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Explore psychedelic medicine

Psilocybin

What is Psilocybin?

Psilocybin is also referred to as shrooms or magic mushrooms and is a naturally occurring psychoactive drug that has been used recreationally and therapeutically for thousands of years. Mushrooms are ingested either fresh or dried with nothing else, in food, or as a tea to mask the bitter taste. 

Mental Health Applications

Psilocybin-assisted psychotherapy is a reemerging therapy for addiction (alcohol, opioid, stimulant, etc.), anxiety (PTSD, GAD, OCD, etc.), depression (MDD, MDSI, end of life, etc.), pain (chronic, headaches, etc.), and other conditions. 

Legality
Psilocybin is listed in the U.S. as a Schedule I drug. It is deemed to have a high potential for abuse and is not recognized for medical use. However, psilocybin has recently been decriminalized in Oregon and Colorado. 
Effects

Psilocybin tends to induce more introspection than other psychedelics.

Positive Neutral Negative
Mood lift, euphoria
Feeling more emotionally sensitive Feelings of fear
Increased giggling & laughing General change in consciousness (as with many psychoactives) Nausea, gas, gastrointestinal discomfort
Creative, philosophical or deep thinking: ideas flow more easily
Time perception alteration Mild to severe anxiety
Life-changing spiritual experience Open and closed-eye visuals (common at medium or stronger dose) Dizziness, confusion
Intense feelings of wonder Sleepiness, lethargy Can precipitate or exacerbate latent or existing mental disorders
Dosage & Duration
Dosage (Oral) Duration
Micro: 0.1-1g Onset: 15-60 minutes
Light: 1-2g Duration: 2-4 hours
Common: 2-4g Total: 4-8 hours
Strong: 4g+

MDMA

What is MDMA?
MDMA stands for 3,4-Methylenedioxymethamphetamine, also known as ecstasy or Molly, is a synthesized psychoactive drug that has been used recreationally and therapeutically since the late 1970s. It can either be swallowed (pill or tablet) or snorted (powder).
Mental Health Applications

MDMA-assisted psychotherapy is a reemerging therapy for attachment insecurities, including PTSD, depression, anxiety disorders, obsessive-compulsive disorder, suicidality, substance use disorders, and eating disorders

Legality
MDMA is listed in the U.S. as a Schedule I drug. It is deemed to have a high potential for abuse and is not recognized for medical use. However, MDMA has recently been decriminalized in Oregon and several other statutes are currently  considering legalizing medical use. In 2017, The FDA called MDMA a ‘breakthrough therapy’  and the final phase-III study is nearing completion in 2022, and FDA approval is estimated for 2023.
Effects
Positive Neutral Negative
Mild to extreme mood lift, euphoria Decreased appetite Anxiety or paranoia 
Increased willingness to communicate Visual distortion Muscle and jaw tension 
Increase in energy (stimulation) Moderately increased heart rate and blood pressure (increases with dose) Nausea and vomiting
Feelings of love and empathy Restlessness, nervousness, shivering Neurotoxicity~hangover lasting days to weeks
Decreased fear, anxiety, and insecurities Change in body temperature regulation Small risk of death; approximately 2 per 100,000 users.
Dosage & Duration
Dosage (Oral) Duration
Light: 40-75mg Onset: 20-70 minutes
Common: 75-125mg Duration: 2-3 hours
Strong: 125-175mg Total: 3-5 hours
Heavy: 175mg+ After-effects: 2-24 hours
  • MDMA works by increasing neurotransmitters in the brain such as serotonin and dopamine. The increased levels of these two neurotransmitters lead to an increase in feelings of empathy, improve identification of emotions in others, as well as increase prosocial feelings. 
  • It was first manufactured in the early 1900s to help control bleeding. It became more commonly used in the 1970s and early 1980s by some psychiatrists to help in the treatment of PTSD. Research into the use of MDMA as a therapeutic agent stopped in the mid-1980s when the USA made the drug illegal, mainly because of increased recreational use.
  • Clinical research picked up again with a study published in 2010, and after successful Phase 2 clinical trials showed huge improvements in the symptoms of PTSD. The FDA  called MDMA a ‘breakthrough therapy’  in 2017.

Mescaline

What is Mescaline?

Mescaline is a psychoactive drug that’s derived from the Peyote & San Pedro cactus that has been therapeutically used by Native Americans for thousands of years.

Mental Health Applications

Mescaline-assisted psychotherapy is a reemerging therapy for addiction, major depression, existential distress associated with a serious illness, and post-traumatic stress disorder (PTSD).

