Kentucky’s Risky Million-Dollar Bet to Fight the Opioid Crisis With Psychedelics

On the steps of the state capitol building in Frankfort on May 31, the Kentucky Opioid Abatement Advisory Commission (KYOAAC) announced the launch of a new state-funded program that would aim to help stem the damage and destruction wrought by the ongoing opioid crisis that has devastated the lives of millions and led to the deaths of hundreds of thousands. But the new initiative wasn’t simply to throw more money and resources into tried-and-true public health programs.

Instead, the commission announced it was going to explore allocating tens of millions of dollars toward studying and promoting the use of the controversial, plant-based hallucinogen ibogaine in psychedelic-assisted therapy to combat the opioid crisis, as well as treat a host of other mental health issues. The goal is to make Kentucky the first state in the nation to pursue a clinical program around ibogaine—currently legal only in Mexico and New Zealand.

“This administration recognizes that the opioid epidemic is one of the most tragic and visible symptoms of spiritual affliction which pervades our society,” Bryan Hubbard, chairman and executive director of KYOCC, told The Daily Beast. “We must do better. We must explore every possible avenue which holds the potential for improvement.”

The news was lauded by advocates of psychedelic-assisted therapy, an increasingly popular form of mental health treatment.

“With yesterday’s announcement, Kentucky is taking a bold leadership role to addressing the opioid epidemic,” Jesse MacLachalan, state policy and advocacy coordinator for Reason For Hope, a psychedelic therapy advocacy nonprofit, told The Daily Beast. “This is a prudent and measured approach to explore innovative solutions to the greatest addiction crisis our country has experienced in its history. We applaud the Bluegrass State for the example they are setting for states across the country.”

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Psychedelic substance 5-MeO-DMT induces long-lasting neural plasticity in mice

The psychedelic substances 5-MeO-DMT causes a long-lasting increase in the number of tiny protrusions called dendritic spines in the brain, according to new research published in Neuropsychopharmacology. The study, which was conducted on mice, sheds light on the behavioral and neural mechanisms of 5-MeO-DMT.

Serotonergic psychedelics (such as psilocybin and LSD) have shown promise as potential therapeutics for mental illnesses like depression and anxiety. Short-acting compounds are particularly interesting because they require less dosing time, which could improve patient access to treatment. In humans, 5-MeO-DMT produces a short-lasting experience due to its rapid breakdown in the body.

“My lab started research on psychiatric drugs like ketamine and psychedelics about 10 years ago. We were motivated by how basic science and clinical research can together powerfully move a drug forward to become medicine. Specifically I believe there is a lot of potential for psychedelics as therapeutics, and that drives our interest in this topic,” said study author Alex Kwan (@kwanalexc), an associate professor in the Meinig School of Biomedical Engineering at Cornell University.

5-MeO-DMT, found in the Sonoran Desert toad, has some unique pharmacological properties. It targets serotonin receptors, specifically the 5-HT1A and 5-HT2A subtypes, similar to psilocybin but with a higher affinity for 5-HT1A receptors. However, little is known about the long-term effects of 5-MeO-DMT. To address this, the researchers conducted a study using mice.

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Taxpayers May Soon Be Filling the Funding Gaps in Oregon’s Psilocybin System

So far, just three psilocybin service centers—offices where people can go on legal mushroom trips—have been licensed by the state of Oregon.

That’s bad news for law-abiding people itching to avail themselves of the much-advertised benefits of psilocybin: relief from depression, alcoholism, obsessive-compulsive disorder, and end-of-life dread.

It’s also bad news for taxpayers, who may soon find themselves underwriting a shroom system that was supposed to pay for itself.

Proponents of Measure 109, the initiative that created Oregon’s legal psilocybin program, designed it to be funded by fees, not taxpayer dollars, so it would be palatable to more voters. Service centers, mushroom growers, and psilocybin testing labs are all required to pay $10,000 a year for their licenses. Facilitators, the people who sit with tripping subjects and guide them into the psychosphere, pay $2,000 a year.

The problem is that very few people are getting licenses of any kind to cover the cost of running the Oregon Health Authority’s Psilocybin Services unit, in large part because of the high fees. Very few licensees means very little fee revenue, which means the state has to find cash someplace else to keep the program running.

