Dissociative Discussion

>Generally speaking, combining two serotonin reuptake inhibitors doesn't pose a significant risk for producing life threatening serotonin syndrome symptoms... although things get complicated when combining 3 or more, or when just beginning a new SSRI/SNRI because serotonin receptors in the brain haven't had a chance to downregulate yet. The real danger lies with combining serotonin reuptake inhibitors with serotonin releasing agents.

>Of course, combining phenibut with DXM definitely changes things. I've combined moderate doses of DXM with moderate doses of phenibut before, and the results were awful, I definitely would never recommend it. It felt dangerous, even. A small amount of phenibut with DXM after being tolerant to phenibut (from taking it on a regular basis after getting physically addicted to it, for example, which is something I've done plenty of times because I take 900-1200mg phenibut daily). If you combined anything above a mild-moderate dose of phenibut (>1.75 - 2g) with DXM while taking your SSRI, then I can easily see why you went to the ER (although the first time I took DXM + phenibut + cymbalta I took 900mg DXM, 3.5g phenibut, and 60mg cymbalta, and even though it was a fucking horrendous experience, I never would've asked to be taken to the hospital... I could see somebody else prone to freaking out going to the hospital, but I don't have money for that shit and I rarely panic). Chances are, though, you probably didn't actually require hospitalization.

>Serotonergic psychedelics are Eros, and dissociatives are Thanatos. The serotonergics are Birth, they are sensory overload, focus on the details, awareness of the external universe. The dissociatives are Death, sensory shutdown, focus on the archetypes, awareness of the internal universe. Serotonergics are the "Ana" side of Chaos, dissociatives the "Kata" side of Chaos (Chaos being the essential driving energy behind reality, if you will).