Mystery surrounds hallucinatory chaos at German homeopathy conference


2C-E was one of the hundreds of drugs synthesised by Alexander Shulgin, who was known as the ‘godfather of ecstasy’. Photograph: Scott Houston/Corbis

Police investigating a mass intoxication of a homeopathy conference in Germany with psychedelic drugs have said they still do not know nearly a week later whether it was an accident or an experiment gone wrong.

Emergency services called to the meeting in Handeloh, south of Hamburg, found a group of 29 alternative healers hallucinating, staggering around, groaning and rolling on the grass.

Police spokesman Lars Nicklesen said on Thursday that investigators believe a psychedelic drug was to blame but remain unsure of how or why it was taken. The delegates are now all out out of physical danger, he said, but there may yet be legal consequences for the healers in the course of the ongoing criminal investigation.

“We’re now questioning the delegates and awaiting the results of blood and urine tests,” he said. “We still don’t know if they took the drugs on purpose. The question is whether they want to talk about it; they have the right to remain silent.”

Nicklesen added that police suspect the group took 2C-E, known in Germany as Aquarust, a drug which heightens perceptions of colours and sounds and in higher doses triggers hallucinations, psychosis and severe cramps.

Germany’s health ministry banned the drug last year due to its highly addictive nature and unknown side effects.

The homeopaths’ meeting – billed as a “further education seminar” – was suspended shortly after it started when delegates began experiencing psychotic hallucinations, cramps, racing heartbeats and shortage of breath. One of them alerted the emergency services.

Alarmed by the sight of so many grown men and women rolling around on the floor, the first fire crews on the scene called for backup, triggering a major incident response. A total of 160 police, fire crews, and ambulance staff and a helicopter were involved in the four hour operation to treat the group.

“It was great that none of the people were in mortal danger in the end”, said fire service spokesman Matthias Köhlbrandt. “The leading emergency doctor at the scene believed they would all recover without lasting damage.”

Unsure of what they had taken, medical staff gave the homeopaths oxygen on site before transferring them to seven different nearby hospitals.

The Hamburger Abendblatt newspaper reported that in one clinic, the Asklepios in Harburg, hallucinating patients had to be strapped down to a bed to prevent them causing danger to others. “They were completely off their heads,” a spokesman for the clinic said.

Staff at the conference centre were unable to shed light on the mystery as they had all gone home at the time of the incident. “We’re absolutely shocked, we’ve only had good experiences in the past with the group,” a spokeswoman for the Tanzheimat Inzmühlen conference centre told the Hamburger Abendblatt.

The Association of German Healing Practitioners was quick to distance itself from the incident and emphasised that hallucinogenic drugs had no place in the study of homeopathy. “If I find out that one of our members took part [in what happened in Handeloh] then they will be excluded from the association,” Heinz Kropmanns, the association president, told NDR.

The drug 2C-E was one of hundreds synthesised by the American chemist Alexander Shulgin. The scientist, who died in 2014, and had become known as the godfather of ecstasy after he introduced MDMA to psychotherapists on the US west coast in the late 1970s.

http://www.theguardian.com/science/2015/sep/10/homeopathy-conference-in-germany-goes-awry-as-delegates-take-lsd-like-drug

Thanks to Kebmodee for bringing this to the It’s Interesting community.

How LSD works in the brain

by Natalie Wolchover

The main theory of psychedelics, first fleshed out by a Swiss researcher named Franz Vollenweider, is that drugs like LSD and psilocybin, the active ingredient in “magic” mushrooms, tune down the thalamus’ activity. Essentially, the thalamus on a psychedelic drug lets unprocessed information through to consciousness, like a bad email spam filter. “Colors become brighter , people see things they never noticed before and make associations that they never made before,” Sewell said.

LSD, or acid, and its mind-bending effects have been made famous by pop culture hits like “Fear and Loathing in Las Vegas,” a film about the psychedelic escapades of writer Hunter S. Thompson. Oversaturated colors, swirling walls and intense emotions all supposedly come into play when you’re tripping. But how does acid make people trip?

Life’s Little Mysteries asked Andrew Sewell, a Yale psychiatrist and one of the few U.S.-based psychedelic drug researchers, to explain why LSD short for lysergic acid diethylamide does what it does to the brain.

His explanation begins with a brief rundown of how the brain processes information under normal circumstances. It all starts in the thalamus, a node perched on top of the brain stem, right smack dab in the middle of the brain. “Most sensory impressions are routed through the thalamus, which acts as a gatekeeper, determining what’s relevant and what isn’t and deciding where the signals should go,” Sewell said.

“Consequently, your perception of the world is governed by a combination of ‘bottom-up’ processing, starting … with incoming signals, combined with ‘top-down’ processing, in which selective filters are applied by your brain to cut down the overwhelming amount of information to a more manageable and relevant subset that you can then make decisions about.

“In other words, people tend to see what they’ve been trained to see, and hear what they’ve been trained to hear.”

The main theory of psychedelics, first fleshed out by a Swiss researcher named Franz Vollenweider, is that drugs like LSD and psilocybin, the active ingredient in “magic” mushrooms, tune down the thalamus’ activity. Essentially, the thalamus on a psychedelic drug lets unprocessed information through to consciousness, like a bad email spam filter. “Colors become brighter , people see things they never noticed before and make associations that they never made before,” Sewell said.

n a recent paper advocating the revival of psychedelic drug research, psychiatrist Ben Sessa of the University of Bristol in England explained the benefits that psychedelics lend to creativity. “A particular feature of the experience is … a general increase in complexity and openness, such that the usual ego-bound restraints that allow humans to accept given pre-conceived ideas about themselves and the world around them are necessarily challenged. Another important feature is the tendency for users to assign unique and novel meanings to their experience together with an appreciation that they are part of a bigger, universal cosmic oneness.”

