Skip to main content

Viewing r1 — Apr 26, 2026 — CURRENT

Back to History

Interactions, related substances, and reports reflect the current entry and are not shown for historical revisions.

4-HO-DET (4-hydroxy-N,N-diethyltryptamine) — also known as CZ-74 — is a synthetic psychedelic of the tryptamine class. It is the N,N-diethyl homolog of psilocin, with comparable potency and a moderately shorter duration. 4-HO-DET is a presumed 5-HT₂A receptor agonist, producing its effects by disrupting serotonergic filtering of sensory and cognitive input.[1]

Open Beta

Psychedex is in open beta. We are still fine-tuning the generation and review process. Please double-check sources.

Threshold
< 5 mg
Light
10 – 15 mg
Common
15 – 25 mg
Strong
25 – 35 mg
Heavy
35+ mg
123450 h2 h4 h5 h
1Onset
20m–45m2Come-up
20m–45m3Peak
1h–2h4Plateau
45m–1.5h5Resolution
45m–1.5hAftereffects2h–6h
Total4h–6h
Builduprapid
Full reset7 days
Cross-tol.
psilocybin, psilocin, LSD +5 more
Absolute6 entries
psychotic disordersbipolar disorderpregnancyconcurrent MAOI useconcurrent tramadol useconcurrent lithium use
Relative1 entries
cardiovascular disease
Dosage varies by body weight, tolerance & metabolism · Not medical advice · Terms

Synthesized by Albert Hofmann and Franz Troxler at Sandoz Pharmaceuticals in the late 1950s,[2] 4-HO-DET was among the earliest synthetic psychedelic tryptamines produced. Hanscarl Leuner conducted more than 160 psycholytic therapy sessions with CZ-74 in 1960s Germany, valuing its shorter duration relative to LSD for completing sessions within a standard workday.[3][4] No modern clinical trials have been registered, and the compound circulates in small quantities on research chemical markets.

Subjective effects include geometric visual patterns, emotional intensification, time alteration, and conceptual thought shifts.[5] The experience is reported as qualitatively close to psilocin — a warm, moderately paced tryptamine psychedelic — though uncontrolled reports suggest a marginally lighter body load.[6] Gastrointestinal discomfort, body tremors, and jaw tension are characteristic unsought effects.[4]

4-HO-DET produces no physical dependence; rapid tolerance through 5-HT₂A downregulation makes compulsive redosing self-limiting.[7][1] The primary risk is psychological — acute panic, paranoid ideation, and potential psychotic episodes in predisposed individuals — scaling with dose and vulnerability. No controlled toxicity data, pharmacokinetic parameters, or long-term safety studies exist; the current understanding rests entirely on Shulgin's bioassays and Leuner's unpublished clinical observations.[4]

History[edit]

Discovery

4-HO-DET was synthesized by Albert Hofmann and Franz Troxler at Sandoz Pharmaceuticals in Basel, Switzerland, during the late 1950s.[2] Designated CZ-74 internally, it was part of Sandoz's systematic exploration of psychoactive tryptamine scaffolds following Hofmann's isolation of psilocybin from Psilocybe mexicana in 1958.[8] A phosphate ester prodrug — ethocybin (CEY-19) — was developed in parallel, mirroring the psilocybin-to-psilocin relationship.

Clinical significance

Hanscarl Leuner, the leading proponent of psycholytic psychotherapy in Europe, conducted more than 160 clinical sessions using CZ-74 at his clinic in Germany during the 1960s.[3][4] He valued the compound's shorter duration compared to LSD, which permitted psycholytic sessions to be completed within a standard clinical workday. Leuner's unpublished German-language observations remain the largest body of human clinical data for the compound.

Prohibition and modern use

International prohibition of psychedelic research substances in the late 1960s and early 1970s terminated clinical use of 4-HO-DET. Alexander Shulgin documented the compound as entry #16 in his 1997 book TiHKAL, providing synthesis procedures, personal bioassay reports at 10–25 mg, and historical context that continues to inform community knowledge.[4] 4-HO-DET has appeared on research chemical markets since the 2000s, but no formal clinical trials have been initiated.

