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VioletWitch

New Member
Jul 17, 2024
3
I think your Benadryl numbers are off? I always see 20-40mg/kg as the ld50 for adult humans. Your linked source lists 10mg/kg as the minimum lethal dose in humans. By the 20-40mg/kg numbers, about one 25mg pill per 2lbs body weight would be the math.
 
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athiestjoe

athiestjoe

Passenger
Sep 24, 2024
410
I know this stuff can get confusing so let me clarify a few things:
I always see 20-40mg/kg as the ld50 for adult humans.
(1) -- you won't "always see" (let alone find) an LD50 for humans when it comes to medications. As discussed in the main post, LD50 represents the lethal dose derived from clinical trials on laboratory animals, where 50% of the subjects die. Just to clarify (and for a bit of humor), companies do NOT test increasing doses on groups of 100 humans until half of them die to determine an LD50. Simply woud be unethical for all the obvious reasons, not to mention all the other serious effects that would happen to people while trying to escalate to some lethal dose in 50% stat. Researchers can safely evaluate higher doses using lab animals without endangering human lives. Additionally, even if human trials were conducted to find what dose would kill 50% of the subjects, individual responses to drugs can vary greatly due to factors like genetics, age, weight, and health conditions, making it challenging to establish a standard number. That's simply not how these figures are derived.

(2) The number you seem to have given seems to have been pulled from this addiction/recovery 'resource' website. Take it for what it is!

the minimum lethal dose in humans

(3) You might encounter terms like "toxic dose," which doesn't necessarily imply lethality; a toxic dose can make someone very ill without being fatal. You might also see "LD min," which refers to the minimum amount of a substance that can cause death—not "will" or "shall" or even "might at a 50% risk. Or you might also find "LDLO" (the minimum dose that has resulted in a lethal effect, though it does not quantify how often this occurs and also has some other inherent flaws such such as the wide individualized specifications of that person, etc). All those terms are distinct from LD50, and to reiterate, an LD50 for humans simply does not exist. I understand the possible confusion!

(4) Here are some further resources regarding the well established LD50 to further support what has already been listed here. However, as with anything and as encouraged in my original post, please conduct lots of your own research as well! Everyone makes mistakes and errors although I think contextually even if something was a little off it doesn't actually really change the 'big picture' of the post in any meaningful way.


would be the math.
As stated in the original post, my math may be not perfect and everyone is highly suggested to do their own calculations! I'm only human and definitely have been known to make some slip ups! Here, however, as indicated above with even more LD50 data for this medication, the math would be in line with this post's research purposes so the original math given is correct indeed.

Bottom line, please do not consider trying an attempt using Benedryl. It is a very unwise decision as delirium, psychosis, hallucinations, and seizures would not be enjoyable and is just more likely to cause potentially long-term effects rather than kill someone.


Hope that helps and hope you find everything you are looking for and get peace & serenity.
 
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cracklingroses

cracklingroses

Member
Sep 10, 2023
59
I am just so curious on some people I know's deaths with OTC Diphenhydramine. They were even heavy abusers with a huge tolerance and still managed to pass away. Maybe there is more context like underlying health conditions or the combination of alcohol.

Which brings me to my question. I am sure the lethality rate raises when overdoses are used in conjunction with alcohol but I just wonder if it would really increase chances by much. I mean people do die from alcohol poisoning, so I always wondered if the combination would be more likely. Then again you would probably be more likely to puke...

I appreciate your info. Whether your calculations are accurate or not still is a good emphasis on the incredible likelihood that it won't be fatal. It is important to emphasize because of the risk of serious health complications so I am really glad this post was made. I agree about it being pinned.

I impulsively took a large overdose of DXM that put me on a ventilator in the ICU back in August despite doing research on how unlikely it would be that I succeeded. Plus I have a large tolerance already built.

It's just scary how easy it is to down a bunch of pills without thinking things through much when you are impulsive and desperate. I think I still had a part of me that was sure it was going to work.

I wonder if the outcome would have been any different if I had included alcohol and was not in a location where I could be found. Then I also wonder if I would have died if I wasn't found since I was unconscious and seizing. *sigh*

I just wish CTB wasn't so damn impossible. I know so many people who have been successful and always wonder how they managed to do it. What made them any different from me?
 
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athiestjoe

athiestjoe

Passenger
Sep 24, 2024
410
I always wondered if the combination would be more likely. Then again you would probably be more likely to puke...
This would definitely increase the risk of vomiting and potential liver or organ damage, depending on the amount and type of medication involved. It places significant strain on the body and can result in lasting harm, making it a particularly dangerous choice.

Maybe there is more context like underlying health conditions
It's very likely that will be the case. Factors like underlying health issues and age often contribute to those rare instances of death, making it unreliable as a method for others to consider.

I impulsively took a large overdose of DXM that put me on a ventilator in the ICU back in August despite doing research on how unlikely it would be that I succeeded. Plus I have a large tolerance already built.

It's just scary how easy it is to down a bunch of pills without thinking things through much when you are impulsive and desperate.

I'm truly sorry to hear about your experience and the pain you've endured. I agree that impulsivity or desperation often drives people to consider such a tragic option. As mentioned in the original post, just because it's within reach doesn't mean it's a viable choice. I believe that attempts involving overdoses are often made in a moment of desperation, and given the low chances of success and the high risks involved, it's certainly not worth it. I completely understand why some may be tempted, and I don't want to downplay the immense suffering that leads to such thoughts or actual attempts via OD. Many people might not realize the reality of these situations, thinking it's easier than what the media or movies portray, which is far from the truth.

I appreciate your info.
Absolutely my pleasure.

With whatever you decide, I wish you all the best in your endeavors.
 
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DunnoWhyButYeah

DunnoWhyButYeah

~*-*~
Apr 3, 2020
385
A good reminder, thanks. In these, however, other things must be taken into account, such as tolerance, how the heart/lungs are doing, etc., what side effects will occur and whether they can already be fatal with a smaller amount. Every person is different and if you are not healthy (or the medicines work together in a certain way), the end result can be very different even with a much smaller amount as I know is the case with me.
 
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OnlyOneSolution

OnlyOneSolution

Longing for death = not enjoying life.
Oct 26, 2024
86
Exactly so!! It is just so very wild!

Crazy" is definitely the right word for it; the idea that people would have access to such a large number of pills is astonishing. While some may only have a few hundred, most of the lower end ones include over-the-counter medications that can lead to excruciatingly long-lasting pain, both during and after.

Our bodies are remarkable at expelling toxins, something I should have highlighted in my original post. When the body detects poisoning, it works swiftly to eliminate the harmful substance, often leading to vomiting. The risk of vomiting arises not only from the sheer quantity of pills but also from the body's natural response to get rid of toxins before they enter our bloodsteams to prevent toxicity.


