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4F-EPH Facts

Stimulant; Phenidate; Dopamine reuptake inhibitor

Dose and durationby route · individual sensitivity varies

Oral(mg)
Threshold< 5 mgLight5 – 10 mgCommon10 – 15 mgStrong15 – 30 mgHeavy30+ mg

Starts in 10 – 25 minLasts 5 – 6 hoursAfter-effects 4 – 12 hours

Body and dependence

Acute toxicity
Moderate
Chronic toxicity
Moderate
Physical dependence
Moderate
Psychological dependence
Moderate
Withdrawal
Mild
Compulsive redosing
Moderate

Tolerance

Builds
Moderate
Fully resets after
10 days
Carries over to
amphetamine; cocaine; methylphenidate; ethylphenidate; 4F-MPH

Effectslikely at a common dose

Body
Appetite suppression; Insomnia; Pupil dilation; Stimulation; Wakefulness; +16 possible, including Heart rate perception changes, Vasoconstriction, Dehydration sensation
Thinking
Cognitive euphoria; +10 possible, including Compulsive redosing urge, Cognitive dysphoria
Feeling
Euphoria; +6 possible, including Anhedonia, Anxiety, Depression
Self
none likely · 7 possible, including Craving, Ego inflation, Compulsive repetitive behavior
Awareness
Sustained attention (vicara); +1 possible

Who shouldn't take it

Absolute
Cardiovascular disease; Hypertension; Cardiac arrhythmia; History of psychosis; Bipolar disorder; Pregnancy; Lactation; Concurrent MAOI use; Concurrent tramadol use
Relative
Seizure disorder; Hepatic impairment

Combinations62 recorded

Lethal (2)
Ibogaine; Tramadol
Dangerous (29)
Alpha-2 adrenergic receptor antagonist; Amphetamines; Benzodiazepines, Barbiturates; Ephedrine, Pseudoephedrine; Local anesthetics; MAOIs; MDMA, Amphetamines; MDMA, MDA; NDRIs (Wellbutrin); NRIs; Opioids; SSRIs; Stimulants; Anticholinergics; Antipsychotics; Buspirone; Caffeine; Dopamine agonists; DXM; GHB, Baclofen; GHB, GBL; Ketamine, DXM, PCP; Lithium; NSAIDs; and 5 more, see full page
Caution (28)
See full page: psychedex.org/substances/4f-eph
Not graded (3)
Not listed never means safe.

Seek help immediately if

  • Chest pain; racing, pounding, or irregular heartbeat
  • Very high body temperature; heavy sweating; hot, flushed skin
  • Severe agitation, paranoia, panic, or confusion
  • Severe headache; muscle rigidity or twitching
  • Seizures
  • Signs of stroke — face drooping, one-sided weakness, slurred speech
  • Difficulty breathing; collapse or unconsciousness

What to do

  1. Call emergency services for chest pain, overheating, seizure, or unresponsiveness
  2. Move them to a cool, quiet place and reduce stimulation
  3. Cool the body — remove excess clothing, apply cool damp cloths, fan them
  4. Keep them calm; reassure — panic worsens the cardiovascular strain
  5. If seizing, protect from injury (don't restrain); recovery position afterward
  6. Monitor breathing and be ready to give rescue breaths / CPR

Most stimulant overdoses settle with cooling, a calm environment, and time. The medical danger is hyperthermia, cardiac events (arrhythmia, heart attack, stroke), and seizures — get help immediately if any appear.

988 Suicide & Crisis LifelineFireside Project: 62-FIRESIDE

psychedex.org/substances/4f-eph · Version r1 · Not medical adviceValues as of
On the printout