Chemistry[edit]

Structural class

4-HO-DET belongs to the 4-substituted tryptamine family. It shares the 4-hydroxyindole pharmacophore — the structural feature responsible for psychedelic activity — with psilocin (4-HO-DMT), 4-HO-MET, and other members of the 4-HO-xT series.[1]

The molecule differs from psilocin only at the amine terminus: two ethyl groups replace psilocin's two methyl groups on the terminal nitrogen. This increases lipophilicity and steric bulk. The compound's prodrug ethocybin (CEY-19) bears a phosphate ester at the 4-position, requiring enzymatic removal to yield the active 4-hydroxy form — the same conversion pathway that links psilocybin to psilocin.[1]

Molecular properties

Molecular formulaC₁₄H₂₀N₂O
Molecular weight232.32 g/mol

The molecule consists of an indole ring system with a hydroxyl group at the 4-position and a 2-(diethylamino)ethyl side chain at the 3-position. 4-HO-DET possesses no chirality centers and exists as a single achiral species.[9]

Physical properties and stability

The free base is a crystalline solid with a melting point of 103–104 °C.[4] The 4-hydroxyl group renders the compound air-sensitive — exposure to oxygen causes visible discoloration and loss of potency through oxidative degradation. Sealed, dark, inert-atmosphere storage at low temperature (−30 °C recommended) is required for stability. No published data on water solubility or partition coefficient were identified.

Structure–activity relationships

Within the 4-hydroxytryptamine series, the N,N-dialkyl substitution pattern modulates potency, duration, and subjective character. The ethyl-for-methyl swap from psilocin to 4-HO-DET increases lipophilicity, which may influence blood-brain barrier penetration and receptor binding kinetics. Conformationally constrained analogs — such as pyrrolidine-containing 4-hydroxytryptamines — introduce chirality, but the flexible diethylamine chain of 4-HO-DET does not.[9]

Pharmacology[edit]

Mechanism of action

4-HO-DET acts primarily at the 5-HT₂A serotonin receptor, the principal target for classical psychedelic effects. The 4-hydroxyindole pharmacophore it shares with psilocin and other psychedelic tryptamines is the structural determinant of this activity.[1][9] Unlike its prodrug ethocybin, the free phenol form is directly active without requiring enzymatic conversion.[1]

The most direct evidence comes from drug-discrimination studies in rats, where 4-HO-DET fully substitutes for the selective 5-HT₂A agonist DOM — confirming hallucinogen-like activity in vivo.[6] In this paradigm, 4-hydroxy tryptamines were uniformly more potent than their 4-acetoxy counterparts, consistent with the free phenol being the active pharmacophore.

By structural analogy to psilocin, 4-HO-DET likely engages additional serotonin receptor subtypes. In mice, psilocin activates 5-HT₁A and 5-HT₂C alongside 5-HT₂A, with each receptor contributing distinct behavioral effects: 5-HT₂A drives the hallmark hallucinogenic response, 5-HT₁A produces sedation, and 5-HT₂C modulates locomotor patterns.[5] At higher doses, 5-HT₁A-mediated effects such as sedation and temperature reduction may become more prominent.[10]

No binding affinity values or potency measurements specific to 4-HO-DET have been published at any receptor. All quantitative pharmacological claims are inferred from structural analogy to psilocin and class-level data.

Pharmacokinetics

No human pharmacokinetic data exist for 4-HO-DET. The closest characterized structural analog is psilocin, which shows oral bioavailability of approximately 53%, reaches peak plasma concentration within 2–4 hours (after psilocybin administration), and has an half-life of 1.5–4 hours.[11][12]

Because 4-HO-DET carries a free hydroxyl group rather than a phosphate ester, it does not require prodrug conversion and may reach the brain faster than psilocybin at equivalent doses — though this has not been confirmed in controlled studies.

