Tag: psychedelics

Could Psychedelics Transform How Doctors Treat Chronic Pain?

Doctors across the country are beginning to look beyond their prescription pads to explore new treatments for chronic pain management: psychedelics. 

As clinical research mounts, patient stories become more frequent, and a desperate call for new solutions to help people find relief for chronic pain becomes louder, substances like psilocybin and MDMA are entering medical education as promising new treatments.

Healthcare professionals are listening and learning how psychedelics could become part of their practices, offering new hope to patients for whom traditional methods – like opioids and nerve blocks – often fall short. 

Recently at the annual PAINWeek conference, more than 1,400 pain management professionals gathered to learn about advances in the field. Psychedelics took center stage: the 2024 event marked the first time psychedelic medicines had a dedicated track on the agenda.

Retired FDNY firefighter Joe McKay and advocate Court Wing shared their experiences with using psychedelics to combat their chronic pain conditions.

Presentations in the psychedelic track were delivered by patients, healthcare professionals, including Dr. Eugene Vortsman, licensed clinical social worker Erica Siegal, and attorney Deborah Linden Saly, who are each engaged in research, advocacy, or clinical practice with substances like psilocybin, MDMA, LSD, and DMT.

A growing body of evidence shows people living with conditions including chronic low back pain, migraine, cluster headaches, fibromyalgia, traumatic brain injuries, and phantom limb pain often find that existing treatments are either ineffective or come with troubling or dangerous side effects.

The presence and fervor around psychedelics at the conference is the latest example of a growing focus by the medical community on psychedelics as a new and promising treatment for a wide range of chronic pain and physical conditions.

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Psychedelic mushrooms may have played a role in development of human consciousness, study finds

Psychedelic fungi containing psilocybin may have played a role in the development of human consciousness a scientific review has suggested.

The study, published in the journal LILLOA, analysed multiple studies involving psilocybin, psilocin and human consciousness. Taking a multidisciplinary approach spanning studies from the fields of biology, ethnobotany, and neuroscience researchers found that psychedelic mushrooms, specifically the Psilocybe genus of the Hymenogastraceae family, had the “potential to trigger significant neurological and psychological effects” in humans.

The findings support the Stoned Ape Theory, a hypothesis proposed by ethnobotanist Terence McKenna in his 1992 book Food of the Gods. McKenna suggested that psychedelic mushrooms were the major evolutionary catalyst behind the rapid expansion of human consciousness.

“At the cerebral level, psilocybin affects various areas, such as the prefrontal cortex, the hippocampus, and the anterior cingulate cortex,” the study authors wrote. “The hypothesis that psilocybin mushrooms may have intervened as a factor in the evolution of human consciousness, either as catalysts for mystical experiences or as drivers of cognitive processes, raises profound reflections on the ancestral interaction between humans and their environment.”

The paper highlights how numerous ancient cultures across the world discovered and studied psilocybin-containing mushrooms, citing a prehistoric cave drawing of a shaman figure clutching mushrooms found in the Tassili caves in the Altas Mountains. This suggests, the authors said, that psychedelic mushrooms have played an important part in the evolutionary process of humans.

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Federal Officials Say Psychedelic-Assisted Therapy Shows Promise For PTSD, But More Research Is Needed

Representatives of a number of federal agencies convened last week to discuss new treatments for PTSD, including therapies involving psychedelics, MDMA, ketamine and other drugs. While the officials acknowledged the substances’ potential to help treat PTSD and underlying symptoms, they also emphasized the need for further research to ensure efficacy and patient safety.

The discussion, hosted by the Reagan-Udall Foundation for the Food and Drug Administration, a nonprofit formed by Congress to support FDA, didn’t focus specifically on psychedelic-assisted therapies, but the topic nevertheless featured prominently—especially during a stakeholder comment session where most spoke in favor of wider access to MDMA and other emerging treatments.

Betty Aldworth, director of communications and post-prohibition strategy for the Multidisciplinary Association for Psychedelic Studies (MAPS)—which has helped lead the push to qualify MDMA as a federally approved treatment for PTSD—said the meeting “illustrated the growing public interest in psychedelic-assisted therapies, with nearly every speaker discussing their potential in a meeting that wasn’t specifically about psychedelics.”

