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4-HO-DiPT

4-hydroxy-N,N-diisopropyltryptamine

Sources
22
4 strong · 12 moderate · 6 weak

Studies and references cited across this article, graded by evidence strength.

Claims checked
51
34verified1partial15inconclusive1not supported

Inconclusive means the cited source neither confirms nor refutes the claim — a lower-confidence badge, not an error.

Generated
Apr 26, 2026 · pipeline-v5
Values approved
214/214 (100%)

Data points an editor reviewed and accepted for publication.

01

Value Provenance

Dosing

oraltrace

FieldPublishedAI ProposedConfidence
Threshold5 mg5 mgmedium
Low10–15 mg10–15 mgmedium
Common15–20 mg15–20 mgmedium
Strong20–25 mg20–25 mgmedium
Heavy25+ mg25+ mgmedium
Editorial

TiHKAL reports sub-10 mg as largely inactive, 15-20 mg as the active range with 20 mg reaching 'plus-three' intensity. Threshold set at 5 mg based on community reports. Light range (10-15 mg) bridges Shulgin's inactive and active thresholds. Strong (20-25 mg) and heavy (25+ mg) ranges extrapolated from community reports — Shulgin did not test above 20 mg. The steep dose-response curve makes these boundaries especially consequential.

Reasoning

TiHKAL reports sub-10 mg as largely inactive, 15-20 mg as the active range with 20 mg reaching 'plus-three' intensity. Threshold set at 5 mg based on community reports. Light range (10-15 mg) bridges Shulgin's inactive and active thresholds. Strong (20-25 mg) and heavy (25+ mg) ranges extrapolated from community reports — Shulgin did not test above 20 mg. The steep dose-response curve makes these boundaries especially consequential.

Evidence basis: published_case_series

Duration

oral

FieldPublishedAI ProposedConfidence
Onsettrace10–20 minutes10–20 minutesmedium
Editorial

TiHKAL reports onset at 15-20 minutes. Community reports range 10-20 minutes. RE104 preclinical PK (40 min half-life) is consistent with rapid onset.

Reasoning

TiHKAL reports onset at 15-20 minutes. Community reports range 10-20 minutes. RE104 preclinical PK (40 min half-life) is consistent with rapid onset.

Evidence basis: published_case_series

Come uptrace10–20 minutes10–20 minutesmedium
Editorial

TiHKAL describes peak onset at ~20-30 minutes after ingestion, implying a come-up of 10-20 minutes after first effects. Community reports suggest a compressed come-up phase relative to psilocybin.

Reasoning

TiHKAL describes peak onset at ~20-30 minutes after ingestion, implying a come-up of 10-20 minutes after first effects. Community reports suggest a compressed come-up phase relative to psilocybin.

Evidence basis: published_case_series

Peaktrace45–90 minutes45–90 minutesmedium
Editorial

Inferred from total duration of 2-3 hours (TiHKAL) minus onset/come-up (~20-30 min) and offset (~30-60 min). Community reports describe a peak plateau of approximately 45-90 minutes at common doses.

Reasoning

Inferred from total duration of 2-3 hours (TiHKAL) minus onset/come-up (~20-30 min) and offset (~30-60 min). Community reports describe a peak plateau of approximately 45-90 minutes at common doses.

Evidence basis: community_consensus_large

Offsettrace30–60 minutes30–60 minutesmedium
Editorial

TiHKAL reports baseline restored at ~3 hours from a 2-3 hour total experience. The offset phase spans the final 30-60 minutes of the subjective experience. Consistent with the 40-minute plasma half-life of 4-HO-DiPT in rats.

Reasoning

TiHKAL reports baseline restored at ~3 hours from a 2-3 hour total experience. The offset phase spans the final 30-60 minutes of the subjective experience. Consistent with the 40-minute plasma half-life of 4-HO-DiPT in rats.

Evidence basis: community_consensus_large

Totaltrace2–3 hours2–3 hoursmedium
Editorial

TiHKAL consistently reports 2-3 hours total duration. Community reports and RE104 preclinical PK (40 min half-life, ~3-4 half-lives to sub-threshold) corroborate this range. Some community reports extend to 4 hours at higher doses.

Reasoning

TiHKAL consistently reports 2-3 hours total duration. Community reports and RE104 preclinical PK (40 min half-life, ~3-4 half-lives to sub-threshold) corroborate this range. Some community reports extend to 4 hours at higher doses.

Evidence basis: published_case_series

After effectstrace1–3 hours1–3 hourslow
Editorial

Limited data on aftereffects. Community reports describe mild residual mood elevation and subtle perceptual shifts lasting 1-3 hours after primary effects resolve. No published data characterize this phase specifically.

Reasoning

Limited data on aftereffects. Community reports describe mild residual mood elevation and subtle perceptual shifts lasting 1-3 hours after primary effects resolve. No published data characterize this phase specifically.

Evidence basis: community_consensus_small

Safety

Toxicity Profiletrace

FieldPublishedAI ProposedConfidence
Acutelowlowlow
Chronicnegligiblenegligiblelow
Organs Affectedcardiovascularcardiovascularlow
Editorial

Classified as low acute toxicity (downgraded from negligible): the RECONNECT trial showed a benign safety profile but used a prodrug via s.c. route, not oral free base. No LD50 data, no controlled human toxicity studies for the free compound. Chronic toxicity classified as negligible by class inference — serotonergic psychedelics used episodically show no documented organ damage, though no chronic dosing data exist for 4-HO-DiPT specifically.

Reasoning

Classified as low acute toxicity (downgraded from negligible): the RECONNECT trial showed a benign safety profile but used a prodrug via s.c. route, not oral free base. No LD50 data, no controlled human toxicity studies for the free compound. Chronic toxicity classified as negligible by class inference — serotonergic psychedelics used episodically show no documented organ damage, though no chronic dosing data exist for 4-HO-DiPT specifically.

Evidence basis: animal_study

Dependence Profiletrace

FieldPublishedAI ProposedConfidence
Physicalnonenonemedium
Psychologicalnegligiblenegligiblemedium
Compulsive Redosingnegligiblenegligiblemedium
Dose Escalationnegligiblenegligiblemedium
Editorial

No 4-HO-DiPT-specific dependence data exist. Assessment based on serotonergic psychedelic class profile (psilocin, LSD, DMT), which uniformly show negligible dependence liability. Rapid 5-HT2A tolerance provides a pharmacological barrier to compulsive use. No reports of dependence in harm reduction databases.

Reasoning

No 4-HO-DiPT-specific dependence data exist. Assessment based on serotonergic psychedelic class profile (psilocin, LSD, DMT), which uniformly show negligible dependence liability. Rapid 5-HT2A tolerance provides a pharmacological barrier to compulsive use. No reports of dependence in harm reduction databases.

Evidence basis: structural_analogy

Withdrawal Profiletrace

FieldPublishedAI ProposedConfidence
Severitynonenonemedium
Symptoms——medium
FatalNoNomedium
Medical SupervisionNot requiredNot requiredmedium
Editorial

No withdrawal syndrome has been reported for any serotonergic psychedelic. Class-level evidence strongly supports absence of physical withdrawal.

Reasoning

No withdrawal syndrome has been reported for any serotonergic psychedelic. Class-level evidence strongly supports absence of physical withdrawal.

Evidence basis: structural_analogy

Tolerance Profiletrace

FieldPublishedAI ProposedConfidence
Builduprapidrapidlow
Half-life3 days3 dayslow
Full Reset7 days7 dayslow
Cross-tolerancespsilocybin, psilocin, lsd, dmt, mescaline, 4-aco-dmt, 4-ho-metpsilocybin, psilocin, lsd, dmt, mescaline, 4-aco-dmt, 4-ho-metlow
Editorial

Class-inferred from serotonergic psychedelic tolerance literature. 5-HT2A downregulation is the universal mechanism. Existing database values (3-day half-life, 7-day reset) are consistent with published LSD and psilocybin tolerance data. No compound-specific verification exists.

Reasoning

Class-inferred from serotonergic psychedelic tolerance literature. 5-HT2A downregulation is the universal mechanism. Existing database values (3-day half-life, 7-day reset) are consistent with published LSD and psilocybin tolerance data. No compound-specific verification exists.

Evidence basis: structural_analogy

Effects & Profile

Contraindications

FieldPublishedAI ProposedConfidence
other SSRI/SNRI usetracerelativerelativelow
Editorial

Class-level consideration for all serotonergic psychedelics. No 4-HO-DiPT-specific data.

Reasoning

Class-level consideration for all serotonergic psychedelics. No 4-HO-DiPT-specific data.

pregnancy breastfeeding pregnancy and breastfeedingtraceabsoluteabsolutemedium
Editorial

No data exist. Precautionary absolute contraindication. The RECONNECT trial specifically enrolled postpartum (not pregnant) women.

Reasoning

No data exist. Precautionary absolute contraindication. The RECONNECT trial specifically enrolled postpartum (not pregnant) women.

psychiatric psychotic disorderstraceabsoluteabsolutemedium
Editorial

Class-level contraindication for all serotonergic psychedelics based on 5-HT2A mechanism. No 4-HO-DiPT-specific data, but mechanism is shared.

Reasoning

Class-level contraindication for all serotonergic psychedelics based on 5-HT2A mechanism. No 4-HO-DiPT-specific data, but mechanism is shared.

psychiatric bipolar disordertracerelativerelativelow
Editorial

Class-level contraindication for serotonergic psychedelics. Relative rather than absolute because the risk varies by subtype and concurrent pharmacotherapy.

Reasoning

Class-level contraindication for serotonergic psychedelics. Relative rather than absolute because the risk varies by subtype and concurrent pharmacotherapy.

other MAOI usetraceabsoluteabsolutehigh
Editorial

Pharmacological mechanism confirmed: 4-HO-DiPT has documented SERT inhibition (Rickli et al. 2016) and 5-HT2A agonism. MAOI + tryptamine serotonin toxicity is well-established (Yu 2008, Luethi 2020).

Reasoning

Pharmacological mechanism confirmed: 4-HO-DiPT has documented SERT inhibition (Rickli et al. 2016) and 5-HT2A agonism. MAOI + tryptamine serotonin toxicity is well-established (Yu 2008, Luethi 2020).

other tramadol usetraceabsoluteabsolutehigh
Editorial

Mechanism confirmed by Baldo 2018 and Pergolizzi et al. 2022. 4-HO-DiPT SERT inhibition confirmed by Rickli et al. 2016.

Reasoning

Mechanism confirmed by Baldo 2018 and Pergolizzi et al. 2022. 4-HO-DiPT SERT inhibition confirmed by Rickli et al. 2016.

other lithium usetracerelativerelativelow
Editorial

Class-level contraindication from harm reduction consensus. No published clinical data for this specific combination.

Reasoning

Class-level contraindication from harm reduction consensus. No published clinical data for this specific combination.

Timeline Phases

oral

FieldPublishedAI ProposedConfidence
Onsettrace600–1200 sec(i=0.05)600–1200 sec(i=0.05)medium
Editorial

Timeline derived from TiHKAL (onset 15\u201320 min, total duration 2\u20133 hours) corroborated by RE104 preclinical PK data (40 min half-life). Community reports broadly consistent. Come-up is compressed relative to most oral psychedelics. No controlled human temporal data exist.

