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In a snow-covered village on the northern outskirts of Moscow, Russia’s most famous mycologist, Mikhail Vishnevsky, poured me a cup of light psychoactive mushroom tea.

Many families say this drug does not contain all the compounds they believe play a crucial role in preventing seizures - including the psychoactive ingredient THC.

Unlike other adulterants added to fentanyl for their psychoactive effects, “it’s not like it’s something that you go out and you use a bunch of to get high,” Krotulski said.

The report also confirms psychoactive substances such as benzodiazepines are posing significant dangers.

He says he first tried a Spice vape while at a friend's house, believing it contained THC - the main psychoactive ingredient in cannabis.