wheelsonthebus
vroom vroom
- Apr 1, 2022
- 35
OD is not regarded as a reliable method, with shockingly low success rates, although that is attributable in part to overdoses on substances like benadryl and ibuprofen also counting, if my understanding is correct.
My original method of choice was going to be a polysubstance overdose that included items that alone would not even be worth considering as methods, but taken together with other pills and potentially booze was to (hopefully) result in sedation and grand mal seizures until death. It was inspired from an experience I had waking up from general anesthesia for surgery: I was aware of where I was and what had happened, as well as who was in the room and what was expected of me. However, I did not care. About anything! Including breathing. I consciously decided to take advantage of not feeling any need to breath to see how it would feel, and realized, hey, feels pretty great to not freak out at holding your breath too long! The nurse, however, disagreed.
That said, I am beginning to doubt my own pharmacological understanding. Here was the original medicine cabinet, though I'm sure taking all of the pills would have been an immediate vomiting situation and overkill:
Pills:
- oxycodone 5 mg (5 count).
- tramadol 50 mg (9 count)
- tramadol-acetaminophen 37.5-325 (15 count)
- propranolol 10 mg (25 count)
- quetiapine fumarate 50 mg (60 count)
- escitalopram 10 mg (25 count)
- bupropion HCL XL 150 mg (6 count)*
Capsules:
- gabapentin 300 mg (20 count)
- hydroxyzine pamoate 50 mg (15 count)
- venlafaxine XR 37.5 mg (15 count), 70 mg (10 count) (XR capsule can be removed and beads crushed)
Additional:
- Alcohol, sipped to avoid gagging (I struggle with shots) 3 drinks worth.
- Grapefruit juice
Suspected outcome:
3-5 on Glasgow coma scale and low respiratory rate from quetiapine, opiods, and propranolol, as well as severe hypoxia
Bradycardia or ventricular tachy from the seratonin toxicity
Severe hypotension from cardiogenic shock (propranolol and quetiapine)
Prolonged QT interval so a high risk of fatal arrhythmia
5-10% survival without immediate care, no awareness of death due to rapid CNS depression, becoming drowsy and out of it within 30-60 minutes, fully unconscious within 1 or 2 hours. In other words, sedation would prevent experiencing air hunger.
Grand mals until brain is soup? vvv
I have lots of sublingual odansetron, hyoscyamine 0.125 sublingual, and promethazine.
Would back to back tonic-clonic seizures be realistic? You'd be unconcious, but would it be lethal? I worry it's not reliable.
Interestingly, with EMT response and a quick drive to the ER within an hour or so, assuming they approached treatment correctly, within a few days you would be fine. No permanent damage, I don't believe, But it would require ventilation, total irrigation of the digestive system, the works. So ideally this is done far away from other people.
My original method of choice was going to be a polysubstance overdose that included items that alone would not even be worth considering as methods, but taken together with other pills and potentially booze was to (hopefully) result in sedation and grand mal seizures until death. It was inspired from an experience I had waking up from general anesthesia for surgery: I was aware of where I was and what had happened, as well as who was in the room and what was expected of me. However, I did not care. About anything! Including breathing. I consciously decided to take advantage of not feeling any need to breath to see how it would feel, and realized, hey, feels pretty great to not freak out at holding your breath too long! The nurse, however, disagreed.
That said, I am beginning to doubt my own pharmacological understanding. Here was the original medicine cabinet, though I'm sure taking all of the pills would have been an immediate vomiting situation and overkill:
Pills:
- oxycodone 5 mg (5 count).
- tramadol 50 mg (9 count)
- tramadol-acetaminophen 37.5-325 (15 count)
- propranolol 10 mg (25 count)
- quetiapine fumarate 50 mg (60 count)
- escitalopram 10 mg (25 count)
- bupropion HCL XL 150 mg (6 count)*
Capsules:
- gabapentin 300 mg (20 count)
- hydroxyzine pamoate 50 mg (15 count)
- venlafaxine XR 37.5 mg (15 count), 70 mg (10 count) (XR capsule can be removed and beads crushed)
Additional:
- Alcohol, sipped to avoid gagging (I struggle with shots) 3 drinks worth.
- Grapefruit juice
Suspected outcome:
3-5 on Glasgow coma scale and low respiratory rate from quetiapine, opiods, and propranolol, as well as severe hypoxia
Bradycardia or ventricular tachy from the seratonin toxicity
Severe hypotension from cardiogenic shock (propranolol and quetiapine)
Prolonged QT interval so a high risk of fatal arrhythmia
5-10% survival without immediate care, no awareness of death due to rapid CNS depression, becoming drowsy and out of it within 30-60 minutes, fully unconscious within 1 or 2 hours. In other words, sedation would prevent experiencing air hunger.
Grand mals until brain is soup? vvv
*I feel that removing bupropion wouldn't raise survival odds too badly but would make it less likely to vomit everything up before passing out. However, this was the biggest contributor to the tonic clonic/grand mal seizure outcome.
I suspect a strong AE would be required, because surely the body would vomit?I have lots of sublingual odansetron, hyoscyamine 0.125 sublingual, and promethazine.
Would back to back tonic-clonic seizures be realistic? You'd be unconcious, but would it be lethal? I worry it's not reliable.
Interestingly, with EMT response and a quick drive to the ER within an hour or so, assuming they approached treatment correctly, within a few days you would be fine. No permanent damage, I don't believe, But it would require ventilation, total irrigation of the digestive system, the works. So ideally this is done far away from other people.