The N,N-diethyl groups may alter how the compound is metabolized compared to psilocin's smaller N,N-dimethyl groups, potentially affecting clearance rate and duration. Indole tryptamines are generally processed by liver enzymes and broken down by MAO-A,[13] but the specific metabolic pathway for 4-HO-DET remains uncharacterized.

Neuroscience[edit]

Where it acts

No neuroimaging or electrophysiological studies have been conducted with 4-HO-DET specifically. Based on its confirmed 5-HT₂A-mediated activity,[6] the compound is expected to act on deep-layer pyramidal neurons in the prefrontal cortex.[14][15] In studies with psilocybin and LSD, activation of these neurons disrupts the default mode network — the brain circuitry underlying habitual self-referential thought — producing the characteristic dissolution of ego boundaries, altered emotional processing, and breakdown of ordinary perceptual filtering.[14]

The 5-HT₁A component of 4-HO-DET's presumed receptor profile adds a modulatory layer: 5-HT₁A activation functionally opposes the 5-HT₂A hallucinogenic response,[16] which may explain why higher doses of tryptamine psychedelics shift the experience from perceptual intensity toward sedation and introspection.[10]

Why it matters

The REBUS model (Relaxed Beliefs Under Psychedelics) proposes that 5-HT₂A agonists loosen the grip of entrenched mental patterns, temporarily allowing the brain to process information with fewer top-down constraints.[14] Separately, classical psychedelics including psilocin promote structural neuroplasticity — new dendritic growth and synaptic connections — through pathways downstream of 5-HT₂A activation.[15] Together, these frameworks suggest that compounds like 4-HO-DET may produce both an acute window of cognitive flexibility and longer-lasting neural circuit remodeling, though neither effect has been directly measured for this compound.

Subjective Effects[edit]

Summary

4-HO-DET's experiential character is strongly shaped by set, setting, and material quality — the free phenol form is air-sensitive, and degraded material (visible as discoloration) may produce attenuated or altered effects.[4] At lower doses, perceptual shifts and emotional warmth predominate; at higher doses, introspection deepens and ego boundaries soften. The experience is reported as notably context-dependent, consistent with the set-and-setting sensitivity characteristic of serotonergic psychedelics.[5]

Within the 4-hydroxytryptamine series, 4-HO-DET is described as qualitatively close to psilocin — similar potency, similar duration, similar emotional tone — with uncontrolled reports suggesting a marginally lighter body load and subtly different emotional coloring.[6] Shulgin noted distinct subjective textures between the free phenol and the phosphate ester (ethocybin) at equivalent doses, though these observations lack controlled confirmation.[4]

Effect Grid

Dose Level:
Description

At common doses (15–25 mg oral), the full psychedelic experience manifests: pronounced visual drifting and morphing of surfaces, geometric patterning in peripheral vision and with eyes closed, color enhancement, and depth perception alterations. Thought loops and heightened pattern recognition emerge. Emotional responses intensify significantly — personal insight and meaningful ideation are characteristic. Time distortion is prominent.

Physically, nausea or stomach discomfort may occur during onset. Jaw tension, body tremors, and temperature dysregulation become possible. Increased urination is reported. Pupil dilation is marked.

Functional impairment is significant at this range. The experience demands 5–6 hours of committed time, and residual effects may persist for several additional hours.

Modeled from the effect's dose-dependence curve — not per-substance measurements.

Perception(47)likelihood · intensity
Geometry
likely
Color enhancement
likely
Visual drifting
likely
Color alteration
likely
Visual breathing
likely
Holotropic state
likely
Depth perception distortion
likely
Perspective distortion
likely
Double vision!
rare

