1,3-Butanediol Facts
Depressant;
Dose and durationby route · individual sensitivity varies
Oral(g/kg)
Threshold< 0.1 g/kgLight0.2 – 0.3 g/kgCommon0.35 – 0.5 g/kgStrong0.5 – 0.7 g/kgHeavy0.7+ g/kg
Starts in 20 – 40 minLasts 2 – 4 hoursAfter-effects 1 – 3 hours
Body and dependence
- Acute toxicity
- Low
- Chronic toxicity
- Moderate
- Physical dependence
- Moderate
- Psychological dependence
- Low
- Withdrawal
- Moderate · medical supervision
- Compulsive redosing
- Low
Tolerance
- Builds
- Moderate
- Fully resets after
- Not recorded
- Carries over to
- ethanol
Effectslikely at a common dose
- Perception
- none likely · 8 possible, including Spatial disorientation, Vestibular distortion, Double vision
- Body
- Motor control impairment;
Sedation; +19 possible, including Dizziness, Nystagmus (eye wobbles), Dehydration sensation - Thinking
- Cognitive impairment;
+17 possible, including Decision impairment, Information processing suppression, Analysis suppression - Feeling
- none likely · 5 possible, including Emotional lability
- Self
- none likely · 6 possible, including Craving
- Time
- none likely · 2 possible, including Temporal disorientation
- Awareness
- none likely · 1 possible
Who shouldn't take it
Absolute
Hypoglycemia susceptibility
Relative
Alcohol use disorder; Diabetes mellitus; Pregnancy; Concurrent CNS depressant use
Combinations60 recorded
Lethal (3)
GHB, Baclofen; Ketamine, DXM, PCP; Opioids
Dangerous (35)
Alpha-2 adrenergic receptor antagonist; Antihistamines; Antipsychotics; Atypical antipsychotics; Benzodiazepines; Cannabis, THC; Clonidine, Guanfacine; GHB, GBL; Naltrexone; NSAIDs; Stimulants; Synthetic cannabinoids; THC; Amphetamines; Anticholinergics; Buprenorphine, Kratom; Caffeine; Cannabis; Dopamine agonists; DXM; Gabapentin, Pregabalin; Ibogaine; Lithium; Local anesthetics; and 11 more, see full page
Caution (17)
See full page: psychedex.org/substances/1-3-butanediol
Not graded (5)
Not listed never means safe.
Seek help immediately if
- Extreme drowsiness — can't stay awake or be roused
- Confusion, slurred speech, severe loss of coordination
- Slow, shallow, or irregular breathing
- Unconsciousness / unresponsive; limp, floppy body
- Blue lips or fingertips
- Vomiting while sedated (choking / aspiration risk)
- Cold, clammy skin; weak pulse
What to do
- Try to wake them — shout, firm sternal rub
- If unresponsive or breathing is impaired, call emergency services
- Place them in the recovery position — critical, they can choke on vomit
- Monitor breathing continuously; be ready to give rescue breaths / CPR
- Never leave them alone to "sleep it off"
- Do not give other drugs, stimulants, or more depressants
Most depressant overdoses resolve with airway protection, breathing support, and monitoring. The danger is respiratory depression and choking on vomit — sharply worse when combined with opioids or alcohol. GHB/GBL overdoses often involve sudden deep unconsciousness and may self-resolve, but airway protection is essential.
988 Suicide & Crisis LifelineFireside Project: 62-FIRESIDE
psychedex.org/substances/1-3-butanediol · Version r1 · Not medical adviceValues as of