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DOI (2,5-dimethoxy-4-iodoamphetamine) is a synthetic psychedelic of the phenethylamine class. It is the most potent member of the DOx amphetamine series, distinguished by an exceptionally long duration of action. DOI is a full agonist at 5-HT₂A receptors, producing its effects through non-canonical Gᵢ signalling that disrupts normal sensory filtering.[1]

Open Beta

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Threshold
< 0.5 mg
Light
0.5 – 1.5 mg
Common
1.5 – 2.5 mg
Strong
2.5 – 3.5 mg
Heavy
3.5+ mg
123450 h3 h6 h9 h12 h15 h17 h
1Onset
1h–2h2Come-up
1.5h–3h3Peak
4h–6h4Plateau
4h–7h5Resolution
2h–4hAftereffects8h–24h
Total16h–24h
Builduprapid
Full reset12 days
Cross-tol.
LSD, psilocybin, mescaline +3 more
Absolute5 entries
hypertensioncoronary artery diseasepsychotic disorderspregnancyconcurrent serotonergic medication
Relative2 entries
epilepsybipolar disorder
Dosage varies by body weight, tolerance & metabolism · Not medical advice · Terms

First synthesized in 1973 as part of a structure-activity study of DOM analogs,[2] DOI achieved its primary significance not as a recreational drug but as the field-standard pharmacological tool for 5-HT₂A receptor research — its radioiodinated form became the prototypical radioligand in the late 1980s.[3] It remains largely confined to laboratory use, with minimal recreational adoption due to its extreme duration and body load.

Subjective effects include geometric visual patterns, color enhancement, stimulation, empathy enhancement, and time alteration. The experience is defined by its sheer temporal scale — a 16–30 hour arc that passes through multiple psychological states and energy levels, accompanied by a pronounced physical stimulation that distinguishes it from tryptamine psychedelics.[4] Vasoconstriction, muscle tension, and physical exhaustion from extended wakefulness are characteristic unsought effects.

DOI produces no physical dependence, and no confirmed human fatalities from pure DOI have been published.[5] The primary risks are cardiovascular stress from sustained vasoconstriction over 16–30 hours and psychological distress during an experience too long to simply wait out — compounded by the danger of misidentification when DOx compounds are sold as LSD on blotter.[6] Human pharmacokinetic data remain entirely absent; the current understanding rests on decades of animal research and limited self-report data.

History[edit]

Discovery

DOI was first synthesized in 1973 by R.T. Coutts and J.M. Malicky at the University of Alberta as part of a systematic exploration of 4-substituted analogs of DOM.[2] Alexander Shulgin later characterized the compound through personal bioassays, documenting the 1.5–3 mg active dose range and 16–30 hour duration that remain the primary human reference.[4]

Scientific Significance

DOI's transformation from research curiosity to indispensable tool occurred in the late 1980s when the radioiodinated form [¹²⁵I]-R-(−)-DOI was developed, becoming the prototypical 5-HT₂A radioligand.[3] By the 1990s it served simultaneously as a radioligand for receptor binding studies, a reference agonist for functional assays, and the primary stimulus in the head-twitch response model of hallucinogenesis.[5] Contemporary research has extended into anti-inflammatory applications[7][8] and non-hallucinogenic derivative development.[1]

Recreational Context

DOI has seen negligible recreational adoption — its extreme duration, significant body load, and availability of more manageable alternatives limit appeal. The primary harm concern is misidentification: DOx compounds have appeared on blotter paper sold as LSD at music festivals, documented by drug checking services at the 2014 Boom Festival in Portugal.[6]

Chemistry[edit]

Structural Class

DOI belongs to the DOx series of substituted amphetamines — a family of 2,5-dimethoxy-4-substituted phenylisopropylamine psychedelics derived from DOM.[9] The defining structural features are a phenyl ring with methoxy groups at positions 2 and 5 (the pharmacophore required for high-affinity serotonin receptor binding), an iodine atom at position 4, and a 2-aminopropyl side chain.