RIGHT? Even for me who already knew it would take a remarkable amount to reach a truly dangerous level never did a comprehensive review and had never looked at in depth like this until I decided I wanted to write this to hopefully be of some help to others here. I think some people also probably mistakenly think things like benzos are so, so, so dangero
There's still a lot of questions and inquiries about ODs, and people asking about what things may facilitate a successful attempt. Let's be clear, ODs are rarely fatal. Why? For a couple of reasons: (1) modern medications are designed to be very safe, as manufacturers aim to avoid deaths that would hurt their reputation and business; and (2) the number of pills needed to cause a fatal overdose is so high that most people would vomit (or have other serious side effects) well before reaching that point. In many cases, surviving an OD may lead to long-term health issues rather than death. It's essential to approach this topic thoughtfully, as many contemplating ODs seem to do so impulsively. Deciding to CTB is something that should be carefully thought about, done with a full set of facts, and not something based on a mere whim of whatever is inside the medicine cabinet or at the reach of one's fingertips.

This discussion focuses on the LD50 values of various medications, excluding specific polydrug combos and protocols from things like PPH/PPEH or similar books. I included a cross section of some common medications including some benzodiazepines and antidepressants, to some OTC ones, allergy medications, and some specialty ones for things like heart and blood pressure, all to illustrate why ODs often fail. I think the reason will become extremely clear. Despite alarming headlines about the opioid crisis, statistics show that the chance of dying from an overdose on commonly used medications is outstandingly low. This is largely due to individual responses, established safe dosage ranges, and high LD50 values (the higher the LD50, the harder it is to die from a drug, i.e., a possible indicator that they are made 'safe' on purpose).

About LD50: The LD50 (lethal dose for 50% of the test population) indicates the dose that would be fatal for half of those exposed. It is important to note there is never going to be a direct human LD50, LD50s are determined based on laboratory animals such as rats, mice, sometimes rabbits and guinea pigs. This inherently means that there is not going to be definitive data that directly correlates to humans, and there are some flaws in using LD50, however this is how pharmaceutical companies achieve having their medications marked as safe for human consumption thus is used here. Generally, if the immediate toxicity is consistent across the various animal species tested, humans are likely to experience a similar level of immediate toxicity. However, when LD50 values differ among species, estimations and assumptions must be made to determine the estimated, reliable lethal risk for humans. Based on the review of evidence and outcomes it is then evaluated as "safe" for the market. To note, for a human, even at the LD50 level, individual factors—such as age, health, underlying conditions, tolerance, etc, and whether the drugs are legitimate or counterfeit—play significant roles and affect the LD50 potential assumptions. The table below has the LD50, which is the mg per kg, followed by the common dosage and then a hypothetical analysis.

Methodology Used: For purposes of this study, I have chosen to go with rats for consistency purposes as sometimes there are only IP (intraperitoneal, not oral) doses for mice which would create a table which has a lot more disclaimers about the ranges. Typically (but not always), the mice dose is lower but even if these numbers were reduced it does not affect the final outcome which will be discussed later on. It is important to disclaim this since this is a single species review however, the source material is linked so everyone is able to make their own reasonable conclusions on the data. In the calculations, I did use the full weight in kg when converting from lbs, but in the table display a rounded number for easier reading.

For educational/informational purposes, consider a hypothetical scenario involving a 125-pound (56.70kg), 150-pound (68.03 kg), and a 175-pound (79.38kg) person and what that LD50 looks like.

Benzodiazepines


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Alprazolam (Xanax)*
300 - 2100*​
1​
17,010 - 119,698*​
20,412 - 142,882*​
23,814 - 166,696*​
Clonazepam (Klonipin)
>4000​
1​
>227,996​
>272,156​
>317,515​
Diazepam (Valium)
1200​
5​
13,680​
16,330​
19,051​
Estazolam (Prosom)
3200​
1​
182,397​
217,725​
254,012​
Lorazepam (Ativan)
4500​
1​
256,496​
306,176​
357,205​

Hypnotic Sleep Medications


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Eszopiclone (Lunesta)
980​
2​
27,930​
33,340​
38,896​
Zaleplon (Sonata)
>1000​
10​
>5,700​
>6,804​
7,938​
Zolpidem (Ambien)*
695 – 1030*​
10​
3,961 – 5,870*​
4,729 – 7,008*​
5,517 – 8,176*​

Antidepressants


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Citalopram (Celexa)*
900 – 1700*​
20​
2,565 - 4,845*​
3,062 - 5,783*​
3,572 - 6,748*​
Duloxetine (Cymbalta)
491​
30​
933​
1,114​
1,300​
Escitalopram (Lexapro)*
300 – 2000*​
10​
1,710 - 11,400*​
2,042 - 13,608*​
2,832 - 15,876*​
Fluoxetine (Prozac)
452​
20​
1,288​
1,538​
1,794​
Mirtazapine (Remeron)*
600 - 720*​
15​
2,280 - 2,736*​
2,722 - 3,266*​
3,175 - 3,810*​
Paroxetine (Paxil)
400​
20​
998​
1,191​
1,390​
Sertraline (Zoloft)
>2000​
50​
>2,280​
>2,722​
>3,175​
Trazodone (Desyrel)
690​
50​
787​
939​
1,095​
Venlafaxine (Effexor)*
350 – 700*​
75​
266 – 532*​
318 – 635*​
370 – 741*​

Antipsychotics


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Clozapine (Clozaril)
251​
25​
572​
684​
797​
Haloperidol (Haldol)
128​
5​
1,460​
1,742​
2,033​
Prochlorperazine (Compazine)
1,800​
5​
20,520​
24,494​
28,576​
Quetiapine (Seroquel)
2000​
100​
1,140​
1,361​
1,588​

Anticonvulsants


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Gabapentin (Neurontin)
>5000​
300​
>950​
>1,334​
>1,323​
Pregabalin (Lyrica)
>5000​
150​
1,900​
>2,268​
>2,646​
Topiramate (Topamax)
>1500​
25​
>3,420​
>4,083​
>4,763​

Stimulants


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Dextroamphetamine (Adderall)
98.6​
5​
1,124​
1,342​
1,566​
Lisdexamfetamine (Vyvanse)
>1000​
30​
>1,900​
>2,268​
>2,646​
Methylphenidate (Ritalin)
367​
10​
2,092​
2,497​
2,913​

Muscle Relaxants


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Baclofen (Lioresal)
145​
10​
826​
987​
1,151​
Chlorzoxazone (Flexeril)
763​
10​
4,349​
5,192​
6,057​

Cardiac and Blood Pressure Medications


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Atorvastatin (Lipitor)
5000​
40​
7,125​
8,505​
9,922​
Digoxin (Lanoxin)
28.27​
0.25​
6,446​
7,694​
8,978​
Lisinopril (Prinivil)
>8500​
20​
>24,225​
>28,917​
>33,736​

Opioids


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Hydrocodone
375​
5​
4,275​
5,104​
5,953​
Morphine (MS Contin)
460​
30​
874​
1,044​
1,218​
Oxycodone
>300​
10​
>1,710​
>2,042​
>2,382​
Tramadol (Ultram)
228​
50​
260​
311​
363​