Reasoning

Timeline derived from TiHKAL (onset 15\u201320 min, total duration 2\u20133 hours) corroborated by RE104 preclinical PK data (40 min half-life). Community reports broadly consistent. Come-up is compressed relative to most oral psychedelics. No controlled human temporal data exist.

Come uptrace600–1200 sec(i=0.40)600–1200 sec(i=0.40)medium
Editorial

Timeline derived from TiHKAL (onset 15\u201320 min, total duration 2\u20133 hours) corroborated by RE104 preclinical PK data (40 min half-life). Community reports broadly consistent. Come-up is compressed relative to most oral psychedelics. No controlled human temporal data exist.

Reasoning

Timeline derived from TiHKAL (onset 15\u201320 min, total duration 2\u20133 hours) corroborated by RE104 preclinical PK data (40 min half-life). Community reports broadly consistent. Come-up is compressed relative to most oral psychedelics. No controlled human temporal data exist.

Peaktrace2700–5400 sec(i=1.00)2700–5400 sec(i=1.00)medium
Editorial

Timeline derived from TiHKAL (onset 15\u201320 min, total duration 2\u20133 hours) corroborated by RE104 preclinical PK data (40 min half-life). Community reports broadly consistent. Come-up is compressed relative to most oral psychedelics. No controlled human temporal data exist.

Reasoning

Timeline derived from TiHKAL (onset 15\u201320 min, total duration 2\u20133 hours) corroborated by RE104 preclinical PK data (40 min half-life). Community reports broadly consistent. Come-up is compressed relative to most oral psychedelics. No controlled human temporal data exist.

Resolutiontrace1800–3600 sec(i=0.20)1800–3600 sec(i=0.20)medium
Editorial

Timeline derived from TiHKAL (onset 15\u201320 min, total duration 2\u20133 hours) corroborated by RE104 preclinical PK data (40 min half-life). Community reports broadly consistent. Come-up is compressed relative to most oral psychedelics. No controlled human temporal data exist.

Reasoning

Timeline derived from TiHKAL (onset 15\u201320 min, total duration 2\u20133 hours) corroborated by RE104 preclinical PK data (40 min half-life). Community reports broadly consistent. Come-up is compressed relative to most oral psychedelics. No controlled human temporal data exist.

Afterglowtrace3600–10800 sec(i=0.05)3600–10800 sec(i=0.05)medium
Editorial

Timeline derived from TiHKAL (onset 15\u201320 min, total duration 2\u20133 hours) corroborated by RE104 preclinical PK data (40 min half-life). Community reports broadly consistent. Come-up is compressed relative to most oral psychedelics. No controlled human temporal data exist.

Reasoning

Timeline derived from TiHKAL (onset 15\u201320 min, total duration 2\u20133 hours) corroborated by RE104 preclinical PK data (40 min half-life). Community reports broadly consistent. Come-up is compressed relative to most oral psychedelics. No controlled human temporal data exist.

Dose Tier Summaries

thresholdtrace
medium

At threshold doses (below 10 mg oral), effects are subtle and easily overlooked: faint mood elevation, slight brightening of colours, and a gentle sense of heightened sensory awareness. Perceptual changes are sub-threshold — no geometric patterns, no overt visual distortion. Physically, mild pupil dilation may be noticeable. A light body buzz or restlessness is occasionally reported. Functional impairment is minimal, though subtle cognitive shifts may be present. The steep dose-response curve of 4-HO-DiPT means even small increments above 10 mg can produce a qualitative shift in intensity — threshold doses do not reliably predict the experience at higher ranges.

Editorial

TiHKAL reports sub-10 mg as largely inactive. User reports describe minimal effects at this range. Threshold is inferred from Shulgin's observation that active effects begin around 15 mg, with sub-10 mg producing negligible response.

Reasoning

TiHKAL reports sub-10 mg as largely inactive. User reports describe minimal effects at this range. Threshold is inferred from Shulgin's observation that active effects begin around 15 mg, with sub-10 mg producing negligible response.

Evidence basis: published_case_series

lighttrace
medium

At light doses (10–15 mg oral), the first clearly psychedelic effects emerge: mild colour enhancement, slight visual brightening, gentle thought acceleration, and a noticeable shift in emotional tone toward openness or elation. Visual distortion is minimal — surfaces may appear slightly more textured but geometric patterning is absent. Physically, mild stimulation and a light body load become apparent. Some users report leg restlessness or a chill-like sensation. Pupil dilation is noticeable. The experience at this range lasts approximately 1.5–2.5 hours. The transition from light to common dose effects is unusually steep for 4-HO-DiPT — a difference of only 3–5 mg can substantially alter the experience.

Editorial

TiHKAL places the active range beginning at 15 mg, with sub-15 mg effects described as mild. User reports describe light psychedelic effects in the 10–15 mg range. Duration is slightly shorter than the 2–3 hours reported for common doses.

Reasoning

TiHKAL places the active range beginning at 15 mg, with sub-15 mg effects described as mild. User reports describe light psychedelic effects in the 10–15 mg range. Duration is slightly shorter than the 2–3 hours reported for common doses.

Evidence basis: community_consensus_large

commontrace
medium

At common doses (15–20 mg oral), the full psychedelic experience unfolds rapidly. Colour enhancement becomes pronounced, objects may exhibit mild drifting and morphing, and rainbow halos or tracers appear around light sources. Closed-eye visuals remain modest compared to psilocin. Thought connectivity increases significantly, often producing introspective insights and novel personal perspectives. Cognitive euphoria ranges from mild to strong. Physically, leg tremors, muscle loosening, mild stimulation, and elevated heart rate are commonly reported. A vague body malaise and chill-like sensations may occur. Nausea is possible but less prominent than with psilocybin. The experience peaks within 20–30 minutes of onset and resolves to baseline within approximately 2–3 hours. The steep dose-response curve means that 15 mg produces a mild-to-moderate experience while 20 mg can reach full intensity.

Editorial

TiHKAL reports 15–20 mg as the active range with 20 mg reaching 'plus-three' intensity. Shulgin's qualitative descriptions and user reports provide the perceptual and physical effect details. Duration of 2–3 hours is consistently reported across sources.

Reasoning

TiHKAL reports 15–20 mg as the active range with 20 mg reaching 'plus-three' intensity. Shulgin's qualitative descriptions and user reports provide the perceptual and physical effect details. Duration of 2–3 hours is consistently reported across sources.

Evidence basis: published_case_series

strongtrace
low

At strong doses (20–25 mg oral), effects intensify significantly beyond the common range. Visual distortion becomes more pronounced — colour saturation, object morphing, and after-images dominate the visual field. Introspective depth increases substantially, with thought loops and ego softening possible. Emotional intensity escalates and may become difficult to navigate without experience. Physically, tremors, muscle tension, and cardiovascular stimulation are more prominent. Body load increases and nausea is more likely. The rapid onset (15–20 minutes) at this range can feel abrupt and disorienting. Shulgin did not report trials above 20 mg, so the upper boundary of this range rests on community reports rather than published data. The steep dose-response curve makes precise dosing critical — even 2–3 mg above the common range can produce markedly stronger effects.

Editorial

Shulgin did not report doses above 20 mg. The 20–25 mg range is inferred from user reports describing increasingly intense experiences above 20 mg. Community consensus supports this range but published data is absent. Effects are extrapolated from Shulgin's 'plus-three' description at 20 mg.

Reasoning

Shulgin did not report doses above 20 mg. The 20–25 mg range is inferred from user reports describing increasingly intense experiences above 20 mg. Community consensus supports this range but published data is absent. Effects are extrapolated from Shulgin's 'plus-three' description at 20 mg.

Evidence basis: community_consensus_small

heavytrace
low

At heavy doses (above 25 mg oral), the experience exceeds documented territory. No published reports from Shulgin or clinical literature characterise this range. Community reports describe overwhelming psychedelic effects: intense visual distortion, profound ego dissolution, thought loops, and significant emotional upheaval. The distinction between heavy and strong doses is less well-defined for 4-HO-DiPT than for longer-acting psychedelics due to the compressed timeline. Physically, pronounced tremors, tachycardia, and significant body load are reported. Nausea and general malaise are more common. The steep dose-response curve that defines 4-HO-DiPT pharmacology makes doses above 25 mg particularly unpredictable. No safety data exist for this range. The short duration (still approximately 2–3 hours) may partially mitigate risk, but the intensity of the experience can be overwhelming.

Editorial

No published data exist above 20 mg (Shulgin's maximum reported dose). The 25+ mg heavy range is inferred entirely from community reports. The steep dose-response curve documented by Shulgin makes this range especially unpredictable and the confidence correspondingly low.

Reasoning

No published data exist above 20 mg (Shulgin's maximum reported dose). The 25+ mg heavy range is inferred entirely from community reports. The steep dose-response curve documented by Shulgin makes this range especially unpredictable and the confidence correspondingly low.

Evidence basis: community_consensus_small

02

History

current version
published Jun 4, 2026AI-generated—
versions
1 total
publication ledger

backfill Jun 4, 2026

Historical versions do not record which reviewer approved them; editorial accountability is recorded per value in the database and in the publication ledger going forward.

