Clinical Clarity for Expanded States
“Psychedelic medicine is undergoing a modern renaissance—the growth in interest and use in the past two decades has been exponential. History has shown, however, that rapid adoption of medicines without rigorous scientific grounding can carry profound consequences, as seen in the opioid crisis.
Individuals turning to psychedelic therapies—whether for mental health treatment, personal insight, or spiritual practice—deserve access to clear, evidence-based information on these substances, including how they may interact with conventional medications. Pharmacists, as medicine experts, hold the responsibility of ensuring these experiences are approached with safety, discernment, and clinical integrity—just as we would with any therapeutic agent, regardless of its legal or cultural context.”
About Dr. Melissa Brewster
Hello!Melissa Brewster, PharmD, is a pharmacist, educator, and nationally recognized leader in psychiatric pharmacology, addiction medicine, harm reduction, and psychedelic medicine. For more than fifteen years, she has worked at the intersection of mental health, medication safety, and transformative healing, helping patients and healthcare professionals navigate complex decisions involving psychiatric medications and altered states of consciousness.
Throughout her career, Melissa has served as a Clinical Psychiatric Pharmacist, Director of Pharmacy Services, health plan leader, educator, and policy advocate. She has developed innovative programs in addiction treatment, opioid overdose prevention, hepatitis C care, and behavioral health, while leading pharmacy initiatives that improved outcomes for thousands of patients across Oregon and beyond. She has advised healthcare systems, trained clinicians throughout the Pacific Northwest, contributed to state and national policy initiatives, and received recognition for her pioneering work in harm reduction and overdose prevention.
Melissa's interest in psychedelic medicine began long before the field entered mainstream healthcare. She has spent over a decade studying and teaching the pharmacology, therapeutic potential, and risks of entheogens and psychedelics, delivering continuing education for healthcare professionals and providing consultation to medicine guides, facilitators, and individuals seeking informed, evidence-based support.
Through Satori Rx, Melissa provides independent consultations focused on medication interactions, psychiatric and medical risk assessment, tapering considerations, and harm reduction strategies for individuals considering or working with psychedelic, entheogenic, and dissociative medicines. Her approach combines scientific rigor, clinical expertise, and deep respect for the personal, spiritual, and transformational dimensions of healing.
Melissa believes that informed preparation is one of the most important components of a safe and meaningful psychedelic experience. Her mission is to bridge the gap between conventional healthcare and emerging psychedelic practices, empowering people to make educated decisions about their health, safety, and personal growth.
Consulting Services
This consultation is designed for individuals seeking personalized guidance before working with psychedelic, entheogenic, or dissociative medicines.
We'll review your current medications, supplements, medical conditions, and mental health history to identify any known or potential interactions, contraindications, or safety considerations. We'll also discuss your goals, intentions, and questions to help you approach this work with greater clarity and confidence.
You'll receive individualized, evidence-based recommendations to help reduce risk and support informed decision-making. When appropriate, this may include medication tapering considerations or guidance for conversations with your prescribing healthcare provider. Any medication changes should always be made in collaboration with the clinician managing your care.
This consultation is intended for individuals with relatively straightforward medical histories, generally those taking five or fewer medications and without significant active medical or psychiatric conditions. It is an excellent option for those seeking a professional medication and safety review before beginning psychedelic-assisted therapy, ceremonial work, or personal exploration.
The goal is to provide clear, practical guidance that helps you make informed choices and engage in this work as safely as possible.
This consultation is designed for individuals seeking personalized information before working with psychedelic, entheogenic, or dissociative medicines.
Together, we'll review your current medications, supplements, medical conditions, and mental health history to identify any known or potential risks, contraindications, interactions, or considerations that may impact safety or outcomes. We will also discuss your goals, intentions, and questions so you can make informed decisions about your path forward.
Following the assessment, you'll receive tailored education and recommendations to help reduce risk and optimize safety. When appropriate, this may include medication tapering considerations or coordination recommendations for discussions with your prescribing healthcare provider. Any medication changes should always be made in consultation with the clinician managing your care.
This service is particularly well suited for individuals with complex medical or psychiatric histories, those taking multiple medications, or anyone seeking a deeper level of review before engaging in psychedelic work. This may include people living with cardiovascular disease, kidney or liver impairment, cancer, HIV, Hepatitis C, serious mental health conditions, or those navigating end-of-life care.
The goal is to provide clear, personalized guidance that helps you approach this work with greater confidence, awareness, and safety.
Sliding scale is available upon review.
The Monthly Membership provides guides, facilitators, and practitioners with direct access to expert consultation on complex client situations and psychedelic medication-related questions. Members can seek guidance on psychedelic pharmacology, medication interactions, tapering strategies, psychiatric considerations, harm reduction approaches, and other topics requiring specialized pharmacologic, medical, or mental health expertise.
Questions may be submitted via email or Signal and are typically answered within 1–2 business days, providing timely support when important decisions arise.
Membership also includes complimentary access to exclusive educational opportunities, including webinars, guest expert presentations, facilitator support calls, clinical updates, special events, and other member-only resources designed to strengthen your practice and support safer client care.
*Facilitators who sign up for membership during the introductory pricing offer will be grandfathered in at this price for the duration of their membership
Frequently Asked Questions
-
Consultations include a review of medications and potential drug interactions, current health conditions, and education around both tapering medications or how to remain on conventional mental health medications during medicine experiences. We are willing to provide tapering recommendations to your medical providers or consult with them on your personal risk profile.
-
We do not prescribe medications and consults are educational in nature. Clients should partner with their medical providers for all decision making and medication tapering. We do not provide medical clearance for psychedelic work, nor do we ever advise to break any laws, as many psychedelics remain schedule I controlled substances.
-
You can schedule your consultation on the Satori Rx Calendar located below, payment is collected at the time of booking. The Consult Intake Form should be submitted a minimum of 24 hours prior to the consultation, this is located at the link below. The Terms and Conditions of the consult are included in the booking process.
-
30-minute consultations are intended for clients with mild medical complexity and five or fewer medications. I recommend 60-minute consultations for clients with cardiac conditions, seizure disorders, serious mental health conditions, kidney or liver disease, and end-of-life clients (this list is not inclusive). Patients with six or more medications should consider a longer consult, especially if considering tapering a medication prior to psychedelic work.
-
Monthly memberships for guides and facilitators include quick access to and medical or drug information questions or concerns about clients who are considering psychedelic. work. Many facilitators do not have the clinical expertise to evaluate a client’s risks- using Satori Rx as a resource can provide guides and clients with evidence-based information that helps them to understand their specific risks. We aim to answer questions within 24 hours whenever possible.
-
Read the Membership Terms and Conditions. Click the “Subscribe” button on the Services page underneath the Monthly Membership product.
-
Once you purchase a membership, you will receive a welcome email that includes Dr. Brewster’s direct contact information to ask her questions on an encrypted, HIPAA compliant platform.
-
Terms and conditions for Psychedelic Safety Reviews can be found here.
-
Monthly membership terms and conditions can be found here.
Schedule Your Consultation
Begin the Conversation
Questions? Let us know how we can support your exploration of expanded states of consciousness.