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Ralph246

Ralph246

Member
Dec 30, 2020
18
Benzo / Sedatives
What they do:Reduce
  • Anxiety
  • Any physical reaction / sensations
  • Induce sleep
Do I need it?No, many didn't use these at all
Considered useful for anxiety + peaceful journey
Are they available?Kinda. Prescription only – but common and easy.

GPs prescribe benzo under these circumstances:
  • Immediate relief and occasional/temp/short-termuse of:
    • Severe insomnia
    • Severe panic attacks
    • Anxiety – add-on therapy
  • Do not ask for Xanax
  • Occasional – be responsible cautious patient, say the truth:
    • "once week" , "I don't want full box heard benzos not good" , "try 5 for emergency"
  • Notes, notes
Warnings:Yes, though not harmful:
  • Benzos effects vary greatly:
    • Potency, tolerance, onset (how quick), duration (how long) change.
    • Some benzo affects within 10m, others take 1h, and this changes individually
  • Taken too soon – may fall asleep before SN
  • Test small dosage beforehand – time its effect
  • Avoid extended-release – act too slow
Which benzo?
Is benzo X good?
How much to take?
What if I have tolerance?
Can't answer that. There are dozens.
  • Anything that affects you more than 4h.
  • See above "Benzos effects vary greatly"
    • Check this personally
    • Benzo "half-life" does not indicate long/short effects.
    • Tolerance – take more than usual
Z-Drugs, Gabapentinoids, Sleeping Pills
.
Can I use Z-drugs?Yes, similar to benzo:
  • Less physical pain, discomfort, etc
  • Induce strong sleep (peaceful)
  • More drowsiness, may fall asleep – test and time it
  • Anxiety - mild to moderate reduction (benzo more powerful)
Notes, notes
Can I use Gabapentinoids?Probably .
  • Gabapentin – member used to ctb
Can I use other 'sleeping pills'?No.
  • Need strong GABA sedatives
  • Antihistamines, Herbals, OTC – won't work:
    • Drowsy but not asleep
    • No reduction of sensations / anxiety
Anesthetics, Opioids
.
Can I use other sedatives?Perhaps real anesthetics, we don't know – be cautious.
  • Little to no information about using anesthetics with SN
    • Do proper research yourself
    • Do trials and time the effects
    • Usually taken before SN
  • GBL – safe – Stan himself used some
  • Propofol – dangerous – may cause respiratory arrest
  • Ketamine – safe – member used
Can I use opioids?Can be helpful , but:
  1. Check contraindications
  2. Small amounts (otherwise increase nausea)
  3. Any opioids significantly reduces:
  • metabolism
  • gastric emptying
  • intestinal absorption
  • Will take twice the time. See here and here.
Why is "Do not ask for Xanax" stated in the section "Are they available?". Is something wrong with Xanax?