Hi spicykuri,

Welcome to the Nexus.  Sorry to hear your first oral DMT experience was a rough one. 

I would like to encourage you to check the wiki link in the upper right hand corner of the Forum.  There is a very well written Health & Safety section there as well as other resources, including extraction teks to procure smokeable DMT.

Heart issues, eh?  Has your doctor cleared you for strenuous activity such as vigorous sex and cardio workouts/exercise?  The reason I ask is because there is a noticeable increase/spike in heart rate and blood pressure with vaporized DMT.  I cannot offer you medical advice, and neither can ANYONE else here, yay or nay.  Ignore anyone who attempts to say you should or should not do something based on medical information you give here.  That is between you and your doctor, not people on the internet who smoke DMT. But as a middle aged woman, I would counsel extreme caution and medical consultation here.

Smokeable DMT works without MAOI.  MAOI is necessary to get oral DMT to work.  Sometimes folks consume MAOI then smoke DMT to potentiate the smokeable DMT effects.  But again, you can smoke DMT without any MAOI and it will work fine.

Please take a good look around and don't hesitate to keep posting questions as they come up.  Again, welcome.