4-MeO-PCP Facts
Dissociative;
Dose and durationby route · individual sensitivity varies
Oral(mg)
Threshold< 25 mgLight25 – 50 mgCommon50 – 100 mgStrong100 – 150 mgHeavy250+ mg
Starts in 30 – 90 minLasts 12 – 20 hoursAfter-effects 4 – 12 hours
Also recorded: Insufflated. See full page: psychedex.org/substances/4-meo-pcp
Body and dependence
- Acute toxicity
- Moderate
- Chronic toxicity
- Moderate
- Physical dependence
- Low
- Psychological dependence
- Moderate
- Withdrawal
- Mild
- Compulsive redosing
- Low
Tolerance
- Builds
- Moderate
- Fully resets after
- 10 days
- Carries over to
- PCP;
3-MeO-PCP; ketamine; methoxetamine; dextromethorphan
Effectslikely at a common dose
- Perception
- none likely · 16 possible, including Spatial disorientation, Vestibular distortion, Visual acuity suppression
- Body
- Motor control impairment;
Sedation; +25 possible, including Dizziness, Insomnia, Nystagmus (eye wobbles) - Thinking
- Cognitive impairment;
+26 possible, including Memory suppression, Analysis suppression, Confusion - Feeling
- none likely · 11 possible, including Anxiety, Emotional lability, Empathy suppression
- Self
- none likely · 8 possible, including Depersonalization, Derealization, Social disconnection
- Time
- Time alteration;
+1 possible, including Temporal disorientation - Awareness
- none likely · 1 possible
Who shouldn't take it
Absolute
Psychotic disorders; Pregnancy
Relative
Cardiovascular disease; Epilepsy; Bipolar disorder; Hepatic impairment; Renal impairment; Concurrent serotonergic medications
Combinations61 recorded
Lethal (2)
GHB, GBL; Ibogaine
Dangerous (35)
Amphetamines; Benzodiazepines; Buprenorphine, Kratom; Ephedrine, Pseudoephedrine; Naltrexone; NDRIs (Wellbutrin); NRIs; NSAIDs; Opioids; THC; Anticholinergics; Antihistamines; Atypical antipsychotics; Benzodiazepines, Barbiturates; Buspirone; Caffeine; Clonidine, Guanfacine; Dopamine agonists; Gabapentin, Pregabalin; GHB, Baclofen; Ketamine, DXM, PCP; Lithium; Local anesthetics; MAOIs; and 11 more, see full page
Caution (21)
See full page: psychedex.org/substances/4-meo-pcp
Not graded (3)
Not listed never means safe.
Seek help immediately if
- Severe disorientation; unable to move or speak (deep dissociation / "k-hole")
- Complete loss of coordination — cannot stand or walk safely
- Vomiting while incapacitated (choking / aspiration risk)
- Very high blood pressure; fast heart rate
- Slow or shallow breathing at high doses (especially mixed with depressants)
- Unconsciousness; rarely, seizures
What to do
- Move them somewhere safe, away from stairs, water, roads, and sharp edges — they cannot protect themselves
- Place in the recovery position if vomiting or unconscious (aspiration is a key risk)
- Stay with them and reassure calmly; keep the environment quiet
- If breathing is slow/shallow or they are unresponsive, call emergency services
- Do not let them wander; do not leave them alone
- Be ready to give rescue breaths / CPR
Effects wear off with time in a safe, monitored setting. The main dangers are physical injury and aspiration while incapacitated, and respiratory depression when combined with other depressants — not the dissociation itself.
988 Suicide & Crisis LifelineFireside Project: 62-FIRESIDE
psychedex.org/substances/4-meo-pcp · Version r1 · Not medical adviceValues as of