RESUMO
Despite several studies suggesting the therapeutic use of 5-hydroxytryptamine receptors type 2A (5-HT2A ) agonists in the treatment of substance use disorders, the neurobiological basis accounting for such effects are still unknown. It has been observed that chronic exposure to drugs of abuse produces molecular and cellular adaptations in ventral tegmental area (VTA) neurons, mediated by brain-derived neurotrophic factor (BDNF). These BDNF-induced adaptations in the VTA are associated with the establishment of aversive withdrawal motivation that leads to a drug-dependent state. Growing evidence suggests that 5-HT2A receptor signaling can regulate the expression of BDNF in the brain. In this study, we observed that a single systemic or intra-VTA administration of a 5-HT2A agonist in rats and mice blocks both the aversive conditioned response to drug withdrawal and the mechanism responsible for switching from a drug-naive to a drug-dependent motivational system. Our results suggest that 5-HT2A agonists could be used as therapeutic agents to reverse a drug dependent state, as well as inhibiting the aversive effects produced by drug withdrawal.
Assuntos
Alucinógenos/uso terapêutico , Dependência de Heroína/tratamento farmacológico , N,N-Dimetiltriptamina/análogos & derivados , Antagonistas do Receptor 5-HT2 de Serotonina/uso terapêutico , Síndrome de Abstinência a Substâncias/tratamento farmacológico , Triptaminas/uso terapêutico , Animais , Fator Neurotrófico Derivado do Encéfalo/metabolismo , Alucinógenos/administração & dosagem , Dependência de Heroína/prevenção & controle , Masculino , Camundongos , Camundongos Endogâmicos C57BL , N,N-Dimetiltriptamina/administração & dosagem , N,N-Dimetiltriptamina/uso terapêutico , Ratos , Ratos Wistar , Antagonistas do Receptor 5-HT2 de Serotonina/administração & dosagem , Síndrome de Abstinência a Substâncias/prevenção & controle , Triptaminas/administração & dosagem , Área Tegmentar Ventral/metabolismoRESUMO
OBJECTIVE: In the present study we explored the psychometric properties of three widely used questionnaires to assess the subjective effects of hallucinogens: the Hallucinogen Rating Scale (HRS), the Mystical Experience Questionnaire (MEQ), and the Addiction Research Center Inventory (ARCI). METHODS: These three questionnaires were administered to a sample of 158 subjects (100 men) after taking ayahuasca, a hallucinogen whose main active component is N,N-dimethyltryptamine (DMT). A confirmatory factorial study was conducted to check the adjustment of previous data obtained via theoretical proposals. When this was not possible, we used an exploratory factor analysis without restrictions, based on tetrachoric and polychoric matrices and correlations. RESULTS: Our results sparsely match the theoretical proposals of the authors, perhaps because previous studies have not always employed psychometric methods appropriate to the data obtained. However, these data should be considered preliminary, pending larger samples to confirm or reject the proposed structures obtained. CONCLUSIONS: It is crucial that instruments of sufficiently precise measurement are utilized to make sense of the information obtained in the study of the subjective effects of psychedelic drugs. Copyright © 2016 John Wiley & Sons, Ltd.
Assuntos
Banisteriopsis/química , Alucinógenos/farmacologia , N,N-Dimetiltriptamina/farmacologia , Inquéritos e Questionários , Adulto , Análise Fatorial , Feminino , Alucinógenos/administração & dosagem , Humanos , Masculino , Pessoa de Meia-Idade , N,N-Dimetiltriptamina/administração & dosagem , Preparações de Plantas/administração & dosagem , Preparações de Plantas/farmacologia , Psicometria , Adulto JovemRESUMO
Past research suggests a relationship between stress and positive symptoms of psychosis. However, the biological substrate of this relationship remains unknown. According to the transmethylation hypothesis, schizophrenia could result from a biochemical disruption in the stress mechanism. This biochemical disruption would lead to the production of a substance that would account for the symptoms of psychosis. Moreover, some studies have tested endogenous N,N-dimethyltryptamine (DMT) in the context of the transmethylation hypothesis. Stress has been found to elevate DMT levels in rodents. Also, elevated DMT levels have been associated with positive features of psychosis in psychiatric patients. Additionally, healthy participants treated with exogenous DMT experience predominantly positive symptoms of psychosis. The present paper examines endogenous DMT as a possible biological mediator of the relationship between stress and positive symptoms of psychosis.
