N, N-dimethyltryptamine (DMT) is a hallucinogenic tryptamine drug that naturally occurs in many plant species. It can also be made in a laboratory.

DMT is sometimes referred to as Dimitri, this drug produces effects similar to those of psychedelics, like LSD and magic mushrooms.

Plants that contain DMT have been used in religious ceremonies in some South American regions for centuries.

DMT is a Schedule I controlled substance in the United States, which means it’s illegal to make, buy, possess, or distribute it. Some cities have recently decriminalized it, but it’s still illegal under state and federal law.

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Sometimes people use other names to refer to DMT. These street names include:

  • Dimitri
  • fantasia
  • businessman’s trip
  • businessman’s special
  • 45-minute psychosis
  • spiritual molecule

Kind of. DMT is the main active ingredient in ayahuasca.

Ayahuasca is traditionally prepared using two plants called Banisteriopsis caapi and Psychotria viridis. The latter contains DMT while the former contains MAOIs, which prevent certain enzymes in your body from breaking down DMT.

As with most drugs, DMT can affect people in very different ways. Some truly enjoy the experience.

Others find it overwhelming or frightening. Some refer to this negative experience as a bad trip.

As far as its psychoactive effects, people have described feeling like they’re traveling at warp speed through a tunnel of bright lights and shapes. Others describe having an out-of-body experience and feeling like they’ve changed into something else.

There are also some who report visiting other worlds and communicating with alien-like beings.

Some people also report a pretty rough comedown from DMT that leaves them feeling unsettled.

Synthetic DMT usually comes in the form of a white, crystalline powder. Sometimes the drug can have a yellowish or pinkish color.

It can be smoked in a pipe, vaporized, or snorted. DMT can also be injected, but this method is said to come with additional risks.

When used in religious ceremonies, plants and vines are boiled to create a tea-like drink of varying strengths.

Synthetic DMT kicks in pretty fast. It often produces effects within just a few minutes, but can take up to 10 minutes.

Plant-based brews tend to produce effects within 20 to 60 minutes.

The intensity and duration of a DMT trip depends on several things, including:

  • how much you use
  • how you use it
  • whether you’ve eaten
  • whether you’ve taken other drugs

Generally, the effects of inhaled, snorted, or injected DMT last for about 45 to 60 minutes.

Drinking it in a brew like ayahuasca can leave you tripping for anywhere from 2 to 6 hours.

DMT is a powerful substance that can cause a number of mental and physical side effects. Some of these are desirable, but others not so much.

Possible mental effects of DMT include:

  • euphoria
  • floating
  • vivid hallucinations
  • altered sense of time
  • depersonalization

Keep in mind that some people experience lingering mental effects for days or weeks after use.

Physical effects of DMT can include:

Yes, some of them potentially serious.

DMT’s physical side effects of raising both heart rate and blood can be risky, especially if you have a heart condition or already have high blood pressure.

Using DMT may also cause:

It may also be associated with respiratory arrest (when someone stops breathing) and coma.

Long-term effects

Like other hallucinogenic drugs, DMT may cause persistent psychosis and hallucinogen persisting perception disorder (HPPD). HPPD is more commonly known as “flashbacks.” Both are rare and may be more likely to occur in people with preexisting mental health conditions.

Serotonin syndrome warning

DMT can result in high levels of the neurotransmitter serotonin. This can lead to a potentially life threatening condition called serotonin syndrome disorder.

People who use DMT while taking antidepressants have a higher risk for developing this condition. Some other medications and supplements are also associated with serotonin syndrome.

Seek immediate medical attention if you’ve used DMT and experience the following symptoms:

  • confusion
  • disorientation
  • irritability
  • anxiety
  • muscle spasms
  • muscle rigidity
  • tremors
  • shivering
  • overactive reflexes
  • dilated pupils

DMT can interact with a range of other prescription and over-the-counter medications, as well as other drugs.

If you’re using DMT, you should avoid mixing it with other substances such as:

Prescription and over-the-counter medications to avoid mixing with DMT include:

The jury is still out on whether DMT is addictive, according to the National Institute on Drug Abuse.

Tolerance refers to needing to use more of a particular drug over time to achieve the same effects. Based on research, DMT doesn’t appear to cause tolerance.

DMT is extremely powerful, even though it naturally occurs in several plant species. If you’re going to try it, there are a few steps you can take to reduce your risk for having a bad reaction.

Keep these tips in mind when using DMT:

  • Strength in numbers: Don’t use DMT alone. Do it in the company of people you trust.
  • Find a buddy: Make sure you have at least one sober person around who can intervene if things take a turn.
  • Consider your surroundings: Be sure to use it in a safe and comfortable place.
  • Take a seat: Sit or lie down to reduce the risk of falling or injury while you’re tripping.
  • Keep it simple: Don’t combine DMT with alcohol or other drugs.
  • Pick the right time: The effects of DMT can be pretty intense. As a result, it’s best to use it when you’re already in a positive state of mind.
  • Know when to skip it: Avoid using DMT if you:
    • are taking antidepressants or another medication associated with serotonin syndrome
    • are taking a medication that interacts with DMT
    • have a heart condition
    • have high blood pressure

DMT is a naturally occurring chemical that’s been used for centuries in religious ceremonies in several South American cultures. Today, its synthetic form is used for its powerful hallucinogenic effects.

If curious about trying DMT, it’s important to take certain steps to reduce your risk for serious effects. This includes making sure any prescription or over-the-counter medications you take won’t cause a bad reaction.

If you’re concerned about your drug use, there’s help available. If you feel comfortable, you can bring it up to a doctor. Keep in mind that patient confidentiality laws will prevent them from reporting this information to law enforcement.

You can also reach out to one of the following free and confidential resources: