Skip to main content

Xylazine Facts

Depressant; Sedative; Alpha-2 adrenergic receptor agonist

Description

Xylazine — tranq — is a synthetic sedative of the thiazine class. It suppresses norepinephrine signaling and activates opioid pain pathways, producing deep sedation and analgesia.[1][2]

Subjective effects include profound sedation, muscle relaxation, pain suppression, and loss of consciousness. The experience resembles pharmacological unconsciousness — an involuntary shutdown that outlasts the fentanyl it accompanies, leaving users immobile and unresponsive for extended periods.[3]

Xylazine produces rapid physical dependence, and withdrawal does not respond to standard opioid medications.[4] The gap between non-fatal and fatal doses is dangerously narrow,[5] and no antidote exists — naloxone reverses only the fentanyl component, meaning apparent recovery can mask ongoing xylazine toxicity.

Dose and durationby route · individual sensitivity varies

Intravenous

No dose recorded for this route. The timings are not a dose guide.

Starts in 1 – 5 minLasts 30 – 120 minAfter-effects 2 – 12 hours

Body and dependence

Acute toxicity
Critical
Chronic toxicity
High
Physical dependence
High
Psychological dependence
Moderate
Withdrawal
Moderate · medical supervision
Compulsive redosing
Low

Tolerance

Builds
Moderate
Fully resets after
Not recorded
Carries over to
mu opioid agonists (supraspinal); delta opioid agonists (supraspinal); fentanyl

Effectslikely at a common dose

Perception
none likely · 6 possible, including Spatial disorientation, Vestibular distortion, Visual acuity suppression
Body
Motor control impairment; Muscle relaxation; Pain suppression; Physical fatigue; Pupil constriction; Respiratory depression; Sedation; Vasoconstriction; +9 possible, including Abnormal heartbeat, Dizziness, Temperature dysregulation
Thinking
Cognitive fatigue; Cognitive impairment; Confusion; Decision impairment; Focus suppression; Information processing suppression; Motivation suppression; Thought deceleration; +6 possible, including Language suppression, Memory suppression, Compulsive redosing urge
Feeling
none likely · 7 possible, including Dysphoria, Anhedonia, Depression
Self
Sociability suppression; Social disconnection; +4 possible, including Communication suppression, Craving, Depersonalization
Time
none likely · 2 possible, including Temporal disorientation

Who shouldn't take it

Absolute
Opioid co-administration; CNS depressant co-administration; Pregnancy
Relative
Pre-existing cardiovascular disease; Diabetes mellitus

Combinations60 recorded

Dangerous (22)
Alpha-2 adrenergic receptor antagonist; Benzodiazepines, Barbiturates; Gabapentin, Pregabalin; GHB, Baclofen; GHB, GBL; Opioids; Poppers (Alkyl nitrites); Poppers, Nitrates; Antipsychotics; Atypical antipsychotics; Benzodiazepines; DXM; Ibogaine; Ketamine, DXM, PCP; Local anesthetics; MAOIs; MDMA, MDA; NDRIs (Wellbutrin); SNRIs; SSRIs; Synthetic cannabinoids; Salvia, Ibogaine
Caution (27)
See full page: psychedex.org/substances/xylazine
Not graded (11)
Not listed never means safe.

Seek help immediately if

No emergency profile is recorded for this substance. Not recorded never means no risk.

988 Suicide & Crisis LifelineFireside Project: 62-FIRESIDE

Version r1 · Not medical advice

References

  1. [1]
    ^Multiple authors (2024) Xylazine Toxicity - StatPearls Link
  2. [2]
    ^Bedard ML, Huang XP, Murray JG, et al. (2024) Xylazine is an agonist at kappa opioid receptors and exhibits sex-specific responses to opioid antagonism — Addiction Neuroscience doi:10.1016/j.addicn.2024.100155
  3. [3]
    ^Spadaro A, O'Connor K, Lakamana S, et al. (2023) Self-reported Xylazine Experiences: A Mixed-methods Study of Reddit Subscribers — Journal of Addiction Medicine doi:10.1097/adm.0000000000001216
  4. [4]
    ^Perrone J, Haroz R, D'Orazio J, et al. (2024) NIDA Clinical Trials Network Meeting Report: Managing Patients Exposed to Xylazine-Adulterated Opioids — Annals of Emergency Medicine doi:10.1016/j.annemergmed.2024.01.041
  5. [5]
    ^Ayub S, Parnia S, Poddar K, et al. (2023) Xylazine in the Opioid Epidemic: A Systematic Review of Case Reports and Clinical Implications — Cureus doi:10.7759/cureus.36864
Print version
Report an issue