5-drug cocktail from PPEH

[affirmatice]

Sorry if i'm making too many posts, I just wanted to ask this one thing.

Why is this not as discussed? As far as I can see, it seems to be rated highly in peacefulness.

It is certainly more difficult to source the components, but not impossible.

 

[cowboypants]

Most people don't look beyond SN or N.

But there are some legit reasons like method mentioned by you needs more things to mix and stuff, unlike SN people just drink it in water and call it a day. Yeah, there are antiemetics etc. but many skip it.

Apart from that, I think i the cocktail method takes more time to CTB. If I'm not wrong. Like a couple of hours to even a day. It's my second or third choice. Getting morphine would be pita though

 

[Praestat_Mori]

Getting hands on the drugs is not only difficult for many there might also be only illegal ways to acquire them. Imo for a majority it's too difficult to get them.

 

[affirmatice]

Most people don't look beyond SN or N.

But there are some legit reasons like method mentioned by you needs more things to mix and stuff, unlike SN people just drink it in water and call it a day. Yeah, there are antiemetics etc. but many skip it.

Apart from that, I think i the cocktail method takes more time to CTB. If I'm not wrong. Like a couple of hours to even a day. It's my second or third choice. Getting morphine would be pita though

From my understanding N is far more difficult/impossible to procure currently. PPEH rates the cocktail method at a 5/5 for speed.

I don't know if it's ok to discuss sourcing on this site. But from what I can see, there are sources for everything on DNM. It is quite more expensive, and also I have no experience with that. So I have no idea if it's dangerous/risky to order those things, especially if it is being shipped international and coming through customs.

 

[Plato'sCaveDweller]

Extremely difficult to source the drugs for the average person, not to mention it's also illegal to acquire the majority of them (especially the phenobarbital, but also the benzo and morphine). Most people don't want to risk hefty prison time before they CTB. It's simply easier, cheaper, and legal to get an SN protocol.

 

[athiestjoe]

If you use the search feature (if it is unlocked for you which it probably is or should be soon) do some browsing. There's a few really good discussions on it. The biggest drawback is going to be finding (and being ble to afford) the meds in particular 15g worth of Morphine IR (not ER or SR). Plus a ton of the other meds too for example 400+ Digoxin. If someone gets Morphine (or any med) from DN then it absolutely needs to be tested. Usually a compound pharmacy would be preparing these so a makeshift at home method is also going to yield a lot more powder so there is also a larger vomiting risk. In total in some protocols for a DYI approach would be nearly 1,000 pills crushed up, assuming they are actually the med they claim to be unless someone had been stockpiling legitimate prescriptions (aka not from DN).

It is definitely the barrier for most to safely get the quantity needed. Not impossible by any means just cost prohibitive and risk of not getting authentic medications.

When searching on here, use the protocol names: DDMP2, D-DMP2, DDMA etc and you should find various threads about it pretty quickly. All are over 1 hour avg (I believe). Maxes from 3.8 to 39 hours. So it could take some time. Being able to crush that many tablets (if legitimate) and consuming that much pulverized powder is going to be very difficult. Which is why these are using a more pure forms from a compounding pharmacy that prepares a dose that does not have all the fillers found in the tablet forms of the medications. Assuming someone doesn't puke it up because it is a lot more quantity than the actual protocols would normally require.

Some additional possibly helpful guides on MAiD protocols:
- https://www.acamaid.org/wp-content/...on-Protocols-for-Medical-Aid-in-Dying-1-1.pdf
- https://www.acamaid.org/wp-content/uploads/2021/12/12-5-19-DDMA-instead-of-DDMP2.pdf
- https://endoflifewa.org/wp-content/...r-Taking-Life-Ending-Medications-Jan-2020.pdf

But, as of 2024, Academy now recommends one single protocol for all: DDMAPh (DDMAPh: Digoxin 100 mg, Diazepam 1 gm, Morphine 15 gm, Amitriptyline 8gm, Phenobarbital 5 gm): https://www.acamaid.org/pharmacologyinfoupdates/

So the added medication of phenobarbial also makes the new protocol even more difficult. I suggest you definitely keep researching into it. If it was a more available option, I suspect many others would consider it if not for these (and probably other) considerations.

