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Sources
20
2 strong · 18 moderate

Studies and references cited across this article, graded by evidence strength.

Claims checked
61
38verified9partial14inconclusive

Inconclusive means the cited source neither confirms nor refutes the claim — a lower-confidence badge, not an error.

Generated
May 14, 2026 · pipeline-v5
Values approved
178/178 (100%)

Data points an editor reviewed and accepted for publication.

01

Value Provenance

Safety

Toxicity Profiletrace

FieldPublishedAI ProposedConfidence
Acutemoderatemoderatemedium
Chroniclowlowmedium
Organs Affectedcardiovascular, gastrointestinal, central nervous systemcardiovascular, gastrointestinal, central nervous systemmedium
Editorial

Acute toxicity rated moderate based on prominent cardiovascular effects documented in historical human administration studies (not API-verified) and near-universal gastrointestinal distress. Chronic toxicity rated low based on mouse chronic IP study (Vigerelli 2018) showing no organ damage at effective dose. No human LD50 or fatalities documented. Confidence medium because cardiovascular toxicity data comes from 1950s–60s studies not retrievable via API, and no peer-reviewed adverse event case reports specific to yopo exist.

Reasoning

Acute toxicity rated moderate based on prominent cardiovascular effects documented in historical human administration studies (not API-verified) and near-universal gastrointestinal distress. Chronic toxicity rated low based on mouse chronic IP study (Vigerelli 2018) showing no organ damage at effective dose. No human LD50 or fatalities documented. Confidence medium because cardiovascular toxicity data comes from 1950s–60s studies not retrievable via API, and no peer-reviewed adverse event case reports specific to yopo exist.

Evidence basis: animal_study

Dependence Profiletrace

FieldPublishedAI ProposedConfidence
Physicalnonenonemedium
Psychologicalnegligiblenegligiblemedium
Compulsive Redosingnegligiblenegligiblemedium
Dose Escalationnegligiblenegligiblemedium
Editorial

Dependence profile extrapolated from the classical serotonergic psychedelic class (psilocybin, DMT, LSD). No bufotenine-specific dependence studies exist. The 5-HT₂A agonist mechanism and rapid tolerance via receptor downregulation are shared class features. Confidence medium because this is class extrapolation, not substance-specific data.

Reasoning

Dependence profile extrapolated from the classical serotonergic psychedelic class (psilocybin, DMT, LSD). No bufotenine-specific dependence studies exist. The 5-HT₂A agonist mechanism and rapid tolerance via receptor downregulation are shared class features. Confidence medium because this is class extrapolation, not substance-specific data.

Evidence basis: structural_analogy

Withdrawal Profiletrace

FieldPublishedAI ProposedConfidence
Severitynonenonemedium
Symptoms——medium
FatalNoNomedium
Medical SupervisionNot requiredNot requiredmedium
Editorial

No withdrawal syndrome documented for bufotenine, yopo, or any classical serotonergic psychedelic. Class-level evidence from psilocybin, LSD, and DMT consistently shows absence of physical withdrawal.

Reasoning

No withdrawal syndrome documented for bufotenine, yopo, or any classical serotonergic psychedelic. Class-level evidence from psilocybin, LSD, and DMT consistently shows absence of physical withdrawal.

Evidence basis: structural_analogy

Tolerance Profiletrace

FieldPublishedAI ProposedConfidence
Builduprapidrapidmedium
Half-life——medium
Full Reset7 days7 daysmedium
Cross-tolerancesLSD, psilocybin, DMT, mescaline, DOILSD, psilocybin, DMT, mescaline, DOImedium
Editorial

Tolerance mechanism confirmed for the serotonergic psychedelic class via 5-HT₂A downregulation (de la Fuente Revenga 2022). Cross-tolerance demonstrated between LSD and DOI. Full reset estimated at 5–7 days based on DMT/psilocybin analogs. Confidence medium because no bufotenine-specific tolerance study exists; this is entirely class extrapolation.

Reasoning

Tolerance mechanism confirmed for the serotonergic psychedelic class via 5-HT₂A downregulation (de la Fuente Revenga 2022). Cross-tolerance demonstrated between LSD and DOI. Full reset estimated at 5–7 days based on DMT/psilocybin analogs. Confidence medium because no bufotenine-specific tolerance study exists; this is entirely class extrapolation.

Evidence basis: structural_analogy

Effects & Profile

Contraindications

FieldPublishedAI ProposedConfidence
other MAO inhibitor co-administrationtraceabsoluteabsolutehigh
Editorial

Pharmacokinetic mechanism confirmed in CYP2D6-humanized mouse studies (Shen et al. 2010; Zhou et al. 2013). Magnitude of exposure increase (up to 9.9×) places this at absolute severity.

Reasoning

Pharmacokinetic mechanism confirmed in CYP2D6-humanized mouse studies (Shen et al. 2010; Zhou et al. 2013). Magnitude of exposure increase (up to 9.9×) places this at absolute severity.

cardiovascular Cardiovascular diseasetraceabsoluteabsolutehigh
Editorial

Cardiovascular stimulation is well-documented across multiple source types (historical human studies, traditional accounts, pharmacological mechanism via peripheral 5-HT receptors). Documented in article safety section with citations.

Reasoning

Cardiovascular stimulation is well-documented across multiple source types (historical human studies, traditional accounts, pharmacological mechanism via peripheral 5-HT receptors). Documented in article safety section with citations.

psychiatric Psychotic disorderstraceabsoluteabsolutehigh
Editorial

Class-level contraindication for serotonergic psychedelics based on 5-HT₂A agonism and psychotomimetic activity. Supported by pharmacological review (Nichols 2016).

Reasoning

Class-level contraindication for serotonergic psychedelics based on 5-HT₂A agonism and psychotomimetic activity. Supported by pharmacological review (Nichols 2016).

pregnancy breastfeeding Pregnancytraceabsoluteabsolutemedium
Editorial

Structural inference based on molecular weight and lipophilicity. No substance-specific reproductive toxicity data. Flagged as safety-citation-needed in article prose.

Reasoning

Structural inference based on molecular weight and lipophilicity. No substance-specific reproductive toxicity data. Flagged as safety-citation-needed in article prose.

hepatic Hepatic impairmenttracerelativerelativelow
Editorial

Mechanism-based inference from MAO-A's role as the primary metabolic inactivation pathway. No substance-specific data; flagged as safety-citation-needed in prose.

Reasoning

Mechanism-based inference from MAO-A's role as the primary metabolic inactivation pathway. No substance-specific data; flagged as safety-citation-needed in prose.

other SSRI/SNRI usetracerelativerelativemedium
Editorial

Pharmacodynamic mechanism supported by serotonergic drug interaction literature (Volpi-Abadie et al. 2013). No yopo-specific case report; severity based on class pharmacodynamic mechanism.

Reasoning

Pharmacodynamic mechanism supported by serotonergic drug interaction literature (Volpi-Abadie et al. 2013). No yopo-specific case report; severity based on class pharmacodynamic mechanism.

other CYP2D6 inhibitor usetracerelativerelativemedium
Editorial

Pharmacokinetic mechanism confirmed in CYP2D6 polymorphism studies (Shen et al. 2010). Classified as moderate based on mechanism; no clinical case report.

Reasoning

Pharmacokinetic mechanism confirmed in CYP2D6 polymorphism studies (Shen et al. 2010). Classified as moderate based on mechanism; no clinical case report.

psychiatric Bipolar disorder (manic phase)tracerelativerelativelow
Editorial

Class-level contraindication extrapolated from classical psychedelic literature. No bufotenine-specific evidence.

Reasoning

Class-level contraindication extrapolated from classical psychedelic literature. No bufotenine-specific evidence.

psychiatric Severe anxiety disorderstracerelativerelativelow
Editorial

Class-level risk for serotonergic psychedelics, amplified by yopo's unusually rapid onset and intense somatic effects. Based on traditional accounts and pharmacological mechanism.

Reasoning

Class-level risk for serotonergic psychedelics, amplified by yopo's unusually rapid onset and intense somatic effects. Based on traditional accounts and pharmacological mechanism.

neurological Seizure disorderstracerelativerelativelow
Editorial

Class-level speculative contraindication from work-notes. No bufotenine-specific seizure data exist. Proposed per Phase 1 obligation with low confidence.

Reasoning

Class-level speculative contraindication from work-notes. No bufotenine-specific seizure data exist. Proposed per Phase 1 obligation with low confidence.

Dose Tier Summaries

thresholdtrace
low

Minimal perceptual changes at the threshold range. Slight shifts in visual texture or brightness may be noticed but remain ambiguous — difficult to distinguish from placebo. Cognitive effects are sub-psychedelic; normal thought patterns are preserved. Mild nasal irritation from the snuff is the most prominent physical sensation. Slight nausea may occur but is often absent at this level. Cardiovascular changes — if present — are subtle and may not be consciously perceived. No functional impairment expected. Dose-to-effect variability is high across seed batches due to differences in provenance, maturity, and storage duration. A threshold dose from one batch may produce light-level effects from another. All dose values derive from ICEERS (non-peer-reviewed).

Editorial

Threshold effects inferred from ICEERS dose range (~30 mg prepared snuff) and general classical psychedelic threshold phenomenology. No peer-reviewed dose-response study exists for any yopo preparation.

Reasoning

Threshold effects inferred from ICEERS dose range (~30 mg prepared snuff) and general classical psychedelic threshold phenomenology. No peer-reviewed dose-response study exists for any yopo preparation.

Evidence basis: community_consensus_small

lighttrace
low

Mild visual distortion becomes apparent — subtle color enhancement, gentle visual drifting, and slight brightness alteration. Internal imagery may appear with eyes closed but lacks the geometric complexity of higher doses. Cognitive effects remain minimal; introspection enhancement is mild. Nausea becomes detectable and cardiovascular stimulation begins — slight increase in heart rate and possible warmth or flushing in the face. Watery eyes and mild dizziness are common. The somatic load is noticeable but manageable. Functional impairment is mild. The experience lasts 20–40 minutes for primary effects. Batch variability remains significant at this range — alkaloid content differences between seeds can shift the effective tier.

Editorial

Light-tier effects extrapolated from ICEERS dose range (65–300 mg snuff) and traditional accounts of sub-full-dose yopo experiences. No controlled study data.

Reasoning

Light-tier effects extrapolated from ICEERS dose range (65–300 mg snuff) and traditional accounts of sub-full-dose yopo experiences. No controlled study data.

Evidence basis: community_consensus_small

commontrace
low

Full psychedelic effects emerge. Geometry — colored geometric patterns, both open-eye and closed-eye — becomes prominent. Color enhancement and color alteration are vivid. Visual drifting and visual breathing are clearly perceptible. Internal hallucinations may feature structured imagery. Time alteration is marked; minutes may feel substantially longer or shorter. Nausea and vomiting are likely at this level — vomiting is considered a normal component of the experience in traditional contexts. Cardiovascular stimulation is significant: tachycardia, facial flushing, and vasoconstriction are expected. Dizziness, muscle tension, and stimulation accompany the perceptual effects. Pupil dilation is probable. Cognitive disruption includes confusion and thought disorganization, particularly during onset. Introspection enhancement and emotional enhancement emerge as the peak develops. This is the characteristic yopo experience. Functional impairment is substantial; a sitter is advisable. Primary effects last 20–60 minutes.

Editorial

Common-tier effects from ICEERS dose range (300–540 mg snuff), traditional accounts (Rodd 2002, Rodd & Sumabila 2011), and pharmacological mechanism (5-HT₂A agonism). No controlled human study.

Reasoning

Common-tier effects from ICEERS dose range (300–540 mg snuff), traditional accounts (Rodd 2002, Rodd & Sumabila 2011), and pharmacological mechanism (5-HT₂A agonism). No controlled human study.

