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WARNINGREDOSING CAN TRIGGER PSYCHOSIS

PCP-like dissociatives can cause mania, paranoia, or psychosis that outlasts the high. High doses, redosing, and sleep loss raise the risk.

PCP

PCP molecule structurePCP molecule structure
Phencyclidine
Angel Dust, Sherm, Wet, Dust, Supergrass
Psychoactive Class
Chemical Class

PCP is a dissociative anesthetic of the arylcyclohexylamine class, originally introduced as a medical anesthetic roughly sixty years ago, though most of its use has since occurred outside clinical settings.citation needed It functions primarily as an NMDA receptor antagonist. PCP is commonly associated with erratic and sometimes violent behavior, though such incidents likely reflect overdose cases rather than typical use. Caution is warranted due to reports of mania, psychosis, and habit-forming potential.

Dosage & Duration

Dosage

Doses are population estimates that vary widely between individuals.

Threshold~3 mg
Light3-5 mg
Moderate5-10 mg
Strong10-15 mg
Heavy15+ mg

Duration

Onset15-60 minutes
Come Up40-120 minutes
Peak1-4 hours
Offset1-2 hours
After Effects12-24 hours
Total4-6 hours

Subjective Effects

Legacy content. A statistically backed ontology from Mindstate Design Labs is coming soon.

PCP produces a dissociative anesthetic state combining detachment from the body and surroundings with physical euphoria and a degree of stimulation uncommon among dissociatives. It is notably more likely than related dissociatives to produce psychotic reactions; in clinical studies of anesthetic doses, agitation or hallucinations occurred in up to half of patients, and lasting mental disturbances in roughly a sixth. High doses carry a real, though not typical, risk of dangerous psychotic and manic states, which underlie the drug's reputation for erratic and occasionally violent behavior in overdose.

Physical

The body feels numbed and anesthetized, with pronounced loss of motor coordination that can render walking difficult. Unlike most dissociatives, a stimulating physical energy is often present alongside the sedating and ataxic effects, which are strongly potentiated by depressants.

Dissociative

Cognitive

The headspace is dissociated and can be euphoric and confident, but is unusually prone to tipping into agitation, delusional thinking, mania, or outright psychosis, particularly at high doses. Caution is strongly recommended given the volume of reports of manic episodes and related psychosis.

Emotional

Psychological

PCP is more likely to produce psychotic reactions than other dissociatives, and dangerous psychotic states are possible at high doses.

Visual

Hallucinatory States

Hallucinations are considerably more common on PCP than on most other dissociatives, occurring in up to 50% of patients given anesthetic doses in clinical studies.

Tactile

Touch is progressively suppressed and anesthetized as the dissociative state deepens.

See also: Dissociative Intensity Scale, Subjective Effects of Dissociatives

Reagent Testing

Expected colorimetric results for common reagent tests. Colors show reaction change over 1–2 minutes.

Gallic(GA)
brown1 → blue1
Morr(MO)
pink2 → green1
Marquis(MQ)
No reaction
No reaction
Mecke(ME)
No reaction
No reaction
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Pharmacology

Pharmacodynamics

PCP acts primarily as a noncompetitive NMDA receptor antagonist, binding to a site within the ion channel that is accessible only when the channel has been opened by a coagonist such as glycine.citation needed It also functions as a potent partial agonist at dopamine D2 receptors (specifically the high-affinity state) and inhibits dopamine reuptake, leading to increased extracellular dopamine levels. PCP additionally shows high affinity for the σ2 receptor and inhibits nicotinic acetylcholine receptors. Binding data indicate high selectivity for the NMDA receptor (Ki = 59 nM at the dizocilpine site) and σ2 receptor (Ki = 136 nM), with affinity exceeding 10,000 nM at most other assayed targets aside from the serotonin transporter (Ki = 2,234 nM).1

Pharmacokinetics

PCP is both water- and lipid-soluble, allowing rapid distribution throughout the body.citation needed It undergoes extensive first-pass hepatic metabolism, with approximately 90% metabolized via oxidative hydroxylation during the initial pass through the liver. The resulting metabolites are glucuronidated and excreted renally, while roughly 9% of an ingested dose is excreted unchanged in urine.

Interactions

Dangerous

Highest risk

These 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.

2C-T-x compounds5-MeO-xxT tryptaminesAMTDXMGHB/GBLMAOIsTramadol

Unsafe

Avoid

There is considerable risk of physical harm when taking these combinations, they should be avoided where possible.

AlcoholAmphetaminesBenzodiazepinesCocaineDOx compoundsMDMASSRIs

Caution

Use caution

These 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.

CaffeineMXEOpioids
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Tolerance

Tolerance timelines are rules of thumb, not exact schedules, and vary widely between individuals and use patterns.

Cross Tolerance

Other dissociatives

Harm Potential

Addiction & Dependence

Psychological

Moderate

PCP is classified as habit-forming and is known to cause addiction with excessive use. It induces ΔFosB expression in the nucleus accumbens and has rewarding and reinforcing effects mediated in part by NMDA receptor blockade in dopaminergic pathways.citation needed

Toxicity

Central Nervous System

Neurotoxicity is a concern with PCP, particularly at high doses and with frequent use, though the clinical significance in humans remains controversial. Animal studies have shown that high doses of NMDA receptor antagonists can cause reversible vacuoles in brain tissue (Olney's lesions), but these findings are from non-human animals and may not directly apply to humans.citation needed

Musculoskeletal

Rhabdomyolysis (muscle breakdown) is described as a not-unusual manifestation of PCP toxicity and may occur during intoxication.citation needed

Psychosis Risk

PCP is more likely to produce psychosis compared to other dissociatives. Studies found agitation or hallucinations in up to 50% of patients at anesthetic doses, with greater psychiatric issues in approximately 17%. Recreational doses occasionally induce psychotic states with emotional and cognitive impairment resembling schizophrenic episodes.citation needed A 2019 review found that 26% of those diagnosed with hallucinogen-induced psychosis (including PCP) later transitioned to a schizophrenia diagnosis.2 High doses have been associated with dangerous psychotic states, including paranoia, delusions, and suicidal impulses.citation needed Flashbacks may occur despite stopping usage.

