Psychedelic Research Findings
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The Patient’s Perspective on the Effects of Intranasal Esketamine in Treatment-Resistant Depression
Read paperCondition Treated :
Depression
Psychedelic Medicine :
Ketamine
An open-label study of esketamine nasal spray for TRD, patients reported early improvements in depression, anhedonia, and suicidality that were sustained over three months, while clinicians noted varying improvements at different time points.
Keywords
Esketamine Nasal Spray versus Quetiapine for Treatment-Resistant Depression
Read paperCondition Treated :
Depression
Psychedelic Medicine :
Ketamine
This open-label Phase IIIb trial (n=676) compared the efficacy of esketamine nasal spray and extended-release quetiapine, combined with an SSRI or SNRI, in patients with treatment-resistant depression (TRD). The study found that a significantly higher percentage of patients in the esketamine group achieved remission at week 8 (27.1% vs 17.6%) and had no relapse through week 32 after remission at week 8 (21.7% vs 14.1%). Adverse events were consistent with the established safety profiles of the trial treatments.
Keywords
Psilocybin-assisted therapy for depression: A systematic review and meta-analysis
Read paperCondition Treated :
Depression
Psychedelic Medicine :
Psilocybin
The aim of this review was to determine the effect of psilocybin on depressive symptoms in patients diagnosed with life-threatening illnesses or major depressive disorder. Systematic searches were conducted to search for randomized clinical trials and open-label trials that evaluated depression symptoms after psilocybin therapy. Data was pooled using a random-effects model. The primary outcome was the standardized mean difference (SMD) in depression severity, determined by calculating the change in depression ratings from baseline to the primary endpoint in the psilocybin arm versus the control arm. The literature search yielded 1734 studies, and 13 studies (n = 686) were included in either qualitative and/or quantitative analyses. The meta-analysis included 9 studies (pooled n = 596) and yielded a large effect size in favour of psilocybin (SMD = -0.78; p<0.001). Risk ratios for response and remission were large and significant in favour of psilocybin. A review of open-label trials showed robust decreases in depressive symptoms following psilocybin administration. These findings provide preliminary evidence for antidepressant efficacy with psilocybin-assisted psychotherapy, however, further studies are needed to evaluate safety and efficacy and to optimize treatment protocols.
Keywords
Therapeutic Potential of Psilocybin for Treating Psychological Distress among Survivors of Adverse Childhood Experiences: Evidence on Acceptability and Potential Efficacy of Psilocybin Use
Read paperCondition Treated :
Anxiety
Psychedelic Medicine :
Psilocybin
Survivors of adverse childhood experience are at elevated risk for psychological distress. In recent years, renewed interest in psychedelic medicine has highlighted the therapeutic potential of psilocybin for those who have experienced childhood adversity. However, recreational psilocybin use remains illegal and access to approved therapies is difficult. Such use provides an opportunity to explore the therapeutic potential of psilocybin for psychological distress among people with adverse childhood experiences. Therefore, we conducted an online survey to assess interest in, acceptability of, and experiences with psilocybin. We further explored whether the association between Adverse Childhood Experiences Questionnaire (ACEQ) scores and psychological distress was lower among those who had used psilocybin in the past three months. Results showed high levels of interest in and acceptability of psilocybin that did not differ across ACEQ scores. Results also showed that the effect of adverse childhood experiences on psychological distress was lower for people who had recently used psilocybin (p = .019). Taken together, these findings suggest that psilocybin therapy may be potentially acceptable and may feasibly help in supporting survivors of adverse childhood experiences with particularly strong benefits to those with more severe childhood adversity.
Keywords
Longitudinal associations between psychedelic use and meditation practices in the United States and the United Kingdom
Read paperCondition Treated :
N/A; Healthy volunteers
Psychedelic Medicine :
Other
This longitudinal observational study (n=9,732) aimed to investigate potential associations between self-reported psychedelic use and meditation practice in the US and UK adult populations. The study found that psychedelic use during a 2-month period was associated with increased engagement in mindfulness meditation practice, and the subjective experience of insight during psychedelic use was linked to greater involvement in mindfulness and loving-kindness or compassion meditation. Additionally, the research indicated that baseline engagement in loving-kindness or compassion meditation was associated with reduced severity of challenging experiences during psychedelic use.
Keywords
Adults who microdose psychedelics report health related motivations and lower levels of anxiety and depression compared to non-microdosers
Read paperCondition Treated :
Anxiety
Psychedelic Medicine :
Psilocybin
The use of psychedelic substances at sub-sensorium ‘microdoses’, has gained popular academic interest for reported positive effects on wellness and cognition. The present study describes microdosing practices, motivations and mental health among a sample of self-selected microdosers (n = 4050) and non-microdosers (n = 4653) via a mobile application. Psilocybin was the most commonly used microdose substances in our sample (85%) and we identified diverse microdose practices with regard to dosage, frequency, and the practice of stacking which involves combining psilocybin with non-psychedelic substances such as Lion’s Mane mushrooms, chocolate, and niacin. Microdosers were generally similar to non-microdosing controls with regard to demographics, but were more likely to report a history of mental health concerns. Among individuals reporting mental health concerns, microdosers exhibited lower levels of depression, anxiety, and stress across gender. Health and wellness-related motives were the most prominent motives across microdosers in general, and were more prominent among females and among individuals who reported mental health concerns. Our results indicate health and wellness motives and perceived mental health benefits among microdosers, and highlight the need for further research into the mental health consequences of microdosing including studies with rigorous longitudinal designs.
Keywords
Vitamin C, Pain and Opioid Use Disorder
Read paperCondition Treated :
Psychedelic Medicine :
Other
- 75% of heroin users in treatment report that their opioid misuse began with the use of legal prescription painkillers
- The practices of healthcare providers are implicated in the spread of heroin addiction
- In an animal study, rats that were given ascorbic acid (AA; vitamin C) exhibited less responses to receive morphine than those rats who were not given AA. Furthermore, rats given AA showed less withdrawal symptoms once morphine was discontinued
- In another animal study, mice pre-treated with AA were significantly less likely to develop tolerance and dependence on morphine (injected twice daily)
- In guinea pigs, treatment with AA inhibited morphine withdrawal response
- AA irreversibly inactivated opioid binding in guinea pig brain homogenate
- Animals that have the ability to synthesize AA increase endogenous production of AA when experiencing disease, pain, and stress
- Administration of AA is associated with better surgical outcomes
- In one study, patients who received AA required significantly less morphine for pain management than those who received a placebo
- In one study, administration of AA helped relieve fibrosarcoma-related pain
- In one study, administration of AA helped relieve pain in breast cancer patients with skeletal metastases
- In one study, administration of AA reduced opiate reliance in bladder cancer patients
- In one study, it was found that AA administration reduced the risk of developing subsequent chronic regional pain syndrome in patients with recent wrist fracture
- In one study, 57% of patients in the vitamin C and E group experienced significant reduction in withdrawal symptoms (of opioid use), whereas only 7% in control group reported the same
- In another study of AA administration for opioid use disorder and withdrawal symptoms, one-third of 60 patients reported that 70% or more of acute withdrawal symptoms were gone, half reported at least 60% of symptoms were relieved, and aftercare clients reported a 90% relief of symptoms
- Vitamin C (AA) can occupy specific opioid receptor sites and thus block their effect
- In one study, sodium ascorbate ceased signs and symptoms of heroin withdrawal in all patients
- Patients with major depressive disorder and drug addictions have low plasma AA levels
- AA decreases oxidative stress
- Anxiety, depression, bipolar disorder, panic disorder, obsessive-compulsive disorder, and schizophrenia are associated with oxidative stress
- Antioxidants are important for mental health
