Polydrug Interaction Checker β‘πππ
Mobile-first, harm-reduction focused. Pick up to three substances and see risks & tips. Matrix is downloadable + shareable.
Tip: drag left/right to explore the grid on mobile.
π‘ Harm Reduction Tips (quick)
- Test what you can. Start low, go slow. Space redoses.
- Never stack depressants (alcohol, benzos, GHB, opioids) β biggest driver of fatal ODs.
- Heat + stimulants = risk. Cool environment, electrolyte sips, rest breaks.
- Carry naloxone if opioids could be around. Donβt use alone. Recovery position if someone is out.
- On Rx meds? Avoid chasing βmutedβ effects by redosing β risk goes up even if euphoria doesnβt.
Combo Categories
π Depressant Γ Depressant benzodiazepines, alcohol, GHB, opioids, trazodone, gabapentin
Risk: π β synergistic respiratory depression, blackouts, aspiration.
- Keep people awake & breathing; recovery position if unresponsive.
- Naloxone reverses opioids (not benzos/GHB); still call EMS.
β‘ Stimulant Γ Stimulant MDMA, cocaine, ADHD meds, bupropion
Risk: πβπ β hypertension, hyperthermia, arrhythmia, panic.
- Avoid stacking; cool down, hydrate, donβt chase muted highs.
β‘ Stimulant Γ Depressant e.g., cocaine+alcohol, MDMA+GHB
Risk: π β masking sedation, dehydration, liver stress (cocaethylene with alcohol+cocaine).
- Donβt redose to βeven it outβ. Watch breathing and heat load.
π/β‘ Psychedelics with Cannabis
Can potentiate intensity/anxiety. Delay THC until past peak; micro-puffs if at all.
β‘ Dissociative Γ Depressant ketamine/nitrous + alcohol/benzos/GHB
Hypoxia/airway risk + amnesia. Sit down, supervised, fresh air breaks.