2C-T-7 Dosage Guide

## Recognizing a 2C-T-7 Emergency 2C-T-7 is one of the few psychedelics with a documented record of fatal outcomes. Any adverse reaction should be taken seriously and escalated quickly. Do not assume that because "psychedelics are safe," a person in distress will be fine. **Early warning signs (act immediately):** - Sustained heart rate above 150 bpm - Body temperature rising above 39°C (102°F) - Muscle rigidity or involuntary jerking movements (clonus) - Agitation progressing to confusion or delirium - Profuse sweating with hot, flushed skin - Seizures of any duration **Signs consistent with serotonin syndrome (call emergency services NOW):** - Temperature above 41°C (106°F) -- this is life-threatening - Sustained muscle rigidity, especially in the legs - Rapid, chaotic eye movements - Loss of coordination, inability to speak coherently - Loss of consciousness ## Emergency Response 1. **Call emergency services immediately.** Tell them: "Possible serotonin syndrome from a serotonergic drug. Body temperature is [X]. Heart rate is [X]." Do not withhold information about what was taken -- emergency physicians need to know 2. **Begin cooling.** Remove excess clothing. Apply cold water or ice packs to armpits, groin, and neck -- the areas with major blood vessels closest to the surface. Fan the person. Evaporative cooling (misting with water while fanning) is the most effective field method 3. **Do not administer chlorpromazine or other antipsychotics.** Unlike LSD emergencies, antipsychotics can worsen outcomes with serotonergic crises. Benzodiazepines (diazepam, lorazepam) are appropriate for agitation and seizures if available 4. **Monitor breathing.** If the person becomes unconscious, place them in the recovery position. Be prepared to perform CPR if breathing or pulse stops 5. **Document timing.** Note when the substance was taken, what dose, what route, and what other substances were involved. This information is critical for hospital treatment ## Psychological Emergencies Without Physical Crisis If the person is physically stable but experiencing severe anxiety, panic, or psychotic symptoms: - Move to a quiet, low-stimulation environment - Speak calmly and slowly. Use their name. Maintain eye contact - Reassure them that the effects are temporary and time-limited - Do not restrain unless there is immediate danger to self or others - Benzodiazepines can reduce acute psychological distress if available - If psychotic symptoms persist (hallucinations with loss of reality testing, paranoid delusions, self-harm behavior), seek emergency medical attention Good Samaritan laws protect callers in most jurisdictions. Never let legal fear prevent you from calling for help.