The Ethics of Doing Drugs With Other People - The Dose Index

Sharing a psychedelic experience with another person introduces significant responsibilities, including the necessity of testing all substances for adulterants and potential contamination like fentanyl. A primary ethical imperative is to respond only to an explicit, uncoerced invitation from another party rather than initiating such an offer oneself. Preparing for joint use requires comprehensive communication about inherent risks, past trauma, medical history, and concurrent medication use. Establishing set and setting in a safe, controllable environment along with maintaining contingencies for adverse reactions, such as immediate access to harm reduction agents, is crucial for preserving the safety and wellbeing of all involved throughout the encounter.