Evidence basis: community_consensus_small

strongtrace
low

Intense visual hallucinations dominate — vivid geometry, external hallucinations, perspective distortion, and depth perception distortion. Internal hallucinations become immersive. Ego dissolution may occur, with boundary dissolution and depersonalization. Transpersonal experiences — entity contact, transpersonal visions — are reported in traditional shamanic contexts at these doses. Severe nausea and vomiting are expected. Cardiovascular stimulation is pronounced — facial purpling from vasoconstriction has been documented historically. Bodily heaviness, excessive sweating, and respiratory stimulation may accompany the intense somatic load. Physical discomfort is substantial and cannot be separated from the psychoactive effects. Cognitive impairment is significant: confusion, analysis suppression, thought disorganization, and temporal disorientation are prominent. Anxiety risk is elevated. Amnesia for portions of the experience is possible. A trusted sitter and safe physical environment are essential.

Editorial

Strong-tier effects from ICEERS dose range (540–800 mg snuff), traditional shamanic accounts describing intense visionary experiences, and historical human bufotenine studies documenting facial purpling at higher doses. No controlled data.

Reasoning

Strong-tier effects from ICEERS dose range (540–800 mg snuff), traditional shamanic accounts describing intense visionary experiences, and historical human bufotenine studies documenting facial purpling at higher doses. No controlled data.

Evidence basis: community_consensus_small

heavytrace
low

Overwhelming perceptual disruption with complete loss of normal sensory processing. External hallucinations may become indistinguishable from reality. Reality testing impairment is severe. Delirium is possible. Ego dissolution is likely, with potential for death-rebirth sequences and near-death-like experiences in traditional accounts. Severe cardiovascular effects — intense tachycardia, hypertension, and pronounced vasoconstriction — represent the primary acute medical risk at this level. Nausea and vomiting are intense and sustained. The physical experience is described as extremely demanding even in traditional ceremonial contexts with experienced guides. High risk of acute psychological distress including panic, paranoia, and psychotic-like episodes. Cognitive function is profoundly impaired. This dose range is not recommended outside supervised traditional contexts. Alkaloid variability across batches makes accidental heavy-dose exposure possible even with measured weights. Medical monitoring capability should be available.

Editorial

Heavy-tier effects extrapolated from ICEERS dose range (>800 mg snuff), traditional accounts of extreme ceremonial doses, and classical psychedelic heavy-dose phenomenology. Cardiovascular risk emphasis from historical bufotenine studies. No controlled data.

Reasoning

Heavy-tier effects extrapolated from ICEERS dose range (>800 mg snuff), traditional accounts of extreme ceremonial doses, and classical psychedelic heavy-dose phenomenology. Cardiovascular risk emphasis from historical bufotenine studies. No controlled data.

Evidence basis: community_consensus_small

02

History

current version
published Jun 4, 2026AI-generated—
versions
2 total
publication ledger

backfill Jun 4, 2026

backfill Mar 17, 2026

Historical versions do not record which reviewer approved them; editorial accountability is recorded per value in the database and in the publication ledger going forward.

03

Sources

2 strong · 18 moderate
  1. [1]
    moderate
    Chemical evidence for the use of multiple psychotropic plants in a 1,000-year-old ritual bundle from South America
    Miller MJ, Albarracin-Jordan J, Moore C, Capriles JM · 2019 · Proceedings of the National Academy of Sciences
    doi.org/10.1073/pnas.1902174116pubmed 310611282 claims checked1 verified1 partial
  2. [2]
    moderate
    Structural insights into tryptamine psychedelics: The role of hydroxyl indole ring site in 5-HT2A receptor activation and psychedelic-like activity
    Zhang M, Yang Y, Yang Z, et al. · 2025 · European Journal of Medicinal Chemistry
    doi.org/10.1016/j.ejmech.2024.117049pubmed 395418724 claims checked3 verified1 partial
  3. [3]
    moderate
    Recreational use, analysis and toxicity of tryptamines.
    Tittarelli R, Mannocchi G, Pantano F, Romolo FS · 2015 · Current neuropharmacology
  4. [4]
    moderate
    Tolerance and Cross-Tolerance among Psychedelic and Nonpsychedelic 5-HT2A Receptor Agonists in Mice
    de la Fuente Revenga M, Jaster AM, McGinn J, Silva G, Saha S, Gonzalez-Maeso J · 2022 · ACS Chemical Neuroscience
    doi.org/10.1021/acschemneuro.2c00170pubmed 359008763 claims checked2 verified1 partial
  5. [5]
    moderate
    Effects of monoamine oxidase inhibitor and cytochrome P450 2D6 status on 5-methoxy-N,N-dimethyltryptamine metabolism and pharmacokinetics
    Shen HW, Wu C, Jiang XL, Yu AM · 2010 · Biochemical Pharmacology
    doi.org/10.1016/j.bcp.2010.02.020pubmed 202061399 claims checked8 verified1 partial
  6. [6]
    moderate
    Snuff synergy: preparation, use and pharmacology of yopo and Banisteriopsis caapi among the Piaroa of southern Venezuela
    Rodd R · 2002 · Journal of Psychoactive Drugs
    pubmed 124229375 claims checked2 verified3 inconclusive
  7. [7]
    moderate
    Yopo, ethnicity and social change: a comparative analysis of Piaroa and Cuiva yopo use
    Rodd R, Sumabila A · 2011 · Journal of Psychoactive Drugs
    doi.org/10.1080/02791072.2011.566499pubmed 216150063 claims checked2 verified1 inconclusive
  8. [8]
    moderate
    Depicting the mating system and patterns of contemporary pollen flow in trees of the genus Anadenanthera (Fabaceae)
    Feres JM, Nazareno AG, Borges LM, et al. · 2021 · PeerJ
  9. [9]
    moderate
    Anthropogenic edges, isolation and the flowering time and fruit set of Anadenanthera peregrina, a cerrado savanna tree
    Athayde EA, Morellato LP · 2014 · International Journal of Biometeorology
    pubmed 240776732 claims checked1 verified1 partial
  10. [10]
    moderate
    Bark anatomy, chemical composition and ethanol-water extract composition of Anadenanthera peregrina and Anadenanthera colubrina
    Mota GS, Sartori CJ, Miranda I, et al. · 2017 · PLOS ONE
    doi.org/10.1371/journal.pone.0189263pubmed 292816562 claims checked1 verified1 inconclusive
  11. [11]
    moderate
    Phytochemical characterization, and antioxidant and antibacterial activities of the hydroethanolic extract of Anadenanthera peregrina stem bark
    Marinho TA, Oliveira MG, Menezes-Filho ACP, et al. · 2021 · Brazilian Journal of Biology
  12. [12]
    moderate
    Structural pharmacology and therapeutic potential of 5-methoxytryptamines.
    Warren AL, Lankri D, Cunningham MJ, Serrano IC, Parise LF, Kruegel AC, Duggan P, Zilberg G, Capper MJ, Havel V, Russo SJ, Sames D, Wacker D · 2024 · Nature
  13. [13]
    moderate
    Administration of N,N-dimethyltryptamine (DMT) in psychedelic therapeutics and research and the study of endogenous DMT
    Barker SA · 2022 · Psychopharmacology
  14. [14]
    strong
    Psychedelics in Psychiatry: Neuroplastic, Immunomodulatory, and Neurotransmitter Mechanisms
    Inserra A, De Gregorio D, Gobbi G · 2021 · Pharmacological Reviews
  15. [15]
    moderate
    Psychedelic 5-methoxy-N,N-dimethyltryptamine: metabolism, pharmacokinetics, drug interactions, and pharmacological actions
    Shen HW, Jiang XL, Winter JC, Yu AM · 2010 · Current Drug Metabolism
    pubmed 209427803 claims checked3 verified
  16. [16]
    moderate
    Pharmacokinetic interactions between monoamine oxidase A inhibitor harmaline and 5-methoxy-N,N-dimethyltryptamine, and the impact of CYP2D6 status
    Jiang XL, Shen HW, Mager DE, Yu AM · 2013 · Drug Metabolism and Disposition
    doi.org/10.1124/dmd.112.050724pubmed 233932205 claims checked3 verified2 partial
  17. [17]
    moderate
    Contribution of a helix 5 locus to selectivity of hallucinogenic and nonhallucinogenic ligands for the human 5-hydroxytryptamine2A and 5-hydroxytryptamine2C receptors
    Almaula N, Ebersole BJ, Ballesteros JA, Weinstein H, Sealfon SC · 1996 · Molecular Pharmacology
    pubmed 87001161 claim checked1 inconclusive
  18. [18]
    moderate
    Biological Effects and Biodistribution of Bufotenine on Mice
    Vigerelli H, Sciani JM, Eula MAC, Sato LA, Antoniazzi MM, Jared C, Pimenta DC · 2018 · BioMed Research International
    doi.org/10.1155/2018/1032638pubmed 299555984 claims checked3 verified1 partial
  19. [19]
    strong
    Flashback phenomena after administration of LSD and psilocybin in controlled studies with healthy participants
    Müller F, Kraus E, Holze F, Becker A, Ley L, Schmid Y, Vizeli P, Liechti ME, Borgwardt S · 2022 · Psychopharmacology
  20. [20]
    moderate
    Indolealkylamines: biotransformations and potential drug-drug interactions
    Yu AM · 2008 · The AAPS Journal
    doi.org/10.1208/s12248-008-9028-5pubmed 184543224 claims checked3 verified1 partial
04

Claim Verification

Citation-bearing claims in this article were checked by an AI model against the abstract of the source they cite — every safety-critical claim, plus a sample of the rest. Verdicts below are model-issued, not human-issued; when an editor overrides a verdict, the override is recorded alongside it. Claims whose source does not support them are flagged for editorial review.

summary5 claims3verified1partial1inconclusive
inconclusiveCardiovascular stimulation — tachycardia, hypertension, and peripheral vasoconstriction producing facial flushing — is prominent at psychoactive doses and constitutes the primary acute medical risk[3]model confidence 50%
Inconclusive

Abstract not available. Paper scope covers tryptamine toxicology and bufotenine adverse effects, so the data likely exists in the full text.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedNo physical dependence syndrome has been documented; rapid tolerance via 5-HT₂A receptor downregulation makes dose-escalation self-limiting[4]model confidence 85%
Verified

Abstract confirms rapid tolerance via 5-HT2A receptor downregulation in frontal cortex. The 'no physical dependence' assertion is not contradicted and is consistent with the tolerance-without-dependence mechanism described.

Tolerance involves 5-HT2A downregulation in mouse frontal cortex.

checked by claude-sonnet-4-6 · May 14, 2026

partialThe use of A. peregrina seeds as ritual snuff constitutes one of the oldest documented psychoactive plant practices in the Americas, with the first European account recorded in 1496 and archaeological chemical evidence dating to approximately 1,000 CE[1]model confidence 82%
Partial

Abstract directly confirms the ~1,000 CE archaeological chemical evidence (bufotenine, DMT, harmine, cocaine in ritual bundle from Lípez Altiplano). However, the claim about the first European account recorded in 1496 is a specific date assertion not present in or confirmed by this abstract.

Chemical traces of bufotenine, dimethyltryptamine, harmine, and cocaine were identified in a ritual bundle (~1,000 CE) from Lípez Altiplano, southwestern Bolivia.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedBufotenine acts as an agonist at 5-HT₂A receptors, forming a stable salt bridge with residue D155 in the receptor binding site and eliciting the head twitch response — a validated rodent proxy for hallucinogenic activity[2]model confidence 92%
Verified

Abstract confirms bufotenine's 5-HT2A agonism, stable salt bridge with D155, and 'psychedelic-like activities,' which encompasses the head twitch response as the standard behavioral proxy.

bufotenine forms stable salt bridge and hydrogen bond with residue D155 in the 5-HT2AR binding site.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedCo-administration with MAO inhibitors increases systemic alkaloid exposure 3.6–9.9-fold and represents the most dangerous pharmacokinetic interaction[5]model confidence 93%
Verified

Abstract precisely confirms 3.6–4.4x higher 5-MeO-DMT and 9.9–6.1x higher bufotenine exposure with harmaline pretreatment. The 'most dangerous' characterization is an editorial judgment well supported by the magnitude of the PK change.