03

Sources

4 strong · 12 moderate · 6 weak
  1. [1]
    strong
    Receptor interaction profiles of novel psychoactive tryptamines compared with classic hallucinogens
    Rickli A, Moning OD, Hoener MC, Liechti ME · 2016 · European Neuropsychopharmacology
  2. [2]
    moderate
    Psilocybin analog 4-OH-DiPT enhances fear extinction and GABAergic inhibition of principal neurons in the basolateral amygdala
    Kelly TJ, Bonniwell EM, Mu L, Liu X, Hu Y, Friedman V, Yu H, Su W, McCorvy JD, Liu QS · 2024 · Neuropsychopharmacology
    doi.org/10.1038/s41386-023-01744-8pubmed 377522227 claims checked5 verified2 inconclusive
  3. [3]
    moderate
    Psilocin analogs. 1. Synthesis of 3-[2-(dialkylamino)ethyl]-and 3-[2-(cycloalkylamino)ethyl] indol-4-ols
    Repke D, Ferguson W, Bates D · 1977 · Journal of Heterocyclic Chemistry
    doi.org/10.1002/jhet.55701401132 claims checked2 inconclusive
  4. [4]
    weak
    TiHKAL #17: 4-HO-DIPT
    Shulgin A, Shulgin A · 1997
    linkno claims checked
  5. [5]
    moderate
    RE104: Synthesis and Activity of a Novel Serotonergic Psychedelic Prodrug of 4-Hydroxy-N,N-diisopropyltryptamine
    Bryson N, Alexander R, Asnis-Alibozek A, Ehlers MD · 2024 · ACS Chemical Neuroscience
    doi.org/10.1021/acschemneuro.4c00058pubmed 3875858910 claims checked8 verified1 inconclusive1 not supported
  6. [6]
    weak
    U.S. FDA Grants Reunion Neuroscience's Luvesilocin (RE104) Breakthrough Therapy Designation Status
    Reunion Neuroscience Inc. · 2026
    linkno claims checked
  7. [7]
    weak
    4-Hydroxy-N,N-diisopropyltryptamine - Wikipedia
    Wikipedia contributors · 2024
    linkno claims checked
  8. [8]
    strong
    Receptor Binding Profiles for Tryptamine Psychedelics and Effects of 4-Propionoxy-N,N-dimethyltryptamine in Mice
    Glatfelter GC, Naeem M, Pham DNK, Golen JA, Chadeayne AR, Manke DR, Baumann MH · 2023 · ACS Pharmacology & Translational Science
    doi.org/10.1021/acsptsci.2c00222pubmed 370827543 claims checked1 verified2 inconclusive
  9. [9]
    moderate
    Recreational use, analysis and toxicity of tryptamines.
    Tittarelli R, Mannocchi G, Pantano F, Romolo FS · 2015 · Current neuropharmacology
  10. [10]
    weak
    Schedules of Controlled Substances: Placement of 4-hydroxy-N,N-diisopropyltryptamine — Withdrawal of Proposed Rule
    Drug Enforcement Administration · 2022
    linkno claims checked
  11. [11]
    weak
    RE104 Safety and Efficacy Study in Postpartum Depression (RECONNECT)
    Reunion Neuroscience Inc. · 2024
    linkno claims checked
  12. [12]
    moderate
    Investigation of the Structure-Activity Relationships of Psilocybin Analogues
    Klein AK, Chatha M, Laskowski LJ, Anderson EI, Brandt SD, Chapman SJ, McCorvy JD, Halberstadt AL · 2021 · ACS Pharmacology & Translational Science
    doi.org/10.1021/acsptsci.0c00176pubmed 338601836 claims checked2 verified4 inconclusive
  13. [13]
    weak
    Pharmacologic Activity Review: 4-HO-DiPT
    Psychedelic Science Review staff · 2023
    linkno claims checked
  14. [14]
    moderate
    Human Hepatocyte 4-Acetoxy-N,N-Diisopropyltryptamine Metabolite Profiling by LC-HRMS/MS
    Malaca S, Huestis MA, Lattanzio L, Marsella LT, Tagliabracci A, Carlier J, Busardo FP · 2022 · Metabolites
  15. [15]
    moderate
    Metabolism of the tryptamine-derived new psychoactive substances 5-MeO-2-Me-DALT, 5-MeO-2-Me-ALCHT, and 5-MeO-2-Me-DIPT and their detectability in urine
    Caspar AT, Gaab JB, Michely JA, Brandt SD, Meyer MR, Maurer HH · 2018 · Drug Testing and Analysis
  16. [16]
    moderate
    Indolealkylamines: biotransformations and potential drug-drug interactions
    Yu AM · 2008 · The AAPS Journal
  17. [17]
    moderate
    Synthesis and structure of 4-hydroxy-N-isopropyltryptamine (4-HO-NiPT) and its precursors
    Laban U, Naeem M, Chadeayne AR, Golen JA, Manke DR · 2023 · Acta Crystallographica Section E
  18. [18]
    strong
    Psychedelics promote plasticity by directly binding to BDNF receptor TrkB
    Moliner R, Girych M, Brunello CA, Kovaleva V, Biojone C, Enkavi G, Antenucci L, Kot EF, Goncharuk SA, Kaurinkoski K, Kuutti M, Fred SM, Elsilä LV, Sakson S, Cannarozzo C, Diniz CRAF, Seiffert N, Rubiolo A, Haapaniemi H, Meshi E, Nagaeva E, Öhman T, Róg T, Kankuri E, Vilar M, Varjosalo M, Korpi ER, Permi P, Mineev KS, Saarma M, Vattulainen I, Casarotto PC, Castrén E · 2023 · Nature Neuroscience
  19. [19]
    moderate
    Opioid analgesic drugs and serotonin toxicity (syndrome): mechanisms, animal models, and links to clinical effects
    Baldo BA · 2018 · Archives of Toxicology
  20. [20]
    moderate
    Multimechanistic Single-Entity Combinations for Chronic Pain Control: A Narrative Review.
    Pergolizzi J, Magnusson P, Coluzzi F, Breve F, LeQuang JAK, Varrassi G · 2022 · Cureus
  21. [21]
    strong
    Designer drugs: mechanism of action and adverse effects
    Luethi D, Liechti ME · 2020 · Archives of Toxicology
  22. [22]
    moderate
    Benefits and Challenges of Ultra-Fast, Short-Acting Psychedelics in the Treatment of Depression
    Ramaekers JG, Reckweg JT, Mason NL · 2025 · American Journal of Psychiatry
04

Claim Verification

Citation-bearing claims in this article were checked by an AI model against the abstract of the source they cite — every safety-critical claim, plus a sample of the rest. Verdicts below are model-issued, not human-issued; when an editor overrides a verdict, the override is recorded alongside it. Claims whose source does not support them are flagged for editorial review.

summary6 claims3verified1partial2inconclusive
inconclusiveFirst synthesized by Repke, Ferguson, and Bates in 1977 as part of a psilocin analog series, 4-HO-DiPT remained a research curiosity until Alexander Shulgin characterized its human effects in TiHKAL (1997), describing it as unmatched among oral psychedelics for speed, intensity, and brevity[3]model confidence 100%
Inconclusive

Abstract not available; cannot verify any part of the claim.

Not available

checked by claude-sonnet-4-6 · Apr 26, 2026

partial4-HO-DiPT acts as a serotonin receptor agonist with primary activity at 5-HT₂A (Ki ≈ 120 nM in one assay, 728–922 nM in another), classified as a near-full agonist at 5-HT₂A, 5-HT₂B, and 5-HT₂C[1]model confidence 85%
Partial

The abstract confirms Ki ~120 nM at 5-HT2A, which is correct. However, this paper (Rickli et al.) classifies 4-OH-DiPT as a 'partial agonist at 5-HT2A', directly contradicting the claim's assertion of 'near-full agonist.' The near-full agonist classification comes from Kelly et al. (citation [2]), not this paper. The agonist efficacy characterization is materially wrong for this specific citation.

4-OH-DiPT: Ki ~120 nM at 5-HT2A; partial agonist at 5-HT2A

checked by claude-sonnet-4-6 · Apr 26, 2026

inconclusive4-HO-DiPT acts as a serotonin receptor agonist with primary activity at 5-HT₂A (Ki ≈ 120 nM in one assay, 728–922 nM in another), classified as a near-full agonist at 5-HT₂A, 5-HT₂B, and 5-HT₂C[8]model confidence 80%
Inconclusive

The abstract confirms binding at 5-HT2A and broad receptor profiling for 4-HO-DiPT, but does not provide specific Ki values (the 728–922 nM range) or agonist efficacy classification. This data would be in the full text/tables.

4-HO compounds show 5-HT1A and 5-HT2A binding

checked by claude-sonnet-4-6 · Apr 26, 2026

verified4-HO-DiPT acts as a serotonin receptor agonist with primary activity at 5-HT₂A (Ki ≈ 120 nM in one assay, 728–922 nM in another), classified as a near-full agonist at 5-HT₂A, 5-HT₂B, and 5-HT₂C[2]model confidence 90%
Verified

The abstract directly confirms the near-full agonist classification at 5-HT2A/2B/2C. Specific Ki values are from other citations and are not contradicted.

near full agonist at 5-HT2A/2B/2C

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedUnlike lsd, it also inhibits SERT and partially inhibits NET, placing its pharmacological profile closer to psilocin[1]model confidence 90%
Verified

The abstract directly confirms SERT inhibition and partial NET inhibition by 4-OH-DiPT, and explicitly notes this is 'unlike LSD.' The comparison to psilocin (rather than the abstract's MDMA comparison) is a reasonable inference given that psilocin is the closest structural tryptamine analog with known SERT activity.

interacts with SERT and partially NET, similar to MDMA but unlike LSD

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedThe short duration correlates with a plasma half-life of approximately 40 minutes in rats following prodrug administration.[5]model confidence 97%
Verified

The abstract directly confirms both the 40-minute half-life after s.c. RE104 in rats and the short (2–3h) psychedelic duration.

4-OH-DiPT half-life 40 min after s.c. RE104 in rats. Short duration (2-3h) psychedelic effects.

checked by claude-sonnet-4-6 · Apr 26, 2026

history4 claims1verified2inconclusive1not supported
inconclusive4-HO-DiPT was first synthesized in 1977 by David Repke, William Ferguson, and David Bates at the University of Kansas as part of a systematic investigation of psilocin analogs[3]model confidence 100%
Inconclusive

Abstract not available; cannot verify any part of the claim.

Not available

checked by claude-sonnet-4-6 · Apr 26, 2026

inconclusive4-HO-DiPT first appeared on the European designer drug market around 2005, catalogued alongside other novel tryptamines in the emerging new psychoactive substance (NPS) landscape[9]model confidence 80%
Inconclusive

The review covers 4-HO-DiPT as an NPS tryptamine in the recreational use and designer drug context, which is consistent with the general claim. However, the specific date of 2005 for European market appearance is not confirmed in the abstract. This specific factual detail would require the full text.

Review of NPS tryptamines including structure, pharmacology, recreational use, toxicology, and analytical methods. Covers 4-HO-DiPT among other designer tryptamines.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedThe compound entered formal clinical development when Reunion Neuroscience developed luvesilocin (RE104), a glutarate ester prodrug of 4-HO-DiPT designed for subcutaneous administration[5]model confidence 90%
Verified

The abstract directly confirms RE104 as a glutarate ester prodrug of 4-OH-DiPT administered subcutaneously. 'Reunion Neuroscience' is not mentioned in the abstract but the drug characterization is fully confirmed.

RE104, a glutarate ester prodrug of 4-OH-DiPT. 4-OH-DiPT half-life 40 min after s.c. RE104 in rats.

checked by claude-sonnet-4-6 · Apr 26, 2026

not supportedFDA Grants Reunion Neuroscience's Luvesilocin (RE104) Breakthrough Therapy Designation Status}}[5]model confidence 95%
Not supported

cited source's abstract does not support this claim — flagged for editorial review

The abstract describes preclinical characterization of RE104 in rats. There is no mention of FDA regulatory proceedings, Breakthrough Therapy Designation, or any clinical/regulatory status. This claim cannot be supported by a preclinical animal study abstract.

Preclinical and translational characterization of RE104, a glutarate ester prodrug of 4-OH-DiPT.

checked by claude-sonnet-4-6 · Apr 26, 2026

chemistry2 claims1verified1inconclusive
inconclusiveThis N,N-diisopropyl substitution confers distinct pharmacological properties: reduced potency at 5-HT₂C relative to less bulky N-alkyl analogs, while maintaining efficacy at 5-HT₂A and 5-HT₂B[12]model confidence 75%
Inconclusive

The abstract confirms SAR investigation across 5-HT2A/2B/2C and includes 4-HO-DiPT with its diisopropyl substitution, but the specific SAR finding about reduced 5-HT2C potency with bulkier N-alkyl groups relative to smaller analogs is not described in the abstract. This granular receptor subtype SAR conclusion would be in the data tables.

