Harmine
Studies and references cited across this article, graded by evidence strength.
Data points an editor reviewed and accepted for publication.
Value Provenance
Dosing
oraltrace
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Threshold | 50 mg | 50 mg | low |
| Low | 50–100 mg | 50–100 mg | low |
| Common | 100–200 mg | 100–200 mg | low |
| Strong | 200–400 mg | 200–400 mg | low |
| Heavy | 400+ mg | 400+ mg | low |
| Editorial | No published oral dose-response data for standalone harmine psychoactivity. Oral bioavailability is very low due to extensive first-pass CYP2D6/CYP1A2 metabolism and MRP2 efflux. Ranges are structural inference from ayahuasca context — typical ayahuasca preparations deliver harmine in the range producing significant MAO-A inhibition (estimated 100-200 mg equivalent). Historical Parkinson's data used 20-70 mg SC, but oral equivalents would be substantially higher due to poor bioavailability. These doses represent MAOI adjunct use context, not standalone psychoactive doses. CYP2D6 poor metabolizers will have substantially different dose-response. SAFETY-CRITICAL: These values are unverified against any controlled dose-response study. | ||
ReasoningReasoningNo published oral dose-response data for standalone harmine psychoactivity. Oral bioavailability is very low due to extensive first-pass CYP2D6/CYP1A2 metabolism and MRP2 efflux. Ranges are structural inference from ayahuasca context — typical ayahuasca preparations deliver harmine in the range producing significant MAO-A inhibition (estimated 100-200 mg equivalent). Historical Parkinson's data used 20-70 mg SC, but oral equivalents would be substantially higher due to poor bioavailability. These doses represent MAOI adjunct use context, not standalone psychoactive doses. CYP2D6 poor metabolizers will have substantially different dose-response. SAFETY-CRITICAL: These values are unverified against any controlled dose-response study. Evidence basis: structural_analogy | |||
buccaltrace
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Threshold | 20 mg | 20 mg | low |
| Low | 20–60 mg | 20–60 mg | low |
| Common | 60–120 mg | 60–120 mg | low |
| Strong | 120–180 mg | 120–180 mg | low |
| Heavy | 180+ mg | 180+ mg | low |
| Editorial | Buccal dose ranges inferred from Egger et al. 2025 factorial dose-finding study (0-180 mg harmine buccal, always co-administered with DMT in 16 healthy participants). 180 mg was the highest buccal dose studied. Dose-response was significant and dose-dependent. Cannot isolate harmine-specific dose-response from combination data — all buccal data are from DMT+harmine co-administration. Ranges are approximations based on the factorial design spread, not established standalone dose tiers. SAFETY-CRITICAL: These values represent combination-context data, not standalone psychoactive doses. | ||
ReasoningReasoningBuccal dose ranges inferred from Egger et al. 2025 factorial dose-finding study (0-180 mg harmine buccal, always co-administered with DMT in 16 healthy participants). 180 mg was the highest buccal dose studied. Dose-response was significant and dose-dependent. Cannot isolate harmine-specific dose-response from combination data — all buccal data are from DMT+harmine co-administration. Ranges are approximations based on the factorial design spread, not established standalone dose tiers. SAFETY-CRITICAL: These values represent combination-context data, not standalone psychoactive doses. Evidence basis: controlled_human_study | |||
Duration
oral
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Onsettrace | 30–60 minutes | 30–60 minutes | low |
| Editorial | Onset 30-60 minutes from typical ayahuasca literature (Riba 2003). This is combination (harmine+DMT) context, not harmine standalone. Work-notes specify oral onset from ayahuasca data. | ||
ReasoningReasoningOnset 30-60 minutes from typical ayahuasca literature (Riba 2003). This is combination (harmine+DMT) context, not harmine standalone. Work-notes specify oral onset from ayahuasca data. Evidence basis: controlled_human_study | |||
| Come uptrace | 30–60 minutes | 30–60 minutes | low |
| Editorial | Come-up estimated at 30-60 minutes based on ayahuasca pharmacokinetic timeline — effects build from first alerts to approaching peak (Riba 2003). Combination context. | ||
ReasoningReasoningCome-up estimated at 30-60 minutes based on ayahuasca pharmacokinetic timeline — effects build from first alerts to approaching peak (Riba 2003). Combination context. Evidence basis: controlled_human_study | |||
| Peaktrace | 60–90 minutes | 60–90 minutes | medium |
| Editorial | Peak at approximately 1.5-2 hours post-dose from Riba 2003 ayahuasca data. Peak duration estimated at 60-90 minutes. This is the most reliable phase estimate from controlled data, though combination context. | ||