Miscellaneous Prescriptions


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Amoxicillin (Amoxil)
>15000​
250​
>3,420​
>4,083​
>4,763​
Furosemide (Lasix)
2600​
20​
7,410​
8,845​
10,319​
Metoclopramide (Reglan)
750​
10​
4,275​
5,103​
5,953​
Ropinirole (Requip)
862​
2​
24,567​
29,325​
34,313​
Tamsulosin (Flomax)
650​
0.4​
92,623​
110,564​
128,990​
Levomepromazine (Nozinan)*
300 - 2000*​
25​
684 - 4,560*​
816 - 5,442*​
953 - 6,350*​

Over-the-Counter (OTC) Medications


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Acetaminophen (Tylenol, Paracetamol) **
1944​
500​
222​
265​
309​
Bisacodyl (Ducalox)
4320​
5​
49,238​
58,786​
68,584​
Cetirizine (Zyrtek)
365​
10​
2,080​
2,550​
2,897​
Diphenhydramine (Benadryl)
500​
25​
1,140​
1,360​
1,588​
Dextromethorphan (Robitussin DM)
500​
15​
1,900​
2,268​
2,646​
Ibuprofen (Advil)**
636​
200​
182​
217​
253​
Fexofenadine (Allegra)
>5146​
180​
>1,630​
>1,945​
>2,270​
Guaifenesin (Mucinex)
1510​
200​
431​
514​
600​
Pseudoephedrine (Sudafed)
2200​
30​
4,180​
4,990​
5,821​

(A greater than symbol (>) indicates that the toxicity endpoint being tested was not achievable at the highest dose used in the tests; items marked * have several competing ranges so included both for context, and items marked ** are examples of medications which take several days before death if the LD50 or greater is even achieved although others do I am flagging Tylenol and Advil due to the OCT availability factor).


My calculations might not be perfect, and this is purely informational—definitely not a suggestion or encouragement—if anything, this is discouragement due to what these results show; not because I don't wish it was a feasible method, but because the data proves why it is not reliable. Some are listed with a "greater than", as the exact LD50 varies. There are also indeed differences with some medications which cannot be reliably gathered from this data set: such as lethality in humans happening at a higher or lower rate than test subjects since metabolic, absorption, or processing differs at different levels. Nonetheless, LD50 remains the approach but clearly yields more ambiguity and risk factors for failure to come into play. Some figures were rounded slightly for math purposes. Please also note that to the extent different LD50 studies by manufacturer had variation, only one source is included here, everyone can independently verify each credential. But I tried to not pick too many without good, consistent LD50 data.

Considering that many would likely vomit before reaching that point, it is extremely unlikely for anyone to come anywhere near LD50; and even then, it's still just a 50% chance and taking into account some biological factors which may decrease or increase based on human vs laboratory animal studies. Potential tolerance is also a factor for human. However, this sample chart should make it clear why ODs fail.

But aren't there cases of people dying from MUCH smaller doses of these drugs? Yes, of course. There are all sorts of one-off cases known as the lowest-reported dose in humans (lowest dose causing lethality aka LDLO). But they are just that, the lowest known dose ever published, not the baseline nor the reliable quantity. There are generally other circumstances like allergies, underlying health issues, the subject being a child, etc in those lowest reported death scenarios which does not give a more objective review to consider. There are always exceptions and extraordinary situations. Those results are not repeatable in a reliable way. Which is why the toxicity to death threshold is used from the LD50, not the lowest reported dose. Also, plenty of people far exceed those lowest reports and live (especially if there a tolerance).

What sort of data is there about ODs? Don't people still die of medication ODs? Yes, there have been cases of people dying from lower amounts, but those instances are not reliable indicators. A comprehensive study involving 421,466 attempts at overdose using medications found that only 21,594 resulted in death (5.1%), often in individuals with existing and underlying health issues or using multiple drugs (including street obtain drugs with other substances). Other studies report success (for our purposes) rates ranging from 1-6%, although one report went to 8%, which puts the comprehensive study I've chosen above at the high-mid to higher end of the spectrum. And let's talk for a moment about some of those OTC since those are readily available and may seem like a good choice (it isn't a good choice for CTB): it may be also interesting to know that some medications, such as Aspirin, have a much lower 1% chance of death, that Tylenol accounts for only around 500 deaths per year in the U.S even though around 60 million people consume it each week, and in 2006 there were 10 reported case fatalities of ibuprofen by self-poisoning (out of the approximate total 15,600 deaths per year). Feel free to do research on how ineffective the method truly is, there is plenty out there! Regardless, even if someone took the highest range of an 8% chance over the 5.1% mentioned here, that's an abysmal percent. There are plenty of studies around medication ODs, but the purpose here is to really just show how very unlikely it is to be able to consume this much of any medication to achieve a mere LD50 threshold.

Well, what about just combining some of these medications? Could combining various substances lead to success? It's possible, but not reliable. Is it worth the risk? Absolutely not. Again, as mentioned at the top of this post, this is excluding combos found in things such as PPH/PPeH/etc, those poly-med cocktails are not considered here. Look into those if that is an interest.

What's the risk in trying OD? The chances of experiencing severe side effects (depending on the medication)—like brain damage, chills, tremors, coma, tachycardia, seizures, pain, delirium, nerve damage, stroke, hallucinations, kidney or liver failure, and cognitive issues—are much higher than the likelihood of a fatal outcome. Even if someone took a LD50 dose and happened to be in that 1-8% of success, the death would not be very peaceful and could take days (or even weeks) in the case of some of them. The short and potentially long-term effects greatly outweigh any possible CTB chance with medication ODs.

I hope this sheds light on why pursuing this path is not a viable or successful option.

us that surely if they took a few months or even year supply all at once it would cause them to OD and die; when the reality is that just isn't the case. If it were that easy, we would be seeing a hell of a lot daily death by these drugs. And then they wouldn't be on the market. Manufacturers like to keep their patients alive both because they don't want people to die but also because a dead person can't continue to be a customer for them! It's a losing situation for a drug company to not have an outstandingly safe drug on the market.




I am glad you found this resource helpful!!

If the mods decide it should, I am sure they will consider it! I didn't write it in hopes of getting any sort of recognition but if they feel this adds value in an important way for others to see I have no doubt they will. But if not, it is no biggie as I/we all can always just steer folks to this and other posts that might be helpful if people post about "What if I take X-many of this med I have? Will it work?" (that is a paraphrase of many posts I've seen here in the past and suspect there will always continue to be some of anyways).


My absolute pleasure. Glad you found it helpful!

Thank you Lunar for taking the time to comment on it since you found it informative!

Yeah it is interesting re while some OTCs have a lower LD50 than some rxes but the OTC ones cause such extreme and long lasting side effects well before reaching a critical point. Even if someone vomits after taking them, they lead to severe, long-term consequences. The likelihood of permanent liver damage from acetaminophen (Tylenol) or significant kidney failure from ibuprofen far exceeds the extremely slim chance that these medications would be effective for CTB. And your outageously kind comment about this being the best topic on here is definitely very kind of you. There are so many incredible and well thought out posts on a wide variety of things, I am just glad to have contributed something that some folks may find useful, insightful, educational, or interesting to review in some way.