“Eighty members of Congress, the Veterans Affairs Administration, trauma experts, patient advocates, and 14 of 23 stakeholder who gave oral testimony agree the existing evidence base for psychedelic-assisted therapies merit widespread, and growing, support,” Aldworth said in a statement after the event. “It’s time to close the 25-year gap on new pharmacotherapies for the treatment of PTSD by approving this most promising treatment for PTSD and bringing psychedelic-assisted therapies into the healthcare system.”

Speakers at the Reagan-Udall event on Friday included representatives from the Department of Defense, Department of Health and Human Services (HHS), Food and Drug Administration (FDA), Substance Abuse and Mental Health Services Administration (SAMHSA) and Department of Veterans Affairs (VA).

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Psychedelics Have ‘Demonstrated Potential For Treating Drug Addiction’ And Alcoholism, New Research Shows

Two new studies on psychedelics and alcoholism—including one with contributions from a top federal drug official—offer hope for new ways to treat alcohol use disorder (AUD).

One says a single dose of psilocybin “was safe and effective in reducing alcohol consumption in AUD patients,” while the other concludes that classic psychedelics like psilocybin and LSD “have demonstrated potential for treating drug addiction, especially AUD.”

The first study looked at 10 treatment-seeking adults “with severe AUD,” according to a preprint version of the research published online at Research Square. After a single 25 milligram dose of psilocybin, “alcohol consumption significantly decreased” during a 12-week period, the team found.

Coauthored by National Institute on Drug Abuse (NIDA) Director Nora Volkow—in her role at the National Institute on Alcohol Abuse and Alcoholism’s neuroimaging laboratory—along with 10 researchers at the University of Copenhagen, in Denmark, the open-label study found that most participants craved alcohol less and consumed fewer drinks following treatment with psilocybin.

“Participants reported a decrease from baseline to week 1 in alcohol craving,” the paper says—a decrease that was sustained four weeks and 12 weeks after the psychedelic was administered. “Further, participants reported an immediate change from baseline to week 1 in self-efficacy, i.e. confidence in the ability to abstain from alcohol.”

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Why Psychedelic Drugs May Become a Key Treatment for PTSD and Depression

While it has been referenced throughout history, notably in World War I, post-traumatic stress disorder (PTSD) as we know it today was first described as a distinct diagnosis after World War II among individuals who had survived Nazi concentration camps. The patients came home experiencing anxiety, depression and nightmares. They were frequently startled. In a paper synthesizing some of these early observations in 1963, psychiatrist Paul Chodoff wrote, “Perhaps the most nearly universal and most characteristic symptom was an obsessive rumination state in which the patient was more or less constantly preoccupied with recollections of, and ruminations about, his experiences during persecution, and about family who had died or been killed.” Psychiatrists tested a variety of treatments from drugs to exposure therapy for what Chodoff referred to as “concentration camp syndrome.”

More than 70 years after the initial observations, patients diagnosed with PTSD today still have few treatment options; most likely they will be prescribed a combination of therapy and antidepressant drugs. For some patients, these treatments make a positive difference in their quality of life, but many others continue for years without relief from nightmares, flashbacks, severe guilt and anxiety that can come with the condition. According to the U.S. Department of Veterans Affairs, about 6 percent of Americans will be diagnosed with PTSD at some point in their lives, whether they served in the military or not. While PTSD is often associated with traumas from war, it can also refer to symptoms after other traumatic experiences such as being involved in a serious accident, witnessing death or injury or being a victim of sexual assault.

Patients and scientists have longed for more options. “How many drugs are registered [in the U.S. and Europe] for PTSD?” asks Eric Vermetten, a psychiatrist at the University of Leiden in the Netherlands and a military veteran himself. “The answer is two. And when were they registered? 21 years ago. That’s 21 years, we haven’t had any new drugs registered for PTSD.”

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80 Bipartisan Lawmakers Push FDA To Seriously Consider Approving MDMA-Assisted Therapy

A bipartisan and bicameral coalition of congressional lawmakers is expressing urgency to the federal government as it looks into the possibility of authorizing MDMA-assisted therapy, particularly as it concerns veterans with severe mental health conditions.

