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Medicine profile · Phenethylamine psychedelic

2C-B

Also called: 2,5-dimethoxy-4-bromophenethylamine; Nexus; Bees; 2CB. Products called tusi or pink cocaine are not reliable synonyms and may contain entirely different drugs.

TL;DR

2C-B is often described as colorful, tactile, social, emotionally open, and more clear-headed than some classic psychedelics—until intensity rises and body load, nausea, anxiety, confusion, or overwhelming visuals take over. Evidence is mostly controlled acute research and observational reports, not treatment trials. Product identity is a central safety problem.

CHEMICAL STRUCTURETwo-dimensional chemical structure of 2C-B
C₁₀H₁₄BrNO₂Molecular weight 260.13 g/mol
View PubChem record
ORIGINSyntheticA substituted phenethylamine
CLASSPhenethylamine psychedelicSerotonergic psychedelic with stimulant-like features
RESEARCH STATUSControlled human researchAcute effects; no established therapeutic use
U.S. FDA STATUSNot approvedNo approved 2C-B product or treatment
01 / IDENTITY

What it is

2C-B is a synthetic psychedelic phenethylamine. It is chemically distinct from MDMA, mescaline, and mixtures marketed as tusi. A powder color, logo, or seller name cannot establish identity or strength. [NIH / PubChem][Clinical Pharmacokinetics]

2C-B is not pink cocaine

Tusi or pink cocaine commonly names a market mixture rather than the 2C-B molecule. Treating those labels as interchangeable obscures radically different contents and risks.

02 / THE FELT EXPERIENCE

What people often describe

Reports and controlled studies commonly describe visual patterning, intensified color and touch, emotional openness, energy, laughter, altered body sensation, and time distortion. Nausea, anxiety, confusion, headache, and cardiovascular activation also occur. [Frontiers in Pharmacology][Clinical Pharmacokinetics]

COLORSurfaces become animated

Edges, patterns, light, and depth can shimmer or organize into geometric texture.

TOUCHThe body turns vivid

Touch, temperature, movement, sexuality, nausea, tension, or tingling may become prominent.

SOCIALConnection may feel playful

Conversation and affection can feel easier, while boundaries still require explicit consent.

ENERGYClarity can become stimulation

Alertness may feel manageable at first and then shift into restlessness or cardiovascular strain.

DOSE SENSITIVITYThe curve can feel steep

Small differences in an uncertain product can produce a substantially more intense experience.

AFTERWARDA gentle landing is not guaranteed

Fatigue, headache, emotional sensitivity, insomnia, or lingering visual unease may follow.

Identity comes before interpretation

A beautiful or difficult experience cannot be meaningfully attributed to 2C-B when the material was never analytically identified.

03 / PHARMACOLOGY

How it works

2C-B acts primarily through serotonin receptors, including 5-HT2A-related signaling associated with psychedelic effects. Its receptor profile and lived effects are not identical to LSD, psilocybin, MDMA, or mescaline. [Clinical Pharmacokinetics]

012C-BSynthetic phenethylamine
02Serotonin signaling5-HT2A-related psychedelic activity
03Acute stateVisual, tactile, emotional, and autonomic change
04 / CURRENT EVIDENCE

Conditions and uses being studied

CONTROLLED HUMAN DATA

Acute psychopharmacology

Small controlled studies document psychedelic effects and physiological changes in screened adults.

OBSERVATIONAL

Naturalistic experience

Survey and field data describe empathy, sociability, sensory change, and adverse effects without proving causality or safety.

ONGOING RESEARCH

Comparison with psilocybin

A registered human study compares acute responses, but it is not a treatment-efficacy trial.

NO ESTABLISHED USE

Mental health treatment

No robust clinical evidence supports 2C-B as treatment for a diagnosed condition.

How to read this evidence

Small samples, experienced participants, expectancy, uncertain illicit-product contents, and limited follow-up constrain generalization.