Assuntos
N,N-Dimetiltriptamina/metabolismo , Transtornos Psicóticos/metabolismo , Estresse Psicológico/metabolismo , Animais , Encéfalo/metabolismo , Alucinógenos/administração & dosagem , Alucinógenos/metabolismo , Humanos , Metilação , N,N-Dimetiltriptamina/administração & dosagemRESUMO
There is considerable evidence from the literature that psychedelics, such as N,N-dimethyltryptamine (DMT), are safe and effective treatments for depression. However, clinical administration to induce psychedelic effects and expensive psychotherapy-assisted treatments likely limit accessibility to the average patient. There is emerging evidence that DMT promotes positive behavioral changes in vivo at sub-hallucinogenic dosages, and depending on the target indication, subjecting patients to high, bolus dosages may not be necessary. Due to rapid metabolic degradation, achieving target levels of DMT in subjects is difficult, requiring IV administration, which poses risks to patients during the intense hallucinogenic and subjective drug effects. The chemical and physical properties of DMT make it an excellent candidate for non-invasive, transdermal delivery platforms. This paper outlines the formulation development, in vitro, and in vivo testing of transdermal drug-in-adhesive DMT patches using various adhesives and permeation enhancers. In vivo behavioral and pharmacokinetic studies were performed with lead patch formulation (F5) in male and female Swiss Webster mice, and resulting DMT levels in plasma and brain samples were quantified using LC/MS/MS. Notable differences were seen in female versus male mice during IV administration; however, transdermal administration provided consistent, extended drug release at a non-hallucinogenic dose. The IV half-life of DMT was extended by 20-fold with administration of the transdermal delivery system at sub-hallucinogenic plasma concentrations not exceeding 60 ng/mL. Results of a translational head twitch assay (a surrogate for hallucinogenic effects in non-human organisms) were consistent with absence of hallucinations at low plasma levels achieved with our TDDS. Despite the reported low bioavailability of DMT, the non-invasive transdermal DMT patch F5 afforded an impressive 77 % bioavailability compared to IV at two dosages. This unique transdermal delivery option has the potential to provide an out-patient treatment option for ailments not requiring higher, bolus doses and is especially intriguing for therapeutic indications requiring non-hallucinogenic alternatives.
Assuntos
Administração Cutânea , Preparações de Ação Retardada , Alucinógenos , N,N-Dimetiltriptamina , Animais , Alucinógenos/administração & dosagem , Alucinógenos/farmacocinética , Masculino , Preparações de Ação Retardada/administração & dosagem , Preparações de Ação Retardada/farmacocinética , Feminino , Camundongos , N,N-Dimetiltriptamina/administração & dosagem , N,N-Dimetiltriptamina/farmacocinética , Adesivo Transdérmico , Absorção Cutânea/efeitos dos fármacos , Encéfalo/metabolismo , Encéfalo/efeitos dos fármacos , Comportamento Animal/efeitos dos fármacosRESUMO
The present study examines the association between the ceremonial use of ayahuasca-a decoction combining the Banistereopsis caapi vine and N,N-Dimethyltryptamine-containing plants-and changes in personality traits as conceived by the Five-Factor model (FFM). We also examine the degree to which demographic characteristics, baseline personality, and acute post-ayahuasca experiences affect personality change. Participants recruited from three ayahuasca healing and spiritual centers in South and Central America (N = 256) completed self-report measures of personality at three timepoints (Baseline, Post, 3-month Follow-up). Informant-report measures of the FFM were also obtained (N = 110). Linear mixed models were used to examine changes in personality and the moderation of those changes by covariates. The most pronounced change was a reduction in Neuroticism dzself-reportT1-T2 = - 1.00; dzself-reportT1-T3 = - .85; dzinformant-reportT1-T3 = - .62), reflected in self- and informant-report data. Moderation of personality change by baseline personality, acute experiences, and purgative experiences was also observed.
