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Lethal interactions

CombinationTypeSeverityMechanismsConfidence
MAOIsDrug classlethal2high

Dangerous interactions

26 dangerous interactions recorded for this substance.

See the full interactions table

Contraindications

ConditionSeverityNote
Cardiovascular
uncontrolled hypertensionrelative

Hypertension, arrhythmias, coronary artery disease, or structural heart disease. Vasoconstriction and tachycardia are reported effects. No controlled cardiovascular data exist.

cardiac arrhythmiasrelative

Pre-existing arrhythmias may be worsened by TMA-2's reported cardiac effects and prolonged stimulant activity.

Neurological
epilepsyrelative

Seizure disorders or history of seizures. Phenethylamine psychedelics increase cortical excitability. No TMA-2-specific seizure data.

Psychiatric
psychotic disordersabsolute

Personal or family history of schizophrenia, schizoaffective disorder, or other psychotic disorders. Class-level contraindication for all serotonergic psychedelics.

bipolar disorderabsolute

Bipolar I and II disorder. Risk of precipitating manic episodes. Class-level contraindication for serotonergic psychedelics.

Pregnancy & Breastfeeding
pregnancyabsolute

Pregnancy and breastfeeding. No safety data available. 5-HT2A agonists may disrupt fetal serotonergic neurodevelopment.

Other
concurrent MAOI useabsolute

Concurrent use of MAO inhibitors (pharmaceutical or traditional) is contraindicated due to serotonin syndrome risk. Class-level contraindication for serotonergic psychedelics.

concurrent lithium useabsolute

Concurrent lithium therapy. Class-level interaction flagged across serotonergic psychedelics for seizure risk and unpredictable potentiation.

If this is going wrong

Reducing or stopping