| 2-Aminoindane | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 2-FA | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 2-FEA | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 2-FMA | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 2,5-DMA | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 2C-H | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 3-FA | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 3-FEA | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 3-FMA | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 3-FPM | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 3-MMC | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 3,4-CTMP | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 4-FA | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 4-FMA | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 4-MMC | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 4F-EPH | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 4F-MPH | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 5-APB | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 5F-AKB48 | Caution | Cannabis can unpredictably intensify psychedelic effects and increase anxiety |
| 5F-PB-22 | Caution | Cannabis can unpredictably intensify psychedelic effects and increase anxiety |
| 6-APDB | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 8-Chlorotheophylline | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| A-PHP | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| A-PVP | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| AB-FUBINACA | Caution | Cannabis can unpredictably intensify psychedelic effects and increase anxiety |
| Adrafinil | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Amphetamine | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Anandamide | Caution | Cannabis can unpredictably intensify psychedelic effects and increase anxiety |
| APICA | Caution | Cannabis can unpredictably intensify psychedelic effects and increase anxiety |
| Armodafinil | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Atropa belladonna | Caution | Unpredictable compounding of hallucinogenic effects with anticholinergic delirium |
| Benzydamine | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Bromantane | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Butylone | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Caffeine | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Cannabidiol | Caution | Cannabis can unpredictably intensify psychedelic effects and increase anxiety |
| Cannabis | Caution | Cannabis can unpredictably intensify psychedelic effects and increase anxiety |
| Cocaine | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Cyclazodone | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Datura | Caution | Unpredictable compounding of hallucinogenic effects with anticholinergic delirium |
| Desoxypipradrol | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Dextroamphetamine | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Dichloropane | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Diphenhydramine | Caution | Unpredictable compounding of hallucinogenic effects with anticholinergic delirium |
| Ephedrine | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Ephylone | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| ETH-CAT | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Ethylone | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Ethylphenidate | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Fenethylline | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Harmala alkaloid | Caution | MAOIs dramatically potentiate psychedelics; drastically reduce dose and exercise extreme caution |
| Hexedrone | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Isopropylphenidate | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| JWH-018 | Caution | Cannabis can unpredictably intensify psychedelic effects and increase anxiety |
| JWH-073 | Caution | Cannabis can unpredictably intensify psychedelic effects and increase anxiety |
| Kratom | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Lisdexamfetamine | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| MAOI | Caution | MAOIs dramatically potentiate psychedelics; drastically reduce dose and exercise extreme caution |
| MCPP | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| MDA | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| MDMA | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| MDPV | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Mephedrone | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Methamphetamine | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Methcathinone | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Methiopropamine | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Methylnaphthidate | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Methylone | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Methylphenidate | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Mexedrone | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Mirtazapine | Caution | Unpredictable compounding of hallucinogenic effects with anticholinergic delirium |
| Modafinil | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Myristicin | Caution | Unpredictable compounding of hallucinogenic effects with anticholinergic delirium |
| N-Ethylhexedrone | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| N-Methylbisfluoromodafinil | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| NEP | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Nicotine | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| NM-2-AI | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Oxiracetam | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Peganum harmala | Caution | MAOIs dramatically potentiate psychedelics; drastically reduce dose and exercise extreme caution |
| Pentedrone | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Phenylpiracetam | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| Rhodiola Rosea | Caution | Increases anxiety, cardiovascular stress, and psychological intensity |
| 1,3-Butanediol | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 1B-LSD | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 1cP-AL-LAD | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 1cP-LSD | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 1cP-MiPLA | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 1P-ETH-LAD | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 1P-LSD | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 1V-LSD | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 2-Fluorodeschloroketamine | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 25B-NBOH | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 25B-NBOMe | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 25C-NBOH | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 25C-NBOMe | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 25D-NBOMe | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 25E-NBOH | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 25I-NBOH | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 25I-NBOMe | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 25N-NBOMe | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 2C-B | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 2C-B-FLY | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 2C-C | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 2C-D | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 2C-E | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 2C-I | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 2C-P | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 2C-T | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 2C-T-2 | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 2C-T-21 | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 2C-T-7 | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 3-Cl-PCP | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 3-HO-PCE | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 3-HO-PCP | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 3-MeO-PCE | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 3-MeO-PCMo | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 3-MeO-PCP | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 3C-E | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 3C-P | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 4-AcO-DET | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 4-AcO-DiPT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 4-AcO-DMT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 4-AcO-MET | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 4-AcO-MiPT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 4-HO-DET | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 4-HO-DiPT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 4-HO-DPT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 4-HO-EPT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 4-HO-MET | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 4-HO-MiPT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 4-HO-MPT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 4-MeO-PCP | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| 5-MeO-DALT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 5-MeO-DiBF | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 5-MeO-DiPT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 5-MeO-DMT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 5-MeO-MiPT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| 6-APB | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| AL-LAD | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| ALD-52 | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| Allylescaline | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| Ayahuasca | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| Bromo-DragonFLY | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| Bufotenin | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| Deschloroketamine | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| DET | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| Dextromethorphan | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| Diphenidine | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| DiPT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| DMT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| DOB | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| DOC | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| DOI | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| DOM | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| DPT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| Efavirenz | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| Ephenidine | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| EPT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| Escaline | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| ETH-LAD | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| HXE | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| Ibogaine | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| Inhalants | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| Ketamine | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| LAE-32 | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| LSA | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| LSD | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| LSM-775 | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| LSZ | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| Memantine | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| Mescaline | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| MET | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| Methoxetamine | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| Methoxphenidine | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| MiPLA | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| MiPT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| MPT | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| MXiPr | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| Nitrous | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| O-PCE | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| PARGY-LAD | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| PCE | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| PCP | Low Risk & Synergy | Produces unique synergistic effects; often combined |
| PRO-LAD | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| Psilocybin Mushrooms | Low Risk & Synergy | Cross-tolerance exists; effects compound |
| Codeine | Low Risk & No Synergy | No significant pharmacological interaction; opioids may slightly dull the psychedelic experience |
| Fentanyl | Low Risk & No Synergy | No significant pharmacological interaction; opioids may slightly dull the psychedelic experience |
| Heroin | Low Risk & No Synergy | No significant pharmacological interaction; opioids may slightly dull the psychedelic experience |
| Morphine | Low Risk & No Synergy | No significant pharmacological interaction; opioids may slightly dull the psychedelic experience |
| Oxycodone | Low Risk & No Synergy | No significant pharmacological interaction; opioids may slightly dull the psychedelic experience |
| Alcohol | Low Risk & Decrease | Depressants dull psychedelic effects; benzodiazepines are commonly used as trip-killers |
| Alprazolam | Low Risk & Decrease | Depressants dull psychedelic effects; benzodiazepines are commonly used as trip-killers |
| Clonazepam | Low Risk & Decrease | Depressants dull psychedelic effects; benzodiazepines are commonly used as trip-killers |
| Diazepam | Low Risk & Decrease | Depressants dull psychedelic effects; benzodiazepines are commonly used as trip-killers |
| GHB | Low Risk & Decrease | Depressants dull psychedelic effects; benzodiazepines are commonly used as trip-killers |
| Lorazepam | Low Risk & Decrease | Depressants dull psychedelic effects; benzodiazepines are commonly used as trip-killers |