick one may blackout immediately. Rectal administration will take place in approximately 5 minutes after adminstration.

You should dose yourself with at least 2 or more doses as you will have taken a dose that is likely considerably larger than what most people overdose on. If comfortable, contact emergency services after dosing the naloxone as it has a short half-life and when it wears off the opioid effects can cause you to collapse and die later on. If you aren't comfortable contacting emergency services, consider getting 2 or more naloxone kits so you can dose yourself repeatedly until certain the opioid effects have worn off.

Naloxone works by kicking the opioid off your brain's opioid receptor. You can access naloxone kits legally and confidentially at most local pharmacies. It is relatively intuitive to use and will not harm you in any way; it has virtually no interactions with other drugs. You will feel sober afterwards and that is about it.

Final words

I figured I would write this post while I wait my SN to be delivered. I hope this post serves as a way of giving back to this community for what it has provided for me. Thank you to those operating this site, the mods, and contributing members. I'll stick around for a bit to edit this post as needed.

Thanks to @zel for inspiring me to write this.

With love in finding peace in living or dying,
Rhizo :heart:
Do you guys also know if we can make fet pills into liquid to inject
 
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Romanticize

Romanticize

Member
Aug 22, 2024
58
Very good, painless method - on 1 condition: someone has to be opioid naive [not tolerant]

Then just take 2-4 200mg morphine tablets, along with some benzos [10 clonazepam 2mg], maybe some other depressants like vodka, pregabalin/gabapentin, quetiapine, and its painless [and even very pleasurable] way to go!

Unfortunately, I got addicted to opioids (depressive personality gets addicted to substances like it so easily), and when normally, 200mg morphine is a lethal dose, I can take 10x that [2000mg] and feel barely a thing,

So with that level of tolerance, this method is totally not for me. My stomach wouldn't digest the quantity of tablets fast enough to kill me.
and IV- yes i've tried for a year, but I damaged my veins so hard, they collapsed, and I can't push anything to my veins anymore. Only oral/intranasal/rectal methods are left.

I guess intranasal fentanyl could still kill me, but it is a very unreliable method for someone highly tolerant. Not if you taken some percs in the past, I have been taking huge amounts of Oxy and Morphine DAILY for 6-7 YEARS now. I didnt have a break longer than 3 days. This is what I call a huge tolerance.
 
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sadbabyyata

Member
Sep 19, 2024
10
Do you guys know if its possible to make fent into a gas like if we had a small metal container that has a tube if i connected it to the oven bag n lit the meral container the fent burns would it make its way to my bag or if i specifically put tube in my mouth i just kept lightning and lightning smoking n smoking to i passed out? N the vag would do the rest? Is it possible a mask to do this to maybe avoid the horrible smell of fent and if i drank alcohol and graprfruit 15 to 30 mins before the mask/ bag so it all cointeracts ? Also how do you make fentanyl anally injectable any recomendations of good masks ?
 
Romanticize

Romanticize

Member
Aug 22, 2024
58
If you are opioid naive (0 tolerance) and add some vodka shots, odds are very high you will CTB. Of course, you need to crush the pills into fine powder, not swallow them as a whole [they are controlled release]
 
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standingfast

standingfast

Member
Aug 29, 2024
37
From the peaceful pill handbook suggests 100mg morphine is lethal and says oxycodone is similar. I have 385 mg oxycodone already crushed up and have alcohol to wash it down with, among other sleeping pills. I am opiad naive. Never took any before. Yet some have said that is not enough, saying I need 1g (1000mg). Final Exit book suggested similar as peaceful pill handbook for morphine. And it is said oxycodone is 1.5 more potent than morphine in other sources. So there is conflict between what I see in these books and what people have told me here. So which is right? Why the difference? What is correct for opiad naive people like me?
 