Legality

Mescaline is listed in the U.S. as a Schedule I drug. It is deemed to have a high potential for abuse and is not recognized for medical use. However, Mescaline has recently been legalized in Oregon and Colorado for personal use. Mescaline is also federally legal for certain groups (such as the Native American Church) and in scientific and medical research.

Effects
Positive Neutral Negative
Feelings of interconnectedness Altered thinking processes Nausea & Vomiting
Spiritual events An altered sense of time and self-awareness Unwanted spiritual and/or psychological experiences
Euphoria Closed and open-eye visual phenomena Tension
Increased sense of touch, smell & vision Increased cardiovascular activity Anxiety
Music enhancement Increased cardiovascular activity Intense feelings of dread and doom
Dosage & Duration
Dosage (Oral) Duration
Threshold: 100mg Onset: 1-3+ hours
Light: 100-200mg Duration: 6-12 hours
Common: 200-300mg After-effects: 3-5 hours
Strong: 300-500mg Total: 10-20 hours
Heavy: 500-700mg+

DMT

What is DMT?

DMT (dimethyltryptamine) is a psychedelic drug that can be found in the pineal gland and lungs of humans, as well as in a number of plants and animals. The two most common forms of ingesting DMT are either vaporizing the venom known as 5-MeO-DMT from a rare species of toad, Bufo Alvarius or drinking the leaves of the Psychotria viridis bush that are in Ayahuasca, a traditional Amazonian sacrament. 

Mental Health Applications

DMT-assisted psychotherapy is a reemerging therapy for addiction, major depression, existential distress associated with a serious illness, and post-traumatic stress disorder (PTSD).

Several present day studies and years of shamanic wisdom suggest that it may be useful for treating various psychiatric disorders and addictions. One study in particular conducted by the Journal of Affective Disorders surveyed 1571 depressed participants and 1125 participants with anxiety. 78% reported that their depression was either ‘very much’ improved (46%), or ‘completely resolved’ (32%); while 70% of those with anxiety reported that their symptoms were ‘very much’ improved (54%), or ‘completely resolved’ (16%). It is also important to note that 2.7% and 4.5% of drinkers with depression or anxiety, respectively, reported worsening of symptoms.

Legality

DMT is listed in the U.S. as a Schedule I drug. It is deemed to have a high potential for abuse and is not recognized for medical use. However, DMT has recently been legalized in Oregon and Colorado for personal use. DMT is also federally legal for certain groups (such as the UDV Church) and in scientific and medical research.

Effects 
Positive Neutral Negative
Euphoria Time dilation Panic attack/Bad trip
Feeling of awe Intense hallucinations & dissociation Nausea/Vomiting
Realizations about one's life Loss of comprehension of basic concepts such as ego, language or one's own body.
Out-of-body experiences
Unconventional thought patterns
Dosage & Duration
Dosage (Oral) Duration
Light ~ 30-50mg Onset 20-45 minutes
Common ~ 50-75mg Duration 3-8 hours
Strong 100 mg After-effects 15-60 minutes
Dosage (Vaporized) Duration
Light 10-15 mg Onset 0-2 minutes
Common 15-25 mg Duration 3-10 minutes
Strong 25-40+ mg After-effects 15-60 minutes

LSD

What is LSD?
Lysergic acid diethylamide (LSD) is a synthetic chemical, made from a substance found in ergot, which is a fungus that infects rye (grain). It is sold on the street as “acid” in tablets, capsules, and, occasionally, liquid form. LSD causes the senses of space, distance, and time to become altered. People say they “hear” colors or “see” sounds, and have strange feelings and strong emotions. LSD has been used recreationally and therapeutically since the 1950s.
Mental Health Applications

LSD-assisted psychotherapy is a reemerging therapy for anxiety, PTSD, depression, psychosomatic diseases, and addiction.

Legality

LSD is listed in the U.S. as a Schedule I drug. It is deemed to have a high potential for abuse and is not recognized for medical use. However, LSD has recently been legalized in Oregon for personal use. 

