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THE

(PSILOCYBIN)

MAGIC

(PSILOCYBIN)

MUSHROOM
INTERACTION CHECKER

Receive an instant, evidence-based report on psilocybin mushroom interactions with your medications and health conditions

  • HIPAA Compliant 100% HIPAA compliant and confidential – we do NOT share anything with anyone
  • SSL Secure Secured with military-grade encryption
  • Licensed Professionals Legit and professional - designed for harm reduction purposes
Before psilocybin journeys, every single person should download Fireside's app and,
if they take prescription medications, consult this tool.
- Josh White, Founder and Board Director of Fireside Project
Meditation Image

Dr. Kristin Speer (she/her), PharmD, developed this tool. She is a mother, a psychedelic pharmacist and board-certified pharmacotherapy specialist in Colorado. See her full bio and why she created the tool.


Dr. Speer leads the tool’s content development which is maintained by a team of psychedelic pharmacists with PharmD degrees and expertise in psilocybin pharmacology and drug interactions.

ENTER MEDICATIONS:

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FEATURE BASIC REPORT

see an example

DETAILED REPORT

see an example

Assigns an estimated risk level to the interaction
Reports interactions with MICRO-dosing, if applicable
Checks interactions with MACRO-dosing (i.e. journey), if applicable
Evidence-based
Includes references ---
Indicates if tapering or holding (skipping) a medication is necessary, if applicable ---
Interactions with context of MACRO-dosing, if/as applicable
(e.g., lying down, environmental temperature, fasting, etc.)
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Interactions with Health Conditions (FDA-labelled indications) for the medication selected, if/as evidence is available ---
Risk factors that increase likelihood or risk of interaction
(e.g., frequency of use, dosage, organ function, age, etc.)
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Strategies to avoid or reduce risks
(e.g., monitoring considerations, who should not take, etc.)
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Supporting context and rationale
(e.g., involved receptor, enzyme/metabolic interactions, etc.)
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CHOOSE REPORT TYPE
(Price automatically adjusts at checkout depending on number of medications entered)

Up to 5 meds: $5

6-10 meds: $10

Up to 5 meds: $25

6-10 meds: $35

Voucher/Coupon Number (Optional):

“INTERACTION REPORT” will appear on the credit card statement.
By purchasing, you affirm that you have read the below DISCLAIMER and COPYRIGHT NOTICE.

5% minimum of net proceeds go to Indigenous communities

Total Amount

$0
Medications successfully submitted. Your report will arrive soon. Thank you!

COPYRIGHT NOTICE: Copyrights have been registered with the US Copyrights Office. All rights reserved. No part nor the whole of any report may be used, reproduced, copied (including photocopied), recorded, distributed, posted, published or processed by any means--including through AI systems, machine learning models, large language models, or other automated tools or electronic methods, without prior written permission of the copyright holder. Sharing a report is permitted only to coordinate or inform harm reduction or healthcare activities related to the use of psilocybin or psilocybin mushrooms by the individual for which this report was intended.



DISCLAIMER: The information in the report is for educational purposes only and is intended to reduce the risk of harm due to potential interactions between psychedelic substances and medications used in the outpatient or community setting (i.e. outside of a hospital or urgent/acute environments). Neither this site/tool nor the report are condoning or encouraging the use of illicit substances; it is recommended you follow all laws applicable to your jurisdiction. The information in the report is based on medical and scientific evidence, which is limited but rapidly growing. The information may change as research evolves. It should not be construed as medical advice or medical clearance. Always follow the advice and direction of your healthcare provider(s). Do not attempt to stop or make changes to your medications or care plans on your own, as this can be dangerous. Be advised there can be many other factors that contribute to your overall risks of using psilocybin mushrooms or other psychedelic substances that should be considered in addition to interactions with your medications or health conditions. By submitting, you agree that you are responsible for the accuracy of the medications and email submitted, and that your use of this site and the interaction report is at your sole risk. You shall be solely responsible and liable for any damages resulting from the information you provide. You agree that you do not and will not hold the creators of this site/tool or report responsible or liable for any damage you may suffer resulting from any errors or omissions on the form or report; nor for any outcomes related to their use.

It is important to keep in mind that magic mushrooms are made of thousands of compounds, not just psilocybin. Yet there is extremely little evidence to guide or predict how those compounds might interact with your medications or health conditions. Thus, much of the information provided via this tool is based on studies and known mechanisms of the psilocybin compound. However, the reported interactions consider and include any evidence based on natural psilocybin mushrooms wherever possible.

FAQ

The report comes attached as a PDF to the email address you enter above. The email is discreet and does not mention anything about the nature of the interaction report. The sender of the email will appear as “Interaction Checker”.

Very soon! And we’ll have package options, too. Estimated availability is Q2 2025. Go here if you’d like to be notified as soon as they’re live.

Reports should arrive within a minute or so. Be sure to check your spam folder. However, some firewalls even block spam from being received. If you do not see a report within a few minutes that comes from “Interaction Checker”, please let us know via the feedback button at the bottom of our site. In most cases we respond within 24h, but often sooner, and we’ll send the report directly to you while we look into any technology issues.

