• Hey Guest,

    We wanted to share a quick update with the community.

    Our public expense ledger is now live, allowing anyone to see how donations are used to support the ongoing operation of the site.

    👉 View the ledger here

    Over the past year, increased regulatory pressure in multiple regions like UK OFCOM and Australia's eSafety has led to higher operational costs, including infrastructure, security, and the need to work with more specialized service providers to keep the site online and stable.

    If you value the community and would like to help support its continued operation, donations are greatly appreciated. If you wish to donate via Bank Transfer or other options, please open a ticket.

    Donate via cryptocurrency:

    Bitcoin (BTC):
    Ethereum (ETH):
    Monero (XMR):
StoneCactus

StoneCactus

Member
Mar 15, 2026
87
I'm currently taking omeprazole and famotidine for GERD (have a prescription for both) Should I keep taking them or come off and wait a couple weeks before I CTB with SN? I see conflicting advice on this forum.
 
  • Like
  • Hugs
Reactions: Matchaaa and Aknu132
Aknu132

Aknu132

Tenha um bom dia!
Dec 25, 2023
137
According to farewall wiki: "Proton pump inhibitors (PPIs): If you are taking PPIs (e.g., esomeprazole, lansoprazole, omeprazole, pantoprazole, and rabeprazole) for gastric ulcers, you should stop taking them 2 weeks prior your attempt. See the Antacid section for more information."

 
  • Informative
  • Like
Reactions: lpdsvm, Matchaaa and DeathSweetDeath
Matchaaa

Matchaaa

pragmatics errors can kill me
Dec 10, 2025
355
I'd also like to know the answer to this.
I was wondering whether PPIs can be taken alongside other antacids, such as magnesium aluminium carbonate, as well as cimetidine. I've previously been using rabeprazole to treat my stomach problems.
 
  • Like
Reactions: Aknu132
Aknu132

Aknu132

Tenha um bom dia!
Dec 25, 2023
137
I'd also like to know the answer to this.
I was wondering whether PPIs can be taken alongside other antacids, such as magnesium aluminium carbonate, as well as cimetidine. I've previously been using rabeprazole to treat my stomach problems.
I recommend you reading the whole page of SN on farewell wiki, it's long, maybe there's something there talking about your situation.
 
  • Love
Reactions: Matchaaa
Matchaaa

Matchaaa

pragmatics errors can kill me
Dec 10, 2025
355
I recommend you reading the whole page of SN on farewell wiki, it's long, maybe there's something there talking about your situation.
thank you so much, I've seen so many conflicting opinions on this before. I'll have a read.❤️
 
  • Love
Reactions: Aknu132
StoneCactus

StoneCactus

Member
Mar 15, 2026
87
I recommend you reading the whole page of SN on farewell wiki, it's long, maybe there's something there talking about your situation.
I'm confused as to why it recommends against PPIs if you want lower stomach acidity. Is it because PPI + antacid = acidity too low? I stopped both my PPIs starting yesterday morning.
 
  • Informative
Reactions: Matchaaa
cocobutter

cocobutter

Member
Apr 9, 2026
81
I'm confused as to why it recommends against PPIs if you want lower stomach acidity. Is it because PPI + antacid = acidity too low? I stopped both my PPIs starting yesterday morning.
I am confused as well.
 
E

Endisclose

Arcanist
Oct 23, 2023
412
According to farewall wiki: "Proton pump inhibitors (PPIs): If you are taking PPIs (e.g., esomeprazole, lansoprazole, omeprazole, pantoprazole, and rabeprazole) for gastric ulcers, you should stop taking them 2 weeks prior your attempt. See the Antacid section for more information."

I was completely unaware of this..From what I had read, PPIs were a great way to avoid pain caused by NO which is a toxic corrosive gas that is generated as a result of the interaction of SN and stomach acid..

Now if, as per the info on the website, NO helps reduce blood pressure and speeds up LOC, it seems like one might have to choose between pain and speeding up LOC. Fortunately I have benzos, so I think they should help with the LOC sufficiently enough so as not to have to depend on NO for it. Taking the PPIs to avoid the pain from NO seems a sensible move to me under the circumstances..

I wasn't aware of this website either..looks like a goldmine..many thanks for sharing it.
 
  • Like
Reactions: Aknu132
Aknu132

Aknu132

Tenha um bom dia!
Dec 25, 2023
137
I was completely unaware of this..From what I had read, PPIs were a great way to avoid pain caused by NO which is a toxic corrosive gas that is generated as a result of the interaction of SN and stomach acid..

Now if, as per the info on the website, NO helps reduce blood pressure and speeds up LOC, it seems like one might have to choose between pain and speeding up LOC. Fortunately I have benzos, so I think they should help with the LOC sufficiently enough so as not to have to depend on NO for it. Taking the PPIs to avoid the pain from NO seems a sensible move to me under the circumstances..

I wasn't aware of this website either..looks like a goldmine..many thanks for sharing it.
I'm not sure who to trust, but I think the best protocol seems to be to use only metoclopramide. If you have benzos, using only the dose sufficient to eliminate SI seems to be the best, but i don't really know. Information on the use of analgesics, antacids, and beta-blockers is quite confusing, and the more pills you take, the greater the chance of vomiting.
 