The iodine substituent distinguishes DOI from other DOx members (DOB: bromine; DOC: chlorine; DOM: methyl) and confers the highest serotonin receptor binding affinity within the series. As the heaviest halogen used in the DOx family, iodine contributes substantial molecular weight and influences the electronic character of the ring.

Molecular formulaC₁₁H₁₆INO₂
Molecular weight321.15 g/mol (free base)

Structure-Activity Relationships

The amphetamine backbone (alpha-methyl group on the side chain) differentiates DOx compounds from the related 2C-x phenethylamine series and confers increased metabolic stability, oral bioavailability, and dramatically extended duration of action. Where 2C-I (the phenethylamine equivalent lacking the alpha-methyl) lasts 6–10 hours, DOI's additional methyl group extends activity to 16–30 hours by resisting enzymatic breakdown.

The 2,5-dimethoxy pattern is essential — removal or repositioning of either methoxy group abolishes high-affinity serotonin receptor binding.[9] The 4-position substituent modulates potency and duration across the series.

Stereochemistry

DOI has one chirality center at the alpha-carbon, yielding R and S enantiomers. The R-(−) enantiomer is the pharmacologically active form, as demonstrated by its exclusive use in radioligand studies[3] and anti-inflammatory research.[7][8] Most published research and all known recreational material uses the racemic mixture (±)-DOI. DOI is commercially available as the hydrochloride salt.[10]

Pharmacology[edit]

Mechanism of Action

DOI is a potent, direct full agonist at serotonin 5-HT₂A and 5-HT₂C receptors.[11] Despite its amphetamine scaffold, DOI does not release monoamines — it has no significant affinity at dopamine, serotonin, or norepinephrine transporters.[12] Its psychedelic effects arise entirely from direct receptor activation.

The hallucinogenic activity specifically requires non-canonical Gᵢ signalling at 5-HT₂A, rather than the classical Gq pathway that drives phospholipase C activation.[1] This discovery resolved a longstanding puzzle about why some potent 5-HT₂A agonists (like lisuride) lack hallucinogenic effects. DOI simultaneously engages the Gq pathway, which drives expression of plasticity-related genes in the cortex.[13]

The full behavioral response to DOI requires the 5-HT₂A–mGluR2 receptor complex. In animals lacking mGluR2, the characteristic head-twitch response is abolished and hallucinogen-specific gene activation does not occur.[14]

DOI also enhances dopamine D2 signalling through D2–5-HT₂A receptor complexes in the striatum — an effect shared with LSD but absent for non-hallucinogenic 5-HT₂A agonists.[15] At the hormonal level, DOI stimulates release of stress hormones, oxytocin, and prolactin.[16]

Pharmacokinetics

No controlled human pharmacokinetic studies have been published for DOI. All temporal parameters derive from self-report data.[4]

Onset occurs 1–2 hours after oral ingestion, with total duration extending 16–30 hours. Plasma half-life, bioavailability, and metabolic pathways have not been determined in humans. As a substituted amphetamine, DOI is likely subject to liver enzyme-mediated breakdown, but the 4-iodo substituent may resist metabolic removal — potentially contributing to the extreme duration.inferred

The duration substantially exceeds that of structurally related 2C-I (6–10 hours), attributable to the alpha-methyl group conferring resistance to enzymatic degradation.

Neuroscience[edit]

Where It Acts

DOI activates 5-HT₂A receptors concentrated on layer V pyramidal neurons in the neocortex, triggering expression of plasticity-associated genes including BDNF and Arc.[13] A single dose produces measurable increases in brain volume across sensory and association cortical areas within 24 hours, accompanied by improved cognitive flexibility persisting at least one week.[17]

In the claustrum — a thin brain structure proposed as a consciousness integration hub — DOI's effects are unexpectedly mediated by 5-HT₂C rather than 5-HT₂A receptors.[18] This suggests the psychedelic experience emerges from circuit-specific receptor engagement rather than uniform activation of a single receptor type.