A total of 80 members of Congress—including 19 senators and 61 representatives from the House—sent separate letters to the Biden administration and the head of the Food and Drug Administration (FDA) this past week, urging serious consideration of approving the psychedelic as a treatment option for post-traumatic stress disorder (PTSD).

MDMA is “one of the most promising and available options to provide reprieve for veterans’ endless PTSD cycle,” the Senate letter says, noting that FDA has already designated it as a breakthrough therapy.

This comes about a month after an FDA advisory panel rejected an application to authorize MDMA-assisted therapy. Bipartisan lawmakers separately staged an event at the U.S. Capitol calling for the MDMA approval and also launched an art installation memorializing military veterans who die by suicide.

“FDA should remain firmly anchored in scientific evidence and data when evaluating new treatments,” the new letter, led by Sens. Michael Bennet (D-CO), Thom Tillis (R-NC), Kyrsten Sinema (I-AZ) and Rand Paul (R-KY), says. “The potential for groundbreaking advancements in PTSD treatment is within reach, and we owe it to our veterans and other affected populations to review these potentially transformative therapies based on robust clinical and scientific evidence.”

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The DEA Wants To Ban Scientifically ‘Crucial’ Psychedelics Because People Might Use Them

You probably have never heard of 2,5-dimethoxy-4-iodoamphetamine (DOI), let alone heard that it is commonly abused. Yet the Drug Enforcement Administration (DEA) wants to ban the synthetic psychedelic, a promising research chemical that has figured in more than 900 published studies, by placing it in Schedule I of the Controlled Substances Act, a category supposedly reserved for drugs with a high abuse potential and no recognized medical applications—drugs so dangerous that they cannot be used safely, even under a doctor’s supervision. Students for Sensible Drug Policy (SSDP), which defeated a previous DEA attempt to ban DOI in 2022, is determined to stop that move again.

On Tuesday, acting on behalf of more than 20 scientists, SSDP filed a prehearing statement objecting to DOI’s placement in Schedule I. That step, SSDP notes, would impose “onerous financial and bureaucratic obstacles on researchers,” since “obtaining a Schedule I license involves a daunting array of red tape and substantial costs, which can be prohibitive for many research institutions, particularly smaller labs and academic departments.” SSDP also opposes the scheduling of another psychedelic, 2,5-dimethoxy-4-chloroamphetamine (DOC), that is covered by the same proposed rule, which the DEA published on December 13.

“DOI and DOC are important research chemicals with basically no evidence of abuse,” says SSDP attorney Brett Phelps. “We are excited to fight on behalf of SSDP scientists so that they can continue the critical work they are doing with these substances.”

Phelps is working with Denver attorney Robert Rush, who represents University of California, Berkeley, neuroscientist Raul Ramos. “The DEA’s attempt to classify DOI, a compound of great significance to both psychedelic and fundamental serotonin research, as a Schedule I substance exemplifies an administrative agency overstepping its bounds,” Rush says. “The government admits DOI is not being diverted for use outside of scientific research yet insists on placing this substance in such a restricted class that it will disrupt virtually all current research.”

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Psychedelic Mushrooms May Have Contributed To Early Development Of Human Consciousness, Study Concludes

A new paper exploring the role of psilocybin mushrooms in the evolution of human consciousness says the psychedelic has the “potential to trigger significant neurological and psychological effects” that could have influenced the development of our species over time.

The literature review, which authors said draws on “a multidisciplinary approach spanning biology, ethnobotany and neuroscience,” examined studies involving psilocybin and human consciousness published in multiple journals in different fields. Their 12-page report highlights views that mushrooms played a crucial role in getting humans to where we are today.

“The hypothesis that psilocybin mushrooms may have intervened as a factor in the evolution of human consciousness, either as catalysts of mystical experiences or as drivers of cognitive processes, raises profound reflections on the ancestral interaction between human beings and their environment,” the authors wrote, according to a translation from the original Spanish. “The origin of human consciousness is one of the great questions facing man, and the material collected indicates that psilocybin may have contributed to its early development.”