- People with mental health conditions (i.e. anxiety and/or depression) are three times more likely to use opioids than the general population
- Highest concentrations of AA are found in the adrenal glands, thus vitamin C is part of the human stress response. In times of stress, AA stores are rapidly depleted, thus exogenous replacement of AA is crucial during times of stress
- Low AA intake has been correlated with fatigability in humans
- Vitamin C may support the endogenous synthesis of important neurotransmitters (dopamine, serotonin, and norepinephrine) and modulates dopamine and glutamate (important for off-setting addictive behaviours)
Keywords
vitamin C, opioid use disorder, pain, ascorbic acid, mental health, antioxidant, opioid withdrawal, mental health disorders
Medical Cannabis for Pediatric Moderate to Severe Complex Motor Disorders
Read paperCondition Treated :
Complex Motor Disorder
Psychedelic Medicine :
Cannabis
- Oral administration of cannabis oil consisting of ratios 6:1 and 20:1 cannabidiol (CBD) to tetrahydrocannabinol (THC) in children with complex motor disorder experienced a reduction in the severity of dystonia and spasticity, and increased motor functionality and quality of life
- The 20:1 CBD to THC dose administration saw improved symptomology in terms of constipation, while the 6:1 CBD to THC dose saw improved sleep quality
Keywords
complex motor disorder, cannabidiol, CBD, tetrahydrocannabinol, THC
Evaluation of the effects of CBD hemp extract on opioid use and quality of life indicators in chronic pain patients: a prospective cohort study
Read paperCondition Treated :
Chronic Pain
Psychedelic Medicine :
Cannabis
- 53.2% of participants, upon treatment with CBD oil, were able to cease their opioid use for pain management by week #8
- 94% of participants reported an increased quality of life following CBD oil use for pain management
- Not only was pain management significantly affected from CBD oil use, participants also reported that their sleep quality was improved too
- Overall, use of CBD oil for chronic pain reduced opioid intake, reduced pain, and improved quality of life (including sleep)
Keywords
pain, opioid use, cannabidiol, CBD, pain treatment, cannabidiol treatment, CBD treatment
The Effectiveness of Topical Cannabidiol Oil in Symptomatic Relief of Peripheral Neuropathy of the Lower Extremities
Read paperCondition Treated :
Peripheral Neuropathy
Psychedelic Medicine :
Cannabis
- Compared to the placebo group, participants in the cannabidiol group (transdermal application of CBD oil) experienced significantly less pain, and significantly less cold and itchy sensations in their extremities affected by peripheral neuropathy
Keywords
cannabidiol, CBD, peripheral neuropathy, peripheral nerve damage, pain, inflammation, CBD treatment, cannabidiol treatment
Salvia divinorum: from recreational hallucinogenic use to analgesic and anti-inflammatory action
Read paperCondition Treated :
N/A; Healthy volunteers
Psychedelic Medicine :
Salvia Divinorum
- Traditional preparations have been used to treat inflammatory conditions and pain, such as: headaches, gastrointestinal problems, and rheumatism; insect bites, eczema, candidiasis, cystitis, menstrual cramps, depression, and alcohol addiction
- Salvia decreases the pain induced by neuropathy and inflammation
- Salvia does not influence the dopaminergic system//does not increase the release of dopamine; thereby indicating it to be a good therapeutic treatment without the risk of producing addiction
Keywords
salvia divinorum, salvia
Antidepressant Effects of the Herb Salvia Divinorum: A Case Report
Read paperCondition Treated :
Depression
Psychedelic Medicine :
Salvia Divinorum
- CASE REPORT: 26y/o woman with depression, with no periods of remission since her adolescence. She tried sertraline and CBT to treat her depression, but neither showed any benefit.
- Upon the initial smoking of salvia, she experienced “its antidepressant effects”
- Later on, developing an oral intake method of salvia leaves (2-3 leaves; chewing and holding in mouth for 15-30min) maintained the antidepressant effects for up to a week
- Total remission of depressive symptoms were observed over the length of the case study (6 months)
- Minimal side effect of lightheadedness for up to 1 hour after using salvia
- The patient noted having benefited from an occasional intoxicating oral dose of salvia leaves (chewing 8-16 leaves or 2-4 grams), consisting of a psychospiritual awakening, which allowed the discovery of her sense of self, greater self-confidence, increased feelings of intuitive wisdom, and greater connection to nature
- Salvia has long been used in physical and spiritual healing ceremonies in Mexico
- Some physical conditions such as anaemia, headaches, and rheumatism have been treated with salvia
Keywords
salvia divinorum, salvia, psychedelic treatment, plant medicine, depression, salvia treatment, treatment-resistant depression
The subjective experience of acute, experimentally-induced Salvia divinorum inebriation
Read paperCondition Treated :
N/A; Healthy volunteers
Psychedelic Medicine :
Salvia Divinorum
- Salvia has a low potential for abuse; participants in this study did not report craving to use and did not seek out salvia following the exposure of it in the study
- Animal models suggest therapeutic applications of salvia in terms of addiction treatment; published work with human studies suggest potential antidepressant effects of salvia
Keywords
salvia divinorum, salvia, depression, addiction, substance use disorder
The Appeal of Peyote (Lophophora Williamsii) as a Medicine
Read paperCondition Treated :
Substance Use Disorder
Psychedelic Medicine :
Mescaline
- Upon intake of peyote and experiencing effects of psychoactive component mescaline, consciousness is not lost, control over limbs and movement is maintained, and no uncomfortable effects or acts of harm are experienced
- Peyote has medicinal and therapeutic properties, which have been sought for by Indigenous groups [for millennia/as long as is known]
- Indigenous uses of peyote emphasize the medicinal properties of plant (over the properties of having visions)
- Peyote is reported to be used topically as a medicine/healing aid for wounds, insect stings/bites, snake bites, rheumatism, burns, and skin diseases
- Many other diseases, Indigenous tribes have reported peyote cures: tuberculosis, pneumonia, scarlet fever, intestinal ills, diabetes, rheumatic pains, colds, grippe, fevers, venereal diseases, toothache
- It is important to note [as we try to de-stigmatize psychedelics] that with peyote, visions are not sought for, and are relatively rare. Peyote is truly used for its reported medicinal and healing properties.
- In the literature [observations made by non-Indigenous peoples], visions have been over-amplified as an accompanying effect of peyote consumption
*Note this paper was written by an anthropologist based on his own accounts/observations; this is not a clinical trial/experimental paper
Keywords
peyote, mescaline, psychedelic treatment, peyote treatment, mescaline treatment, alcohol use disorder, substance use disorder
Psychological and Cognitive Effects of Long-Term Peyote Use Among Native Americans
Read paperCondition Treated :
Substance Use Disorder
Psychedelic Medicine :
Mescaline
- Peyote has potential to be an effective treatment for alcohol use disorder and other substance use dependencies
- No psychological or cognitive deficits were observed in participants who had undergone prolonged ceremonious uses of peyote
Keywords
peyote, mescaline, psychedelic treatment, peyote treatment, mescaline treatment, alcohol use disorder, substance use disorder, alcoholism
The non-hallucinogen 2-bromo-lysergic acid diethylamide as preventative treatment for cluster headache: an open, non-randomized case series
Read paperCondition Treated :
Migraine
Psychedelic Medicine :
LSD
- Upon administration of the non-psychedelic 2-bromo-lysergic acid diethylamide (BOL-148; 3 single doses within 10 days) for treatment of cluster headache, BOL-148 was able to improve the condition in terms of reducing the frequency and intensity of the attacks, in some cases changing the cluster headache from a chronic form to an episodic form, or in some cases completely break a cluster headache cycle
- Remission lasted for many months, in some cases longer
- No adverse side effects were experienced
- Because prolonged administration of BOL-148 does not cause cross-tolerance with LSD, this suggests different mechanisms of action of BOL-148 in its treatment of cluster headache
- Since LSD and psilocybin also have evidence for helping to alleviate headache conditions, this further suggests these medicines have a mechanism of action unrelated to those that induce psychedelic states (i.e. the mechanism of action to treat headache conditions perhaps does not involve the 5-HT1/2A receptors known to be involved in the psychedelic response)
Keywords
LSD, lysergic acid diethylamide, BOL-148, cluster headache
Alterations in responses to LSD in humans associated with chronic administration of tricyclic antidepressants, monoamine oxidase inhibitors or lithium
Read paperCondition Treated :
Antidepressant Use
Psychedelic Medicine :
LSD
- Long-term administration of various antidepressants may alter LSD responsiveness:
- Subjects who had long-term administration of tricyclic antidepressants or lithium reported increased subjective effects of LSD