Seizure Risk

High doses and overdoses may lead to convulsions and seizures. Benzodiazepines are the drugs of choice for controlling seizures when present during PCP intoxication.3 Certain antipsychotics such as phenothiazines may lower the seizure threshold and are not preferred for managing PCP-induced psychosis.citation needed

History & Culture

Discovery and Medical Development

Phencyclidine was first synthesized in 1926 by German chemist Arthur Kötz and his student Paul Merkel during research involving Grignard reactions with piperidinocyclohexancarbonitrile compounds. The compound remained largely unexplored until 1956, when chemist H. Victor Maddox independently

Legality

International

UN Convention on Psychotropic Substances 1971: scheduled

By Country

Illegal18
United States flagUnited StatesIllegal
Argentina flagArgentinaIllegal
Canada flagCanadaIllegal
Denmark flagDenmarkIllegal
Finland flagFinlandIllegal
France flagFranceIllegal
Germany flagGermanyIllegal
India flagIndiaIllegal
Ireland flagIrelandIllegal
Netherlands flagNetherlandsIllegal
New Zealand flagNew ZealandIllegal
Norway flagNorwayIllegal
Philippines flagPhilippinesIllegal
Russia flagRussiaIllegal
South Africa flagSouth AfricaIllegal
South Korea flagSouth KoreaIllegal
Ukraine flagUkraineIllegal
United Kingdom flagUnited KingdomIllegal
Controlled / restricted3
Colombia flagColombiaRestricted
Japan flagJapanRestricted
Switzerland flagSwitzerlandRestricted
Prescription3
Brazil flagBrazilPrescription only
Mexico flagMexicoPrescription only
United Arab Emirates flagUnited Arab EmiratesPrescription only

References

Source Pages

  1. DrugBank: Phencyclidine
  2. Erowid: PCP Basics
  3. Erowid: PCP Effects
  4. PsychonautWiki: PCP
  5. The Drug Classroom
  6. TripSit: Drug Combinations
  7. TripSit: PCP Factsheet
  8. TripSit: PCP Wiki
  9. Wikipedia

Citations

  1. Roth BL, Gibbons S, Arunotayanun W, Huang XP, Setola V, Treble R, & Iversen L. (2013). The Ketamine Analogue Methoxetamine and 3- and 4-Methoxy Analogues of Phencyclidine Are High Affinity and Selective Ligands for the Glutamate NMDA Receptor. PLOS ONE. https://doi.org/10.1371/journal.pone.00593341
  2. Murrie B, Lappin J, Large M, & Sara G. (2020). Transition of Substance-Induced, Brief, and Atypical Psychoses to Schizophrenia: A Systematic Review and Meta-analysis. Schizophrenia Bulletin. https://pmc.ncbi.nlm.nih.gov/articles/PMC7147575/1
  3. Bhatt M, Varshney R, & Soni S. (2023). Phencyclidine Toxicity. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK507865/1
  4. The DAWN Report: Emergency Department Visits Involving Phencyclidine (PCP). Drug Abuse Warning Network (DAWN), SAMHSA (2013). https://www.samhsa.gov/data/sites/default/files/DAWN143/DAWN143/sr143-emergency-phencyclidine-2013.htm1
  5. Decreto 122/2026, modificatorio del Decreto 560/2019, Anexo I. argentina.gob.ar (n.d.). https://www.argentina.gob.ar/normativa/nacional/decreto-122-2026-423520/texto1
  6. Portaria SVS/MS n.º 344/1998, Lista A3. gov.br (n.d.). https://www.gov.br/anvisa/pt-br/arquivos-noticias-anvisa/2568json-file-11
  7. Portaria SVS/MS n.º 344/1998, Lista A3. gov.br (n.d.). https://www.gov.br/anvisa/pt-br/assuntos/medicamentos/controlados/lista-substancias1
  8. Controlled Drugs and Substances Act (S.C. 1996, c. 19), Schedule I. laws-lois.justice.gc.ca (n.d.). https://laws-lois.justice.gc.ca/eng/acts/C-38.8/section-sched95314.html1
  9. Controlled Drugs and Substances Act (S.C. 1996, c. 19), Schedule I. laws-lois.justice.gc.ca (n.d.). https://laws-lois.justice.gc.ca/eng/acts/C-38.8/section-4.html1
  10. Decreto 120 de 1992, promulgating the Convention on Psychotropic Substances. suin-juriscol.gov.co (n.d.). https://www.suin-juriscol.gov.co/viewDocument.asp?ruta=Decretos%2F10266611

Further Reading

  1. DrugWise: PCP
  2. Morris & Wallach (2014): From PCP to MXE

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  1. Josie Kins · Updated the article · also 1,4-Butanediol, 1B-LSD, 1cP-AL-LAD and 573 more

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