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L

lorekake

Member
Dec 15, 2021
6
Hi everyone. I've had my SN since June 2021 and I had to hide it in a closet that gets bit stuffy in summer months. Should it still be effective?
 
CloudyNightSky

CloudyNightSky

Experienced
Oct 28, 2023
289
Hi everyone. I've had my SN since June 2021 and I had to hide it in a closet that gets bit stuffy in summer months. Should it still be effective?
Yeah im pretty sure it still works. Even if it's more then 3 years old, Sn is highly stable. I don't think the temperature is that big of a problem bc it's fine between 2C - 30C, but if you want to make sure you can test it with a bit of blood. When the blood turns brown or blue it should be fine. Or if you want to be 100% sure, buy some Sn purity tests.
 
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D

death2022

Member
Feb 10, 2024
43
This stat protocol is as per the Ppeh book 2023,
Fast for 8 hours and take minimal water as possible, 2 hours before SN (stop water)
1 hour before drinking SN600mg of Ibuprofen or 1000mg of paracetamol. You can use any pain killer as long as you stay within the recommended dose
40 minutes before drinking SN3 X 10mg Metoclopramide (30mg in total)
Wait 40 minutes

During the wait time, dissolve 25gm of Sodium Nitrite in 50-100ml of plain water (35gm if body weight over 100kg)

Crush 20x30mg tablets (Oxazepam) (Benzos) with Mortar & Pestle

Mix crushed tablets with enough water until a drinkable solution is created
SN drink

Drink Oxazepam (Benzos) in water

Lay back

the stat protocol says "2 hours before SN (stop water)", but then it says to take "600mg of Ibuprofen or 1000mg of paracetamol 1 hour before drinking SN" and "40 minutes before drinking SN 3 X 10mg Metoclopramide", how are you suppose to take these paracetamol or Metoclopramide without water? As it says "2 hours before SN (stop water)", I am confused.
 
L

lorekake

Member
Dec 15, 2021
6
When the SN gets all clumpy does anyone know how to break it up?
 
uniqueusername4

uniqueusername4

Member
Aug 13, 2023
90
Thanks for putting this together! I just wanted to clarify - we want 600 mg crushed up xanax in water? or is that 20x30mg a typo?
 
Goku Black

Goku Black

Global Mod
Jun 5, 2023
3,276
Thanks for putting this together! I just wanted to clarify - we want 600 mg crushed up xanax in water? or is that 20x30mg a typo?
No, that's way too much Xanax than you actually need. No one needs that much.
the stat protocol says "2 hours before SN (stop water)", but then it says to take "600mg of Ibuprofen or 1000mg of paracetamol 1 hour before drinking SN" and "40 minutes before drinking SN 3 X 10mg Metoclopramide", how are you suppose to take these paracetamol or Metoclopramide without water? As it says "2 hours before SN (stop water)", I am confused.
Take as little water as necessary to take those meds, the stop water part is for a short fast but there's nothing wrong in using water to take the meds obviously.
 
uniqueusername4

uniqueusername4

Member
Aug 13, 2023
90
No, that's way too much Xanax than you actually need. No one needs that much.

Take as little water as necessary to take those meds, the stop water part is for a short fast but there's nothing wrong in using water to take the meds obviously.
Screenshot 2024 02 19 at 112142AM

Okay thank you, I was going off what it said here and thought that sounded like way too much also
 
L

lorekake

Member
Dec 15, 2021
6
Hey everyone. When it talks about using an antipsychotic as an antiemetic it says n,M as the unit of measurement rather than mg. Does anyone know what this is? I take risperidone and am hoping to use it as my antiemetic but need to know how much to take. Thanks all.
 
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C

Candysky3

Member
Jan 27, 2024
17
A question about the Stat Dose.
Is it possible to say how long it will take for death to occur?

Minutes or Hours?
1 Hour or 6 Hours?

I think that would be important to know.
 
strangelife

strangelife

Specialist
Feb 16, 2024
368
A question about the Stat Dose.
Is it possible to say how long it will take for death to occur?

Minutes or Hours?
1 Hour or 6 Hours?

I think that would be important to know.
The same question I am thinking about
 
P

Praestat_Mori

Mori praestat, quam haec pati!
May 21, 2023
9,551
Is it possible to say how long it will take for death to occur?
The same question I am thinking about
Dying is a process and SN is not killing very fast. There have been reports where people vomited after being unconscious) and were found after more than 1h and could be rescued. You may use the search for failed SN attempts.

The more time alone u have the better it is. I would say 6h alone and not being found is almost certain death when everything works well.
 
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Yuki_03

Yuki_03

I really can't take it
Aug 9, 2023
488
sorry if this has already been asked but:

im diagnosed w depression so i have benzos and sertraline at home. should i stop taking sertraline as it seems like an opposing to an antiemetic? is it necessary to take benzos dissolved?
 
M

Mimas

Member
Jan 12, 2024
42
Why should someone take the 48-hour regime when it can be done faster with the Stat. Dose?
 
Charcoal

Charcoal

Member
Mar 11, 2024
66
A Question to the 48 methode.
Must i fasting 48hours? :ohh:
Or only the 8 hours before i take the SN on the CTB Day.
 
C

Chelsea Leng

Student
Feb 3, 2024
139
Few can do it perfectly as the instructions indicate, so that the actual outcome of sn could be horrible rather than peaceful
 
Roadrunner

Roadrunner

Member
Mar 18, 2024
57
Bless Vizzy for putting this guide together. Hope he's at peace!
 
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M

Mi Mi

No One Special
Mar 18, 2024
308
@Vizzy
This is extremely helpful.
I've been agonizing over this method as I am not the brightest person.
But when I read simple is best that helped ease my anxiety.
I want this time to be my final and successful.
I really appreciate this.
 
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melancholymallory03

melancholymallory03

Do cats live nine lives ? Or do humans ⏰
Feb 20, 2024
360
Sodium Nitrite (SN) Method

Introduction

This document is a compilation of different sn information, members inputs, important posts related to sn, recorded suicide cases related to sn, different research on sn and so on. This document also give a full understanding of SN, what it is, how it works and how to use it. It will use the most simplest way of delivering this information as many members do not have English as their first language. Therefore using complicated words in sentences may be fine for English speakers but may translate into something confusing for others. Please do your own research use this document as a tool to gain more information, ctb is a big decision and hope you do it right.

Acronyms used:

I have used Ppeh or pph (Peaceful Pill Book), it doesn't matter just check both the recent version of those books for your reference


What is SN?


Sodium Nitrite or SN as it is commonly referred to, is an inorganic salt with the chemical formula NaNO2. It can be in the form of a yellowish-white crystalline granule, powder, or rod. It is odorless and non combustible but can assist in the burning of other combustible materials. As an ionic compound, it can be used as a strong reducing agent. When dissolved in an acid solution, it becomes a strong oxidizer. It is currently legal to own as a private citizen in all countries.

Where can I buy SN?

SN can be purchased easily in the Asian countries but for the west it is challenging to purchase but it is not impossible. For North America try to source from other countries like Mexico, India, Malaysia, China but shipping will be expensive. For European countries try sourcing from Asian countries and some European countries which are not under the radar like Poland, Romania, Hungary. Better to use vpn to source because some websites are not visible if you don't use vpn but it is not necessary.

How much you need:

It is better to buy two separate 100 grams SN packages because one you can use for testing and another one you can use for the ctb itself as it is better to keep the sn in the sealed package, buying two 100 grams packages will not increase your shipping charges as shipping is based on the weight so until 500 grams it is same price.

Why SN:

The PPH has designated SN ingestion as a peaceful way to end your life. Ppeh has made that statement through observing the death of more than 22 people who ingested SN drink. Peaceful means that there was minimal distress to those who drank it and did not suffer. There are symptoms that can be gained by drinking SN.

We have a lot of research to backup this claim that SN is painless by observing the different sn suicides, forum members testimonials, scientific research, news reports and sn failed attempt cases.

SN Success rate 83%. Less than 20% reported pain


44/53 of those that took it on purpose died (89% of men died, 67% of women, but the sample size for women was smaller)
Even 57% of those that were hospitalized died
In 95 cases, it was possible to collect information relating to the symptoms (Figure 3). The symptoms that were most commonly presented were cyanosis of the face and/or extremities (64; 48.49%), breathing abnormalities (64; 48.49%), altered level of consciousness (57; 43.18%), dizziness (30; 22.73%), vomiting (28; 21.21%), nausea (22; 16.67%), pain (headache: 18, 13.64%; abdominal pain: 1, 0.76%, and chest pain: 1, 0.76%), and tachycardia (19; 14.39%).

Ijerph 19 13996 g003


SN Grades:

There are different types of SN grades available

99.999% trace metals basis

ReagentPlus®​, ≥99.0%

ACS reagent, ≥97.0%

anhydrous, Redi-Dri™​, ReagentPlus®​, ≥99.0%

anhydrous, free-flowing, Redi-Dri™​, ACS reagent, ≥97%

It doesn't matter which one you choose just make sure the SN purity is greater than (>) than 95% for ctb

How does SN works:

SN ends your life through a clinical process called Hypoxia. That means it deprives your body of oxygen. It achieves this by changing your blood. The blood that you have right now contains a lot of Hemoglobin, the bright red blood that carries oxygen to all parts of your body. SN poisoning converts Hemoglobin to something called Methemoglobin which cannot carry oxygen. This will change the colour of your blood to a blue or brown colour.

How will I feel during SN poisoning?

The following symptoms may be seen through SN poisoning:
  • Nausea
  • Pale, gray, or blue-tinted skin, lips, or nail beds (cyanosis).
  • Shortness of breath.
  • Fatigue.
  • Confusion.
  • Headache.
  • Lightheadedness.
  • Rapid heart rate (tachycardia).
It is not a guarantee that you will see all of these symptoms. They provide low level discomfort and you will suffer no distress through the process.

Most of the reports in this forum from members that have used this process have identified that they encountered some of these symptoms but were in no way distressed by them.

What do I need and why?

The essential component is the SN. Everything else is meant to make the process easier for you and to minimise any possible symptoms and discomfort.

With anyone already taking medications for any reason it is essential that you understand if any of your prescribed drugs interact badly with any medication listed. Open Google and search for 'drug interaction tracker'. Some sites will appear where you can list the medications you are on now and add the recommendations below. It is advised for you not to come off your prescribed medication to achieve SN poisoning. Instead, just do not take the drug or drugs listed as part of the regimen. The risks of doing this will be listed later in this document.

Previous versions of the PPH will mention other medications but have now been removed. They were guesses at how to make the process more effective but were later found out not to. The best way to be successful is to keep it as simple as possible and only take the supporting recommendations if you feel they will benefit you and are not dangerous with any prescribed drugs you are already on.
  • Antiemetic
The second most important step of the method after making the SN drink and swallowing it, is for the SN to stay in your stomach. You are drinking a toxic liquid and your body defences will recognise this and may try to cleanse your body. One of the defence systems is vomiting.

