Claim in safety — inconclusiveinconclusiveworking →
Claim in safety — inconclusiveinconclusiveworking →
Onset occurs 30–90 minutes after ingestion (range 30–180 minutes in pediatric patients)supported
symptoms at 30-180 min pmid:1347320
Severe intoxications may produce coma, seizures or myoclonic activity (documented in 4 of 9 pediatric cases), acute respiratory failure, and delirium.supported
Case report: coma after accidental A. muscaria poisoning 2021_002212
Severe intoxications may produce coma, seizures or myoclonic activity (documented in 4 of 9 pediatric cases), acute respiratory failure, and delirium.supported
Two case reports of severe intoxication in elderly individuals with rapid-onset GI symptoms, CNS depression toxins17120570
Severe intoxications may produce coma, seizures or myoclonic activity (documented in 4 of 9 pediatric cases), acute respiratory failure, and delirium.supported
seizures in 4/9; CNS depression, ataxia, obtundation, hallucinations, hyperkinetic behavior pmid:1347320
Benjamin specifically noted the absence of prominent anticholinergic or cholinergic signs in a pediatric case series. Atropine is not recommended for A. muscaria poisoning and does not address the central GABAergic/glutamatergic mechanism.supported
no anticholinergic/cholinergic signs; complete recovery pmid:1347320
Acute psychological adverse effects include anxiety, paranoia, confusion, and disorientation, commonly reported at moderate-to-high dosessupported
Themes: adverse effects, perceived positive outcomes, reasons for use, modes of consumption, thought perceptions 10826084.2025.2476141
A community thematic analysis identified adverse psychological effects as self-limiting in most cases, but clinical case reports document more severe outcomes.supported
adverse effects were minimal and primarily self-limiting 10826084.2025.2476141
Prolonged psychosis lasting five days — with visual and auditory hallucinations, paranoid ideation, and developing 18 hours after ingestion — has been documented in at least one casesupported
5-day paranoid psychosis after A. muscaria ingestion... Delayed onset of psychosis 18 hours after ingestion persisting 5 days with visual and auditory hallucinations pmid:16810488
In a case series of five young recreational users (ages 18–21), four experienced visual and auditory hallucinations and one lost consciousness; all recovered within four days without organ complications.supported
Five young persons (18-21) ate dried fly agaric for hallucinations. Four had visual/auditory hallucinations; one lost consciousness. Resolved without organ complications after 4 days. pmid:15904689
Claim in safety — inconclusiveinconclusiveworking →
Both compounds appear to undergo minimal hepatic metabolism, suggesting low CYP-mediated interaction potential, but this has not been formally studied.supported
both rapidly absorbed from GI tract and excreted in urine s00414-011-0599-9
Children demonstrate increased susceptibility to seizures from ibotenic acid/muscimol exposure: seizures occurred in 4 of 9 pediatric cases in the largest published case series.supported
seizures in 4/9; no anticholinergic/cholinergic signs; complete recovery pmid:1347320
Two cases of severe A. muscaria poisoning in elderly spouses requiring hospitalization have been documented.supported
Two case reports of severe intoxication in elderly individuals with rapid-onset GI symptoms, CNS depression, and cholinergic features requiring atropine infusion toxins17120570
Pre-existing psychotic disorders or psychosis vulnerability constitute a relative contraindication given the documented case of prolonged paranoid psychosis and the deliriant character of higher-dose experiences.supported
5-day paranoid psychosis after A. muscaria ingestion... Delayed onset of psychosis 18 hours after ingestion pmid:16810488
Muscimol is excreted substantially unmetabolized via the kidneys; renal impairment could theoretically prolong effect duration and increase accumulation risk.supported
both rapidly absorbed from GI tract and excreted in urine s00414-011-0599-9