Why It Matters

DOI qualifies as a psychoplastogen — a compound that promotes structural and functional neural reorganization.[19] The documented gene expression changes[13] and brain volume increases[17] support this classification. The 2026 discovery that hallucinogenic effects require Gᵢ signalling while plasticity operates through the Gq pathway[1] opens the possibility of separating therapeutic benefits from hallucinogenic effects — a central goal of modern psychedelic drug development.

Subjective Effects[edit]

Summary

DOI produces a psychedelic experience defined by temporal endurance and physical activation. The 16–30 hour arc passes through distinct phases — a slow-building onset gives way to a plateau that can sustain for 8–12 hours before a protracted descent. Set and setting exert powerful influence, and the sheer length of the experience means multiple environments, moods, and energy states will be traversed regardless of preparation.

Compared to LSD, DOI is reported as more physically stimulating with greater body load (vasoconstriction, muscle tension) and a less intricate cognitive headspace. Where LSD's 8–12 hours demand a committed day, DOI demands surrender of an entire waking cycle — a fundamentally different level of temporal commitment that limits the experience to those willing to plan around it.

Effect Grid

Dose Level:
Description

At common doses (1.5–2.5 mg oral), the full psychedelic experience manifests: pronounced visual drifting, color alteration and enhancement, symmetrical texture repetition, after-images and tracers, and object transformations. Thought connectivity increases substantially — novel conceptual associations, pattern recognition enhancement, and analysis enhancement dominate the cognitive space. Emotional enhancement and empathy enhancement are prominent. Time alteration becomes significant.

Physically, vasoconstriction intensifies (cold hands and feet), muscle tension becomes persistent, bruxism may appear, and appetite is fully suppressed. Stimulation and wakefulness are pronounced throughout. Nausea is possible during the extended come-up.

The total experience spans 16–24 hours. Sleep is impossible for the first 12–16 hours. A full-day and overnight commitment in a safe environment is required.

Modeled from the effect's dose-dependence curve — not per-substance measurements.

Perception(49)likelihood · intensity
Color enhancement
likely
Color alteration
likely
Geometry
likely
Brightness alteration
likely
Visual drifting
likely
Music enhancement
likely
Visual breathing
likely
Perspective distortion
possible
Double vision!
possible

Visual drifting · Music enhancement · Visual breathing · Perspective distortion · Symmetrical texture repetition · Tracers · Depth perception distortion · Auditory enhancement · Environmental patterning · Light sensitivity · Visual morphing · Holotropic state · After-images · Visual diffraction · Touch enhancement · Auditory distortion · Dreaming suppression · Peripheral vision distortion · Sound sensitivity · Spatial disorientation · Visual melting · Visual acuity enhancement · Auditory misinterpretation · Ganzfeld effect · Peripheral misidentification · Proprioceptive distortion · Sleep-transition hallucinations · Vestibular distortion · Visual haze / noise · Visual processing acceleration · Synesthesia · Visual magnification · Flashbacks · Object transformations · External hallucinations · Visual recursion · Internal hallucinations · Object activation · Perspective hallucinations · Auditory hallucinations · Environmental orbism / cubism · Visual flipping · Visual scenery slicing · Persisting hallucinations

Symmetrical texture repetition · Tracers · Depth perception distortion · Auditory enhancement · Environmental patterning · Light sensitivity · Visual morphing · Holotropic state · After-images · Visual diffraction · Touch enhancement · Auditory distortion · Dreaming suppression · Peripheral vision distortion · Sound sensitivity · Spatial disorientation · Visual melting · Visual acuity enhancement · Auditory misinterpretation · Ganzfeld effect · Peripheral misidentification · Proprioceptive distortion · Sleep-transition hallucinations · Vestibular distortion · Visual haze / noise · Visual processing acceleration · Synesthesia · Visual magnification · Flashbacks · Object transformations · External hallucinations · Visual recursion · Internal hallucinations · Object activation · Perspective hallucinations · Auditory hallucinations · Environmental orbism / cubism · Visual flipping · Visual scenery slicing · Persisting hallucinations