Aknu132

Aknu132

Tenha um bom dia!
Dec 25, 2023
137
This looks like a new website. Nice one. Not many steps, but I still doubt I'll get that medication. I might try but I won't spend a lot of time on it.
what medication? metoclopramide? seems to be the only that is really necessary for the SN method.
 
  • Like
Reactions: lpdsvm
lpdsvm

lpdsvm

Experienced
Jan 11, 2026
239
what medication? metoclopramide? seems to be the only that is really necessary for the SN method.
Yes. But I doubt I will get it. Not a deal breaker for me. I know what is vomiting like. There are times when I get awful vomiting without taking SN so I think that it won't surprise me much.
 
  • Like
Reactions: Aknu132
Aknu132

Aknu132

Tenha um bom dia!
Dec 25, 2023
137
Yes. But I doubt I will get it. Not a deal breaker for me. I know what is vomiting like. There are times when I get awful vomiting without taking SN so I think that it won't surprise me much.
I don't think is a good ideia drinking SN without antiemetic, the problem is not the vomit but staying alive and get sended to a psych ward, and the moment you start vomiting can maybe trigger your SI even more. if you can't get meto maybe you can try getting domperidone. and of course there's other antiemetic besides those two, read all of the antiemetic content on farewell wiki plz, don't do things on impulse, not even the decision of CTB should be on impulse. you can try alot of things before deciding to CTB. i hope everything works out for you.
 
  • Like
Reactions: lpdsvm and Endisclose
E

Endisclose

Arcanist
Oct 23, 2023
412
I'm not sure who to trust, but I think the best protocol seems to be to use only metoclopramide. If you have benzos, using only the dose sufficient to eliminate SI seems to be the best, but i don't really know. Information on the use of analgesics, antacids, and beta-blockers is quite confusing, and the more pills you take, the greater the chance of vomiting.
I wish the PPeH had gone slightly more into the reasoning as to why they are either recommending or not recommending something..

I mean from what I had read, the following are facts

1) Interaction of SN and stomach acid produces NO. NO has been mentioned in the PPeH as well so it is a factor either which way..

2) The nature of NO is corrosive. It is a toxic brown coloured gas. Given its nature, it can cause mild chemical burns in the stomach - nothing major or that might cause permanent damage, but sufficient enough to cause some kind of pain stimulus. This has been observed and reported by people who have CTBed earlier. Moonicide's post comes to mind where she uses the word "ouchie" to describe the pain.

Your point about the beta blockers is well taken. I had initially left out propranolol from my regimen, then included it. Now am considering leaving it out again - or just feeling terribly undecided.
 
  • Like
Reactions: Aknu132
Aknu132

Aknu132

Tenha um bom dia!
Dec 25, 2023
137
I wish the PPeH had gone slightly more into the reasoning as to why they are either recommending or not recommending something..

I mean from what I had read, the following are facts

1) Interaction of SN and stomach acid produces NO. NO has been mentioned in the PPeH as well so it is a factor either which way..

2) The nature of NO is corrosive. It is a toxic brown coloured gas. Given its nature, it can cause mild chemical burns in the stomach - nothing major or that might cause permanent damage, but sufficient enough to cause some kind of pain stimulus. This has been observed and reported by people who have CTBed earlier. Moonicide's post comes to mind where she uses the word "ouchie" to describe the pain.

Your point about the beta blockers is well taken. I had initially left out propranolol from my regimen, then included it. Now am considering leaving it out again - or just feeling terribly undecided.
I think i will not use antacid, seems to me that enduring the stomach pain but getting LOC faster and lower chances of vomiting is better. taking the absurd amount of beta-blocker that pph recommends seems to increase by a lot the chances of vomiting, it's a lot of pills, but i really don't know.
 
lpdsvm

lpdsvm

Experienced
Jan 11, 2026
239
I don't think is a good ideia drinking SN without antiemetic, the problem is not the vomit but staying alive and get sended to a psych ward, and the moment you start vomiting can maybe trigger your SI even more. if you can't get meto maybe you can try getting domperidone. and of course there's other antiemetic besides those two, read all of the antiemetic content on farewell wiki plz, don't do things on impulse, not even the decision of CTB should be on impulse. you can try alot of things before deciding to CTB. i hope everything works out for you.
It's very well planned - I have at least a few month but more likely years if things don't work out.
Not sure about SI. I think I can handle it. I have vomited multiple times heavily without SN and no SI.

Today I felt like I am about to collapse because I felt nauseous. I got scared for a fraction of a second but then I was like why maybe it's time. I was so happy lying with my closed eyes. I didn't try to call for help, but unfortunately it was nothing it went away on its own.
I think my SI will kick in only if I cut my finger by mistake. It does trigger SI.

I doubt SN will scare me I have been through these symptoms. The worst is vertigo because everything spins fast. I had it in the past.
I will simply check if I can get it somewhere, and that's all. These restrictions won't get me.
For me, the best is hanging because I can pass out easily but I want to master what in that youtube video that girl did.

Thanks for the advice and your kind words. I also hope you will achieve a lot of things.
 
  • Hugs
Reactions: Aknu132

Similar threads

blossomsinwilt
Replies
2
Views
309
Suicide Discussion
blossomsinwilt
blossomsinwilt
Rogue_Gendarme
Replies
10
Views
1K
Suicide Discussion
Rogue_Gendarme
Rogue_Gendarme
Katatonia
Replies
7
Views
557
Suicide Discussion
traingirl
traingirl