Thank you ALL for the kind words on this little piece. It was truly my pleasure in writing this contribution.
Vomiting with OD.

That explains my failures. I took a couple of bottles of anti depressants (Desipramine hydrochloride). I aspirated, which means I vomited then inhaled the vomit. It coated my lungs. When I woke up on a ventilator, it was horrible because my breathing rate did not match the ventilator's and I gagged... Felt like I was drowning. On top of that, they damaged my vocal cords when they intubated me. My breathing and voice have never been the same. Failure sucks.
 
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wren-briar

wrenbriar.gitlab.io
Jul 1, 2024
241
I just wish CTB wasn't so damn impossible. I know so many people who have been successful and always wonder how they managed to do it. What made them any different from me?

This! 1000% this!
 
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babouflo201223

Experienced
Aug 18, 2024
270
mais la plupart des gens ne s'en rendront pas compte et iront directement à la table et verront "oh je peux prendre des centaines de pilules d'opioïdes et c'est sans danger !". Une mauvaise compréhension de votre message (je pense que vous devriez le préciser dans la première phrase et en gros caractères - que ces valeurs sont pour les animaux, et pour les humains, elles sont bien moindres) peut tuer des gens de manière imprudente. Cela peut provoquer des morts inutiles et indésirables (et je ne parle pas de pro-vie, je suis pro-choix, mais j'ai beaucoup de connaissances en matière de drogues, théoriques et pratiques, car j'ai consommé plus de 150 substances psychoactives à fortes doses).

Un comprimé de morphine de 200 mg (la dose maximale), s'il est mâché ou écrasé, tuera plus de 50 % des pops naïfs. UN SEUL COMPRIMÉ. J'en suis sûr à 100 %.

Si quelqu'un est tolérant comme moi, il peut supporter 1000-1500 mg (ce qui est une tolérance ultra élevée, je fais partie d'un forum sur les drogues avec des dizaines de milliers d'utilisateurs et ma tolérance est comme le top 3 là-bas) et pour moi 2500-3000 mg serait la LD50 je pense. Ce qui ne représente toujours que 15 comprimés.

Il convient également de noter que le mélange de dépresseurs du SNC comme les opioïdes, les benzodiazépines et/ou l'alcool ou la prégabaline a des effets synergétiques, ils se stimulent mutuellement et, par conséquent, la LD50 diminue considérablement.

Je veux juste que les gens en soient conscients. Non les gars, vous n'avez pas besoin de milliers de comprimés pour vous tuer. S'il est vrai que l'overdose est l'une des méthodes les moins fiables, c'est parce que les gens ne font pas assez de recherches et pensent qu'en prenant une poignée (quelques dizaines environ) de somnifères comme les benzodiazépines, ils ne se "réveilleront jamais". C'est aussi une connerie totale et les gens comme ça font baisser les statistiques sur l'overdose. Il est très difficile / presque impossible de faire une overdose mortelle de benzodiazépines seules.


Ce message n'est pas seulement pour OP, mais pour tous ceux qui lisent ce fil.


Je voulais également ajouter que l'overdose de certaines substances comme l'opio/benzo est paisible et même agréable... mais de nombreuses personnes n'y ont pas accès et tentent de faire une overdose d'acétaminophène, et se retrouvent en vie ou souffrant pendant des jours/semaines à cause de lésions hépatiques, avant de mourir.

L'OD est un sujet très vaste et on ne peut pas le mettre dans un seul sac et dire « ce n'est pas une méthode » « c'est bon / mauvais ». Cela dépend fortement de la substance, de la dose et de l'expérience et des connaissances de l'utilisateur.
You say that OD of opio/benzo (taken both I suppose ?) is peaceful. For a people who never took opio, how many pills could it need ? I read you say 1 pill of morphine 200mg will kill 50% of people who never took before. Could it seem possible that 4 or 5 pills of 200mg would kill quite 100% of these people ? And sorry, another question because you seem an expert about that, when you say that OD of opio/benzo is peaceful, what does it mean exactly ? What happens after taking the pills ? And to CTB with OD of opio/benzo, how many opio would be necessary (pills) ? Are morphine pills real opios or other opios drugs with similar effects at the same quantity ? Thank you.
 
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Romanticize

Romanticize

Member
Aug 22, 2024
77
You say that OD of opio/benzo (taken both I suppose ?) is peaceful. For a people who never took opio, how many pills could it need ? I read you say 1 pill of morphine 200mg will kill 50% of people who never took before. Could it seem possible that 4 or 5 pills of 200mg would kill quite 100% of these people ? And sorry, another question because you seem an expert about that, when you say that OD of opio/benzo is peaceful, what does it mean exactly ? What happens after taking the pills ? And to CTB with OD of opio/benzo, how many opio would be necessary (pills) ? Are morphine pills real opios or other opios drugs with similar effects at the same quantity ? Thank you.
1. Yes in theory it should be peaceful. Because they are CNS depressants, they will first depress (slow down) your brain activity, so you will become unbelievably sleepy, and then just pass out. This is importang - you would drift into unconsciousness, and wouldn't even know ("remember") it. In hospital, before a surgery, they give you Midazolam, which is a benzodiazepine and it helps to sedate and calm down patient, who may otherwise panic of be very anxious. Also it kind of messes up the short term memory, so often memories from just before the surgery are blurry.
There are many kind (in every country like 20-30 benzodiazepines) sold in pharmacies, like diazepam, alprazolam (xanax), estazolam, lorazepam, clonazepam etc. Plus not benzos, but very similar hypnotic "z-drugs" like zolpidem, zopiclone, zaleplone. Besides them, there are RC (research chemicals, grey zone, not yet banned fully, so sometimes you can get them in some RCshops, both online and offline) like etizolam (at some time I know it was legal in pharm use in 3 countries; Japan, Italy and one other I forgot), flualprazolam, flubromazolam. RC is bad in this sense that you aren't 100% sure about what's inside, and dosage. Also, benzos alone won't kill you, they are used to potentiate opioids, there is incredible synergy between them. Also they help you calm down, relax and sleep, which is what you want.

2. There are different type of opioids/opiates (opioid is a general term for synthetic and natural ones: substances that work by binding to opioid receptors; and opiate is a term used for natural substances derived from opium poppy seed plant. Many people don't know the difference or use them interchangeably, but this knowledge isn't all that necessary). It is Opioids that kill. Benzos are used to potentiate. Opioid alone can kill easily, benzo alone will not. The best is of course to mix, as big the dosages as possible.

3. There are weak opioids, like codeine, tramadol or dihydrocodeine. Don't plan to CTB using these. The medium/strong ones are you go-to substances. The best well known baseline is Morphine. Similar strength opioids are oxycodone (oxycontin), hydrocodone, oxymorphone, hydromorphone (dilaudid) etc. Also heroin is about 1.5 - 3 times stronger than morphine, it means you just need less dose of H, or higher dose of M.
And there are super strong opioids, like fentanyl and its derivatives, like furanyl-fentanyl, once known and synthetic U-47700, and the most potent (used to anesthetize elephants) carfentanyl or etorphine, but it's hard to get them.