That other place could be the state’s general fund. OHA has asked for $6.6 million to fill the program’s budget gap for the fiscal biennium starting July 1, according to a 13-page “policy option package,” or POP, that’s now sitting in the Legislature (Salem budgets two years at a time).

“Without the additional funding, the sustainability of the work would be jeopardized,” OHA says in the POP document. “There would be insufficient staff to continue to implement the regulatory program, review license applications and conduct licensure inspections. Consequently, psilocybin businesses seeking licensure could experience financial hardship.”

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NEW RESEARCH REVEALS LSD’S MIND-ALTERING POWER TO ENHANCE LEARNING AND EXPLORATORY THINKING

Researchers report they have uncovered remarkable new effects of the potent psychedelic drug lysergic acid diethylamide (LSD) on human cognition, according to findings detailed in a new study. 

Published in Psychological Medicine, the study sheds light on LSD’s ability to accelerate learning when coupled with feedback and promote exploratory behavior. 

Researchers say the findings may hold the key to unraveling the enigmatic cognitive mechanisms that underlie the potential therapeutic benefits of LSD. 

Many recent studies have shown LSD-assisted psychotherapy to offer promising results in treating mental health conditions, including anxiety, depression, and post-traumatic stress disorder. 

Though LSD remains illegal in many countries when administered in a controlled setting under the guidance of a trained therapist, the psychedelic drug has shown the potential to enhance individuals’ capacity to explore and process challenging emotions and experiences. Studies have found that this process can often lead to profound insights and lasting breakthroughs in therapy.

Jonathan Kanen, the lead author of the study and a Gates Cambridge Scholar, postulates that the potential therapeutic effects of LSD may stem from the drug’s ability to foster new beneficial patterns of learning about the world by forming new mental associations. 

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Science recently uncovered these 5 fascinating facts about psychedelic substances

Scientists are interested in studying psychedelic substances because they have the potential to alter perception, cognition, and mood in ways that may be beneficial for treating a variety of mental health conditions. Some studies suggest that certain psychedelics may have therapeutic effects for conditions such as depression, anxiety, PTSD, addiction, and end-of-life anxiety.

The most commonly studied psychedelic drugs include psilocybin (the active compound found in “magic” mushrooms), lysergic acid diethylamide (LSD, also known simply as “acid”), dimethyltryptamine (or DMT, a naturally occurring psychedelic compound found in many plants and animals), and 3,4-methylenedioxymethamphetamine (known as MDMA or molly, a synthetic drug that produces both psychedelic and stimulant effects).

Below are five recent scientific discoveries related to psychedelic substances and their therapeutic potential.

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Oregon’s Appetite for Psilocybin Is Being Fed Outside the Law in the Mushroom Underground

Three thousand five hundred dollars.

That’s how much it’s going to cost to swallow 4 grams of psilocybin mushrooms and undergo a six-hour therapy session at EPIC Healing Eugene—if and when the clinic gets its license to run a “psilocybin service center” and its owner, Cathy Jonas, gets her facilitator license after undergoing 300 hours of training and passing a state-mandated test.

Together, those two licenses will cost her $12,000 a year. On top of that, she must spend thousands on a security system, liability insurance, and a 375-pound safe. All in, Jonas estimates she’ll spend $60,000 to open her service center and, at $3,500 a session, she expects to barely break even. “They have really made this hard,” Jonas, 56, says.

Two and a half years ago, Oregon voters approved Measure 109, making Oregon the first state in the nation to legalize the supervised use of psilocybin mushrooms. But that freedom comes with fine print. The program requires users to trip only in the presence of a trained facilitator in a service center using psilocybin grown by state-approved manufacturers and tested by state-licensed labs.

All of that adds costs. The result is a price tag that’s going to astonish the fungi-curious. A single session—5 grams, six hours—will cost more than the median Oregonian’s biweekly take-home pay.

Still willing to pony up? Sorry, get in line. At press time, no service centers—the only places you’re allowed to take psilocybin legally—had been licensed by the Oregon Health Authority. Three manufacturers, one testing lab, and just four facilitators had been licensed as of April 25.

In other words, the ballot measure created an appetite that the regulated system seems unprepared to satisfy. The outcome? The legalization of psilocybin mushrooms in Oregon is spurring an expansion of the decades-old illegal market.

