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Psychedelics

A grounded guide to altered states.

Explore the language, substances, and traditions often gathered under the word “psychedelic.” Understanding their differences is part of approaching this subject with curiosity, discernment, and care.

Start with the language

What is a psychedelic?

A psychedelic is a psychoactive substance that can substantially change perception, emotion, thought, and the sense of self. In scientific use, classic psychedelics primarily produce these effects through serotonin 5-HT2A receptors. Examples include psilocybin, LSD, DMT, and mescaline. Scientific definition ↗

In everyday conversation, “psychedelics” is sometimes used more broadly. MDMA, ketamine, and ibogaine are often included in that discussion, although they work differently. Kambo belongs in a separate category: it is a toxic frog secretion used in some rituals, not a classic psychedelic.

Tryptamines

A chemical family that includes psilocin, DMT, and 5-MeO-DMT. A shared family does not mean identical effects or risks.

Lysergamides

LSD belongs to this chemical family. Its effects can be long-lasting even though the physical amount of drug is very small.

Phenethylamines

A broad chemical family that includes mescaline and 2C-B. Not every phenethylamine is a psychedelic.

These are chemical categories, not levels of safety. Read about classic psychedelic pharmacology ↗

Know the differences

A guide to the substances

Psilocybin mushrooms and LSD are familiar examples. This guide also covers less commonly encountered substances and traditional preparations. The forms and routes below describe reported use; they are not dosing or preparation instructions.

Classic psychedelic · Tryptamine

Psilocybin mushrooms

Certain mushroom species contain psilocybin, which the body converts to psilocin. Experiences may involve changes in perception, emotion, and sense of self.

Common forms
Fresh or dried mushrooms, ground mushroom capsules, teas, and products marketed as edibles.
Reported routes
Oral ingestion.
What deserves care
Potency varies. Poisonous look-alikes and inaccurately labeled edibles create additional risks; appearance alone cannot establish identity or contents.
Read the source ↗

Classic psychedelic · Lysergamide

LSD

Lysergic acid diethylamide is a laboratory-made psychedelic derived from lysergic-acid chemistry associated with ergot fungi. It can alter sensory perception, thought, and time perception.

Common forms
Blotter paper, liquid solutions, and small tablets.
Reported routes
Usually taken by mouth; blotter may be held in the mouth before swallowing.
What deserves care
Effects can be prolonged. A tab’s appearance does not establish its contents or strength.
Read the source ↗

Plant preparation · DMT + MAO inhibitors

Ayahuasca

An Amazonian brew used in distinct Indigenous and religious traditions. It commonly combines a DMT-containing plant with Banisteriopsis caapi vine, whose compounds inhibit monoamine oxidase (MAO).

Common forms
A liquid plant brew; ingredients and concentrations vary.
Reported routes
Drunk orally.
What deserves care
MAO inhibition creates serious medication and substance-interaction concerns. Vomiting, cardiovascular changes, and psychological distress can occur. A ceremonial setting does not remove these risks.
Read the source ↗

Classic psychedelic · Tryptamine

DMT

N,N-dimethyltryptamine occurs in various plants and can also be synthesized. It is the DMT component of many ayahuasca preparations, but an inhaled DMT experience differs substantially from drinking ayahuasca.

Common forms
Crystalline or powdered material and products marketed as vape preparations.
Reported routes
Often vaporized and inhaled outside research settings; injection is used in some clinical research.
What deserves care
Rapid, intense changes in awareness can occur. DMT, ayahuasca, and 5-MeO-DMT are not interchangeable.
Read the source ↗

Classic psychedelic · Phenethylamine

Mescaline

Mescaline is the active compound found in several cacti, including peyote and San Pedro. It can also be made synthetically. A compound and the plant containing it are different things.

Common forms
Cactus preparations or isolated material, including capsules.
Reported routes
Usually oral.
What deserves care
Nausea and prolonged effects can occur; a cactus’s size does not reliably reveal its potency.
Read the source ↗

Mescaline-containing cactus

San Pedro / Huachuma

San Pedro commonly refers to Echinopsis pachanoi (also called Trichocereus pachanoi), a columnar cactus associated with Andean traditions.

Common forms
Cactus-derived liquid preparations or dried plant material.
Reported routes
Oral.
What deserves care
Mescaline content varies. San Pedro is a plant source, not a separate active drug from mescaline. Respect the communities whose traditions inform its use.
Read the source ↗

Mescaline-containing cactus

Peyote

Peyote (Lophophora williamsii) is a slow-growing cactus with profound significance in Indigenous religious traditions, including the Native American Church.

Common forms
Fresh or dried cactus buttons and liquid preparations.
Reported routes
Oral.
What deserves care
Conservation, Indigenous access, and cultural sovereignty matter. Peyote is a mescaline source, not a synonym for every mescaline preparation.
Read the source ↗

Synthetic psychedelic · Phenethylamine

2C-B

2C-B is a synthetic hallucinogen with perceptual and stimulant-like effects. It is chemically related to the broader phenethylamine family, which includes mescaline.

Common forms
Tablets, capsules, or powders sold under that name.
Reported routes
Oral use and intranasal use are reported; intranasal use can cause rapid effects and painful irritation.
What deserves care
“Tusi,” “tucibi,” and “pink cocaine” often refer to mixtures containing other drugs, rather than actual 2C-B. Color and branding cannot identify a substance.
Read the source ↗ Historical route reference ↗ DEA: pink cocaine is often a mixture ↗

Serotonergic psychedelic · Tryptamine

5-MeO-DMT

A distinct compound from N,N-DMT. It occurs in some plants and Sonoran Desert toad secretions, and can be synthesized.