4. Morphine for example is sold in various forms, take tablets for example, here you can get it from 20mg all the way up to 200mg. The reason is that patients using this drug for long term pain management (like cancer etc) will develop a tolerance. They (and all opioid naive people) will start with 20-40mg but after year of daily using, they organism will get used to it, and to achieve same effect they'd have to use 200-400mg (*the numbers are very rough estimate. I provide them to explain you, why some people die after taking 100mg, and others use 1000mg daily and are ok).
This is why tolerance is extremely important. If you have never taken opioids regularly (not counting the 20 times you done codeine or tramadol with your friends years back, what counts is a regular use, addiction and tolerance), then I'd estimate a 100mg tablet has 10-30% of killing you, a 200mg 40-50%, and few 200mg tablets (800-1000mg) is a 98-99%. If you add benzos on top, it makes it almost certain, like 99.9%.


5. You don't have to inject it (although a pill could be crushed, heated up, filtered, taken into syringe and shot)- bioavailability of an oral use is 30% for M, for oxy its 80-90%. But even that 30% is enough if you do massive OD, like 1000mg for a non-tolerant person. What IS important, is that those 100+ mg pills, are "CR" which is Controlled Release or slow release, and to maximize your chances, you should scrap the film off (with a nail or a knife etc) and then crush your tablet into small pieces, or even better to a powder. Take your benzos 15-30mim prior, and be aware they can knock the shit outta you before you realize. This is why 15-30min is best, 45-60min may be too early. Take it ideally on an empty stomach, use normal water to drink.

6. Mechanism of CTB is: first you get unconscious (your brain function is very slowed, like in those drunk ppl), and it should be somewhat pleasant feeling, I mean people use opioids and benzos to get drugged (I use them a lot, and the feeling esp. for the first time is amazing- all your problems go away and you feel like you are covered with a hot blanked of love- the distinct warm feeling from opioids). However, given the massive OD, your organism may react with vomiting or nausea, you will lose consciousness though. Quickly followed will be the substances action on breathing reflex area in the brain. It's an involuntary action which we continue to do while unconscious. Opio and benzo will slow it down / stop completely and you CTB while unconscious. You don't even know you just CTB'd. You don't feel panic, you don't feel gasping for air, no air hunger at all. The feeling ideally should be like you were given general anesthesia in a hospital, and never wake up.


*Important note: if you are getting your opioids from your street dealer or an unknown source (not a pharmacy), get it tested. They lace it with unknown shit, and if its fentanyl, well, better for you because it kills faster, but it could be other tranquilizers like xylazine, which you dont want. Also to boost up the price, they will tell there is 200mg, and in reality there could be 50. Which will definitely affect your CTB plan. So either get it from a trusted source/pharmacy, or get it tested.

Good Luck, I think opio+benzo method for someone naive (non-tolerant) is one of the best options, besides N. Very reliable, very clean and almost pleasant.

However OD statistics are so bad bc people dont know what theyre doing, they want to CTB on an OTC drug like acetaminophen, paracetamol or ibuprofen. Or some antidepressant or cardiac medication. They also dont know the dosage, just take a blister or a handful of pills. They don't use a combo that potentiates each other. Believe me, I read a lot of real stories / case studies, and many doctors chose to CTB with opio/benzo method. If you have other depressants, like alcohol, barbiturates (unlikely that you have them), GABAergics/anticolvulsants like pregabalin or gabapentin, clonidine, quetiapine etc, they can help as well. But the "must have" core is an opioid and a benzodiazepine.
 
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babouflo201223

Experienced
Aug 18, 2024
270
1. Yes in theory it should be peaceful. Because they are CNS depressants, they will first depress (slow down) your brain activity, so you will become unbelievably sleepy, and then just pass out. This is importang - you would drift into unconsciousness, and wouldn't even know ("remember") it. In hospital, before a surgery, they give you Midazolam, which is a benzodiazepine and it helps to sedate and calm down patient, who may otherwise panic of be very anxious. Also it kind of messes up the short term memory, so often memories from just before the surgery are blurry.
There are many kind (in every country like 20-30 benzodiazepines) sold in pharmacies, like diazepam, alprazolam (xanax), estazolam, lorazepam, clonazepam etc. Plus not benzos, but very similar hypnotic "z-drugs" like zolpidem, zopiclone, zaleplone. Besides them, there are RC (research chemicals, grey zone, not yet banned fully, so sometimes you can get them in some RCshops, both online and offline) like etizolam (at some time I know it was legal in pharm use in 3 countries; Japan, Italy and one other I forgot), flualprazolam, flubromazolam. RC is bad in this sense that you aren't 100% sure about what's inside, and dosage. Also, benzos alone won't kill you, they are used to potentiate opioids, there is incredible synergy between them. Also they help you calm down, relax and sleep, which is what you want.

2. There are different type of opioids/opiates (opioid is a general term for synthetic and natural ones: substances that work by binding to opioid receptors; and opiate is a term used for natural substances derived from opium poppy seed plant. Many people don't know the difference or use them interchangeably, but this knowledge isn't all that necessary). It is Opioids that kill. Benzos are used to potentiate. Opioid alone can kill easily, benzo alone will not. The best is of course to mix, as big the dosages as possible.

3. There are weak opioids, like codeine, tramadol or dihydrocodeine. Don't plan to CTB using these. The medium/strong ones are you go-to substances. The best well known baseline is Morphine. Similar strength opioids are oxycodone (oxycontin), hydrocodone, oxymorphone, hydromorphone (dilaudid) etc. Also heroin is about 1.5 - 3 times stronger than morphine, it means you just need less dose of H, or higher dose of M.
And there are super strong opioids, like fentanyl and its derivatives, like furanyl-fentanyl, once known and synthetic U-47700, and the most potent (used to anesthetize elephants) carfentanyl or etorphine, but it's hard to get them.

4. La morphine, par exemple, est vendue sous différentes formes. Prenez des comprimés par exemple. Vous pouvez en obtenir de 20 mg à 200 mg. La raison est que les patients qui utilisent ce médicament pour la gestion de la douleur à long terme (comme le cancer, etc.) développeront une tolérance. Ils (et toutes les personnes naïves aux opioïdes) commenceront avec 20 à 40 mg, mais après un an d'utilisation quotidienne, leur organisme s'y habituera et pour obtenir le même effet, ils devront utiliser 200 à 400 mg (*les chiffres sont des estimations très approximatives. Je les fournis pour vous expliquer pourquoi certaines personnes meurent après avoir pris 100 mg, et d'autres utilisent 1 000 mg par jour et se portent bien).
C'est pourquoi la tolérance est extrêmement importante. Si vous n'avez jamais pris d'opioïdes régulièrement (sans compter les 20 fois où vous avez pris de la codéine ou du tramadol avec vos amis il y a des années, ce qui compte c'est une utilisation régulière, une dépendance et une tolérance), alors j'estime qu'un comprimé de 100 mg a 10 à 30 % de chances de vous tuer, un comprimé de 200 mg 40 à 50 %, et quelques comprimés de 200 mg (800 à 1 000 mg) ont 98 à 99 %. Si vous ajoutez des benzodiazépines par-dessus, cela devient presque certain, comme 99,9 %.


