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Drug interactions

Dextroamphetamine + Lsd

Severity: Moderate

Dextroamphetamine and Lsd: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

LSD is a serotonergic psychedelic and amphetamine increases serotonin and catecholamine release, so the combination may intensify psychological and sympathomimetic effects. Anxiety, agitation, tachycardia, hypertension and hyperthermia may result.

What this interaction means in plain words

Dextroamphetamine and Lsd can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Low

Why it happens

Additive serotonergic and sympathomimetic effects via 5-HT2A agonism and monoamine release.

What to do

Advise against use of LSD with amphetamines and monitor vital signs and mental state if exposure has occurred. Provide supportive care for agitation or hyperthermia.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Dextroamphetamine with Lsd?

MediHelp rates the interaction as moderate. Dextroamphetamine and Lsd can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. LSD is a serotonergic psychedelic and amphetamine increases serotonin and catecholamine release, so the combination may intensify psychological and sympathomimetic effects. Anxiety, agitation, tachycardia, hypertension and hyperthermia may result.

How serious is the interaction between Dextroamphetamine and Lsd?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise against use of LSD with amphetamines and monitor vital signs and mental state if exposure has occurred. Provide supportive care for agitation or hyperthermia.

What other medicines interact with Dextroamphetamine?

MediHelp also lists interactions of Dextroamphetamine with, for example, Isocarboxazid, Linezolid, Methylene blue. The full list is on the Dextroamphetamine page.

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