Assuntos
Banisteriopsis/química , Comportamento Ritualístico , Personalidade/efeitos dos fármacos , Extratos Vegetais/administração & dosagem , Xamanismo , Alucinógenos/administração & dosagem , Alucinógenos/química , Humanos , N,N-Dimetiltriptamina/administração & dosagem , N,N-Dimetiltriptamina/química , Transtornos da Personalidade/diagnóstico , Transtornos da Personalidade/etiologia , Extratos Vegetais/química , Fatores de Risco , AutorrelatoRESUMO
BACKGROUND: N,N-dimethyltryptamine is a short-acting psychedelic tryptamine found naturally in many plants and animals. Few studies to date have addressed the neural and psychological effects of N,N-dimethyltryptamine alone, either administered intravenously or inhaled in freebase form, and none have been conducted in natural settings. AIMS: Our primary aim was to study the acute effects of inhaled N,N-dimethyltryptamine in natural settings, focusing on questions tuned to the advantages of conducting field research, including the effects of contextual factors (i.e. "set" and "setting"), the possibility of studying a comparatively large number of subjects, and the relaxed mental state of participants consuming N,N-dimethyltryptamine in familiar and comfortable settings. METHODS: We combined state-of-the-art wireless electroencephalography with psychometric questionnaires to study the neural and subjective effects of naturalistic N,N-dimethyltryptamine use in 35 healthy and experienced participants. RESULTS: We observed that N,N-dimethyltryptamine significantly decreased the power of alpha (8-12 Hz) oscillations throughout all scalp locations, while simultaneously increasing power of delta (1-4 Hz) and gamma (30-40 Hz) oscillations. Gamma power increases correlated with subjective reports indicative of some features of mystical-type experiences. N,N-dimethyltryptamine also increased global synchrony and metastability in the gamma band while decreasing those measures in the alpha band. CONCLUSIONS: Our results are consistent with previous studies of psychedelic action in the human brain, while at the same time the results suggest potential electroencephalography markers of mystical-type experiences in natural settings, thus highlighting the importance of investigating these compounds in the contexts where they are naturally consumed.
Assuntos
Transtornos da Consciência , Eletroencefalografia/métodos , Misticismo/psicologia , N,N-Dimetiltriptamina , Inventário de Personalidade , Terapia de Relaxamento/métodos , Administração por Inalação , Adulto , Disponibilidade Biológica , Transtornos da Consciência/induzido quimicamente , Transtornos da Consciência/diagnóstico , Monitoramento de Medicamentos/métodos , Feminino , Alucinógenos/administração & dosagem , Alucinógenos/farmacocinética , Humanos , Masculino , N,N-Dimetiltriptamina/administração & dosagem , N,N-Dimetiltriptamina/farmacocinética , Avaliação de Resultados em Cuidados de Saúde , Psicometria/métodos , Autoimagem , Autorrelato , Tecnologia sem FioRESUMO
RATIONALE: 5-methoxy-N,N-dimethyltryptamine is a psychotropic substance found in various plant and animal species and is synthetically produced. 5-methoxy-N,N-dimethyltryptamine is used in naturalistic settings for spiritual exploration, recreation, or to address negative affect and mood problems. However, scientific knowledge on the effects of 5-methoxy-N,N-dimethyltryptamine in humans is scarce. OBJECTIVES: The first objective was to assess the effects of inhalation of vaporized synthetic 5-methoxy-N,N-dimethyltryptamine on neuroendocrine markers. The second objective was to assess effects of the substance on affect and mindfulness. In addition, we assessed whether ratings of subjective measures were associated with changes in stress biomarkers (i.e., cortisol) and immune response (i.e., IL-6, CRP, IL-1ß), as well as the acute psychedelic experience. METHODS: Assessments (baseline, immediately post-session, and 7-day follow-up) were made in 11 participants. Salivary samples were collected at baseline and post-session and analyzed by high-sensitivity enzyme-linked immunosorbent assay (ELISA). RESULTS: 5-methoxy-N,N-dimethyltryptamine significantly increased cortisol levels and decreased IL-6 concentrations in saliva immediately post-session. These changes were not correlated to ratings of mental health or the psychedelic experience. Relative to baseline, ratings of non-judgment significantly increased, and ratings of depression decreased immediately post-session and at follow-up. Ratings of anxiety and stress decreased from baseline to 7-day follow-up. Participant ratings of the psychedelic experience correlated negatively with ratings of affect and positively with ratings of non-judgment. CONCLUSION: Inhalation of vaporized synthetic 5-methoxy-N,N-dimethyltryptamine produced significant changes in inflammatory markers, improved affect, and non-judgment in volunteers. Future research should examine the effect of 5-methoxy-N,N-dimethyltryptamineamine with healthy volunteers in a controlled laboratory setting.