Body(42)likelihood · intensity
Stimulation
likely
Appetite suppression
likely
Pupil dilation
likely
Wakefulness
likely
Body scan awareness
likely
Spontaneous body sensations
likely
Vasoconstriction!
likely
Temperature dysregulation!
possible
Motor control impairment!
possible

Wakefulness · Body scan awareness · Spontaneous body sensations · Body high · Insomnia · Muscle tension · Physical fatigue · Dehydration sensation · Dry mouth · Heart rate perception changes · Restlessness · Tingling / electric sensations · Nausea · Excessive sweating · Bodily pressures · Body schema distortion · Breathing alteration · Dizziness · Motor control impairment · Tactile euphoria · Vibrations / buzzing · Abnormal heartbeat · Involuntary body movements · Diarrhea · Sexual arousal enhancement · Bruxism · Headache · Laughter fits · Nasal congestion · Nystagmus (eye wobbles) · Trembling · Salivation · Vomiting · Motor control enhancement · Seizure threshold reduction · Bodily dissociation · Tactile hallucination

Body high · Insomnia · Muscle tension · Physical fatigue · Dehydration sensation · Dry mouth · Heart rate perception changes · Restlessness · Tingling / electric sensations · Nausea · Excessive sweating · Bodily pressures · Body schema distortion · Breathing alteration · Dizziness · Tactile euphoria · Vibrations / buzzing · Abnormal heartbeat · Involuntary body movements · Diarrhea · Sexual arousal enhancement · Bruxism · Headache · Laughter fits · Nasal congestion · Nystagmus (eye wobbles) · Trembling · Salivation · Vomiting · Motor control enhancement · Seizure threshold reduction · Bodily dissociation · Tactile hallucination

Thinking(39)likelihood · intensity
Novelty enhancement
likely
Conceptual thinking
possible
Thought connectivity
possible
Pattern recognition enhancement
possible
Immersion enhancement
possible
Aesthetic enhancement
possible
Decision impairment!
possible
Suggestibility enhancement!
possible
Delusions!
v.rare

Pattern recognition enhancement · Immersion enhancement · Aesthetic enhancement · Introspection enhancement · Openness enhancement · Thought acceleration · Cognitive euphoria · Memory suppression · Cognitive flexibility · Cognitive impairment · Multiple thought streams · Creativity enhancement · Thought loops · Analysis enhancement · Cognitive fatigue · Confusion · Focus suppression · Increased nature relatedness · Information processing suppression · Memory fragmentation · Thought disorganization · Humor enhancement · Focus enhancement · Information processing enhancement · Motivation enhancement · Analysis suppression · Cognitive dysphoria · Memory replays · Motivation suppression · Synchronicity · Language suppression · Delusions · Amnesia · Delirium

Introspection enhancement · Openness enhancement · Thought acceleration · Cognitive euphoria · Memory suppression · Cognitive flexibility · Cognitive impairment · Multiple thought streams · Creativity enhancement · Thought loops · Analysis enhancement · Cognitive fatigue · Confusion · Focus suppression · Increased nature relatedness · Information processing suppression · Memory fragmentation · Thought disorganization · Humor enhancement · Focus enhancement · Information processing enhancement · Motivation enhancement · Analysis suppression · Cognitive dysphoria · Memory replays · Motivation suppression · Synchronicity · Language suppression · Amnesia · Delirium

Feeling(11)likelihood · intensity
Emotional enhancement
possible
Emotional lability
possible
Anxiety
possible
Simultaneous emotions
possible
Empathy enhancement
possible
Euphoria
possible
Irritability
possible
Paranoia!
possible
Mania!
rare

Simultaneous emotions · Empathy enhancement · Euphoria · Irritability · Catharsis · Dysphoria

