Yagé and psilocybin mushrooms are both classic psychedelics that act primarily on serotonin 5-HT2A receptors, but they differ in pharmacology, duration, and cultural context. Yagé involves an MAOI mechanism from the Banisteriopsis caapi vine that creates serious drug interaction risks, particularly with SSRIs, SNRIs, and other serotonergic medications, risks that psilocybin mushrooms do not carry. Yagé ceremonies typically last four to six hours and require thorough medical screening. Psilocybin is generally shorter-acting and pharmacologically simpler. Both have demonstrated significant antidepressant effects in clinical research, though through somewhat different mechanisms (Egger et al., 2024).