05 / RESEARCH PROTOCOLS

What controlled studies actually did

Published human studies use known material, screened participants, controlled observation, physiologic measurements, and structured rating instruments. This is characterization research, not a self-use protocol. [Clinical Pharmacokinetics]

EDUCATIONAL CONTEXT ONLY

This summarizes controlled research and approved-product context. It is not a recommendation for self-treatment, dosing, mixing, or medication changes. Screening, verified formulation, monitoring, support, and follow-up are part of the studied intervention.

EVIDENCE TYPESmall controlled studies
SETTINGMonitored laboratory
PRIMARY FOCUSAcute effects
THERAPEUTIC EFFICACYNot established
06 / CLINICAL TRIALS

Selected registered trials

Registry status can change. Open the official record for current eligibility, locations, enrollment, and study status.

07 / INTERACTIONS & CONTRAINDICATIONS

Know the red flags before the journey

Direct combination research is sparse. Serotonergic activity, cardiovascular stimulation, impaired judgment, and unknown product contents make casual mixing unreliable.

HIGH-CONCERN COMBINATION OR CONDITION

MAOIs, stimulants, and uncertain mixtures

MAO inhibitors or activating drugs may increase serotonergic, cardiovascular, temperature, and agitation risk. A product sold as 2C-B may introduce additional undisclosed interactions. [Journal of Psychopharmacology]

SEROTONERGICAntidepressants and serotonergic drugs

Effects and risk may change; never skip or taper a prescription to alter a psychedelic experience.

ACTIVATIONMDMA, cocaine, and stimulants

Heart rate, blood pressure, temperature, anxiety, and sleep loss can stack.

IMPAIRMENTAlcohol, ketamine, and sedatives

Judgment, balance, memory, vomiting, and environmental risk can worsen.

MOODLithium

Reports involving lithium and classic psychedelics raise seizure and severe-reaction concern; combination evidence for 2C-B is limited.

Common reasons to pause, screen more carefully, or refer out

Cardiovascular disease or uncontrolled blood pressure

Autonomic activation may create additional risk.

Psychosis or bipolar-spectrum vulnerability

Psychedelic activation and sleep disruption can destabilize mood or reality testing.

Seizure history

Evidence is insufficient to assume safety, particularly with interacting medicines.

Pregnancy or breastfeeding

Safety has not been established.

Unknown product identity

Market names, color, and appearance cannot verify contents or dose.

Unsafe setting or absent support

Visual distortion, panic, and impaired judgment can turn environmental hazards into emergencies.

Interaction evidence is uneven

Most combination warnings are based on pharmacology, related-drug evidence, toxicology, and precaution because controlled interaction trials are scarce. [Journal of Psychopharmacology][Pharmacopsychiatry]

08 / SAFETY

Risks and research exclusions

Acute concerns include panic, confusion, nausea, cardiovascular activation, overheating, falls, impaired consent, and unexpected intensity. Unverified products add contamination and substitution risk. [Frontiers in Pharmacology][Clinical Pharmacokinetics]

Product uncertainty

Unexpected mixtures can make familiar-looking material behave nothing like 2C-B.

Psychological overwhelm

Intense visuals, body sensations, and loss of control can trigger panic or unsafe behavior.

Cardiovascular strain

Heart rate and blood pressure can rise, especially with stimulants or exertion.

Limited long-term evidence

Rare or persistent outcomes cannot be estimated confidently from small studies.

10 / RESEARCH LIBRARY

Selected sources

  1. NIH / PubChem2C-B compound record
  2. Frontiers in Pharmacology · 2018Acute pharmacological effects of 2C-B in humans
  3. Clinical Pharmacokinetics · 2023Controlled comparison of 2C-B and MDMA
  4. ClinicalTrials.govNCT05523401 — acute 2C-B and psilocybin study
  5. Journal of Psychopharmacology · 2024Systematic review of classic-psychedelic drug interactions
  6. Pharmacopsychiatry · 2021Online reports involving lithium and classic psychedelics
  7. U.S. eCFR · current21 CFR § 1308.11 — Schedule I controlled substances