Assuntos
Afeto/efeitos dos fármacos , Alucinógenos/administração & dosagem , Hidrocortisona/análise , Interleucina-6/análise , Julgamento/efeitos dos fármacos , N,N-Dimetiltriptamina/administração & dosagem , Administração por Inalação , Adulto , Afeto/fisiologia , Feminino , Humanos , Julgamento/fisiologia , Masculino , Atenção Plena/tendências , Estudos Prospectivos , Psicotrópicos/administração & dosagem , Saliva/químicaRESUMO
Psychedelic drugs are potent modulators of conscious states and therefore powerful tools for investigating their neurobiology. N,N, Dimethyltryptamine (DMT) can rapidly induce an extremely immersive state of consciousness characterized by vivid and elaborate visual imagery. Here, we investigated the electrophysiological correlates of the DMT-induced altered state from a pool of participants receiving DMT and (separately) placebo (saline) while instructed to keep their eyes closed. Consistent with our hypotheses, results revealed a spatio-temporal pattern of cortical activation (i.e. travelling waves) similar to that elicited by visual stimulation. Moreover, the typical top-down alpha-band rhythms of closed-eyes rest were significantly decreased, while the bottom-up forward wave was significantly increased. These results support a recent model proposing that psychedelics reduce the 'precision-weighting of priors', thus altering the balance of top-down versus bottom-up information passing. The robust hypothesis-confirming nature of these findings imply the discovery of an important mechanistic principle underpinning psychedelic-induced altered states.
Assuntos
Ritmo alfa/fisiologia , Encéfalo/fisiologia , Estado de Consciência/efeitos dos fármacos , Alucinógenos/administração & dosagem , N,N-Dimetiltriptamina/administração & dosagem , Adulto , Ritmo alfa/efeitos dos fármacos , Encéfalo/efeitos dos fármacos , Estado de Consciência/fisiologia , Feminino , Alucinógenos/sangue , Alucinógenos/farmacologia , Humanos , Masculino , Pessoa de Meia-Idade , N,N-Dimetiltriptamina/sangue , N,N-Dimetiltriptamina/farmacologia , Adulto JovemRESUMO
Studying transitions in and out of the altered state of consciousness caused by intravenous (IV) N,N-Dimethyltryptamine (DMT - a fast-acting tryptamine psychedelic) offers a safe and powerful means of advancing knowledge on the neurobiology of conscious states. Here we sought to investigate the effects of IV DMT on the power spectrum and signal diversity of human brain activity (6 female, 7 male) recorded via multivariate EEG, and plot relationships between subjective experience, brain activity and drug plasma concentrations across time. Compared with placebo, DMT markedly reduced oscillatory power in the alpha and beta bands and robustly increased spontaneous signal diversity. Time-referenced and neurophenomenological analyses revealed close relationships between changes in various aspects of subjective experience and changes in brain activity. Importantly, the emergence of oscillatory activity within the delta and theta frequency bands was found to correlate with the peak of the experience - particularly its eyes-closed visual component. These findings highlight marked changes in oscillatory activity and signal diversity with DMT that parallel broad and specific components of the subjective experience, thus advancing our understanding of the neurobiological underpinnings of immersive states of consciousness.
Assuntos
Encéfalo/fisiologia , Estado de Consciência/efeitos dos fármacos , Alucinógenos/administração & dosagem , N,N-Dimetiltriptamina/administração & dosagem , Administração Intravenosa , Adulto , Encéfalo/efeitos dos fármacos , Estudos de Casos e Controles , Estado de Consciência/fisiologia , Eletroencefalografia , Feminino , Alucinógenos/sangue , Alucinógenos/farmacologia , Humanos , Masculino , Análise Multivariada , N,N-Dimetiltriptamina/sangue , N,N-Dimetiltriptamina/farmacologiaRESUMO
Naturally occurring and psychedelic drug-occasioned experiences interpreted as personal encounters with God are well described but have not been systematically compared. In this study, five groups of individuals participated in an online survey with detailed questions characterizing the subjective phenomena, interpretation, and persisting changes attributed to their single most memorable God encounter experience (n = 809 Non-Drug, 1184 psilocybin, 1251 lysergic acid diethylamide (LSD), 435 ayahuasca, and 606 N,N-dimethyltryptamine (DMT)). Analyses of differences in experiences were adjusted statistically for demographic differences between groups. The Non-Drug Group was most likely to choose "God" as the best descriptor of that which was encountered while the psychedelic groups were most likely to choose "Ultimate Reality." Although there were some other differences between non-drug and the combined psychedelic group, as well as between the four psychedelic groups, the similarities among these groups were most striking. Most participants reported vivid memories of the encounter experience, which frequently involved communication with something having the attributes of being conscious, benevolent, intelligent, sacred, eternal, and all-knowing. The encounter experience fulfilled a priori criteria for being a complete mystical experience in approximately half of the participants. More than two-thirds of those who identified as atheist before the experience no longer identified as atheist afterwards. These experiences were rated as among the most personally meaningful and spiritually significant lifetime experiences, with moderate to strong persisting positive changes in life satisfaction, purpose, and meaning attributed to these experiences. Among the four groups of psychedelic users, the psilocybin and LSD groups were most similar and the ayahuasca group tended to have the highest rates of endorsing positive features and enduring consequences of the experience. Future exploration of predisposing factors and phenomenological and neural correlates of such experiences may provide new insights into religious and spiritual beliefs that have been integral to shaping human culture since time immemorial.