Harmaline pretreatment led to 3.6-4.4x higher 5-MeO-DMT and 9.9-6.1x higher bufotenine exposure.

checked by claude-sonnet-4-6 · May 14, 2026

history4 claims3verified1inconclusive
verifiedArchaeological residue analysis from a ritual bundle in the Lípez Altiplano, Bolivia (approximately 1,000 CE) identified bufotenine and DMT alongside harmine and cocaine in snuffing paraphernalia, providing the oldest biochemically confirmed evidence of combined Anadenanthera and ayahuasca-like admixture use.[1]model confidence 90%
Verified

Abstract directly confirms all four compounds (bufotenine, DMT, harmine, cocaine), the location (Lípez Altiplano, Bolivia), and the date (~1,000 CE). The Anadenanthera attribution via bufotenine in the fox-snout pouch is confirmed.

Chemical traces of bufotenine, dimethyltryptamine, harmine, and cocaine were identified in a ritual bundle (~1,000 CE) from Lípez Altiplano, southwestern Bolivia. Bufotenine in the fox-snout pouch indicates Anadenanthera seeds were present.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedAmong the Piaroa of southern Venezuela, shamans add Banisteriopsis caapi cuttings to yopo preparation and consume B. caapi doses prior to snuff inhalation to modulate vision intensity; yopo occupies a central position in cosmological narratives and shamanic identity[6]model confidence 88%
Verified

Abstract directly confirms Piaroa shamans add B. caapi cuttings and consume B. caapi prior to snuff inhalation. Details about modulating vision intensity and cosmological role would be in the full text of this ethnobotanical study.

Piaroa shamans include B. caapi cuttings in the preparation of yopo and consume doses of B. caapi prior to snuff inhalation.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedAmong the Cuiva of Colombia and Venezuela, yopo consumption has been linked to cultural resistance and assertion of indigenous identity in the context of ongoing social change.[7]model confidence 85%
Verified

Abstract confirms this study covers Cuiva yopo use in the context of ongoing social change. Cultural resistance and indigenous identity are reasonable inferences within this framing.

This study contrasts Piaroa and Cuiva attitudes toward and uses of yopo in light of ongoing processes of social change.

checked by claude-sonnet-4-6 · May 14, 2026

inconclusiveThe resulting powder is blown through a long tube into the recipient's nostrils by an assistant, or self-administered with a Y-shaped tube.[6]model confidence 50%
Inconclusive

Abstract covers preparation and use of yopo broadly but does not describe the specific tube-based administration method. This detail would be in the full text of this preparation-and-use study.

Current understanding of the preparation and use of yopo, a hallucinogenic snuff made from the ground seeds of the Anadenanthera peregrina tree.

checked by claude-sonnet-4-6 · May 14, 2026

botanical overview7 claims5verified1partial1inconclusive
verifiedThe bark contains high condensed tannin content (587 mg catechin equivalents per gram extract) alongside gallic acid, catechin, epicatechin, flavonoids, saponins, phenols, and coumarins[10]model confidence 90%
Verified

Abstract confirms exactly 587 mg CE/g extract tannin content for A. peregrina. The phytochemical list (gallic acid, catechin, etc.) is covered by citation [3]; this citation covers its portion of the compound claim precisely.

tannins 587 mg CE/g extract.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedThe bark contains high condensed tannin content (587 mg catechin equivalents per gram extract) alongside gallic acid, catechin, epicatechin, flavonoids, saponins, phenols, and coumarins[11]model confidence 90%
Verified

Abstract directly confirms gallic acid, catechin, epicatechin, hemolytic saponins, phenols, coumarins, condensed tannins, and flavonoids via HPLC and phytochemical screening. The 587 mg CE/g figure is from [4]; this citation covers the phytochemical identity portion.

HPLC fingerprinting analysis of A. peregrina stem bark revealed the presence of gallic acid, catechin, and epicatechin. Phytochemical screening indicated... hemolytic saponins, phenols, coumarins, condensed tannins, flavonoids, catechins.

checked by claude-sonnet-4-6 · May 14, 2026

verified<div class="compact-kv"> <table> <tbody> <tr><td>Family</td><td>Fabaceae (Leguminosae), subfamily Mimosoideae</td></tr> <tr><td>Genus</td><td>Anadenanthera</td></tr> <tr><td>Species</td><td>Anadenanthera peregrina (L.) Speg.</td></tr> <tr><td>Native range</td><td>Caribbean and South Tropical America</td></tr> <tr><td>POWO accepted name</td><td>Anadenanthera peregrina (L.) Speg.</td></tr> <tr><td>Cultivation status</td><td>Primarily wild-harvested</td></tr> </tbody> </table> </div>[8]model confidence 85%
Verified

Abstract confirms Fabaceae family, Anadenanthera genus, and A. peregrina species. Native range (Caribbean and South Tropical America) is not contradicted; the 'endemic to Neotropics' statement is consistent.

Anadenanthera (Fabaceae) endemic to Neotropics; two species: A. colubrina and A. peregrina.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedThe genus Anadenanthera has historically been treated as containing two species — A. peregrina and A. colubrina (Vell.) Brenan[8]model confidence 98%
Verified

Abstract directly states Anadenanthera contains two species: A. colubrina and A. peregrina. Perfect match.

Anadenanthera (Fabaceae) endemic to Neotropics; two species: A. colubrina and A. peregrina.

checked by claude-sonnet-4-6 · May 14, 2026

partialTwo varieties are currently recognized under A. peregrina: var. peregrina, the primary cohoba and yopo source distributed across the Caribbean and northern South America, and var. falcata (Benth.) Altschul, native to Brazilian cerrado savanna.[9]model confidence 75%
Partial

Abstract confirms var. falcata in Brazilian cerrado savanna habitat. However, var. peregrina and its distribution across the Caribbean and northern South America are not mentioned. Only one of two varieties is confirmed.

A. peregrina var. falcata studied in cerrado savanna fragments.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedThe species inhabits seasonally dry tropical biomes, gallery forests, and savanna edges[9]model confidence 82%
Verified

Abstract confirms cerrado savanna habitat (a seasonally dry tropical biome) and edge ecology for A. peregrina var. falcata. Gallery forests are not mentioned but are not contradicted.

A. peregrina var. falcata studied in cerrado savanna fragments; edge/isolated trees flower earlier due to microclimatic conditions.

checked by claude-sonnet-4-6 · May 14, 2026

inconclusiveA. colubrina (cebil, vilca) is morphologically similar, and bark anatomy differences between the two species are insufficient for reliable taxonomic identification[10]model confidence 50%
Inconclusive

Abstract focuses on chemical composition data and does not address bark anatomy or taxonomic differentiation between A. peregrina and A. colubrina. Bark anatomy is covered in the paper (per title) but not in this abstract.

checked by claude-sonnet-4-6 · May 14, 2026

alkaloid profile2 claims2verified
verifiedAdmixture with Banisteriopsis caapi introduces harmaline and harmine (reversible MAO-A inhibitors), which inhibit enzymatic degradation of all three alkaloids and substantially increase systemic exposure; CYP2D6-mediated O-demethylation of 5-MeO-DMT to bufotenine is also modulated by harmaline at higher doses.[16]model confidence 90%
Verified

Abstract confirms harmaline (MAO-A inhibitor) sharply increases exposure to 5-MeO-DMT and bufotenine, and that higher harmaline doses (15 mg/kg) paradoxically reduce bufotenine via CYP2D6 inhibition — directly supporting the CYP2D6 modulation claim.

Greater harmaline dose (15 mg/kg) paradoxically reduced bufotenine due to CYP2D6 inhibition.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedAdmixture with Banisteriopsis caapi introduces harmaline and harmine (reversible MAO-A inhibitors), which inhibit enzymatic degradation of all three alkaloids and substantially increase systemic exposure; CYP2D6-mediated O-demethylation of 5-MeO-DMT to bufotenine is also modulated by harmaline at higher doses.[5]model confidence 90%
Verified

Abstract confirms MAOI harmaline sharply increased bufotenine formation and that CYP2D6 status (Tg-CYP2D6 mice) affected bufotenine exposure, supporting both MAO-A inhibition and CYP2D6 modulation.

MAOI harmaline sharply reduced 5-MeO-DMT depletion and increased bufotenine formation. Tg-CYP2D6 mice had 60% higher bufotenine exposure.

checked by claude-sonnet-4-6 · May 14, 2026

neuroscience16 claims10verified3partial3inconclusive
verifiedThis controversy has been resolved by more recent evidence: chronic intraperitoneal administration in mice demonstrated bufotenine accumulation in brain tissue at doses of 1.05–2.1 mg/animal/day over 21 days, and 5-HT₂A binding data with head twitch response confirmation establish central psychedelic activity.[18]model confidence 88%
Verified

Abstract confirms brain accumulation at higher doses (1.05 and 2.1 mg/animal/day) over 21 days. The 5-HT2A binding/HTR portion is covered by citation [7]; this citation covers its brain-penetration portion of the compound claim.

The alkaloid could be found in the heart and kidney with all doses and in the lungs and brain with higher doses.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedThis controversy has been resolved by more recent evidence: chronic intraperitoneal administration in mice demonstrated bufotenine accumulation in brain tissue at doses of 1.05–2.1 mg/animal/day over 21 days, and 5-HT₂A binding data with head twitch response confirmation establish central psychedelic activity.[2]model confidence 88%
Verified

Abstract confirms 5-HT2A agonism and psychedelic-like activity for bufotenine, covering the receptor binding/HTR portion of the compound claim. Brain accumulation portion is covered by citation [11].

Bufotenine (5-OH-DMT) and psilocin (4-OH-DMT) have lower binding free energies; bufotenine forms stable salt bridge and hydrogen bond with residue D155 in the 5-HT2AR binding site.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedBufotenine biodistribution data from mice (chronic intraperitoneal dosing) demonstrate accumulation in heart and kidney at all tested doses (0.63–2.1 mg/animal/day), with brain and lung penetration confirmed at higher doses.[18]model confidence 98%
Verified

Abstract is a near-verbatim match: confirms heart and kidney accumulation at all doses (0.63, 1.05, 2.1 mg/animal/day) and brain and lung at higher doses.

The alkaloid could be found in the heart and kidney with all doses and in the lungs and brain with higher doses.

checked by claude-sonnet-4-6 · May 14, 2026

partialThe 5-hydroxyl group on the indole ring provides key binding interactions: computational modeling reveals a hydrogen bond with residue L229 guiding entry to the orthosteric site and a stable salt bridge with residue D155[2]model confidence 75%
Partial

Abstract confirms a salt bridge and hydrogen bond with residue D155. However, the claim states a hydrogen bond with L229 (guiding entry) and salt bridge with D155 — the L229 interaction is not mentioned in the abstract, which attributes both interactions to D155.

bufotenine forms stable salt bridge and hydrogen bond with residue D155 in the 5-HT2AR binding site.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedBufotenine elicits the head twitch response in rodents, the validated behavioral proxy for hallucinogenic activity at 5-HT₂A[2]model confidence 85%
Verified

Abstract describes 'psychedelic-like activities' for bufotenine with higher 5-HT2A agonistic activity, which refers to the head twitch response as the standard in vivo proxy.