Most effective antiemetic are dopamine blocking which are Metoclopramide, Domperidone and Prochlorperazine. Metoclopramide speeds gastric emptying, which limits gastric conversion and nitric oxide production.

Below is a list of antiemtics in their generic name. Some countries may have a brand name for these drugs:
  1. Domperidone
  2. Metoclopramide
  3. Olanzapine
  4. Alizapramide
  5. Chlorpromazine
  6. Prochlorperazine
You only need access to one of the above

Some of you may be on antipsychotics as part of your mental health treatment. First generation antipsychotics act effectively like antiemetic you can use any from the below

Adasuve. fluphenazine. Haldol. Haldol Decanoate. haloperidol. Haloperidol LA. loxapine. molindone. Perphenazine. Pimozide. Thiothixene. Trifluoperazine

If you can't get access to any of the medication above you can go with any mentioned below:

Droperidol- 0,25 nM. Benperidol- 0,027 nM. Trifuperidol- 0,4 nM. Spiperone- 0,053 nM. Haloperidol- 2,0. Bromperidol- 2,1. Lurasidone- 1,0 nM. Sestindole- 2,7 nM. Paliperidone- 2,8 nM. Risperidone- 4,9 nM. Olanzapine- 21 nM. Clozapine- 144 nM. Quetiapine- 245 nM
  • Antacid
Stan followed ppeh for his research, when he wrote his guide ppeh recommended to use Antiacid

The purpose of antacid has nothing to do with quicker absorption of SN. In your stomach there is something called gastric juices, one of the components of this juice is hydrochloric acid (HCL). When SN mixes with HCL, it converts to regular salt (NaCL). There isn't enough HCL in your stomach to convert all the recommended dose, but it will reduce it. Therefore less SN gets passed to the small intestine where the process of actually transferring it into bloodstream starts. The stomach only prepares the food for digestion, it does not absorb it into the bloodstream. So the purpose of antacid is to help reduce that conversion so more SN moves into the small intestine.

You may see that there are conversations regarding complex medications to reduce the amount of stomach acid. It is not necessary. Regular stores and pharmacies will sell easy to obtain medications that cure indigestion and excess stomach acid.

After research, it was found that proton pump inhibitors (PPI) were not useful for the SN process. Nor any other drug that changes the behaviour of your stomach producing acid. You only need something that reduces the stomach acid quickly.

Excess normal salt (NaCl) in your stomach may also produce some stomach discomfort which makes it a good thing to take them.

Recently there has been a considerable debate about the advantage of lowering the stomach acid in order to lessen gastric no production (with the associated drop in blood pressure) which allowing more nitrite to be directly absorbed into the blood from the small intestine

Therefore, the benefit ( in terms of potentiation) of taking an antacid cannot be established so ppeh no longer advice antacid in their procedure

Proton pump inhibitors (PPI) are not useful in SN process.
  • Pain killers
When SN starts to work, your blood pressure will drop. When this happens you may get a mild headache. To counteract this, any regular pain killer will stop or reduce the pain before it starts. Paracetamol or Ibuprofen will work.
Ppeh doesn't talk about pain killer in their recent release, if you are using sedatives it should be avoided because too many medications will cause vomiting.
  • Sedatives
It is only natural to feel extremely anxious during this event. Some may be concerned and wish to make it easier for themselves. Taking a large amount of alcohol prior is not recommended. The body already sees alcohol as a toxin, adding another toxin may tip the balance and increase the chance of vomiting. Pharmaceutical sedatives are the recommended way to reduce anxiety or perhaps something that you personally know that would work. Benzodiazepines is the recommended choice.

Drugs such as oxazepam (20x30mg tablets), Valium (diazepam, 50x10mg) and the off-license, bromazolam (10mg), can lessen anxiety and significantly shorten the time to consciousness loss.
  • Beta Blockers & it's controversy
One of the symptoms you may get is a fast heart rate (tachycardia). It is completely normal for the SN process and does not cause any pain. Your heart will beat faster as if you have done some physical exercise or you are watching a scary film. The drug recommended is Propanolol. In the opinion of the author of this document, it is a luxury item and would not consider the effort in purchasing it to have any significant effect on you not being distressed.

It is a prescription only drug and just adds another complication to sourcing and potentially using if you are already on prescribed treatments.

A dose of 400mg of propranolol taken with the antiemetic (metoclopramide) was previously advised, finally some reports have suggested that the use of a beta blocker is a luxury that serves no function other than alleviating the tachycardia (racing heart). It is argued that the raised cardiac oxygen requirements will speed death (presumably from cardiac arrest). However, until more information is available, the benefit of using beta blocker cannot be established. The beta blocker has, therefore, been removed from the protocol.

How important are these medications?

I will give my opinion on the importance of the drugs for you to understand whether they are key to your success. It should be noted that there have been accidental deaths (you can find through a Google search) where the victims took no preparation drugs at all.
  • Antiemetic.
Without keeping the SN in your stomach, it will not work. There have been reports from people who followed the correct dosage of an antiemetic and still vomited so there is no guarantee. I would suggest that you do everything possible not to vomit. You do not want any antiemetic though. Buying one for travel sickness for example works on the wrong part of the brain for the SN method. What you need is a dopamine blocker which have been listed above. This is the medication that is most likely to react with people who are on existing prescriptions. Please check the interaction for your own safety.

Some people find it easy to drink something salty with no thought, some may dry retch as part of the natural reaction from the body.

If you have decided to use a particular antiemetic, it is strongly advised to take a test dose before you think of doing the SN method to see if it has a negative reaction with you. This is to avoid any unwanted surprises on the day that you take the SN.
  • Antacid.
Recently there has been a considerable debate about the advantage of lowering the stomach acid in order to lessen gastric no production (with the associated drop in blood pressure) which allowing more nitrite to be directly absorbed into the blood from the small intestine

Therefore, the benefit ( in terms of potentiation) of taking an antacid cannot be established so ppeh no longer advice antacid in their procedure

Proton pump inhibitors are not useful in SN process.
  • Pain Killer.
Another simple medication to get and use. There is no reason not to use it.
  • Beta Blocker.
I only mention it as it will be advertised in more recent versions of the PPH and I did not want confusion regarding why I did not mention it here. It is excessive for the process and only acts to eliminate a symptom (fast heart rate) that does not hurt.

A dose of 400mg of propranolol taken with the antiemetic (metoclopramide) was previously advised, finally some reports have suggested that the use of a beta blocker is a luxury that serves no function other than alleviating the tachycardia (racing heart). It is argued that the raised cardiac oxygen requirements will speed death (presumably from cardiac arrest). However, until more information is available, the benefit of using beta blocker cannot be established. The beta blocker has, therefore, been removed from the protocol.
  • Benzodiazepines.
Benzos help in keeping the subject calm, reduces anxiety and gives a sedative effect. High dosage of benzos can make you unconscious so it is recommended in the SN protocol. Make sure you experiment with low dosage of benzos before the ctb day to know how it reacts on your body.

Where can I get these medications?

There are a few methods and I will list them again with how people got them. Please make sure that if you are already on medications to use the drug interaction tracker to understand if they are suitable for you.
  • Antiemetics.
Most countries have these as prescription only drugs. Some people have gone to their primary care doctor and have been able to get a prescription pretending that they have migraines and feel nauseous. Say that a close family member has the same thing and that they use Metoclopramide that works well for them. You may want to research symptoms of migraines as it is likely the doctor will ask questions.It is such a low level medication that most doctors would prescribe without concern. Some countries will sell the equivalent drug without prescription (UK for example). Just go to a good pharmacy and state you have migraines and you are looking for something to help with the nausea. Do not buy antiemetics that have the purpose of curing travel sickness, they will not work for SN. Internet online pharmacies will also sell this easily. Google online pharmacy and many will appear. It is such a simple drug that there is low risk of scam.
  • Antacid
Regular stores or pharmacies found in your local community.
  • Pain killers
Regular stores or pharmacies found in your local community.
  • Beta Blockers
This will be difficult to get on prescription without a real valid medical reason. Look at online pharmacies for its availability.
  • Benzodiazepines
Prescription only. Go to the doctor and state you are having panic attacks.

I will give you more information on how to get hold of prescription drugs like antiemetic and benzodiazepines below (just be careful so you don't get scammed)

Try to source from countries like Mexico, India, China, Brazil, Malaysia, Peru, Colombia. You can connect with people who live in these countries and ask them to ship you the medicine but shipping is expensive and we can't be 100% sure that it will clear the customs but mostly it will clear as these are not heavy drugs

You can checkout in dark web using tor browser where there are a lot of sellers to purchase these medications, again clearing customs can be a problem

You can purchase these medicines when you go for a vacation to any of these countries.

How to test the purity of SN:

There are two tests to find the purity of SN (Sodium Nitrite), Nitrite strips test and blood test, it is recommended to do both the tests to be sure

Nitrite strips test as per the ppeh:

You'll need:

  • Digital scale to weigh 5g of SN
  • 2 x one litre bottles of distilled water
  • Separate liquid container, like a cup for example.
  • 2ml pipette
  • Nitrite test strips. Should measure up to 10mg/L. Usually part of an aquarium test kit
The test procedure:
  • Use the digital scale to weigh 5g of SN
  • Take two cups, pour in 1 liter of distilled water in both the cups
  • Pour 10 to 20ml from one of the water cup into the separate container
  • Stir the SN in the distilled water in the container until dissolved.
  • Return the mixture to the same cup
  • Reseal, shake, and then re-open
  • Take 2ml from the mixture in the cup using the pipette. (I'll use the dropper that comes with the cannabis oil. It's 1ml. So, I'll use it twice.)
  • Add the 2ml mixture to the 2nd cup which contains another 1 liter of distilled water.
  • Reseal, shake, and then re-open
  • Use the nitrite test strips and the color chart to test.
  • If the SN is pure, the color change in the test strip should match the 10mg/L in the color chart
Documented SN strips test with pictures:

1. Prepare 2 cups with 500mL of distilled water each. I didn't find 1L distilled water bottles in nearby stores. So, I recalculated the test based on 2 x 500mL.
SN Test 1


2. Weigh 2.5g of SN
SN Test 2


3. Dissolve the 2.5g of SN in cup1. Then, take 1mL from the cup1 and add it to cup2.
SN Test 3


4. Now, we have 2.5g/500mL or 5g/L in cup1, and 10mg/L in the cup2. This picture actually the same as picture 1. Just distilled water. I reused it to explain this step.
SN Test 4


5. Use the testing strips to test for Nitrite. We need the concentration of Nitrite in cup2. But, I tested both for comparison. I think the result is close to 10mg/L. Which is good.
SN Test 5


6. Here is a closer look of the testing strip next to the color chart.
SN Test 6


If you have mineral water instead of distilled water, Just test the mineral water without SN first. Then do the test with SN and subtract what you got from the first test from the results.

