5-MeO-DMT

What it isUltra-short-acting tryptamine psychedelic, the compound in Sonoran Desert toad venom; investigational as a single inhaled or nasal dose for treatment-resistant depression.
Why this oneEffects last under an hour, against about 12 hours for lysergide, so a session fits a clinic visit. Unlike the other classic psychedelics, its 5-HT1A affinity exceeds its 5-HT2A affinity.
What limits itMAO-A clears it: with an MAOI, including the harmala alkaloids of ayahuasca, levels rise sharply and serotonin toxicity deaths are reported. Schedule I; not approved.
NO BOXED WARNINGS
Principal riskSerotonin toxicity, including deaths, when combined with MAOIs
Provisional washout figures
Elevating mechanism5-HT1A/5-HT2A agonist (MAO-A substrate)
Evidence confidenceModerate
InterpretationMAOIs (including harmala alkaloids) markedly raise and prolong exposure; serotonin syndrome and deaths are reported. Never combine.