Visual breathing · Holotropic state · Depth perception distortion · Perspective distortion · Symmetrical texture repetition · Music enhancement · Tracers · Brightness alteration · Touch enhancement · After-images · Auditory enhancement · Environmental patterning · Light sensitivity · Sound sensitivity · Visual haze / noise · Visual morphing · Proprioceptive distortion · Auditory distortion · Auditory misinterpretation · Peripheral vision distortion · Spatial disorientation · Visual diffraction · Visual melting · Visual acuity enhancement · Dreaming enhancement · Peripheral misidentification · Vestibular distortion · Visual processing acceleration · Synesthesia · Visual magnification · Olfactory enhancement · Tinnitus · Flashbacks · Object transformations · Internal hallucinations · External hallucinations · Object activation · Visual recursion · Perspective hallucinations · Environmental orbism / cubism · Auditory hallucinations · Olfactory hallucination

Symmetrical texture repetition · Music enhancement · Tracers · Brightness alteration · Touch enhancement · After-images · Auditory enhancement · Environmental patterning · Light sensitivity · Sound sensitivity · Visual haze / noise · Visual morphing · Proprioceptive distortion · Auditory distortion · Auditory misinterpretation · Peripheral vision distortion · Spatial disorientation · Visual diffraction · Visual melting · Visual acuity enhancement · Dreaming enhancement · Peripheral misidentification · Vestibular distortion · Visual processing acceleration · Synesthesia · Visual magnification · Olfactory enhancement · Tinnitus · Flashbacks · Object transformations · Internal hallucinations · External hallucinations · Object activation · Visual recursion · Perspective hallucinations · Environmental orbism / cubism · Auditory hallucinations · Olfactory hallucination

Body(43)likelihood · intensity
Pupil dilation
likely
Body scan awareness
likely
Spontaneous body sensations
likely
Body high
likely
Stimulation
possible
Appetite suppression
possible
Temperature dysregulation!
possible
Abnormal heartbeat!
rare
Vasoconstriction!
rare

Body high · Stimulation · Appetite suppression · Laughter fits · Tingling / electric sensations · Muscle tension · Wakefulness · Body schema distortion · Dizziness · Heart rate perception changes · Nausea · Tactile euphoria · Vibrations / buzzing · Bodily heaviness · Bodily lightness · Breathing alteration · Dry mouth · Physical fatigue · Restlessness · Yawning · Watery eyes · Excessive sweating · Headache · Insomnia · Muscle relaxation · Sedation · Sexual arousal enhancement · Trembling · Increased urination · Nasal congestion · Involuntary body movements · Kundalini-like energy · Nystagmus (eye wobbles) · Vasoconstriction · Vomiting · Motor control enhancement · Bodily dissociation · Tactile hallucination

Laughter fits · Tingling / electric sensations · Muscle tension · Wakefulness · Body schema distortion · Dizziness · Heart rate perception changes · Nausea · Tactile euphoria · Vibrations / buzzing · Bodily heaviness · Bodily lightness · Breathing alteration · Dry mouth · Physical fatigue · Restlessness · Yawning · Watery eyes · Excessive sweating · Headache · Insomnia · Muscle relaxation · Sedation · Sexual arousal enhancement · Trembling · Increased urination · Nasal congestion · Involuntary body movements · Kundalini-like energy · Nystagmus (eye wobbles) · Vomiting · Motor control enhancement · Bodily dissociation · Tactile hallucination

Thinking(30)likelihood · intensity
Introspection enhancement
likely
Pattern recognition enhancement
likely
Conceptual thinking
likely
Immersion enhancement
likely
Novelty enhancement
likely
Thought connectivity
likely
Aesthetic enhancement
likely
Decision impairment!
possible
Suggestibility enhancement!
possible

Immersion enhancement · Novelty enhancement · Thought connectivity · Aesthetic enhancement · Cognitive euphoria · Cognitive flexibility · Openness enhancement · Thought acceleration · Increased nature relatedness · Multiple thought streams · Creativity enhancement · Memory suppression · Thought loops · Cognitive impairment · Focus suppression · Humor enhancement · Cognitive fatigue · Confusion · Information processing suppression · Memory fragmentation · Synchronicity · Thought disorganization · Analysis enhancement · Cognitive dysphoria · Memory replays