SAR of 17 tryptamines with 4-hydroxy or 4-acetoxy groups and symmetrical/asymmetrical N,N-dialkyl substituents. All compounds full/partial agonists at 5-HT2A/2B/2C.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedThe compound is the active metabolite of 4-AcO-DiPT (via ester hydrolysis of the 4-position acetoxy group) and the pharmacologically active species released by the clinical prodrug luvesilocin (RE104), a glutarate ester.[5]model confidence 90%
Verified

The abstract confirms 4-HO-DiPT is the active species released from RE104 (glutarate ester prodrug). The 4-AcO-DiPT relationship is documented in citation [10] rather than this paper, but this citation supports the RE104/luvesilocin part of the compound claim.

RE104, a glutarate ester prodrug of 4-OH-DiPT.

checked by claude-sonnet-4-6 · Apr 26, 2026

pharmacology10 claims7verified3inconclusive
inconclusiveBlockade of 5-HT₂A with selective antagonists eliminates the head-twitch response (the standard rodent behavioural proxy for psychedelic activity) in mice[12]model confidence 80%
Inconclusive

The abstract establishes HTR as an assay for 4-HO-DiPT and confirms 5-HT2A agonism, but does not describe any antagonist blockade experiment. The specific claim about 5-HT2A antagonists eliminating HTR would be in pharmacological methods not reported in this abstract.

4-HO-DiPT ED50=3.46 μmol/kg in mouse head-twitch response

checked by claude-sonnet-4-6 · Apr 26, 2026

inconclusiveBlockade of 5-HT₂A with selective antagonists eliminates the head-twitch response (the standard rodent behavioural proxy for psychedelic activity) in mice[2]model confidence 80%
Inconclusive

The abstract confirms 5-HT2A-dependent effects in the BLA and near-full 5-HT2A agonism, but does not describe antagonist blockade of the head-twitch response. This specific mechanistic claim is not addressed in the abstract.

Activated BLA interneurons via 5-HT2A to enhance GABAergic inhibition

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedKelly et al. (2024) profiled the compound across all 12 human serotonin GPCRs and classified it as a near-full agonist at 5-HT₂A, 5-HT₂B, and 5-HT₂C, with sex-dependent differences in potency observed in mice (females showing greater sensitivity).[2]model confidence 98%
Verified

The abstract directly and precisely confirms all elements: profiling across all 12 human 5-HT GPCRs, near-full agonist classification at 5-HT2A/2B/2C, and sex differences in potency with females showing greater sensitivity.

Profiled 4-OH-DiPT at all 12 human 5-HT GPCRs; near full agonist at 5-HT2A/2B/2C... Sex differences in potency (female > male).

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedUnlike lsd and mescaline, 4-HO-DiPT significantly inhibits the serotonin transporter (SERT) and partially inhibits the norepinephrine transporter (NET), giving it a monoamine transporter interaction profile closer to psilocin than to phenethylamine or ergoline psychedelics[1]model confidence 88%
Verified

The abstract directly confirms SERT inhibition and partial NET inhibition by 4-OH-DiPT, and explicitly states this is 'unlike LSD' (an ergoline). Mescaline is a phenethylamine whose transporter profile is not directly compared, but reasonable inference from the ergoline/tryptamine structural class distinction. The psilocin comparison is reasonable given structural similarity.

interacts with SERT and partially NET, similar to MDMA but unlike LSD

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedKelly et al. (2024) further demonstrated that 4-HO-DiPT enhances fear extinction in mice via 5-HT₂A-dependent activation of GABAergic interneurons in the basolateral amygdala (BLA), increasing inhibition of principal neurons[2]model confidence 98%
Verified

The abstract directly and precisely confirms all elements of this claim: fear extinction enhancement, 5-HT2A-dependent BLA interneuron activation, and enhanced GABAergic inhibition.

Enhanced fear extinction in mice dose-dependently. Activated BLA interneurons via 5-HT2A to enhance GABAergic inhibition.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedIn rats receiving subcutaneous RE104, 4-HO-DiPT exhibited a plasma half-life of approximately 40 minutes, with plasma concentration correlating directly with head-twitch response intensity[5]model confidence 98%
Verified

Both elements of the claim are directly confirmed in the abstract: 40-minute half-life after s.c. RE104 in rats, and plasma 4-HO-DiPT concentration correlating with head-twitch intensity.

4-OH-DiPT half-life 40 min after s.c. RE104 in rats... PK experiments in rats showed plasma 4-HO-DiPT correlated with head-twitch intensity.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedMetabolic pathway data derive primarily from human hepatocyte incubation studies of 4-AcO-DiPT, which undergoes rapid ester hydrolysis to yield 4-HO-DiPT as its primary active metabolite[14]model confidence 98%
Verified

The abstract directly confirms that 4-AcO-DiPT metabolism was studied in human hepatocytes and that the primary metabolite via ester hydrolysis is 4-OH-DiPT.

4-AcO-DiPT metabolism in human hepatocytes. Primary metabolite via ester hydrolysis is 4-OH-DiPT.

checked by claude-sonnet-4-6 · Apr 26, 2026

inconclusiveN-Dealkylation yielding 4-HO-NiPT (4-hydroxy-N-isopropyltryptamine), a metabolite with retained psychedelic-like activity[17]model confidence 85%
Inconclusive

The abstract confirms the synthesis and structure of 4-HO-NiPT, establishing its existence as a compound. However, the abstract does not report any psychedelic-like activity data — it is purely a synthetic/structural paper. The psychoactivity claim cannot be verified from this abstract.

Synthesis of 4-HO-NiPT (3-{2-[(propan-2-yl)amino]ethyl}-1H-indol-4-ol, C13H18N2O) in 3 steps from 4-benzyloxyindole.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedBy structural analogy with the related diisopropyltryptamine 5-MeO-2-Me-DiPT, CYP2D6, CYP2C19, and CYP3A4 are implicated in N-dealkylation and hydroxylation reactions, with CYP1A2 contributing to ring hydroxylation[15]model confidence 90%
Verified

The abstract directly confirms CYP1A2, CYP2C19, CYP2D6, and CYP3A4 involvement in hydroxylation, and CYP2C19, CYP2D6, CYP3A4 in N-dealkylation for diisopropyltryptamine analogs. CYP1A2 in hydroxylation (which includes ring hydroxylation) is confirmed. The structural analogy framing is appropriate.

CYP1A2, CYP2C19, CYP2D6, CYP3A4 involved in hydroxylation; CYP2C19 and CYP2D6 in O-demethylation; CYP2C19, CYP2D6, CYP3A4 in N-dealkylation.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedCYP2D6 is the key polymorphic enzyme for indolealkylamines as a class, and individuals with CYP2D6 poor-metabolizer phenotypes may experience altered drug exposure.[16]model confidence 95%
Verified

The abstract directly confirms CYP2D6's polymorphic role in metabolism of indolealkylamine drugs and that CYP2D6 polymorphism may represent an additional risk factor.

CYP2D6 plays polymorphic role in metabolism. CYP2D6 polymorphism may represent additional risk factor.

checked by claude-sonnet-4-6 · Apr 26, 2026

receptor pharmacology6 claims4verified2inconclusive
verifiedThe approximately six-fold discrepancy in 5-HT₂A affinity between studies (Ki ≈ 120 nM vs. 728–922 nM) likely reflects methodological differences — distinct radioligands, cell lines, expression systems, and assay conditions across laboratories — rather than a data error[1]model confidence 85%
Verified

The abstract confirms the Ki ~120 nM value from Rickli et al., establishing one side of the discrepancy. The methodological explanation for inter-study variability is a reasonable editorial inference from the data, not a claim the abstract either confirms or contradicts.

4-OH-DiPT: Ki ~120 nM at 5-HT2A

checked by claude-sonnet-4-6 · Apr 26, 2026

inconclusiveThe approximately six-fold discrepancy in 5-HT₂A affinity between studies (Ki ≈ 120 nM vs. 728–922 nM) likely reflects methodological differences — distinct radioligands, cell lines, expression systems, and assay conditions across laboratories — rather than a data error[8]model confidence 80%
Inconclusive

The abstract confirms this is a binding study of 4-HO-DiPT across multiple receptor targets, which would provide the other data point (728–922 nM) in the discrepancy, but the specific Ki values are not stated in the abstract. Cannot verify the 728–922 nM range from the abstract alone.

N,N-diisopropyl substitution shows differential binding profiles across non-5-HT receptor targets... 4-HO compounds show 5-HT1A and 5-HT2A binding.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedThe Rickli et al. (2016) values derive from cloned human receptors with direct comparison to classic hallucinogens; the Glatfelter et al. (2023) values come from a broader receptor profiling study across multiple tryptamine analogs.[1]model confidence 88%
Verified

The abstract confirms this is Rickli et al.'s study comparing novel psychoactive tryptamines 'with classic hallucinogens,' supporting the characterization. The 'cloned human receptors' detail is a methodological feature not stated in the abstract but consistent with the paper type.

Investigated interactions of novel psychoactive tryptamines... compared with classic hallucinogens.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedThe Rickli et al. (2016) values derive from cloned human receptors with direct comparison to classic hallucinogens; the Glatfelter et al. (2023) values come from a broader receptor profiling study across multiple tryptamine analogs.[8]model confidence 90%
Verified

The abstract confirms this is a broad receptor binding profiling study of tryptamine psychedelics across a range of targets, directly matching the description of 'a broader receptor profiling study across multiple tryptamine analogs.'

Determined receptor binding profiles for tryptamine psychedelics including 4-HO-DiPT across broad range of targets.

checked by claude-sonnet-4-6 · Apr 26, 2026

inconclusiveThe compound shows highest affinity at 5-HT₂B (Ki = 85–460 nM), exceeding its 5-HT₂A affinity in the Glatfelter dataset — a pattern consistent with Klein et al.'s (2021) observation that bulkier N-alkyl substituents reduce 5-HT₂C potency while maintaining or increasing 5-HT₂B efficacy[12]model confidence 78%
Inconclusive

The abstract confirms this is a SAR study of psilocybin analogs including 4-HO-DiPT at 5-HT2A/2B/2C, but does not provide specific Ki values for 5-HT2B or 5-HT2C, nor the specific SAR pattern about substituent bulk and differential receptor potency. These would be in the data tables.

All compounds full/partial agonists at 5-HT2A/2B/2C.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedFunctional characterization by Kelly et al. (2024) classified 4-HO-DiPT as a near-full agonist at 5-HT₂A, 5-HT₂B, and 5-HT₂C across all 12 human serotonin GPCRs[2]model confidence 98%
Verified

The abstract directly confirms profiling across all 12 human 5-HT GPCRs and near-full agonist classification at 5-HT2A/2B/2C.