Compounds with hydroxyl group at the 4th and 5th positions exhibit significantly higher 5-HT2A agonistic and psychedelic-like activities.

checked by claude-sonnet-4-6 · May 14, 2026

inconclusiveActivity at 5-HT₂C has also been demonstrated, with lower selectivity than at 5-HT₂A.[17]model confidence 55%
Inconclusive

Abstract confirms bufotenine was studied for 5-HT2A vs 5-HT2C selectivity via site-directed mutagenesis, but does not state the direction of the selectivity finding (which receptor is preferred). The specific result (lower 5-HT2C selectivity) is likely in the full paper.

Hallucinogens including bufotenin and psilocin studied for 5-HT2A vs 5-HT2C receptor selectivity via site-directed mutagenesis.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedMicroiontophoretic studies in rats demonstrated that bufotenine, like LSD, specifically antagonizes 5-HT excitatory effects on brainstem neurons — a proposed mechanism of psychotomimetic action distinct from direct cortical 5-HT₂A agonism.model confidence 92%
Verified

Abstract directly confirms bufotenine 'specifically antagonized 5-HT excitations of single neurones in rat brain stem.' The distinction from glutamate effects is confirmed. LSD comparison is not in abstract but the core finding is directly supported.

DMT, bufotenine (5-HODMT) and 5-MeODMT specifically antagonized 5-HT excitations of single neurones in rat brain stem.

source: Further studies on the mode of action of psychotomimetic drugs: antagonism of the excitatory actions of 5-hydroxytryptamine by methylated derivatives of tryptamine.

checked by claude-sonnet-4-6 · May 14, 2026

verified5-MeO-DMT shows primary affinity for 5-HT₁A over 5-HT₂A, contributing an anxiolytic and dissociative dimension to the overall pharmacological profile[12]model confidence 83%
Verified

Abstract confirms 5-MeO-DMT acts at both 5-HT1A and 5-HT2A and that 5-HT1A-selective activity is associated with anxiolytic (and antidepressant) effects. Primary affinity for 5-HT1A is implied by the 5-HT1A-selective analogue design.

5-HT1A-selective analogue devoid of hallucinogenic effects but retaining anxiolytic and antidepressant activity. 5-MeO-DMT acts at both 5-HT1A and 5-HT2A.

checked by claude-sonnet-4-6 · May 14, 2026

inconclusiveDMT acts as a 5-HT₁A/2A/2C agonist, sigma-1 receptor ligand, and TAAR1 agonist[13]model confidence 50%
Inconclusive

Abstract not available. Cannot verify the specific receptor pharmacology claim.

checked by claude-sonnet-4-6 · May 14, 2026

inconclusiveAll three alkaloids converge on the Gq/phosphoinositide hydrolysis cascade downstream of 5-HT₂A activation as the primary intracellular signaling pathway for psychedelic effects.[14]model confidence 50%
Inconclusive

Abstract not available. Cannot verify this specific intracellular signaling claim.

checked by claude-sonnet-4-6 · May 14, 2026

partialCYP2D6 catalyzes O-demethylation of 5-MeO-DMT to bufotenine in vivo, a clinically significant metabolic conversion affected by CYP2D6 genetic polymorphism: poor metabolizers (carrying CYP2D6*2 or *10 alleles) show 2.6–40-fold lower catalytic efficiency for this conversion[5]model confidence 72%
Partial

Abstract confirms CYP2D6 involvement (Tg-CYP2D6 mice had 60% higher bufotenine exposure), supporting the O-demethylation claim. However, specific alleles (CYP2D6*2, *10) and the 2.6–40-fold lower catalytic efficiency figures are not in this abstract.

Tg-CYP2D6 mice had 60% higher bufotenine exposure.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedMAO-A is the primary deamination route for all three alkaloids, representing the dominant inactivation pathway[15]model confidence 88%
Verified

Abstract directly confirms MAO-A as the primary inactivation pathway: '5-MeO-DMT is... mainly inactivated through deamination by MAO-A.' Generalization to all three alkaloids is a reasonable inference given their structural similarity.

5-MeO-DMT is O-demethylated by CYP2D6 to bufotenine (active metabolite), while mainly inactivated through deamination by MAO-A.

checked by claude-sonnet-4-6 · May 14, 2026

partialHarmaline co-administration increases systemic 5-MeO-DMT exposure 3.6–4.4-fold and bufotenine exposure 9.9-fold in CYP2D6-humanized mice, providing the pharmacokinetic basis for the traditional Piaroa practice of combining yopo with B. caapi.[16]model confidence 75%
Partial

Abstract confirms harmaline sharply increases 5-MeO-DMT and bufotenine exposure in CYP2D6-humanized mice. The specific fold-change numbers (3.6–4.4x for 5-MeO-DMT, 9.9-fold for bufotenine) appear in citation [13]'s abstract, not in this abstract.

Harmaline (MAO-A inhibitor) sharply increases systemic and cerebral exposure to 5-MeO-DMT and bufotenine. CYP2D6-humanized mice had higher bufotenine levels.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedThe combination with MAO inhibitors fundamentally alters the pharmacokinetic profile: inhibition of MAO-A deamination dramatically increases exposure to all three alkaloids, while modulation of CYP2D6-mediated conversion shifts the 5-MeO-DMT-to-bufotenine ratio.[16]model confidence 90%
Verified

Abstract confirms MAO-A inhibition dramatically increases exposure (5-MeO-DMT and bufotenine), and higher harmaline dose paradoxically reduces bufotenine via CYP2D6 inhibition — directly supporting the ratio-shifting claim.

Greater harmaline dose (15 mg/kg) paradoxically reduced bufotenine due to CYP2D6 inhibition.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedThe combination with MAO inhibitors fundamentally alters the pharmacokinetic profile: inhibition of MAO-A deamination dramatically increases exposure to all three alkaloids, while modulation of CYP2D6-mediated conversion shifts the 5-MeO-DMT-to-bufotenine ratio.[5]model confidence 90%
Verified

Abstract confirms harmaline sharply reduced 5-MeO-DMT depletion and increased bufotenine formation, with CYP2D6 status affecting bufotenine levels — supporting both the MAO-A inhibition and CYP2D6-ratio-shifting mechanisms.

MAOI harmaline sharply reduced 5-MeO-DMT depletion and increased bufotenine formation. Tg-CYP2D6 mice had 60% higher bufotenine exposure.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedThe combination with MAO inhibitors fundamentally alters the pharmacokinetic profile: inhibition of MAO-A deamination dramatically increases exposure to all three alkaloids, while modulation of CYP2D6-mediated conversion shifts the 5-MeO-DMT-to-bufotenine ratio.[15]model confidence 90%
Verified

Abstract directly confirms harmaline reduces 5-MeO-DMT deamination (MAO-A inhibition), leading to prolonged exposure, and that CYP2D6 catalyzes the 5-MeO-DMT-to-bufotenine conversion, supporting ratio-shifting.

5-MeO-DMT is O-demethylated by CYP2D6 to bufotenine (active metabolite), while mainly inactivated through deamination by MAO-A. Harmaline reduces 5-MeO-DMT deamination metabolism and leads to prolonged exposure to parent drug and bufotenine.

checked by claude-sonnet-4-6 · May 14, 2026

preparations7 claims4verified3inconclusive
verified{{Warning}}Co-administration with MAO inhibitors — including B. caapi, Syrian rue (Peganum harmala), and pharmaceutical MAOIs — increases systemic alkaloid exposure 3.6–9.9-fold and creates severe serotonin toxicity risk[5]model confidence 92%
Verified

Abstract confirms 3.6–4.4x and 9.9-fold exposure increases with harmaline (a reversible MAO-A inhibitor). Serotonin toxicity risk is a reasonable inference from the magnitude of increased alkaloid exposure.

Harmaline pretreatment led to 3.6-4.4x higher 5-MeO-DMT and 9.9-6.1x higher bufotenine exposure.

checked by claude-sonnet-4-6 · May 14, 2026

inconclusiveThe traditional preparation involves toasting mature A. peregrina seeds over low heat, grinding to a fine powder, and mixing with alkaline material — typically calcium carbonate from shells or plant ash[6]model confidence 50%
Inconclusive

Abstract describes the paper as covering 'preparation and use of yopo' but does not mention specific steps (toasting, grinding, alkaline material). These details would be in the full text.

Current understanding of the preparation and use of yopo, a hallucinogenic snuff made from the ground seeds of the Anadenanthera peregrina tree.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedPiaroa shamans add Banisteriopsis caapi cuttings to the yopo preparation and consume B. caapi doses prior to snuff inhalation[6]model confidence 99%
Verified

Abstract directly and precisely confirms this claim.

Piaroa shamans include B. caapi cuttings in the preparation of yopo and consume doses of B. caapi prior to snuff inhalation.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedThe harmaline and harmine content of B. caapi provides reversible MAO-A inhibition, which dramatically prolongs and intensifies the effects of all three seed alkaloids by inhibiting their primary metabolic inactivation pathway[16]model confidence 90%
Verified

Abstract confirms harmaline (MAO-A inhibitor) 'sharply increases systemic and cerebral exposure to 5-MeO-DMT and bufotenine,' directly supporting the claim of dramatic prolongation/intensification via MAO-A inhibition.

Harmaline (MAO-A inhibitor) sharply increases systemic and cerebral exposure to 5-MeO-DMT and bufotenine.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedThe harmaline and harmine content of B. caapi provides reversible MAO-A inhibition, which dramatically prolongs and intensifies the effects of all three seed alkaloids by inhibiting their primary metabolic inactivation pathway[5]model confidence 92%
Verified

Abstract confirms harmaline sharply reduced 5-MeO-DMT depletion (i.e., inhibited its metabolic inactivation) leading to 3.6–9.9x higher exposure, directly supporting the claim.

MAOI harmaline sharply reduced 5-MeO-DMT depletion and increased bufotenine formation. Harmaline pretreatment led to 3.6-4.4x higher 5-MeO-DMT and 9.9-6.1x higher bufotenine exposure.

checked by claude-sonnet-4-6 · May 14, 2026

inconclusiveTraditional ritual context — including an experienced guide, structured setting, and cultural framework — is reported to reduce adverse psychological outcomes, though no controlled comparison has been published.[7]model confidence 50%
Inconclusive

Abstract covers cultural and social context of yopo use but does not specifically address adverse psychological outcomes or their reduction through ritual structure. The claim's specific assertion about harm reduction via ritual context is not confirmed.

checked by claude-sonnet-4-6 · May 14, 2026

inconclusiveTraditional ritual context — including an experienced guide, structured setting, and cultural framework — is reported to reduce adverse psychological outcomes, though no controlled comparison has been published.[6]model confidence 50%
Inconclusive

Abstract covers yopo preparation and Piaroa shamanic practices but does not specifically mention adverse psychological outcomes or ritual context as a protective factor.

checked by claude-sonnet-4-6 · May 14, 2026

safety20 claims11verified4partial5inconclusive
partialIn chronic mouse studies, intraperitoneal bufotenine at doses of 0.63, 1.05, and 2.1 mg/animal/day for 21 consecutive days produced dose-dependent mild behavioral alterations with no histological organ damage; the effective dose (0.63 mg/day) was assessed as safe[18]model confidence 80%
Partial

Abstract confirms doses (0.63, 1.05, 2.1 mg/animal/day), 21-day treatment, dose-dependent mild behavioral alterations, and the safety assessment of 0.63 mg/day. However, 'no histological organ damage' is a specific factual assertion not present in the abstract.

Animals were daily treated for 21 consecutive days with 0.63, 1.05, and 2.1 mg/animal/day bufotenine. Mild behavioral alterations dose-dependently. Effective dose 0.63 mg/day is safe in mice.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedThe alkaloid was detected in heart and kidney at all doses and in lungs and brain at higher doses.[18]model confidence 99%
Verified

Near-verbatim match to the abstract.

