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Plateau Breakdown

Due to its complex pharmacology, dextromethorphan exhibits nonlinear relationship between dosages and effects. A few more sentences go here.

Plateau 1

The first plateau is characterised by stimulation and feelings of empathy and love towards others, comparable to low doses of entactogens, with additional effects of very slight dissociation manifested by sensory and motor effects. Description of sensory and motor effects goes here.

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The dosage range for reaching plateau 1 is commonly considered to be 1.5-2.5 mg per kilogram of body weight.

Typical Effects

Plateau 2

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The dosage range for reaching plateau 2 is commonly considered to be 2.5-7.5 mg per kilogram of body weight.

Typical Effects

Plateau 3

This is a lower dissociative plateau, comparable to low doses of dissociatives such as ketamine or methoxetamine.

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The dosage range for reaching plateau 3 is commonly considered to be 7.5-15 mg per kilogram of body weight.

Typical Effects

Plateau 4

Plateau 4 is characterized by dissociation of at least level 3 (total detachment from environment).

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Doses required for reaching plateau 4 are commonly considered to be above 15 mg per kilogram of body weight. It is not recommended to exceed 20mg/kg. Mixing dextromethorphan with central nervous system depressants at such doses is especially dangerous due to a remarkable risk of respiratory depression.[1]

Typical Effects

Plateau Sigma

Reaching plateau sigma is not recommended due to a significantly higher risk of mania and psychosis. It is commonly considered to be unpleasant.

Plateau sigma is not dosage based unlike the previous plateaus. It is reached by prolonging the experience via redosing.

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  1. Deaths due to abuse of dextromethorphan sold over-the-counter in Pakistan - Humera Shafi et al. | http://www.sciencedirect.com/science/article/pii/S2090536X15000672