Catharsis · Dysphoria

Self(18)likelihood · intensity
Derealization
possible
Emotional susceptibility
possible
Depersonalization
possible
Disinhibition
possible
Communication suppression
possible
Social connection
possible
Trust enhancement
possible
Compulsive repetitive behavior!
rare
Self-control suppression!
v.rare

Disinhibition · Communication suppression · Social connection · Trust enhancement · Flow state · Sociability enhancement · Automaticity · Ego inflation · Social disconnection · Boundary dissolution · Cognitive disconnection · Ego dissolution · Identity alteration

Flow state · Sociability enhancement · Automaticity · Ego inflation · Social disconnection · Boundary dissolution · Cognitive disconnection · Ego dissolution · Identity alteration

Time(6)likelihood · intensity
Time alteration
likely
Temporal disorientation
possible
Present-moment absorption
possible
Deja vu
rare
Jamais vu
rare
Time cessation
v.rare

Time cessation

Transpersonal(9)likelihood · intensity
Unity and interconnectedness
possible
Noetic insight
rare
Existential realization
rare
Transpersonal feelings
v.rare
Non-dual awareness
v.rare
Transpersonal memory access
v.rare
Transpersonal visions
v.rare
Death-rebirth sequence
v.rare
Voidness
v.rare

Transpersonal memory access · Transpersonal visions · Death-rebirth sequence · Voidness

Awareness(6)likelihood · intensity
Personal insight
possible
Cognitive dissonance
possible
Lucidity enhancement
possible
Mindfulness enhancement
possible
Reality testing impairment!
rare
Recursive awareness
rare

Recursive awareness

Likelihood: how common this effect is at the selected dose level.This effect has safety implications — review before use.

Timeline

Safety[edit]

Harm
Acute toxicity
Low
Chronic toxicity
Negligible
Withdrawal
None
Tolerance buildup
rapid
Tolerance reset
12 days
Dependence
Physical
None
Psychological
Negligible
Compulsive redosing
Negligible
Dose escalation
Negligible
Cross-tol.
LSD · psilo · mesc
Risk Shape
TOXPHYPSYWDRREDTOL

Toxicity

No lethal dose has been established for DOI in any species, and no confirmed human fatalities from pure DOI ingestion have been published. In animal research, DOI has been administered across hundreds of experiments without reported mortality.[5]

Cardiovascular Effects

DOI produces vasoconstriction through 5-HT₂A activation in blood vessel walls.[20] Given the 16–30 hour duration, this represents sustained cardiovascular stress — elevated blood pressure and reduced peripheral blood flow persisting far longer than most psychedelics. No published case reports document DOI-specific cardiovascular events, but the mechanism predicts meaningful risk for anyone with pre-existing heart or blood pressure conditions.

Adulteration Risk

The most dangerous real-world toxicity scenario involves misidentification. DOx compounds have been distributed on blotter paper as LSD.[6] A user expecting LSD's 100–200 µg active range and 8–12 hour duration may redose when DOI's slower onset creates the impression of an inactive tab, potentially reaching dangerous doses. Related N-benzyl derivatives (25I-NBOMe) have caused fatalities, though these are pharmacologically distinct from DOI.[21]

Psychological Risks

The extreme duration is DOI's defining psychological hazard. A difficult experience cannot be waited out in a few hours — distress may persist for 16–30 hours with no option for rapid resolution. Specific risks include sustained anxiety and paranoia, physical and cognitive exhaustion from extended wakefulness, escalation of psychological crisis over many hours, and sleep deprivation compounding emotional distress.

No cases of Hallucinogen Persisting Perception Disorder (HPPD) specific to DOI have been published. No DOI-specific data exist on triggering psychotic episodes, though serotonin receptor activation as a class carries this risk in predisposed individuals.inferred

Tolerance & Dependence

Tolerance develops within 24 hours of a single dose, mediated by downregulation in frontal cortex.[22] In animal studies, daily dosing produces progressive tolerance, while 48-hour spacing allows full recovery.[23]

Full cross-tolerance exists between DOI and LSD. The non-hallucinogenic 5-HT₂A agonist lisuride does not produce cross-tolerance with DOI, suggesting tolerance is specific to the hallucinogenic signalling pathway.[22]

No evidence of physical dependence, withdrawal, or compulsive use has been published. The extreme duration and significant body load make repeated use inherently aversive.

