Here's a proposed changed version I have for the health and safety. Something important that is missing is filling out the integration session:
DMT Health and Safety
Warning:DMT is a substance who's effects can radically alter one's perception of reality and sense of identity. Not everyone can cope with such extreme effects. If you are going on this journey, be aware there is the possibility you might have trouble integrating the experience with your normal, 'consensus' reality. What you find Inside might change your life, perspective, sense of self and perception of reality. It should not be undertaken lightly!
DMT/Ayahuasca and physical healthResearches have been made showing the relative physical safety of DMT. Ayahuasca, the DMT-containing brew from the Amazon, has been studied by multidisciplinary groups in Brazil and other countries and was shown that in reasonable doses in a careful context, it presents no negative cognitive/psychiatric/physical consequences.
There is yet little research into vaporized dmt, but there seems to be no sign that it is in any way more dangerous physically than other administration forms. There are no reported deaths from smoking DMT. Smoking it will not lead to a dangerous overdose because the onset is so quick that one can only inhale a certain (pharmacologicaly safe)amount before being gone to ´hyperspace', without being able to smoke more until one is down again.
However:
* People with extreme heart or other life-threatening conditions are contra-indicated, and should NOT use dmt unless they have consulted a qualified health professional about it.
* Also, it is possible that during the experience, one temporarily loses orientation in the consensus reality, so smoking/ingesting next to a cliff, sharp objects, etc, is not a good idea. BE IN A PHYSICALLY SAFE ENVIRONMENT!
* DO NOT use MAOIs (so for example an ayahuasca brew) together with stimulants or SSRI medication, this can cause serotonin syndrome and lead to convulsions or even death!
DMT/Ayahuasca and mental healthThe research mentioned above has shown that in a careful controlled setting, ayahuasca (oral DMT) use, even with a certain regularity, causes no cognitive/emotional/social problems. Users presented elevated levels of happiness and health. Nevertheless, these users were part of a strong-knit community with shared values and constant support between the members. The controlled setting they partook the substance in helped them make sense of the experience and special care has been taken in integration (see Integration section below).
While smoked DMT has not been the focus of published studies, it is reasonable to suppose that to increase chances of benefit and diminish risks, a special care with set and setting, as well as integration, has to be taken.
It is important to notice that, like with other psychedelic, DMT provides a very powerful emotional/mental experience, so those with personal or family psychiatric history, unstable emotionally or going through some very difficult moments in life are also contra-indicated and should be aware of the risks that undertaking this experience has for them.
There has been at least one case witnessed in this forum where a member appeared to suffer from a mental-breakdown following DMT usage. Most people who are drawn to DMT have a history of use with other substances that could potentially have had negative impacts on mental health. Some may be bringing existing problems with them- we are not aware of the mental health history of members. For these reasons, it is unclear whether isolated instances of mental health problems are due to DMT usage.
If you feel that your mental health may not be in tip-top condition, and even if it is, research very carefully before deciding if you want to commit to this path.
Frequency of useIt is unclear how often DMT can be smoked safely. There is probably a point where overuse has a negative impact on the body, mental health, or the user's life due to neglecting of friends, family and duties.
The safe limit can vary from person to person, from context to context and from moment to moment. If at any point you find that you are investing more emotional energy in 'that world' than 'this one', we strongly recommend you reduce your levels of usage or take a break altogether.
Addiction DMT is not considered addictive. However, it happens that some people may feel they were forming a habit of using it too frequently and 'like a drug'. Be wary of such behaviour and take a break if you feel yourself starting to overuse.
Integration
Where and how to takeDue to the unpredictability of the effects, it is highly recommended that first timers should ingest/smoke in the presence of a sitter, someone trustable, that one is comfortable with, who can make sure one is safe.
One should consume DMT in a safe environment only!
In this section of the FAQ you can find some of the main recommendations of the best settings for DMT vaporization/ingestion.
Having problems?If you feel that you are having emotional, mental or integration problems due to your DMT usage- or if people you know tell you that you are even if you think you're doing fine- stop use immediately. Let us know how you are doing. If the problems persist once you have stopped use, seek professional help.
If you ever feel suicidal, speak to someone about it immediately. Seek professional help. If there is no-one around to speak to at the time, ring a charity hotline.