Microdosing Psilocybin Safety: Drug Interactions and Contraindications
Key Drug Interactions
SSRIs/SNRIs: Reduce psilocybin's effects (cross-tolerance). Not dangerous, but psilocybin may not work as expected. MAOIs: Can dramatically amplify psilocybin effects — potentially dangerous. Lithium: Associated with seizures when combined with psilocybin. Avoid. Stimulants: May increase cardiovascular effects.
Contraindications
Personal or family history of psychosis, schizophrenia, or bipolar I; pregnancy or breastfeeding; under 25 years old; taking lithium or MAOIs.
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Can I microdose while taking antidepressants?
SSRIs reduce psilocybin's effects but are not dangerous to combine. Never stop prescribed medication without medical supervision.
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