DMT (N,N-Dimethyltryptamine) is commonly taken by drinking Ayahuasca tea, chewing, or smoking the drug. However, some individuals may use the drug rectally. This method of administration is called “plugging.” DMT is a naturally occurring hallucinogenic drug found in some plant species of South America, specifically the Amazon. The drug is a psychoactive chemical that is known to produce intense visual and auditory hallucinations, similar to LSD.
The synthetic form of DMT is produced in a laboratory. The drug comes in powder form and can be taken as a powder, tablet, or liquid. DMT may require a MAOI drug to become bioavailable (take effect in the body). The drug may be used by vaping, snorting, injecting, or administering the drug rectally. All methods of abuse may lead to dangerous drug interactions, adverse side effects, and overdose.
What Is Meant By Plugging DMT?
Plugging DMT refers to a process of recreational drug abuse that involves preparing a solution of DMT for rectal administration. The solution is injected into the small intestine for direct absorption into the bloodstream. Depending on the dose of the drug and preparation of the DMT solution, effects may be highly variable. Many people report that rectal administration is less reliable than other methods of drug abuse.
Rectal administration of any drug is especially dangerous when dosing large amounts of a drug. Less drug is required during injection, as the method bypasses gradual digestion processes that occur when taken orally. DMT may be poorly absorbed through the small intestine and may raise a person’s risk of developing side effects from the process of administration itself.
Side Effects Of Plugging DMT
DMT is unsafe at any dose and poses serious health risks to users. The drug can cause dangerous reactions when combined with common prescription medications like antidepressants and blood pressure drugs, as well as with illegal substances, certain foods, and natural medicines. At high doses, DMT can trigger life-threatening complications including seizures, respiratory arrest, and coma.
When people administer DMT rectally (also called “plugging”), they face additional health risks. This method often involves using unsterile solutions as enemas and reusable syringes, which creates opportunities for infection and disease transmission.
Rectal administration of DMT may cause:
- anal irritation, infection, and discomfort
- exposure to diseases like HIV and Hepatitis through contaminated syringes
- worsening of preexisting digestive system conditions
- indigestion, diarrhea, and constipation
- increased risk of overdose
Beyond the physical dangers, DMT produces intense psychedelic effects that can be extremely distressing and unpredictable. People may experience an inability to control their behavior, powerful hallucinations, severe emotional distress, and paranoia. People with preexisting mental health conditions face an even higher risk of experiencing these adverse psychological effects. Anyone who interacts with someone under the influence of DMT may also be at risk due to the person’s altered mental state and unpredictable behavior.
Serotonin Syndrome
DMT has a chemical structure similar to serotonin. The drug has chemical effects on the brain’s serotonin receptors and may lead to the life-threatening development of serotonin syndrome. This is especially true when interacting with other common prescription medications, such as antidepressants.
Serotonin syndrome occurs when the body is exposed to an excessive amount of serotonin. The condition is often caused when combining antidepressants with other drugs.
Symptoms of serotonin syndrome include:
- agitation
- confusion
- high blood pressure
- headache
- loss of coordination
Signs Of A DMT Addiction
DMT addiction is not known for producing noticeable withdrawal symptoms, however, they may occur in some individuals. Primarily, addiction to DMT is behavioral or psychological, which means that the person continues using the drug because usage has become a habit or due to seeking the drug’s effects.
Signs of a DMT addiction include:
- using to avoid negative thoughts or emotions
- using to cope with stress
- defensiveness of drug use
- difficulty controlling drug use
- continuing drug use after adverse side effects
- neglecting personal and professional responsibilities
When an individual habitually uses DMT, especially after experiencing adverse effects from its toxicity, it may be a clear indication of a substance abuse disorder.
DMT Addiction Treatment
DMT poses serious health risks and is not safe to use at any dose. The drug can cause life-threatening reactions when combined with prescription medications or illegal substances, and its intense hallucinogenic effects can lead to dangerous, high-risk behavior. While DMT is not typically considered physically addictive like opioids or alcohol, regular users can develop psychological dependence and limited drug tolerance over time. Long-term abuse may also experience withdrawal symptoms when they try to stop using the drug. Rectal administration, or “plugging,” adds even more dangers due to unsanitary methods and the direct absorption of the drug through the intestinal wall, which increases the risk of severe side effects.
If you or someone you know is unable to stop using DMT, actively seeks out the drug to escape stress or responsibilities, or continues using it despite negative consequences, professional substance abuse treatment is strongly recommended. Treatment programs can help address the psychological aspects of DMT use and provide ongoing support.
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- National Center for Biotechnology Information — Dose-response study of N,N-dimethyltryptamine in humans. I. Neuroendocrine, autonomic, and cardiovascular effects
https://pubmed.ncbi.nlm.nih.gov/8297216/ - National Center for Biotechnology Information — Dose-response study of N,N-dimethyltryptamine in humans. II. Subjective effects and preliminary results of a new rating scale
https://pubmed.ncbi.nlm.nih.gov/8297217/ - National Center for Biotechnology Information — Pharmacology of ayahuasca administered in two repeated doses
https://pubmed.ncbi.nlm.nih.gov/21842159/