- Subjects who had long-term administration of monoamine oxidase (MAO) inhibitors reported decreased subjective effects upon LSD administration
- Previous findings note that MAO inhibitors and serotonin-selective antidepressants reduce the psychedelic response
- Chronic administration of many antidepressants has shown to down-regulate beta-adrenergic and 5-HT2 receptors
- In the case of MAO inhibitors, the decreased psychedelic response thus makes sense, as there are less receptors LSD may bind to to then exert an effect
- In the case of tricyclic antidepressants, perhaps there are other mechanisms at play to explain the increased psychedelic response (i.e. dopamine pathway/receptors)
- In the case of lithium, it is reported that serotonin levels are decreased with chronic administration; thus upon exposure to LSD, LSD serves as a “replacement” for 5-HT and accounts for the observations reported in the current study
- In summary, long-term/chronic use of antidepressants alters the subjective experience of LSD to a great degree, and it depends on the class of antidepressants whether that subjective experience is increased or decreased
- Both LSD and antidepressants are believed to involve serotonin and dopamine systems
Keywords
LSD, lysergic acid diethylamide, serotonin receptor, serotonin, dopamine, antidepressant, MAO, lithium, tricyclic antidepressant, subjective experience
The Fabric of Meaning and Subjective Effects in LSD-Induced States Depend on Serotonin 2A Receptor Activation
Read paperCondition Treated :
N/A; Healthy volunteers
Psychedelic Medicine :
LSD
- From fMRI study comparing responses to meaningful and meaningless/neutral music, cortical midline structures involved in self-related processes showed increased BOLD signal
- It was concluded that more meaning/personal relevance was put on to previously neutral/meaningless music/stimuli
- The 5-HT2A receptor is essential for self-relevance and assigning meaning to external stimuli
- 5-HT2A receptor determined due to successful blocking of LSD-induced experiences with the 5-HT2A receptor antagonist ketanserin
- Psychiatric disorders that may involve disruptions in this self-relevance processes include schizophrenia, depression, and/or addiction
Keywords
LSD, lysergic acid diethylamide, serotonin receptor, self-relevance, meaningfulness
Role of the 5-HT 2A Receptor in Self- and Other-Initiated Social Interaction in Lysergic Acid Diethylamide-Induced States: A Pharmacological fMRI Study
Read paperCondition Treated :
N/A; Healthy volunteers
Psychedelic Medicine :
LSD
- The posterior cingulate cortex (PCC) is a brain structure involved in self-related processes (self-reflection, self-referential processing, integration of self-referential stimuli, retrieval of autobiographical memory, generating a model of the self)
- Following LSD administration, the PCC shows decreased blood-oxygen-level-dependent (BOLD) signal in functional magnetic resonance imaging (fMRI), which can be attributed to the experience of “ego dissolution” or dissolution of the self
- In this way, LSD decreases the differentiation of self and other
Keywords
LSD, lysergic acid diethylamide, consciousness, default mode network, serotonin receptor, ego dissolution, self-reflection, posterior cingulate cortex
Changes in global and thalamic brain connectivity in LSD-induced altered states of consciousness are attributable to the 5-HT2A receptor
Read paperCondition Treated :
N/A; Healthy volunteers
Psychedelic Medicine :
LSD
- LSD increases global brain connectivity
- Specifically, reduces synchronization of associative networks (i.e. prefrontal cortex, cingulum, insula, temporoparietal junction), and increases that of sensory and somatomotor areas (i.e. occipital cortex, superior temporal gyrus, postcentral gyrus)
- The amygdala also showed hyperconnectivity under LSD
- (Palhano-Fontes et al., 2015).(Muthukumaraswamy et al., 2013)
Keywords
LSD, lysergic acid diethylamide, consciousness, default mode network, global brain connectivity, serotonin receptor
Safety and Efficacy of Lysergic Acid Diethylamide-Assisted Psychotherapy for Anxiety Associated With Life-threatening Diseases
Read paperCondition Treated :
Life-threatening diseases
Psychedelic Medicine :
LSD
- In a controlled, randomized, blinded study administering LSD alongside psychotherapy to patients experiencing end-of-life anxiety: no adverse effects (such as prolonged anxiety or flashbacks) were experienced, there was a significant reduction in anxiety in the experimental group (those that took LSD) and these results were stable over 12 months following the administration
Keywords
LSD, lysergic acid diethylamide, lysergic acid diethylamide treatment, psychedelic treatment, anxiety, life-threatening disease, psychotherapy, end-of-life anxiety
LSD-assisted psychotherapy for anxiety associated with a life-threatening disease: A qualitative study of acute and sustained subjective effects
Read paperCondition Treated :
Life-threatening diseases
Psychedelic Medicine :
LSD
- Patients experiencing the existential difficulties associated with a life-threatening disease often suffer with isolation, anxiety, and depression
- Full awareness of consciousness and memory are retained upon experiencing LSD
- Improvement of psychological state was observed in all patients undertaking a moderate dose of LSD in this study
- Increased relaxation, equanimity, self-assurance, mental strength, and emotional trust; accepting of their situation and life (situational understanding)
- Connections with and organization of the default mode network (DMN) are responsible for mood regulation and sense of self (ego); effects of psilocybin and LSD allow changes in self-consciousness, as reduced blood flow in DMN regions is induced
- LSD and psilocybin may allow one’s sense of self to be “broken up”, in a sense that it may be understood with less emotional bias, more responsivity, and more flexibility (increases mood and weakens ego boundaries, allows deeper cognitive insights and perspective-altering outlooks)
Keywords
LSD, lysergic acid diethylamide, lysergic acid diethylamide treatment, psychedelic treatment, anxiety, life-threatening disease, psychotherapy
Safety, tolerability, pharmacokinetics, and pharmacodynamics of low dose lysergic acid diethylamide (LSD) in healthy older volunteers
Read paperCondition Treated :
N/A; Healthy volunteers
Psychedelic Medicine :
LSD
- Low dose administration of LSD for 21 days, every four days, in an older population of healthy participants was well tolerated; no impairment in cognition, balance, or proprioception were observed.
- This study opens the door for LSD-assisted therapies to progress, noting that this procedure is deemed safe (as research prior to this study made observations resulting from a single dose)
- The 5-HT2A receptor is a potential therapeutic target of Alzheimer’s Disease (AD), as it is involved in mediating memory and cognition; functions which are impaired due to the progression of AD
- LSD acts on the 5-HT2A receptor as an agonist, and it is proposed that LSD may produce anti-inflammatory effects
- LSD is able to cross the blood brain barrier with ease, and potentially suppress chronic neuroinflammation
- While the “hallucinogenic” effects may be undesired, LSD can potentially induce such desired anti-inflammatory effects at micro-doses
Keywords
LSD, lysergic acid diethylamide, lysergic acid diethylamide treatment, psychedelic treatment, neurodegenerative disease, Alzheimer’s Disease, micro-dosing, neuroinflammation
LSD Acutely Impairs Fear Recognition and Enhances Emotional Empathy and Sociality
Read paperCondition Treated :
N/A; Healthy volunteers
Psychedelic Medicine :
LSD
- LSD decreases the recognition of negative facial expressions (fearful and sad faces)
- LSD enhances emotional empathy and induces pro-social behaviour
- Effects such as feeling close to others, wanting to be with others, feeling happiness, openness, and trust were experienced
- The emotional effects experienced from LSD (and similar psychedelics such as psilocybin and MDMA), may open a window for psychotherapeutic interventions and facilitating a therapeutic alliance
Keywords
LSD, lysergic acid diethylamide, lysergic acid diethylamide treatment, psychedelic treatment, empathy, emotional processing
Ketamine for rapid reduction of suicidal thoughts in major depression: a midazolam-controlled randomized clinical trial
Read paperCondition Treated :
Suicidal Ideation
Psychedelic Medicine :
Ketamine
- Suicidal-depressed patients need rapid relief of suicidal ideation
- After a single ketamine infusion, patients with major depressive disorder and suicidal ideation had significantly lower suicidal ideation scores than those in the control group 24hrs after infusion
- Improvement in suicidal ideation was maintained over the 6 weeks of follow-up assessments
- There were greater reductions in mood disturbance, depression, and fatigue following the ketamine treatment, compared w the control group
Keywords
ketamine, ketamine treatment, psychedelic treatment, depression, major depressive disorder, major depression, suicidal ideation
Efficacy of intravenous ketamine for treatment of chronic posttraumatic stress disorder: a randomized clinical trial
Read paperCondition Treated :
Post-Traumatic Stress Disorder
Psychedelic Medicine :
Ketamine