5. Vous n'êtes pas obligé de l'injecter (bien qu'une pilule puisse être écrasée, chauffée, filtrée, mise dans une seringue et injectée) - la biodisponibilité d'une utilisation orale est de 30 % pour le M, de 80 à 90 % pour l'oxy. Mais même ces 30 % sont suffisants si vous faites une overdose massive, comme 1 000 mg pour une personne non tolérante. Ce qui est important, c'est que ces pilules de 100 mg et plus sont à libération contrôlée ou à libération lente, et pour maximiser vos chances, vous devez gratter le film (avec un clou ou un couteau, etc.) puis écraser votre comprimé en petits morceaux, ou encore mieux en poudre. Prenez vos benzos 15 à 30 minutes avant, et sachez qu'ils peuvent vous mettre K.O. avant que vous ne vous en rendiez compte. C'est pourquoi 15 à 30 minutes sont les meilleures, 45 à 60 minutes peuvent être trop tôt. Prenez-le idéalement à jeun, utilisez de l'eau normale pour boire.

6. Le mécanisme de la CTB est le suivant : vous perdez d'abord connaissance (votre fonction cérébrale est très ralentie, comme chez ces personnes ivres), et cela devrait être une sensation plutôt agréable, je veux dire que les gens utilisent des opioïdes et des benzodiazépines pour se droguer (j'en utilise beaucoup, et la sensation, surtout pour la première fois, est incroyable - tous vos problèmes disparaissent et vous avez l'impression d'être recouvert d'une épaisse couche de chaleur d'amour - la sensation de chaleur distincte des opioïdes). Cependant, étant donné l'overdose massive, votre organisme peut réagir par des vomissements ou des nausées, mais vous perdrez connaissance. La substance agira rapidement sur la zone réflexe respiratoire du cerveau. C'est une action involontaire que nous continuons à faire pendant que nous sommes inconscients. Les opioïdes et les benzodiazépines ralentiront / arrêteront complètement et vous CTB pendant que vous êtes inconscient. Vous ne savez même pas que vous venez de vous droguer. Vous ne ressentez pas de panique, vous ne ressentez pas de manque d'air, aucune faim d'air du tout. La sensation devrait idéalement être comme si vous aviez reçu une anesthésie générale dans un hôpital et que vous ne vous réveilliez jamais.


*Remarque importante : si vous obtenez vos opioïdes auprès d'un revendeur de rue ou d'une source inconnue (pas une pharmacie), faites-les tester. Ils les mélangent avec des substances inconnues, et si c'est du fentanyl, eh bien, c'est mieux pour vous car ça tue plus vite, mais ça pourrait être d'autres tranquillisants comme la xylazine, dont vous ne voulez pas. De plus, pour augmenter le prix, ils vous diront qu'il y en a 200 mg, alors qu'en réalité il pourrait y en avoir 50. Ce qui aura certainement un impact sur votre plan CTB. Alors, achetez-le auprès d'une source/pharmacie fiable, ou faites-le tester.

Bonne chance, je pense que la méthode opio+benzo pour quelqu'un de naïf (non tolérant) est l'une des meilleures options, en plus de N. Très fiable, très propre et presque agréable.

Cependant, les statistiques sur les overdoses sont si mauvaises parce que les gens ne savent pas ce qu'ils font, ils veulent faire un essai clinique avec un médicament en vente libre comme le paracétamol, le paracétamol ou l'ibuprofène. Ou un antidépresseur ou un médicament cardiaque. Ils ne connaissent pas non plus le dosage, ils prennent juste une plaquette ou une poignée de pilules. Ils n'utilisent pas de combinaison qui se potentialise mutuellement. Croyez-moi, j'ai lu beaucoup d'histoires réelles / d'études de cas, et de nombreux médecins ont choisi d'effectuer un essai clinique avec la méthode opioïde/benzo. Si vous avez d'autres dépresseurs, comme l'alcool, les barbituriques (il est peu probable que vous en ayez), les GABAergiques/anticolvulsivants comme la prégabaline ou la gabapentine, la clonidine, la quétiapine, etc., ils peuvent également vous aider. Mais le noyau « indispensable » est un opioïde et une benzodiazépine.
Thank you very much for all these explanations. Indeed, I haven't any opio and no way for me to get one. Then, it seems to be difficult. Anyway, if I succeded to have one, with an OD at 1000mg for the opio, what would be the best quantity of benzo to take before ? The benzos I have is Bromazepam or Lexomil (I have a big amount of them). Thank you.
 
Romanticize

Romanticize

Member
Aug 22, 2024
77
Thank you very much for all these explanations. Indeed, I haven't any opio and no way for me to get one. Then, it seems to be difficult. Anyway, if I succeded to have one, with an OD at 1000mg for the opio, what would be the best quantity of benzo to take before ? The benzos I have is Bromazepam or Lexomil (I have a big amount of them). Thank you.
Lexomil is Bromazepam. Just a trade name.
It's roughly equivalent in potency to Diazepam. It's not the strongest benzo, but it will do the trick. I'd go for a dose of 100-200mg+ (remember, WITH big OD of opioid, it is essential).
In my country bromaz is sold in 3mg and 6mg pills, so safe side would be at least 50 pills.

Opioid is more important than benzodiazepine, so if i were to choose:
a) 1000mg morphine and 0 benzo
b) 200mg morphine and 1000mg Bromazepam
c) 800mg morphine and 100mg Bromazepam

I would choose option C, closely followed by A, then B is the worst for CTB (but it would still kill most of the takers). But if you have bromazepam, this 100mg or so of additional benzo, would likely make your opioid dose more deadly (and for example push the odds of CTB from 95% to 99.9%). I just wanted to emphasize, that in that cocktail, opioid is 90% and benzo is 10%, opioid dose is most important, but benzo potentiates it, and is very helpful in this situation as well, because it promotes sedation and sleep (unconsciosness).

Also: (important) it's hard to predict how one will behave under a massive benzo dose, some people (its rare, maybe 2-5%) got paradoxical reactions and instead of sedation->sleep, they got anxious and paranoid. This is why you should just lock yourself in a room/house, throw or put away the phone, because there is a very little chance (but more than 0) that under influence of benzo, you will call for help because your SI will kick in. Be prepared for that.
 
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stopwizard

stopwizard

again & again & again & again
Dec 7, 2024
11
Is there really no chance if I take 150mg Oxy with an antiemetic? I'm 130lbs with no tolerance to the drug. English is not my first language so it's a little hard for me to understand the chart.
 
eternalbutterflyx

eternalbutterflyx

Member
Aug 26, 2024
25
There's still a lot of questions and inquiries about ODs, and people asking about what things may facilitate a successful attempt. Let's be clear, ODs are rarely fatal. Why? For a couple of reasons: (1) modern medications are designed to be very safe, as manufacturers aim to avoid deaths that would hurt their reputation and business; and (2) the number of pills needed to cause a fatal overdose is so high that most people would vomit (or have other serious side effects) well before reaching that point. In many cases, surviving an OD may lead to long-term health issues rather than death. It's essential to approach this topic thoughtfully, as many contemplating ODs seem to do so impulsively. Deciding to CTB is something that should be carefully thought about, done with a full set of facts, and not something based on a mere whim of whatever is inside the medicine cabinet or at the reach of one's fingertips.