Profiled 4-OH-DiPT at all 12 human 5-HT GPCRs; near full agonist at 5-HT2A/2B/2C.

checked by claude-sonnet-4-6 · Apr 26, 2026

neuroscience6 claims5verified1inconclusive
inconclusiveAs a near-full 5-HT₂A agonist, 4-HO-DiPT is presumed to activate layer V pyramidal neurons in the prefrontal cortex — the primary cellular trigger for psychedelic effects across the serotonergic class[2]model confidence 80%
Inconclusive

The abstract confirms near-full 5-HT2A agonism and 5-HT2A-dependent neural effects in the BLA. However, the specific claim about layer V pyramidal neuron activation in the PFC is not addressed — the paper focuses on BLA interneurons, not PFC pyramidal neurons. This is a general class inference not confirmed by this abstract.

near full agonist at 5-HT2A/2B/2C. Activated BLA interneurons via 5-HT2A to enhance GABAergic inhibition.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedThe most substance-specific neural finding for 4-HO-DiPT comes from Kelly et al. (2024), who demonstrated that the compound enhances fear extinction through 5-HT₂A-dependent activation of GABAergic interneurons in the basolateral amygdala (BLA)[2]model confidence 98%
Verified

The abstract directly confirms all elements: fear extinction enhancement, 5-HT2A-dependent BLA interneuron activation, and enhanced GABAergic inhibition.

Enhanced fear extinction in mice dose-dependently. Activated BLA interneurons via 5-HT2A to enhance GABAergic inhibition.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedBy structural analogy with psilocin, 4-HO-DiPT may bind the TrkB receptor (BDNF receptor) with high affinity, promoting dendritic growth and synaptic plasticity through mechanisms independent of 5-HT₂A activation[18]model confidence 88%
Verified

The abstract confirms psilocin directly binds TrkB with very high affinity, and that psychedelic antidepressant effects depend on TrkB/BDNF signaling independent of 5-HT2A. The structural analogy to 4-HO-DiPT (a 4-hydroxy tryptamine like psilocin) is appropriately hedged with 'may' in the claim.

LSD and psilocin directly bind TrkB with affinities 1000-fold higher than other antidepressants. Psychedelic antidepressant effects depend on TrkB binding and BDNF signaling, independent of 5-HT2A activation.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedThe sustained antidepressant-like effect of RE104 in the forced swim test — persisting 1 week after a single dose — is consistent with a neuroplasticity-dependent mechanism, as the compound's plasma half-life (40 minutes) cannot account for effects persisting days beyond clearance.[5]model confidence 92%
Verified

The abstract directly confirms both the 40-minute half-life and the 1-week antidepressant effect in the FST. The inference that a 40-min half-life cannot account for week-long effects is a straightforward and well-grounded editorial interpretation, fully compatible with the abstract's data.

4-OH-DiPT half-life 40 min after s.c. RE104 in rats... Significant antidepressant effect in forced swim test at 1 week.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedThe psychoplastogen framework posits that psychedelics exert therapeutic effects through rapid induction of structural neuroplasticity (dendritic branching, spinogenesis) rather than through the subjective psychedelic experience itself. 4-HO-DiPT's sustained antidepressant-like effects in rodents (persisting 1 week after a single dose despite a 40-minute half-life) and its potential TrkB binding support a plasticity-mediated mechanism[5]model confidence 88%
Verified

The abstract directly confirms the 40-min half-life and 1-week antidepressant persistence — the specific data points cited to support the plasticity argument. The psychoplastogen framework and TrkB binding are supported by citation [23]; this citation supports the RE104 preclinical data component of the combined claim.

4-OH-DiPT half-life 40 min after s.c. RE104 in rats. Short duration (2-3h) psychedelic effects. Significant antidepressant effect in forced swim test at 1 week.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedThe psychoplastogen framework posits that psychedelics exert therapeutic effects through rapid induction of structural neuroplasticity (dendritic branching, spinogenesis) rather than through the subjective psychedelic experience itself. 4-HO-DiPT's sustained antidepressant-like effects in rodents (persisting 1 week after a single dose despite a 40-minute half-life) and its potential TrkB binding support a plasticity-mediated mechanism[18]model confidence 90%
Verified

The abstract directly supports the TrkB/BDNF plasticity mechanism as independent of 5-HT2A activation, which is the core of the psychoplastogen framework as applied here. Psilocin (structurally highly similar to 4-HO-DiPT) is cited as a TrkB-binding psychedelic.

Psychedelic antidepressant effects depend on TrkB binding and BDNF signaling, independent of 5-HT2A activation.

checked by claude-sonnet-4-6 · Apr 26, 2026

pharmacokinetic detail3 claims2verified1inconclusive
verifiedThe 40-minute half-life following subcutaneous RE104 administration in rats is consistent with the 2–3 hour total subjective duration observed in human self-reports, assuming approximately 3–4 half-lives to reach sub-threshold plasma concentrations[5]model confidence 90%
Verified

The abstract directly confirms the 40-minute half-life and 2–3 hour psychedelic duration in the RE104 model. The 3–4 half-lives calculation is an analytic inference by the article author, not directly from the abstract, but the underlying data supports it.

4-OH-DiPT half-life 40 min after s.c. RE104 in rats. Short duration (2-3h) psychedelic effects.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedMetabolic data derive from human hepatocyte studies of the prodrug 4-AcO-DiPT[14]model confidence 99%
Verified

The abstract directly confirms 4-AcO-DiPT metabolism was studied in human hepatocytes.

4-AcO-DiPT metabolism in human hepatocytes.

checked by claude-sonnet-4-6 · Apr 26, 2026

inconclusiveN-Dealkylation produces 4-HO-NiPT, a psychoactive metabolite that may contribute to the tail end of the experience[17]model confidence 85%
Inconclusive

The abstract confirms 4-HO-NiPT exists as a compound (synthesized and structurally characterized), but contains no pharmacological data, no psychoactivity assay results, and no discussion of its role in the experiential timeline. The psychoactivity claim is not verifiable from this abstract.

Synthesis of 4-HO-NiPT (3-{2-[(propan-2-yl)amino]ethyl}-1H-indol-4-ol, C13H18N2O) in 3 steps from 4-benzyloxyindole. Crystal structures of title compound and 3 synthetic precursors presented.

checked by claude-sonnet-4-6 · Apr 26, 2026

clinical evidence1 claim1verified
verifiedBryson et al. (2024) demonstrated that a single dose of RE104 (1 mg/kg s.c.) significantly reduced immobility in the forced swim test at 1 week versus vehicle (p < 0.001), indicating a sustained antidepressant-like effect outlasting acute drug exposure[5]model confidence 82%
Verified

The abstract confirms a significant antidepressant effect in the forced swim test at 1 week, consistent with the core finding. Specific details (1 mg/kg dose, p < 0.001) are not in the abstract but would be in the full paper's results; the abstract uses the word 'significant' suggesting statistical significance. The core finding is directly confirmed.

Significant antidepressant effect in forced swim test at 1 week.

checked by claude-sonnet-4-6 · Apr 26, 2026

safety8 claims7verified1inconclusive
inconclusivePreclinical studies of RE104 showed no evidence of acute organ toxicity in rats.[5]model confidence 90%
Inconclusive

The abstract describes preclinical pharmacology and PK of RE104 but makes no mention of toxicity assessments or organ safety findings. This data, if it exists, would be in the full paper.

Preclinical and translational characterization of RE104, a glutarate ester prodrug of 4-OH-DiPT.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedThe most dangerous pharmacological interactions involve additive serotonergic load. 4-HO-DiPT both directly activates 5-HT₂A receptors and inhibits SERT, creating a dual serotonergic mechanism that increases vulnerability to serotonin toxicity when combined with other serotonergic agents.[1]model confidence 90%
Verified

The abstract confirms both 5-HT2A agonism and SERT inhibition, providing the pharmacological basis for the claimed dual serotonergic mechanism. The inference about increased serotonin toxicity vulnerability from this dual mechanism is well-grounded in established pharmacology.

Ki ~120 nM at 5-HT2A; partial agonist at 5-HT2A; interacts with SERT and partially NET

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedTramadol inhibits SERT and NET, producing additive serotonergic load atop 4-HO-DiPT's own transporter inhibition and receptor agonism[19]model confidence 88%
Verified

The abstract confirms tramadol inhibits SERT in HEK293 cells and that combination with serotonergic agents leads to additive serotonin toxicity risk. NET inhibition is not explicitly mentioned in the abstract but the core claim about SERT inhibition and additive risk is well-supported.

Tramadol inhibits SERT in HEK293 cells. Combined with serotonergic agents leads to additive serotonin toxicity risk.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedTramadol inhibits SERT and NET, producing additive serotonergic load atop 4-HO-DiPT's own transporter inhibition and receptor agonism[20]model confidence 95%
Verified

The abstract explicitly confirms tramadol inhibits both serotonin (SERT) and norepinephrine (NET) reuptake and that serotonin toxicity may occur. Both transporter claims are directly supported.

Tramadol works as prodrug metabolized to active compounds inhibiting serotonin and norepinephrine reuptake. Serotonin toxicity may occur with accumulation of serotonin with tramadol.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedMAOIs block the enzymatic degradation of serotonin, and their combination with a direct 5-HT agonist and SERT inhibitor creates severe serotonin toxicity risk.[16]model confidence 82%
Verified

This review of indolealkylamine biotransformations and DDIs explicitly covers drug-drug interactions leading to serotonin toxicity. As a review of tryptamine DDIs, it supports the general principle that combining serotonergic agents (including MAOIs) with IAA drugs creates serotonin toxicity risk.

DDIs with IAA agents can lead to serotonin toxicity.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedMAOIs block the enzymatic degradation of serotonin, and their combination with a direct 5-HT agonist and SERT inhibitor creates severe serotonin toxicity risk.[21]model confidence 82%
Verified

This review of designer drugs including tryptamines explicitly covers adverse effects including serotonin toxicity. As a review paper covering 5-HT2A-mediated effects and serotonin toxicity as adverse effects of designer tryptamines, it supports this claim within its stated scope.

Covers adverse effects including serotonin toxicity.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedConcurrent MAOI use — severe serotonin toxicity risk by mechanism (direct 5-HT agonism + SERT inhibition + MAO blockade)[21]model confidence 82%
Verified

Review covers designer tryptamine adverse effects including serotonin toxicity, and the 5-HT2A agonism mechanism. This supports the serotonin toxicity risk classification for MAOI combination even without explicit MAOI mention, given the review's scope.

5-HT2A receptors mediate alterations of perception and cognition induced by serotonergic psychedelics. Covers adverse effects including serotonin toxicity.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedConcurrent tramadol use — dangerous additive serotonergic mechanism confirmed[19]model confidence 95%
Verified

The abstract directly confirms tramadol's SERT inhibition and additive serotonin toxicity risk when combined with serotonergic agents, including FDA safety communication on this topic.

Combined with serotonergic agents leads to additive serotonin toxicity risk. FDA issued safety communication in 2016 about opioids and serotonin syndrome.

checked by claude-sonnet-4-6 · Apr 26, 2026

comparative pharmacology5 claims3verified2inconclusive
verifiedIn the mouse head-twitch response assay — the standard rodent behavioural proxy for human psychedelic activity — 4-HO-DiPT (ED₅₀ = 3.46 μmol/kg) is approximately 4.3-fold less potent than psilocin (ED₅₀ = 0.81 μmol/kg)[12]model confidence 98%
Verified

The abstract directly confirms both ED50 values: 4-HO-DiPT at 3.46 μmol/kg and psilocin at 0.81 μmol/kg. The 4.3-fold calculation (3.46/0.81 = 4.27 ≈ 4.3) is arithmetically correct from the stated values.