SN blood test:
Blood test on SN requires fresh blood and 0.1g of SN powder, add 0.1g of the SN powder to the blood, blood color should change quickly within some seconds
The result is in the pic below and it is a graphic content just be cautious

Testsnsmall   Copy

SN aquarium purity testing mathematics

fundamental inputs :

v1 : volume of water in ml in bottle 1
v2 : volume of water in ml in bottle 2
w : weight of SN in mg
t : transferred volume of water in ml, from bottle 1 to 2
tc : target concentration in mg/ml


(see first post in this thread to understand what bottle 1 and 2 are, etc)

----------------------------------------------------------------------
derived values :

c1 : concentration of SN in mg/ml in bottle 1
c2 : concentration of SN in mg/ml in bottle 2
tw : transferred weight of SN in mg, from bottle 1 to 2

It should be easy to see that :
c1 = w / v1 [1]
tw = t * c1 [2]
c2 = tw / v2 [3]
----------------------------------------------------------------------
Combining [2] and [3] gives :
c2 = ( t * c1 ) / v2

Including [1] gives :
c2 = ( t * w / v1 ) / v2
c2 = ( t * w ) / ( v1 * v2 ) [4]

tc is the target value for c2, so we can re-state [4], as :
tc = ( t * w ) / ( v1 * v2 )

We can rearrange the above as needed, depending on which items are known, and which we are trying to determine. Doing that yields :
t = ( tc * v1 * v2 ) / w
w = ( tc * v1 * v2 ) / t
v1 = w * t / ( tc * v2 )
v2 = w * t / ( tc * v1 )
tc = w * t / ( v1 * v2 )


Using above equations, 4 things need to be known, and the 5th thing can be determined.
Pick the equation for the thing you want to determine. Example below shows how that works.
-------------------------------------------------------------------------------------------------
Example 1 :
We've decided to use 1 litre of water in bottles 1 and 2, and use 2.0g of SN.
Our test kit can measure up to 10 mg/L
We've decided to "target" the middle of the test range, ie 5mg/L
How much transferred volume of water should I use ?

So our 4 known things are :
v1 = 1000 v2 = 1000 w = 2000 tc = 5 / 1000 = 0.005
(Convert from mg/L to mg/ml, so divide by 1000. Convert volumes to ml, and weight to mg, so those are multiplied by 1000)

t is what we're trying to determine, so use equation for t :
t = ( tc * v1 * v2 ) / w

So :
t = ( 0.005 * 1000 * 1000 ) / 2000 = 2.5 ml

So, we've determined we should transfer 2.5 ml of water from bottle 1 to 2.
If the SN is 100% pure, then this should give a 5 mg/L result on the test kit.
-------------------------------------------------------------------------------------------------
Example 1b) : As example 1), except :
We've decided to "target" the max of the test range, ie 10mg/L
tc = 10 / 1000 = 0.01
and :
t = ( 0.01 * 1000 * 1000 ) / 2000 = 5 ml

So, we would transfer 5 ml of water from bottle 1 to 2.
If the SN is 100% pure, then this should give a 10 mg/L result on the test kit.
-------------------------------------------------------------------------------------------------
Example 2 :
We've decided to use 1 litre of water in bottles 1 and 2, and to transfer 10ml of water
Our test kit can measure up to 10 mg/L
We've decided to "target" the middle of the test range, ie 5mg/L
How much SN should I use ?
v1 = 1000 v2 = 1000 t = 10 tc = 5 / 1000 = 0.005

w = ( tc * v1 * v2 ) / ( 2 * t )

w = ( 0.005 * 1000 * 1000 ) / 10 = 500 mg = 0.5g

If the SN is 100% pure, then we should see 5 mg/L on the test kit.
-------------------------------------------------------------------------------------------------
Example 2b) : As example 2), except :
We've decided to "target" the max of the test range, ie 10mg/L
tc = 10 / 1000 = 0.01
and :
w = ( 0.01 * 1000 * 1000 ) / 10 = 1000 mg = 1.0g

If the SN is 100% pure, then we should see 10 mg/L on the test kit.

For more information regarding purity mathematics, refer the below link


What's the method for SN poisoning?

Once you have got all the components together you can start to plan how to take it. There are two processes that have been used with equal success. I will identify them as the 48 hour Regimen and the Stat Dose. The amount of SN is outlined in the PPH and is tied to your weight. I have accessed that 100mg of SN per every kilo of your weight is a fatal dose. The PPH will recommend more than this, it is not a bad thing. It is obvious that the more SN you ingest, the more likely you will succeed. This needs to be balanced with regard to how easy the drink is to consume as you do not want a thick milkshake consistency in the glass that is undrinkable.
  • Components needed for SN protocol
  1. SN (Sodium Nitrite)
  2. Metoclopramide (you can take any antiemetic recommended but meto is preferred)
  3. Paracetamol (painkiller)
  4. Diazepam (you can take any benzodiazepines recommended but Xanax or Valium is preferred)
  5. Beta blocker (not recommended by ppeh but if you want to take use propranolol) (luxury, not recommended)
  6. Digital weighing scales (for weighing out SN, please don't use rough calculations better buy a scale because it is your ctb)
  7. 100ml plastic cups for the SN drink and measuring jug.
  8. Spoon to mix the SN
  9. Mortar and pestle for Diazepam (Needed to crush Benzos to add into water to drink recommended by PPEH book)
  • Recommended doses of SN
25gm SN in 50 -100 ml of plain water is the ppeh standard upto 100kgs, 35grams SN for more than 100kgs

It is important that all of the SN is dissolved. If there are crystals still at the bottom of the glass, add small bits of water and keep stirring. The aim is to use as little water as possible.

It is important that you only use plain water to mix the SN drink. Do not consider using fruit juice or carbonated drinks to make the taste better as It will slow the process.

The aim is to flood your bloodstream with the right amount of SN as quickly as possible so you do not feel any symptoms for any longer than you need to. This is why using the SN in water is recommended above any other method. Some people use a strong mouthwash to numb their tongue and tastebuds before or after drinking the SN. Or a small piece of confectionery to remove the taste afterwards.

Some people have discussed or used putting SN into capsules. This only removes the point of the salty taste in your mouth. People have still been sick after taking capsules as the human body will still react to poisoning regardless of if it is in water or capsules. There is also the potential for the SN to be slowly released into your system which could extend the time to death significantly.

Others have suggested doing this enema. Big risk that it will come out again, sometimes hurting and you will fail.

Injections are strongly not advised. You need hospital equipment and assistance from another medically trained person to make that work.

Refer the below chart to see how much SN needed for your body weight if you are greater than 100kgs, if you are less than 100kgs 25 grams of SN is your standard recommended by ppeh book

IMG 20200605 140333

  • 48 hour Regimen
Some people are concerned about vomiting all of the SN drink and failing. They find comfort going through a two day process to prepare them mentally for the event. Fasting is strongly recommended. Some people have medical conditions that mean fasting has a negative effect on them. Sources say that 8 hours is needed. I would suggest individuals know their own metabolism better than a book. If you know that your stomach feels empty after 4 hours, then I suggest you have a 4 hour fast. Try to avoid eating anything large and heavy. Avoid drinking anything two hours prior to drinking the SN. If you need to, then just plain water.

I will use Metoclopramide as the antiemetic of choice to use in this example schedule as it seems to be the most popular medication. Check the label in the medication box to ensure dosage and any other instructions.

You need to organise your own schedule with the exact timings. My advise would be that you aim to take the SN drink at midnight on the day you intend to leave to allow the poisoning to take effect overnight. Not being found or interrupted should be a critical part of your plan.

If using sedatives, I would suggest doing the test before to check how it works on your body and how long it takes for you to become unconscious.

This protocol is as per the ppeh book, when Stan wrote his guide at 2019

Day 1Medication and Dose
08:00hrs1 X 10mg Metoclopramide
16:00hrs1 X 10mg Metoclopramide
24:00hrs1 X 10mg Metoclopramide
Day 2Medication and Dose
08:00hrs1 X 10mg Metoclopramide
16:00hrs1 X 10mg Metoclopramide
23:00hrs600mg of Ibuprofen or 1000mg of paracetamol. You can use any painkiller as long as you stay within the recommended dose
23:15hrs3 X 10mg Metoclopramide (30mg in total)
23:30hrsDouble dose of what is recommended on the label of the antacid.
24:00hrsSN drink
Once consumed, immediately relax on a bed, couch or reclining chair. There is no way to predict for an individual when the effects will start to happen. The SN will give you low blood pressure and fainting is a common occurrence. This is a good thing as you are now unconscious and will feel nothing.
  • Stat Dose
Some people will not want to wait 2 days or fear that two days of using an antiemetic will have a negative effect on them. Stat dose is equally successful as the two day regime. Dignitas only use a Stat Dose process. Remember to consider the appropriate fasting and try not to drink for 2 hours beforehand.
1 hour before drinking SN600mg of Ibuprofen or 1000mg of paracetamol. You can use any pain killer as long as you stay within the recommended dose
45 minutes before drinking SN3 X 10mg Metoclopramide (30mg in total)
30 minutes before drinking SNDouble dose of what is recommended on the label of the antacid.
SN drink
Once consumed, immediately relax on a bed, couch or reclining chair. There is no way to predict for an individual when the effects will start to happen. The SN will give you low blood pressure and fainting is a common occurrence. This is a good thing as you are now unconscious and will feel nothing.

Recent Recommnended Ppeh book SN Protocol:

  • 48 hour SN protocol
Some people are concerned about vomiting all of the SN drink and failing. They find comfort going through a two day process to prepare them mentally for the event. Fasting is strongly recommended. Some people have medical conditions that mean fasting has a negative effect on them. Sources say that 8 hours is needed. I would suggest individuals know their own metabolism better than a book. If you know that your stomach feels empty after 4 hours, then I suggest you have a 4 hour fast. Try to avoid eating anything large and heavy. Avoid drinking anything two hours prior to drinking the SN. If you need to, then just plain water.

I will use Metoclopramide as the antiemetic of choice to use in this example schedule as it seems to be the most popular medication. Check the label in the medication box to ensure dosage and any other instructions.

You need to organise your own schedule with the exact timings. My advise would be that you aim to take the SN drink at midnight on the day you intend to leave to allow the poisoning to take effect overnight. Not being found or interrupted should be a critical part of your plan.

If using sedatives, I would suggest doing the test before to check how it works on your body and how long it takes for you to become unconscious.

This protocol is as per the ppeh book 2023,
Day 1Medication and Dose
08:00hrs1 X 10mg Metoclopramide
16:00hrs1 X 10mg Metoclopramide
24:00hrs1 X 10mg Metoclopramide
Day 2Medication and Dose
08:00hrs1 X 10mg Metoclopramide
16:00hrs1 X 10mg Metoclopramide
23:00hrs600mg of Ibuprofen or 1000mg of paracetamol. You can use any painkiller as long as you stay within the recommended dose
23:20hrs3 X 10mg Metoclopramide (30mg in total)
Wait 40 minutes

During the wait time, dissolve 25gm of Sodium Nitrite in 50-100ml of plain water (35gm if body weight over 100kg)

Crush 20x30mg tablets (Oxazepam) (Benzos) with Mortar & Pestle

Mix crushed tablets with enough water until a drinkable solution is created
24:00hrsSN drink

Drink oxazepam (Benzos) in water

Lay back
Once consumed, immediately relax on a bed, couch or reclining chair. There is no way to predict for an individual when the effects will start to happen. The SN will give you low blood pressure and fainting is a common occurrence. This is a good thing as you are now unconscious and will feel nothing.