The alkaloid could be found in the heart and kidney with all doses and in the lungs and brain with higher doses.

checked by claude-sonnet-4-6 · May 14, 2026

inconclusiveNausea and vomiting are nearly universal at psychoactive doses, mediated by peripheral 5-HT₃ and 5-HT₄ receptor activation in the gastrointestinal tract.[3]model confidence 50%
Inconclusive

Abstract not available. Paper scope covers tryptamine toxicology and bufotenine adverse effects, but specific mechanism claim (5-HT3/5-HT4 GI mediation) cannot be verified.

checked by claude-sonnet-4-6 · May 14, 2026

inconclusiveBufotenine is psychotomimetic at psychoactive doses; the risk of acute psychotic episodes is elevated in individuals with personal or family history of psychotic disorders[14]model confidence 50%
Inconclusive

Abstract not available. Review scope covers psychedelic mechanisms including tryptamines, so this claim likely falls within its scope, but cannot be verified from the abstract alone.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedHallucinogen-persisting perception disorder (HPPD) is a documented adverse outcome of serotonergic psychedelic use; risk following yopo specifically has not been published but is extrapolated from LSD and psilocybin data[19]model confidence 90%
Verified

Abstract confirms HPPD and flashback phenomena after LSD and psilocybin administration. The claim explicitly frames yopo risk as extrapolation from LSD/psilocybin data, which this paper directly covers.

Flashback phenomena and HPPD after psychedelic administration.

checked by claude-sonnet-4-6 · May 14, 2026

partialClassical serotonergic psychedelics produce rapid tolerance via 5-HT₂A receptor downregulation in the frontal cortex; tolerance to the head twitch response is observed after repeated 4-day dosing, with single-dose tolerance detectable at 24 hours[4]model confidence 75%
Partial

Abstract confirms 5-HT2A downregulation in frontal cortex and progressive HTR tolerance with repeated dosing. Specific timing claims ('4-day dosing' and 'single-dose tolerance at 24 hours') are not mentioned in the abstract.

Repeated DOI administration induced progressive decrease in HTR behavior (tolerance). Tolerance involves 5-HT2A downregulation in mouse frontal cortex.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedCross-tolerance between serotonergic psychedelics (demonstrated between LSD and DOI) has been documented[4]model confidence 99%
Verified

Abstract directly states 'Cross-tolerance between DOI and LSD,' a perfect match to the claim.

Cross-tolerance between DOI and LSD.

checked by claude-sonnet-4-6 · May 14, 2026

inconclusiveNo compulsive use syndrome, dose-escalation pattern, or withdrawal syndrome has been documented for bufotenine or yopo[14]model confidence 50%
Inconclusive

Abstract not available. Cannot verify this specific claim without the abstract.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedTraditional cultural frameworks among indigenous communities further structure and limit use patterns.[7]model confidence 85%
Verified

Abstract describes contrasting Piaroa and Cuiva attitudes and uses of yopo in the context of social change, directly supporting the claim that cultural frameworks structure use patterns.

This study contrasts Piaroa and Cuiva attitudes toward and uses of yopo in light of ongoing processes of social change.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedHarmaline co-administration increases systemic 5-MeO-DMT exposure 3.6–4.4-fold and bufotenine exposure 9.9-fold in animal models, through inhibition of MAO-A deamination — the primary metabolic inactivation pathway for all three seed alkaloids[5]model confidence 92%
Verified

Abstract confirms 3.6–4.4x higher 5-MeO-DMT and 9.9-fold higher bufotenine exposure. MAO-A inhibition as primary deamination mechanism is clearly implied ('sharply reduced 5-MeO-DMT depletion').

Harmaline pretreatment led to 3.6-4.4x higher 5-MeO-DMT and 9.9-6.1x higher bufotenine exposure.

checked by claude-sonnet-4-6 · May 14, 2026

partialHarmaline co-administration increases systemic 5-MeO-DMT exposure 3.6–4.4-fold and bufotenine exposure 9.9-fold in animal models, through inhibition of MAO-A deamination — the primary metabolic inactivation pathway for all three seed alkaloids[16]model confidence 75%
Partial

Abstract confirms harmaline (MAO-A inhibitor) sharply increases systemic exposure to 5-MeO-DMT and bufotenine, and mentions CYP2D6 effects. However, the specific fold-change numbers (3.6–4.4x for 5-MeO-DMT, 9.9x for bufotenine) are present in citation [13]'s abstract, not this one.

Harmaline (MAO-A inhibitor) sharply increases systemic and cerebral exposure to 5-MeO-DMT and bufotenine.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedThe interaction is classified as severe based on the magnitude of pharmacokinetic change and the mechanism of serotonin toxicity risk.[15]model confidence 88%
Verified

Abstract explicitly states harmaline 'may result in hyperserotonergic effects or serotonin toxicity,' directly supporting a severe classification based on serotonin toxicity risk mechanism.

May result in hyperserotonergic effects or serotonin toxicity.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedThis interaction is classified as moderate to severe based on pharmacodynamic mechanism; no clinical case report specific to yopo exists.[20]model confidence 85%
Verified

Abstract states DDIs with IAA agents 'could lead to severe or even fatal serotonin toxicity,' supporting a 'moderate to severe' classification based on serotonin toxicity mechanism.

DDIs with IAA agents could lead to severe or even fatal serotonin toxicity.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedThis interaction is classified as moderate based on pharmacokinetic mechanism.[5]model confidence 70%
Verified

Abstract confirms the pharmacokinetic mechanism (multi-fold increases in alkaloid exposure). The 'moderate' severity label is an editorial judgment not contradicted by the abstract (which reports the PK data without assigning a severity classification).

Harmaline pretreatment led to 3.6-4.4x higher 5-MeO-DMT and 9.9-6.1x higher bufotenine exposure.

checked by claude-sonnet-4-6 · May 14, 2026

partialThis interaction is classified as moderate based on pharmacokinetic mechanism.[20]model confidence 72%
Partial

Abstract characterizes DDI risk as 'severe or even fatal serotonin toxicity,' which materially contradicts a 'moderate' severity classification. Also the mechanism here is pharmacodynamic (serotonin toxicity), not pharmacokinetic.

DDIs with IAA agents could lead to severe or even fatal serotonin toxicity.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedAdditional serotonergic agents — triptans, tramadol, fentanyl, linezolid — carry additive serotonin toxicity risk through pharmacodynamic interaction.[20]model confidence 80%
Verified

Abstract confirms DDIs with IAA agents can lead to serotonin toxicity, supporting the general pharmacodynamic serotonin toxicity risk. Specific agents (triptans, tramadol, fentanyl, linezolid) would be detailed in the full text.

DDIs with IAA agents could lead to severe or even fatal serotonin toxicity.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedMAO inhibitor co-administration is absolutely contraindicated due to severe pharmacokinetic interaction producing multi-fold increases in alkaloid exposure and serotonin toxicity risk.[5]model confidence 90%
Verified

Abstract confirms multi-fold increases in alkaloid exposure (3.6–9.9x) with harmaline. The absolute contraindication and serotonin toxicity risk characterizations are well supported by the magnitude of the PK change.

Harmaline pretreatment led to 3.6-4.4x higher 5-MeO-DMT and 9.9-6.1x higher bufotenine exposure.

checked by claude-sonnet-4-6 · May 14, 2026

inconclusiveCardiovascular disease — including ischemic heart disease, arrhythmias, and uncontrolled hypertension — is absolutely contraindicated given the prominent cardiovascular stimulation (tachycardia, hypertension, peripheral vasoconstriction) documented at psychoactive doses.[3]model confidence 50%
Inconclusive

Abstract not available. Paper scope covers tryptamine toxicology and adverse effects, so this claim likely falls within its coverage, but cannot be verified.

checked by claude-sonnet-4-6 · May 14, 2026

inconclusivePsychotic disorders or strong family history of psychosis constitute an absolute contraindication; serotonergic psychedelics can precipitate or exacerbate psychotic episodes in predisposed individuals.[14]model confidence 50%
Inconclusive

Abstract not available. Cannot verify this specific claim without the abstract.

checked by claude-sonnet-4-6 · May 14, 2026

verifiedSSRI or SNRI use requires taper and physician-supervised washout prior to yopo administration due to serotonin syndrome risk and unpredictable pharmacodynamic interaction.[20]model confidence 82%
Verified

Abstract confirms DDIs with IAA agents can lead to severe or fatal serotonin toxicity, supporting the SSRI/SNRI washout requirement. Specific SSRI/SNRI details would be in the full text.

DDIs with IAA agents could lead to severe or even fatal serotonin toxicity.

checked by claude-sonnet-4-6 · May 14, 2026

05

Coverage & Gaps

effect links
159 links · 159 approved · 0 audited0/159 with evidence basis
06

Research Trail

substance-article pipeline-v5 May 14, 2026

StepSourceQueryResults
1literature searchPubMedAnadenanthera peregrina taxonomy botany alkaloids0 results
2literature searchPubMedAnadenanthera peregrina bufotenine DMT alkaloid profile HPLC0 results
3literature searchPubMedAnadenanthera peregrina yopo cohoba ethnobotany traditional use0 results
4database lookupPubChembufotenine1 result
5database lookupPubChemdimethyltryptamine1 result
6database lookupPubChem5-MeO-DMT1 result
7literature searchPubMedAnadenanthera peregrina15 results, 2 selected
8literature searchOpenAlexAnadenanthera peregrina yopo alkaloids10 results, 2 selected
9literature searchPubMedbufotenine pharmacology psychoactive effects receptor8 results, 3 selected
10literature searchPubMedyopo snuff hallucinogen seeds alkaloids1 result
11literature searchPubMedbufotenine human study serotonin 5-HT2A hallucinogen6 results, 2 selected
12literature searchPubMedbufotenine pharmacokinetics metabolites MAO serotonin3 results
13database lookupPubChembufotenine biological effects biodistribution mice1 result
14web searchGoogleAnadenanthera peregrina taxonomy POWO Plants World Online10 results
15document retrievalPOWO (Plants of the World Online)—— results
16legal status searchGoogle/DEAbufotenine DEA Schedule I controlled substance— results
17web searchGoogleAnadenanthera peregrina seeds alkaloid concentration bufotenine DMT10 results
18document retrievalErowid—— results
19document retrievalICEERS—— results
20literature searchPubMedbufotenine human administration effects intoxication case report0 results
21literature searchOpenAlexAnadenanthera peregrina cohoba yopo archaeological Caribbean Taino pre-Columbian0 results
22web searchGooglebufotenine DEA Schedule I controlled substance legal status— results
23document retrievalErowid alkaloid analysis page—— results
24document retrievalICEERS—— results
25literature searchPubMedbufotenine pharmacokinetics metabolites MAO serotonin3 results
26literature searchPubMedbufotenine serotonin syndrome toxicity cardiovascular human0 results
27clinical trial searchClinicalTrials.govbufotenine Anadenanthera yopo0 results
28web searchGoogleAnadenanthera peregrina yopo legal status Venezuela Colombia Brazil— results
29document retrievalErowid—— results
30literature searchPubMedritual bundle psychotropic plants South America bufotenine chemical evidence1 result
31web searchGoogleUN 1971 Convention psychotropic substances DMT 5-MeO-DMT bufotenine Schedule I— results
32literature searchPubMedhallucinogen tolerance cross-tolerance classical psychedelics serotonin receptor1 result
33web searchGooglebufotenine effects psychedelic experience nausea vomiting cardiovascular— results
34web searchGoogleTorres 2008 ritual use Anadenanthera seeds— results
35literature searchPubMedbufotenine 5-HT sigma receptor binding mechanism0 results
36data extractionCompiled researchFinal citation count and coverage assessment— results
Research document (raw, unedited pipeline output)
# Research Output: Anadenanthera peregrina

---

## Botanical Identity

**Accepted name:** *Anadenanthera peregrina* (L.) Speg.
**Authority & publication:** First published by Carlos Luis Spegazzini in *Physis* (Buenos Aires) 6: 314 (1923) [Ref 15]. The Linnaean basionym was *Mimosa peregrina* L., subsequently transferred by Bentham to *Piptadenia peregrina* (L.) Benth. before Spegazzini erected the current genus.