- A single dose of ketamine significantly reduced core PTSD symptoms in patients experiencing chronic PTSD (compared with a placebo)
- In 7 patients, the beneficial effects were maintained at 2 weeks post-infusion
- Furthermore, a reduction in comorbid depressive symptoms were also reduced
Keywords
ketamine, ketamine treatment, psychedelic treatment, PTSD, post-traumatic stress disorder
Efficacy of intravenous ketamine treatment in anxious versus nonanxious unipolar treatment-resistant depression
Read paperCondition Treated :
Depression
Psychedelic Medicine :
Ketamine
- Ketamine is equally effective at treating patients with or without anxious depression
- Anxious depression group experienced significantly lower levels of dissociative symptoms than patients without anxious depression (possibly due to more benzodiazepine use in patients w anxiety, therefore partially blunting dissociative symptoms in this subgroup)
- Significant improvement (reduction) of HAMD6 scores in ketamine group versus placebo group on day 1 post-infusion
Keywords
ketamine, ketamine treatment, psychedelic treatment, depression, treatment-resistant depression, anxious depression, nonanxious depression, major depression, major depressive disorder
Rapid antidepressant effects of the psychedelic ayahuasca in treatment-resistant depression: a randomized placebo-controlled trial
Read paperCondition Treated :
Depression
Psychedelic Medicine :
Ayahuasca
- After a single dosing session with ayahuasca, patients with major depressive disorder experience a significant rapid antidepressant effect compared to a placebo group
Keywords
ayahuasca, DMT, N,N-Dimethyltryptamine, psychedelic treatment, ayahuasca treatment, depression, major depressive disorder, treatment-resistant depression, major depression
Potential Use of Ayahuasca in Grief Therapy
Read paperCondition Treated :
Prolonged Grief Disorder
Psychedelic Medicine :
Ayahuasca
- Grief associated w the loss of someone whom was significant or loved, people may experience: stunned/shocked emotions, emotional numbness, difficulty in accepting the loss, mistrust, bitterness, confusion about meaning/purpose in life, and diminished sense of self
- This may persist into prolonged grief disorder (PGD), in which typical interventions are not effective in treating/helping
- Ayahuasca allows the user to enter an introspective state, in which reflections on meaningful personal themes, memories, experiences, thoughts, and emotions are experienced; new thoughts, formulations, feelings may be “unlocked” and may allow people with grief to move through with acceptance
- All participants in the ayahuasca group (100%) felt that the ayahuasca-drinking experience had a positive impact on their grieving process (83.3% felt it had a very positive impact, 16.7% felt it had a positive impact)
- All participants in the peer-support group (100%) felt that the peer-support experience had some positive impact on their grieving process (56.7%% felt it had a very positive impact, 43.3%% felt it had a positive impact)
- *maybe participants in each group could only choose between very positive and positive(?); I just did not want to show bias by only including the ayahuasca group’s results
- A greater percentage of ayahuasca group participants felt a very positive influence
- Themes that arose during an ayahuasca experience were: emotional release, biographical memories, and contact with the deceased
- Further: positive feelings, forgiveness and family healing, reorganizing identity and sense of self, changes in the internal representation of the deceased and maintenance of connection, changes in global beliefs, and personal growth
- People experiencing grief and who use ayahuasca report a significantly lower level of grief following its use, than people experiencing grief who attend a peer-support group
Keywords
ayahuasca, DMT, N,N-Dimethyltryptamine, psychedelic treatment, ayahuasca treatment, grief, emotional numbness, life purpose/meaning, peer-support group, group therapy
Effects of ayahuasca on psychometric measures of anxiety, panic-like and hopelessness in Santo Daime members
Read paperCondition Treated :
N/A; Healthy volunteers
Psychedelic Medicine :
Ayahuasca
- Ingestions of the ayahuasca brew significantly attenuated measures of hopelessness and panic-like feelings (reduced feelings of hopelessness and panic)
- *anxiety was not significantly different between the control and ayahuasca group, probably because the participants had experience ingesting the brew before, thus anxiety was low
Keywords
ayahuasca, DMT, N,N-Dimethyltryptamine, psychedelic treatment, ayahuasca treatment, anxiety, hopelessness, emotional states
Discontinuation of medications classified as reuptake inhibitors affects treatment response of MDMA-assisted psychotherapy
Read paperCondition Treated :
Post-Traumatic Stress Disorder
Psychedelic Medicine :
MDMA
- When comparing a cohort of individuals with PTSD who use antidepressants (in the class of reuptake inhibitors) and who don’t use antidepressants undergoing an MDMA-assisted psychotherapy protocol, those who use antidepressants/were tapering off their use, experienced less of a benefit from the MDMA therapy than those who were not using antidepressants
- MDMA utilizes the same reuptake transporters to exhibit its mechanism of action that are also used by antidepressant medications typically prescribed for individuals with PTSD; making this site an interference point between antidepressants and MDMA therapy
- The study implies that MDMA-assisted psychotherapy would be most beneficial and effective to treat PTSD if a long tapering regime to cease antidepressant use prior to MDMA experience would be implemented
Keywords
MDMA, PTSD, post-traumatic stress disorder, 3,4-Methylenedioxymethamphetamine, psychotherapy, MDMA treatment, psychedelic treatment, treatment-resistant, anti-depressant
Durability of improvement in post-traumatic stress disorder symptoms and absence of harmful effects or drug dependency after 3,4-methylenedioxymethamphetamine-assisted psychotherapy: a prospective long term follow-up study
Read paperCondition Treated :
Post-Traumatic Stress Disorder
Psychedelic Medicine :
MDMA
- 89% of participants who had experienced MDMA-assisted psychotherapy (3 and a half years prior) had long-term improvement in their PTSD symptoms
- 74% of participants who had experienced MDMA-assisted psychotherapy (3 and a half years prior) had sustained reduced CAPS scores at long-term follow-up
- Participants in the study reported that therapeutic setting of MDMA administration and therapeutic support were essential to the treatment efficacy
- Not only were PTSD symptoms improved from MDMA-assisted psychotherapy, but improvements such as increased self-awareness, improved relationships, an enhanced spiritual life, and more involvement in the community or world were also experienced
- Many participants, following the study, reported MDMA-assisted psychotherapy to have ongoing, meaningful therapeutic process initially catalyzed by the MDMA
Keywords
MDMA, PTSD, post-traumatic stress disorder, 3,4-Methylenedioxymethamphetamine, psychotherapy, MDMA treatment, psychedelic treatment, treatment-resistant, long-term study
The safety and efficacy of 3,4-methylenedioxymethamphetamine- assisted psychotherapy in subjects with chronic, treatment-resistant posttraumatic stress disorder: the first randomized controlled pilot study
Read paperCondition Treated :
Post-Traumatic Stress Disorder
Psychedelic Medicine :
MDMA
- MDMA-assisted psychotherapy, when compared to the placebo group (same psychotherapy but with a placebo), showed statistically significant improvements in PTSD symptoms
- At the 2-month follow-up, [many] participants no longer met the criteria for PTSD, and the 3 participants who initially reported their inability to work due to their PTSD were able to return to work, following the MDMA-assisted psychotherapy
- Most of the symptoms improved following only the first MDMA-assisted psychotherapy session, but patients benefit from multiple sessions to be able to have another chance(s) to work through their problems and adds depth to the treatment; and follow-up psychotherapy sessions greatly enhance integration and processing
Keywords
MDMA, PTSD, post-traumatic stress disorder, 3,4-Methylenedioxymethamphetamine, psychotherapy, MDMA treatment, psychedelic treatment, treatment-resistant
3,4-Methylenedioxymethamphetamine-assisted psychotherapy for treatment of chronic posttraumatic stress disorder: A randomized phase 2 controlled trial
Read paperCondition Treated :
Post-Traumatic Stress Disorder
Psychedelic Medicine :
MDMA
- Current treatments available for PTSD are limited, in that they often have debilitating effects on patients due to the need to engage emotionally in past traumas
- MDMA offers a safe space to delve emotionally into traumas, as the fear response is attenuated under its effects
- Emotional engagement is necessary to process traumatic experiences
- The FDA granted MDMA-assisted psychotherapy designation as “breakthrough therapy”
- MDMA permits decreased activity in the amygdala and the insular cortex to allow emotional engagement in traumatic memories without anxiety/fear overwhelm
- MDMA modulates(/regulates) neural pathways pertaining to emotional memory, fear extinction, and memory reconsolidation; hence the role it may play in positive treatment response