Drug Interactions

Serotonergic Combinations

Tramadol is classified as dangerous in combination with DOI. The dual serotonergic action creates significant risk of serotonin syndrome — characterized by dangerously elevated body temperature, rapid heart rate, high blood pressure, muscle jerking, and seizures.safety citation needed

MAOIs (both irreversible and reversible) represent the highest theoretical risk. By blocking the breakdown of serotonin, MAOIs dramatically potentiate any serotonergic compound. No specific DOI + MAOI case exists, but the mechanism-based risk is severe.safety citation needed

SSRIs and SNRIs increase baseline serotonin levels. Chronic SSRI use may blunt DOI's effects through receptor adaptation; acute combinations carry additive serotonergic risk.

Vasoconstrictive Combinations

DOI's vasoconstriction[20] is compounded by co-administration of triptans, ergotamines, or high-dose stimulants. The 16–30 hour duration means vascular stress accumulates over an extended period.

Cannabis

No published data exist on DOI + cannabis interaction. Both compounds carry anxiety-amplifying potential at high doses; additive distress is plausible but unconfirmed.

Contraindications

No published contraindication data specific to DOI exist. The following are inferred from mechanism:

  • Heart or blood pressure conditions: sustained vasoconstriction and stimulation over 16–30 hours pose meaningful cardiovascular risk
  • Personal or family history of psychotic disorders: serotonin receptor activation can trigger psychotic episodes in predisposed individuals
  • Seizure disorders: serotonin receptor activation may lower seizure threshold
  • Concurrent serotonergic medication: SSRIs, SNRIs, MAOIs, tramadol — serotonin syndrome risk
  • Pregnancy: vasoconstriction poses theoretical risk to placental blood flow; no reproductive toxicity data exist

Harm Reduction[edit]

Forms & Identification

Reagent ResultsNot recorded+ add reagent results
AppearanceNot recorded+ add appearance
Red FlagsNot recorded+ add red flags

DOI's primary identification challenge is distinguishing it from LSD when encountered on blotter paper. Both are active at microgram-to-low-milligram doses and can be laid on identical carrier media. The critical differentiator is taste: DOI on blotter often produces a noticeable bitter or metallic flavor, while LSD is tasteless. However, taste alone is not a reliable identification method.

Reagent testing provides important but incomplete information. An Ehrlich test that produces no reaction suggests the substance is not an indole (ruling out LSD), which should raise immediate suspicion if the material was sold as LSD. Quantitative testing through drug checking services is the only way to confirm identity and dose.

Guidelines

  • Test all material with reagent kits before ingestion — verify it is not a more dangerous NBOMe compound
  • Start at the low end of the dose range; the extremely long duration makes titration impractical once committed
  • Clear a full 36-hour window: 24 hours for the experience plus 12 hours for sleep recovery
  • Prepare food, water, and comfortable clothing in advance — appetite may be suppressed but hydration and nutrition matter over 20+ hours
  • Keep the environment temperature-controlled; vasoconstriction can make cold feel more intense
  • Have a trusted person aware of your timeline who can check in periodically
  • Do not redose if effects haven't appeared within 2 hours — onset can be slow
  • Avoid physical exertion during the experience; vasoconstriction increases cardiovascular demands

Set & Setting

DOI's 16–30 hour duration demands a fundamentally different level of preparation than shorter psychedelics. A full day and night must be cleared of obligations, with no driving, work, or childcare responsibilities for at least 24 hours. The setting must remain safe and accessible for the entire duration — a location that feels comfortable at 2 AM after 18 hours of continuous altered consciousness.

