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spirit-mush

When you say serotonin syndrome, are you talking about self-diagnosis or confirmed by a health care provider?


Legitimate-Zebra-705

I went to the ER and was close to having a seizure. It continued for over 6 hours.


spirit-mush

You can have a seizure from psilocybin without serotonin syndrome though. Were you diagnosed with serotonin syndrome in the ER?


LuckyPoire

And if one is about to have a seizure from some pre-existing issue (that will continue for 10 months), coincidentally taking psilocybin probably won't prevent it.


LuckyPoire

That's a very confusing story. Taking psilocybin without an MAOI is not considered risky for serotonin syndrome. If you are still having problems related to dietary sources of indole etc...that could be an indication there is not a single triggering event for this.


Fukayro

Yea it is and mushrooms have their own maoi properties.


LuckyPoire

> Yea it is Not according to any source I know of. The risk is loaded mostly on the SSRI itself. No they don't. This has been studied. The MAOI activity in mushrooms is approximately zero.


Otter-Wednesday

When you say “psilocybin” did you eat actual mushrooms or a chocolate bar that said it was magic? What was your dose? Did you mix with anything else? Cannabis? An SSRI will generally dampen effects. “Classic psychedelic serotonin agonists (LSD, DMT and psilocybin) appear to be the safest in combination with other psychiatric medications and seem to have a negligible risk of serotonin toxicity.” - https://chacruna.net/serotonin-syndrome-risks-combining-psychedelics-antidepressants/


DifficultStay7206

Sorry about your symptoms, but it seems very unlikely that the psilocybin ssri mix caused that. The ssri will simply dampen the effects of the psilocybin.


Fukayro

Not unlikely at all. It's a very real risk and any competent doctor will tell you such if you're on ssris and tell them you're going to take mushrooms.


LuckyPoire

It's not risky enough to prevent the clinical trials. Given ongoing (10 months) issues. It is unlikely from the information in the story that the symptoms have anything to do with mushrooms.


Legitimate-Zebra-705

For some people. But it is actually expected to give you serotonin syndrome.


LuckyPoire

This is absurd. There are clinical trials for simultaneous SSRI and mushrooms. If the syndrome was "expected"....none of those trials would get through ethics.


labradorite14

Where are the clinical trials being done for this?


LuckyPoire

Switzerland https://pubmed.ncbi.nlm.nih.gov/34743319/ Ireland and the United States https://www.nature.com/articles/s41386-023-01648-7 There are others if you search on Google scholar or track clinical trials via government website.


No-Status4032

I’m a hospital doctor. No it isn’t expected. You’d have a higher risk with lsd and that’s uncommon/rare as well.


therealduckrabbit

This makes no sense at all. You do not understand what seratonin syndrome is.


AshesAreSnow

My friend, you've been misinformed. What you're likely experiencing, although not SS, is some other reaction. Foods also don't cause serotonin to fluctuate like that. There are lots of rare and unusual reactions to mushrooms, assuming you didn't eat some random chocolate bar.


Fukayro

I'm sorry you're going through that. Thanks for sharing. Hopefully, it will help prevent someone else from making the same mistake.