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Rhizomorph1

Rhizomorph1

May you find peace in living or dying
Oct 24, 2023
604
From the peaceful pill handbook suggests 100mg morphine is lethal and says oxycodone is similar. I have 385 mg oxycodone already crushed up and have alcohol to wash it down with, among other sleeping pills. I am opiad naive. Never took any before. Yet some have said that is not enough, saying I need 1g (1000mg). Final Exit book suggested similar as peaceful pill handbook for morphine. And it is said oxycodone is 1.5 more potent than morphine in other sources. So there is conflict between what I see in these books and what people have told me here. So which is right? Why the difference? What is correct for opiad naive people like me?
The PPH certainly has accurate dosing information. The main issue is vomiting is very likely; opioids are notorious for causing vomiting that would remove the dose well before it would reliably kill you.

If you proceed with this, an antiemetic is recommended and the dosage in the PPH is ideal; too much more and you only increase the risk of vomiting. It's still risky considering that unlike other drugs, opioids are higher risk for vomiting.

The antiemetic will only lower the risk of vomiting but unlike e.g. SN or nembutal (pentobarbital) the nausea response from opioids is generally a lot quicker and more intense, to my knowledge. So the risk of failure or injury from hypoxic brain damage is higher compared to other drugs commonly used for euthanasia/suicide (SN & barbiturates).

Hope this helps you make an informed decision about the risks/benefits. As mentioned in the OP, this method is only moderately reliable; more so than e.g., cutting, drowning, but far less so than e.g., gunshots, SN, or barbiturates.
 
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memoriesofyesterday

memoriesofyesterday

Member
Sep 24, 2024
94
I Slist

That' a big image. I'm redirecting here because I've been reading the thread. I can get up 90 Hydrocodone = so that's 900 and also sildenafil and lots of it.

I don't want to feel a heart attack or be a witness of my last dying breath.

I want to go to sleep and not wake up.

After reading through all the various messages I must note, I have only taken TWO hydrocodone's my entire life. And obvsiouly I would include alcohol.

What brought me was a redirect from a very kind user, who thought it would be unlikely.

I cannot imagine for the life of me (literally) how taking 900 mg of Hydro + Xanax + Mirtazapine NOT kill me?

I don't want to screw it up, but also I don't want to be fooled (not that they're doing this) into people who are trying to save me and say you're going to be a vegetable if you do.

Again, I cannot imagine how this wouldn't work?

This is a lot of drugs here, isn't it??
 

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Rhizomorph1

Rhizomorph1

May you find peace in living or dying
Oct 24, 2023
604
IView attachment 151512

That' a big image. I'm redirecting here because I've been reading the thread. I can get up 90 Hydrocodone = so that's 900 and also sildenafil and lots of it.

I don't want to feel a heart attack or be a witness of my last dying breath.

I want to go to sleep and not wake up.

After reading through all the various messages I must note, I have only taken TWO hydrocodone's my entire life. And obvsiouly I would include alcohol.

What brought me was a redirect from a very kind user, who thought it would be unlikely.

I cannot imagine for the life of me (literally) how taking 900 mg of Hydro + Xanax + Mirtazapine NOT kill me?

I don't want to screw it up, but also I don't want to be fooled (not that they're doing this) into people who are trying to save me and say you're going to be a vegetable if you do.

Again, I cannot imagine how this wouldn't work?

This is a lot of drugs here, isn't it??
Two hydrocodones in the past wouldn't lead to any tolerance so you don't have to worry about that.

The major risk is vomiting, in which case read above. The issue with opioids is that even with an antiemetic, nausea and vomiting still remain common as massive doses of opioids induced nausea and vomiting quite rapidly due to strong binding in nausea-specific sub regions of the hindbrain.

I wish it was more straightforward and risk free but I owe it to you guys to be honest and caution the fact that with opioids there's no real way around this risk.

Should you follow through with it, the best risk mitigation strategy is a stat dose of antiemetics similar to the SN protocol. Unlike SN, the antiemetics won't be as effective due to opioids stronger binding at the nausea inducing sub regions, however.

The alprazolam is incredibly non-toxic on its own, even at massive doses, but can contribute slightly to the toxicity of oxycodone/opioids, but again, the main issue of vomiting still remains. The benzos could also increase the risk of vomiting too. The main benefit to them is anxiety reduction.

