Possibly Contraindicated Medications:

Monoamine Oxidase Inhibitors

• B carbolines or hamala alkaloids (harmine, harmaline, tetrahydroharmine, ayahuasca, syrian rue)
• Moclobemide
• Tranylcpromine
• Phenelzine
• Isocarboxazid
• Selegiline
• Methylene blue (dye)
• Linezolid

CYP2D6 inhibitors

• Paroxetine
• Bupropion
• Quinidine
• Cinacalcet
• Fluoxetine
• Terbinafine
• Fuloxetine
• Mirabegron
• Abiraterone
• Lorcaserin
• Amiodarone
• Cimetidine
• Escitalopram
• Fluovoxamine
• Sertraline
• Celecoxib
• Cobicistat
• Clobazam
• Labetalol
• Ritonavir
• Vemurafenib

Cautionary Medical Conditions:

Hypertension
Tumors in the Central Nervous System
Terminal illness
Bipolar I disorder
Psychosis
Schizophrenia
Schizoaffective disorder
Schizophrenic disorder
Delusional disorder
Brief psychotic disorder
Antisocial disorder
Borderline disorder
Narcissistic Personality Disorder
Active Substance Use Disorder
Active Suicidality

Severe respiratory illness

Livery or kidney failure
Epilepsy or seizure disorders
Traumatic brain injury
Pregnancy or nursing

Advanced cardiovascular conditions:

• Arrhythmia’s
• Heart Failure
• Coronary Artery Disease
• Myocardial infarction
• Stroke
• TIA
• Bleeding or clotting conditions