This discussion focuses on the LD50 values of various medications, excluding specific polydrug combos and protocols from things like PPH/PPEH or similar books. I included a cross section of some common medications including some benzodiazepines and antidepressants, to some OTC ones, allergy medications, and some specialty ones for things like heart and blood pressure, all to illustrate why ODs often fail. I think the reason will become extremely clear. Despite alarming headlines about the opioid crisis, statistics show that the chance of dying from an overdose on commonly used medications is outstandingly low. This is largely due to individual responses, established safe dosage ranges, and high LD50 values (the higher the LD50, the harder it is to die from a drug, i.e., a possible indicator that they are made 'safe' on purpose).

About LD50: The LD50 (lethal dose for 50% of the test population) indicates the dose that would be fatal for half of those exposed. It is important to note there is never going to be a direct human LD50, LD50s are determined based on laboratory animals such as rats, mice, sometimes rabbits and guinea pigs. This inherently means that there is not going to be definitive data that directly correlates to humans, and there are some flaws in using LD50, however this is how pharmaceutical companies achieve having their medications marked as safe for human consumption thus is used here. Generally, if the immediate toxicity is consistent across the various animal species tested, humans are likely to experience a similar level of immediate toxicity. However, when LD50 values differ among species, estimations and assumptions must be made to determine the estimated, reliable lethal risk for humans. Based on the review of evidence and outcomes it is then evaluated as "safe" for the market. To note, for a human, even at the LD50 level, individual factors—such as age, health, underlying conditions, tolerance, etc, and whether the drugs are legitimate or counterfeit—play significant roles and affect the LD50 potential assumptions. The table below has the LD50, which is the mg per kg, followed by the common dosage and then a hypothetical analysis.

Methodology Used: For purposes of this study, I have chosen to go with rats for consistency purposes as sometimes there are only IP (intraperitoneal, not oral) doses for mice which would create a table which has a lot more disclaimers about the ranges. Typically (but not always), the mice dose is lower but even if these numbers were reduced it does not affect the final outcome which will be discussed later on. It is important to disclaim this since this is a single species review however, the source material is linked so everyone is able to make their own reasonable conclusions on the data. In the calculations, I did use the full weight in kg when converting from lbs, but in the table display a rounded number for easier reading.

For educational/informational purposes, consider a hypothetical scenario involving a 125-pound (56.70kg), 150-pound (68.03 kg), and a 175-pound (79.38kg) person and what that LD50 looks like.

Benzodiazepines


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Alprazolam (Xanax)*
300 - 2100*​
1​
17,010 - 119,698*​
20,412 - 142,882*​
23,814 - 166,696*​
Clonazepam (Klonipin)
>4000​
1​
>227,996​
>272,156​
>317,515​
Diazepam (Valium)
1200​
5​
13,680​
16,330​
19,051​
Estazolam (Prosom)
3200​
1​
182,397​
217,725​
254,012​
Lorazepam (Ativan)
4500​
1​
256,496​
306,176​
357,205​

Hypnotic Sleep Medications


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Eszopiclone (Lunesta)
980​
2​
27,930​
33,340​
38,896​
Zaleplon (Sonata)
>1000​
10​
>5,700​
>6,804​
7,938​
Zolpidem (Ambien)*
695 – 1030*​
10​
3,961 – 5,870*​
4,729 – 7,008*​
5,517 – 8,176*​

Antidepressants


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Citalopram (Celexa)*
900 – 1700*​
20​
2,565 - 4,845*​
3,062 - 5,783*​
3,572 - 6,748*​
Duloxetine (Cymbalta)
491​
30​
933​
1,114​
1,300​
Escitalopram (Lexapro)*
300 – 2000*​
10​
1,710 - 11,400*​
2,042 - 13,608*​
2,832 - 15,876*​
Fluoxetine (Prozac)
452​
20​
1,288​
1,538​
1,794​
Mirtazapine (Remeron)*
600 - 720*​
15​
2,280 - 2,736*​
2,722 - 3,266*​
3,175 - 3,810*​
Paroxetine (Paxil)
400​
20​
998​
1,191​
1,390​
Sertraline (Zoloft)
>2000​
50​
>2,280​
>2,722​
>3,175​
Trazodone (Desyrel)
690​
50​
787​
939​
1,095​
Venlafaxine (Effexor)*
350 – 700*​
75​
266 – 532*​
318 – 635*​
370 – 741*​

Antipsychotics


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Clozapine (Clozaril)
251​
25​
572​
684​
797​
Haloperidol (Haldol)
128​
5​
1,460​
1,742​
2,033​
Prochlorperazine (Compazine)
1,800​
5​
20,520​
24,494​
28,576​
Quetiapine (Seroquel)
2000​
100​
1,140​
1,361​
1,588​

Anticonvulsants


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Gabapentin (Neurontin)
>5000​
300​
>950​
>1,334​
>1,323​
Pregabalin (Lyrica)
>5000​
150​
1,900​
>2,268​
>2,646​
Topiramate (Topamax)
>1500​
25​
>3,420​
>4,083​
>4,763​

Stimulants


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Dextroamphetamine (Adderall)
98.6​
5​
1,124​
1,342​
1,566​
Lisdexamfetamine (Vyvanse)
>1000​
30​
>1,900​
>2,268​
>2,646​
Methylphenidate (Ritalin)
367​
10​
2,092​
2,497​
2,913​

Muscle Relaxants


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Baclofen (Lioresal)
145​
10​
826​
987​
1,151​
Chlorzoxazone (Flexeril)
763​
10​
4,349​
5,192​
6,057​

Cardiac and Blood Pressure Medications


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Atorvastatin (Lipitor)
5000​
40​
7,125​
8,505​
9,922​
Digoxin (Lanoxin)
28.27​
0.25​
6,446​
7,694​
8,978​
Lisinopril (Prinivil)
>8500​
20​
>24,225​
>28,917​
>33,736​

Opioids


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Hydrocodone
375​
5​
4,275​
5,104​
5,953​
Morphine (MS Contin)
460​
30​
874​
1,044​
1,218​
Oxycodone
>300​
10​
>1,710​
>2,042​
>2,382​
Tramadol (Ultram)
228​
50​
260​
311​
363​

Miscellaneous Prescriptions


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Amoxicillin (Amoxil)
>15000​
250​
>3,420​
>4,083​
>4,763​
Furosemide (Lasix)
2600​
20​
7,410​
8,845​
10,319​
Metoclopramide (Reglan)
750​
10​
4,275​
5,103​
5,953​
Ropinirole (Requip)
862​
2​
24,567​
29,325​
34,313​
Tamsulosin (Flomax)
650​
0.4​
92,623​
110,564​
128,990​
Levomepromazine (Nozinan)*
300 - 2000*​
25​
684 - 4,560*​
816 - 5,442*​
953 - 6,350*​