Effects
Positive Neutral Negative
Mood lift, euphoria, sense of well being Racing thoughts, thought loops Tension
Closed and open eye visuals, including the saturation of colors, tracers, etc. Extreme pupil dilation; increased sensitivity to light Anxiety, restlessness, confusion
Enhanced audio/tactile senses Inability to focus Nausea
Increase in associative & creative thinking; introspection Slight increase in body temperature and heart rate Dizziness
At high doses, feeling of 'oneness' with everything; ego death Time dilation; seconds feel like minutes, minutes like hours Vasoconstriction
Dosage & Duration
Dosage (Oral) Duration
Microdose: 5- 10ug Onset: 0.5-2 hours
Light: 50-100ug Total: 8-12 hours
Common: 100-150ug
Strong: 175-225ug
Heavy: 250ug+
  • LSD is odorless, colorless, and has a slightly bitter taste. It is usually taken by mouth. LSD is often added to absorbent paper, such as blotter paper, and divided into small decorated squares, with each square representing one dose.
  • However, research into the administration of LSD in a safe, therapeutic setting has shown positive results in treating depression and post-traumatic stress disorder (PTSD), as well as reducing anxiety in patients with a life-threatening disease.

Ibogaine

What is Ibogaine?

Ibogaine, also known as the visionary vine” or “the dream vine”, is a naturally occurring psychedelic substance found in the root bark of the Iboga shrub, which is indigenous to Western Africa. Ibogaine has been used for thousands of years in West Africa for healing rituals and initiation ceremonies. It was also used to treat opiate addiction in the 1950s and ’60s, but it was eventually banned due to its dangerous side effects.

Mental Health Applications

Ibogaine-assisted psychotherapy is a reemerging therapy for substance abuse (specifically opioid addiction), mood, and anxiety disorders.

Legality

Ibogaine is classified as a Schedule I drug, and is not currently approved for addiction treatment (or any other therapeutic use) because of its hallucinogenic, cardiovascular and possibly neurotoxic side effects

Effects
Positive Neutral Negative
Addiction suppression Time dilation Cardiovascular abnormalities
Mindfulness Intense hallucinations & dissociation Anxiety/delusion
Increased appreciation Stimulation Panic attack/Bad trip
Thought organization Bodily sensations Nausea/Vomiting
Elevated Emotions Unconventional thought patterns Diarrhea/constipation
Dosage & Duration
Dosage (Oral) Duration
Common: 500-1,000mg (15-22mg/kg of body weight) Onset: 0.5-3 hours
Strong: may result in fatal heart complications Total: 18-36+ hours

Explore the history of psychedelic medicine

~5000 BC

Cave rock art depicts Psilocybe mairei, hallucinogenic mushrooms in the Tassili plateau of Southeastern Algeria. This is the earliest evidence of the use of magic mushrooms.
~5000 BC

~2000 BC

LSD Ergot, may have been used to make the potion called kykeon, used in the Eleusinian Mysteries.

~2000 BC

~800 BC

A burial site in Northern Chile included a bag with snuffing paraphernalia and snuff remnants containing DMT and 5-MeO-DMT.

~800 BC

1591

Juan de Cardenas described peyote use in the Indies. This is the oldest published account of peyote use.

1591

1867

Iboga was promoted to the public at the Paris Exposition. Afterward, tonics based on the whole plant extract became extremely popular in France and Belgium.

1867

1912

MDMA was first synthesized by Anton Köllisch and patented by Merck Pharmaceuticals in Germany.

1912

1938

Dr. Albert Hofmann, working for Sandoz laboratories, synthesized LSD-25. He stated, “I had planned the synthesis of this compound with the intention of obtaining a circulatory and respiratory stimulant”. Colleagues showed no interest in it, so testing was discontinued.

 
1938

1952

In the American Journal of Psychiatry, Dr. Charles Savage published the first study of the use of LSD to treat depression. Dr. Humphry Osmond and Dr. Abram Hoffer began treating alcoholics with LSD and mescaline at Weyburn Hospital in Saskatchewan, Canada.  They reported abstinence rates of 50%.

1952

1962

Howard Lotsof conducted experiments on ibogaine’s use in the treatment of cocaine and heroin addiction.
1962

1970

Congress passes the Controlled Substances Act, which classifies LSD, psilocybin, psilocin, mescaline, peyote, cannabis, MDA, DMT, and other psychedelics as Schedule I drugs: the most restrictive level. This effectively halts new research, ushering in the “dark ages” for psychedelic medicine.
1970

1986

Rick Doblin founded the Multidisciplinary Association for Psychedelic Studies (MAPS). It continues to support and conduct pioneering research demonstrating the safety and enhanced benefits of LSD, psilocybin and MDMA-assisted psychotherapy.
1986

2019

Denver, CO becomes the first U.S. state to decriminalize psilocybin.
2019

2020

Oregon becomes the first U.S. state to legalize the medical use of psilocybin under the care of a licensed facilitator.
 
2020

2022

Colorado decriminalized DMT, ibogaine, mescaline (excluding peyote), psilocybin, and psilocyn.
2022

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