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Lethal interactions

Specific substances

  • PCPlethal

By drug class

  • MAOIslethal2 mechanismsconfidence high

Dangerous interactions

19 dangerous interactions recorded for this substance.

See the full interactions table

Contraindications

Cardiovascular

  • cardiovascular diseaserelative

    cardiac arrhythmias, uncontrolled hypertension, structural heart disease

    Tachycardia is documented across multiple case reports. Pre-existing cardiac conditions increase risk from sympathomimetic cardiovascular stress.

Neurological

  • epilepsyrelative

    One case of cyclic myoclonus has been documented. Individuals with epilepsy or lowered seizure threshold should consider this a relative contraindication.

Psychiatric

  • bipolar disorderabsolute

    Bipolar disorder (type I or II) is contraindicated due to risk of triggering manic or mixed episodes. The stimulating character of 5-MeO-DALT may further increase this risk.

  • psychotic disordersabsolute

    Personal or family history of psychotic disorders (schizophrenia, schizoaffective disorder) represents an absolute contraindication. 5-MeO-DALT's confirmed 5-HT2A agonism carries the established class risk of psychosis precipitation.

Hepatic

  • hepatic impairmentrelative

    Significant hepatic impairment reduces clearance, potentially prolonging and intensifying exposure.

Pregnancy & Breastfeeding

  • pregnancyabsolute

    No reproductive or developmental toxicity data exist. Use during pregnancy or breastfeeding is absolutely contraindicated.

Other

  • concurrent MAOI useabsolute

    Concurrent use with MAO inhibitors is absolutely contraindicated. 5-MeO-DALT is metabolized by CYP enzymes with probable MAO involvement; MAO inhibition would substantially increase plasma levels and serotonergic activity.

  • concurrent serotonergic medicationrelative

    Concurrent use with SSRIs, SNRIs, tramadol, or triptans carries elevated serotonin syndrome risk.

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