Assuntos
Emoções/efeitos dos fármacos , Alucinógenos/administração & dosagem , Inteligência/efeitos dos fármacos , Religião , Adulto , Banisteriopsis/química , Medo/efeitos dos fármacos , Medo/psicologia , Feminino , Humanos , Internet , Dietilamida do Ácido Lisérgico/administração & dosagem , Masculino , Pessoa de Meia-Idade , N,N-Dimetiltriptamina/administração & dosagem , Psilocibina/administração & dosagem , Psicometria , Inquéritos e Questionários , Adulto JovemRESUMO
Drugs capable of ameliorating symptoms of depression and anxiety while also improving cognitive function and sociability are highly desirable. Anecdotal reports have suggested that serotonergic psychedelics administered in low doses on a chronic, intermittent schedule, so-called "microdosing", might produce beneficial effects on mood, anxiety, cognition, and social interaction. Here, we test this hypothesis by subjecting male and female Sprague Dawley rats to behavioral testing following the chronic, intermittent administration of low doses of the psychedelic N,N-dimethyltryptamine (DMT). The behavioral and cellular effects of this dosing regimen were distinct from those induced following a single high dose of the drug. We found that chronic, intermittent, low doses of DMT produced an antidepressant-like phenotype and enhanced fear extinction learning without impacting working memory or social interaction. Additionally, male rats treated with DMT on this schedule gained a significant amount of body weight during the course of the study. Taken together, our results suggest that psychedelic microdosing may alleviate symptoms of mood and anxiety disorders, though the potential hazards of this practice warrant further investigation.
Assuntos
Afeto/efeitos dos fármacos , Antidepressivos/uso terapêutico , Ansiedade/tratamento farmacológico , Depressão/tratamento farmacológico , Alucinógenos/administração & dosagem , N,N-Dimetiltriptamina/administração & dosagem , Animais , Antidepressivos/administração & dosagem , Comportamento Animal/efeitos dos fármacos , Extinção Psicológica/efeitos dos fármacos , Medo/efeitos dos fármacos , Feminino , Alucinógenos/uso terapêutico , Masculino , N,N-Dimetiltriptamina/uso terapêutico , Ratos , Ratos Sprague-DawleyRESUMO
The use of the hallucinogenic brew ayahuasca, obtained from infusing the shredded stalk of the malpighiaceous plant Banisteriopsis caapi with the leaves of other plants such as Psychotria viridis, is growing in urban centers of Europe, South and North America in the last several decades. Despite this diffusion, little is known about its effects on emotional states. The present study investigated the effects of ayahuasca on psychometric measures of anxiety, panic-like and hopelessness in members of the Santo Daime, an ayahuasca-using religion. Standard questionnaires were used to evaluate state-anxiety (STAI-state), trait-anxiety (STAI-trait), panic-like (ASI-R) and hopelessness (BHS) in participants that ingested ayahuasca for at least 10 consecutive years. The study was done in the Santo Daime church, where the questionnaires were administered 1h after the ingestion of the brew, in a double-blind, placebo-controlled procedure. While under the acute effects of ayahuasca, participants scored lower on the scales for panic and hopelessness related states. Ayahuasca ingestion did not modify state- or trait-anxiety. The results are discussed in terms of the possible use of ayahuasca in alleviating signs of hopelessness and panic-like related symptoms.
