I use Omeprazol 40mg. Are there contraindications for using that during a psylocybin trip? Should I avoid it on the day of the trip? Or all together?
Omeprazole (40 mg) generally does not have a dangerous interaction with psilocybin or truffles. Omeprazole belongs to the class of proton pump inhibitors (PPIs), which reduce the production of stomach acid. Psilocybin works through a completely different mechanism in the body. After ingestion it is converted into psilocin, which mainly affects serotonin receptors in the brain. Because these systems are unrelated, no direct contraindications are known.
What may change slightly is the digestive environment in the stomach. Lower stomach acid can slow down certain digestive processes. In forum discussions about this topic, it is noted that acid-reducing medication can sometimes make the onset a bit slower or increase mild nausea, but it does not meaningfully reduce the psychedelic effects. We sometimes add acidic ingredients (like lemon or sometging else acidic) when preparing truffles to help the conversion of psilocybin to psilocin, which further reduces the relevance of stomach acidity.
From a practical perspective, most people continue their omeprazole as prescribed, especially if they use it for reflux or gastritis. Stopping suddenly can actually increase stomach acid rebound, which might make your stomach more uncomfortable during the trip.
A few practical considerations:
The main caution is not the omeprazole itself but your underlying stomach condition. If you have severe reflux, gastritis, or ulcers, the temporary nausea that sometimes happens early in a psilocybin experience could feel more uncomfortable.