| Acetylfentanyl | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| Buprenorphine | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| Codeine | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| Desomorphine | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| Dextropropoxyphene | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| Dihydrocodeine | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| Ethylmorphine | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| Fentanyl | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| Heroin | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| Hydrocodone | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| Hydromorphone | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| Kratom | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| Methadone | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| Morphine | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| Naloxone | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| O-Desmethyltramadol | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| Oxycodone | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| Oxymorphone | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| Pethidine | Dangerous | Both cause respiratory depression and unconsciousness; vomiting while dissociated risks aspiration |
| 1,4-Butanediol | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| 2-Fluorodeschloroketamine | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| 2M2B | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| 3-Cl-PCP | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| 3-HO-PCE | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| 3-HO-PCP | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| 3-MeO-PCE | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| 3-MeO-PCMo | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| 3-MeO-PCP | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| 5F-AKB48 | Caution | Cannabis can intensify dissociation and increase confusion and disorientation |
| 5F-PB-22 | Caution | Cannabis can intensify dissociation and increase confusion and disorientation |
| AB-FUBINACA | Caution | Cannabis can intensify dissociation and increase confusion and disorientation |
| Alcohol | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Alprazolam | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Anandamide | Caution | Cannabis can intensify dissociation and increase confusion and disorientation |
| APICA | Caution | Cannabis can intensify dissociation and increase confusion and disorientation |
| Atropa belladonna | Caution | Unpredictable compounding of hallucinogenic effects with anticholinergic delirium |
| Baclofen | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Benzodiazepines | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Benzydamine | Caution | Unpredictable compounding of hallucinogenic effects with anticholinergic delirium |
| Cake | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Cannabidiol | Caution | Cannabis can intensify dissociation and increase confusion and disorientation |
| Cannabis | Caution | Cannabis can intensify dissociation and increase confusion and disorientation |
| Carisoprodol | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Clonazepam | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Clonazolam | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Clonidine | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Datura | Caution | Unpredictable compounding of hallucinogenic effects with anticholinergic delirium |
| Deschloroetizolam | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Deschloroketamine | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| Dextromethorphan | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| Diazepam | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Diclazepam | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Diphenhydramine | Caution | Unpredictable compounding of hallucinogenic effects with anticholinergic delirium |
| Diphenidine | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| Ephenidine | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| Eszopiclone | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Etizolam | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| F-Phenibut | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Flualprazolam | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Flubromazepam | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Flubromazolam | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Flunitrazepam | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Flunitrazolam | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Gabapentin | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Gaboxadol | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| GBL | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| GHB | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Grayanotoxin | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| HXE | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| Inhalants | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| JWH-018 | Caution | Cannabis can intensify dissociation and increase confusion and disorientation |
| JWH-073 | Caution | Cannabis can intensify dissociation and increase confusion and disorientation |
| Ketamine | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| Lorazepam | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Memantine | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| Mephenaqualone | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Methaqualone | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Methoxetamine | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| Methoxphenidine | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| Metizolam | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Midazolam | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Mirtazapine | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| MXiPr | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| Myristicin | Caution | Unpredictable compounding of hallucinogenic effects with anticholinergic delirium |
| Nicotine | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Nifoxipam | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Nitrous | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| O-PCE | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| PCE | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| PCP | Caution | Compounding dissociative effects can cause confusion, mania, and loss of motor control |
| Pentobarbital | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| Phenobarbital | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| SAMe | Caution | Both cause CNS depression; increased risk of vomiting, unconsciousness, and respiratory depression |
| 1,3-Butanediol | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 1B-LSD | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 1cP-AL-LAD | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 1cP-LSD | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 1cP-MiPLA | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 1P-ETH-LAD | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 1P-LSD | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 1V-LSD | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 2,5-DMA | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 25B-NBOH | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 25B-NBOMe | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 25C-NBOH | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 25C-NBOMe | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 25D-NBOMe | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 25E-NBOH | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 25I-NBOH | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 25I-NBOMe | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 25N-NBOMe | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 2C-B | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 2C-B-FLY | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 2C-C | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 2C-D | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 2C-E | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 2C-H | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 2C-I | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 2C-P | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 2C-T | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 2C-T-2 | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 2C-T-21 | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 2C-T-7 | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 3C-E | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 3C-P | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 4-AcO-DET | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 4-AcO-DiPT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 4-AcO-DMT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 4-AcO-MET | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 4-AcO-MiPT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 4-HO-DET | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 4-HO-DiPT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 4-HO-DPT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 4-HO-EPT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 4-HO-MET | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 4-HO-MiPT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 4-HO-MPT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 5-MeO-DALT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 5-MeO-DiBF | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 5-MeO-DiPT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 5-MeO-DMT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 5-MeO-MiPT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 6-APB | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| AL-LAD | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| ALD-52 | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| Allylescaline | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| Ayahuasca | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| Bromo-DragonFLY | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| Bufotenin | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| DET | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| DiPT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| DMT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| DOB | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| DOC | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| DOI | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| DOM | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| DPT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| Efavirenz | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| EPT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| Escaline | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| ETH-LAD | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| Ibogaine | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| LAE-32 | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| LSA | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| LSD | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| LSM-775 | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| LSZ | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| MDA | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| Mescaline | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| MET | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| Methallylescaline | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| MiPLA | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| MiPT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| MPT | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| PARGY-LAD | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| PRO-LAD | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| Psilocybin Mushrooms | Low Risk & Synergy | Produces unique synergistic effects; often combined |