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The mechanisms of the plant's putative psychoactive effects are currently unknown, and anecdotal data are extremely limited. In a rare discussion of traditional entheogenic use of the plant, Müller-Ebeling, Rätsch, and Shahi describe shamanic use of C. nocturnum in Nepal. [ citation needed ] They describe experiencing "trippy" effects without mentioning unpleasant physical side effects. Rätsch's Encyclopedia of Psychoactive Plants also describes a handful of reports of ingestion of the plant without mentioning serious adverse side effects.

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