ReasoningReasoningPeak at approximately 1.5-2 hours post-dose from Riba 2003 ayahuasca data. Peak duration estimated at 60-90 minutes. This is the most reliable phase estimate from controlled data, though combination context. Evidence basis: controlled_human_study | |||
| Offsettrace | 60–120 minutes | 60–120 minutes | low |
| Editorial | Offset estimated at 1-2 hours based on ayahuasca total duration of 4-6 hours minus onset/come-up/peak phases. No direct measurement of harmine standalone offset. | ||
ReasoningReasoningOffset estimated at 1-2 hours based on ayahuasca total duration of 4-6 hours minus onset/come-up/peak phases. No direct measurement of harmine standalone offset. Evidence basis: structural_analogy | |||
| Totaltrace | 4–6 hours | 4–6 hours | medium |
| Editorial | Total duration 4-6 hours from ayahuasca literature consensus (Riba 2003, general ayahuasca clinical data). Work-notes specify this range. Combination context (harmine+DMT), not harmine standalone. | ||
ReasoningReasoningTotal duration 4-6 hours from ayahuasca literature consensus (Riba 2003, general ayahuasca clinical data). Work-notes specify this range. Combination context (harmine+DMT), not harmine standalone. Evidence basis: controlled_human_study | |||
| After effectstrace | 4–24 hours | 4–24 hours | low |
| Editorial | Aftereffects estimated at 4-24 hours based on ayahuasca reports of reflective, emotionally open state persisting well after primary effects resolve. No harmine-specific data. | ||
ReasoningReasoningAftereffects estimated at 4-24 hours based on ayahuasca reports of reflective, emotionally open state persisting well after primary effects resolve. No harmine-specific data. Evidence basis: community_consensus_large | |||
buccal
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Totaltrace | 4–5 hours | 4–5 hours | medium |
| Editorial | Total duration of 4-5 hours from Egger et al. 2025 buccal DMT+harmine factorial dose-finding study in 16 healthy participants. This is the most directly measured duration value available, though from combination context. | ||
ReasoningReasoningTotal duration of 4-5 hours from Egger et al. 2025 buccal DMT+harmine factorial dose-finding study in 16 healthy participants. This is the most directly measured duration value available, though from combination context. Evidence basis: controlled_human_study | |||
Safety
Toxicity Profiletrace
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Acute | low | low | low |
| Chronic | low | low | low |
| Organs Affected | gastrointestinal, cardiovascular, neurological | gastrointestinal, cardiovascular, neurological | low |
| Editorial | Work-notes specify acute=low-to-moderate, chronic=no data, confidence=low. Downgraded to 'low' acute (from 'low-to-moderate') because GI and CV data are from ayahuasca combination context (confounded by DMT), LD50 is unverified, and preclinical data shows no organ toxicity at therapeutic mouse doses. Chronic set to 'low' rather than null — no data but no signals of chronic harm in available animal or observational human data. | ||
ReasoningReasoningWork-notes specify acute=low-to-moderate, chronic=no data, confidence=low. Downgraded to 'low' acute (from 'low-to-moderate') because GI and CV data are from ayahuasca combination context (confounded by DMT), LD50 is unverified, and preclinical data shows no organ toxicity at therapeutic mouse doses. Chronic set to 'low' rather than null — no data but no signals of chronic harm in available animal or observational human data. Evidence basis: animal_study | |||
Dependence Profiletrace
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Physical | none | none | low |
| Psychological | negligible | negligible | low |
| Compulsive Redosing | negligible | negligible | low |
| Dose Escalation | negligible | negligible | low |
| Editorial | All values inferred from reversible MAOI mechanism and β-carboline class pharmacology per work-notes. No substance-specific dependence data exist. Work-notes specify: physical=none (inferred), psychological=negligible, compulsive redosing=negligible, dose escalation=no data. Confidence low — entirely structural-class inference from RIMA pharmacology. | ||
ReasoningReasoningAll values inferred from reversible MAOI mechanism and β-carboline class pharmacology per work-notes. No substance-specific dependence data exist. Work-notes specify: physical=none (inferred), psychological=negligible, compulsive redosing=negligible, dose escalation=no data. Confidence low — entirely structural-class inference from RIMA pharmacology. Evidence basis: structural_analogy | |||
Withdrawal Profiletrace
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Severity | none | none | low |
