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DMT

Group: Psychedelics
Tags: Tryptamines
Nicknames: Dimi, Dimitri, Businessman’s Special, businessman's trip' or 'lunch-break trip, (because of the short duration), the spirit molecule, fantasia
Last reviewed: October 2026

Harm Reduction

  • MAOI preparations and serotonergic drugs This is the most important safety issue. MAO inhibitors slow the breakdown of DMT and of many other drugs and foods, so combining them with other substances (particularly medical antidepressants) can cause serotonin syndrome (agitation, sweating, tremor, high temperature, muscle rigidity, fast heart rate) or a hypertensive crisis (severe rise in blood pressure). Both are medical emergencies.
  • Drugs and foods that are particularly risky with MAO inhibition include MDMA, amphetamines, cocaine, tramadol, dextromethorphan, SSRIs and other antidepressants, Lithium St John’s wort, and foods very high in tyramine (such as aged cheese, cured meats and fermented products).
  • Know what you are taking. Unknown material, plant extracts and especially vape cartridges are often not what they are sold as. Drug checking (where available) can help identify the substance, though it cannot (usually) confirm strength or rule out all contaminants.
  • Start low and wait. Everybody responds differently, and DMT is potent in very small amounts. Do not take more because the first experience is short, and do not assume that an amount that suited one product or batch will suit another.
  • Think about setting. Choose a safe, familiar, private place that is clear of hazards. DMT can make people lose awareness of their surroundings very quickly, so be seated or lying down, away from stairs, windows, heat sources and sharp furniture.
  • Be with someone sober and trusted. A sober ‘sitter’ can reassure you, keep you safe, and call for help if needed. Do not use alone.
  • Mind your headspace. Avoid use if you are anxious, unwell, very tired or in a low mood. Psychedelics tend to amplify what you are already feeling.
  • Keep equipment clean. Residue left in pipes and vaporisers can mix with the next use, so the next dose may be stronger than expected. Sharing pipes or mouthpieces can spread infections. Harsh, hot vapour irritates the airway, and the long-term effects of regular inhalation are not well studied.

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