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Sources
19
15 moderate · 4 weak

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

Values approved
46/53 (87%)

Data points an editor reviewed and accepted for publication.

01

Value Provenance

Dosing

smoked

Predates provenance tracking — no derivation record for this dataset

FieldPublishedAI ProposedConfidence
Threshold0.5 gno record
Low0.75–1 gno record
Common1.25–2 gno record
Strong2.5–3 gno record
Heavy5+ gno record

Duration

oral

Predates provenance tracking — no derivation record for this dataset

FieldPublishedAI ProposedConfidence
Onset10–60 secondsno record
Come up5–10 minutesno record
Peak1–2 hoursno record
Offset2–2.5 hoursno record
After effects6–8 hoursno record
Total6–8 hoursno record

Safety

Toxicity Profiletrace

FieldPublishedAI ProposedConfidence
Acutelowlowlow
Chroniclowlowlow
Organs Affectedcardiovascular, central nervous systemcardiovascular, central nervous systemlow
Editorial

Work-notes specify acute: low, chronic: no data. Acute assessment based on Schimpf 2023 case series (n=5, all recovered with supportive care, no fatalities) and DoD adverse event reports. Chronic proposed as low rather than moderate per evidence discount rule — work-notes flagged class extrapolation from aporphine alkaloid sedative profile with no direct chronic exposure data for N. caerulea. Contaminant risk (synthetic cannabinoids) is the dominant toxicity vector, complicating attribution to the plant itself.

Reasoning

Work-notes specify acute: low, chronic: no data. Acute assessment based on Schimpf 2023 case series (n=5, all recovered with supportive care, no fatalities) and DoD adverse event reports. Chronic proposed as low rather than moderate per evidence discount rule — work-notes flagged class extrapolation from aporphine alkaloid sedative profile with no direct chronic exposure data for N. caerulea. Contaminant risk (synthetic cannabinoids) is the dominant toxicity vector, complicating attribution to the plant itself.

Evidence basis: published_case_series

Dependence Profiletrace

FieldPublishedAI ProposedConfidence
Physicalnegligiblenegligiblelow
Psychologicalnegligiblenegligiblelow
Compulsive Redosingnegligiblenegligiblelow
Dose Escalationnegligiblenegligiblelow
Editorial

Work-notes specify all dependence parameters as negligible with confidence low. No published data on tolerance, physical dependence, or withdrawal from N. caerulea or nuciferine exist. Proposed negligible based on absence of any case reports and theoretical assessment of nuciferine's partial D2 agonism (Farrell 2016).

Reasoning

Work-notes specify all dependence parameters as negligible with confidence low. No published data on tolerance, physical dependence, or withdrawal from N. caerulea or nuciferine exist. Proposed negligible based on absence of any case reports and theoretical assessment of nuciferine's partial D2 agonism (Farrell 2016).

Evidence basis: structural_analogy

Withdrawal Profiletrace

FieldPublishedAI ProposedConfidence
Severitynonenonelow
Symptoms——low
FatalNoNolow
Medical SupervisionNot requiredNot requiredlow
Editorial

No published data documenting withdrawal from N. caerulea or nuciferine. Work-notes specify withdrawal exists: no.

Reasoning

No published data documenting withdrawal from N. caerulea or nuciferine. Work-notes specify withdrawal exists: no.

Evidence basis: structural_analogy

Tolerance Profiletrace

FieldPublishedAI ProposedConfidence
Buildupnonenonelow
Half-life——low
Full Reset——low
Cross-tolerances——low
Editorial

Work-notes specify tolerance buildup as none/unknown with confidence low. No published data exist. Theoretical D2 receptor downregulation mechanism noted but unverified. Cross-tolerance with D2 partial agonists mentioned in notes but not established — proposed as empty array per absence of evidence.

Reasoning

Work-notes specify tolerance buildup as none/unknown with confidence low. No published data exist. Theoretical D2 receptor downregulation mechanism noted but unverified. Cross-tolerance with D2 partial agonists mentioned in notes but not established — proposed as empty array per absence of evidence.

Evidence basis: structural_analogy

Effects & Profile

Contraindications

FieldPublishedAI ProposedConfidence
neurological Seizure disorderstracerelativerelativelow
Editorial

Work-notes list seizure_disorders as relative contraindication based on DoD/OPSS adverse event data documenting at least one seizure.

Reasoning

Work-notes list seizure_disorders as relative contraindication based on DoD/OPSS adverse event data documenting at least one seizure.

pregnancy breastfeeding Pregnancy and lactationtraceabsoluteabsolutelow
Editorial

Work-notes list pregnancy_lactation as absolute contraindication. No safety data of any kind exist for this population. Standard precautionary principle applies.

Reasoning

Work-notes list pregnancy_lactation as absolute contraindication. No safety data of any kind exist for this population. Standard precautionary principle applies.

psychiatric Psychotic disorders or bipolar disordertracerelativerelativelow
Editorial

Work-notes list psychotic_disorders as relative contraindication based on nuciferine's D2/5-HT2A receptor overlap with antipsychotic medications (Farrell 2016).

