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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

Uncontrolled hypertension, cardiac arrhythmia, or significant cardiovascular disease. Sympathomimetic effects expected to increase heart rate and blood pressure.

Psychiatric
psychotic disordersabsolute

Personal or family history of schizophrenia, schizoaffective disorder, or other psychotic disorders. Risk of acute psychotic episode precipitation.

bipolar disorderrelative

Bipolar I and II disorder. Risk of manic episode precipitation, particularly during or following the prolonged psychedelic experience.

Hepatic
hepatic impairmentrelative

Significant hepatic impairment may reduce TMA-6 metabolism, prolonging the already extended duration and increasing risk of adverse effects.

Pregnancy & Breastfeeding
pregnancy and breastfeedingabsolute

Pregnancy and breastfeeding. No safety data exist. Theoretical risks from both serotonergic and sympathomimetic pharmacology.

Other
concurrent MAO inhibitor useabsolute

Concurrent use of any monoamine oxidase inhibitor is absolutely contraindicated due to compounded MAO-A inhibition and extreme serotonin syndrome risk.

concurrent SSRI/SNRI useabsolute

Concurrent use of serotonin reuptake inhibitors (SSRIs, SNRIs) is absolutely contraindicated due to serotonin syndrome risk from combined MAO-A inhibition and reuptake blockade.

If this is going wrong

Reducing or stopping