I'm not sure your thinking behind adding mirtrazapine. Generally speaking serotonergic antidepressants won't cause lethal amounts of toxicity but in massive doses can certainly cause a range of painful symptoms corresponding to serotonin syndrome; including injuries related to seizure or neurotoxicity (non-fatal). The only exception really is amytriptylene used in cardiac switches, in which case, read the PPH section on it. I would skip out on including mirtrazapine. Or any other SSRIs, SNRIs, or tricyclic antidepressants for the reasons above.

I can't think of any pharmacological reason to add sildenafil to the mix unless you want a hard on while you exit 😵‍💫

As I've mentioned prior, the reliability of this method (opioids overdose) even with antiemetics is moderate. NOT high, not low.

The other option is injection (which likely won't work with pills due to their binding agents) or rectal administration.



As always, I implore you all to spend some considerable time deliberating if this is the right decision for you, hopefully seeking support by disclosing to a trusted other who will hopefully respect you wish to die but is open to talking about other options at your discretion, and spending some considerable time preparing emotionally, spiritually, or otherwise.

Dying is a serious decision. I respect all choices and freedom of information and hope the info I provide contributes to reducing pain, harms, and injury. It's not my place to say how people use this information, but I feel compelled to urge people to be mindful about how they go about it, as an adjunct to the physical pain reduction, there is a lot we can do to address the emotional sides of this whole situation we share ❤️
 
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memoriesofyesterday

memoriesofyesterday

Member
Sep 24, 2024
94
Two hydrocodones in the past wouldn't lead to any tolerance so you don't have to worry about that.

The major risk is vomiting, in which case read above. The issue with opioids is that even with an antiemetic, nausea and vomiting still remain common as massive doses of opioids induced nausea and vomiting quite rapidly due to strong binding in nausea-specific sub regions of the hindbrain.

I wish it was more straightforward and risk free but I owe it to you guys to be honest and caution the fact that with opioids there's no real way around this risk.

Should you follow through with it, the best risk mitigation strategy is a stat dose of antiemetics similar to the SN protocol. Unlike SN, the antiemetics won't be as effective due to opioids stronger binding at the nausea inducing sub regions, however.

The alprazolam is incredibly non-toxic on its own, even at massive doses, but can contribute slightly to the toxicity of oxycodone/opioids, but again, the main issue of vomiting still remains. The benzos could also increase the risk of vomiting too. The main benefit to them is anxiety reduction.

I'm not sure your thinking behind adding mirtrazapine. Generally speaking serotonergic antidepressants won't cause lethal amounts of toxicity but in massive doses can certainly cause a range of painful symptoms corresponding to serotonin syndrome; including injuries related to seizure or neurotoxicity (non-fatal). The only exception really is amytriptylene used in cardiac switches, in which case, read the PPH section on it. I would skip out on including mirtrazapine. Or any other SSRIs, SNRIs, or tricyclic antidepressants for the reasons above.

I can't think of any pharmacological reason to add sildenafil to the mix unless you want a hard on while you exit 😵‍💫

As I've mentioned prior, the reliability of this method (opioids overdose) even with antiemetics is moderate. NOT high, not low.

The other option is injection (which likely won't work with pills due to their binding agents) or rectal administration.



As always, I implore you all to spend some considerable time deliberating if this is the right decision for you, hopefully seeking support by disclosing to a trusted other who will hopefully respect you wish to die but is open to talking about other options at your discretion, and spending some considerable time preparing emotionally, spiritually, or otherwise.

Dying is a serious decision. I respect all choices and freedom of information and hope the info I provide contributes to reducing pain, harms, and injury. It's not my place to say how people use this information, but I feel compelled to urge people to be mindful about how they go about it, as an adjunct to the physical pain reduction, there is a lot we can do to address the emotional sides of this whole situation we share ❤️
Thank you for taking the time for writing at such length.

The only reason I added Mirtazapine was because I kept seeing on various post including this particular drug.

Much appreciated.
 
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