It's time for my report - a very important one indeed.
First, I am on the following: 25mg Sunifiram x 6/day + 500mg Oxiracetam x 6/day.
Today I received my 5g Methoxetamien (MXE) direclty from a Chinese chemical company with 98% purity.
I have zero tolerance and experience with dissociative arylcyclohexylamines (Ketamine, PCP, MXE, etc.) and it's been over a decade since taking DXM in recreational doses.
Being careful, in the day at 11:40a I scaled out an 8mg 'allergy-test' dose on my 1mg-accurate digiscale and ate it on a mostly-empty stomach.
After an hour only the slightest placebo-like effects were noted - a tiredness in the leg muscles and a bit of sleepiness.
I wasn't expecting much at 8mg.
So tonight I expected to have some fun on the MXE and scaled out 28mg which was taken on an empty stomach at 9:40p.
One hour later: same: virtually no effects but some minor lack of coordination that must have been only a few percent above placebo.
One hour after that I took another 25mg. An hour after that: nothing.
One hour after that I took another 30mg. An hour after that: nothing but very small effects.
I usually smoke a tiny bit of tobacco right before bed in the dark outside and did so agaiin - the nicotine buz briefly made me feel a tiny bit of what could be numbness in hands/feet - which promptly disappeared in two minutes.
A total dose in three hours of 83mg MXE in a totally naive user - and yes, DXM worked fine decades ago so it is not some genetic peculiarity.
Zero mental impairment and at the end I poked one of my fingertips with a sewing needle - full pain sensations.
And a horrifying realization occurred to me as I finished my tiny bowl of tobacco in the dark: two years ago my appendix ruptured and I was hauled in for emergency surgery. As all patients are - I was wheeled into the operating room and given the mask to put me 'out' - the surgery was successful and here I am now writing this.
Except, if it happened again I would likely die on the operating room table.
The anaesthetics that both end conscious awareness and kill all pain were a revolution that enabled the saving of many lives but now it's impossible for me. If I was in an accident now and had to be hauled in pronto for emergency surgery - the anaesthetics would not work or would stop working halfway through the surgery and I would be awake screaming in pain. Under those circumstances surgery is impossible and death likely.
In the case of an accident or appendix rupture or other unplanned incident there won't be time - likely 24+ hours required to desaturate - to depotentiate my NMDA receptors sufficiently to allow any kind of general anaesthesia:
Enflurane is one of the most commonly used general anaesthetics - but they all share common mechanisms of action the main one being NMDA blockade.
Sunifiram is so powerful that it completely overrides such a blockade.From:
Volatile anesthetics and NMDA receptors. Enflurane inhibition of glutamate-stimulated [3H]MK-801 binding and reversal by glycine "Glycine, a positive allosteric NMDA receptor modulator, markedly attenuated the inhibition of glutamate-stimulated [3H]MK-801 binding by enflurane, with an EC50 of approximately 0.8 microM. Thus, enflurane selectively inhibits glutamate activation of the NMDA receptors, and an allosteric modulator attenuates this action. These effects could reflect anesthetic action at the glycine binding site or at another, undefined site which influences activation of the ion channel. These findings raise the possibility that inhibition of transmission at NMDA receptors contributes to the development of the anesthetic state."
I am writing this on a non-tolerant hole dose of pure MXE late at night and feel nothing at all. Absolutely nothing.
My brain is totally awake and there is no pain relief of any kind - neither from pinpricks or my constantly aching joints and lower back.
In this state I could not be put under or kept under by general anesthesia and the pain sensations would certainly not be blocked.
To put it simply: if I required emergency surgery I would likely die awake on the operating room table. Given my current state and dose of MXE I say that likelyhood is about 50-60%, maybe 100%.
There has not been enough time for any of the few taking Sunifiram - which has only been available for a few months - to test the surgery requirement. My dose is high but Sunifiram is powerful even at low doses and there is no time to wait for depotentiation during a medical emergency.
ie. Sunifiram + Need for Emergency Anaesthesia = No Anaesthesia = Death on Operating Room Table.
Meanwhile I am left with 4909mg of absolutely useless MXE which cannot function as an anaesthetic.
Ketamine's MOA is identical and it is used for surgical anaesthsia, and other newer surgical anaesthetics use the same mechanism of action.
There is absolutely no way that even a large dose of Ketamine would stop pain sensations on Sunifiram and it certainly would not be capable of inducing the unconsciousness required for surgery.
So I learned a valuable lesson today: it's not always good to have a brain whose NMDA receptors are so highly potentiated that they can't be shut down if needed to prevent pain and/or conscious awareness. In some crucial cases it's a lifesaving requirement.
Edited by Isochroma-Reborn, 12 July 2013 - 07:52 AM.