Common forms
Synthetic preparations or animal-derived secretions.
Reported routes
Inhaled and intranasal routes are reported.
What deserves care
It can cause profound impairment; combining it with MAO inhibitors can be fatal. Toad-derived products raise animal-welfare and conservation concerns. This is not kambo.
Read the source ↗

Related, but distinct

Beyond classic psychedelics

These substances appear in conversations about altered states, mental health, or spiritual practice. They should not be treated as interchangeable with psilocybin or LSD.

Atypical psychedelic · Multiple brain targets

Iboga / Ibogaine

Iboga is the Tabernanthe iboga shrub, associated with Bwiti traditions in Central Africa. Ibogaine is one of its psychoactive alkaloids. Whole root bark and isolated ibogaine are not equivalent preparations.

Common forms
Root bark, extracts, or isolated ibogaine, sometimes in capsules.
Reported routes
Typically oral.
What deserves care
Ibogaine has been associated with fatal heart-rhythm disturbances. It requires specialist medical assessment and monitoring; it is not a do-it-yourself treatment for withdrawal or addiction.
Read the source ↗

Empathogen / Entactogen

MDMA

A synthetic psychoactive drug often discussed alongside psychedelics because of its effects on emotional openness and connection. Its pharmacology differs from classic psychedelics.

Common forms
Tablets, capsules, powders, or crystals sold as MDMA, ecstasy, or molly.
Reported routes
Commonly oral.
What deserves care
Overheating, cardiovascular stress, and dangerous interactions can occur. A familiar logo or street name does not establish purity.
Read the source ↗

Dissociative anesthetic

Ketamine

A medicine that can produce detachment from the body or surroundings. It acts differently from classic serotonergic psychedelics.

Common forms
Clinical injectable solutions and prescribed preparations; powders also circulate outside medical care.
Reported routes
Clinician-administered injection or infusion, prescribed oral/sublingual preparations, and nonmedical intranasal use are reported.
What deserves care
Impairment, dependence, and bladder or urinary damage are concerns, especially with repeated nonmedical use. Medical administration is distinct from unsupervised use.
Read the source ↗

Frog secretion · Not a classic psychedelic

Kambo

Kambo is a secretion from the Amazonian frog Phyllomedusa bicolor, used in some traditional purging rituals. It is different from the toad secretions associated with 5-MeO-DMT.

Form & reported route
A dried secretion applied to deliberately broken skin in some rituals. This route can cause serious poisoning.
What deserves care
Severe vomiting, fainting, swelling, seizures, and deaths have been reported. “Purging” is not proof of detoxification or healing, and claimed medical benefits lack established clinical evidence.
Government health information: kambo ↗ TGA: clinical evidence and risks ↗

Form is not the same as route

How substances are encountered

Form means the physical preparation: a mushroom, brew, capsule, blotter, powder, or solution. Route means how it enters the body. Route can change onset, intensity, duration, and risk; one form cannot safely be substituted for another based on appearance.

Oral

Swallowed material, drinks, capsules, or edibles. Examples include mushroom preparations, ayahuasca, and mescaline preparations.

Through the mouth lining

Sublingual means under the tongue; buccal means against the cheek. Some prescribed medicines use these routes. This differs from simply swallowing a product.

Inhaled

Vapor or smoke enters the lungs. DMT and 5-MeO-DMT are sometimes encountered this way, with potentially abrupt changes in awareness.

Intranasal

Absorbed through the nose. Powders and medical nasal formulations are not equivalent, and nasal use can injure tissue.

Clinical injection / infusion

Some medical or research protocols use injection or infusion with professional monitoring. These are clinical procedures, not home-use methods.

Applied to broken skin

Associated here with kambo. Introducing a toxic secretion through damaged skin is a poisoning risk, not a general psychedelic administration method.

Examples and route references are linked in the substance profiles above.

Knowledge is part of care

Context matters as much as vocabulary

  • Personal health and medications matter. Psychiatric history, heart conditions, pregnancy, and drug interactions can change risk. Review these with a qualified clinician; do not stop prescribed medication on your own to take a substance.
  • Natural does not mean safe. Plant, fungal, animal-derived, and synthetic substances can all cause harm. A ceremonial setting or spiritual intention does not remove physical or psychological risks.
  • Labels are not laboratory results. A product’s color, capsule, packaging, or street name cannot establish identity, purity, or strength. Mixing substances adds uncertainty.
  • Clinical research is a specific setting. Findings from screened, monitored participants do not establish that unsupervised use is safe or effective. Experiences and outcomes vary.
NIDA: psychedelic and dissociative drugs ↗ NIH: health effects and interactions ↗
What should I know about traditions and ecology?

Ayahuasca, huachuma, peyote, and iboga belong to distinct living traditions. Learning about them calls for respect for Indigenous knowledge, community consent, cultural sovereignty, and ecological stewardship. A modern retreat or commercial product is not automatically representative of those traditions.

Peyote conservation and Indigenous access deserve particular care; animal-derived secretions also raise welfare concerns.

Does “psychedelic” mean legal or medically approved?

No. Classification, legality, medical approval, and spiritual meaning are separate questions. Laws differ by substance, location, and activity. The presence of a substance in this educational guide does not establish permission to possess, supply, or use it.

DEA: federal controlled substance schedules ↗
When is it a medical emergency?

In case of a medical emergency, contact 911. Trouble breathing, collapse, seizures, chest pain, or severe overheating need urgent medical attention. Do not assume a serious symptom is simply part of a ceremony or “purge.” Tell responders what may have been taken.

Educational overview · Sources checked October 26, 2026. Sources are linked alongside the relevant information. This page does not provide individualized medical advice.

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