🐷 Ethan Ralph's Twitter / Tweets - A collection of thoughts, insights and musings from the internet's favorite gunted hobbit

[Sicko Hunter]

Guess I'm retarded.
I think my prediction will be correct though.

Agree with you on that. I think the way the Ralphamale story ends isn't with some crazy blowout bang but Ralph taking too much Ambien or Xanax with his usual deluge of liquor before bed and never waking up.

 

[Balldo's Gate]

Late night cope

I don't think any cretins had to make up that Ralph was drunk because Ralph was clearly on pills. And delusional and promising a 36 hour stream when he ended up ending the stream after 30 minutes.

So any idea what happened to that? Istr it just disappeared at some point and hasn't been seen since. Did he somehow destroy it? Sell it for xannyberries?

Probably sold that and the truck too which hasn't been mentioned in a while.

 

[Haru Okumura]

FYI: Ambien/zolpidem is so close to being a benzodiazepine, like Xanax/aprazolam, that it not only binds to the exact same part of the exact same receptors on your neurons, and exerts the exact same effect when it does, but also has the exact same tapering protocol (legging out to diazepam and then slowly lowering your dose). This has been confirmed via comprehensive systematic review as recently as 2022. The physical structure of the molecule is quite different but its physiological effects are virtually identical.

"I didn't know you could have a reaction to AMBIEN" is, for all intents and purposes, him accusing both his doctor and pharmacist of unconscionably severe malpractice. In truth this would have been reiterated to a tiresome degree by both of them, both verbally and in writing. If Mexico is anything short of an unprecedented 4th world country he has, somewhere in his tin shack, a piece of paper explaining this at exhaustive length.

His self-described "ten nightly awakenings" is also almost a guarantee he has not just sleep apnea, but a severe case of such that's probably Central Sleep Apnea, the worst form of it. I literally warned him about this many times in chat starting in 2021 and he acknowledged this warning and mocked me for it, for the record.

Dr Crispy here. Pretty sure Ambien (and the other Z-drugs) causes the same brain retarding (and the same feelings) as drunkenness. It reduces the activity of your GABA neurotransmitters, making your slur your speech, uneasy on your feet, lose impulse control, quicker to anger but also easier to please etc etc.

That's why it's supposed to only be prescribed for the very short term and only the most exceptional cases of insomnia. It's 6 beers in a pill. It's also why it's one of the most abused prescription drugs.

Calling it. I think the ambien-arc is where the story ends. In an already drunken stooper he'll take a whole sheet and not wake up.

Speaking as a "true and honest" "Dr House" here, per his explicit and repeated aspersions a few weeks ago, I can't totally fault my mensch for redosing his shitty zolpidem. It's a dirty (i.e. has MANY off-target effects) drug that is very outdated and is only first-line therapy in a third-world shithole like Mexico. The half-life on that 30-year-old slop is so short it will truly wear off less than halfway through a regular person's sleep cycles, which is why es/zopiclone is first-line therapy in a real country for this indication and why he might feel the need to take a second partial dose so he can sleep through the entire night.

It's true that (dogshit) GABAergics like Ambien/zolpidem cause your body to endocytose their baseline GABA receptors (i.e. "sucking it all up" much like @theralph describes Faith Vickers' ass doing re: his 3"er on his revenge porno tape). It also frequently causes extremely severe sleep-disordered behavior and complex hallucinations that lead to the single worst form of "sleepwalking", sleepdriving, which can easily kill you dead. That's why real doctors prescribe real drugs in such cases. DO NOT TAKE ZOLPIDEM. DEMAND ESZOPICLONE.

It does the exact opposite of what you are saying.
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Correct. Despite being a very different molecule, zolpidem exerts roughly the same binding affinities on BZD-receptors on A-1 subunits of GABA-A receptors. Do not take this drug, for real. It's outdated and shitty and will hurt you. DM me and I'll go into far greater sperg length on this topic. Suffice it to say, absent this, you should talk to your doctor about eszopiclone, which is literally better on every single conceivable front. More effective and far fewer side effects. I've edited this post 200,000 times and can't even keep track of how repetitive this point is, but demand eszopiclone/Lunesta regardless. I'd recommend a non-GABAergic like trazodone anyway, which is a SARI and doesn't bind to that cursed tolerance-accruing place at all, but it is what it is, I guess. 'Just Say No' to zolpidem, t. Nancy Reagan, kinda-sorta.