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UK university launches postgraduate course in clinical use of psychedelics

A UK university is launching one of the world’s first postgraduate qualifications on psychedelics to teach healthcare workers about using psilocybin, LSD, MDMA and other psychoactive drugs in therapeutic work.

The certificate from Exeter University cements psychedelics as an area of scientific importance in the UK. It could help pave the way for clinical therapies becoming available within the next five years, with some treatments being in the final stages of clinical trials.

This would follow Australia, which has become the first country to allow psychiatrists to prescribe psychedelics for treatment-resistant depression. In the US, MDMA may be licensed to treat post-traumatic stress disorder by the end of the year, and Oregon and Colorado are planning to legalise the regulated use of psilocybin, the hallucinogenic chemical found in magic mushrooms.

Celia Morgan, a professor of psychopharmacology at the University of Exeter and a co-lead of the programme, said: “As the world wakes up to the potential for psychedelics to be an important part of the toolkit to treat some of our most damaging mental health conditions, it’s vital that we’re training the workforce to meet the demand. The global body of high-quality evidence is now irrefutable – psychedelics can work where other treatments have failed.”

Noting that the main barriers to their use were legal and structural rather than medical, she added: “I think this shows how far we have come from the fear and stigma that dogged this field for years, a change which we also see reflected in leading universities around the world conducting gold-standard clinical trials.

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Helping veterans, battling opioid addiction driving magic mushroom legislation progress

Forty lawmakers, 36 Democrats and 4 Republicans, have co-sponsored a bill aiming to allow for the medical use of psilocybin and a psilocybin therapy grant program, which is currently sitting at the committee level of the Assembly, with its Senate version also in committee. The Assembly bill, A03581, was introduced by Democrat Pat Burke in February. There has been other legislation introduced regarding the hallucinogen as well, with Linda Rosenthal’s version legalizing the adult possession and use of hallucinogens like it.

Research has shown that psilocybin, an organic psychedelic compound, can benefit people with cluster headaches, depression, anxiety, irritable bowel syndrome, ADHD and obsessive compulsive disorder, but it’s getting the most universal traction because of its impact on those suffering from PTSD.

“Psilocybin doesn’t have the huge appeal that marijuana had,” Democrat Assemblyman Phil Steck, who is the Assembly’s Chairman of the Alcoholism and Drug Abuse Committee, says. “But, there are definitely people who make a strong case for the proposition that it helps with PTSD. Certainly we want to do everything that we can to help people that are coming back from war, and if psilocybin has proven to do that, then it should be legal for that purpose.”

Johns Hopkins University has conducted several studies on psilocybin, saying it has substantial antidepressant effects, but needs to be administered under carefully controlled conditions through trained clinicians and therapists.

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US could soon approve MDMA therapy — opening an era of psychedelic medicine

For Rick Doblin, 2023 could be a landmark year: the year that the US government decides whether it will allow the use of hallucinogenic drugs to treat mental illness.

Doblin, who is based in Belmont, Massachusetts, is the founder and president of the non-profit organization Multidisciplinary Association for Psychedelic Studies (MAPS). He has spent nearly 40 years researching whether the experience produced by the psychedelic drug MDMA — also called ecstasy or molly — can help people with post-traumatic stress disorder (PTSD). In 2021, MAPS’s phase III clinical trial of 90 people with PTSD found that those who received MDMA coupled with psychotherapy were twice as likely to recover from the condition as were those who received psychotherapy with a placebo1 (see ‘Response to MDMA therapy’).

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Celebrating The 80th Anniversary Of Bicycle Day: A Different Kind Of Trip

Every year, on April 19, an important anniversary rolls around that you may never have heard of. To those in the know, it’s called Bicycle Day, and it commemorates the first-ever intentional LSD trip. 

It all started when a Swiss chemist called Albert Hofmann had a very peculiar time while cycling home from the lab. Hofmann was the first person to synthesize LSD back in 1938. He did it by isolating chemical compounds found in a fungus called ergot, which infects grasses like rye and can have some profound effects on any humans unfortunate enough to accidentally consume it.

It’s safe to say that Hofmann didn’t think much of his discovery to begin with. What we now know as LSD was actually the 25th in a long line of similar compounds that he’d been experimenting with, and Hofmann’s research notes from the time reportedly reveal how no one was particularly enthused by it: “The new substance, however, aroused no special interest in our pharmacologists and physicians; testing was therefore discontinued.”

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