Caution

Nobody has studied this pair. Xylazine alone causes deep sedation and slowed breathing that naloxone can't reverse, and it nearly always comes cut into fentanyl.

Do this

Don't use alone.

Where the risk isTap for why
What “Caution” means

Carries risk that is worth understanding before combining. Reduce doses and do not use alone.

How the ratings work
The longer explanation

Nobody has studied xylazine with this, and no specific interaction is known. It is rated Caution rather than low risk because xylazine is barely studied in people and dangerous on its own: deep sedation, slowed breathing, a slow heart and low blood pressure, none of which naloxone reverses. It is almost never taken on purpose; it comes cut into fentanyl, so if you have been exposed to it, look at the fentanyl pair too, and do not use alone.

Sources (3)
Other names
Lithium
lithium carbonate, lithobid, mood stabilizer
Xylazine
tranq, tranq dope, zombie drug, anestesia de caballo, rompun, medetomidine
Animal sedative cut into fentanyl, as is its stronger cousin medetomidine — naloxone reverses neither
Also searched aslithium and tranq, lithium and tranq dope

Related combinations

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Can you mix Lithium and Xylazine (tranq)?

MixSafe rates mixing Lithium and Xylazine as "Caution" — carries risk that is worth understanding before combining. Reduce doses and do not use alone. Source: MixSafe research. Educational information, not medical advice.