Assuntos
Ansiedade/tratamento farmacológico , Banisteriopsis/química , Transtorno Depressivo/tratamento farmacológico , Pânico/efeitos dos fármacos , Extratos Vegetais/farmacologia , Adulto , Ansiedade/psicologia , Bebidas , Brasil , Transtorno Depressivo/psicologia , Método Duplo-Cego , Feminino , Frutas/química , Harmalina/administração & dosagem , Harmalina/química , Harmalina/farmacologia , Harmina/administração & dosagem , Harmina/análogos & derivados , Harmina/química , Harmina/farmacologia , Humanos , Masculino , Pessoa de Meia-Idade , Estrutura Molecular , N,N-Dimetiltriptamina/administração & dosagem , N,N-Dimetiltriptamina/química , N,N-Dimetiltriptamina/farmacologia , Extratos Vegetais/administração & dosagem , Extratos Vegetais/química , Folhas de Planta/química , Psicometria/métodos , Religião , Inquéritos e Questionários , Resultado do TratamentoRESUMO
N,N-dimethyltryptamine (DMT) is a psychoactive substance that has been gaining popularity in therapeutic and recreational use. This is a case of a physician who chronically took DMT augmented with phenelzine in an attempt to self-medicate refractory bipolar depression. His presentation of altered mental status, mania, and psychosis is examined in regards to his DMT use. This case discusses DMT, the possible uses of DMT, and the theorized mechanism of DMT in psychosis and treatment of depression, particularly involving its agonist activity at 5-HT1A, 5-HT2A, and 5-HT2C. It is also important to recognize the dangers of self-medication, particularly amongst physicians.
Assuntos
Transtorno Bipolar/tratamento farmacológico , N,N-Dimetiltriptamina/administração & dosagem , Adulto , Transtorno Bipolar/metabolismo , Humanos , Masculino , Fenelzina/administração & dosagem , Médicos , Receptores de Serotonina/metabolismo , Automedicação/métodosRESUMO
BACKGROUND: To begin applying basic neuropharmacological hypotheses of hallucinogenic drug actions to humans, we generated dose-response data for intravenously administered dimethyltryptamine fumarate's (DMT) neuroendocrine, cardiovascular, autonomic, and subjective effects in a group of experienced hallucinogen users. METHODS: Dimethyltryptamine, an endogenous mammalian hallucinogen and drug of abuse, was administered intravenously at 0.05, 0.1, 0.2, and 0.4 mg/kg to 11 experienced hallucinogen users, in a double-blind, saline placebo-controlled, randomized design. Treatments were separated by at least 1 week. RESULTS: Peak DMT blood levels and subjective effects were seen within 2 minutes after drug administration, and were negligible at 30 minutes. Dimethyltryptamine dose dependently elevated blood pressure, heart rate, pupil diameter, and rectal temperature, in addition to elevating blood concentrations of beta-endorphin, corticotropin, cortisol, and prolactin. Growth hormone blood levels rose equally in response to all doses of DMT, and melatonin levels were unaffected. Threshold doses for significant effects relative to placebo were also hallucinogenic (0.2 mg/kg and higher). Subjects with five or more exposures to 3,4-methylenedioxymethamphetamine demonstrated less robust pupil diameter effects than those with two or fewer exposures. CONCLUSIONS: Dimethyltryptamine can be administered safely to experienced hallucinogen users and dose-response data generated for several measures hypothesized under serotonergic modulatory control. Additional studies characterizing the specific mechanisms mediating DMT's biological effects may prove useful in psychopharmacological investigations of drug-induced and endogenous alterations in brain function.
Assuntos
Drogas Ilícitas , N,N-Dimetiltriptamina/farmacologia , Hormônio Adrenocorticotrópico/sangue , Sistema Nervoso Autônomo/efeitos dos fármacos , Pressão Sanguínea/efeitos dos fármacos , Temperatura Corporal/efeitos dos fármacos , Sistema Cardiovascular/efeitos dos fármacos , Relação Dose-Resposta a Droga , Método Duplo-Cego , Hormônio do Crescimento/sangue , Frequência Cardíaca/efeitos dos fármacos , Humanos , Hidrocortisona/sangue , Infusões Intravenosas , N,N-Dimetiltriptamina/administração & dosagem , Placebos , Prolactina/sangue , Pupila/efeitos dos fármacos , Transtornos Relacionados ao Uso de Substâncias/psicologia , beta-Endorfina/sangueRESUMO
BACKGROUND: Validation of animal models of hallucinogenic drugs' subjective effects requires human data. Previous human studies used varied groups of subjects and assessment methods. Rating scales for hallucinogen effects emphasized psychodynamic principles or the drugs' dysphoric properties. We describe the subjective effects of graded doses of N,N-dimethyltryptamine (DMT), an endogenous hallucinogen and drug of abuse, in a group of experienced hallucinogen users. We also present preliminary data from a new rating scale for these effects. METHODS: Twelve highly motivated volunteers received two doses (0.04 and 0.4 mg/kg) of intravenous (IV) dimethyltryptamine fumarate "nonblind," before entering a double-blind, saline placebo-controlled, randomized study using four doses of IV DMT. Subjects were carefully interviewed after resolution of drug effects, providing thorough and