Many of the drugs discussed in this Chapter are controlled. Oth- ers, however, can be purchased on the Internet. Online pharma- cies such as https://rxmedonline.com// offer mail-order digoxin, amitriptyline and propranolol. Phenobarbital (Luminal) is also available from online pet drug suppliers.
The sedative diazepam (Valium) and opiate morphine are the most difficult to source as a prescription is needed. Without a script, they can be found on the dark web. The off-licence Di- clazepam can be used as a replacement for diazepam (see the Pre- medication & Potentiation Chapter).
As an anti-emetic is necessary, a dose of 20mg of metoclopra- mide together with 8mg of ondansetron (or 2mg haloperidol) is advised. These are taken together an hour before the 4-drug mix.
After another 30 minutes, the drug mix is taken. This is com- prised of 100mg of digoxin, 15gm of morphine crushed with 1gm diazepam, 8gm of amitriptyline and 5gm of phenobarb. These are mixed with water or fruit juice and taken as a drink.
Note: Taking the digoxin earlier than the other four drugs adds complexity to the protocol with only small benefit, and is not con- sidered worthwhile.
Phenobarbital is available on-line. For the required 5gm, four packs of the 15mg tablets shown would be required