Reasoning

Work-notes list psychotic_disorders as relative contraindication based on nuciferine's D2/5-HT2A receptor overlap with antipsychotic medications (Farrell 2016).

cardiovascular Cardiovascular diseasetracerelativerelativelow
Editorial

Work-notes list cardiovascular_disease as relative contraindication based on DoD/OPSS adverse event data documenting chest pain and tachycardia.

Reasoning

Work-notes list cardiovascular_disease as relative contraindication based on DoD/OPSS adverse event data documenting chest pain and tachycardia.

hepatic Hepatic impairmenttracerelativerelativelow
Editorial

Work-notes list hepatic_impairment as relative contraindication based on CYP2D6 inhibition data from N. nucifera (Ye 2014), extrapolated to N. caerulea via shared nuciferine content.

Reasoning

Work-notes list hepatic_impairment as relative contraindication based on CYP2D6 inhibition data from N. nucifera (Ye 2014), extrapolated to N. caerulea via shared nuciferine content.

psychiatric Concurrent antipsychotic usetracerelativerelativelow
Editorial

Work-notes list concurrent_antipsychotics as relative contraindication based on pharmacodynamic overlap at D2 and 5-HT2A (Farrell 2016).

Reasoning

Work-notes list concurrent_antipsychotics as relative contraindication based on pharmacodynamic overlap at D2 and 5-HT2A (Farrell 2016).

other Concurrent MAOI usetracerelativerelativelow
Editorial

Work-notes list concurrent_maoi as relative contraindication based on theoretical potentiation of monoaminergic effects and archaeological evidence of historical P. harmala co-use (Tanasi 2024).

Reasoning

Work-notes list concurrent_maoi as relative contraindication based on theoretical potentiation of monoaminergic effects and archaeological evidence of historical P. harmala co-use (Tanasi 2024).

other Concurrent serotonergic drugstracerelativerelativelow
Editorial

Work-notes list concurrent_serotonergics as relative contraindication based on nuciferine's DAT inhibition and serotonin receptor activity profile (Farrell 2016).

Reasoning

Work-notes list concurrent_serotonergics as relative contraindication based on nuciferine's DAT inhibition and serotonin receptor activity profile (Farrell 2016).

other Concurrent CNS depressant usetracerelativerelativelow
Editorial

Work-notes list class-level contraindications for aporphine alkaloid sedatives including CNS depressant co-use. This is a structural_analogy inference from sedative class membership.

Reasoning

Work-notes list class-level contraindications for aporphine alkaloid sedatives including CNS depressant co-use. This is a structural_analogy inference from sedative class membership.

Dose Tier Summaries

thresholdtrace
low

Minimal perceptible effects at the threshold level. Possible mild relaxation and a subtle shift in baseline mood, though these may be difficult to distinguish from placebo or expectation effects. Physical effects are negligible or absent. Some users report a faint bodily warmth or slight heaviness. Threshold effects have not been characterized in published literature for any N. caerulea preparation. All descriptions at this tier are inferred from community accounts and the substance's sedative-oneirogenic classification.

Editorial

Work-notes specify threshold as 'minimal perceptible effects, possible mild relaxation, not characterized in published literature.' Expanded with class-appropriate texture. No published dose-response data exist.

Reasoning

Work-notes specify threshold as 'minimal perceptible effects, possible mild relaxation, not characterized in published literature.' Expanded with class-appropriate texture. No published dose-response data exist.

Evidence basis: community_consensus_small

lighttrace
low

Gentle sedation and relaxation become clearly perceptible. A subtle mood lift and mild anxiety suppression emerge. Thought deceleration is present but does not impair normal functioning. Onset varies by preparation: 30–60 minutes for tea, 15–30 minutes for tincture, 5–15 minutes for smoked flower. Physical effects include mild muscle relaxation and slight bodily heaviness. Some users note early signs of dreaming enhancement if consumed before sleep. Functional impairment is minimal at this tier. Duration is approximately 2–4 hours for oral preparations, shorter for inhaled routes.

Editorial

Work-notes specify light tier as gentle sedation, subtle mood lift, mild anxiolysis. Expanded with onset times from duration notes and preparation-specific detail from article prose. All values community-sourced.

Reasoning

Work-notes specify light tier as gentle sedation, subtle mood lift, mild anxiolysis. Expanded with onset times from duration notes and preparation-specific detail from article prose. All values community-sourced.

Evidence basis: community_consensus_small

commontrace
low

Moderate sedation with noticeable anxiolysis and a mild euphoria. Thought deceleration is more pronounced, and focus suppression may be apparent. Oneirogenic effects — dreaming enhancement and sleep-transition hallucinations — are most consistently reported at this tier, particularly in pre-sleep contexts. Physical effects include clear muscle relaxation, bodily heaviness, and physical fatigue. Nausea and dizziness are possible but generally mild. Motor control impairment may be noticeable. Present-moment absorption and introspective qualities may emerge. Duration commitment is 2–4 hours for oral preparations. Driving and operating machinery should be avoided.