he just goes from sober to completely fucked the minute he takes a small amount of medicine

Generally true, but be careful, because some drugs are actually "prodrugs" that are SUPPOSED to be processed into something else by the liver so that they become clinically active. Prednisone, one of the things that could have treated his gimp-arm, is a basic example of this, which needs the liver to turn it into prednisolone to exert a real effect (this is why I told him to ask his doctor about methylprednisolone, specifically, since his liver is buckbroken via decades of alcohol abuse and might not be able to carry the torch).

@AltisticRight @Dyn @Third World Aristocrat based on what I read in the Rekieta thread a few months ago I think at least one of you knows way better than me and I'd appreciate any applicable correction and/or backup. Sorry for the notification but this is a total nightmare. Don't care if you make me look like a moron, have at it, please. Biochem was frankly never my strongest suit. No need to respond if I've missed my guess, but also please for once don't troll, I mean you Dynastia, because I'm actually worried about my retard pet piglet literally killing himself over this

 

[Dyn]

I mean you Dynastia, because I'm actually worried about my retard pet piglet literally killing himself over this

bro just look at him, he's been killing himself for decades. If the xannies don't get him, something else will.

 

[Gruntgar The Indentured]

His self-described "ten nightly awakenings" is also almost a guarantee he has not just sleep apnea, but a severe case of such that's probably Central Sleep Apnea, the worst form of it.

The "ten nightly awakenings" is almost certainly from all of the booze he drinks. Alcohol can really fuck up sleep patterns.

 

[There Is Light At The End]

Honestly, if we give Ralph the benefit of the doubt (that he doesn't deserve), I think his liver is so fucked that he doesn't really have a lot of tolerance anymore. So maybe that half an ambien story is true but he's so bad at processing chemicals that he just goes from sober to completely fucked the minute he takes a small amount of medicine. That's just a guess of course.

If his liver starts to die, his skin will slowly starts to turn yellow

 

[Capt. Jean Luc Ritard]

Y'all vastly overestimating how little Mexican doctors give a fuck

 

[Um...]

What friends?

Lol. This whole “Ah have Frens who care about me” is just another cope he uses to deal with the fact that he has literally no one, not a single person irl who gives a shit whether he lives or dies. Similar to the fake image he tries to portray of being a baller who smashes his donor goals Every Single Day.

I am going to bet the mystery female was his rehab nurse that he bought presents for and wanted to surprise her with a trip to Columbia but paying the court fees in Minnesota threw a wrench in his plan and he could no longer afford the trip. He spent the holiday alone on pills while Rehab Nurse had her holes filled by a much wealthier gringo who could afford the nicer things in life, like an office chair that doesn't collapse.

Yeah I agree. Imagine how creeped out this poor girl must be, being romantically pursued by this pasty doughy dandruff-covered Sasquatch lookin creature.

 

[Third World Aristocrat]

@AltisticRight @Dyn @Third World Aristocrat based on what I read in the Rekieta thread a few months ago I think at least one of you knows way better than me and I'd appreciate any applicable correction and/or backup. Sorry for the notification but this is a total nightmare.

Sorry, I don't follow Ralph's thread much, so I don't know much about the full circumstances you're commenting on.

Spoiler: Autistic Spergery

But Zolpidem is one of the "Z-drugs." It is a selective GABA receptor agonist. Benzodiazepines, on the other hand, are non-selective GABA agonists. Due to this selectivity, Zolpidem has the benefit of fewer side effects - greater hypnotic effect and lesser anxiolytic/muscle relaxant effect than a benzodiazepine. Ideally, Zolpidem should be used for short-term insomnia treatment; the regulatory agency in my country recommends limiting it to a maximum of 4 weeks. I'm a bit out of practice with adults, as I dealt more with pediatric care, but as far as I know, many preferred prescribing Zolpidem because it had fewer deleterious effects on sleep architecture (it minimally alters REM sleep) compared to other options. However, Zolpidem has a risk of dependence and abuse that many minimize. It also presents higher risks of adverse effects when used in conjunction with other CNS depressants, including alcohol. Two characteristics make it a poor choice for Ralph - high risk of abuse combined with the use of other CNS depressants.