systematic descriptions of DMT's effects. They also were administered a new instrument, the Hallucinogen Rating Scale (HRS). The HRS was drafted from interviews obtained from an independent sample of 19 experienced DMT users, and modified during early stages of the study. RESULTS: Psychological effects of IV DMT began almost immediately after administration, peaked at 90 to 120 seconds, and were almost completely resolved by 30 minutes. This time course paralleled DMT blood levels previously described. Hallucinogenic effects were seen after 0.2 and 0.4 mg/kg of dimethyltryptamine fumarate, and included a rapidly moving, brightly colored visual display of images. Auditory effects were less common. "Loss of control," associated with a brief, but overwhelming "rush," led to a dissociated state, where euphoria alternated or coexisted with anxiety. These effects completely replaced subjects' previously ongoing mental experience and were more vivid and compelling than dreams or waking awareness. Lower doses, 0.1 and 0.05 mg/kg, were primarily affective and somaesthetic, while 0.1 mg/kg elicited the least desirable effects. Clustering of HRS items, using either a clinical, mental status method or principal components factor analysis provided better resolution of dose effects than did the biological variables described previously. CONCLUSIONS: These clinical and preliminary quantitative data provide bases for further psychopharmacologic characterization of DMT's properties in humans. They also may be used to compare the effects of other agents affecting relevant brain receptors in volunteer and psychiatric populations.
Assuntos
Alucinações/induzido quimicamente , Drogas Ilícitas , N,N-Dimetiltriptamina/farmacologia , Cognição/efeitos dos fármacos , Estado de Consciência/efeitos dos fármacos , Relação Dose-Resposta a Droga , Método Duplo-Cego , Emoções/efeitos dos fármacos , Feminino , Alucinações/diagnóstico , Alucinações/psicologia , Humanos , Infusões Intravenosas , Masculino , N,N-Dimetiltriptamina/administração & dosagem , Placebos , Escalas de Graduação Psiquiátrica , Percepção Visual/efeitos dos fármacos , Volição/efeitos dos fármacosRESUMO
N,N-dimethyltryptamine (DMT) is a widely distributed plant alkaloid that displays partial agonist activity at the 5-HT2A receptor and induces intense psychedelic effects in humans when administered parenterally. However, self-administration studies have reported a total lack of activity following oral intake. This is thought to be due to extensive degradation by monoamine oxidase (MAO). Despite increased use of DMT and DMT-containing preparations, such as the plant tea ayahuasca, the biotransformation of DMT in humans when administered alone is relatively unknown. Here we used high performance liquid chromatography (HPLC)/electrospray ionization (ESI)/selected reaction monitoring (SRM)/tandem mass spectrometry (MS/MS) to characterize the metabolism and disposition of oral and smoked DMT. Twenty-four-hour urine samples were obtained from 6 DMT users before and after intake of 25 mg DMT doses on two separate sessions. In one session, DMT was taken orally and in another it was smoked. After oral ingestion, no psychotropic effects were experienced and no DMT was recovered in urine. MAO-dependent indole-3-acetic acid (IAA) represented 97% of the recovered compounds, whereas DMT-N-oxide (DMT-NO) accounted for only 3%. When the smoked route was used, the drug was fully psychoactive, unmetabolized DMT and DMT-NO rose to 10% and 28%, respectively, and IAA levels dropped to 63%. An inverse correlation was found between the IAA/DMT-NO ratio and subjective effects scores. These findings show that in the smoked route a shift from the highly efficient MAO-dependent to the less efficient CYP-dependent metabolism takes place. This shift leads to psychoactivity and is analogous to that observed in ayahuasca preparations combining DMT with MAO inhibitors.
Assuntos
Alucinógenos/farmacocinética , N,N-Dimetiltriptamina/farmacocinética , N,N-Dimetiltriptamina/urina , Detecção do Abuso de Substâncias/métodos , Administração por Inalação , Administração Oral , Alucinógenos/administração & dosagem , Alucinógenos/urina , Humanos , Ácidos Indolacéticos/análise , Ácidos Indolacéticos/urina , N,N-Dimetiltriptamina/administração & dosagem , Óxidos/análise , Óxidos/urinaRESUMO
N,N-Dimethyltryptamine (DMT) was given (ip) in different doses (0.25, 0.5, 1.0, 2.0, 4.0, 8.0 mg/kg) in a randomized order to a group of ten rats (Fisher 344/Mai) who were trained to a high, stable base line of conditioned avoidance responding in the shuttlebox. DMT produced dose-dependent disruptive effects, as a sigmoid function, with 1.0 mg/kg the minimal dose causing disruption and progressively more disruption with increasing doses, reaching a plateau at the highest dose. The disruptive effects were time-related, with onset and peak 8 min after injection, gradual decline thereafter, and disappearance by about 25-30 min. Both the threshold dose and time course for the disruptive effects correspond closely to what has been previously reported for DMT's psychological effects in humans.
