What is the therapeutic dosage of MDMA and psilocybin for the hippie flip?
Combining psilocybin and MDMA is called the "hippieflip." For therapeutic dosages of MDMA alone, a starting dose of between 75 and 150 mg is often chosen, and a booster of approximately 50% of the first dose is often possible about 75 minutes after the first intake. Therapeutic dosages of psilocybin mainly range between 15 and 75 mg and are highly dependent on personal sensitivity. A therapeutic dosage of the Hippieflip has not yet been well researched, and advice is not yet available. Due to the synergistic effect of psilocybin and MDMA, experts recommend adopting the lower range of mono-drug use. This corresponds to 75-100 mg MDMA and 15-25 mg psilocybin.
More reading material: MDMA therapy | Psilocybin therapy

Very thorough answer from Marcel! I would like to add practical insights from users who have actually had hippie-flip sessions.
What you need to understand: the hippie flip is not simply using two drugs at the same time. It is a deliberate combination with a specific goal: combining the emotional opening of MDMA ('entactogenic' effect) with the insightfulness of psilocybin (psychedelic effect).
Timing and synergistic effect: Timing is crucial. Marcel rightly recommends MDMA first (75-100mg), then psilocybin (15-25mg) 40-45 minutes later. This ensures that:
1. MDMA peak moment has already been reached
2. The emotional opening is present for when psilocybin kicks in
3. You are not overwhelmed by two peaks at the same time
What users report about this:
https://tripforum.nl/recensies-sascha/lifehack-psilocibine-hippieflip-en-mdma describes Cynthia's hippie-flip experience under the guidance of Sascha in detail. She experienced rose-colored mist visualizations and the synergistic effect that Marcel describes.
https://tripforum.nl/review-janneke/de-2e-trip-was-een-hippieflip illustrates why people choose the hippie flip: the first MDMA session was too "in the head," so a hippie flip was performed. With the psilocybin, it became more emotionally integrated, and deeper patterns could be seen.
https://tripforum.nl/recensies-sascha/review-triptherapie-psycholoog-sascha shows long-term session trajectories with hippie clips as part of therapeutic goals, with achieving contact with "infinite love" - so that MDMA-psilocybin synergy works.
Practical considerations:
- Body weight plays a role (lighter people sometimes require lower dosages)
- Stomach contents: works faster on an empty stomach, more gradually on a full stomach
- Previous drug experience: psilocybin tolerance may have built up
- Mental preparation: hippie flips can be intense
Why therapeutic: MDMA opens you up emotionally, psilocybin provides insight into why you feel the way you do. Under therapeutic guidance, this can be transformative. Many users report lifelong changes.
Marcel's advice to stay at the lower end (75-100mg + 15-25mg) is sensible. Many therapeutic centers use these dosages and report good results.
Sources:
https://tripforum.nl/recensies-sascha/lifehack-psilocibine-hippieflip-en-mdma
https://tripforum.nl/review-janneke/de-2e-trip-was-een-hippieflip
https://tripforum.nl/recensies-sascha/review-triptherapie-psycholoog-sascha