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2C-H Facts

Psychedelic; Substituted phenethylamine; Serotonin 2A receptor agonist

Description

2C-H (2,5-dimethoxyphenethylamine) is a synthetic psychedelic of the phenethylamine class. It binds serotonin receptors too weakly to produce psychoactive effects at any practical oral dose.[1][2]

Subjective effects include none that have been confirmed — no human trial has characterized 2C-H by any route.[2] If non-oral delivery achieved brain concentrations, its preference for calming serotonin signaling over psychedelic serotonin signaling suggests a qualitatively different profile from typical 2C compounds.[1]

2C-H is not expected to produce physical dependence, and no toxic dose specific to it has been documented.[3] Its main risk is potent inhibition of MAO-B — the enzyme that clears dopamine and related chemicals — creating dangerous interaction potential with serotonergic or dopaminergic substances.[4]

Dose and duration

No dose or duration recorded for any route.

Body and dependence

Acute toxicity
Negligible
Chronic toxicity
Not assessed
Physical dependence
None
Psychological dependence
None
Withdrawal
None recorded
Compulsive redosing
Negligible

Tolerance

Builds
Rapid
Fully resets after
8.5 days
Carries over to
psychedelic 5-HT₂A agonists

Effectslikely at a common dose

Who shouldn't take it

Absolute
Concurrent MAOI use; Concurrent tramadol use
Relative
Cardiovascular disease; Seizure disorders; Severe psychiatric disorders; Prior serotonin toxicity

Combinations61 recorded

Lethal (1)
MAOIs
Dangerous (18)
MDMA, MDA; NRIs; Buspirone; Dopamine agonists; GHB, Baclofen; GHB, GBL; Ibogaine; Ketamine, DXM, PCP; Lithium; Local anesthetics; MDMA, Amphetamines; NDRIs (Wellbutrin); Psychedelics; Salvia, Ibogaine; SNRIs; SSRIs; Stimulants; Synthetic cannabinoids
Caution (37)
See full page: psychedex.org/substances/2c-h
Not graded (5)
Not listed never means safe.

Seek help immediately if

Most difficulty is psychological (intense fear, panic, confusion) and passes with calm support — the signs below mean seek emergency help:

  • Very high body temperature; hot, dry skin
  • Seizures
  • Chest pain; fast or irregular heartbeat
  • Severe muscle rigidity, tremor, or twitching (possible serotonin syndrome)
  • Cold, pale, or blue fingers/toes — severe vasoconstriction (notably NBOMe / DOx)
  • Persistent vomiting; unconsciousness; uncontrollable agitation or risk of self-harm

What to do

  1. Stay calm and reassure — remind them they took a drug and the effect will pass
  2. Move to a calm, quiet, safe space with low light; reduce noise and sensory input
  3. Keep them from harm — they may act on fear or confusion; stay with them, don't leave them alone
  4. Talk them down gently; don't grab or restrain unless they're in danger
  5. For the medical signs above (overheating, seizure, chest pain, vasoconstriction, unresponsive) call emergency services
  6. If overheating, cool the body; be ready to give rescue breaths / CPR

The experience is time-limited and usually resolves with calm reassurance in a safe setting — psychological first aid, not medication. Serious physical harm is uncommon for classic psychedelics (LSD, psilocybin) but real for some potent phenethylamines (NBOMe, DOx), where hyperthermia, seizures, and vasoconstriction warrant emergency care.

988 Suicide & Crisis LifelineFireside Project: 62-FIRESIDE

Version r1 · Not medical advice

References

  1. [1]
    ^ab(2024) 2C-H — Psychedelic Science Review Link
  2. [2]
    ^abShulgin AT, Shulgin A (1991) PiHKAL: Phenethylamines I Have Known and Loved Link
  3. [3]
    ^Dean BV, Stellpflug SJ, Burnett A, Engebretsen KM (2013) 2C or Not 2C: Phenethylamine Designer Drug Review — Journal of Medical Toxicology doi:10.1007/s13181-013-0295-x
  4. [4]
    ^Wagmann L, Brandt SD, Stratford A, Maurer HH, Meyer MR (2019) Interactions of phenethylamine-derived psychoactive substances of the 2C-series with human monoamine oxidases — Drug Testing and Analysis doi:10.1002/dta.2494
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