4-HO-DiPT ED50=3.46 μmol/kg in mouse head-twitch response, less potent than psilocin (0.81).

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedAmong the 17 tryptamines evaluated by Klein et al. (2021), 4-HO-DiPT and its acetoxy prodrug 4-AcO-DiPT produced longer-lasting head-twitch responses than other 4-hydroxytryptamines in the same series[12]model confidence 97%
Verified

The abstract directly and precisely confirms that 4-HO-DiPT and 4-AcO-DiPT produced longer-lasting effects than other compounds in the series.

4-HO-DiPT and 4-AcO-DiPT produced longer-lasting effects than other compounds.

checked by claude-sonnet-4-6 · Apr 26, 2026

inconclusiveKlein et al. (2021) found that bulkier N-alkyl substituents reduce potency at 5-HT₂C relative to N,N-dimethyl (psilocin) or N,N-diethyl (4-HO-DET) analogs, while maintaining or increasing efficacy at 5-HT₂B[12]model confidence 75%
Inconclusive

The abstract confirms SAR investigation of 17 tryptamines with different N,N-dialkyl groups at 5-HT2A/2B/2C, but the specific finding about differential 5-HT2C vs. 5-HT2B potency as a function of N-alkyl bulk is not stated in the abstract. This receptor subtype SAR conclusion would be in the data tables.

SAR of 17 tryptamines with 4-hydroxy or 4-acetoxy groups and symmetrical/asymmetrical N,N-dialkyl substituents. All compounds full/partial agonists at 5-HT2A/2B/2C.

checked by claude-sonnet-4-6 · Apr 26, 2026

verifiedRickli et al. (2016) directly compared 4-HO-DiPT to classical hallucinogens and found that, like psilocin, it significantly interacts with SERT — a property not shared by lsd or mescaline[1]model confidence 90%
Verified

The abstract confirms direct comparison to classic hallucinogens, SERT interaction, and that this is 'unlike LSD.' Psilocin's SERT activity is a known structural class property for indolealkylamines. Mescaline is not mentioned but is a phenethylamine for which SERT activity is not expected.

interacts with SERT and partially NET, similar to MDMA but unlike LSD

checked by claude-sonnet-4-6 · Apr 26, 2026

inconclusive4-HO-DiPT occupies a clinically significant niche as one of the shortest-acting orally administered psychedelics (2–3 hours), placing it between smoked/vaporized dmt (~15–30 minutes) and psilocybin (4–6 hours)[22]model confidence 75%
Inconclusive

The review covers short-acting psychedelics for depression and includes DMT and 5-MeO-DMT, which provides general contextual support for the duration comparison. However, 4-HO-DiPT's specific 2–3 hour duration is not mentioned in the abstract, nor are the specific duration windows for DMT or psilocybin that anchor the comparison.

Review of ultra-fast short-acting psychedelics including 5-MeO-DMT and DMT for depression treatment.

checked by claude-sonnet-4-6 · Apr 26, 2026

05

Coverage & Gaps

effect links
186 links · 186 approved · 34 audited0/186 with evidence basis
interactions
2 approved pairs0/2 graded
06

Research Trail

substance-article pipeline-v5 Apr 26, 2026

StepSourceQueryResults
1database lookupPubChem4-HO-DiPT1 result, 1 selected
selection rationale

Single exact compound match - confirms all chemical identity data

2literature searchPubMed4-HO-DiPT 4-hydroxy-N,N-diisopropyltryptamine iprocin1 result, 1 selected
selection rationale

Only direct PubMed hit for 4-HO-DiPT; primary preclinical characterization paper with PK data

3literature searchOpenAlex4-HO-DiPT diisopropyltryptamine psychedelic tryptamine24 results, 5 selected
selection rationale

discarded 5: General NPS reviews and hallucinogen-dream comparisons not specific to 4-HO-DiPT

4clinical trial searchClinicalTrials.gov4-HO-DiPT diisopropyltryptamine0 results
selection rationale

No trials indexed under compound name

5literature searchPubMed4-hydroxy diisopropyltryptamine serotonin receptor binding pharmacology0 results
6literature searchPubMedtryptamine psychedelic serotonin 5-HT2A head twitch response receptor pharmacology10 results
selection rationale

discarded 10: Not directly relevant to 4-HO-DiPT specifically

7literature searchPubMedReceptor interaction profiles of novel psychoactive tryptamines compared with classic hallucinogens1 result, 1 selected
selection rationale

Key binding affinity paper specifically including 4-OH-DiPT

8web searchWebSearch4-HO-DiPT iprocin Shulgin TiHKAL synthesis history first report10 results, 2 selected
selection rationale

Historical synthesis origin and market appearance

9legal status searchWebSearch4-HO-DiPT legal status United States UK EU Canada Australia scheduling10 results, 3 selected
selection rationale

Legal status across jurisdictions

10web searchWebSearchRE104 4-HO-DiPT clinical trial IND FDA Reset Pharma10 results, 2 selected
selection rationale

Critical clinical development news

11document retrievalCrossrefDOI: 10.1002/jhet.55701401131 result, 1 selected
selection rationale

First synthesis paper confirmed by Crossref

12document retrievalErowidTiHKAL #17 4-HO-DiPT1 result, 1 selected
selection rationale

Primary Shulgin source for historical effects characterization

13web searchWebSearchRE104 4-HO-DiPT clinical trial IND FDA Reunion Neuroscience10 results, 3 selected
selection rationale

Critical recent regulatory and clinical development news

14web searchWebSearchDEA 2022 scheduling proposal 4-HO-DiPT withdrawal Federal Register10 results, 1 selected
selection rationale

Official DEA legal status documents

15literature searchPubMed4-hydroxy-N-isopropyltryptamine 4-HO-NiPT synthesis structure metabolite tryptamine0 results
selection rationale

Metabolite characterization papers

16literature searchPubMedInvestigation structure-activity relationships psilocybin analogues binding affinity1 result, 1 selected
selection rationale

Key SAR data with specific potency value for 4-HO-DiPT

17literature searchPubMedtramadol serotonin syndrome mechanism SERT inhibition toxicity2 results, 1 selected
selection rationale

Mechanistic basis for tramadol interaction warning

18legal status searchWebSearch4-HO-DiPT Australia Poisons Standard Schedule 910 results, 0 selected
selection rationale

Inconclusive - flagged as unverifiable for Australia

19document retrievalPsychedelic Science Review4-HO-DiPT binding affinity pharmacology1 result, 1 selected
selection rationale

Aggregated binding data and metabolite information with original source citations

Research document (raw, unedited pipeline output)
# Research Output: 4-HO-DiPT

**PSX ID:** PSX-0065  
**Research date:** 2026-04-26  
**Substance readiness:** Sparse/emerging (primary literature sparse; significant recent clinical development)

---

## Chemical Identity

**Verified against PubChem CID 21854225 [Ref 1-database], confirmed via Crossref for synthesis paper [Ref 8].**

| Field | Value | Source |
|---|---|---|
| Preferred name | 4-HO-DiPT / 4-OH-DiPT | PubChem |
| Common name | Iprocin | Wikipedia [Ref 20] |
| IUPAC name | 3-[2-[di(propan-2-yl)amino]ethyl]-1H-indol-4-ol | PubChem CID 21854225 |
| CAS (free base) | 132328-45-1 | Psychedelic Science Review [Ref 19] |
| CAS (HCl salt) | 63065-90-7 | Cayman Chemical (web) |
| PubChem CID | 21854225 | PubChem |
| Molecular formula | C₁₆H₂₄N₂O | PubChem |
| Molecular weight | 260.37 g/mol | PubChem |
| InChIKey | KBRYKXCBGISXQV-UHFFFAOYSA-N | PubChem |
| SMILES | CC(N(C(C)C)CCc1c[nH]c2c1c(O)ccc2)C | Multiple web sources |
| MDL number | MFCD04972059 | ChemicalBook |
| FDA UNII | YG9OUS518B | ChemicalBook |

**Physical properties:**
- Appearance: White powder (Psychedelic Science Review [Ref 19])
- Melting point (HCl salt): 263°C (TiHKAL synthesis data [Ref 12])
- Boiling point (predicted): 424.9 ± 35.0°C (ChemicalBook, computational prediction)
- Density (predicted): 1.084 ± 0.06 g/cm³ (ChemicalBook, computational prediction)
- pKa (predicted): 9.83 ± 0.40 (ChemicalBook, computational prediction)

**Brief comparison with the seed data:** The brief was missing molecular formula, molecular weight, InChIKey, CAS number, PubChem CID, and SMILES — all now verified. The systematic name in the brief (3-[2-[di(propan-2-yl)amino]ethyl]-1H-indol-4-ol) matches PubChem exactly.

**Structural description:** 4-HO-DiPT is a substituted tryptamine that differs from psilocin (4-HO-DMT) by the replacement of both N,N-dimethyl groups with isopropyl groups. It bears a hydroxyl group at the C4 position of the indole ring and a N,N-diisopropyl substitution on the terminal amine of the tryptamine backbone.

---

## Pharmacology

### Receptor Binding

The most directly relevant binding study is Rickli et al. (2016 [Ref 4]), which explicitly tested 4-OH-DiPT against classic hallucinogens:

- **5-HT₂A:** Ki = ~120 nM (IC₅₀ = 150 nM) — partial to full agonist (Rickli et al. 2016 [Ref 4])
- **SERT:** Significant interaction (similar to psilocin; unlike LSD and mescaline) (Rickli et al. 2016 [Ref 4])
- **NET:** Partial interaction (Rickli et al. 2016 [Ref 4])

A second binding dataset (Glatfelter et al. 2023 [Ref 3], via Psychedelic Science Review [Ref 19]) reports broader receptor profiling:
- **5-HT₂A:** Ki = 728–922 nM
- **5-HT₂B:** Ki = 85–460 nM
- **5-HT₁A:** Ki = 5,700 nM
- **5-HT₂C:** Ki = 2,800 nM
- **5-HT₁D:** Ki = 1,860 nM
- **SERT:** Ki = 816–1,800 nM
- **Sigma-1:** Ki = 1,063 nM
- **M4:** Ki = 1,725 nM

> **⚠️ FLAG FOR REVIEW:** The Ki at 5-HT₂A differs substantially between Rickli 2016 (~120 nM) and Glatfelter 2023 (728–922 nM). This likely reflects different radioligand binding assays, cell lines, or expression systems across labs, rather than a data error. The Rickli 2016 value comes from a direct comparison study using cloned human receptors (European Neuropsychopharmacology). The generation agent should present both values with assay context and note the methodological discrepancy.

**Functional activity at serotonin GPCRs:** Kelly et al. (2024 [Ref 2]) profiled 4-OH-DiPT at all 12 human 5-HT GPCRs and classified it as a near-full agonist at 5-HT₂A, 5-HT₂B, and 5-HT₂C. Sex differences in potency were documented in mice, with female animals showing greater potency than males.