Assuntos
Aprendizagem da Esquiva/efeitos dos fármacos , Condicionamento Clássico/efeitos dos fármacos , N,N-Dimetiltriptamina/farmacologia , Triptaminas/farmacologia , Animais , Relação Dose-Resposta a Droga , Eletrochoque , Reação de Fuga/efeitos dos fármacos , Masculino , N,N-Dimetiltriptamina/administração & dosagem , Ratos , Ratos Endogâmicos F344 , Fatores de TempoRESUMO
Drugs such as PCP and MK-801 can cause psychotic reactions in humans by antagonizing NMDA receptors. This action is ultimately toxic to certain cortical neurons and may be one mechanism underlying neurodegenerative diseases, including schizophrenia. It has been reported that hallucinogens such as LSD, DOM, and DOI can block the neurotoxic effects of NMDA antagonists, possibly by activating inhibitory 5-HT2A receptors on GABAergic interneurons that normally inhibit glutamatergic projections to the retrosplenial and cingulate cortexes. The purpose of this experiment was to determine the extent to which similar drugs might also alter the behavioral effects of one NMDA antagonist, PCP. Rats were trained to discriminate this compound (2.5 mg/kg) from saline and were then given a series of antagonist tests. It was found that LSD (0.32 mg/kg) and DOM (4.0 mg/kg) blocked the PCP cue completely; DMT (8.0 mg/kg) and a structural congener of LSD, lisuride (LHM; 0.4 mg/kg), blocked the effects of PCP partially. The 5-HT/DA antagonists spiperone and ritanserin had no effect on the PCP cue. These data suggest that LSD, DOM, and, less effectively, DMT and LHM can block the behavioral as well as the neurotoxic effects of NMDA antagonists most likely through agonist actions at 5-HT2 receptors.
Assuntos
Aprendizagem por Discriminação/efeitos dos fármacos , Aprendizagem por Discriminação/fisiologia , Fenciclidina/antagonistas & inibidores , 2,5-Dimetoxi-4-Metilanfetamina/administração & dosagem , Animais , Encéfalo/efeitos dos fármacos , Relação Dose-Resposta a Droga , Combinação de Medicamentos , Lisurida/administração & dosagem , Dietilamida do Ácido Lisérgico/administração & dosagem , Masculino , N,N-Dimetiltriptamina/administração & dosagem , Ratos , Ratos Sprague-Dawley , Ritanserina/administração & dosagem , Espiperona/administração & dosagem , Fatores de TempoRESUMO
A comparison of the brain levels (microgram/g wet weight of tissue) of the hallucinogen N,N-dimethyltryptamine (DMT) and its deuterated analog alpha, alpha, beta, beta-tetradeutero-DMT (D4DMT) as a function of time and dose is reported. It was observed that the presence of deuterium in the alpha- and beta-positions of the ethylamine side-chain led to a potentiation of the level of DMT in brain. Strikingly different dynamics of uptake and clearance were also noted. We propose that these results are due to primary kinetic isotope effect, illustrating the importance of the alpha-position in the metabolism of DMT.
Assuntos
Química Encefálica/efeitos dos fármacos , N,N-Dimetiltriptamina/metabolismo , Triptaminas/metabolismo , Animais , Deutério , Cromatografia Gasosa-Espectrometria de Massas , Injeções Intraperitoneais , Cinética , Masculino , N,N-Dimetiltriptamina/administração & dosagem , RatosRESUMO
The processes involved in habituation and the various ways drugs might affect habituation are discussed. Exploration was measured in a holehoard and N,N-Dimethyltryptamine (DMT, 4 mg/kg) profoundly reduced the level of exploration, precluding any conclusions about the rate of habituation with this dose. However, both 2 and 4 mg/kg doses prevented the 24-hr retention of habituation of exploration. DMT (2 and 4 mg/kg) did not reduce the initial distraction to a tone stimulus, but the rate of habituation and its 24-hr retention was impaired.