Zolpidem undergoes hepatic metabolism and is not indicated for cases of hepatic insufficiency (depending on the degree). Just out of curiosity, regarding what you mentioned about Prednisone: it indeed undergoes hepatic transformation to its active form (prednisolone). However, Methylprednisolone specifically has only IV/IM presentation; he could just take prednisolone tablets/solution, which is available in oral formulation.

I'm not a sleep specialist, but as far as I know, for the treatment of insomnia, the best medium- to long-term results are found with cognitive-behavioral therapy. The problem is that most people look for a magic pill to solve their insomnia and don't want to put in the effort involved with CBT. The pharmaceutical industry takes advantage of this market desire.

 

[Sicko Hunter]

It also frequently causes extremely severe sleep-disordered behavior and complex hallucinations that lead to the single worst form of "sleepwalking", sleepdriving, which can easily kill you dead. That's why real doctors prescribe real drugs in such cases. DO NOT TAKE ZOLPIDEM. DEMAND ESZOPICLONE.

It's incredible to me that with all the thousands of horror stories relating to Ambien that it's still so widely prescribed in America. I personally have a family member who took Ambien before bed forgot she took it retook then was in a delirious state where her family had to call an ambulance for her because they thought she was having a medical emergency. It puts you into an almost instant blackout state like you've drank 10 beers but it kicks in a half hour. Bad shit. No one should take it.

 

[AnOminous]

So either all the BBC porn gave him a virus or he killed his PC by mining crypto. Going to take a middle stance and assume all the BBC porn uploaded a crypto miner

Imagine all the beer and piss and cum all over it. It probably just shorted out from an abundance of repulsive pig fluids.

 

[Capt. Jean Luc Ritard]

It's incredible to me that with all the thousands of horror stories relating to Ambien that it's still so widely prescribed in America. I personally have a family member who took Ambien before bed forgot she took it retook then was in a delirious state where her family had to call an ambulance for her because they thought she was having a medical emergency. It puts you into an almost instant blackout state like you've drank 10 beers but it kicks in a half hour. Bad shit. No one should take it.

was/is she hot

 

[Lidl Drip]

I believe that he actually has insomnia due to his alcoholism



but the way to treat that is to STOP drinking and not take more pills, lmao. He probably doesn't tell his doctor that he is a serious alcoholic. Although any doctor who isn't a quack would be able to tell. They just don't give a fuck in Mexico.

 

[AncientPhosphur]

I really don’t believe his “ahhh I’m sick”! He used the same stupid tactics with Faith saying he was puking up black stuff so she’d stick around.. He’s obviously a manipulator and this shit is the same addicts would use to keep using.

 

[JAKL II]

His Sleep Apnea denial is hilarious to me, literally anybody who has seen him fall asleep on stream can tell he fuckin' has it.

 

[Elmo]

DO NOT TAKE ZOLPIDEM. DEMAND ESZOPICLONE.

I agree and very sound advice, Haroo.

 

[AnOminous]

I personally have a family member who took Ambien before bed forgot she took it retook then was in a delirious state where her family had to call an ambulance for her because they thought she was having a medical emergency.

I knew someone who was completely drug innocent who took it solely at prescribed doses and woke up hallucinating that their house was on fire and got injured trying to "put out the fire." They immediately quit it. Genuinely nasty shit.

 

[Fannyscum]

This is all eerily familiar for some reason:

 

[Third World Aristocrat]

I agree and very sound advice, Haroo.

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The "Z-Drugs" (Zolpidem, Zopiclone, and Eszopiclone) can all induce parasomnia. It is a characteristic of these selective GABA-A agonists.

As I mentioned in my autistic post above, as far as I know, the best medium- to long-term treatment for insomnia is cognitive-behavioral therapy. If you have a good therapist, it yields good results.

EDIT: typo

 

[Die For Me!]

New piglet lore: Momma Ralph whored her son out to big pharma to keep him quiet during her soaps. Will be going to see a new doctor for better legally binding prescriptions

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Ralph is sick to his stomach on medicine he did not mix with alcohol

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Ralph is currently live, has pinned the ralph signal in DSP-tier desperation