- MDMA has effects such as prosocial behaviour, making unpleasant memories more tolerable, enhances empathy, self-compassion, and trust; thus demonstrates to be a strong therapeutic alliance
- Findings are important because participants who experienced benefit from the MDMA sessions failed to respond or benefit from other approaches (including other psychotherapy, cognitive behavioural therapy, eye movement desensitization reprocessing, and pharmacological treatment)
Keywords
MDMA, PTSD, post-traumatic stress disorder, 3,4-Methylenedioxymethamphetamine, psychotherapy, MDMA treatment, psychedelic treatment, emotional dysregulation, breakthrough therapy, amygdala, depression
MDMA-assisted therapy: A new treatment model for social anxiety in autistic adults
Read paperCondition Treated :
Autism
Psychedelic Medicine :
MDMA
- 77% of autistic patients who experienced MDMA reported greater ease in the ability to talk with others; of which, 18% indicated that this effect lasted 1+ year
- 22% of autistic patients who experienced MDMA reported to have increased insight into their own thought processes
- Studies conducted with MDMA in autistic children in the 1960/70s showed promising results, however many limitations in terms of research models, scientific methods, safe clinical research environments, set and setting, and collection of self-reports were present. With psychedelic research resuming, it would be beneficial to investigate MDMA effects on autistic individuals and continue this research in a better way
- MDMA causes effects such as prosocial and empathic behaviour; proving some potential in treatment for autism
Keywords
MDMA, autism, social anxiety, empathy, MDMA treatment, psychedelic treatment, 3,4-Methylenedioxymethamphetamine, psychotherapy
Acute iboga alkaloid effects on extracellular serotonin (5-HT) levels in nucleus accumbens and striatum in rats
Read paperCondition Treated :
N/A; Healthy volunteers
Psychedelic Medicine :
Ibogaine
- Interestingly, ibogaine, noribogaine, and 18-MC each have different effects on extracellular serotonin levels in the nucleus accumbens and striatum brain regions
- Ibogaine= increases extracellular serotonin levels
- Noribogaine= moderately increases extracellular serotonin levels
- 18-MC= no effect on serotonin levels are observed in either bran region
- These results raise the question of whether the serotonergic system is involved in mediating the anti-addictive properties of these drugs, and/or whether it does, but only in ibogaine/noribogaine (some iboga/iboga-like compounds)
- Speculation that perhaps the involvement/impact is on the “hallucinatory” aspect of the drugs, wherein inferenced from these results, ibogaine/noribogaine are hallucinogens, whereas 18-MC is not
- Many pieces of evidence suggest that the serotonergic system does play a role in addiction: the serotonergic system interplays with the dopaminergic mesolimbic reward pathway (involving the nucleus accumbens); lesioning of serotonergic innervation in the nucleus accumbens increased morphine administration; cocaine blocks the reuptake of serotonin; serotonergic system may mediate the euphorigenic and anxiogenic effects of cocaine, as well as cocaine’s cue-induced craving;
- It is speculated that the large increase of extracellular serotonin due to ibogaine is because of its ability to release serotonin, as well as block its reuptake (hypothesis)
- Whereas for noribogaine, it only blocks the reuptake; resulting in moderate extracellular increases in serotonin
Keywords
ibogaine, noribogaine, 18-MC, 18-methoxycoronaridine, serotonergic system, hallucinogen, addiction, reward pathway
Effects of 18-methoxycoronaridine on acute signs of morphine withdrawal in rats
Read paperCondition Treated :
Opioid Use Disorder
Psychedelic Medicine :
Ibogaine
- Rats were injected with morphine twice per day for 1 week, and following the 7 days, on the eighth day, were injected with 18-MC
- In a study observing 18-MC’s effects on withdrawal symptoms, 18-MC significantly reduced many signs of opioid withdrawal in the rats (including: 18-MC decreased weight loss, burying, teeth chattering, wet dog shakes, and diarrhea; 5 out of the 7 signs of opioid withdrawal determined for rat observation. The other two, which were unaffected in this study, are grooming and flinching behaviour)
Keywords
ibogaine, iboga alkaloids, iboga compounds, animal study, morphine, opioid, substance use, substance use disorder, 18-MC, 18-methoxycoronaridine
18-Methoxycoronaridine, a non-toxic iboga alkaloid congener: effects on morphine and cocaine self-administration and on mesolimbic dopamine release in rats
Read paperCondition Treated :
Substance Use Disorder
Psychedelic Medicine :
Ibogaine
- 18-MC administration in rats suppressed morphine and cocaine self-administration
- Moreover, no tremiorgic effects were observed, nor was any sign of cerebellar toxicity at high doses
- Reduced self-administration of morphine or cocaine was sustained for days to weeks in the animals (long term after effects)
Keywords
ibogaine, iboga alkaloids, iboga compounds, animal study, morphine, cocaine, stimulant, substance use, substance use disorder, 18-MC, 18-methoxycoronaridine
Effects of iboga alkaloids on morphine and cocaine self-administration in rats: relationship to tremorigenic effects and to effects on dopamine release in nucleus accumbens and striatum
Read paperCondition Treated :
Substance Use Disorder
Psychedelic Medicine :
Ibogaine
- Iboga alkaloid administration in rats reduced morphine and cocaine self-administration
- Moreover, self-administration rates were maintained to be significantly reduced for days after iboga alkaloid administration in some rats
Keywords
ibogaine, iboga alkaloids, iboga compounds, animal study, morphine, cocaine, stimulant, substance use, substance use disorder
Iboga compounds reverse the behavioural disinhibiting and corticosterone effects of acute methamphetamine: Implications for their anti-addictive properties
Read paperCondition Treated :
Methamphetamine Use
Psychedelic Medicine :
Ibogaine
- In a study with rats, using the elevated plus maze paradigm (used to study anxiety):
- Saline-controlled rats spent little time in the open arms (12.5% of their time-- consistent with the literature)
- Methamphetamine (low dose)-administered rats spent 27% of their time in the open arms, and entered them ~twice as often; this observation demonstrates that methamphetamine stimulant has an anxiolytic property (versus anxiogenic)
- Cortisol levels were increased by methamphetamine
- Pre-treated rats with either ibogaine or 18-MC inhibited the effects of methamphetamine; indicating that the effects of methamphetamine are reversed
- Rats had decreases open arm activity (number of entries was unaffected)
- *It is important to note however, treatment with either ibogaine or 18-MC alone and compared, they have opposite effects: ibogaine decreases open arm activity, whereas 18-MC increases it (compared to controls)
- It is thought that the ability for iboga compounds to reverse the effects of addictive stimulants lies in the suppression of HPA (hypothalamus-pituitary-adrenal; stress response) axis activation; suppresses cortisol secretion
Keywords
ibogaine, 18-MC, iboga compounds, anxiety, animal study, elevated plus maze, methamphetamine, stimulant, substance use, substance use disorder
Ibogaine: complex pharmacokinetics, concerns for safety, and preliminary efficacy measures
Read paperCondition Treated :
Substance Use Disorder
Psychedelic Medicine :
Ibogaine
- Upon administration of ibogaine in cocaine- and heroin-dependant patients, cravings and depressive symptoms were significantly reduced
- Furthermore, not only did cocaine- and opiate-dependent patients report following the ibogaine treatment that they were less likely to assume positive outcomes from opiate/cocaine use and less likely to assume that substance use would relieve withdrawal/dysphoria; but patients were more likely to believe in their control for ceasing their drug use
Keywords
ibogaine, ibogaine treatment, substance use, opiate use, cocaine use, addiction, noribogaine
18-Methoxycoronardine attenuates nicotine-induced dopamine release and nicotine preferences in rats
Read paperCondition Treated :
Nicotine Use
Psychedelic Medicine :
Ibogaine
- For at least a 24-hour period, nicotine preference was decreased in rats orally administered ibogaine and rats orally administered 18-MC
- Interestingly, water preference was decreased in rats administered ibogaine, but water preference was not affected in rats administered 18-MC
Keywords
ibogaine, iboga alkaloid, 18-MC, 18-methoxycoronaridine, nicotine use disorder, ibogaine treatment, 18-MC treatment
Enhancement of morphine antinociception by ibogaine and noribogaine in morphine-tolerant mice
Read paperCondition Treated :
Morphine Use
Psychedelic Medicine :
Ibogaine
- In a study administering ibogaine or noribogaine to morphine-tolerant and morphine-naive mice, it was concluded that both ibogaine and noribogaine increase antinociception, as observed in morphine-tolerant mice
Keywords
ibogaine, antinociception, pain-relief, morphine use, noribogaine
Plants and the central nervous system
Read paperCondition Treated :
Substance Use Disorder
Psychedelic Medicine :
Ibogaine
- Ibogaine reduces increased levels of dopamine in the extracellular space induced by nicotine, thereby impacting the rewarding effects of nicotine