As humans’ ancestors moved from forested environments into grasslands, they encountered more hoofed animals—and their excrement. In that excrement, they likely found mushrooms, including psilocybin mushrooms, says the study, citing researchers such as Terrence McKenna, who explored the so-called “stoned ape” theory that psychedelics helped spur human development.

Consuming mushrooms may have subsequently influenced pre-human hominids’ brains in all sorts of ways, authors wrote, such as improving hunting and food-gathering as well as increasing sexual stimulation and mating opportunities.

Changes like those, combined with the effects of psilocybin on human consciousness and brain function, could have expanded the human mind, “allowing us to transcend our basic perception and embrace creativity, introspection and abstract thinking” and potentially influencing language development, the study, published last month by the Miguel Lillo Foundation, a research organization in Argentina, says.

“Considering the importance of psilocybin mushrooms in the interaction with human consciousness, it is crucial to explore both their brain and evolutionary implications,” the authors—Jehoshua Macedo-Bedoya of the University Nacional Mayor de San Marcos, in Lima, Peru, and Fatima Calvo-Bellido of the Pontifical Catholic University of Peru—concluded.

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California Lawmakers Kill World’s Most Marginal Psychedelics Reform

The world’s most modest psychedelics reform has failed in the California Legislature once again.

Yesterday, the sponsors of a bill that would have allowed three California counties to run temporary pilot programs through which veterans and first responders could be administered psilocybin (the “magic” chemical in magic mushrooms) under medical supervision pulled their legislation, reports KQED.

The bill’s authors cited a certain “no” vote in a coming Assembly Health Committee hearing as the reason for axing their own legislation.

This is the latest failure of legislation aimed at liberalizing laws surrounding psychedelic use in the Golden State.

Last year, Gov. Gavin Newsom vetoed legislation that would have decriminalized the personal possession and use of various plant-based psychedelics, saying he might support narrower legalization of these substances for therapeutic uses.

In May, a broader measure that would have established a statewide system for licensing and regulating psychedelic use, including the use of MDMA, mescaline, and psilocybin, in private therapeutic settings stalled in the state Senate.

The bill that failed this week was narrower still. It would have authorized the public health officers of San Francisco, San Diego, and Santa Cruz to license up to five facilities where licensed medical professionals could administer psilocybin and psilocin (both psychoactive substances found in so-called magic mushrooms) to screened military veterans and first responders. The program would sunset after three years.

California’s latest, failed reform efforts were modeled off new programs set up by Oregon and Colorado that likewise legalize psychedelic use in tightly regulated, state-licensed therapy-like settings.

Some local jurisdictions, including several California cities and Washington, D.C., have passed more modest “deprioritization” policies to classify enforcement of certain psychedelic laws as the lowest law enforcement priority.

In D.C., at least, that’s created a thriving gray-black market for psychedelic mushrooms. With the modest assurance that they won’t face legal penalties, many of the city’s pre-existing, semi-legal cannabis businesses have started selling mushrooms as well.

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Slow-release ketamine tablets help prevent depression relapses, UK trial finds

Slow-release ketamine pills have been found to prevent relapse into depression, in a trial that could pave the way for a new treatment option for patients with severe illness.

Ketamine is already used as a treatment for depression when conventional antidepressant drugs and therapy have failed. But ketamine is currently only administered intravenously, which requires supervision in a clinic, and the National Institute for Health and Care Excellence ruled that a ketamine-like nasal spray should not be available on the NHS.

If the apparent benefits are confirmed in a larger trial, ketamine tablets could be taken at home more cheaply, conveniently and potentially with fewer side-effects, the researchers said.

“We’re seeing a clinically meaningful effect,” said Prof Allan Young, of King’s College London and a co-author of findings. “This is not a definitive result, but the effect size is gratifyingly large.”

The phase 2 trial used an extended-release formulation of ketamine, designed to release the drug into the body over a 10-hour period. The hope was that this would make the treatment more effective and reduce adverse effects such as dissociation, high blood pressure, a racing heart or feelings of numbness. The “slow peak” would also reduce the drug’s abuse potential, Young said.

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