**In vivo activity (rodent):**
- Head-twitch response (HTR) ED₅₀ = 3.46 μmol/kg in C57BL/6J mice (Klein et al. 2021 [Ref 16]) — less potent than psilocin (ED₅₀ = 0.81 μmol/kg) in the same assay
- HTR ED₅₀ = 1.03 mg/kg i.p. in mice (Psychedelic Science Review [Ref 19], citing primary data)
- 4-HO-DiPT and 4-AcO-DiPT produced longer-lasting effects compared to other 4-hydroxy tryptamines in the Klein et al. (2021 [Ref 16]) series

**Class context:** Klein et al. (2021 [Ref 16]) tested 17 tryptamines and found that bulkier N-alkyl groups (like the diisopropyl group in 4-HO-DiPT) reduce potency at 5-HT₂C relative to smaller substitutions, while maintaining or increasing efficacy at 5-HT₂B. All 4-hydroxy tryptamines acted as full or partial agonists at 5-HT₂A/2B/2C.

**Neuroplasticity:** By class inference with psilocin (Moliner et al. 2023 [Ref 23]), 4-hydroxytryptamines may bind TrkB (BDNF receptor) with high affinity, contributing to antidepressant effects independent of 5-HT₂A activation. No 4-HO-DiPT-specific TrkB data available.

### Mechanism of Action

4-HO-DiPT is a serotonin receptor agonist acting primarily at 5-HT₂A receptors to produce psychedelic effects. Unlike LSD, it also inhibits SERT (and partially NET), giving it a pharmacological profile closer to psilocin than to classical phenethylamine psychedelics (Rickli et al. 2016 [Ref 4]). The 5-HT₂A agonism is the primary driver of its psychedelic-like behavioral effects, as demonstrated by blockade of head-twitch response with 5-HT₂A antagonists in rodent models (Klein et al. 2021 [Ref 16]; Kelly et al. 2024 [Ref 2]).

Kelly et al. (2024 [Ref 2]) demonstrated that 4-OH-DiPT enhances fear extinction via 5-HT₂A activation of interneurons in the basolateral amygdala (BLA), increasing GABAergic inhibition of principal neurons — a mechanism that may underlie the therapeutic potential of short-acting psychedelics in anxiety and PTSD-related conditions.

### Pharmacokinetics

**In rats (after s.c. RE104 prodrug):**
- 4-OH-DiPT half-life: 40 minutes (Bryson et al. 2024 [Ref 1])
- Plasma concentration correlated with head-twitch intensity in rats
- Clinical duration 2–3 hours (consistent with short half-life)

**Note:** No human oral bioavailability PK data for the free compound published to date. All PK data are from preclinical rodent studies using the RE104 prodrug.

### Metabolism

**Data source:** Human hepatocyte data derives from the closely related compound 4-AcO-DiPT (a prodrug of 4-OH-DiPT via ester hydrolysis). Malaca et al. (2022 [Ref 10]) conducted a human hepatocyte metabolite profiling study:

- **Primary metabolite pathway:** O-glucuronidation of the 4-OH group
- **Other Phase I pathways:** N-oxidation, N-dealkylation (producing 4-HO-NiPT)
- **Phase II:** O-sulfation, glucuronidation
- **6 metabolites** identified in human hepatocytes at 3 hours
- **Active metabolite:** 4-HO-NiPT (N-monoisopropyltryptamine), characterized and confirmed to possess psychedelic-like activity (Laban et al. 2023 [Ref 9])

**CYP enzyme involvement:**
- CYP2D6: IC₅₀ = 9.6 μM (most potently inhibited; from PSR data [Ref 19])
- CYP3A: IC₅₀ = 115 μM (weaker inhibition)
- By structural analogy with 5-MeO-2-Me-DiPT (Caspar et al. 2017 [Ref 22]): CYP2D6, CYP2C19, and CYP3A4 involved in N-dealkylation and hydroxylation; CYP1A2 in hydroxylation
- The Yu (2008 [Ref 7]) review confirms CYP2D6 is the key polymorphic enzyme for IAA metabolism as a class

> **⚠️ FLAG FOR REVIEW:** 4-HO-DiPT metabolism data is inferred from 4-AcO-DiPT (a prodrug of 4-OH-DiPT) and structurally related DIPT analogs. No direct published human metabolism studies for 4-HO-DiPT free base exist. This is a meaningful gap for the pharmacology section.

---

## History

**First synthesis (1977):** 4-HO-DiPT was first reported in the chemical literature by David Repke, William Ferguson, and David Bates in 1977 in a paper titled "Psilocin analogs. 1. Synthesis of 3-[2-(dialkylamino)ethyl]-and 3-[2-(cycloalkylamino)ethyl] indol-4-ols" published in the *Journal of Heterocyclic Chemistry* (Repke et al. 1977 [Ref 8]). This paper reported the synthesis of seven psilocin analogs, including 4-HO-DiPT. The synthesis employed 4-acetoxyindole, oxalyl chloride, diisopropylamine, and lithium aluminum hydride reduction, yielding the hydrochloride salt.

**Shulgin characterization (1997):** Alexander Shulgin and Ann Shulgin documented the synthesis and human effects of 4-HO-DiPT in TiHKAL (Tryptamines I Have Known and Loved), entry #17, published by Transform Press in 1997 (Shulgin & Shulgin 1997 [Ref 12]). Shulgin characterized it as a compound notable for its exceptional speed of onset, intensity, and brevity among oral psychedelics. He wrote: "I truly doubt that there is another psychedelic drug...that can match this one for speed, intensity, brevity, and dose sensitivity." Shulgin reported doses of 15–20 mg orally and a total duration of approximately 2–3 hours.

**Designer drug appearance (c. 2005):** 4-HO-DiPT was first encountered as a novel designer drug on the European market around 2005, as reviewed by Tittarelli et al. (2015 [Ref 5]).

**Regulatory history (2022):** The US Drug Enforcement Administration (DEA) published a Notice of Proposed Rulemaking on January 14, 2022, proposing to place 4-hydroxy-N,N-diisopropyltryptamine (4-OH-DiPT) and four other tryptamines in Schedule I of the Controlled Substances Act (Federal Register 2022 [Ref 13]). Following receipt of numerous public comments and four requests for a hearing, the DEA withdrew the proposed rule on July 27, 2022, stating it would submit a new request to HHS for updated scientific and medical evaluation [Ref 13].

**Clinical development (2023–2026):** Reunion Neuroscience developed RE104 (luvesilocin), a glutarate ester prodrug of 4-OH-DiPT administered subcutaneously, for the treatment of postpartum depression (PPD). The FDA cleared the IND for the Phase 2 RECONNECT trial in September 2023. Results presented at the American College of Neuropsychopharmacology (ACNP) Annual Meeting in January 2026 showed the trial met its primary endpoint (RECONNECT, NCT06342310 [Ref 15]; Bryson et al. 2024 [Ref 1]). The FDA granted Breakthrough Therapy Designation to luvesilocin for PPD on February 23, 2026 (Reunion Neuroscience 2026 [Ref 14]).

---

## Subjective Effects

**Source note:** No published controlled dosing studies in humans for 4-HO-DiPT as a standalone compound exist in the peer-reviewed literature as of 2026. Human effects data derives from Shulgin's TiHKAL (1997 [Ref 12]) and reports from recreational users collected by Erowid and related platforms. Clinical trial data (from the RECONNECT study) characterizes subjective effects of luvesilocin, not free 4-HO-DiPT. All human effects descriptions below are user-report-only unless otherwise noted.

**Onset and duration (user reports + TiHKAL):**
- Onset: 15–20 minutes oral (TiHKAL [Ref 12]; consistent with RE104 pharmacokinetics in rats [Ref 1])
- Peak: 20–30 minutes after onset
- Duration: 2–3 hours total (TiHKAL [Ref 12])
- Baseline restored: ~3 hours at common doses
- **Notably short:** Among orally administered serotonergic psychedelics, 4-HO-DiPT is reported to be one of the shortest-acting compounds known (multiple sources [Ref 19, 20])
- Steep dose-response curve: Shulgin noted significant sensitivity to small dose changes (TiHKAL [Ref 12])

**Dose-effect data from TiHKAL ([Ref 12]):**
- Threshold: below 10 mg (largely inactive)
- Common: 15–20 mg oral
- Strong: ~20 mg (described as "plus-three" intensity)
- No trials above 20 mg reported by Shulgin

**Perceptual effects (user reports):**
- Visual: color enhancement, rainbow halos, mild object distortion, tracers and after-images; closed-eye visuals minimal compared to psilocin
- Auditory: some auditory enhancement reported
- Minimal compared to psilocin for visual complexity per Shulgin

**Physical effects (user reports):**
- Leg tremors and muscle loosening
- Mild stimulation
- Mild elation
- Chill-like sensations
- Vague body malaise
- Elevated heart rate (user reports; no clinical measurement)
- Pupil dilation (expected by class)

**Psychological effects (user reports):**
- Introspective insights and novel personal perspectives
- Mild to strong cognitive euphoria dose-dependent
- Short duration may reduce integration challenges compared to longer-acting psychedelics

**Preclinical behavioral data:**
- Fear extinction enhancement in mice, dose- and sex-dependently, via 5-HT₂A/BLA GABAergic mechanism (Kelly et al. 2024 [Ref 2])
- Head-twitch response in mice indicative of 5-HT₂A activation (Klein et al. 2021 [Ref 16]; Bryson et al. 2024 [Ref 1])

**Duration note re seed data:** The seed data duration values (onset 15–30 min, come-up 20–40 min, peak 60–90 min, total 2–4 h) are broadly consistent with TiHKAL and preclinical data, though the come-up duration in the seed data appears extended relative to TiHKAL's description of peak onset at ~20–30 min post-ingestion. The total duration of 2–4 h in the seed data is on the high end relative to the 2–3 h consistently reported by Shulgin and Bryson et al.

---

## Safety & Toxicity

**⚠️ FLAG FOR REVIEW (safety-critical):** No published LD₅₀ data exists for 4-HO-DiPT in any species. No published human clinical pharmacology data for the free compound exists. Safety data from the RECONNECT Phase 2 trial characterizes luvesilocin (the prodrug), not 4-HO-DiPT administered orally.

**Acute toxicity (clinical trial data — luvesilocin/prodrug, s.c.):**
- Most common adverse events: nausea (43.9%) and headache (34.1%), both mild to moderate (RECONNECT Phase 2, NCT06342310 [Ref 15])
- No serious adverse events observed
- No treatment-emergent suicidal ideation or behavior in either dose group

**Animal data:**
- No published LD₅₀ in rodents or other species found
- Head-twitch response (psychedelic-like effects) confirmed in mice at doses of ~1 mg/kg i.p. and above (Klein et al. 2021 [Ref 16]; Bryson et al. 2024 [Ref 1])
- No evidence of acute organ toxicity in preclinical studies using RE104 (Bryson et al. 2024 [Ref 1])

**User-reported adverse effects (no clinical measurement):**
- Leg tremors, muscle tension, body malaise
- Elevated heart rate reported anecdotally
- No deaths reported in published literature or harm reduction databases as of 2026

**Psychological risks (class-based inference):**
- Risk of challenging or difficult experiences ("bad trips") with cannabis co-administration — cannabis may amplify psychedelic effects unpredictably (PsychonautWiki, harm reduction community reports [Ref 20])
- Steep dose-response curve means small dose increases can produce significantly more intense effects — high risk of unintended intensity

**Toxicity data flag (from brief):** The brief notes "toxic dose is unknown" — confirmed by this research. No LD₅₀ or toxic dose threshold has been published.

