23 July 2019 15:49
Topic starter
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Hello,
I take lithium and olanzapine daily. Can I still undergo a truffle ceremony?
Greeting,
Michel
23 July 2019 15:55
Unfortunately, that combination is not possible. It could lead to heart attacks and other medical problems. If you really want to do something with psilocybin therapy in the future, you should first taper off your current medication. Tapering off must always be done in a controlled environment, so in any case in close consultation with the person prescribing the medication.
For what reason are you open to psilocybin therapy?
3 Answers
1
9 April 2025 21:26
Based on both the contraindications of Triptherapie as a specific forum discussion about lithium use, I must unfortunately strongly advise against doing a session with psilocybin or truffles as long as you lithium used. The combination of lithium with psychedelics such as psilocybin can lead to serious side effects, under which seizures or even strokes.
Also olanzapine is problematic. This antipsychotic medication blocks the 5-HT2A receptors, which is exactly the receptor on which psilocin exerts its psychedelic effects. As a result, not only is the effect suppressed, but it can also lead to an unpredictable and potentially dangerous trip experience. Moreover, in bipolar disorders, for which these substances are often prescribed, psychedelics can disrupt mood or even trigger manic episodes.
Conclusion: In your situation, a truffle ceremony or psilocybin session is not safe as long as you are using lithium and olanzapine. This applies regardless of the dose or experience. If you should ever consider stopping this medication in the future, this must be done exclusively under the supervision of a doctor — and even then, it must be carefully evaluated whether psychedelic therapy is appropriate at all.
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23 July 2019 16:10
Topic starter
I am currently in a severe depression and was diagnosed with bipolar disorder type 2 last year. I have tried various medications (SSRIs and mood stabilizers) but so far nothing helps.
In the past, I have used magic mushrooms recreationally. I discovered their therapeutic value back then, and I believe that psilocybin will be healing for my current depression. I hope that through a guided session, I will gain new insights and acquire a different and positive outlook on my life.
Since medication is having no effect, I am considering gradually tapering off my current medication, in consultation with my therapist. Once all the active ingredients are out of my system, I could, in principle, undergo a session.
23 July 2019 16:19
I completely understand your situation. I am sorry that I cannot do anything for you at this moment. Once you have tapered off the medication, we can make a plan. Diet, supplements, and specific exercise can also help with tapering off such medication. However, discuss everything with your doctor. I can only offer advice.
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23 July 2019 16:20
Topic starter
@marcel
Great! Thanks. When I've tapered off the medication and am ready, I'll let you know.