If you look in the PPH drugs and vomiting chapter, it states a stat dose of 10 to 20mg.
So I suppose you might want to go with a 20mg stat dose.
I think prochlorperazine has a higher risk of EPS than meto.
So it would be wise to have some Diphenhydramine on standby.
In the US this would be Benadryl, or in the UK Nytol, or you can simply get products labelled as "Diphenhydramine".
Given the EPS risk, it might be an idea to do some pre-testing, eg starting with 5mg.
I have some notes on anti-emetic stuff in my N guide :
If you look in the PPH drugs and vomiting chapter, it states a stat dose of 10 to 20mg.
So I suppose you might want to go with a 20mg stat dose.
I think prochlorperazine has a higher risk of EPS than meto.
So it would be wise to have some Diphenhydramine on standby.
In the US this would be Benadryl, or in the UK Nytol, or you can simply get products labelled as "Diphenhydramine".
Given the EPS risk, it might be an idea to do some pre-testing, eg starting with 5mg.
I have some notes on anti-emetic stuff in my N guide :
I'm confused about this. I have Buccastem M pills which you place under the lip. It says (PROCHLORPERAZINE MALEATE 3 MG, EQUIVALENT TO 1.85 MG PROCHLORPERAZINE BASE). And says the dose is 1-2 maximum twice daily. 10-20mg would be many more pills than 3x 10mg meto. I wonder if they are stronger because you don't swallow them, so shouldn't take as many. I am worried taking 10-20mg of those would be an OD in itself and cause EPS so I couldn't carry out the attempt. There doesn't seem to be clear enough information on how much of this to take anywhere because most people use meto or domperidone.
I'm confused about this. I have Buccastem M pills which you place under the lip. It says (PROCHLORPERAZINE MALEATE 3 MG, EQUIVALENT TO 1.85 MG PROCHLORPERAZINE BASE). And says the dose is 1-2 maximum twice daily. 10-20mg would be many more pills than 3x 10mg meto. I wonder if they are stronger because you don't swallow them, so shouldn't take as many. I am worried taking 10-20mg of those would be an OD in itself and cause EPS so I couldn't carry out the attempt. There doesn't seem to be clear enough information on how much of this to take anywhere because most people use meto or domperidone.
I agree there's not much info out there, so I think you have to go with a best guess....
In general, I don't think dosages are ever an exact science anyway....
I generally assume a bigger person would tend to need a higher dose.
My best guess for your situation would be :
Have the diphenhydramine on standby, and go with a 15mg stat dose.
So 5 x 3mg.
Perhaps you could use 2 pills, wait 30 mins, take 2 more pills, wait 15 mins, take 1 more pill, then wait 15 mins, then take your SN or N.
Note, however, that I am not medically qualified in any capacity, so ultimately you will have to decide for yourself.
Could you not order some meto from the well known auction site ?
Note : As always, please note that I strongly encourage you to seek help with whatever is troubling you. With the right help things can improve. There are many sources of help if you look and reach out. Please seek assistance in any and every way possible. You alone must decide upon your actions and take full responsibility for them, and you should always favour seeking help and keeping out of harm's way.
This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
By continuing to use this site, you are consenting to our use of cookies.