Cognitive euphoria · Cognitive flexibility · Openness enhancement · Thought acceleration · Increased nature relatedness · Multiple thought streams · Creativity enhancement · Memory suppression · Thought loops · Cognitive impairment · Focus suppression · Humor enhancement · Cognitive fatigue · Confusion · Information processing suppression · Memory fragmentation · Synchronicity · Thought disorganization · Analysis enhancement · Cognitive dysphoria · Memory replays

Feeling(9)likelihood · intensity
Emotional enhancement
likely
Emotional lability
likely
Euphoria
likely
Simultaneous emotions
possible
Anxiety
possible
Catharsis
possible
Empathy enhancement
possible
Dysphoria
possible
Paranoia!
possible

Anxiety · Catharsis · Empathy enhancement · Dysphoria

Self(13)likelihood · intensity
Emotional susceptibility
likely
Derealization
possible
Disinhibition
possible
Depersonalization
possible
Social connection
possible
Trust enhancement
possible
Communication enhancement
possible
Flow state
possible
Self-control suppression!
rare

Social connection · Trust enhancement · Communication enhancement · Flow state · Sociability enhancement · Boundary dissolution · Identity alteration · Ego dissolution

Sociability enhancement · Boundary dissolution · Identity alteration · Ego dissolution

Time(5)likelihood · intensity
Time alteration
likely
Present-moment absorption
likely
Temporal disorientation
possible
Deja vu
rare
Time cessation
v.rare
Transpersonal(8)likelihood · intensity
Unity and interconnectedness
possible
Existential realization
rare
Noetic insight
rare
Transpersonal feelings
rare
Non-dual awareness
v.rare
Transpersonal visions
v.rare
Entity contact
v.rare
Death-rebirth sequence
v.rare

Transpersonal visions · Entity contact · Death-rebirth sequence

Awareness(6)likelihood · intensity
Personal insight
possible
Lucid dreaming enhancement
possible
Lucidity enhancement
possible
Mindfulness enhancement
possible
Reality testing impairment!
rare
Recursive awareness
rare

Recursive awareness

Likelihood: how common this effect is at the selected dose level.This effect has safety implications — review before use.

Timeline

Safety[edit]

Harm
Acute toxicity
Low
Chronic toxicity
Low
Withdrawal
None
Tolerance buildup
rapid
Tolerance reset
7 days
Dependence
Physical
None
Psychological
Negligible
Compulsive redosing
Negligible
Dose escalation
Negligible
Cross-tol.
psilo · psilocin · LSD
Risk Shape
TOXPHYPSYWDRREDTOL

Toxicity

No lethal dose, therapeutic index, or controlled toxicity data exist for 4-HO-DET in any species.[4] No case reports of acute poisoning or fatal overdose have been published. The toxic dose is genuinely unknown.safety citation needed

At doses of 20–25 mg, Shulgin reported gastrointestinal discomfort, body tremors, jaw tension, loss of appetite, and increased urination. Leuner noted a favorable safety profile with minimal aftereffects at therapeutic doses. These observations derive from a small number of exposures and do not substitute for formal toxicological assessment.

By class analogy, classical serotonergic psychedelics exhibit wide therapeutic indices — psilocybin's estimated lethal dose in rats far exceeds the human psychoactive range, and no confirmed human fatalities from psilocybin toxicity alone have been documented.safety citation needed 4-HO-DET is expected to share this favorable acute toxicity profile, though this remains unconfirmed.

Heart and circulation

Serotonin receptor agonism produces increased heart rate, blood pressure elevation, and pupil dilation — effects documented across the psychedelic tryptamine class and expected for 4-HO-DET. In healthy individuals at standard doses, clinical significance is minimal based on psilocybin safety data, but individuals with pre-existing heart conditions may face elevated risk.safety citation needed

Psychological Risks

Acute psychological distress ("challenging experiences") is the most common serious adverse event during psychedelic use, characterized by intense anxiety, paranoia, confusion, and dysphoria. Incidence scales with dose, set, and setting.[3]

Hallucinogen persisting perception disorder (HPPD) is an established risk for serotonin 2A receptor agonists. The majority of documented cases involve drugs with 5-HT₂A agonist activity,[17] and at least one case has been confirmed following use of a 4-hydroxylated tryptamine specifically.[18] No HPPD cases specific to 4-HO-DET have been reported.