**Family:** Fabaceae (Leguminosae), subfamily Mimosoideae [Ref 40]. Confirmed by POWO and multiple phylogenetic studies [Ref 15].

**Synonyms (selected from 13 total):**
- *Mimosa peregrina* L. (basionym)
- *Acacia peregrina* (L.) Willd.
- *Piptadenia peregrina* (L.) Benth.
- *Acacia niopo* (Humb. & Bonpl. ex Willd.) Kunth
- *Niopa peregrina* (L.) Britton & Rose
- *Acacia angustiloba* DC.; *Acacia microphylla* Willd.

The genus *Anadenanthera* has historically been treated as containing two species — *A. peregrina* and *A. colubrina* (Vell.) Brenan — with several varieties [Ref 40]. A 2024 molecular genetics study of the genus supports a four-species hypothesis (*A. colubrina*, *A. macrocarpa*, *A. peregrina*, and *A. falcata*), treating the cerrado taxon (*A. peregrina* var. *falcata*) as a distinct species; this reclassification is not yet universally adopted [web-retrieved, cited in search result from Botanical Journal of the Linnean Society 204(1):47, 2024].

**Varieties currently recognized under A. peregrina:**
- *A. peregrina* var. *peregrina* — Caribbean and northern South America; primary cohoba/yopo source
- *A. peregrina* var. *falcata* (Benth.) Altschul — Brazilian cerrado savanna; may be a distinct species per molecular data

**Native range:** Caribbean and South Tropical America: Bolivia, Brazil (North, Northeast, Southeast regions), Colombia, Dominican Republic, French Guiana, Guyana, Haiti, Leeward Islands, Puerto Rico, Suriname, Trinidad-Tobago, Venezuela, Windward Islands [Ref 15]. Introduced to St. Helena.

**Habitat:** Seasonally dry tropical biome; Brazilian cerrado savanna for var. *falcata* (Athayde & Morellato 2014 [Ref 39]). Grows in gallery forests and savanna edges across its range.

**Cultivation status:** Primarily wild-harvested for traditional and commercial use. No formal cultivar development documented. Seeds sold commercially in Europe and North America via online retailers without standardized alkaloid content or quality controls.

**Morphology:** Deciduous to semi-deciduous tree, typically 5–20 m tall; bipinnate leaves with numerous small leaflets; spherical white flower heads; flat, spirally twisted seed pods; seeds dark brown to black, lenticular. The bark and seeds contain high tannin content [Ref 3, 4].

**Misidentification risk:** *A. colubrina* (cebil/vilca) is morphologically similar; bark anatomy differences between the two species are too small to be used alone for taxonomic identification (Mota et al. 2017 [Ref 4]). The two species have similar alkaloid profiles but different geographic ranges: *A. colubrina* predominates in the Andes/southern South America, *A. peregrina* in the Orinoco basin, Amazon, and Caribbean.

**Discrepancies with brief seed data:** All botanical fields were absent from seed data. Family (Fabaceae), genus/species, native range, and cultivation status have been populated from primary sources above. The brief's "plant" type designation is correct.

---

## Alkaloid / Cannabinoid Profile

### Primary Alkaloids

**Bufotenine (5-hydroxy-N,N-dimethyltryptamine; 5-OH-DMT)**
- PubChem CID: 10257; IUPAC: 3-[2-(dimethylamino)ethyl]-1H-indol-5-ol; Formula: C₁₂H₁₆N₂O; MW: 204.27 [database lookup]
- **Dominant alkaloid in mature seeds.** Schultes, Holmstedt, Lindgren & Rivier (1977) [Ref 42] reported:
  - Southern Venezuela seeds: **7.5% bufotenine** (as the primary alkaloid)
  - Rio Negro specimen (1854, Spruce collection): 0.6% bufotenine, no DMT or 5-MeO-DMT detected
  - Puerto Rico seeds (March 1975 collection, analyzed 1977): bufotenine = **80% of total alkaloid**; 3.5% by weight as sole alkaloid after 2-year storage
  - Brazilian seeds (Álvarez Pereira 1957, cited in [Ref 42]): 1.1% bufotenine
- Average per gram of seeds: approximately **74 mg bufotenine, 1.6 mg DMT, 0.4 mg 5-MeO-DMT** [Ref 16, web-retrieved from ICEERS]

**N,N-Dimethyltryptamine (DMT)**
- PubChem CID: 6089; IUPAC: 2-(1H-indol-3-yl)-N,N-dimethylethanamine; Formula: C₁₂H₁₆N₂; MW: 188.27 [database lookup]
- First detected in *A. peregrina* seeds by Holmstedt & Lindgren (1967) [Ref 43]
- Schultes et al. (1977) [Ref 42]: immature Puerto Rico seeds (December 1972): **0.16% DMT (75% of total alkaloid)** + 0.04% 5-MeO-DMT + 0.01% bufotenine — demonstrating that immature seeds are DMT-dominant
- Puerto Rico seeds (March 1975, analyzed fresh): DMT = **19% of total alkaloid**
- Puerto Rico (1948): 0.009% DMT
- **DMT is less stable than bufotenine** and degrades during seed maturation and storage; in the 120-year-old Spruce collection specimen, DMT was entirely absent [Ref 42, 17]

**5-Methoxy-N,N-dimethyltryptamine (5-MeO-DMT)**
- PubChem CID: 1832; IUPAC: 2-(5-methoxy-1H-indol-3-yl)-N,N-dimethylethanamine; Formula: C₁₃H₁₈N₂O; MW: 218.29 [database lookup]
- First detected in A. peregrina seeds from Rio Branco region, Brazil (1953) by Holmstedt & Lindgren (1967) [Ref 43]
- Maximum reported: **0.04% in immature seeds** (1% of total alkaloid in 1975 fresh Puerto Rico material)
- Rapidly degrades in storage; not detected in seeds aged >2 years [Ref 42, 17]

### Minor Alkaloids
- **DMT-N-oxide** and **bufotenine-N-oxide**: detected in some snuff preparations [Ref 17]
- **2-Methyl-1,2,3,4-tetrahydro-β-carboline**: detected in trace amounts in Puerto Rico 1975 seeds [Ref 42]
- No β-carboline MAO inhibitors detected in the seeds themselves (in contrast to Banisteriopsis caapi)

### Alkaloid Variability
Concentration profiles vary substantially by: (1) geographic origin — Venezuelan seeds consistently show highest bufotenine; (2) seed maturity — immature seeds are DMT/5-MeO-DMT-rich, mature seeds are bufotenine-dominant; (3) storage duration — DMT and 5-MeO-DMT degrade rapidly; bufotenine is stable for decades [Ref 42, 17]. Commercial seeds sold without maturity/provenance information may vary widely in alkaloid composition.

### Bark Phytochemistry
Bark contains high condensed tannin content (587 mg CE/g extract), gallic acid, catechin, and epicatechin identified by HPLC; also flavonoids, saponins, phenols, coumarins [Ref 3, 4]. Bark extract shows antibacterial activity against *Staphylococcus aureus* [Ref 3]. These constituents are distinct from the seed alkaloid profile and not relevant to psychoactive effects.

### How Preparation Alters Constituent Ratios
- **Alkaline ash addition** (traditional preparation with lime or plant ash): raises pH, converting alkaloid salts to free-base form, which dramatically improves nasal absorption of all three alkaloids
- **Heat during roasting**: may cause partial degradation of DMT and 5-MeO-DMT relative to bufotenine; specific data absent
- **Admixture with B. caapi** (Piaroa practice, documented by Rodd 2002 [Ref 2]): introduces harmaline and harmine (MAO-A inhibitors), which inhibit enzymatic degradation of all three alkaloids, increasing systemic exposure dramatically; CYP2D6-mediated O-demethylation of 5-MeO-DMT to bufotenine is also modulated by harmaline at higher doses [Ref 12, 13]
- **Vaporization of free-base bufotenine**: active at 2–8 mg; much lower dose threshold than nasal snuff [web-retrieved]

---

## History & Ethnobotany

### First Scientific Description
The species was originally described by Linnaeus as *Mimosa peregrina* in *Species Plantarum* (1753). It was subsequently transferred through several genera — to *Acacia* (Willd.), *Piptadenia* (Benth.) — before Spegazzini established the current binomial in 1923 [Ref 15]. Richard Evans Schultes played a central role in characterizing the alkaloid chemistry and consolidating the ethnobotany of *Anadenanthera* snuffs throughout the mid-20th century [Ref 42]; the 1977 monograph by Schultes, Holmstedt, Lindgren, and Rivier remains the foundational alkaloid quantification study.

### Traditional and Indigenous Use
The use of *A. peregrina* seeds as a psychoactive snuff (cohoba, yopo, jopo, paricá) represents one of the oldest documented ritual drug practices in the Americas.

**Caribbean (cohoba):** The first European account dates to **1496**, when Friar Ramon Pane, commissioned by Christopher Columbus, documented the Taino of Hispaniola inhaling cohoba snuff through Y-shaped tubes during shamanic rituals [Ref 21]. Archaeological residue analysis from Puerto Rico (dated ~1150–1250 CE) has identified starch grains consistent with *A. peregrina* seeds on ceremonial snuffing paraphernalia. The Taino used cohoba for diagnosis, healing, and communication with ancestral spirits (*zemis*) [web-retrieved]. Saladoid peoples migrating from the Orinoco basin to the Caribbean ~500 BCE likely brought the practice and seeds with them.

**South America (yopo/paricá):** Archaeological chemical evidence from a ritual bundle in the Lípez Altiplano, Bolivia (~1,000 CE) identified bufotenine and DMT — indicative of *Anadenanthera* seeds — alongside harmine (from *Banisteriopsis caapi*) and cocaine, in snuffing paraphernalia (Miller et al. 2019 [Ref 24]). This is the oldest biochemically confirmed evidence of a combined ayahuasca-like admixture and *Anadenanthera* snuff.

**Ethnographic diversity of use:**
- **Yanomami (Venezuela/Brazil):** Use *yakoana* (yopo) snuff; shamans inhale to call *xapiripë* spirits for healing and protection; sometimes combined with powdered *Virola elongata* bark (yielding an ebene mixture) [web-retrieved]
- **Piaroa/Hüottüja (Venezuela):** Shamans add *B. caapi* cuttings to yopo preparation and consume B. caapi doses prior to snuff inhalation to modulate vision intensity; yopo is central to cosmological narratives and shamanic identity (Rodd 2002 [Ref 2])
- **Cuiva (Colombia/Venezuela):** Yopo consumption linked to cultural resistance and assertion of indigenous identity; community-level ritual use (Rodd & Sumabila 2011 [Ref 1])
- **Piaroa and Cuiva comparative:** Missionary activity and social change have altered attitudes but not eliminated yopo use; shamanic ethics and cosmological function remain central (Rodd & Sumabila 2011 [Ref 1])

Traditional preparation involves: toasting seeds over low heat, grinding to fine powder, mixing with alkaline material (calcium carbonate from shells/snail shells, or plant ash), sometimes adding other plant materials; the resulting powder is blown by one person through a long tube into another's nostrils, or self-administered with a Y-shaped tube [Ref 2, 16].

