What's better? Psilocybin mushrooms or ayahuasca if you have to choose?
If you have to choose, psilocybin is the safer, more practical and better-supported option for most people—especially in the Netherlands, where psilocybin truffles are legally available for guided work and ayahuasca (DMT-containing brews) is prohibited by court rulings.
Psilocybin has the strongest modern clinical evidence across depression and related conditions, including a large randomized trial showing that a single 25 mg dose reduced depressive symptoms more than a very-low-dose control, and a head-to-head study against escitalopram where secondary outcomes generally favored psilocybin. Ayahuasca does have promising data, notably a randomized, placebo-controlled trial showing rapid antidepressant effects in treatment-resistant depression, but its evidence base is smaller and less standardized than psilocybin’s.
The biggest practical divider is drug–drug and diet interactions. Ayahuasca’s harmala alkaloids act as monoamine-oxidase-A inhibitors, which raises the risk of serotonin syndrome with SSRIs/SNRIs (for example, venlafaxine) and requires tyramine-related dietary care; these constraints don’t apply to psilocybin in the same way. If you use serotonergic antidepressants, psilocybin is usually the safer path; ayahuasca should be avoided.
In the Netherlands, ayahuasca is illegal following High Court decisions that rejected religious exemptions; DMT in ayahuasca falls under the Opium Act. By contrast, psilocybin-containing truffles (sclerotia) are sold legally in smartshops, even though “magic mushrooms” themselves are banned. That legal clarity is why guided psilocybin-truffle sessions are straightforward to arrange, while ayahuasca is not.
Choose psilocybin if you want a well-studied, legally accessible option with fewer interaction pitfalls and more predictable dosing. Choose ayahuasca only if you can guarantee a legal pathway and you are not on serotonergic medications, since its MAOI component changes the risk calculus significantly.
Accorindig to my experience: I prefer magic truffles of mushrooms over ayahuasca for casual and healing psychedelic sessions. But I like sometimes Ayahuasca over psilocybin for the whol ritual when I have the time for the ritual. But ayahuasca needs a lot of work before the trip (dieta).