| Symptoms | — | — | low |
| Fatal | No | No | low |
| Medical Supervision | Not required | Not required | low |
| Editorial | No withdrawal syndrome has been described for harmine in any published literature. Inferred from reversible MAOI mechanism — competitive binding with short residence time means MAO-A activity recovers rapidly upon compound clearance, leaving no pharmacodynamic basis for withdrawal. | ||
ReasoningReasoningNo withdrawal syndrome has been described for harmine in any published literature. Inferred from reversible MAOI mechanism — competitive binding with short residence time means MAO-A activity recovers rapidly upon compound clearance, leaving no pharmacodynamic basis for withdrawal. Evidence basis: structural_analogy | |||
Tolerance Profiletrace
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Buildup | none | none | low |
| Half-life | — | — | low |
| Full Reset | — | — | low |
| Cross-tolerances | moclobemide | moclobemide | low |
| Editorial | Work-notes specify: buildup=no data, half-life=no data, full reset=no data, cross-tolerances=theoretically possible with moclobemide but not established. All values inferred from reversible MAOI class pharmacology. Confidence low — no substance-specific data exist. Mechanism note: reversible competitive inhibition means tolerance would require enzyme upregulation, which has not been studied for harmine. | ||
ReasoningReasoningWork-notes specify: buildup=no data, half-life=no data, full reset=no data, cross-tolerances=theoretically possible with moclobemide but not established. All values inferred from reversible MAOI class pharmacology. Confidence low — no substance-specific data exist. Mechanism note: reversible competitive inhibition means tolerance would require enzyme upregulation, which has not been studied for harmine. Evidence basis: structural_analogy | |||
Effects & Profile
Contraindications
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| psychiatric Concurrent SSRI/SNRI usetrace | absolute | absolute | high |
| Editorial | Pharmacological inference supported by PBPK modeling (Ribeiro et al. 2026). No clinical case reports for harmine specifically, but mechanism is well-established for all MAO-A inhibitors including reversible ones. | ||
ReasoningReasoningPharmacological inference supported by PBPK modeling (Ribeiro et al. 2026). No clinical case reports for harmine specifically, but mechanism is well-established for all MAO-A inhibitors including reversible ones. | |||
| psychiatric Concurrent irreversible MAOI usetrace | absolute | absolute | high |
| Editorial | Standard MAOI class contraindication. Established pharmacological mechanism — additive MAO-A inhibition is well-documented as dangerous for all MAOI combinations. | ||
ReasoningReasoningStandard MAOI class contraindication. Established pharmacological mechanism — additive MAO-A inhibition is well-documented as dangerous for all MAOI combinations. | |||
| other Concurrent tryptamine use without dose titrationtrace | relative | relative | high |
| Editorial | Well-established mechanism from McKenna et al. 1984 and confirmed in multiple human PK studies (Riba 2003, Egger 2025). This is the most extensively documented interaction for harmine. | ||
ReasoningReasoningWell-established mechanism from McKenna et al. 1984 and confirmed in multiple human PK studies (Riba 2003, Egger 2025). This is the most extensively documented interaction for harmine. | |||
| cardiovascular Cardiovascular instabilitytrace | relative | relative | medium |
| Editorial | Riba et al. 2003 documented statistically significant diastolic BP increase in placebo-controlled ayahuasca study. Data is from combination context (harmine+DMT), not harmine alone — confidence reduced accordingly. | ||
ReasoningReasoningRiba et al. 2003 documented statistically significant diastolic BP increase in placebo-controlled ayahuasca study. Data is from combination context (harmine+DMT), not harmine alone — confidence reduced accordingly. | |||
| hepatic Hepatic impairmenttrace | relative | relative | medium |
| Editorial | Yu et al. 2003 established CYP2D6 and CYP1A2 as the principal metabolic enzymes. Hepatic impairment reducing these enzyme activities will predictably increase harmine exposure. No direct clinical studies in hepatically impaired populations. | ||
ReasoningReasoningYu et al. 2003 established CYP2D6 and CYP1A2 as the principal metabolic enzymes. Hepatic impairment reducing these enzyme activities will predictably increase harmine exposure. No direct clinical studies in hepatically impaired populations. | |||
| metabolic CYP2D6 poor metabolizer statustrace | relative | relative | medium |