- Intracellular calcium regulation in neurons, voltage-gated sodium channels, and all neuromodulatory systems are altered by ibogaine
Keywords
ibogaine, substance use disorder, iboga
Plant derivatives in the treatment of alcohol dependency
Read paperCondition Treated :
Alcohol Use Disorder
Psychedelic Medicine :
Ibogaine
- Ibogaine and 18-MC are hypothesized to reduce alcohol use through the modulation of dopaminergic and serotonergic systems
- It is possible that these effects are mediated through the endogenous opioid system as well; other hypotheses include potential alteration of NMDA receptor interactions and GABAergic systems
- In rat studies, oral administration and intraperitoneal injections of ibogaine (separate experiments; at varying dosages) significantly reduced alcohol intake
- Similarly, an intraperitoneal injection of 18-MC also significantly reduced alcohol intake in animal models
Keywords
ibogaine, iboga alkaloid, 18-MC, 18-methoxycoronaridine, alcohol use disorder, plant derivatives, plant medicine
Novel iboga alkaloid congeners block nicotinic receptors and reduce drug self-administration
Read paperCondition Treated :
Substance Use Disorder
Psychedelic Medicine :
Ibogaine
- It is proposed that the inhibition of α3β4 nicotinic receptors is the primary mechanism ibogaine and 18-MC reduce self-administration of drugs and behaviour of seeking drugs (in animal models)
Keywords
18-MC, 18-methoxycoronaridine, drug self-administration, nicotinic receptor, animal model, ibogaine
18-Methoxycoronaridine acts in the medial habenula and/or interpeduncular nucleus to decrease morphine self-administration in rats
Read paperCondition Treated :
Morphine Use
Psychedelic Medicine :
Ibogaine
- Animal studies involving rats treated with 18-MC demonstrate the reduced self-administration of morphine, cocaine, methamphetamine, nicotine, and alcohol
- 18-MC is an antagonist at α3β4 nicotinic receptors (these receptors are preferentially localized in the medial habenula and interpeduncular nucleus; habenulo-interpeduncular pathway)
- 18-MC acts in this pathway to modulate (reduce) morphine self-administration in rats
Keywords
18-MC, 18-methoxycoronaridine, drug self-administration, reward pathway, habenulo-interpeduncular pathway, nicotinic receptor
Ibogaine, an anti-addictive drug: pharmacology and time to go further in development. A narrative review
Read paperCondition Treated :
Substance Use Disorder
Psychedelic Medicine :
Ibogaine
- In animal models, self-administration of morphine, heroin, cocaine, alcohol, and nicotine were reduced upon administration of ibogaine
- In human clinical trials, assessments such as the Beck Depression Inventory, Heroin Craving Questionnaire scales, Opiate-Symptom Checklist (testing withdrawal symptoms), Objective Opiate Withdrawal Scale, Cocaine Craving Questionnaire, all demonstrate significant reductions in cravings, depression, and withdrawal symptoms in patients administered ibogaine
Keywords
iboga, ibogaine, opioid use disorder, substance use disorder, ibogaine therapy, ibogaine treatment, cocaine use disorder, alcohol use disorder
Brain regions mediating α3β4 nicotinic antagonist effects of 18-MC on methamphetamine and sucrose self-administration
Read paperCondition Treated :
Substance Use Disorder
Psychedelic Medicine :
Ibogaine
- 18-methoxycoronaridine (18-MC), a congener of iboga alkaloids, acts as an antagonist at α3β4 nicotinic receptors and thereby indirectly alters the dopaminergic-mesolimbic pathway which serves to mediate reward behaviour
- 18-MC administration reduces drug (morphine and methamphetamine) and sugar self-administration in animal models
Keywords
18-MC, 18-methoxycoronaridine, drug self-administration, reward pathway, dopaminergic-mesolimbic activity, nicotinic receptor
Pharmacotherapy of Addictive Disorders
Read paperCondition Treated :
Substance Use Disorder
Psychedelic Medicine :
Ibogaine
- Animal studies have demonstrated that ibogaine is not a drug that is abused or shows addictive symptoms. Furthermore, the attenuation of heroin-, morphine-, cocaine-, nicotine-, and alcohol-use, as well as withdrawal symptoms (opioids), with ibogaine (even results after one dose) has been demonstrated in animal studies
- Not only does ibogaine have promising results in treating substance use and withdrawal symptoms, but it has potential in use for relapse prevention
Keywords
ibogaine, iboga, ibogaine treatment, ibogaine therapy, iboga alkaloids, substance use disorder, addiction
Anti-addiction drug ibogaine inhibits hERG channels: a cardiac arrhythmia risk
Read paperCondition Treated :
N/A; Healthy volunteers
Psychedelic Medicine :
Ibogaine
- Human ERG (hERG) potassium channels are essential components of regulating cardiac action potentials and normal functioning of the heart
- Despite anti-addictive properties of ibogaine, it is reported that ibogaine reduces functionality of hERG channels, leaving risk for cardiac arrhythmias upon experience
- Dosing, genetic screening, and complete monitoring during and after ibogaine experience are necessary to take complete precautions
Keywords
ibogaine, iboga
Phytotherapy of alcoholism
Read paperCondition Treated :
Alcohol Use Disorder
Psychedelic Medicine :
Ibogaine
- Ibogaine may have preventative and therapeutic effects on alcohol use and dependency
Keywords
ibogaine, ibogaine therapy, alcohol use disorder, alcohol dependency
Ex vivo effects of ibogaine on the activity of antioxidative enzymes in human erythrocytes
Read paperCondition Treated :
N/A; Healthy volunteers
Psychedelic Medicine :
Ibogaine
- In an in vitro experiment introducing ibogaine to human blood samples, it was concluded that ibogaine acts as an adaptogen in oxidative stress, and promotes the production and activity of antioxidants
- This was determined through analysis of measures of ATP consumption, erythrocyte membrane fluidity, and antioxidant enzyme activity
Keywords
ibogaine, oxidative stress, antioxidants, erythrocytes
Functional neurotoxicity evaluation of noribogaine using video-EEG in cynomolgus monkeys
Read paperCondition Treated :
Seizure activity
Psychedelic Medicine :
Ibogaine
- Through electroencephalographic (EEG) monitoring on monkeys administered noribogaine, it was demonstrated that there was no EEG evidence of seizure risk from the drug
- Some clinical signs appeared following noribogaine administration, such as tremors, myoclonic jerks, incoordination/ataxia; and while they may raise concern to be associated with seizure, these symptoms may be observed in normal/healthy individuals
- Note: partial seizure may not be able to be detected with EEG if the focal discharge is too deep or distant, or if too small neuronal aggregation is involved
Keywords
noribogaine, opioid use disorder, noribogaine treatment, seizure, seizure risk, electroencephalograph, EEG
Remission of severe opioid use disorder with ibogaine: a case report
Read paperCondition Treated :
Opioid Use Disorder
Psychedelic Medicine :
Ibogaine
- A 37 year-old woman, addicted to heroin since she was 18 years old, had tried many substance use disorder therapy methods to overcome her use, including: 12-step programs, detoxification centers, support groups, sponsors, recovery house, and methadone maintenance therapy (MMT)
- The longest abstinence period was 2 months on MMT
- Following a 4-day treatment with ibogaine, the patient remained abstinent of substance use for 18 months
- Ibogaine eases opioid withdrawal and reduces substance cravings
- Ibogaine can be administered in a single session, versus continual/ongoing administration; this is viewed as an advantage for people with opioid use disorder
- Also due to the short timeframe of the ibogaine treatment, patients could transition back to work/other activities with greater ease; thereby reducing societal costs directly and indirectly
- The visions and mystical experiences endured with ibogaine provide a “resetting” of psychological processes and insight into their situations, contributing to long-term abstinence
- Ibogaine has low abuse potential (demonstrated by animal models, which show no desire or aversion to the substance, and with patient reports that there is no desire to take ibogaine without need for it)
- Prior to ibogaine treatment, it is important for cardiac and electrolyte screening, as well as screening for comorbidities, to take place to ensure safety of administration of ibogaine
Keywords
iboga, ibogaine, opioid use disorder, substance use disorder, ibogaine therapy, ibogaine treatment
Ibogaine - structure, influence on human body, clinical relevance
Read paperCondition Treated :
Opioid Use Disorder
Psychedelic Medicine :
Ibogaine
- Iboga has helped alleviate people of use and withdrawal symptoms from opioids, cocaine, methamphetamine, alcohol, and nicotine
Keywords
iboga, ibogaine, opioid use disorder, nicotine use, alcohol use, cocaine use, methamphetamine use, substance use disorder, iboga treatment, ibogaine treatment
An overview of anti-diabetic plants used in Gabon: Pharmacology and toxicology
Read paperCondition Treated :
Diabetes Mellitus
Psychedelic Medicine :
Ibogaine
- Compounds found in T. iboga may act like sulfonylureas (which act to increase insulin release from pancreatic beta cells)
- Traditional uses for iboga also include for its anti-addictive, spasmolytic, anti-HIV1, anti- fatigue, anti-hunger, and anti-psychological troubles properties