If you are not able to get antiemetics or benzodiazepines it doesn't mean SN is not going work because you can take SN without those medications as SN is the one going to kill you. Those medications help you with nausea, vomiting, anxiety and other symptoms which are connected to the SN consumption.
  • Stat Dose
Some people will not want to wait 2 days or fear that two days of using an antiemetic will have a negative effect on them. Stat dose is equally successful as the two day regime. Dignitas only use a Stat Dose process. Remember to consider the appropriate fasting and try not to drink for 2 hours beforehand.

I will use Metoclopramide as the antiemetic of choice to use in this example schedule as it seems to be the most popular medication. Check the label in the medication box to ensure dosage and any other instructions.

You need to organise your own schedule with the exact timings. My advise would be that you aim to take the SN drink at midnight on the day you intend to leave to allow the poisoning to take effect overnight. Not being found or interrupted should be a critical part of your plan.

If using sedatives, I would suggest doing the test before to check how it works on your body and how long it takes for you to become unconscious.

This stat protocol is as per the Ppeh book 2023,
Fast for 8 hours and take minimal water as possible, 2 hours before SN (stop water)
1 hour before drinking SN600mg of Ibuprofen or 1000mg of paracetamol. You can use any pain killer as long as you stay within the recommended dose
40 minutes before drinking SN3 X 10mg Metoclopramide (30mg in total)
Wait 40 minutes

During the wait time, dissolve 25gm of Sodium Nitrite in 50-100ml of plain water (35gm if body weight over 100kg)

Crush 20x30mg tablets (Oxazepam) (Benzos) with Mortar & Pestle

Mix crushed tablets with enough water until a drinkable solution is created
SN drink

Drink Oxazepam (Benzos) in water

Lay back
Once consumed, immediately relax on a bed, couch or reclining chair. There is no way to predict for an individual when the effects will start to happen. The SN will give you low blood pressure and fainting is a common occurrence. This is a good thing as you are now unconscious and will feel nothing.

If you are not able to get antiemetics or benzodiazepines it doesn't mean SN is not going work because you can take SN without those medications as SN is the one going to kill you. Those medications help you with nausea, vomiting, anxiety and other symptoms which are connected to the SN consumption.

What happens after I drink SN?

The answer to this varies from person to person. I will try and answer them in order of how it might happen.

Nausea

This is probably the most common symptom. Nausea can happen for a number of reasons.

The taste alone may be horrible and cause a gag reaction.

Natural body reaction to recognising a toxin in your body (think about if you have had an excess of alcohol)

Anxiety can produce nausea. People who do public performances often feel sick in their stomach before going out on stage.

When vomiting, two things will happen. Retching will either bring up stomach mucus which is a clear sticky substance or bring up the SN liquid. The reason why it is advised to use as little water as possible is that you can make a personal assessment whether you brought it all up. People make 3 glasses of the SN solution to drink some more if they feel they have brought too much up. People have achieved ctb after vomiting so it is not an automatic failure.

Tachycardia

You might start to feel your heart beating faster. This is the body responding to the knowledge that less oxygen is in the blood. It tries to compensate by moving the blood quicker around your body. This is a sensation and comes with no pain, but it may make you feel anxious.

Heavy breathing

The same as tachycardia, the body needs more oxygen so it will send instructions to your lungs to get more air. No pain but could make you anxious.

Dizzy and drowsy

The brain responds to the lack of oxygen by shutting down. This will cause drowsiness and perhaps dizziness. This is a good indicator that you will be unconscious soon. Make sure you are seated or horizontal on bed or couch. This is when you really know it is working.

Unconscious

This may take up to 20 minutes to happen from drinking the SN. Be aware that fainting can happen quickly. Those who already from low blood pressure will succumb quicker.

Death

Anywhere between 40 minutes and 4 hours depending on your health and natural metabolism. There is no way to give an individual person a time of death from consumption. When discovered, your skin will have changed colour to a grey or blue due to the cyanosis. Because of the wide time frame that death can be reached, it is vital that you factor this in your plan so you do not get found and saved.

Below is the general timeline but it can differ,
3 mindizzy
5 minsVery drowsy, responsive
12 minsUnconscious
15 minsDeep sleep/ un-rousable
25 minsIncreasing cyanosis
30 minsIrregular shallow breathing
40 minsDeath

Scenarios where SN method fails:

Found by the family members before SN finish its job so make sure no one show up for many hours

Didn't follow the SN procedure

SN purity is not enough to kill you so make sure you test your SN before consuming it, SN purity should be greater than 95%

Try not to vomit, if you vomit drink your 2nd cup SN to be sure

Don't take too many drugs or alcohol along with SN which will make you vomit so keep it simple as possible

SN storage and disposal:

Sodium nitrite SN can be stored at room temperature as it is stable. However, it should be stored in a sealed container. SN is hygroscopic which means that when exposed to air, it absorbs water and will slowly oxidize to sodium nitrate, silently degrading over time. Oxidization will render a sample of sodium nitrite ineffective as an end of life agent. Evidence of deterioration can be difficult to determine by visual inspection.

There are no specific concerns with the disposal of any unused sodium nitrite.

Sodium Nitrite RPA test:

For a substance or drug to be useful as a peaceful pill two main criteria must be met. It must be reliable, peaceful and it must be available.

For nitrite, a large quantity is needed, vomiting risk is greater which makes its reliability less

Availability, SN is easy to obtain, with little effective surveillance

Preparation, SN is water soluble and can be consumed as a drink

Undetectability, at autopsy SN will be detected, with SN clinical darkening of blood color (associated with nitrite methaglobin) can be noticed in the skin showing a brown color.

Speed, death slower with SN

Safety, it is safe to anyone trying recovery your body

Storage, should be sealed, stored in room temperature and should not be exposed to air.

Legality, none on SN

Notes:

* indicates some uncertainty, ** indicates changeability

CriteriaSN (Sodium Nitrite)
Reliability (10)7*
Peacefulness (10)7
Availability (10)9**
Preparation (5)5
Undetectability (5)2
Speed (5)3*
Safety (5)5
Storage (5)4
Legality (5)5
Total (60 or 100%)47 or 78%

SN Frequently Asked Questions

Question: Is SN reversible? Can I be saved?
Answer: Yes, treatment for SN poisoning is readily available. Easily reversed in hospital if you are found.

Question: If saved, will I have long term damage to my brain or anywhere else?
Answer: With all the recorded survivors on this board and medical reports in the open forum nearly everyone has walked away without any damage. That is not to say that there could not be if an attempt to save you life happened quite a while after you ingested SN. It is why it is critical you do not get found.

Question: The PPH is mainly for old or sick people, I am a healthy Olympic champion, will it work for me?
Answer: Yes. There is no need to change the process or the recommended dose.

Question: I have heard it is possible you may have a seizure. Will I be making a lot of noise and thrashing around?
Answer: It is possible but not guaranteed. The process of the body shutting down could produce a seizure. They are normally limited events and last between a few seconds or up to 2 minutes. There are a few types of seizures with different symptoms. The one you may have in mind (often seen in Hollywood films for the dramatic effect) is called a Grand Mal Seizure which normally only happens with epilepsy. If concerned, make sure the place where you will be resting is cleared of all objects so you don't knock them over.

Question: Using the drug interaction checker, it says all of my prescribed drugs react badly together. Does this mean I cannot do SN as a method?
Answer: All the regimen drugs are there to either reduce symptoms or help you not to vomit. A good number of people have died through accidental poisoning without using any medications. It is for you to decide whether you want to try it.

Question: How do I store my SN?
Answer: Do not open it until you need it. Keep it in a cupboard or drawer. it can last 3 years stored correctly

Question: I have problems with my digestive system, is SN good for me?
Answer: If the conditions means that your digestive tract is ulcerated, it is possible that you are pouring salt onto an open wound which could cause severe pain.

Question: Just to be on the safe side, can I take more than 25g to be sure?
Answer: No, don't take more than 25g if your weight less than 100kg, it will make you vomit so follow the SN protocol

Question: Do I have to do both nitrite strip test and blood test?
Answer: yes, it is better to do both the tests to be sure

Question: Do I have to fast for many hours?
Answer: yes, you have to fast for minimum 8 hours but 24 hours is better and drink less water as possible

Question: how much purity SN should be ?
Answer: SN purity should be greater than 95% for ctb

Question: SN, when exposed to air, becomes nitrate and useless. But how fast is that? Can I open the box to test the nitrite? (How would I even go about testing nitrite?)
Answer: You can open and test the SN it will not change but store it in a airtight container, follow the SN tests in this post like nitrite strip test and blood tests

Question: How salty is the SN? Is it saltier than regular salt? Is it okay if I drink like a mouthful of coke after to help with the taste?
Answer: Don't drink anything after drinking SN which will make you vomit

Question: I am not sure how much time I have left to attempt. I will try to get an antiemetic + something to help me feel at ease, but if I can't, can I attempt with just the SN?
Answer: yes you can take paracetamol and only SN for ctb, attached a case link for your reference please check

Question: Could I try putting the SN into capsules to get rid of the taste after I drink?
Answer: No, because it will take a lot of time for SN absorption

Question: Where to ctb with SN?
Answer: If you have the money to do so, get a hotel room. It doesn't have to be fancy. Because the process can take several hours, you might make noises, get up, if you do it in your house your parents are likely to hear you and call an ambulance. Hotel workers won't bother you, if you put a "Do not disturb" sign on your door.

Question: Do I need to take propranolol?
Answer: propranolol is a beta-blocker, as you know. It's not necessary for the protocol. It's just sometimes advised to slow the tachycardia that will occur, once you ingest the salt. That rapid heart-rate causes panic, in most people. You don't have to have it. It won't accelerate the process. You just have to be able to push through it, knowing that it's temporary. (Ppeh doesn't recommend it)

Question: How to lay down (body direction) after drinking SN?
Answer: Best to just go lay down right side after taking the SN and let it do its work.

Question: What is the shelf life of SN? could I buy it now and keep it sealed for years and have it still effective?
Answer: 3 years

Question: Does SN has an indefinite shelf life if left sealed?
Answer: Chemtrade suggests that under proper storage conditions, the shelf life for dry sodium nitrite is at least 3 years. While sodium nitrite may cake, clump and harden within 6 months of the manufacture date, the chemical assay will remain within manufacturing specifications for at least 3 years.