| Editorial | Yu et al. 2003 confirmed CYP2D6 as the principal metabolic enzyme with exceptionally high turnover numbers. Pharmacogenetic impact is confirmed at the enzyme level but no human outcome studies in poor metabolizers exist. | ||
ReasoningReasoningYu et al. 2003 confirmed CYP2D6 as the principal metabolic enzyme with exceptionally high turnover numbers. Pharmacogenetic impact is confirmed at the enzyme level but no human outcome studies in poor metabolizers exist. | |||
| pregnancy breastfeeding Pregnancy and lactationtrace | absolute | absolute | low |
| Editorial | Precautionary default — no reproductive safety data exist. Both MAO-A inhibition and DYRK1A inhibition have theoretical implications for fetal development. | ||
ReasoningReasoningPrecautionary default — no reproductive safety data exist. Both MAO-A inhibition and DYRK1A inhibition have theoretical implications for fetal development. | |||
| other Concurrent sympathomimetic usetrace | relative | relative | low |
| Editorial | Class-level contraindication inherited from reversible MAOI pharmacology as noted in work-notes. No harmine-specific data; inferred from RIMA mechanism. | ||
ReasoningReasoningClass-level contraindication inherited from reversible MAOI pharmacology as noted in work-notes. No harmine-specific data; inferred from RIMA mechanism. | |||
| other High-tyramine foods at significant MAOI dosestrace | relative | relative | medium |
| Editorial | Standard RIMA class precaution. Dos Santos et al. 2016 review discusses reduced but non-zero tyramine risk with reversible MAO-A inhibitors. Risk is pharmacologically established but substantially lower than irreversible MAOIs. | ||
ReasoningReasoningStandard RIMA class precaution. Dos Santos et al. 2016 review discusses reduced but non-zero tyramine risk with reversible MAO-A inhibitors. Risk is pharmacologically established but substantially lower than irreversible MAOIs. | |||
Timeline Phases
oral
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Onsettrace | 1800–3600 sec(i=0.10) | 1800–3600 sec(i=0.10) | low |
| Editorial | All timeline data is from the ayahuasca (harmine+DMT) combination context per Riba et al. 2003 and general ayahuasca literature consensus. Harmine-specific standalone timeline cannot be characterized from available data. Peak timing (~1.5-2 hours) from Riba 2003; total duration 4-6 hours from ayahuasca literature. Work-notes specify all phases derived from combination context, not harmine alone. | ||
ReasoningReasoningAll timeline data is from the ayahuasca (harmine+DMT) combination context per Riba et al. 2003 and general ayahuasca literature consensus. Harmine-specific standalone timeline cannot be characterized from available data. Peak timing (~1.5-2 hours) from Riba 2003; total duration 4-6 hours from ayahuasca literature. Work-notes specify all phases derived from combination context, not harmine alone. Evidence basis: published_case_series | |||
| Come uptrace | 1800–3600 sec(i=0.40) | 1800–3600 sec(i=0.40) | low |
| Editorial | All timeline data is from the ayahuasca (harmine+DMT) combination context per Riba et al. 2003 and general ayahuasca literature consensus. Harmine-specific standalone timeline cannot be characterized from available data. Peak timing (~1.5-2 hours) from Riba 2003; total duration 4-6 hours from ayahuasca literature. Work-notes specify all phases derived from combination context, not harmine alone. | ||
ReasoningReasoningAll timeline data is from the ayahuasca (harmine+DMT) combination context per Riba et al. 2003 and general ayahuasca literature consensus. Harmine-specific standalone timeline cannot be characterized from available data. Peak timing (~1.5-2 hours) from Riba 2003; total duration 4-6 hours from ayahuasca literature. Work-notes specify all phases derived from combination context, not harmine alone. Evidence basis: published_case_series | |||
| Peaktrace | 3600–5400 sec(i=1.00) | 3600–5400 sec(i=1.00) | low |
| Editorial | All timeline data is from the ayahuasca (harmine+DMT) combination context per Riba et al. 2003 and general ayahuasca literature consensus. Harmine-specific standalone timeline cannot be characterized from available data. Peak timing (~1.5-2 hours) from Riba 2003; total duration 4-6 hours from ayahuasca literature. Work-notes specify all phases derived from combination context, not harmine alone. | ||
ReasoningReasoningAll timeline data is from the ayahuasca (harmine+DMT) combination context per Riba et al. 2003 and general ayahuasca literature consensus. Harmine-specific standalone timeline cannot be characterized from available data. Peak timing (~1.5-2 hours) from Riba 2003; total duration 4-6 hours from ayahuasca literature. Work-notes specify all phases derived from combination context, not harmine alone. Evidence basis: published_case_series | |||