Not too sure if this of any help or not. Hope you find everything you are looking for and get peace & serenity.

 

[affirmatice]

Extremely difficult to source the drugs for the average person, not to mention it's also illegal to acquire the majority of them (especially the phenobarbital, but also the benzo and morphine). Most people don't want to risk hefty prison time before they CTB. It's simply easier, cheaper, and legal to get an SN protocol.

I guess that is a worry too. I am not well versed in the legal side of this stuff. If someone was to order these things illegally online, in small quantities obviously not for distribution, I;m not s

If you use the search feature (if it is unlocked for you which it probably is or should be soon) do some browsing. There's a few really good discussions on it. The biggest drawback is going to be finding (and being ble to afford) the meds in particular 15g worth of Morphine IR (not ER or SR). Plus a ton of the other meds too for example 400+ Digoxin. If someone gets Morphine (or any med) from DN then it absolutely needs to be tested. Usually a compound pharmacy would be preparing these so a makeshift at home method is also going to yield a lot more powder so there is also a larger vomiting risk. In total in some protocols for a DYI approach would be nearly 1,000 pills crushed up, assuming they are actually the med they claim to be unless someone had been stockpiling legitimate prescriptions (aka not from DN).

It is definitely the barrier for most to safely get the quantity needed. Not impossible by any means just cost prohibitive and risk of not getting authentic medications.

When searching on here, use the protocol names: DDMP2, D-DMP2, DDMA etc and you should find various threads about it pretty quickly. All are over 1 hour avg (I believe). Maxes from 3.8 to 39 hours. So it could take some time. Being able to crush that many tablets (if legitimate) and consuming that much pulverized powder is going to be very difficult. Which is why these are using a more pure forms from a compounding pharmacy that prepares a dose that does not have all the fillers found in the tablet forms of the medications. Assuming someone doesn't puke it up because it is a lot more quantity than the actual protocols would normally require.

Some additional possibly helpful guides on MAiD protocols:
- https://www.acamaid.org/wp-content/...on-Protocols-for-Medical-Aid-in-Dying-1-1.pdf
- https://www.acamaid.org/wp-content/uploads/2021/12/12-5-19-DDMA-instead-of-DDMP2.pdf
- https://endoflifewa.org/wp-content/...r-Taking-Life-Ending-Medications-Jan-2020.pdf

But, as of 2024, Academy now recommends one single protocol for all: DDMAPh (DDMAPh: Digoxin 100 mg, Diazepam 1 gm, Morphine 15 gm, Amitriptyline 8gm, Phenobarbital 5 gm): https://www.acamaid.org/pharmacologyinfoupdates/

So the added medication of phenobarbial also makes the new protocol even more difficult. I suggest you definitely keep researching into it. If it was a more available option, I suspect many others would consider it if not for these (and probably other) considerations.

Not too sure if this of any help or not. Hope you find everything you are looking for and get peace & serenity.

Thanks for the info,
so it seems rather difficult then, you mentioned that sourcing/being able to afford as the biggest difficulty

But assuming one had all the components and tested them. Even then, it would be difficult to consume? how difficult exactly. PPEH mentions being able to just mix it with a liquid. But from what you mention that doesn't really seem feasible if it's 1000 pills crushed up.

 

[Plato'sCaveDweller]

I guess that is a worry too. I am not well versed in the legal side of this stuff. If someone was to order these things illegally online, in small quantities obviously not for distribution, I;m not s

Afaik, the quantity of the illicit/controlled substance does not make or break the legality.

I'm no expert in law (let alone laws around the globe), so take my words with a grain of salt. But in the US at least, I'm pretty sure the mere act of importing or coming into possession of these drugs would be illegal. Distribution quantities will likely increase your penalty, though. But it's not at all like importing and acquiring uncontrolled prescription drugs like Metoclopramide (for SN) where it's not a violation of the law, and if it's under distribution quantity it will not get refused by customs (in all likelihood).