Reflex syncope often occurs in high dosages (NOTE: this symptom is more prominent in people who already struggle with low blood pressure, and/or decreased heart rate, and/or low iron levels).

Reflex syncope refers to brief loss of consciousness due to a drop in drop in blood pressure and/or a decrease in heart rate. [1] People who struggle with low blood pressure, and/or decreased heart rate, and/or low iron levels have a higher risk of experiencing brief loss in consciousness also known as "Reflex Syncope." Symptoms such as: lightheadedness, nausea, the feeling of being extremely hot or cold (accompanied by sweating), ringing in the ears or surpassed hearing, an uncomfortable feeling in the heart, fuzzy thoughts, confusion, a slight inability to speak or form words (sometimes combined with mild stuttering), weakness and visual disturbances such as lights seeming too bright, fuzzy or tunnel vision, black cloud-like spots in vision. [2]

When the user stands up quickly, and/or is in a standing position for too long this can increase the chance of Reflex syncope. It is also possible to interchange the symptoms of reflex syncope with a "stronger high" feeling. (NOTE: during periods/the menstrual cycle, these symptoms have a higher chance in occurring.[3][4][5]) In extreme cases, and if the user can not comprehend, "catch the symptoms", it can end in fainting.

Reflex syncope can occur with intense drugs and in high doses. It can occur when using (more prominent during come down): stimulants (also known as uppers such as: amphetamine and MDMA). In high dosages when using psychedelics and depressants (also known as downers such as: GHB, alcohol and benzodiazepines) or tranquillising narcotics, and/or when interacting with cannabis, and other recreational drugs that lower blood pressure.

The symptoms that come with reflex syncope can cause discomfort and increase the risk of a "bad trip". Reflex syncope is usually harmless, but remember if symptoms occur to breathe, sit down, and collect yourself. Most importantly inform the people you are with that you might be experiencing reflex syncope.

If you are tripsitting and/or in a situation where someone else is experiencing the symptoms, DO NOT PANIC. If the user faints: they should wake up within a couple of seconds. If the user doesn't recover quickly, always seek urgent medical attention.[6] Firstly, make sure the user is and feels safe. Make sure the user has a comfortable place to sit or lie down, bring them water and reassure them that they are in a judge free environment. After the user has collected themselves make sure to not alienate them, this reduces the chance of a "bad trip".