Yes. We want you to be satisfied! But if you’re not, we’d like to make things right. Please inform us of your issue via the Feedback button at the bottom of the site and include your name and email. If we can’t fix the issue or meet your needs, we’re happy to issue a refund.

 

You might be thinking this information should be free, or on the other hand, scratching your head about why we don’t charge more. Either way, we believe the information we provide is valuable. Personal resources and thousands of expert hours went into this tool. There were no private equity or venture capital dollars attached to the creation of this tool. While we recoup our own costs and hopefully make a little extra, we consider it just as important to make the information affordable, unbiased and high quality for our users. If we get enough business, we aim to make the basic report available for free.

 

Check that you’ve correctly spelled the medication and have searched by the generic name. If still no luck, it is possible your medication is not yet listed. There are over 20,000 FDA approved medications, and probably more over-the-counter supplements and herbals! We would love to know what you need so we can research and add it. Please provide the medication name via the Feedback button at the bottom of our site and we will work as quickly as possible to research interaction information and add it to the site. If you include your email, we’ll let you know when it’s ready.

 

While the evidence supporting many interactions with psilocybin is limited, it is growing rapidly. Some interactions have stronger and better-quality evidence than others. When the risk of a medication’s use with psilocybin appears more likely and/or serious, we estimate the overall interaction risk to be “moderate”, “moderate to high” or “high”. Any “low” or “low to moderate” risk estimates indicate no interactions are identified or expected; or interactions are not considered serious; or they are potentially serious but uncommon/rare. Please note reported interactions, like all drug interactions, are not guaranteed to happen, nor do they never happen. They are predicted possibilities which can be impacted by additional risk factors, and they can change based on available clinical evidence and pharmacology data.

Yes, the report distinguishes whether the interaction applies to MACRO-doses and/or MICRO-doses. If the report does not specify what type of dose (i.e. it just says “psilocybin”), then the information applies regardless of psilocybin dose.

No. This tool reports on interactions between psilocybin and each of your medications, individually. This tool does not check for interactions between all your medications. If you take several medications, it is important to consult a pharmacist or your provider on the current interaction risks between all your medications before taking psilocybin. Also keep in mind that it’s possible for psilocybin to carry a low or moderate risk with each individual medication you take, but adding psilocybin to the whole mix can increase overall risk.

Our interaction database includes over 250 of the most commonly prescribed generic medications, along with their brand-name equivalents, totaling around 650 searchable options. We also include some non-prescription substances, supplements, and herbal products. Our primary focus is on medications used in outpatient or community settings (i.e. formulations and uses outside of an inpatient hospital or urgent/acute environments), and on those approved for use in the United States. However, many international generics have similar pharmacology and interaction risks as their US counterparts.

It’s possible the information might apply to these populations, but often they will not. This is because these populations have different care goals and life expectancies which may shift the overall context and risk level of an interaction. This tool can be used to inform decision making, but it is best to discuss overall risks vs benefits with a hospice or palliative provider who understands the patient’s unique case.

We include references when they relate to a potential interaction with psilocybin or classic psychedelics. We use mainly primary and secondary sources of literature, but include some tertiary sources when applicable and appropriate. Due to lack of evidence assessing real outcomes when psilocybin and specific medications are taken together, some interactions are estimated based on pharmacology or adverse effects that are shared by both the medication and psilocybin. Medication pharmacology and adverse effects are published in many sources (FDA labeling is one example), but we did not include these references since they are widely and publicly available and because they don’t include psilocybin interaction data. If you’d like the source we used that lists a medication’s pharmacology or adverse effect, please reach out via the Feedback button on our site and we’ll send it to you!.

We are a small team of licensed pharmacists who hold PharmD (doctorate of pharmacy) degrees and expertise in psychedelic pharmacology, drug interactions, and evidence searching & evaluation. Some are residency-trained and board-certified. This is a woman-owned business established by one of the founders of the Psychedelic Pharmacists Association.

Not yet. Due to psilocybin’s popularity, accessibility and inclusion in many state drug reform initiatives, we decided to start with it first. Depending on demand, feedback and other factors, we may add reports for DMT/ayahuasca, 5-MeO-DMT, LSD, MDMA, ibogaine, mescaline/peyote, etc.

As licensed healthcare professionals we understand and strictly observe HIPAA and other healthcare regulations. More importantly, we deeply respect your need and concerns for confidentiality and wish to uphold your trust. This is why we use military-grade (AES 256-bit) encryption and ask for the minimum amount of information: just medication names and an email address to send the report. (We wouldn’t know if the meds and email you enter are yours or someone else’s anyway.)

Yes. We are providing education for harm reduction purposes. Providing education to reduce potential risks and improve safety (just like with opioids, marijuana and other substances) are legitimate and professional activities. This resource is not to condone or encourage the use of illicit substances where they are illegal. We do not sell substances

We want to know! Please notify us via the Feedback button at the bottom of our site. Please include relevant details about the issue. For report issues, it will help to include the email address where the report was sent so we can research the content that was requested

Yes. A minimum of 5% profits will go to Indigenous Communities in Colorado and potentially other states. If the tool becomes more successful, we plan to increase that amount.

Please submit your question via the Feedback button below. We will do our best to get back to you in a timely manner. Please note we cannot provide interaction details via the Feedback feature or direct email. We do not provide consultation services at this time.

 

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