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4-HO-EPT
4-HO-EPT is a synthetic psychedelic of the tryptamine chemical class.1 It is structurally related to psilocin1, the active component of psilocybin mushrooms, and produces similar psychedelic effects. It was encountered as a novel designer drug in Japan by 2021.2
Dosage & Duration
Dosage
Doses are population estimates that vary widely between individuals.
Duration
Subjective Effects
Pharmacology
Pharmacodynamics
4-HO-EPT acts as a potent full agonist at serotonin 5-HT2A, 5-HT2B, and 5-HT2C receptors. Its agonist potency at 5-HT2A and 5-HT2B is one to two orders of magnitude greater than at 5-HT2C. It also binds to 5-HT1A and 5-HT6 receptors.3 In rodents, it elicits the head-twitch response,4 a behavioral marker used to assess psychedelic activity.4
Pharmacokinetics
Dangerous
Highest riskThese combinations are considered extremely harmful and should always be avoided. Reactions to these drugs taken in combination are highly unpredictable and have a potential to cause death.
Unsafe
AvoidThere is considerable risk of physical harm when taking these combinations, they should be avoided where possible.
Caution
Use cautionThese combinations are not usually physically harmful, but may produce undesirable effects, such as physical discomfort or overstimulation. Extreme use may cause physical health issues. Synergistic effects may be unpredictable. Care should be taken when choosing to use this combination.
Tolerance
Tolerance timelines are rules of thumb, not exact schedules, and vary widely between individuals and use patterns.
All psychedelics
Harm Potential
Addiction & Dependence
Psychological
Higher doses may increase adverse effects, including possible addiction-related concerns, but 4-HO-EPT-specific addiction risk has not been characterized.
Toxicity
The exact toxic dose is described as unknown, and recreational toxicity and long-term health effects are said not to have been scientifically studied.
Nausea is listed among physical effects.
Psychosis Risk
Psychosis risk is specifically warned for lithium combinations and may be increased by cannabis or stimulant combinations; delusion is also listed as a cognitive effect.
Seizure Risk
Lithium is warned to significantly increase psychosis and seizure risk, and tramadol may lower the seizure threshold enough for psychedelics to trigger seizures in susceptible people.
History & Culture
4-HO-EPT was sold online as a research chemical in 2016, with no known history of human use before that time. By 2021, it had been encountered in Japan as a novel designer drug.2 It remained obscure, with use occurring in recreational and research contexts. Alexander Shulgin's book TiHKAL (Tryptamines I Have Known and Loved) did not mention the substance.
Legality
By Country
References
Source Pages
Citations
Further Reading
Article Status
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