Question: Can I snort SN?
Answer: it is impossible to snort 25g of SN, it will be painful as it is a salt, not recommended

Question: is brain damage possible?
Answer: Sodium Nitrite almost always does not cause brain damage if you are revived in time.(Assuming you mean major brain damage not something very minor like for instance drinking heavy for awhile) Sodium Nitirite is actually used to prevent brain damage for a variety of conditions. Ofcourse it still possible if you get revived towards near death rather than sooner. Brain damage cases are very rare

Question: causes fits & seizures ( are they the same thing? ) is that an inevitable part of the dying process with this method? Or only likely for some people ? Or where they just trying to scare me off doing it ?
Answer: A "fit" is more or less a slang term for seizure, so yes, they are the same thing, seizures often occur when the body is in the process of dying, They can happen, no matter what's your method: hanging, inert gas, SN, etc. Not to worry seizures do not cause pain. I once knew an epileptic who would have seizures in front of me, I ask him if it hurt, He said he didn't even know he was having one until after it is over, so no, no pain. For ctb, you are long unconscious before seizures start, if they occur at all.

Question: what if you take lethal doses of SN without antiemetics, then throw up and then take another dose of SN. Will I eventually die even if I retake it after throwing up?
Answer: You can take SN without antiemetic but highly recommended because it helps with nausea and vomiting, if you take SN without antiemetic make sure you take the second cup of SN if vomited

Question: My question is would SN look like I died in my sleep from natural causes or is it obvious suicide?
Answer: It's a very obvious suicide. I've heard the blue color sticks around too. Any autopsy will immediately reveal traces of SN. I've read a few autopsies where they found it in the stomach.

Question: Do we know about any suicide monitored with SN? Can anyone tell me something else about the pains? It is very painful?
Answer: Observed cases by Exit/PeacefulPillHandbook show no pain little uncomfortable, Members on here who have been online for the first part of their exit have described feeling hot, feeling faint, feeling sleepy, things going black. With your antiemetic / fasting I hope the nausea is low. And with paracetamol beforehand I hope the headaches are minimal. There are no certainties, no absolutes. Too many variables. But seeing the increasing amount of SS members passing on using SN should give us hope.

Question: I know that when ingesting sn, it is necessary to take a ph medication to raise the ph in the stomach as well as a thorough course of antiemetics. My theory is that one could take sn rectally to avoid all that. However, that area is less centralized than the stomach. My question is whether or not that would work?
Answer: To take SN rectally, please do your own research as ppeh doesn't recommend it and not much information about it

Question: Nitrite (degenerate to) Nitrate because of the hydrochloric acid that is produced in the stomach,
so which antiacid prevent this and reduce the pain of the sn?
Answer: Recently ppeh book doesn't recommend antiacid, reason gave was potentiation.

Question: i dont have scale so i plan on doing the table spoon method mention many post in the wiki threat. my question is going over the amount 25g be a bad thing?
Answer: it is better to buy a digital weight scale to make things easier and it is cheap to buy

Question: Can you put SN on your food?
Answer: There are several case reports of sickness and death caused when SN has been mistaken for normal table salt, and used as seasoning but it is not recommended for ctb as per the ppeh book

Question: What would happen if you follow the steps correctly but don't use enough sn to kill you? Would you just sleep for a while and just wake up?
Answer: You have to be prepared for the possibility it's lethal. Even in small doses. The PPeH recommendation is 25 grams, but there's a documented account of somebody dying from as little as 1g.

Question: let's say ill get my SN, where can I get the capsules itself ? Also, how can I put them (capsules with SN) inside by my own ? Which kind of equipment to use for such purposes?
Answer: To take SN rectally, please do your own research as ppeh doesn't recommend it and not much information about it

Question: is fasting required for SN method?
Answer: Fasting is not an absolute must for SN to work. Fasting makes it work quicker. It's not what you throw up that counts, its what you keep down. People have reported throwing up and still died.

Question: is SN illegal to buy?
Answer: No, SN is legal to buy

Question: After taking SN is it possible to come back?
Answer: if you follow the instructions there is very little to no chance of you ever coming back. Obviously the only ways this would happen is:
1) You didn't follow the instructions (which they're not complicated so shouldn't be an issue)
2) You were discovered very early into the attempt
3) Your SN is not pure enough or you didn't take enough SN to be lethal

Question: I was wondering if i go with SN, when i drink the first glass how much time i should wait till its absorbed, if i vomit 5-10 mins after drinking it how i know its absorbed?
Answer: In the event of any vomiting at any time after the first glass, it is recommended to take the second glass of SN which you already prepared. And the same principle for the third glass.

Question: Will SN show up in autopsy? Will it affect the insurance benefit to family?
Answer: Yes SN will show up in autopsy. As to the insurance, it depends on whether your policy has any restrictions on suicide, and if so, whether these are still in place at the time of death. Some have these restrictions for an initial period and then they are lifted. You should carefully read your policy terms and conditions or call your insurance broker and ask all your questions to him.

Question: can I take proton pump inhibitors (PPI) Nexium with SN?
Answer: Recent ppeh book doesn't recommend it and it should be avoided

Question: what is metoclopramide? How it works?
Answer: Metoclopramide is a antiemetic used to treat the symptoms of slow stomach emptying (gastroparesis) in patients with diabetes. It works by increasing the movements or contractions of the stomach and intestines. It relieves symptoms such as nausea, vomiting, heartburn, a feeling of fullness after meals, and loss of appetite. Metoclopramide is also used to treat heartburn for patients with gastroesophageal reflux disease (GERD).GERD is esophageal irritation from the backward flow of gastric acid into the esophagus.

Question: what is the recent protocol recommended by ppeh book?
Answer: This stat protocol is as per the Ppeh book,

Fast for 8 hours and take minimal water as possible, 2 hours before SN (stop water)
1 hour before drinking SN600mg of Ibuprofen or 1000mg of paracetamol. You can use any pain killer as long as you stay within the recommended dose
40 minutes before drinking SN3 X 10mg Metoclopramide (30mg in total)
Wait 40 minutes

During the wait time, dissolve 25gm of Sodium Nitrite in 50-100ml of plain water (35gm if body weight over 100kg)

Crush 20x30mg tablets (Oxazepam) (Benzos) with Mortar & Pestle

Mix crushed tablets with enough water until a drinkable solution is created
SN drink

Drink Oxazepam (Benzos) in water

Lay back

Question: what is recent Beta blockers controversy?
Answer: There is some debate that asserts that sodium nitrite can be made more lethal by the use of beta blocker like propranolol. There is a compensatory cardiac response to nitrite induced cerebral hypoxia in the form of an increased heart rate (tachycardia). Propranolol prevents tachycardia and speeding the death. A dose of propranolol was advised before.
Finally recent reports suggested that the use of beta blockers is a "luxury" that serves no function other than alleviating the tachycardia. It is argued that the raised cardiac oxygen required for speed death. However, more information needed to establish the use of beta blockers. Beta blocker has been removed from the ppeh SN protocol.

Question: Are you suggesting that the antiemetic regimen is overkill?
Answer: I am suggesting that the whole regimen needs to be questioned against your physical self and how you react to things and whether the regimen suits you. People treat it like a Harry Potter potion recipe that if you do not do the whole regimen you will fail. That is not true!
If someone presented me the list of antiemetic, acid reducer, beta blocker and said I would only take one because all of them together will produce a bad reaction, I would chose the antiemetic every time and forget the rest. It is vital that the SN is in your stomach.

question: Is 20g of SN 4 teaspoons?
Answer: If you search for tablespoon on the forum you will find some correlations made from some users. But this is very subjective, which country are they on, how much of the tablespoon was filled etc. so I wouldn't rely on that.
The best option would be to use a digital kitchen scale, it's not expensive at all.

Question: I'm seeing a lot of Metoclopramide on sale at pet stores. Would they still work for me? They're still 10mg pills. Could they be cut with something else?
Answer: When they have identical chemical names, most animal medicines are interchangeable with human ones. Indeed, many are the same product but just packaged and marketed differently, or in some cases even the exact same human-branded product. 10mg of Metoclopramide is the same amount of active ingredient whether in a tablet branded as for humans or a tablet branded as for animals.

The one possible exception to this is when the medicine is the same name and dose but comes in a different delivery medium. So if there were (hypothetically) a chewable Metoclopramide 10mg for dogs, then the speed of onset may differ as a result of this compared to normal Metoclopramide 10mg tablets for humans.

Note that this only applies to medicines with the same chemical name and dose. If examined in purely functional terms, a viable worming medication for dogs and a viable anthelmintic (worming) medication for humans may be completely different chemically and in no way interchangeable.

The reason most doctors (and vets) tell humans not to take animal medicines is because of the same risks involved in taking any medication without proper medical supervision, rather than because of any inherent incompatibility of the medicines themselves.

Disclaimer: not a doctor.

Question: People are talking about symptoms that you have not listed, why?
Answer: Those people may be fear mongering, the list above can been seen by searching Hypoxia on the internet.

Below are the interesting take on SN:

How SN works inside your body (easier to understand):

I am going to go through the 'Sesame Street' version of human digestion, you drink the SN, it hits your mouth, nothing there to be seen or done for digestion. Goes down the gullet, meets a sphincter that controls both the entry of food into the stomach and stops gastric juices coming up which will give pain if allowed to do so. Then it hits the stomach. The stomach itself does nothing to send nutrients into the bloodstream. Its a big grinding machine that infuses the 'food' with enzymes and acid to help break down the food into a mush before the sphincter at the bottom end of your stomach allows passage into the small intestine.

Antiacid debate you need it or not:
In 2019, when Stan wrote his guide he used Ppeh as a reference and that year ppeh book recommended to use antiacid

In Stan own words, "so what is this gastric juices? Well there are a lot of enzymes and this thing called Hydrochloric Acid. A chemical! Interesting! What does that mean? Chemical formula for SN meeting your gastric juices would be 3NaNO2 + 2HCl → 2NaCl + NaNO3 + 2NO + H2O. Still lost me! Can you speak English please? So basically, when SN hits your stomach, the acid there works to convert it into other things such as regular table salt, Nitric oxide, Sodium Nitrate and water. None of those are really what you want. So reducing the HCL prevents SN being converted to something else? Yes, correct. Well how do we minimise this? It needs something to neutralise the HCL acid. More commonly you want to create a chemical reaction like this, Mg(OH)2(s) + 2HCl(aq) → 2H2O(l) + MgCl2(aq). You are at it again Stan! Speak English damn you! OK - what you need is an antacid with magnesium hydroxide in it. Why do you recommend that one over others? Well there are a number of other alkali that neutralise stomach acid, but this is the most benign on the list and has minimal to no conflict with other medications. It is generally known as Milk of Magnesia. Where do you find that? Any regular pharmacy without prescription. Can I use other non prescription antacid? Yes you can, I just stated Milk of Magnesia as it was the easiest when looking at some other drug interactions. But most are simple and cause no adverse effects.