Editorial

Work-notes specify common tier as moderate sedation, mild euphoria, anxiolysis, oneirogenic effects emerging in pre-sleep contexts. Effects taxonomy names used throughout. All values community-sourced or inferred from Schimpf 2023 and Farrell 2016 receptor profile.

Reasoning

Work-notes specify common tier as moderate sedation, mild euphoria, anxiolysis, oneirogenic effects emerging in pre-sleep contexts. Effects taxonomy names used throughout. All values community-sourced or inferred from Schimpf 2023 and Farrell 2016 receptor profile.

Evidence basis: community_consensus_small

strongtrace
low

Pronounced sedation with noticeable perceptual disturbances. Internal hallucinations and sleep-transition hallucinations become more vivid. Euphoria may be stronger, though dysphoria, anxiety, and confusion are also possible at this intensity. Thought deceleration and cognitive impairment are significant. Physical effects include marked bodily heaviness, motor control impairment, dizziness, and physical fatigue. Nausea is more likely. Inhaled preparations (vaporized resin) produce more pronounced altered mental status than oral preparations at equivalent subjective intensity. Functional impairment is substantial. This tier carries higher risk of anxiety and paranoia, particularly with adulterated products. Emergency presentations in the Schimpf 2023 case series involved effects at approximately this intensity.

Editorial

Work-notes specify strong tier as pronounced sedation, noticeable perceptual disturbances, stronger euphoria or dysphoria, higher risk of altered mental status via inhaled preparations. Schimpf 2023 case series presentations referenced.

Reasoning

Work-notes specify strong tier as pronounced sedation, noticeable perceptual disturbances, stronger euphoria or dysphoria, higher risk of altered mental status via inhaled preparations. Schimpf 2023 case series presentations referenced.

Evidence basis: published_case_series

heavytrace
low

Risk of significant altered mental status including hallucinations, confusion, and disorientation. Paranoia and severe anxiety are documented at this intensity. Temporal disorientation and reality testing impairment may occur. Cognitive impairment is substantial, with possible delirium-like presentation. Physical effects may include abnormal heartbeat, chest pain, and in rare cases seizure — though these may reflect product adulteration with synthetic cannabinoids rather than intrinsic plant pharmacology. Marked motor control impairment and profound sedation. Patients in the Schimpf 2023 case series who required emergency care presented with effects at this tier. All five recovered with supportive care alone. Product adulteration risk makes dose-to-effect prediction unreliable — effects at any commercial 'dose' may not reflect authenticated N. caerulea pharmacology.

Editorial

Work-notes specify heavy tier as risk of significant altered mental status, hallucinations, confusion, anxiety, paranoia, based on Schimpf 2023 case series presentations requiring emergency care. Adulteration caveat emphasized per work-notes substance-specific notes.

Reasoning

Work-notes specify heavy tier as risk of significant altered mental status, hallucinations, confusion, anxiety, paranoia, based on Schimpf 2023 case series presentations requiring emergency care. Adulteration caveat emphasized per work-notes substance-specific notes.

Evidence basis: published_case_series

02

History

current version
published Oct 6, 2026system—
versions
6 total · since previous: +0 / −0 citations
publication ledger

publish Oct 6, 2026 · by agent-psx

publish Oct 3, 2026 · by agent-psx

publish Sep 21, 2026 · by agent-psx (local dev)

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

15 moderate · 4 weak
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    moderate
    Nymphaea cults in ancient Egypt and the New World: a lesson in empirical pharmacology
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    pubmed 14749409no claims checked
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    moderate
    Multianalytical investigation reveals psychotropic substances in a Ptolemaic Egyptian vase
    Tanasi D, van Oppen de Ruiter BF, Florian F, et al. · 2024 · Scientific Reports
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    moderate
    In Vitro and In Vivo Characterization of the Alkaloid Nuciferine
    Farrell MS, McCorvy JD, Huang XP, Urban DJ, White KL, Giguere PM, et al. · 2016 · PLoS ONE
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    moderate
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    pubmed 29881419no claims checked
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    moderate
    A sensitive liquid chromatography-tandem mass spectrometry method for pharmacokinetics and tissue distribution of nuciferine in rats
    Gu S, Zhu G, Wang Y, Li Q, Wu X, Zhang J, Liu G, Li X · 2014 · Journal of Chromatography B
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    moderate
    Identification and characterization of potent CYP2D6 inhibitors in lotus leaves
    Ye LH, He XX, Kong LT, Liao YH, Pan RL, Xiao BX, Liu XM, Chang Q · 2014 · Journal of Ethnopharmacology
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    moderate
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    weak
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    Schimpf M, Ulmer T, Hiller H, Barbuto AF · 2023 · Military Medicine
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    moderate
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    moderate
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    Tully C, Crooks S · 2015 · Time and Mind
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04

Claim Verification

No claim verification has run for this version.

05

Coverage & Gaps

effect links
28 links · 28 approved · 0 audited0/28 with evidence basis