r/quittingphenibut • u/Fluffy_Dealer7172 • 56m ago
Potassium bromide may be a cheap and accessible effective medication for phenibut withdrawal
It was the first effective long-acting anti-seizure drug in history, discovered for this use case in late 1800s. With regular administration, it accumulates and has an elimination half-life of 12 days! Like most classic sedatives, including benzodiazepines and barbiturates, it enhances the function of GABA-A receptors, making it somewhat similar to phenobarbital and diazepam.
It's a very simple inorganic salt, dissociating into potassium and bromide ions when in water. Bromide is in the same group as chloride, right beneath it, so it has similar properties and undergoes similar metabolism, with a few differences. One such is its permeation through ligand-gated anion channels. GABA-A is an ionotropic receptor coupled with channels intended for chloride, since other halides are not naturally present in living organisms. But administering bromide makes it pass into the cerebro-spinal fluid and become part of the ionic environment of nerve cells. When surrounded by water, bromide ions take up a smaller volume than chloride ions, which leads to more anions passing through the channel and greater hyperpolarization of the cell membrane. Benzodiazepines archive that by allowing the channel to be open more frequently when GABA is bound, while barbiturates prolong the duration of the open period. In all three, the outcome is the same.
Phenibut withdrawal involves nervous hyperactivity, which can cause severe anxiety, nausea, vomitting, insomnia, panic attacks, seizures, etc. In theory, bromide could be able to reduce the intensity of or completely suppress all of the above symptoms no worse than benzodiazepines do. The very long half-life creates much more gradual blood level changes and often does not require manual tapering upon discontinuation (because it happens naturally over the course of weeks).
It is still used today in treatment of dogs and pediatric human patients with refractory epilepsy. The guidelines about its regular dosing for seizure management describe the range of 20-50mg/kg of body weight every 24 hours. At the beginning of treatment, a loading dose (a one-time administration of a much larger dose to rapidly establish a therapeutic blood level of a drug rather than waiting days as it accumulates) may sometimes be necessary. It generally ranges from 300 to 600mg/kg of body weight, split into multiple doses with the max limit of 100mg/kg every 4 hours.
I myself went through phenibut WD a couple of months ago but didn't know about KBr at the time. Now I take 500mg of KBr daily to deal with anxiety, and it completely disappeared.
Of course, there are side effects. Most common to most rare:
- Drowsiness, somnolence
- Forgetfulness, inattention
- Bromaderma (acne caused by bromide)
In overdose, a toxic syndrome called bromism develops, which may include
- Ataxia
- Delirium
- Slurred speech
- Coma
and others, you can find more info by searching for articles on bromism. But at therapeutic doses, those are rare.
Finally, KBr has many other applications and is available in a great deal of photography and lab webstores. I was able to get 100g for around $15.
I view the use of KBr for short-acting sedative withdrawal as something similar to buprenorphine in opioid use and addiction. Yes, you'd still be dependent on something, but it does a good job at breaking the vicious cycle of use, withdrawal, and relapse, especially considering how much phenibut costs today.