So the SN is in our stomach, but you said that's not the place where the SN moves into the bloodstream. That's correct! Two main sphincters in the stomach, the one at the top already addressed and the one at the bottom which controls the movement into the small intestine where the nutrients (or SN in this case) transfers (and I am over simplifying this) into the bloodstream. Ah! So using meto is vital because it moves things faster into the small intestine? No! If you think that the reason Meto exists is for people who have conditions such as Gastroparesis where they cannot pass food very well. The key word here is food. What we are doing if we have followed the fasting process is give the stomach water. Yes, the SN is suspended in water but the stomach isn't a complex lab where it tests everything before it passes it through. But it does recognises two things. One that it is water and the body craves hydration so it will give that substance a priority pass to move to the small intestine. Secondly, the stomach does not need to mash it up to make it easier for the small intestine to cope with.

So what does that mean in conclusion? This is up for your debate and I take no offence in challenges, rebukes or proof that it is wrong. After all, this is a resource to help everyone pass peacefully with minimum stress and discomfort. Remember my premise for investigating this was that people understood that some of the regimen drugs recommended where in conflict with their existing prescription. Plus my personal opinion that the PPH has over-baked the regimen to reach the end goal (preparing yourself physically to ingest the SN)."

Recently everything have changed, ppeh book says "The advantage of lowering stomach acid in order to lessen gastric no production (with the associated drop in blood pressure) vis a which allowing more nitrite to be directly absorbed into blood from the small intestine."

Therefore, the benefit (in terms of potentiation) of taking an antiacid and proton pump inhibitor (PPI), cannot be established, this is no longer advised.

What is potentiation?

Potentiation
(synergistic interaction) is a kind of interaction in pharmacology, When the combined effect of two different drugs exceeds the expected additive effect of each of the drugs administered independently, one drug is said to potentiate the other. For example diazepam may potentiate the effect of alcohol.

Why it is no longer necessary/recommended to use an antacid with sn method?

Basically raising the pH of the stomach (lowering the acidity) decreases the SN converting into Nitric oxide which is a vasodilator that will drop your blood pressure drastically resulting in unconsciousness. This is the main and fastest mechanism that SN knocks you out and antacids can slow this process resulting in you staying conscious longer. Most people think SN knocks you out by lowering oxygen levels in your tissues and yes that would eventually lead to unconsciousness, but the vasodilator effect is much quicker and is why people who take SN can collapse at any time without warning so it's best to be laying down or sitting after you take it.

Here is Philip Nitschke, founder of Exit International, the group that produces the PPeH, saying it in his own words:
155912 153410 153404 acid


I know some people will get angry if they hear antiacid is not recommended as per ppeh but stan followed ppeh for the most part, he wrote his guide with the help of ppeh book available in 2019 right now we are in 2023 so things change, opinions change, ctb is always gonna be something changing as we do more research, maybe in future ppeh will add the antiacid back to the protocol, we don't know but for now it is not recommended.

STORIES USED TO SUCCESSFULLY OBTAIN METO RX:

I lied to my doc today and she prescribed me metoclopramide, here's a screenshot of the correspondence for your reference. PS, neither my husband nor myself took meto before - it's a lie:
Screen Shot 2019 12 11 at 64853 PM



Screen Shot 2019 12 11 at 65018 PM


So yeah, meto is super easy to get just shoot an email or call your doc. No office or ER visit required, no lab tests required.

Food poisoning - say you're vomiting and can't keep food down; but alert, no fever, not vomiting blood or bile. Again, Rx is super easy to get. Just email or call your doc. No need for office or ER visits. I know if you Google ondansetron (Zofran) online and the internet will only say it's indicated for nausea and vomiting caused by chemotherapy (cancer drug treatment) and after surgery, but it's definitely the first line of treatment for food poisoning without serious alarming symptoms - I can tell you that from personal experience.

Swine behavioral and physiological response to increasing sodium nitrite oral drench administration and resulting tissue residues (Original Research):

Summary
Objectives
: This study aimed to evaluate the physiological and behavioral responses of pigs administered sodium nitrite, determine an ideal dosing rate by oral drenching of sodium nitrite for depopulation events, and evaluate the nitrite residue present in the ocular fluid and skeletal muscle after sodium nitrite administration.

Materials and methods: Four groups of 10 market weight pigs (40 market weight pigs total) and 1 group of 10 sows were used. Each group of market weight animals received a different oral drench dose of sodium nitrite solution (1× [400-441 mg/kg], 2× [800-882 mg/kg], 2.5× [1000-1102 mg/kg], and 3× [1200-1323 mg/kg]) and was observed for distress behaviors. Two market weight animals in each treatment group were implanted with a monitor to measure body temperature, heart rate, and activity levels. The dosing rate with apparent best behavioral and physiological response was applied to the 10 sows and the same behaviors monitored. After death was confirmed, ocular fluid and skeletal muscle samples were collected from the sows.

Results: An increased dosage of sodium nitrite greatly reduced the time to distress with a significant linear relationship. A higher frequency of vocalizations and the most frequent spikes in activity levels were observed in the lowest dosing group. No correlation was found between ocular fluid nitrite and skeletal muscle sodium nitrite concentrations.

Implications: Oral drenching of sodium nitrite is a viable method for swine depopulation events. Higher doses of sodium nitrite have better welfare associations. Ocular fluid nitrite anion concentrations do not correlate with sodium nitrite skeletal muscle concentrations.

If you want to read more about this research and know the specifics, please click the below links


Controversy of Nitrate showing up in Nitrite strip test:

If you have high pure SN which contains high nitrite levels, nitrates are often present and show up in low concentration in the strip test but please follow the ppeh book when it comes to SN testing and make sure that Nitrite present as high as possible.

If you want to be really sure buy the most accurate Nitrite test strip available which is Bartovation Nitrite test strips and it is recommended by the ppeh


IMG 0175



Basically says if there's any nitrite in the solution, the nitrate reading is useless since it uses the same reaction as said above. (Nitrit is german for Nitrite, it's a typo)

Other SN protocol followed by the members:

Universe:

Day 1 :
8:00 - 10 mg domperidone
16:00 - 10 mg domperidone
24:00 - 10 mg domperidone

Day 2 :
8:00 - 10mg domperidone
16:00 - 10mg domperidone
23:00 - 1000g paracetamol
23:15 - 30mg domperidone
23:30 - Maloox (magnesium hydroxique) as Antacid 4 tablets
24:00 - 25g SN in 50ml water + 400mg Propranolol

- I will prepare 4 glasses of SN. If I vomit the first one I will drink another. If I vomit the second I will take the third and so on.
- I would probably take lozenges just before drinking the SN to mask the taste.
- I plan to do a hydric fast 24 hours before taking SN, or even 48 hours. It will weaken me, make me sleepy, tired and make CTB easier

BDP_LE:
Method
- SN Stat (Quetiapine AE)

8 hours before SN - Begin Fast
2 hours before SN - Withdraw fluids
45mins before SN - 400mg Quetiapine (AE), 60mg Propranolol, 20mg Diazepam
30mins before SN - Antacids (Rennie tablets x 4-6)
SN - 20gms mixed in 50ml of water

EndLessDespair:
My method is going to be SN. I don't have a lot of fancy stuff, just gonna use what I found easy to get:

- SN from ic (25g).
- 2 cups of 50ml water.
- ibuprofen.
- dimenhydrinate (gravol).
- Benzocaine (Mouth sore gel to numb my tastebuds to help with the saltiness).
- might smoke a blunt before as well.
- Plan to fast for 8 - 10 hrs.
- booked hotel for 3 night stay.

System28:
8 hours fasting, last 2 hours no water
40 mins before sn : 30mg Metoclopramide
40 mins before sn : 8mg ondansentron
40 mins before sn : 800mg Cimetidine
40 mins before sn : 600mg of Ibuprofen
Sn drink: 25g of sn dissolved
my weight is 70kg, gonna have more 2 cups of sn ready in case of vomit

Time_To_go2:
I can't get Meto so won't be using it and understand it's very risky not to do so.
My plan is to drive to a remote area and do it in my vehicle. I will leave my phone at home and once at the location I will disable my vehicle to prevent myself from seeking help. The regime I will follow is below and was used by a previous member successfully.
I will have a 2nd glass off SN ready also;

02:00 pm fasting starts (eating)
08:00 pm 600mg ibuprofen
08:00 pm fasting starts (drinking)
10:00 pm 25g SN in 50ml water

Un-:
The regime. It's nothing special:
- 7 hour fast
- At the 7th hour of the fast, I'll prepare the mixture:
- two cups of around 75ml of water
- 25 grams of SN dissolved in each
- after preparing them, I'll just down one while lying down.

I don't have any other substances to help the process go smoother. But, at least according to the PPEH, the simpler it is, the better. Besides, I have quite a strong stomach.
My only hesitation is that my SN doesn't show it's purity. I'll have to do the blood test before.
I have to also make sure that I'm alone for at least 40 minutes to an hour.

Challu:
CTB'd via SN/AE 6am on 6/1/23
Took 500mg of ibuprofen at 5:22 am
Took 30mg of AE (Domperidone) at 5:37am
Waiting to mix and drink SN near 6:22am
Currently 6:00 am
-last "meal' was a bowl of cinnamon toast crush and milk 14hrs ago
-last time I drank water was over 24hrs ago
6:03 am. Will prepare SN drink in 15 minutes
6:10am. Domperidone isn't doing anything bad to my stomach, occasional stomach twitch and rumbling. Also, Im hungry
6:15am. Mixing SN now. I am 250lbs. So, I'm mixing 26.5 grams in 50ml of water.
6:31. Drank it

BabyCamus:
Here is my regime for Friday. UK time.

09:00 hours Begin dry fast
20:00 hours Begin liquid fast
22:00 hours 1000mg paracetamol, 1x10mg Temazepam tablet (tablets swallowed with minimal amount of water)
22:15 hours 3x30mg Metoclopramide (again, tablets swallows with minimal amount of water)
22:30 hours 4x Rennie chewable tablets (chew all 4 with no water)
During wait time of 30 minutes, prepare 3 SN drinks by dissolving 25 grams sodium nitrite in 50ml plain water
23:00 hours Drink 25g SN in 50ml water quickly, then suck on mint
Lay on right side on bed.

TheAnswer:
I have been testing the meto and will also test zofran. No issues in test dosing

I rented a one-bedroom suite in a hotel in the corner for 6 nights. IF SN fails, will puke it up as prescribed, recover in my room, get ready for Plan B Insulin (Have loads of fast and long-acting and 100 unit syringes. Very familiar where to inject in 10 different places. Failure won't happen, extremely unlikely, but doesn't hurt to have a Plan B. And, yes, I know all about the ratings of ctb insulin [smile].) There is no room service unless requested and I can disable lock from inside so no housekeeping hotel keys will be able to gain entry into room. Room is in the corner. No other rooms near me except a studio next door. I'm in a corner removed from main hallway. No one will be walking by my door. My living room shares the wall with stairwell but according to staff no one uses the stairway, which I trust is true. I'm not going to be in the living room. Bedroom is surrounded by two outside walls. Other wall of my bedroom shares wall with my bathroom and other side of my bathroom wall shares wall with the next unit's living room). I will close the bathroom door. Other wall of my bedroom shares with my living room. I will be closing my bedroom door. I'll also have a sign on my bedroom door, do not enter, call police. Not sure what else I should say.

