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Harm Reduction & Community Safety - Empowering informed decisions through education and support

Polydrug Interaction Checker ⚡💊💀🌈

Mobile-first, harm-reduction focused tool to check drug combination risks. Pick up to three substances and see detailed safety information. Matrix is downloadable + shareable.

Quick Check

🌈 Low concern Caution 💊 Strong caution 💀 Dangerous

Results will appear here

We'll show A+B, A+C, B+C and a combined A+B+C overview with detailed harm-reduction pointers.

Matrix Risk Key

Understanding the Risk Levels

🌈 Low Risk (🌈)

Minimal interaction concerns - These substances typically have minimal negative interactions when used together. However, individual responses can vary based on dosage, tolerance, and personal health factors.

Harm Reduction Tips: Start with lower doses than you would take individually, stay hydrated, and have a sober friend present if trying this combination for the first time.

Caution (⚡)

Moderate interaction concerns - These combinations may increase side effects or intensify experiences beyond comfortable levels. Requires careful dosing and monitoring.

Potential Concerns: Increased heart rate, blood pressure changes, anxiety, or unexpected psychological effects.

Harm Reduction Tips: Use significantly lower doses than you would take individually, wait longer between doses to assess effects, and avoid operating vehicles or machinery.

💊 Strong Caution (💊)

Significant interaction risk - These substances have known pharmacological interactions that can significantly increase risks. Should be approached with extreme caution.

Specific Risks: Potential for serotonin syndrome, respiratory depression, cardiovascular stress, or unpredictable psychological effects.

Harm Reduction Tips: Avoid this combination if possible. If combining, use minimal doses and have medical supervision available. Do not use alone.

💀 Dangerous (💀)

High risk of severe harm or death - These combinations create a high risk of fatal overdose, severe medical complications, or permanent harm. Among the most dangerous drug combinations known.

Specific Life-Threatening Risks: Profound respiratory depression, cardiac arrest, seizure risk, extreme hyperthermia, or coma.

CRITICAL SAFETY INFORMATION: DO NOT COMBINE THESE SUBSTANCES. If accidental exposure occurs, call emergency services immediately.

Swipe left/right to explore the full matrix
Interaction Matrix
Harm Reduction Tips (quick)
Combo Categories
Depressant × Depressant benzodiazepines, alcohol, GHB, opioids, trazodone, gabapentin

Risk: 💀 — synergistic respiratory depression, blackouts, aspiration.

Stimulant × Stimulant MDMA, cocaine, ADHD meds, bupropion

Risk: 💊→💀 — hypertension, hyperthermia, arrhythmia, panic.

Stimulant × Depressant e.g., cocaine+alcohol, MDMA+GHB

Risk: 💊 — masking sedation, dehydration, liver stress (cocaethylene with alcohol+cocaine).

Psychedelics with Cannabis

Can potentiate intensity/anxiety. Delay THC until past peak; micro-puffs if at all.

Dissociative × Depressant ketamine/nitrous + alcohol/benzos/GHB

Hypoxia/airway risk + amnesia. Sit down, supervised, fresh air breaks.

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Interaction Details