5F-AKB48 Facts
Cannabinoid;
Dose and durationby route · individual sensitivity varies
Smoked(mg)
Threshold< 0.5 mgLight0.5 – 1 mgCommon1 – 2 mgStrong2 – 4 mgHeavy4+ mg
Starts in 0 – 20 minLasts 30 – 60 minAfter-effects 15 – 30 min
Body and dependence
- Acute toxicity
- High
- Chronic toxicity
- Moderate
- Physical dependence
- Moderate
- Psychological dependence
- Moderate
- Withdrawal
- Moderate
- Compulsive redosing
- Moderate
Tolerance
- Builds
- Moderate
- Fully resets after
- 10.5 days
- Carries over to
- cannabis;
synthetic cannabinoids
Effectslikely at a common dose
- Perception
- none likely · 4 possible, including Vestibular distortion, Spatial disorientation
- Body
- Body high;
+17 possible, including Motor control impairment, Dizziness, Heart rate perception changes - Thinking
- none likely · 18 possible, including Cognitive impairment, Analysis suppression, Decision impairment
- Feeling
- none likely · 7 possible, including Anxiety, Paranoia, Dysphoria
- Self
- none likely · 7 possible, including Communication suppression, Craving, Derealization
- Time
- none likely · 2 possible, including Temporal disorientation
Who shouldn't take it
Absolute
Long QT syndrome; Ischemic heart disease; Concurrent QT-prolonging medication use; Pregnancy and lactation
Relative
Seizure disorders; Psychotic disorders; Hepatic impairment; Chronic kidney disease
Combinations60 recorded
Dangerous (27)
Benzodiazepines, Barbiturates; GHB, Baclofen; GHB, GBL; Opioids; Alpha-2 adrenergic receptor antagonist; Atypical antipsychotics; Benzodiazepines; Caffeine; Cannabis; Cannabis, THC; Clonidine, Guanfacine; Ephedrine, Pseudoephedrine; Gabapentin, Pregabalin; Ketamine, DXM, PCP; Lithium; Local anesthetics; MAOIs; MDMA, MDA; NDRIs (Wellbutrin); Salvia, Ibogaine; SNRIs; SSRIs; THC; Buspirone; and 3 more, see full page
Caution (22)
See full page: psychedex.org/substances/5f-akb48
Not graded (11)
Not listed never means safe.
Seek help immediately if
Natural cannabis rarely causes a medical emergency — "greening out" is: pale/sweaty skin, dizziness, nausea or vomiting, anxiety or panic, rapid heartbeat, feeling faint — and usually passes with rest.
Seek emergency help for these — far more likely with synthetic cannabinoids ("spice" / K2):
- Seizures
- Severe chest pain; very fast or irregular heartbeat
- Unresponsiveness or extreme drowsiness
- Severe agitation, aggression, or psychosis
- Repeated vomiting; difficulty breathing
What to do
- Sit or lie them down somewhere calm, cool, and quiet
- Reassure them — cannabis panic and "greening out" pass with time
- Offer sips of water; a little sugar can help if they feel faint
- Recovery position if nauseated, drowsy, or vomiting
- Stay with them and monitor
- For seizures, chest pain, unresponsiveness, or severe agitation, call emergency services
Natural cannabis "greening out" resolves with rest, calm, and time, with no lasting harm. Synthetic cannabinoids are unpredictable and can cause seizures, cardiac events, kidney injury, and severe agitation that needs emergency care.
988 Suicide & Crisis LifelineFireside Project: 62-FIRESIDE
psychedex.org/substances/5f-akb48 · Version r1 · Not medical adviceValues as of