DMXE Facts
Dissociative;
Dose and durationby route · individual sensitivity varies
Oral(mg)
Threshold< 10 mgLight10 – 35 mgCommon35 – 55 mgStrong55 – 90 mgHeavy90+ mg
Starts in 15 – 30 minLasts 3 – 7 hoursAfter-effects 2 – 12 hours
Also recorded: Insufflated. See full page: psychedex.org/substances/dmxe
Body and dependence
- Acute toxicity
- Moderate
- Chronic toxicity
- Moderate
- Physical dependence
- Negligible
- Psychological dependence
- Moderate
- Withdrawal
- Mild
- Compulsive redosing
- High
Tolerance
- Builds
- Rapid
- Fully resets after
- 14 days
- Carries over to
- ketamine;
methoxetamine; phencyclidine; deschloroketamine; 2-FDCK; O-PCE
Effectslikely at a common dose
- Perception
- Spatial disorientation;
+32 possible, including Vestibular distortion, Double vision, Visual acuity suppression - Body
- Body scan awareness;
Motor control impairment; Pain suppression; Sedation; +25 possible, including Dizziness, Nystagmus (eye wobbles), Headache - Thinking
- Cognitive impairment;
Decision impairment; +30 possible, including Confusion, Information processing suppression, Memory suppression - Feeling
- none likely · 9 possible, including Anxiety, Emotional lability
- Self
- Depersonalization;
Derealization; +11 possible, including Social disconnection, Communication suppression, Craving - Time
- Temporal disorientation;
+3 possible - Awareness
- none likely · 5 possible
Who shouldn't take it
Absolute
Psychotic disorders (personal or family history); Pregnancy; Concurrent MAO inhibitor use; Concurrent high-dose SNRI/SSRI use
Relative
Cardiovascular disease; History of seizure disorder; Hepatic impairment; Renal impairment; Lower urinary tract disease
Combinations61 recorded
Lethal (1)
GHB, GBL
Dangerous (29)
Benzodiazepines; Benzodiazepines, Barbiturates; Buprenorphine, Kratom; GHB, Baclofen; Naltrexone; NSAIDs; Opioids; THC; Anticholinergics; Antihistamines; Antipsychotics; Clonidine, Guanfacine; Dopamine agonists; Gabapentin, Pregabalin; Ibogaine; Ketamine, DXM, PCP; Lithium; Local anesthetics; MAOIs; MDMA, Amphetamines; MDMA, MDA; NDRIs (Wellbutrin); NRIs; Psychedelics; and 5 more, see full page
Caution (25)
See full page: psychedex.org/substances/dmxe
Not graded (6)
Not listed never means safe.
Seek help immediately if
- Severe disorientation; unable to move or speak (deep dissociation / "k-hole")
- Complete loss of coordination — cannot stand or walk safely
- Vomiting while incapacitated (choking / aspiration risk)
- Very high blood pressure; fast heart rate
- Slow or shallow breathing at high doses (especially mixed with depressants)
- Unconsciousness; rarely, seizures
What to do
- Move them somewhere safe, away from stairs, water, roads, and sharp edges — they cannot protect themselves
- Place in the recovery position if vomiting or unconscious (aspiration is a key risk)
- Stay with them and reassure calmly; keep the environment quiet
- If breathing is slow/shallow or they are unresponsive, call emergency services
- Do not let them wander; do not leave them alone
- Be ready to give rescue breaths / CPR
Effects wear off with time in a safe, monitored setting. The main dangers are physical injury and aspiration while incapacitated, and respiratory depression when combined with other depressants — not the dissociation itself.
988 Suicide & Crisis LifelineFireside Project: 62-FIRESIDE
psychedex.org/substances/dmxe · Version r1.a1 · Not medical adviceValues as of