| Resolutiontrace | 3600–7200 sec(i=0.40) | 3600–7200 sec(i=0.40) | low |
| Editorial | All timeline data is from the ayahuasca (harmine+DMT) combination context per Riba et al. 2003 and general ayahuasca literature consensus. Harmine-specific standalone timeline cannot be characterized from available data. Peak timing (~1.5-2 hours) from Riba 2003; total duration 4-6 hours from ayahuasca literature. Work-notes specify all phases derived from combination context, not harmine alone. | ||
ReasoningReasoningAll timeline data is from the ayahuasca (harmine+DMT) combination context per Riba et al. 2003 and general ayahuasca literature consensus. Harmine-specific standalone timeline cannot be characterized from available data. Peak timing (~1.5-2 hours) from Riba 2003; total duration 4-6 hours from ayahuasca literature. Work-notes specify all phases derived from combination context, not harmine alone. Evidence basis: published_case_series | |||
| Afterglowtrace | 14400–72000 sec(i=0.10) | 14400–72000 sec(i=0.10) | low |
| Editorial | All timeline data is from the ayahuasca (harmine+DMT) combination context per Riba et al. 2003 and general ayahuasca literature consensus. Harmine-specific standalone timeline cannot be characterized from available data. Peak timing (~1.5-2 hours) from Riba 2003; total duration 4-6 hours from ayahuasca literature. Work-notes specify all phases derived from combination context, not harmine alone. | ||
ReasoningReasoningAll timeline data is from the ayahuasca (harmine+DMT) combination context per Riba et al. 2003 and general ayahuasca literature consensus. Harmine-specific standalone timeline cannot be characterized from available data. Peak timing (~1.5-2 hours) from Riba 2003; total duration 4-6 hours from ayahuasca literature. Work-notes specify all phases derived from combination context, not harmine alone. Evidence basis: published_case_series | |||
Dose Tier Summaries
At threshold doses, harmine produces no appreciable psychoactive effects as a standalone agent. The relevant threshold is pharmacological rather than experiential — the dose at which measurable peripheral MAO-A inhibition begins, reducing the enzymatic breakdown of dietary and endogenous monoamines. Users may notice a subtle shift in somatic awareness or faint gastrointestinal stirring, but these effects are difficult to distinguish from placebo. Physical effects are minimal. Slight nausea may occur in sensitive individuals. No perceptual, cognitive, or emotional changes are expected at this level. Note: Harmine is primarily used as an MAOI adjunct to DMT, not as a standalone psychoactive. Threshold doses for MAOI activity are substantially lower than doses that would produce direct CNS effects. CYP2D6 poor metabolizers may experience effects at lower doses due to reduced metabolic clearance.
No published threshold dose data for standalone harmine psychoactivity. Work-notes specify this tier should describe MAOI threshold rather than psychoactive threshold. All inference from RIMA pharmacology and ayahuasca combination context.
ReasoningReasoning
No published threshold dose data for standalone harmine psychoactivity. Work-notes specify this tier should describe MAOI threshold rather than psychoactive threshold. All inference from RIMA pharmacology and ayahuasca combination context.
Evidence basis: structural_analogy
At light doses, harmine produces partial MAO-A inhibition with subtle subjective effects. As a standalone agent, users may notice mild sedation, slight bodily heaviness, and a gentle introspective quality. In combination with DMT, light harmine doses produce modest potentiation — extending DMT's duration and mildly intensifying its effects without fully enabling oral bioavailability. Physical effects may include mild nausea, slight dizziness, and gentle sedation. The gastrointestinal effects that characterize higher doses are typically absent or mild at this level. Oral bioavailability of harmine is very low due to extensive first-pass metabolism. Buccal or sublingual administration achieves substantially higher systemic exposure at equivalent doses. CYP2D6 poor metabolizers will experience stronger effects than typical.
No published dose-response data for harmine as standalone psychoactive. Light tier description inferred from RIMA pharmacology, ayahuasca combination data, and work-notes guidance. Egger 2025 studied harmine 0-180 mg buccal but always co-administered with DMT.
ReasoningReasoning
No published dose-response data for harmine as standalone psychoactive. Light tier description inferred from RIMA pharmacology, ayahuasca combination data, and work-notes guidance. Egger 2025 studied harmine 0-180 mg buccal but always co-administered with DMT.