I am undecided on what time to specifically ctb. If I do it at night, say 7:00 pm, I could risk complaints from the white noise and music (both not loud) remaining on after I ctb. Maybe I don't do any added noise but just some soft music for comfort. Don't want to be found for at least a day. I'd prefer to do it during the day when most people will be out but equally could say folks will be out during the evening for dinner, etc.

Antacids. Don't think I will be taking any antacids as reduces acid into stomach which in turn could turn more of the SN (NO2) into NO, which will happen automatically but want to lessen that degree for obvious reasons. Who the hell knows about the antacids. Yes, PPeH no longer recommends only due to no benefit or consequence established.

Fast for 8 hours
11:00: Clear liquid fast starts – though will do sips of water for meds
11:00 May also do Gabapentin, which reminds me if I'm going to take Gabapentin maybe I should start now with dosing. Any thoughts from someone that knows about Gabapentin? I was previously on it for another reason, not not seizures, so it is a relaxant and pain reducer.
1:30: 5 mg of klonapin (I'm currently taking .5 mg pretty much daily, and will continue before ctb, likely more as I get closer.)
1.30: ​ 600mg of Ibuprofen (Aleve or Advil)
2:00: 8 mg of Zofran ondansetron
2:15: 30 mgs of meto
  • While waiting, mix 3 glasses of SN – 25 mg with 50 mil of water.
3:00 Drink SN

LetzteAusfahrt:
My SN regime is very simple

02:00 pm fasting starts (eating)
08:00 pm 600mg ibuprofen
08:00 pm fasting starts (drinking)
10:00 pm 25g SN in 50ml water

I have prepared 4 servings of 25g SN in 50ml water. Better safe than sorry.

These SN regimes should be taken only as examples, make sure y'all do your own research to come up with your own regime through learning and research.
I added only 10 cases of SN Regime but there are lot of cases which you can access using the search option in this forum.

Interesting cases:

LetzteAusfahrt:

before taking sn:
Today the time has finally come, I have my final exam. I will finally find out whether I have learned the right thing and can actually apply it.

At least the part about being relaxed seems to fit, I'm completely relaxed and hardly think about tonight. Let's see how it develops.

I am pursuing two goals with the ctb today. Primarily, of course, that I can finally end my existence and find my place in the common, infinite "nothing". The nothing that relieves me of all agony and pain, frees me from it.

I'm looking forward to it so much. To the moment when I realize that the light is about to go out and that I will be on the last path.

For the first time in my life, I got to know the feeling of community here in the forum. A community that accepts everyone for who they are. In which everyone helps one another to find the difficult goal of peace.

For this I would like to thank everyone from the bottom of my heart, first and foremost of course the operators and moderators of the forum.

As a small thank you to dss forum, my ctb is documented by an online observer who writes for me, even if I can no longer do it myself, e.g. because I see everything blurry.

My SN regime is very simple

02:00 pm fasting starts (eating)
08:00 pm 600mg ibuprofen
08:00 pm fasting starts (drinking)
10:00 pm 25g SN in 50ml water

I have prepared 4 servings of 25g SN in 50ml water. Better safe than sorry.

And in the unlikely event that I do wake up again, I wear a noose for a tourniquet around my neck, 3 wooden sticks are ready next to me. Better safe than sorry.

I still have a few things to do and I won't have much time to write. Otherwise, there is already little time to have everything done on my appointment.

I thank everyone from the bottom of my heart who will write to me and I also wish you a pleasant and peaceful journey if you will follow my path.

Goodbye my friends, may you also find the peace you long for.

After taking sn:
22:45 SN ingested
22:49 started a last smoke
22:50 starting to feel nauseaus
22:50 dizziness is setting in
22:51 puked a little into a plastic bag
22:52 fell over, no longer responsive to sound
22:53 tried to say something, body is convulsing
22:54 unconcious, shallow breathing
22:55 more convulsing, breathing is getting harder
22:58 barely breathing now
23:02 seems like he is breathing more steadily now?
23:04 still somehow breathing
23:07 still breathing, albeit slowly. not conscious
23:10 not breathing anymore (not 100% sure on that)
23:18 no movement at all, we think he is at peace now

Observer remarks:
All in all it seemed very fast and peaceful.

Anyone want to read the thread, I have attached the thread link below:


JellyFish42:
Before taking sn:

Dear SS community,

Unfortunately it's time for my bus. I've completed all my preparations and I'm finally ready to ctb today.

It's been a pleasant stay for me here. I've enjoyed reading and partaking in the discussions. Thank you for being a good community and place where discussing suicide isn't taboo.

For those curious as to why: It's a complicated bag of existential and personal problems. My desire to live has been non-existent for way too long. And I refuse to live for the sake of others. Furthermore I've already been through the mental healthcare system and take medications. But even that can only do so much by itself.

My method of choice is SN and I'll probably just take some ibuprofen beforehand. I'll tolerate whatever discomfort comes though I'm hoping it will knock me out before that. I've chosen to do this at a nearby forest to avoid leaving a mess for the public eye.

Anyways, good bye

After taking sn:

If someone could please post my next few updates in my good bye thread, I'm about to drink the SN, I'm not sure how long I will have consciousness

Jellyfish42: Sipping, it's really salty

Jellyfish42(2 minutes after beginning ingestion): Nothing so far just salty, a slight burn on the back of the throat but not painful at all. Can feel heart starting to pound a little bit

Jellyfish42(5 minutes after): Heart pounding faster, no pain or discomfort so far

Jellyfish42(7 minutes after): Finished first glass of SN, nothing but a really salty after taste and heart beating faster

Jellyfish42(8 minutes after): Yup I want to go for the second glass but damn it's so salty it's off putting. I'm getting slight urge to vomit also

Jellyfish42(11 minutes): Chewing a little bit of gum to help with the digestion, no pain or discomfort so far. Body feels weak though and heart still pounding. Stomach feels a little weird.

Jellyfish42(14 minutes): Vomited no pain or discomfort heart is beating

Jellyfish42(17 minutes): Attempting 2nd glass. Slight twitches in my legs, legs starting to sleep, not painful

Jellyfish42(21 minutes): 2nd glass downed, feeling weaker, heart pounding, no pain or discomfort really just a bad after taste

Jellyfish42(25 minutes): Mind feels weird l, can't deeal think I think it my timr not painful or doesn't
Observer remarks:
All in all it seemed very painless and peaceful.

Anyone want to read the thread, I have attached the thread link below:


SN successful and unsuccessful cases:

Scientific research articles (successful SN cases)


An 18 year-old male found deceased on his bedroom floor with a 550g bottle of sodium nitrite nearby. His medical history included anxiety, depression, bipolar and previous overdose; he was prescribed olanzapine. Plain and preserved blood (sub-clavian) and plain and preserved urine samples were provided for toxicological analysis. Ethanol was not detected in blood or urine however; olanzapine was detected on screening, which was confirmed to be present at a therapeutic concentration (0.21 mg/L). The post-mortem preserved blood (sub-clavian) nitrite level was 3.33 μmol/L whilst the nitrate concentration was 10,319 μmol/L.

A 48 year-old female discovered at a lake after a call was made to emergency services from the deceased stating that she had consumed sodium nitrite. Upon admission her methaemoglobin saturation was reported to be >70%; shortly after arriving in hospital she suffered a cardiac arrest and died. Her past medical history includes multiple attempts at suicide by overdose, self-harm and anxiety. Mirtazapine, diazepam, zopiclone and venlafaxine were prescribed to the deceased. Ante-mortem blood samples and post-mortem plain and preserved blood and preserved urine were provided for toxicological investigation. A low concentration of ethanol was detected in ante-mortem blood (28 mg/dL) and post- mortem screening revealed the presence of therapeutic levels of venlafaxine (209 ng/mL), diazepam (77 ng/mL) and cyclizine (261 ng/mL). The post-mortem blood zopiclone concentration was elevated at 144 ng/mL, which may have resulted in a degree of somnolence. The presence of atropine is consistent with medical intervention. Post-mortem plain blood nitrite and nitrate levels were 4912 μmol/L and 527 μmol/L respectively.

A 41 year-old male discovered deceased in bed; a suicide note and two glasses marked poison with a syringe were also found. The deceased had a medical history of back pain, asthma and low mood. Metoclopramide and sertraline were prescribed. Plain femoral blood and plain urine were provided for analysis. Ethanol was detected in the plain blood sample (59 mg/dL) but was not present in the plain urine sample which may be indicative of post- mortem ethanol production. Several drugs and their metabolites were detected on the toxicological screening performed including metoclopramide, propranolol (175 ng/mL), paracetamol (19.3 mg/L), codeine (<5 ng/mL), sertraline (232 ng/mL) and cimetidine. There was also evidence of prior cannabis and cocaine use. The post-mortem femoral plain blood nitrite level was 22.0 μmol/L whilst the blood nitrate level was 16,160 μmol/L.

A 32 year-old male found having consumed sodium nitrite; emergency services attended and commenced CPR but despite best efforts he died. He had a past medical history of depression and drug overdose and was not known to be prescribed any medication; however, vials of testosterone and finasteride tablets were in his room. Plain and preserved femoral blood and preserved vitreous samples were received for analysis. There is evidence of ethanol consumption prior to death (preserved blood ethanol 232 mg/dL and preserved vitreous 204 mg/dL). Cetirizine, finasteride, and anastrozole were detected on screening; the latter two of these are associated with anabolic steroid misuse. The post-mortem femoral plain blood nitrite level was 15.1 μmol/L whilst the blood nitrate level was 13,540 μmol/L.

A 29 year-old male who, according to the case history provided by HM Coroner, reportedly used a 'suicide kit' containing sodium nitrite prior to his death. At post-mortem he was noted to appear dusky grey in colour which is likely to be a result of an associated methaemoglobinaemia; although analysis was not performed. A past medical history and drugs prescribed were not provided in the case report. Plain and preserved blood and urine were provided for toxicological analysis. The post-mortem plain blood nitrite and nitrate concentrations were 172.6 μmol/L and 1860 μmol/L respectively. Apart from the presence of fexofenadine (a non-sedating anti-histamine) no other drugs were present.

A 27-year-old male found slumped on the sofa with a second individual (case 17); both noted to be blue-grey in appearance and believed to have made a suicide pact. A note was present at the scene and a list of various medications was found on a table. Apart from low mood, the deceased had no significant past medial history. Plain and preserved femoral blood and urine and preserved vitreous were provided for analysis. Screening revealed the presence of domperidone which is an anti-emetic drug, ibuprofen and paracetamol. Paracetamol was detected at a concentration suggestive of therapeutic use. There was no evidence of ethanol or illicit drug use. The nitrite and nitrate levels in post-mortem plain blood were 2889 μmol/L and 1035 μmol/L respectively.