Over-the-Counter (OTC) Medications


Medication
Oral LD50 (mg/kg)
Dose (mg)
# of pills for 125 lbs (56.70kg)
# of pills for 150 lbs (68.0kg)
# of pills for 175 lbs (79.38kg)
Acetaminophen (Tylenol, Paracetamol) **
1944​
500​
222​
265​
309​
Bisacodyl (Ducalox)
4320​
5​
49,238​
58,786​
68,584​
Cetirizine (Zyrtek)
365​
10​
2,080​
2,550​
2,897​
Diphenhydramine (Benadryl)
500​
25​
1,140​
1,360​
1,588​
Dextromethorphan (Robitussin DM)
500​
15​
1,900​
2,268​
2,646​
Ibuprofen (Advil)**
636​
200​
182​
217​
253​
Fexofenadine (Allegra)
>5146​
180​
>1,630​
>1,945​
>2,270​
Guaifenesin (Mucinex)
1510​
200​
431​
514​
600​
Pseudoephedrine (Sudafed)
2200​
30​
4,180​
4,990​
5,821​

(A greater than symbol (>) indicates that the toxicity endpoint being tested was not achievable at the highest dose used in the tests; items marked * have several competing ranges so included both for context, and items marked ** are examples of medications which take several days before death if the LD50 or greater is even achieved although others do I am flagging Tylenol and Advil due to the OCT availability factor).


My calculations might not be perfect, and this is purely informational—definitely not a suggestion or encouragement—if anything, this is discouragement due to what these results show; not because I don't wish it was a feasible method, but because the data proves why it is not reliable. Some are listed with a "greater than", as the exact LD50 varies. There are also indeed differences with some medications which cannot be reliably gathered from this data set: such as lethality in humans happening at a higher or lower rate than test subjects since metabolic, absorption, or processing differs at different levels. Nonetheless, LD50 remains the approach but clearly yields more ambiguity and risk factors for failure to come into play. Some figures were rounded slightly for math purposes. Please also note that to the extent different LD50 studies by manufacturer had variation, only one source is included here, everyone can independently verify each credential. But I tried to not pick too many without good, consistent LD50 data.

Considering that many would likely vomit before reaching that point, it is extremely unlikely for anyone to come anywhere near LD50; and even then, it's still just a 50% chance and taking into account some biological factors which may decrease or increase based on human vs laboratory animal studies. Potential tolerance is also a factor for human. However, this sample chart should make it clear why ODs fail.

But aren't there cases of people dying from MUCH smaller doses of these drugs? Yes, of course. There are all sorts of one-off cases known as the lowest-reported dose in humans (lowest dose causing lethality aka LDLO). But they are just that, the lowest known dose ever published, not the baseline nor the reliable quantity. There are generally other circumstances like allergies, underlying health issues, the subject being a child, etc in those lowest reported death scenarios which does not give a more objective review to consider. There are always exceptions and extraordinary situations. Those results are not repeatable in a reliable way. Which is why the toxicity to death threshold is used from the LD50, not the lowest reported dose. Also, plenty of people far exceed those lowest reports and live (especially if there a tolerance).

What sort of data is there about ODs? Don't people still die of medication ODs? Yes, there have been cases of people dying from lower amounts, but those instances are not reliable indicators. A comprehensive study involving 421,466 attempts at overdose using medications found that only 21,594 resulted in death (5.1%), often in individuals with existing and underlying health issues or using multiple drugs (including street obtain drugs with other substances). Other studies report success (for our purposes) rates ranging from 1-6%, although one report went to 8%, which puts the comprehensive study I've chosen above at the high-mid to higher end of the spectrum. And let's talk for a moment about some of those OTC since those are readily available and may seem like a good choice (it isn't a good choice for CTB): it may be also interesting to know that some medications, such as Aspirin, have a much lower 1% chance of death, that Tylenol accounts for only around 500 deaths per year in the U.S even though around 60 million people consume it each week, and in 2006 there were 10 reported case fatalities of ibuprofen by self-poisoning (out of the approximate total 15,600 deaths per year). Feel free to do research on how ineffective the method truly is, there is plenty out there! Regardless, even if someone took the highest range of an 8% chance over the 5.1% mentioned here, that's an abysmal percent. There are plenty of studies around medication ODs, but the purpose here is to really just show how very unlikely it is to be able to consume this much of any medication to achieve a mere LD50 threshold.

Well, what about just combining some of these medications? Could combining various substances lead to success? It's possible, but not reliable. Is it worth the risk? Absolutely not. Again, as mentioned at the top of this post, this is excluding combos found in things such as PPH/PPeH/etc, those poly-med cocktails are not considered here. Look into those if that is an interest.

What's the risk in trying OD? The chances of experiencing severe side effects (depending on the medication)—like brain damage, chills, tremors, coma, tachycardia, seizures, pain, delirium, nerve damage, stroke, hallucinations, kidney or liver failure, and cognitive issues—are much higher than the likelihood of a fatal outcome. Even if someone took a LD50 dose and happened to be in that 1-8% of success, the death would not be very peaceful and could take days (or even weeks) in the case of some of them. The short and potentially long-term effects greatly outweigh any possible CTB chance with medication ODs.

I hope this sheds light on why pursuing this path is not a viable or successful option.
Thank you so much for sharing this. i have permenant damage to my vision, memory, cognitive function and bladder because of a failed OD and i wish every day that i could go back and stop myself from making my life even worse. I want so badly to be able to see clearly again and i hope your post can show even just one person that its basically impossible to CTB from most pills and that it will cause permenent damage.
 
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Reactions: CatLvr
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CatLvr

Elementalist
Aug 1, 2024
802
@atheistjoe

Thank you so very much for this thread and the effort you have put into making (and continuing to answer questions in) this thread. Given my chronic pain issues and the length of time I have had those issues, along with my medical/science background, I never seriously considered ODing as a viable solution for me. If there was ever anyone who could be considered opioid tolerant it is me. (Lucky me. 🙄🙄)

Anyway, I have read every word you have written (as well as the subsequent comments and yours' and others' responses thereto) and just felt compelled to let you know that your work here has been appreciated and I believe it will save many folks who don't know better from suffering a slow, painful death or even worse IMHO, surviving a failed attempt with painful, debilitating injuries that only add to their suffering.

I am reminded of my grandfather's favorite saying when one of his grandchildren found themselves frustrated with how things in their life were going: "Nothing worthwhile is ever easy."
 
gizzy696

gizzy696

Why not show the worse picture I've got
Dec 19, 2024
2
So if Ive up my morphine sulphate, plus dihydrocodeine, plus zopidem that is dispensed to me in 10 day courses... What would be my best lethal dosage (unfortunately I have a high tolerance)..
FFS.. please help x
 
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