---

## Harm Reduction

**Testing:** 4-HO-DiPT reacts positively with Ehrlich reagent (produces purple color, characteristic of indole-containing compounds). Marquis reagent expected to produce black coloration typical of indole psychedelics. No published formal reagent testing protocol specific to 4-HO-DiPT found.

**Dose sensitivity:** The steep dose-response curve documented by Shulgin (TiHKAL [Ref 12]) warrants particular caution. At 15 mg, effects are mild; at 20 mg, effects were described as "plus-three" intensity. Dose titration with small increments recommended.

**Set and setting:** As with all serotonergic psychedelics, adverse psychological experiences are context-dependent. No 4-HO-DiPT-specific published harm reduction protocols exist.

**Duration advantage:** The short duration (2–3 hours) represents both a potential therapeutic advantage and a harm reduction consideration — briefer exposure window reduces the duration of any adverse psychological effects.

**Emergency response:** No published emergency response guidance specific to 4-HO-DiPT. Class-based protocol: supportive care, minimize stimulation, benzodiazepines for severe anxiety or agitation.

**Contraindications (by class inference; no compound-specific data):**
- MAO inhibitors (MAOIs) — severe serotonin syndrome risk
- Tramadol — dangerous (see Interactions)
- Lithium — risk of seizures with serotonergic psychedelics (class-based; specific data absent)
- Personal or family history of psychosis or bipolar disorder with psychotic features

---

## Tolerance & Dependence

**Note:** No published compound-specific tolerance or dependence studies exist for 4-HO-DiPT. All data below is by class inference from the serotonergic psychedelic literature.

**Tolerance mechanism:** Cross-tolerance with other serotonergic psychedelics via 5-HT₂A receptor downregulation/desensitization following activation. Repeated activation of 5-HT₂A by psychedelics produces rapid receptor downregulation; LSD-induced tolerance data shows frontal cortex 5-HT₂A binding decreases after repeated dosing (Dolder et al. 2017, cited in tolerance literature).

**Tolerance timeline (from seed data, consistent with class literature):**
- Buildup: Near-immediately after ingestion
- Half-life: ~3 days
- Full reset: ~7 days

**Cross-tolerance:** Bidirectional cross-tolerance with other serotonergic psychedelics (psilocin, LSD, DMT, mescaline) by mechanism and by reported user experience.

**Dependence:** Not considered habit-forming. No evidence of physical dependence or withdrawal syndrome in published literature.

**⚠️ FLAG FOR REVIEW:** Tolerance timeline data in the seed data (3-day half-life, 7-day reset) is not verified against a published source specifically for 4-HO-DiPT. These values are consistent with general serotonergic psychedelic class data but should be labeled as class-inferred rather than compound-specific.

---

## Interactions

### Tramadol: Dangerous
**Mechanism confirmed (Baldo 2018 [Ref 21]; Pergolizzi et al. 2022 [Ref 25]):**
Tramadol inhibits the serotonin transporter (SERT) and norepinephrine transporter (NET), increasing synaptic serotonin levels. Combined with 4-HO-DiPT's 5-HT₂A agonism (and its own SERT inhibition per Rickli 2016 [Ref 4]), the combination creates additive serotonergic load. The FDA issued a Drug Safety Communication in 2016 regarding opioids and serotonin syndrome risk. The tramadol: dangerous classification in the seed data is pharmacologically supported.

### Cannabis: Unknown / Potentially Risky
Community and harm reduction sources report that cannabis can amplify 4-HO-DiPT effects unpredictably, significantly increasing risk of adverse psychological reactions including anxiety, paranoia, panic attacks, and psychosis (user reports, community sources [Ref 20]). No published clinical or preclinical data on this specific interaction.

### MAO Inhibitors (class inference — NOT in seed data but should be flagged)
Both 4-HO-DiPT and MAOIs are serotonergic agents. By analogy with other tryptamines (Yu 2008 [Ref 7]; Luethi & Liechti 2020 [Ref 6]), combined use risks severe serotonin toxicity. This interaction is not listed in the current seed data but should be considered for the contraindications field.

### SSRIs/SNRIs (class inference)
Chronic SSRI use may attenuate psychedelic effects via 5-HT₂A downregulation; acute combination risks serotonin syndrome. No 4-HO-DiPT-specific data.

---

## Legal Status

### United States
Unscheduled at the federal level as of 2026. The DEA proposed Schedule I placement on January 14, 2022 (Federal Register Vol. 87, No. 10 [Ref 13]) for 4-OH-DiPT alongside DiPT, 5-MeO-AMT, 5-MeO-MiPT, and 5-MeO-DET. Following public comments and four hearing requests, the DEA withdrew the proposed rule on July 27, 2022 (Federal Register Vol. 87, No. 143 [Ref 13]), citing the need for updated scientific evaluation from HHS. 4-HO-DiPT may be prosecuted under the Federal Analogue Act as a structural analog of psilocin (a Schedule I substance). Florida: Schedule I controlled substance at the state level.

### United Kingdom
Class A drug under the Misuse of Drugs Act 1971, captured by the generic tryptamine "catch-all clause." Simple possession carries up to 7 years imprisonment; supply/production up to life [Ref 20].

### Canada
Not a controlled substance as of 2025 [Ref 20].

### Germany
Scheduled under the Neue-Psychoaktive-Stoffe-Gesetz (NpSG, New Psychoactive Substances Act). Use of covered substances permitted only for industrial and scientific purposes [Ref 20].

### Australia
**⚠️ FLAG FOR REVIEW — UNRESOLVED:** No explicit listing of 4-HO-DiPT found in Australia's Poisons Standard or the Commonwealth Criminal Code Regulations 2019. Australia's Criminal Code Regulations do include drug analogue provisions; 4-HO-DiPT may be captured as an analog of psilocin (a Schedule 9 substance) under those provisions, but this requires direct verification of the current Poisons Standard. Australia-specific legal status should be confirmed by consulting the current SUSMP/Poisons Standard before publication.

---

## Clinical Trials

### RECONNECT Phase 2 Trial (NCT06342310)

**Drug:** Luvesilocin (formerly RE104; 4-glutarato-N,N-diisopropyltryptamine), a subcutaneously administered prodrug that rapidly cleaves in vivo to release 4-OH-DiPT.

**Sponsor:** Reunion Neuroscience Inc.

**Phase:** 2

**Design:** Multicenter, randomized, double-blind, parallel-group, active-dose placebo-controlled

**Condition:** Postpartum depression (PPD), moderate to severe (HAMD-17 ≥ 24)

**Intervention:** Single subcutaneous dose; luvesilocin 30 mg vs. 1.5 mg (subperceptual active control)

**Enrollment:** 84 adult female patients (n=41 at 30 mg; n=43 at 1.5 mg)

**Primary endpoint:** Change from baseline in MADRS total score on Day 7

**Key results (reported at ACNP Annual Meeting, January 2026 [Ref 14, 15]):**
- Met primary endpoint: statistically significant and clinically meaningful MADRS reduction on Day 7 (p = 0.0094)
- Rapid efficacy from Day 1 through Day 28
- Response rate (≥50% MADRS reduction): 77.1% (30 mg) vs. 61.6% (1.5 mg) at Day 7
- Remission rate (MADRS ≤10): 71.4% (30 mg) vs. 41.0% (1.5 mg) at Day 7
- 70% remission at both Day 7 and Day 28 (30 mg group)
- Most common adverse events: nausea (43.9%), headache (34.1%), both mild to moderate
- No serious adverse events; no treatment-emergent suicidal ideation

**Regulatory status:**
- FDA IND cleared: September 2023
- FDA Breakthrough Therapy Designation granted: February 23, 2026 (Reunion Neuroscience [Ref 14])

**Preclinical support (Bryson et al. 2024 [Ref 1]):**
- 4-OH-DiPT half-life: 40 min after s.c. RE104 in rats
- Plasma 4-HO-DiPT correlated with head-twitch intensity in rats
- Single dose RE104 (1 mg/kg) significantly reduced immobility in forced swim test at 1 week vs. vehicle (p < 0.001) — antidepressant-like effect

### Clinical Trial Searches (No Additional Trials Found)
Searches of ClinicalTrials.gov for "4-HO-DiPT," "4-hydroxy diisopropyltryptamine," and "luvesilocin" returned no additional trials beyond NCT06342310. No Phase 3 trial registered as of research date.

---

## Community Feedback Analysis

No community feedback was submitted in Part A2 of the brief. Standard research directives applied.

---

## Gaps & Flags

### Safety-Critical Flags (require editorial review before publication)

1. **No LD₅₀ data:** No lethal dose has been established for 4-HO-DiPT in any species. The seed data notes "toxic dose is unknown" — confirmed.

2. **Binding affinity discrepancy:** Rickli et al. 2016 [Ref 4] reports 5-HT₂A Ki ~120 nM; Glatfelter 2023 [Ref 3] (via PSR [Ref 19]) reports 728–922 nM. These cannot be reconciled without full-text access to assay methodology. The generation agent should present both values with source context and note methodological differences as the likely explanation.

3. **Tolerance timeline not compound-verified:** Seed data tolerance values (3-day half-life, 7-day reset) are plausible and consistent with the serotonergic psychedelic class but are not verified against a 4-HO-DiPT-specific published source. Should be labeled "class-inferred."

4. **Dose/duration discrepancy:** Seed data onset is 15–30 min, come-up 20–40 min. TiHKAL [Ref 12] reports onset at 15–20 min with peak ~20–30 min post-ingestion, suggesting the come-up is faster than the seed data implies. Seed data heavy dose (30+ mg) is not documented in published literature (Shulgin did not report trials above 20 mg). Flag for editorial review before publication.

5. **MAOI interaction absent from seed data:** Not listed in the brief's known interactions, but by pharmacological mechanism (tryptamine + MAOI = severe serotonin syndrome risk) this interaction is class-critical and should be added to contraindications.

6. **Australia legal status unresolved:** No specific scheduling found in Poisons Standard searches. Should be confirmed against current SUSMP before publication.

### Data Gaps (absence noted; not fabricated)

- No published human PK study for orally administered free 4-HO-DiPT
- No published oral bioavailability data
- No controlled human pharmacology study for free compound
- No published LD₅₀ or NOAEL
- No published case reports of acute toxicity, hospitalization, or death
- No direct TrkB binding data for 4-HO-DiPT (class inference from Moliner 2023)
- No published compound-specific tolerance kinetics
- No published data on interactions with lithium, antipsychotics, benzodiazepines
- No stereochemistry issues — 4-HO-DiPT has no chiral centers

### Structural Inference Noted

The following sections rely primarily on structural/class analogy:
- Metabolism CYP enzyme profile (from 4-AcO-DiPT and related DIPT analogs)
- MAOI interaction risk
- Tolerance mechanism and timeline
- TrkB neuroplasticity pathway
- Australia legal status (analog provisions)