Template Letter In Case Of Emergency

I've put this together after a few people requested I shared the letter absolving any sitters in case of emergency..

So here it is:
(Please feel free to suggest any additions, it's quite basic, I probably haven't covered a few things!)


To whom this may concern,

This letter is to confirm my intention to employ the psychoactive drug ibogaine hydrochloride (an full extract of the root bark from an African shrub, Tabernanthe Iboga)

My goal is to use a total dose of:                   

The current accepted amount needed to achieve therapeutic results (attenuation of acute opiate withdrawal symptoms) is between 15mg/kg and 22mg/kg

This would mean I am taking a total of:       Mg/kg

My name is:

Age/DOB:

Weight:

Height:

Average baseline obs:             Dia/Sys.         Bpm 

Allergies:

Health conditions:

Daily prescribed medications:

Daily recreational drug use:

Ibogaine can prolong qt interval, nausea is also a common side effect, it's important to ensure the pt I properly hydrated, sipping electrolytes and IV saline if nessacary. 

Known contra-indications with ibogaine include (but are not limited to), anti-psychotics, SSR'S and SNRI'S, opiates

'safe' drugs include: Benzodiazepines, Tegretol, Lidocaine and adrenaline 

Attached you will find a graph plotted with obs and all consumed medications including iboga

Finally and most importantly,

I have made an informed decision to use ibogaine to detoxify from opiates, I have not been co-erced or bribed.

I fully absolve any of my 'sitters' of any responsibility in the case of fatality.

These people are:

Printed Name:

Signed:

Medical Students And Addiction

I've done it a handful of times now,... given talks to medical students about my experience of addiction and treatment.
I've given talks to an auditorium of second years before, and yesterday my GP asked me to talk to some fourth year grads.
I do it because I've experienced prejudice in A&E before, and because these students are just so naive!
Some of the questions they ask... one yesterday asked what diamorphine is ??
Humans are prejudice, and doctors are only human, I know that when you need to go to A&E and you tell them your medical history and that your on methadone/heroin they're attitude changes straight away, you don't get adequate pain relief and your treated with a 'well you did it to yourself' attitude.
I learnt in the end, to just not tell them you were an addict.. which obviously isn't good if your not being honest with them, what if they are treating you with something with a known contra-indication to methadone/opiates/subutex etc..?!

I went in after breaking two ribs coming off my bike a few years ago and after telling them I was a heroin addict etc I was left screaming in pain for HOURS... and told if I didnt stop moaning I would be escorted out!
Now I know, if I hadn't mentioned that I would have been seen by a doctor and given some pain relief while I waited.
I walked out in the end and just scored, it was easier, and helped the pain....

Anyway, these students mouths always hit the floor when I tell them about what I used to do, explaining about injecting heroin and crack at the same time, and how good it feels.
They cant believe people take more than one recreational drug at the same time!
I always make sure they understand that it's not only the lower end of society that end up heroin addicts, but plenty of doctors/nurses/lawyers too.... especially anaesthetists!

I told them all about Ibogaine too, and how it's the only thing that's ever helped really.. out of ten odd trips to rehab, years of counselling and psychotherapy a plant from Africa has the power to break addiction!

Maybe, I planted a seed in one of they're heads, and they go on to work in addiction, and start researching Ibogaine... you never know!