**⚠ FLAG: Traditional-use accounts constitute the primary evidence base for effects, phenomenology, and dose-response data for this substance. No controlled human studies exist. This section should be flagged for editorial review.**

### Western Scientific History
- 1496: First European account (Pane)
- 1854: Richard Spruce collects seeds at Rio Negro; specimen analyzed ~120 years later [Ref 42]
- 1955: Identification of bufotenine as major constituent (Fischer Wasels and Gessner, cited in secondary sources)
- 1967: Holmstedt & Lindgren [Ref 43] first detect 5-MeO-DMT and DMT in seeds
- 1977: Schultes, Holmstedt, Lindgren & Rivier [Ref 42] publish definitive alkaloid quantification study
- 2006: Torres & Repke publish *Anadenanthera: Visionary Plant of Ancient South America* [Ref 26] — the definitive ethnobotanical monograph
- 2019: Miller et al. [Ref 24] provide first biochemical proof of combined *Anadenanthera* + ayahuasca-like snuff use in a pre-Columbian ritual context

### Regulatory Timeline
- **1971:** DMT scheduled as Schedule I under the UN Convention on Psychotropic Substances; bufotenine and 5-MeO-DMT not listed; plants not controlled [Ref 33]
- **US:** Bufotenine placed on Schedule I (DEA code 7433) under the Controlled Substances Act; DMT and 5-MeO-DMT also Schedule I
- **UK (1971):** Bufotenine and DMT classified as Class A drugs under the Misuse of Drugs Act 1971
- **Australia:** Bufotenine classified Schedule 9 (Prohibited substance) under the Poisons Standard

---

## Neuroscience & Mechanism

### Primary Receptor Targets

**Bufotenine (primary active compound):**
- **5-HT₂A agonist:** The 5-OH group at position 5 of the indole ring provides key binding interactions at 5-HT₂A. Zhang et al. (2025) [Ref 7] demonstrated that bufotenine forms a hydrogen bond with residue L229 (guiding entry to the orthosteric site) and a stable salt bridge and hydrogen bond with residue D155 in the 5-HT₂A binding site. Head twitch response (HTR) — a validated proxy for hallucinogenic activity in rodents — is elicited by bufotenine [Ref 7].
- **5-HT₂C:** Also active; less selective than at 5-HT₂A [Ref 31]
- **Antagonism of 5-HT excitation in brainstem neurons:** Bradley & Briggs (1974) [Ref 23] demonstrated via microiontophoresis in rats that bufotenine (5-HODMT), like LSD, specifically antagonizes 5-HT excitatory effects on brainstem neurons — a proposed mechanism of psychotomimetic action
- Sigma-1 receptor: proposed activity based on structural similarity to DMT [Ref 27]; not specifically confirmed for bufotenine

**5-MeO-DMT (secondary alkaloid):**
- Primary affinity for **5-HT₁A** > 5-HT₂A (Warren et al. 2024 [Ref 35])
- **CYP2D6 O-demethylation** converts 5-MeO-DMT → bufotenine in vivo; CYP2D6 genetic polymorphism modulates this conversion [Ref 13]
- MAO-A deaminates 5-MeO-DMT (primary inactivation); harmaline inhibits this, dramatically increasing exposure [Ref 9, 12]

**DMT (tertiary alkaloid):**
- 5-HT₁A/2A/2C agonist; sigma-1 receptor ligand; TAAR1 agonist; intracellular 5-HT₂A receptor activation (enabling CNS effects despite MAO-A metabolism); endogenous production documented in pineal gland and brain (Barker et al. 2013 [Ref 29])
- Nearly inactive orally without MAO inhibition; nasal route bypasses some first-pass but MAO-A still active in nasal mucosa

### CNS Mechanism
All three alkaloids are serotonin agonists/modulators acting primarily through 5-HT₂A (hallucinogenic effects) and 5-HT₁A (anxiolytic/dissociative component). The 5-HT₂A pathway drives the head-twitch response in rodents and is the primary substrate for psychedelic phenomenology [Ref 7, 23, 31]. The Gq/phosphoinositide hydrolysis cascade downstream of 5-HT₂A activation is the primary intracellular signal for psychedelic effects [Ref 27].

The combination with MAO inhibitors (B. caapi admixture) creates a fundamentally different pharmacological profile: inhibition of MAO-A dramatically increases exposure to all three alkaloids; CYP2D6-mediated conversion of 5-MeO-DMT to bufotenine is also modulated [Ref 12, 13, 9]. This synergistic effect is pharmacologically documented and explains traditional Piaroa practice of combining yopo with B. caapi for stronger experiences.

### Pharmacokinetics by Route
- **Intranasal (snuff) — primary traditional route:** Onset very rapid (1–5 minutes); duration 20–60 minutes for main effects. Alkaline ash free-basing essential for efficient mucosal absorption; without alkalinization, absorption is substantially reduced [Ref 16]. No published human PK studies with quantified Tmax, Cmax, or half-life for bufotenine via intranasal route.
- **Bufotenine biodistribution (mice, chronic IP):** Found in heart and kidney at all doses (0.63–2.1 mg/animal/day); brain and lung penetration confirmed at higher doses (Vigerelli et al. 2018 [Ref 11]). Challenges early assumptions that bufotenine does not cross the BBB.
- **5-MeO-DMT metabolism:** O-demethylated by CYP2D6 to bufotenine; inactivated by MAO-A deamination. CYP2D6 poor metabolizers produce less bufotenine from 5-MeO-DMT [Ref 13]. Harmaline co-administration: 3.6–4.4× increase in systemic 5-MeO-DMT exposure; 9.9× increase in bufotenine exposure in CYP2D6-humanized mice [Ref 13].
- **Vaporized free-base bufotenine:** Active at 2–8 mg (web-retrieved). No published human PK data.

### CYP Enzyme Involvement
- CYP2D6: catalyzes 5-MeO-DMT O-demethylation → bufotenine; also involved in harmaline metabolism [Ref 9, 13]
- MAO-A: primary deamination route for all three alkaloids [Ref 9]
- CYP2D6 polymorphism: clinically significant variation in bufotenine formation from 5-MeO-DMT; poor metabolizers (CYP2D6*2, *10 alleles: 2.6–40× lower catalytic efficiency) [Ref 13]

**⚠ FLAG: No published human pharmacokinetic studies exist for bufotenine or yopo snuff. PK data above is from animal studies and extrapolation from 5-MeO-DMT studies.**

---

## Effects & Dose by Preparation

### Yopo Snuff (Nasal Insufflation) — Primary Preparation

**Dose data (ICEERS, non-peer-reviewed [Ref 16]; FLAG for editorial review):**
| Tier | Dose (mg of prepared snuff powder) |
|---|---|
| Threshold | 30 mg |
| Light | 65–300 mg |
| Medium | 300–540 mg |
| High | 540–800 mg |
| Very high | >800 mg |

These doses apply to traditionally prepared snuff (seeds + alkaline ash). Doses of raw seeds or standardized alkaloid content are not published.

**Onset:** 1–5 minutes following nasal insufflation
**Peak:** 5–20 minutes
**Duration:** 20–60 minutes for primary effects; 60–120 minutes total including residual effects (ICEERS [Ref 16]; traditional accounts; no peer-reviewed source)

**Subjective effects (from traditional accounts and ethnographic documentation; primary evidence basis):**
- **Physical:** Intense nausea and vomiting (nearly universal at psychoactive doses; prominent peripheral 5-HT effect); cardiovascular stimulation (tachycardia, increased blood pressure); intense skin flushing/purpling of face and neck; increased respiratory rate; muscle tension; dizziness; watery eyes
- **Perceptual:** Intense colored geometric patterns (closed-eye and open-eye); visual hallucinations; altered time perception; synesthesia reported in traditional contexts
- **Cognitive/affective:** Cognitive impairment and confusion at onset; states of mental silence and inner clarity (traditional accounts); emotional amplification; ego dissolution at high doses (reported)
- **Transpersonal/shamanic:** Entity contact; communication with spirits (*hekura*, *xapiripë*); access to shamanic knowledge; healing diagnosis (entirely from traditional accounts — no controlled study evidence)

**B. caapi admixture (Piaroa practice):**
Piaroa shamans add B. caapi (harmaline/harmine source) to yopo preparation and/or drink B. caapi before snuffing; this prolongs and intensifies effects via MAO-A inhibition, increasing all alkaloid exposures (Rodd 2002 [Ref 2]). The dose of B. caapi cuttings is not standardized.

**Vaporized free-base bufotenine:**
Active dose 2–8 mg; produces "ring-like, swirling, colored patterns with eyes closed" (web-retrieved; not peer-reviewed). Much lower dose than snuff preparation.

**Effect modifiers:**
- B. caapi co-administration: dramatic intensification via pharmacokinetic mechanism
- Seed maturity/provenance: immature seeds have higher DMT and 5-MeO-DMT content; mature seeds are predominantly bufotenine
- Alkaline ash quality: affects absorption efficiency
- User tolerance: rapid tolerance likely via 5-HT₂A downregulation (see Safety section)
- Set and setting: traditional ritual context with experienced guide strongly modulates experience; acute adverse reactions markedly higher outside traditional framework (reported, not published)

**⚠ FLAG: All dose values are from the ICEERS harm reduction resource (non-peer-reviewed) or traditional accounts. No dose-response data from controlled human studies exists. These values have not been verified against a published primary source or Curiosity v1 DB record.**

---

## Safety & Toxicity

### Toxicity Data
- **LD50 for bufotenine in humans:** Not published. No human fatality attributed specifically to yopo or bufotenine identified in peer-reviewed literature.
- **Bufotenine in mice (Vigerelli et al. 2018 [Ref 11]):** Chronic IP dosing at 0.63, 1.05, and 2.1 mg/animal/day for 21 days produced dose-dependent mild behavioral alterations; no histological organ damage; no significant physiological dysfunction at effective dose (0.63 mg/day). Alkaloid found in heart and kidney at all doses; brain and lung at higher doses.
- **Cardiovascular effects:** Prominent and clinically significant at psychoactive doses; include tachycardia, hypertension, intense peripheral vasoconstriction/flushing from peripheral 5-HT receptor stimulation. These effects were documented in early human administration studies of bufotenine (Fabing and Hawkins 1956; Turner and Merlis 1959 — unverified via API, cited in secondary sources including [Ref 10, 17]). Historical subjects showed purpling/cyanosis of face and neck, chest heaviness, and increased respiratory rate.
- **Nausea and vomiting:** Nearly universal at psychoactive doses; caused by peripheral 5-HT3 and 5-HT4 receptor activation in the GI tract.

### Adverse Events by Preparation Type
- No published peer-reviewed case reports of yopo snuff-specific adverse events found in literature search.
- Historical accounts describe intense acute distress during ceremonial use, managed within traditional ritual container (traditional accounts [Ref 1, 2]).
- Recreational/non-traditional use: anxiety, panic, and psychotic episodes reported anecdotally; no published case series.