A 38 year-old male with a history of persistent delusional disorder, alcohol misuse and previous suicide attempts who was prescribed fluoxetine and aripiprazole. He had recently been discharged from hospital and was found deceased on the sofa. He is believed to have formed a suicide pact with another male (case 16). Plain and preserved femoral blood and urine and preserved vitreous were provided for analysis. Again, screening revealed the presence of domperidone, ibuprofen and paracetamol. Ethanol was also detected in post- mortem blood (86 mg/100mL), urine and vitreous indicating consumption prior to death. There was also evidence of concomitant cocaine use prior to death; benzoylecgonine was detected at a concentration of 409 ng/mL. The post-mortem plain blood nitrite and nitrate concentrations were 1336 μmol/L and 2778 μmol/L respectively.

A 14 year old male discovered with a tub of powder labelled sodium nitrate; white powder residue was found in the bedroom of the deceased. Plain blood and vitreous samples were provided for analysis. A therapeutic concentration of paracetamol alone was detected from screening performed. The post-mortem plain blood nitrite and nitrate concentrations were 21 μmol/L and 14,043 μmol/L respectively.

A 29 year old female who had a history of drug overdose; sodium nitrite was retrieved from the scene. The following drugs were prescribed / available; mirtazapine, propranolol, morphine, codeine and paracetamol. Plain and preserved femoral blood samples were received for toxicological screening. Sub-therapeutic concentrations of paracetamol, codeine and propranolol were detected along with a likely therapeutic concentration of mirtazapine (235 ng/mL). The post-mortem preserved blood nitrite concentration was 2.3 μmol/L, whilst the post-mortem preserved blood nitrate concentration was 3730 μmol/L.

A 47 year-old male who, given the dusky/ashen appearance of his skin on post-mortem was believed to have ingested nitrite/nitrate prior to death. Plain and preserved blood samples were provided for analysis. A therapeutic concentration of paracetamol was detected. Olanzapine and its metabolite were detected but not quantitated. The post-mortem unpreserved blood nitrite and nitrate concentrations were 15 μmol/L and 3537 μmol/L respectively.

SCIENTIFIC RESEARCH ARTICLES (UNSUCCESSFUL CASES)

A 23-year-old female presented to the emergency department after intentionally ingesting an unspecified amount of sodium nitrate. She presented by ambulance to the hospital profoundly cyanotic and unresponsive. The patient's initial methemoglobin level was 92.7%.

A 52-year-old male was transported to hospital after being found at home by family, unconscious and slumped awkwardly for approximately 24 hours. After treatment reported chest pains, kidney injury due to SN, deep vein thrombosis, cognitive impairment (unclear if this was due to past history of ECT or SN).

Sodium nitrite ingestion for suicidal attempt, presented in unconsciousness, shock and deeply cyanosed condition. He was pulseless and had no recordable BP with methemoglobin level of 77%. He completely recovered after two days. Survival in a case of methemoglobinemia with extremely high level of methemoglobin, non-recordable BP and deep cyanosis is rarely reported.

Poisoning with sodium nitrite in three family members after eating homemade sausages given to them by their neighbour who was a butcher. The concentration of sodium nitrite in the homemade sausages was about 3.5g per 1kg of meat, almost 30 times higher than allowed according to legislation. A 70-year-old man died about 7 hours after consuming the meal, while two women, 53 and 67 years of age, respectively, were admitted to a toxicology clinic the following day due to food poisoning, with the maximum concentration of MHb in blood of 33.7 and 20.4%, respectively. They were discharged 3 days later. The autopsy of the deceased man showed sodium nitrite poisoning with a relatively low concentration of MHb in his blood – 9.87%. Death was attributed to the exacerbation of hypertensive and ischemic heart disease, resulting from accidental sodium nitrite poisoning.

11 men, aged 60 to 80, had been admitted to hospital with cyanosis and shock. In each instance illness occurred within 5 to 30 minutes after eating breakfast. They became dizzy, felt weak, and complained of abdominal cramps. Eight of them vomited and all had diarrhoea. Five of them became unconscious shortly after onset of symptoms. They had subnormal temperatures, cold extremities, and low blood pressures. In addition, all had cyanosis. All but one patient recovered. This man, age 82, died the following morning. Autopsy revealed bronchopneumonia. The only other abnormal finding was a diffuse mahogany brown discoloration of the organs.

A 28-year-old man was brought to our emergency department because of transient loss of consciousness and cyanosis. He was immediately intubated and ventilated with 100% oxygen. A blood test revealed a methemoglobin level of 92.5%. Outcome. We treated the patient with gastric lavage, activated charcoal, and methylene blue (2 mg/kg) administered intravenously. Soon after receiving methylene blue, his cyanosis resolved and the methemoglobin level began to decrease. After relocation to the intensive care unit, his consciousness improved and he could recall ingesting approximately 15 g sodium nitrite about 1 hour before he was brought to our hospital. The patient was discharged on day 7 without neurologic impairment.

A woman in her 20s was brought to the casualty clinic due to symptoms of psychosis, and it was deemed necessary to section her. While she was there, she drank two small bottles of reagents that she found in a Strep test kit. She then became somnolent and her oxygen saturation decreased. Guidance from the Poisons Information Centre was required for rapid clarification and correct treatment.

We present two patients who were treated for an intentional overdose of sodium nitrite. When ingested sodium nitrite leads to severe methaemoglobinaemia, resulting in severe hypoxia (as methaemoglobin does not transport oxygen), vasodilation and hypotension. Symptoms include cyanosis, headache, nausea, convulsions, coma and death. When measured by pulse oximetry, patients with a sodium nitrite intoxication and severe methaemoglobinaemia generally have an oxygen saturation of around 85%. This value is unreliable as the oxygen content of the blood is often extremely low - this can be confirmed by arterial blood gas analysis. Treatment of sodium nitrite intoxication consists of intravenous administration of methylthioninium chloride 1-2 mg/kg. Methylthioninium chloride converts the methaemoglobin back to haemoglobin.

A 20-year-old man presented to the ED after intentional ingestion of 750 mg of powdered sodium nitrite(98% by weight). He had been experiencing major depressive disorder for the last 6 months but had not taken medicine recently. He was under stress from a college issue and felt pressured to succeed in the future. He remained depressed for most of the day and repeatedly thought of death. He prepared a pill by filling an empty pill capsule with sodium nitrite powder and taking it with water at home. One hour later, the patient visited the ED. He stated that he obtained information on how to make the suicide pill from an online suicide forum and purchased sodium nitrite online. He brought a bottle containing 500 grams of 98% sodium nitrite by weight that he purchased online (Fig. 3). He experienced only mild nausea a few minutes after ingesting a self-produced suicide pill. A physical examination revealed no signs of central or peripheral cyanosis, and the patient was hemodynamically stable. The initial methemoglobin level was 4.8. His methemoglobin level returned to normal 2 hours after ingestion. Methemoglobin levels did not change following repeated measurements. The patient recovered without any problems with conservative supportive treatment.

This person used low purity sodium nitrite, A 23-year-old male with a medical history significant for previous suicide attempts, polysubstance use disorder in remission from alcohol and benzodiazepine use, nicotine dependence, current marijuana use, bipolar disorder, post-traumatic stress disorder, and irritable bowel syndrome presented to the emergency department via emergency medical services (EMS) after intentional overdose. Patient reported ingesting 2 teaspoons of sodium nitrite he obtained from Walmart.com 6 hours before presentation in an attempt to end his life.The patient reported losing consciousness after ingestion and waking up in his own vomit and feces. He felt confused and called EMS. In the emergency department (ED), the patient acknowledged nausea, vomiting, and bowel incontinence. He complained of severe diffuse abdominal pain that was 8/10 in severity. He had used marijuana that day. He denied chest pain, shortness of breath, coingestion with other prescription drugs, over-the-counter drugs, street drugs, and ethanol. He had no auditory hallucinations, current suicidal ideation, or current homicidal ideation. Patient was released with no damage.

I have added only 10 scientific research successful and unsuccessful cases but there are lot of cases available to learn more, please use the search option in this forum.

If you want to read more cases, click the link below:



More useful posts to read:


















Credits to @Stan @SinisterKid @littlelady774 @nw7 @seafarer @jgm63, Peaceful pill book

This should be taken only as a reference, please do a lot of reading and research!
This is amazing. Thank you
 
Tommysway

Tommysway

Member
Apr 18, 2024
17
Maybe a ridiculous question, but I need to be sure that if I ctb it succeeds.

Do I need to buy SN in two separate packages, one for testing and one for the ctb? I don't know if exposing it to the air will imitatly lead to decreasing it's effectiveness.
Or can I buy one big one and just resealed after testing? It's cheaper when I buy one big one (100g)
 
gantaigarashi

gantaigarashi

Wageslave
Aug 1, 2023
123
Maybe a ridiculous question, but I need to be sure that if I ctb it succeeds.

Do I need to buy SN in two separate packages, one for testing and one for the ctb? I don't know if exposing it to the air will imitatly lead to decreasing it's effectiveness.
Or can I buy one big one and just resealed after testing? It's cheaper when I buy one big one (100g)
I have bought 2 SNs just to be safe, one for testing and the other to CTB. Ofc I'll test the other one too before I CTB.
 
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homesoon.

homesoon.

i̶t̶'̶s̶ ̶n̶i̶c̶e̶ ̶t̶o̶ ̶b̶e̶ ̶b̶a̶c̶k̶.̶
Apr 15, 2024
84
Hello, all! Does anyone know if there is a preferred brand(s) for testing SN or does it not really matter as long as it tests for nitrite?
 
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Lost in a Dream

Lost in a Dream

He/him - Metal head
Feb 22, 2020
1,720
For the test, does anyone know if using distilled water is actually necessary? Can tap water work just as well? It's what I used to test mine the last time.
 
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Reactions: Kokomi_20
not_applicable

not_applicable

a dog who wants to sleep
May 2, 2024
11
Does anyone know if temperature affects the proccess? I'm planning on ctbing in my car at night and will probably need to turn on the heater.
 
seeking2024

seeking2024

Member
May 2, 2024
25
good and thorough information. appreciate it!

found some supplires of SN with an (i), so won't be long now. :)
 
homesoon.

homesoon.

i̶t̶'̶s̶ ̶n̶i̶c̶e̶ ̶t̶o̶ ̶b̶e̶ ̶b̶a̶c̶k̶.̶
Apr 15, 2024
84
I'm chiming back in here again, both to bump this and to ask: is there an alternative to benzos for SN, if you're unable to acquire them?
 
phoebie467

phoebie467

Member
Mar 17, 2024
25
  • Beta Blocker.
I only mention it as it will be advertised in more recent versions of the PPH and I did not want confusion regarding why I did not mention it here. It is excessive for the process and only acts to eliminate a symptom (fast heart rate) that does not hurt.

I got myocarditis after taking the covid-19 vaccines, is the use of beta blockers recommended in my case? the last time my heart beat too fast I felt a horrible pain, as if someone had written my name in the Death Note, I don't want to feel that again...
 
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