- Iboga has anti-diabetic potential (potential to help treat or overcome diabetes)
Keywords
iboga, diabetes, iboga treatment, insulin stimulation
Examination of the Phenomenology of the Ibogaine Treatment Experience: Role of Altered States of Consciousness and Psychedelic Experiences
Read paperCondition Treated :
Opioid Use Disorder
Psychedelic Medicine :
Ibogaine
- “Addressing drug use” was the main reason for seeking treatment with ibogaine (also including: spiritual enhancement, alcohol use, anxiety, chronic pain, self-awareness, or “other”)
- Participants in the study administered ibogaine noted that the visions experienced from ibogaine were important for them to then make changes in their lives following the experience
- No participant reported ibogaine to have any negative impact on them; this may suggest that ibogaine has positive and generalizable treatment effects
- There remains importance in understanding which of the components of the ibogaine experience offers the most therapeutic effect (note to self: this leads into understanding if we can isolate certain alkaloids from iboga for example to just obtain one effect from the substance)
Keywords
ibogaine, ibogaine treatment, oneiric, oneirogen, opioid use disorder, alcohol use disorder, anxiety, chronic pain, spiritual enhancement, visions, altered states of consciousness
A phenomenological analysis of the subjective experience elicited by ibogaine in the context of a drug dependence treatment
Read paperCondition Treated :
Opioid Use Disorder
Psychedelic Medicine :
Ibogaine
- Upon experiencing iboga/ibogaine, a variety of effects and sensations are experienced: physical sensations, perceptual effects, visions, cognitive effects, emotional effects, spiritual phenomena; and it characterized as a drug different from all others
- Physical sensations: nausea, dizziness, feeling unwell, crying, changes in heart rate, motor incoordination, tremors, vomiting, due to these symptoms a fear of dying ensues
- Perceptual effects: auditory hallucinations (buzzing), olfactory hallucinations, verbal hallucinations, increased hearing ability
- Visions: animals, landscapes, Indigenous peoples, past experiences, future ruminations, religious visions, dreamlike visions
- Cognitive effects: memory recall is intensified, a feeling of the brain “re-setting”, thought acceleration, clarity of mind
- Emotional effects: reliving childhood experiences, distress over past faults, continuous changes in mood
- Spiritual phenomena: the experience itself is described to be spiritual, meeting with ancestors and/or deceased relatives, meeting with iboga entities
- It is important to note the difference between iboga and classic psychedelics, as iboga can be described as more oneiric instead of hallucinogenic/psychedelic
- It is also important to note the set and setting one experiences iboga in too, as traditionally iboga experiences are held in ceremony with dancing and rhythmic music, whereas in Western society in a clinical setting
Keywords
ibogaine, ibogaine treatment, oneiric, oneirogen
Changes in Withdrawal and Craving Scores in Participants Undergoing Opioid Detoxification Utilizing Ibogaine
Read paperCondition Treated :
Opioid Use Disorder
Psychedelic Medicine :
Ibogaine
- Ibogaine is able to attenuate withdrawal symptoms and reduce opioid cravings simultaneously, and within a short time period
- Not only does ibogaine address the physical dependency component of opioid use, it also addresses the psychological aspects of opioid use (why one is using opioids)
- Upon administration of ibogaine, 78% of participants with opioid use disorder no longer displayed clinical signs of opioid withdrawal 48 hours following intake
- 68% of participants rated opioid withdrawal symptoms as mild
- 79.2% of participants displayed minimal cravings for opioids
Keywords
ibogaine, opioid dependence, substance use disorder, opioid use disorder, psychedelic treatment, ibogaine treatment, opioid withdrawal
Cytochrome P450 and O-methyltransferase catalyze the final steps in the biosynthesis of the anti-addictive alkaloid ibogaine from Tabernanthe iboga
Read paperCondition Treated :
N/A; Healthy volunteers
Psychedelic Medicine :
Ibogaine
- Farrow et al. (2018) report the complete steps in which ibogaine is biologically synthesized
- These findings may help ibogaine to be synthesized synthetically, and aid in development of ibogaine as a widely-available treatment
Keywords
iboga, ibogaine, biosynthesis, anti-addictive alkaloid, substance use disorder, substance use dependency
DARK Classics in Chemical Neuroscience: Ibogaine
Read paperCondition Treated :
Substance Use Disorder
Psychedelic Medicine :
Ibogaine
- There is research in the works to uncover an ibogaine analog that permits the beneficial components of intaking iboga, whilst avoiding the [potential of] adverse effects: 18-methoxycoronaridine (18-MC)
Keywords
18-methoxycoronaridine (18-MC), ibogaine analog, iboga treatment, substance use disorder, substance use dependency
Phytochemical characterization of Tabernanthe iboga root bark and its effects on dysfunctional metabolism and cognitive performance in high-fat-fed C57BL/6J mice
Read paperCondition Treated :
Diabetes Mellitus
Psychedelic Medicine :
Ibogaine
- Administering aqueous iboga extracts to mice fed high-fat diets (to model obesity, hyperglycemia, and glucose intolerance/insulin resistance; i.e. factors which appear in diabetes), led to the observation of attenuated (reduced) levels of MCP-1 (inflammatory marker) in the plasma of mice (compared to mice fed high-fat diets without iboga administration)
- This observation indicates that aqueous iboga extracts possess anti-inflammatory effects
Notes to self:
- No other significant observations were made, and results obtained in the present study do not agree with those from the in vitro experiment by Souza et al. (2011; the above article)
- Potential differences in in vivo and in vitro study design
- Why are both studies using aqueous extracts? This could be an impacting factor, especially because human use of Iboga is not always in such form
Keywords
Induction of insulin secretion by an aqueous extract of Tabernanthe iboga Baill. (Apocynaceae) in rat pancreatic islets of Langerhans
Read paperCondition Treated :
Diabetes Mellitus
Psychedelic Medicine :
Ibogaine
- Iboga is used in Gabonese communities to treat a variety of physical and psychological ailments; one of such is diabetes
- Upon exposure to aqueous iboga extracts, isolated pancreatic cells (islets of Langerhans) of rats significantly increased insulin production
- Note: this effect was mediated through an extracellular calcium manner, and by a manner in which potassium channels are closed
- This in vitro experiment provides some foundation to demonstrate that iboga may have the potential to serve as a therapeutic for the treatment of type II diabetes mellitus
- Iboga may contain water-soluble insulinotropic compounds (compounds that stimulate insulin production)
Keywords
iboga, diabetes mellitus, type II diabetes mellitus, iboga treatment, insulin stimulation
Ibogaine and Subjective Experience: Transformative States and Psychopharmacotherapy in the Treatment of Opioid Use Disorder
Read paperCondition Treated :
Opioid Use Disorder
Psychedelic Medicine :
Ibogaine
- Ibogaine has an oneirophrenic nature (rather than hallucinogenic)
- It has been spoken that ibogaine disengages the desires of ego: upon experiencing ibogaine, one is confronted with truths or blocks they avoid or encounter (respectively) in their life
- Ibogaine forces confrontation, leading to empathy and transformation
Keywords
ibogaine, opioid dependence, substance use disorder, opioid use disorder, psychedelic treatment, ibogaine treatment, opioid withdrawal
Novel treatment of opioid use disorder using ibogaine and iboga in two adults
Read paperCondition Treated :
Opioid Use Disorder
Psychedelic Medicine :
Ibogaine
- There is variation in the population that uses opioids, thus there should be a variety of treatment options for those using opioids
- Over a treatment period of 6 days, this patient did not experience opioid withdrawal symptoms or any chronic pain after day 4 of treatment, and has abstained from any opioid use for 3 years following the study
- Not only did opioid withdrawal symptoms and opioid use dissipate, the patient was able to process emotions of guilt, shame, and remorse that had accumulated throughout their life; the patient was able to move on in life and from opioid use experience “without any boundaries”
- This patient found ibogaine to be transformative beyond treating his addiction alone: the patient was able to become more in awe of beauty of the world, converted to a spiritual Muslim (from Orthodox Muslim), experiencing God as a realization (versus a textbook concept), and is more happy and at peace in life
- Opioid agonist therapies often just mask withdrawal symptoms for users; they don’t help to address the underlying reasons people want to use
- Over 8 days of iboga treatment, another patient (using 500mg fentanyl + 600mg morphine) was able to reduce her sustained release oral morphine (SROM) from 600mg to 200mg and stopped using all illicit opioids; 85% reduction in total opioid use
- After the final iboga admission, this patient stopped all opioid medications and has abstained from any use of opioids, cocaine, amphetamines, and alcohol for 2 years
