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Standing risks

RiskRecorded valuesConfidenceArticle section
High overdose risk, use caution
Acute toxicity
high
mediumView in article: High overdose risk, use caution

Lethal interactions

CombinationTypeSeverityMechanismsConfidence
Benzodiazepines, BarbituratesDrug classlethal2high
GHB, BaclofenDrug classlethal2high
GHB, GBLDrug classlethal2medium
IbogaineDrug classlethal3medium
Local anestheticsDrug classlethal4medium

Dangerous interactions

37 dangerous interactions recorded for this substance.

See the full interactions table

Contraindications

ConditionSeverityNote
Cardiovascular
cardiac arrhythmiaabsolute

Pre-existing arrhythmias may be exacerbated by cardiovascular effects and predicted QT-prolongation.

Respiratory
respiratory diseaserelative

Pre-existing respiratory conditions may lower the threshold for respiratory complications.

Psychiatric
bipolar disorderabsolute

Mania-like disinhibition, grandiosity, and agitation are documented. Bipolar disorder predisposes to triggered manic or psychotic episodes.

Hepatic
hepatic impairmentrelative

Hepatic impairment may prolong exposure and increase peak plasma concentrations.

Pregnancy & Breastfeeding
pregnancy and breastfeedingabsolute

pregnancy, breastfeeding

Absolute contraindication inferred from NMDA antagonist class. No substance-specific reproductive data available.

Other
concurrent CYP2D6 inhibitor userelative

CYP2D6 inhibition may increase effective dose exposure. Clinically significant interaction not confirmed but mechanistically plausible.

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