Sulbutiamine

Caution

• Mushrooms
  • Stimulants increase anxiety levels and the risk of thought loops which can lead to negative experiences
• LSD
  • Stimulants increase anxiety levels and the risk of thought loops which can lead to negative experiences
• DMT
  • Stimulants increase anxiety levels and the risk of thought loops which can lead to negative experiences
• Mescaline
  • The focus and anxiety caused by stimulants is magnified by psychedelics and results in an increased risk of thought loops
• 2C-x
  • The anxiogenic and focusing effects of stimulants increase the chance of unpleasant thought loops. The combination is generally uneccessary because of the stimulating effects of psychedelics. Combination of the stimulating effects may be uncomfortable.
• Cannabis
  • Stimulants increase anxiety levels and the risk of thought loops which can lead to negative experiences
• Ketamine
  • No unexpected interactions, though likely to increase blood pressure but not an issue with sensible doses. Moving around on high doses of this combination may be ill advised due to risk of physical injury.
• MXE
  • Risk of tachycardia, hypertension, and manic states
• Cocaine
  • This combination of stimulants will increase strain on the heart. It is not generally worth it as cocaine has a mild blocking effect on dopamine releasers like amphetamine
• Caffeine
  • This combination of stimulants is not generally necessary and may increase strain on the heart, as well as potentially causing anxiety and greater physical discomfort.
• Alcohol
  • Drinking on stimulants is risky because the sedative effects of the alcohol are reduced, and these are what the body uses to gauge drunkenness. This typically leads to excessive drinking with greatly reduced inhibitions, high risk of liver damage and increased dehydration. They will also allow you to drink past a point where you might normally pass out, increasing the risk. If you do decide to do this then you should set a limit of how much you will drink each hour and stick to it, bearing in mind that you will feel the alcohol and the stimulant less. Extended release formulations may severely impede sleep, further worsening the hangover.
• GHB/GBL
  • Stimulants increase respiration rate allowing a higher dose of sedatives. If the stimulant wears off first then the opiate may overcome the patient and cause respiratory arrest.
• Opioids
  • Stimulants increase respiration rate allowing a higher dose of opiates. If the stimulant wears off first then the opiate may overcome the patient and cause respiratory arrest.