- Both patients found improved mood, engagement in everyday activities, and improved relationships following ibogaine treatment; due to: gained insight into their situations, increased self-awareness, positivity, and determination
- Patient 2 also struggled with anxiety and depression before treatment with ibogaine, and following such treatment, these conditions have largely resolved as well
- The ibogaine treatment was effective for both: a patient who did not try other therapies for opioid use disorder (was resistant to try) and a patient who tried many other therapies
- Ibogaine can be administered in single or multiple treatment sessions over a short time period (rapid detox)
- Short treatment period allows the patient to be free of constraints; is better able to contribute to the workforce and engage in personal interests → economic and functional advantage
- The psychedelic experience from ibogaine allows insight, aligns the patient’s values, permits connectedness to higher powers, introspection, personal growth, and to realize peace and happiness
- This experience is thought to result in neural network reorganization and interruption of the neural pathways underlying substance use disorder
- One cautionary note with ibogaine treatment, is that it can cause cardiac arrhythmias, thus should be closely monitored if the patient has heart conditions (a small, test dose of ibogaine is typically administered prior to full flood dosages to account for this cautionary measure)
- Neither patient expressed any desire to experience ibogaine treatment again (ibogaine is non-addictive)
Keywords
ibogaine, opioid dependence, substance use disorder, opioid use disorder, psychedelic treatment, ibogaine treatment, opioid withdrawal, pharmacological mechanism
Treatment of opioid use disorder with ibogaine: detoxification and drug use outcomes
Read paperCondition Treated :
Opioid Use Disorder
Psychedelic Medicine :
Ibogaine
- Ibogaine treatment proved to be helpful for those who had previously undergone other treatments which were not successful
- Common themes which arise during ibogaine treatment include insightfulness, meaningfulness, and inspiration/desire/clarity for personal change
- Following treatment, drug use was significantly reduced and family/social relationships were significantly improved in most patients
Keywords
ibogaine, opioid dependence, substance use disorder, opioid use disorder, psychedelic treatment, ibogaine treatment, opioid withdrawal, pharmacological mechanism
Ibogaine treatment outcomes for opioid dependence from a twelve-month follow-up observational study
Read paperCondition Treated :
Opioid Use Disorder
Psychedelic Medicine :
Ibogaine
- 3 months following ibogaine administration, 87.5% of participants showed no opioid use (negative urine test for opioids)
- 6 months following ibogaine administration, 85.7% of participants showed no opioid use
- 12 months following ibogaine administration, 75% of participants showed no opioid use
- Ibogaine treatment can be effective in reducing opioid withdrawal, craving, depressed mood, and reducing or ceasing opioid use
- Ibogaine treatment allowed patients to experience greater levels of insightfulness regarding their situation (opioid use, addiction)
Keywords
ibogaine, opioid dependence, substance use disorder, opioid use disorder, psychedelic treatment, ibogaine treatment, opioid withdrawal, pharmacological mechanism
Exploratory Controlled Study of the Migraine-Suppressing Effects of Psilocybin
Read paperCondition Treated :
Migraine
Psychedelic Medicine :
Psilocybin
- Following a single administration of low dose psilocybin, migraine patients experienced a significant reduction in their migraines measured 2 weeks following the dose
Keywords
psilocybin, migraine, headache disorder, psychedelic treatment, psilocybin treatment, psychotherapy
Pilot Study of the 5-HT2AR Agonist Psilocybin in the Treatment of Tobacco Addiction
Read paperCondition Treated :
Tobacco Dependence
Psychedelic Medicine :
Psilocybin
- At the 6-month follow-up after exposure to psilocybin treatment and experimentation, 80% of participants were abstinent from tobacco use
- Those participants who did cease tobacco use, did so after the first moderate dosing session
Keywords
tobacco use, tobacco dependency, nicotine dependency, nicotine use, psilocybin, psilocybin-assisted psychotherapy, psilocybin treatment
Pilot study of psilocybin treatment for anxiety in patients with advanced-stage cancer
Read paperCondition Treated :
Anxiety
Psychedelic Medicine :
Psilocybin
- In advanced-stage cancer patients with anxiety, and undergoing therapeutic treatment assisted with psilocybin (low-dose: 0.2mg/kg), mood was significantly increased and sustained over 6 months at the follow-up period. Anxiety levels were also reduced and sustained at the 3-month check-in period
Keywords
anxiety, cancer, advanced-stage cancer, treatment-resistant, psilocybin, psilocybin-assisted treatment
Psilocybin-assisted treatment for alcohol dependence: A proof-of-concept study
Read paperCondition Treated :
Alcohol Use Disorder
Psychedelic Medicine :
Psilocybin
- Psilocybin-assisted psychotherapy reduced alcohol drinking in patients with alcohol dependence / substance use disorder
- Perhaps longer treatment with psilocybin-assisted psychotherapy OR larger doses of psilocybin may alleviate the dependence, as it has been reported that alcohol use diminishes effects of psilocybin
Keywords
psilocybin, alcohol dependence, alcohol use disorder, substance use disorder, psychedelic treatment, psilocybin treatment, psychotherapy, addiction treatment, alcoholism
Increased amygdala responses to emotional faces after psilocybin for treatment-resistant depression
Read paperCondition Treated :
Depression
Psychedelic Medicine :
Psilocybin
- Current treatment methods for a variety of neuropsychological conditions work on a chronic, continuous basis. Psychedelic methods seek to provide treatment in a small number of profound and therapeutic experiences.
- The amygdala is the structure of the brain sensitive to emotional stimuli.
- In clinically depressed patients, the amygdala is hypersensitive to negative emotional stimuli; this is typically treated with chronic use of SSRIs, which aims to reduce this hypersensitivity.
- Upon psilocybin administration, increased amygdala responsiveness to emotional faces was observed; allowing patients to feel emotionally re-connected and accepting after the treatment.
- SSRIs not only diminish hypersensitivity to negative emotional stimuli, but they diminish amygdalar sensitivity to emotional stimuli generally.
- Psilocybin therapy allowed patients to accept all emotions, whereas SSRIs enforced emotional avoidance and disconnection.
- Psilocybin therapy allowed emotional confrontation, breakthrough, and resolution.
Keywords
psilocybin, depression, treatment-resistant depression, major depression, psychedelic treatment, psilocybin treatment, amygdala, emotional dysregulation, psychotherapy, emotional processing
Treatment of Acute Opioid Withdrawal with Ibogaine
Read paperCondition Treated :
Opioid Use Disorder
Psychedelic Medicine :
Ibogaine
- 76% of patients were free of opioid withdrawal signs and symptoms 24hrs following ibogaine treatment, and did not seek drugs for the 72hr observation period (12% of patients had no evidence of withdrawal, but chose to resume opioid use)
- 94% of patients experienced ibogaine to provide significant relief from opioid withdrawal syndrome
- Ibogaine acts through a novel pharmacologic mechanism that is not currently being utilized in drug dependence treatment methods (ie. methods other than ibogaine treatment)
- Because of this, ibogaine could prove to be a useful paradigm to study new approaches surrounding addiction treatment and our understanding of addiction as a whole
Keywords
ibogaine, opioid dependence, substance use disorder, opioid use disorder, psychedelic treatment, ibogaine treatment, opioid withdrawal, pharmacological mechanism
Characterization and prediction of acute and sustained response to psychedelic psilocybin in a mindfulness group retreat
Read paperCondition Treated :
N/A; Healthy volunteers
Psychedelic Medicine :
Psilocybin
- Through the use of psychedelic medicines, profound changes in self-consciousness may be experienced.
- Similarly, meditation practices also alter self-consciousness.
- Both are associated with experiences and feelings of insightfulness, selflessness, bliss, and unity; and both have evidence for alleviating symptoms of depression, anxiety, and stress; both have positive impacts in healthy and clinical populations.
- When used/practiced together (psychedelics + meditation), greater feelings of bliss and unity are experienced than meditation alone.
- Following psychedelic-assisted therapy and a meditation retreat, 86% of participants felt to be in a blissful state, and 70% experienced strong feelings of unity (versus 48% and 40% with the meditation retreat alone, respectively).
- Controlled “set” and “setting”, in therapeutic environments, ensure more positive effects of psychedelic experiences [emphasizing the need for safe, controlled clinics to be available for psychedelic medicine administration]
Keywords
psilocybin, meditation, mindfulness, self-consciousness, psychedelic treatment, psilocybin treatment, mindfulness retreat, meditation retreat, group retreat