Evidence basis: structural_analogy
At common doses, harmine produces significant MAO-A inhibition sufficient to enable oral DMT bioavailability in the ayahuasca context. As a standalone agent, effects may include moderate sedation, enhanced introspection, mild emotional enhancement, and subtle dreaming enhancement. Creativity enhancement and divergent thinking facilitation have been documented in the ayahuasca context at these dose ranges. Physical effects typically include nausea (reported by most users in the ayahuasca context), bodily heaviness, mild dizziness, and possible trembling. Temperature dysregulation may occur. Gastrointestinal effects are the most consistently reported adverse response at this level. Standalone psychoactive effects of harmine at common doses have not been characterized in controlled studies. All experiential descriptions are derived from the ayahuasca (harmine+DMT) combination context, where DMT drives the primary phenomenology.
No standalone dose-response data. Common tier inferred from ayahuasca combination studies (Riba 2003, Durante 2021) and work-notes guidance. Effects at this tier are primarily from combination context and cannot be attributed to harmine alone.
ReasoningReasoning
No standalone dose-response data. Common tier inferred from ayahuasca combination studies (Riba 2003, Durante 2021) and work-notes guidance. Effects at this tier are primarily from combination context and cannot be attributed to harmine alone.
Evidence basis: structural_analogy
At strong doses, harmine produces near-complete peripheral MAO-A inhibition. In combination with DMT, this tier produces intense subjective effects including vivid internal hallucinations, profound emotional enhancement, strong introspection enhancement, and marked time alteration. Cognitive euphoria and catharsis are commonly reported. The experience becomes immersive and may include thought connectivity and multiple thought streams. Physical effects intensify significantly: nausea and vomiting become likely, bodily heaviness is pronounced, and trembling may occur. Dizziness and motor control impairment are common. Cardiovascular effects include modest blood pressure elevation (+9 mmHg diastolic documented in controlled study). The experience requires a dedicated setting with no obligations for 6+ hours. Higher doses in the Egger 2025 factorial design (up to 180 mg buccal) produced stronger effects but always with co-administered DMT. Historical subcutaneous doses of 40-70 mg in Parkinson's trials produced mood elevation and motor effects.
No standalone dose-response data. Strong tier inferred from higher-dose ayahuasca studies (Riba 2003 high dose, Egger 2025 factorial design up to 180 mg buccal) and historical Parkinson's trial data (20-70 mg SC). Work-notes flag that all effect descriptions are from combination context.
ReasoningReasoning
No standalone dose-response data. Strong tier inferred from higher-dose ayahuasca studies (Riba 2003 high dose, Egger 2025 factorial design up to 180 mg buccal) and historical Parkinson's trial data (20-70 mg SC). Work-notes flag that all effect descriptions are from combination context.
Evidence basis: structural_analogy
At heavy doses, harmine saturates peripheral MAO-A capacity and may achieve sufficient CNS penetration for direct psychoactive effects beyond MAOI activity. Historical Parkinson's trials using subcutaneous doses up to 70 mg reported significant mood elevation alongside motor effects including tremor worsening. In combination with DMT, heavy harmine doses produce maximally intense experiences with potential for overwhelming visionary states, confusion, and significant anxiety. Physical effects at this level are pronounced: vomiting is likely, trembling and motor control impairment are expected, and cardiovascular effects become more concerning. The gastrointestinal burden may be substantial and debilitating. Seizure threshold considerations arise at extreme doses based on class pharmacology. This dose range carries significant safety concerns. Serotonin syndrome risk increases with any concurrent serotonergic exposure. CYP2D6 poor metabolizers may reach heavy-equivalent exposure at nominally strong doses. No controlled human data characterize harmine's standalone effects at these levels.
No controlled standalone dose-response data. Heavy tier inferred from historical Parkinson's SC data (70 mg as upper clinical range), Egger 2025 buccal data (180 mg maximum studied), and work-notes guidance. All effect descriptions extrapolated from combination context and historical reports.
ReasoningReasoning
No controlled standalone dose-response data. Heavy tier inferred from historical Parkinson's SC data (70 mg as upper clinical range), Egger 2025 buccal data (180 mg maximum studied), and work-notes guidance. All effect descriptions extrapolated from combination context and historical reports.
Evidence basis: structural_analogy
History
publish Oct 2, 2026
backfill Jun 4, 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.
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