Psychotic episodes may be precipitated in individuals with personal or family history of psychotic disorders or bipolar disorder. No substance-specific data exist for 4-HO-DET.

Tolerance & Dependence

Classical psychedelics develop rapid tolerance through downregulation of 5-HT₂A receptors in the brain.[19][7] In mice, tolerance to the hallucinogenic response develops within 24 hours of a single dose and progresses over 4 days of repeated use.[7] Full sensitivity returns over approximately 7 days.

Cross-tolerance occurs with all 5-HT₂A agonist psychedelics: LSD, psilocybin, mescaline, DMT, and other 4-substituted tryptamines.[7][19]

No physical dependence or withdrawal has been documented for 4-HO-DET or for classical psychedelics as a class. The rapid development of tolerance itself limits compulsive redosing. Classical psychedelics do not activate the brain's reward circuitry in a manner associated with addiction.[1]

Drug Interactions

Serotonin syndrome risk

Tramadol blocks serotonin reuptake.[20] Combined with a 5-HT₂A agonist like 4-HO-DET, the dual serotonergic load creates risk of serotonin syndrome — a potentially life-threatening condition involving dangerously elevated body temperature, muscle rigidity, agitation, and cardiovascular instability.[20][21]

MAOIs (monoamine oxidase inhibitors) are expected to potentiate 4-HO-DET by blocking its metabolic breakdown and elevating serotonin levels. Harmine, a natural MAO-A inhibitor, has been shown to inhibit tryptamine metabolism in laboratory studies.[13] Serotonin syndrome risk is significant.

Effect attenuation

SSRIs and SNRIs taken chronically may blunt or attenuate psychedelic effects through long-term changes to serotonin receptor sensitivity.[22] A theoretical serotonin syndrome risk exists with acute co-administration, though controlled psilocybin studies have not identified serious adverse events from this combination.

Seizure risk

Lithium combined with classical psychedelics has been associated with increased seizure risk and erratic behavior.citation needed

Cannabis

No published data exist on the interaction between 4-HO-DET and cannabis. The interaction profile is genuinely unknown.[22]

Contraindications

The following contraindications are derived from class-level evidence for 5-HT₂A agonist psychedelics. No substance-specific contraindication data exist for 4-HO-DET.

Absolute:

  • Personal or family history of psychotic disorders
  • Concurrent MAOI use — serotonin syndrome risk
  • Concurrent tramadol use — serotonin syndrome risk[20]
  • Concurrent lithium use — seizure riskcitation needed

Relative:

  • Heart conditions — sympathomimetic effects may pose risksafety citation needed
  • Bipolar disorder — risk of manic or psychotic episode
  • Pregnancy — no safety data exist
  • Concurrent SSRI/SNRI use — unpredictable effect modification and theoretical serotonin risk[22]

Harm Reduction[edit]

Forms & Identification

Reagent ResultsNot recorded+ add reagent results
AppearanceNot recorded+ add appearance
Red FlagsNot recorded+ add red flags

4-HO-DET's air sensitivity is the primary identification concern. The free base degrades visibly when exposed to oxygen — any discoloration (darkening, browning) indicates oxidative breakdown and reduced potency. Material that has changed color since purchase should be treated as partially degraded and potentially inconsistent in strength. Reagent testing confirms the presence of a 4-hydroxytryptamine but cannot distinguish between members of the series or assess purity; quantitative analysis requires more advanced methods.