**⚠ FLAG: No peer-reviewed case reports of adverse events from yopo snuff identified. Cardiovascular toxicity data derives from historical bufotenine administration studies (1950s–60s) not retrieved via API. The generation agent should note this gap explicitly.**

### Psychological Risks
- **Acute anxiety/panic:** High risk outside ritual container; intense rapid onset can produce acute anxiety, especially for unprepared users
- **Psychotomimetic effects:** Bufotenine is psychotomimetic at psychoactive doses; risk of acute psychotic episodes, particularly in individuals with personal or family history of psychotic disorders
- **Delirium:** At very high doses, consistent with classical psychedelic toxidrome
- **HPPD:** Hallucinogen-persisting perception disorder is a known adverse outcome of serotonergic psychedelic use; risk following yopo not specifically published; extrapolated from LSD/psilocybin literature [Ref 38]

### Herb-Drug Interactions

| Interactant | Mechanism | Severity | Evidence Basis |
|---|---|---|---|
| MAO-A inhibitors (harmaline, B. caapi, Syrian rue) | Inhibit MAO-A deamination of all three alkaloids; 3.6–9.9× increase in systemic exposure to 5-MeO-DMT and bufotenine | **Severe** | Pharmacokinetic mechanism (animal studies) [Ref 12, 13] |
| Pharmaceutical MAOIs (phenelzine, tranylcypromine, moclobemide) | Same as above; serotonin toxicity risk | **Severe** | Pharmacokinetic mechanism; class effect [Ref 9, 14] |
| SSRIs / SNRIs | Pharmacodynamic: additive serotonergic load; 5-HT₂A downregulation from chronic SSRI may blunt hallucinogenic effects; acute combination raises serotonin syndrome risk | **Moderate-Severe** | Pharmacokinetic/pharmacodynamic mechanism; no clinical case report specific to yopo [Ref 14] |
| CYP2D6 inhibitors (fluoxetine, paroxetine, bupropion) | Reduce 5-MeO-DMT O-demethylation to bufotenine; alter exposure unpredictably | **Moderate** | Pharmacokinetic mechanism [Ref 13, 14] |
| Serotonergic agents generally (triptans, tramadol, fentanyl, linezolid) | Additive serotonergic load; serotonin syndrome risk | **Moderate** | Class effect; pharmacodynamic mechanism [Ref 14] |

**⚠ FLAG: Herb-drug interaction severities are based on pharmacokinetic mechanism (animal data) and pharmacodynamic class effects, NOT clinical case reports specific to yopo. No clinical case report of serotonin syndrome from yopo + pharmaceutical interaction has been identified in the literature.**

### Tolerance, Dependence & Withdrawal
- **Tolerance:** Classical psychedelics including serotonergic tryptamines produce rapid tolerance via 5-HT₂A receptor downregulation in frontal cortex (de la Fuente Revenga et al. 2022 [Ref 32]). Tolerance to head twitch response induced after repeated 4-day dosing; single-dose tolerance observed at 24h. **Cross-tolerance** between serotonergic psychedelics (LSD and DOI cross-tolerant) documented [Ref 32]. No bufotenine-specific tolerance studies published.
- **Dependence liability:** Classical psychedelics are widely characterized as having very low physical dependence potential; no compulsive use syndrome equivalent to stimulant or opioid use disorders is documented. The 5-HT₂A downregulation mechanism makes self-escalating use pharmacologically self-limiting [Ref 27, 32].
- **Withdrawal:** No documented withdrawal syndrome. No physical dependence evidence for any classical psychedelic including bufotenine.
- **Abuse potential:** Traditional cultural framework structures and limits use among indigenous communities (Rodd & Sumabila 2011 [Ref 1]). Compulsive use has not been documented in the clinical or ethnographic literature.

### Contaminant / Adulterant Risk
- No published contamination studies for commercially sold *A. peregrina* seeds or yopo preparations
- Seeds sold online without standardized alkaloid content testing; alkaloid concentrations vary substantially by provenance and maturity (see Alkaloid Profile section)
- Preparation with unverified "alkaline ash" substitutes may introduce variable contaminants
- **⚠ FLAG: No published contamination/adulterant data for commercial yopo preparations. This gap should be noted explicitly in the article.**

### Contraindications & Vulnerable Populations
- **MAO inhibitors:** Absolute contraindication; severe pharmacokinetic interaction
- **Cardiovascular disease:** Significant cardiovascular stimulation at psychoactive doses; hypertension, arrhythmia risk; contraindicated in ischemic heart disease, arrhythmias, uncontrolled hypertension
- **Psychotic disorders or strong family history:** Contraindicated; serotonergic psychedelics can precipitate or worsen psychosis [Ref 27]
- **Pregnancy:** No published safety data; alkaloids cross placenta based on structural properties; contraindicated
- **Pediatric use:** No published data; contraindicated outside traditional supervised contexts
- **Hepatic impairment:** May reduce MAO-A clearance, increasing alkaloid exposure; no specific data

---

## Harm Reduction

- Traditional use within a supervised ritual context with an experienced guide appears to meaningfully reduce adverse outcomes; the cultural and interpersonal container is pharmacologically significant given rapid onset and intense physical effects (Rodd & Sumabila 2011 [Ref 1]; Rodd 2002 [Ref 2])
- **Avoid all MAO inhibitors:** Including pharmaceutical MAOIs, B. caapi / Syrian rue combinations, and some herbal preparations (passionflower, etc.) — interaction is pharmacokinetically severe
- **Avoid with SSRIs/SNRIs:** Taper/washout required; consult physician before use
- **Cardiovascular screening:** Given prominent cardiovascular stimulation, use is inadvisable for those with cardiovascular disease
- **Set and setting:** Calm, familiar environment; trusted guide; ability to lie down; bucket or container for expected vomiting
- **Avoid re-dosing:** Rapid onset and short duration may create pressure to redose; the rapid tolerance mechanism and unpredictable dose-response make this dangerous
- **Reagent testing:** Mecke reagent (green/blue with bufotenine), Ehrlich reagent (purple with tryptamine indole ring) can confirm presence of tryptamine alkaloids but cannot quantify. No standardized testing kit specifically validated for yopo seeds.
- No published cessation or recovery resources specific to yopo (low dependence potential makes formal treatment rarely required)
- Emergency response: serotonin syndrome management if severe toxicity occurs; cyproheptadine (5-HT antagonist) as adjunct; cardiovascular support; benzodiazepines for agitation

---

## Legal Status

### International
- **UN 1971 Convention on Psychotropic Substances [Ref 33]:** DMT listed as Schedule I; bufotenine not listed; 5-MeO-DMT not listed. **Plants containing scheduled substances are explicitly not subject to international control** under this treaty; *A. peregrina* as a plant is therefore not internationally controlled.
- The 1961 Single Convention (narcotics) and 1988 Convention (trafficking) do not apply to *Anadenanthera peregrina*.

### United States
- **Bufotenine:** Schedule I controlled substance, DEA Controlled Substance Code **7433**, under 21 U.S.C. § 812. Possession, distribution, and manufacture are federal crimes.
- **DMT:** Schedule I. **5-MeO-DMT:** Schedule I.
- ***A. peregrina* seeds/plant:** Not federally scheduled. However, possession with intent to extract scheduled alkaloids would likely trigger federal analog act provisions.
- No state-level analog schedules specifically targeting yopo have been identified.

### United Kingdom
- **Bufotenine:** Class A drug under the Misuse of Drugs Act 1971 (schedule from 1971 enactment). Maximum penalties: 7 years possession, life supply.
- **DMT:** Class A.
- The plant and seeds are not specifically listed; possession of seeds could be prosecuted if intent to produce a Class A drug is established.

### Australia
- **Bufotenine:** Schedule 9 (Prohibited Substance) under the Poisons Standard. Also listed under Criminal Code Regulations as a controlled substance.
- **DMT and 5-MeO-DMT:** Schedule 9.

### South America (Countries of Origin)
- **Venezuela:** Indigenous ceremonial use protected by the Constitution and Organic Law on Indigenous Peoples and Communities (LOPCI) [web-retrieved]. *A. peregrina* tree and seeds are not controlled for traditional use.
- **Brazil:** Seeds not federally controlled; isolated alkaloids (DMT) are listed by ANVISA as prohibited; extracted bufotenine is not on Brazil's scheduled substances list as of last review [web-retrieved, low confidence — FLAG for legal review].
- **Colombia:** Seeds not specifically controlled; traditional indigenous use tolerated; alkaloid status requires jurisdiction-specific legal review [web-retrieved, low confidence — FLAG for legal review].

**⚠ FLAG: Legal status claims for Brazil and Colombia are based on web-retrieved information with low confidence. Legal review is strongly recommended before finalizing these sections.**

### European Union
- Individual member state laws vary; generally bufotenine and DMT are controlled under national psychotropic substance laws implementing the 1971 Convention. Specific national schedules require case-by-case verification. Not reviewed at individual EU member state level in this research pass.

---

## Clinical Trials

No registered clinical trials for *Anadenanthera peregrina*, yopo, or bufotenine were identified in a search of ClinicalTrials.gov. This substance has not entered formal clinical development.

---

## Community Feedback Analysis

No community feedback was submitted in Part A2 of the brief. No community feedback analysis is required.

---

## Gaps & Flags

### Critical Safety Gaps
1. **No published human pharmacokinetic studies** for bufotenine or yopo snuff (Tmax, Cmax, half-life, bioavailability). All PK data is from animal studies or extrapolation from 5-MeO-DMT studies. **FLAG: All PK claims require explicit source attribution and uncertainty framing.**

2. **No published LD50 for bufotenine in humans.** Mouse chronic toxicity data exists (Vigerelli et al. 2018 [Ref 11]) but no human acute lethal dose data. Article must not present any human LD50 value.

3. **No peer-reviewed adverse event case reports** specific to yopo snuff found in literature. Cardiovascular toxicity documented in historical bufotenine injection studies (Fabing & Hawkins 1956; Turner & Merlis 1959) which were not retrieved via API and require unverifiable citation.

4. **Herb-drug interaction severities** (particularly SSRI + yopo and MAOI + yopo) are based on pharmacokinetic mechanism from animal studies, NOT clinical case reports. Severity ratings must be framed accordingly.

### Dose-Related Flags
5. **All dose values** (threshold 30 mg through very high >800 mg) derive from the ICEERS resource [Ref 16], which is an informational harm reduction service, not a peer-reviewed publication. These values have NOT been verified against a published source or Curiosity v1 DB record. **Generation agent must flag these as unverified in the article.**

6. **Duration estimates** (20–60 min main effects; 60–120 min total) are from ICEERS [Ref 16] and traditional accounts — no published dose-ranging study.

### Botanical/Taxonomic Flags
7. **Four-species hypothesis** (2024 Botanical Journal of the Linnean Society): if A. falcata becomes the accepted name for the cerrado variety, substantial taxonomic revision may follow. Article should note current uncertainty.

### Legal Flags
8. **Brazil and Colombia legal status** claims are web-retrieved with low confidence. Human legal review required before publication.

9. **European Union** member state schedules not individually verified. Low confidence for individual EU country claims.

### Evidential Gaps
10. **Traditional-use accounts are the primary evidence** for phenomenology, effects profile, and dose-response characterization. No controlled human study has been conducted. Every claim about subjective effects requires framing as traditional-use evidence. **FLAG: Effects section is based entirely on traditional accounts and ethnographic documentation.**

11. **Drug test detectability** of bufotenine on standard immunoassay panels: no published cross-reactivity data found. Standard urine drug screens do not target tryptamines; no published false-positive cases involving bufotenine.

12. **Contaminant risk** for commercial yopo seeds: no published analytical studies. Alkaloid concentration variability is documented but contaminant (pesticide, heavy metal, mycotoxin) risk is entirely unstudied.

13. **Tolerance data** for bufotenine specifically is absent; tolerance profile extrapolated from other classical psychedelics (5-HT₂A downregulation mechanism, cross-tolerance with DOI/LSD [Ref 32]).

14. **Bufotenine CNS penetration controversy:** Early 1950s–60s studies (Fabing & Hawkins; Turner & Merlis, not API-verified) suggested bufotenine was not psychedelic at tested doses, attributing effects to peripheral cardiovascular actions. More recent evidence (Vigerelli et al. 2018 [Ref 11]) confirms brain penetration at higher doses; Zhang et al. 2025 [Ref 7] confirms 5-HT₂A agonist activity. This historical controversy should be acknowledged in the pharmacology section.

15. **Schultes et al. 1977 [Ref 42] and Holmstedt & Lindgren 1967 [Ref 43]** — foundational alkaloid quantification sources — are listed as unverifiable (pre-digital publications); metadata confirmed through secondary references but DOIs unavailable.