Pentobarbital (no ontology)
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Pentobarbital is a barbiturate drug. It is a substance commonly employed in the treatment of seizures, and can be used as a short-term hypnotic. It is also used in the treatment of Reye's Syndrome, where the substance decreases the amount of intercranial pressure suffered.
Pentobarbital is also used, at high doses, in human euthanasia and physician-assisted suicides.
Strategy
Given the inherent nature of pentobarbital as a "suicide drug", it is obviously a med to avoid swallowing, unless the contestant is willing to suicide.
Upon consumption, pentobarbital may kill the user with 50% chances. If the substance does not manage to kill, it provides no other effect. As such, it may be misleading, as one may mistake the substance for placebo and may wish to get rid of all of them by swallowing them, which is a dangerous tactic.
Alternatively, pentobarbital can be used offensively and may be fed to willing encounters. Although the 50% chance of killing is largely unreliable to be used as a surefire method of killing medically an opponent (Cyanide is a better candidate), it may be worthy to try in a pinch.
Being a blue pill, it is strongly required the drug is kept until the contestant finds a medic or a peaceful scientist to identify the pill, as it shares its appearance with amphetamines, steroids, and a form of placebo.