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Kanna (Sceletium tortuosum)

South African succulent plant traditionally used as a mood enhancer. Contains mesembrine and related alkaloids with SSRI-like properties.

Important information

This information is for educational purposes only. Always research thoroughly, test your substances, understand legal implications, and consult healthcare professionals. Never use substances alone or in unsafe environments.

Dosage information

Insufflated: 25-100mg | Sublingual: 50-200mg | Oral: 200-400mg | Smoked: 50-150mg

Dosage ranges are reference values from published literature, not recommendations. Potency varies by source, body weight, and individual sensitivity — harm-reduction practice starts well below the ranges listed.

Before any number: set, setting, purity, dose · LD50 · microdosing

On this page: known interactions · harm reduction

Duration

1-3 hours | Onset: 15-60 minutes depending on ROA

Effect timeline · Insufflated
Onset 1m–5m Comeup 5m–10m Peak 30m–60m Offset 30m–60m Afterglow 30m–60m

Insufflated: 1-3 hours. Faster onset.

Effect timeline · Sublingual
Onset 15m–30m Comeup 15m–30m Peak 30m–60m Offset 30m–60m Afterglow 30m–60m

Sublingual: 1-3 hours.

Known interactions

Unsafe Kanna + MDMA (Ecstasy/Molly)

Kanna acts as a serotonin reuptake inhibitor. Combining with MDMA's massive serotonin release increases serotonin syndrome risk.

Risks: Serotonin syndrome · Hyperthermia · Seizures · Hypertension

Mechanism: Kanna's SRI activity prevents serotonin reuptake while MDMA floods the synapse. Risk of serotonin toxicity.

What reduces the risk

  • Do not combine kanna with MDMA
  • Allow at least 24 hours between use
  • Kanna's SRI properties are similar to SSRIs

Sources: PsychonautWiki: Kanna Interactions · TripSit Interaction Chart

Unsafe Kanna + 5-MeO-DMT

Kanna's SRI properties combined with 5-MeO-DMT's strong serotonin agonism creates serotonin syndrome risk.

Risks: Serotonin syndrome · Hyperthermia · Seizures

Mechanism: Kanna inhibits serotonin reuptake while 5-MeO-DMT directly activates serotonin receptors, increasing synaptic serotonin to dangerous levels.

What reduces the risk

  • Do not combine
  • Allow at least 24 hours washout period

Sources: PsychonautWiki: 5-MeO-DMT Interactions · TripSit Interaction Chart

Absence of a listed interaction never implies safety. Check any combination in the app's 23×23 interaction matrix.

Harm reduction

  • Don't mix with SSRIs or MAOIs
  • Start with low dose
  • Source quality product
  • Avoid daily use initially
  • Take breaks to prevent tolerance

Risks & side effects

  • Generally mild
  • Headache
  • Nausea (rare)
  • SSRI interactions
  • Sedation at high doses

Effects

  • Mood elevation
  • Reduced anxiety
  • Mild euphoria
  • Empathy enhancement
  • Relaxation
  • Cognitive enhancement

Legal in most countries. Unscheduled supplement.

Pharmacology

Serotonin reuptake inhibitor (mesembrine). Also affects PDE4.

Therapeutic research

  • Anxiety reduction: Zembrin (standardized extract) studied in clinical trials showing amygdala attenuation on fMRI
  • Cognitive enhancement: demonstrated improved executive function and cognitive flexibility in controlled studies
  • Depression support: mesembrine's SSRI-like action studied as a natural antidepressant alternative
  • PDE4 inhibition research suggests anti-inflammatory and neuroprotective potential
  • Stress resilience: studied for cortisol reduction and HPA axis modulation
  • South African traditional medicine practitioners continue to use it for a range of conditions

Clinical studies 4

Sceletium tortuosum effects on anxiety: A systematic review and meta-analysis

Gouhie et al. 2023 Brain Disorders. Meta-analysis examining Kanna's anxiolytic effects across multiple studies, finding significant anxiety reduction.

Sceletium tortuosum: A review on its phytochemistry, pharmacokinetics, biological, pre-clinical and clinical activities

Olatunji et al. 2022 J Ethnopharmacology. Comprehensive review of Kanna's chemistry, pharmacology, and clinical evidence for anxiety and cognitive effects.

First toxicity profile prediction for mesembrine – archetypal psychoactive Sceletium alkaloid

Niżnik, Jurowski 2025 Chemico-Biological Interactions. First computational toxicity prediction for kanna's main alkaloid mesembrine, predicting LD50 and key toxicological endpoints.

A Chewable Cure 'Kanna': Biological and Pharmaceutical Properties of Sceletium tortuosum

Manganyi et al. 2021 Molecules. Review of kanna biological activities, safety profile, and pharmaceutical potential including toxicity considerations.

History & culture

Kanna has been used by the San and Khoikhoi peoples of South Africa for thousands of years — archaeological evidence suggests use dating back at least 300 years, with oral traditions extending much further. Known as 'kougoed' (chewing thing) in Afrikaans, it was traditionally fermented and chewed, smoked, or made into teas and tinctures. Dutch colonists documented kanna use as early as 1662. The San used it to reduce hunger and thirst on long hunts, for social bonding, and in healing rituals. Interest surged in the 2000s as Western supplement companies began marketing it for mood support, leading to concerns about sustainable harvesting of wild populations.

Natural origins

Sceletium tortuosum is a low-growing succulent (ice plant family, Aizoaceae) native to the arid regions of South Africa's Western and Eastern Cape. It contains mesembrine, mesembrenone, mesembrenol, and tortuosamine — alkaloids concentrated in the leaves, stems, and roots. Traditional preparation involves fermenting the plant material for several days in sealed containers, which alters the alkaloid profile (reducing oxalic acid and increasing mesembrine). Wild populations grow in rocky, well-drained soils in the Karoo and Namaqualand. Sustainable cultivation programs have been established by companies like HGH Pharmaceuticals in partnership with San and Khoikhoi communities through benefit-sharing agreements.

External resources