Guidelines

  • Test all material with appropriate reagent kits before use
  • Start with a low dose to assess individual sensitivity, particularly with material of unknown provenance
  • Weigh doses with a milligram-precision scale — volumetric dosing is unreliable with air-sensitive compounds
  • Allow at least 7 days between sessions for full tolerance reset
  • Prepare the environment in advance: comfortable temperature, access to water, minimal obligations for the duration
  • Eat lightly several hours beforehand to reduce nausea
  • Keep a trusted, sober companion present — especially at unfamiliar doses
  • Avoid redosing during the experience; rapid tolerance means additional material is unlikely to deepen effects and may extend duration unpredictably

Set & Setting

As a serotonergic psychedelic with strong context sensitivity, 4-HO-DET's effects are substantially shaped by psychological state and physical environment. A calm, familiar setting with trusted companions reduces the likelihood of acute distress. Avoid use during periods of emotional lability, unresolved anxiety, or significant life stress. First experiences benefit from a sober companion familiar with the psychedelic state.

Aftercare & integration. The hours and days following a psychedelic experience are a sensitive period. Allow time for rest and reflection — avoid demanding obligations on the day of use and ideally the following day. Journaling or drawing during the afterglow period can help capture insights before they fade.

Difficult or confusing experiences benefit from processing with a trusted person or a therapist experienced with psychedelic integration. Persistent anxiety, depersonalization, or visual disturbances lasting more than a few days after use warrant professional consultation.

Recovery & Support

Classical psychedelics carry low addiction liability, and compulsive use patterns are rare. If use is becoming a way to avoid difficult emotions rather than explore them, or if frequency is increasing despite diminishing returns, reassessment is warranted. Support resources include psychedelic-informed therapists, peer support organizations such as the Fireside Project, and general mental health services. Psychological dependence on any substance — even one with no physical withdrawal — deserves the same attention as any other pattern of avoidance.

Recovery resources, crisis lines, and support pathways → View all

Emergency Response

Recognizing an emergency: Most difficult psychedelic experiences are uncomfortable but not medically dangerous. Seek immediate help if the person shows signs of self-harm intent, complete disconnection from reality with dangerous behavior, seizures, sustained chest pain, or loss of consciousness.

Immediate steps:

  • Call emergency services if the person is at risk of harming themselves or others, is unresponsive, or is experiencing seizures
  • Move the person to a quiet, safe space away from hazards
  • Speak calmly and reassuringly — remind them where they are, that they took a substance, and that the effects will end
  • Do not physically restrain unless there is immediate danger of self-harm or harm to others
  • Do not administer other substances to "counteract" the experience
  • If the person is unconscious, place them in the recovery position and monitor breathing

What to tell the dispatcher: Name the substance (4-HO-DET, a psychedelic tryptamine), estimated dose, time of ingestion, and current symptoms. Good Samaritan laws in many jurisdictions protect people who call for help during drug-related emergencies.

references

  1. [1] 
    ^abcdefgNichols DE (2018) Chemistry and Structure-Activity Relationships of Psychedelics. — Current Topics in Behavioral Neurosciences doi:10.1007/7854_2017_475
  2. [2] 
    ^abcdeWikipedia contributors (2024) 4-HO-DET - Wikipedia Link
  3. [3] 
    ^abcPassie T, Guss J, Krähenmann R (2022) Lower-Dose Psycholytic Therapy - A Neglected Approach — Frontiers in Psychiatry doi:10.3389/fpsyt.2022.1020505
  4. [4] 
    ^abcdefghiShulgin A, Shulgin A (1997) TiHKAL: Tryptamines I Have Known And Loved - Entry #16: 4-HO-DET Link
  5. [5] 
    ^abcHalberstadt AL, Koedood L, Powell SB, Geyer MA (2011) Differential contributions of serotonin receptors to the behavioral effects of indoleamine hallucinogens in mice — Journal of Psychopharmacology doi:10.1177/0269881110388326
  6. [6] 
    ^abcdGatch MB, Hoch A, Carbonaro TM (2021) Discriminative Stimulus Effects of Substituted Tryptamines in Rats — ACS Pharmacology & Translational Science doi:10.1021/acsptsci.0c00173