A trusted sitter who understands the timeline is strongly recommended. The sitter should be prepared for shifts, or multiple sitters should be arranged, since no single person can maintain attentive presence for 20+ hours. Mental preparation should include explicit acceptance that the experience cannot be shortened once begun.

Aftercare & integration. The primary aftercare need following DOI is physical recovery. Sleep is the first priority — the body has been awake and stimulated for 16–30 hours under vasoconstriction and elevated stress hormones. Do not attempt to process the experience intellectually until adequate rest has been obtained.

In the 48 hours following, expect fatigue, emotional sensitivity, and possible low mood as neurotransmitter systems rebalance. Light meals, hydration, gentle movement, and contact with trusted people support recovery. Journaling or integration conversations are best deferred 2–3 days until cognitive baseline returns.

If distressing psychological content persists beyond one week, or if perceptual disturbances do not fully resolve, consult a mental health professional experienced with psychedelic experiences.

Recovery & Support

DOI does not produce physical dependence or withdrawal. Compulsive use patterns are essentially unknown due to the aversive duration and body load. If repeated use is occurring despite negative consequences, the underlying motivation is more likely psychological avoidance or compulsive novelty-seeking than pharmacological dependence.

Support resources for problematic psychedelic use include the Fireside Project (62-FIRESIDE / 623-473-7433), MAPS integration therapist directory, and local harm reduction organizations. Psychedelic integration circles — peer support groups focused on processing difficult experiences — are available in many cities and online.

Recovery resources, crisis lines, and support pathways → View all

Emergency Response

Recognizing an emergency: Distinguish discomfort from danger. Anxiety, restlessness, and unpleasant body sensations are expected and not emergencies. Seek immediate help for: chest pain or pressure, numbness or discoloration in extremities (suggesting severe vasoconstriction), seizure activity, complete disconnection from reality with self-harm risk, or expressed suicidal intent.

Immediate steps:

  • Move the person to a calm, safe environment
  • Speak in short, reassuring sentences — remind them what they took and that it will end
  • If chest pain or extremity numbness is present, call emergency services immediately
  • Do not physically restrain unless there is immediate danger of self-harm
  • Monitor breathing and consciousness

What to tell the dispatcher: Name the substance (DOI or "a DOx amphetamine psychedelic"), approximate dose if known, time of ingestion, and current symptoms. Good Samaritan laws in many jurisdictions protect callers from drug-related prosecution when seeking medical help.

references

  1. [1] 
    ^abcdXu Z, Wang H, Yu J et al. (2026) Psychedelics elicit their effects by 5-HT2A receptor-mediated Gi signalling — Nature doi:10.1038/s41586-025-10061-7
  2. [2] 
    ^abCoutts RT, Malicky JL (1973) The Synthesis of Some Analogs of the Hallucinogen 1-(2,5-Dimethoxy-4-methylphenyl)-2-aminopropane (DOM). — Canadian Journal of Chemistry doi:10.1139/v73-210
  3. [3] 
    ^abcMcKenna DJ, Peroutka SJ (1989) Differentiation of 5-hydroxytryptamine2 receptor subtypes using 125I-R-(-)2,5-dimethoxy-4-iodo-phenylisopropylamine and 3H-ketanserin. — Journal of Neuroscience PMID:2795135
  4. [4] 
    ^abcShulgin (1991) PiHKAL: A Chemical Love Story
  5. [5] 
    ^abcCanal CE, Morgan D (2012) Head-twitch response in rodents induced by the hallucinogen 2,5-dimethoxy-4-iodoamphetamine: a comprehensive history, a re-evaluation of mechanisms, and its utility as a model — Drug Testing and Analysis doi:10.1002/dta.1333
  6. [6] 
    ^abcMartins D, Barratt MJ, Pires CV et al. (2017) The detection and prevention of unintentional consumption of DOx and 25x-NBOMe at Portugal's Boom Festival — Human Psychopharmacology doi:10.1002/hup.2608