But according to Sewell, these unique feelings and experiences come at a price: “disorganization, and an increased likelihood of being overwhelmed.” At least until the drugs wear off, and then you’re left just trying to make sense of it all.

http://www.livescience.com/33167-how-acid-lsd-make-people-trip.html?li_source=pm&li_medium=most-popular&li_campaign=related_test

Should psychedelics be declassified in order to examine their therapeutic potential in some forms of mental illness?

Psychedelics were highly popular hallucinogenic substances used for recreational purposes back in the 1950s and 1960s. They were also widely used for medical research looking into their beneficial impact on several psychiatric disorders, including anxiety and depression. In 1967, however, they were classified as a Class A, Schedule I substance and considered to be among the most dangerous drugs with no recognized clinical importance. The use of psychedelics has since been prohibited.

Psychiatrist and honorary lecturer at the Institute of Psychiatry, Psychology and Neuroscience, at Psychiatrist and honorary lecturer at the Institute of Psychiatry, Psychology and Neuroscience, at King’s College London, James Rucker, MRCPsych, is proposing to reclassify and improve access to psychedelics in order to conduct more research on their therapeutic benefits. He believes in the potential of psychedelics so much that late last month he took to the pages of the prestigious journal the BMJ to make his case. He wrote that psychedelics should instead be considered Schedule II substances which would allow a “comprehensive, evidence based assessment of their therapeutic potential.”

“The Western world is facing an epidemic of mental health problems with few novel therapeutic prospects on the horizon,” Rucker told Psychiatry Advisor, justifying why studying psychedelics for treating psychiatric illnesses is so important.

Rucker recognizes that the illicit substance may be harmful to some people, especially when used in a recreational and uncontrolled context. He cited anecdotal reports of the substance’s disabling symptoms, such as long-term emotionally charged flashbacks. However, he also believes that psychedelic drugs can have positive outcomes in other respects.

“The problem at the moment,” he argued, “is that we don’t know who would benefit and who wouldn’t. The law does a good job of preventing us from finding out.”

From a biological perspective, psychedelics act as an agonist, a substance that combines with a receptor and initiates a physiological response to a subtype of serotonin known as 5HT2a. According to Rucker, this process influences the balance between inhibitory and excitatory neurotransmitters.

“The psychedelics may invoke a temporary state of neural plasticity within the brain, as a result of which the person may experience changes in sensory perception, thought processing and self-awareness,” Rucker speculated. He added that psychedelic drugs can act as a catalyst that stirs up the mind to elicit insights into unwanted cycles of feelings, thoughts and behaviors.

“These cycles can then be faced, expressed, explored, interpreted, accepted and finally integrated back into the person’s psyche with the therapist’s help,” he explained. Reclassifying psychedelics could mean that the mechanism by which these substances can help with anxiety, depression and psychiatric symptoms could be studied and understood better.

Several experts in the field of drug misuse have disagreed strongly with Rucker’s proposals in this area, and are quick to refute his findings and recommendations. Nora Volkow, MD, director of the National Institute on Drug Abuse (NIDA), emphasized the fact that psychedelics can distort a person’s perception of time, motion, colors, sounds and self. “These drugs can disrupt a person’s ability to think and communicate rationally, or even to recognize reality, sometimes resulting in bizarre or dangerous behavior,” she wrote on a NIDA webpage dealing with hallucinogens and dissociative drugs.

“Hallucinogenic drugs are associated with psychotic-like episodes that can occur long after a person has taken the drug,” she added. Volkow also says that, despite being classified as a Schedule I substance, the development of new hallucinogens for recreational purposes remains of particular concern.

Rucker has several suggestions to help mediate the therapeutic action of the drug during medical trials, and thereby sets out to rebut the concerns of experts such as Volkow. When a person is administered a hallucinogen, they experience a changed mental state. During that changed state, Rucker points out, it is possible to control what he describes as a “context,” and thereby make use of the drug more safe.

According to Rucker, the term “context” is divided into the “set” and the “setting” of the drug experience. “By ‘set,’ I mean the mindset of the individual and by ‘setting’ I mean the environment surrounding the individual,” he explained.

To prepare the mindset of the person, Rucker said that a high level of trust between patient and therapist is essential. “A good therapeutic relationship should be established beforehand, and the patient should be prepared for the nature of the psychedelic experience,” he suggested. The ‘setting’ of the drug experience should also be kept closely controlled — safe, comfortable and low in stress.

It is also necessary to screen participants who undergo the drug experience in order to minimize the risk of adverse effects. Rucker suggested screening patients with an established history of severe mental illness, as well as those at high risk of such problems developing. It is also important to screen the medical and drug history of participants.

“The action of psychedelics is changed by many antidepressant and antipsychotic drugs and some medications that are available over the counter, so a full medical assessment prior to their use is essential,” he said.

In order to avoid the danger of addiction, psychedelics should be given at most on a weekly basis. Indeed, for many patients, very few treatments should be required. “The patient may need only one or two sessions to experience lasting benefits, so the course should always be tailored to the individual,” Rucker advised.

If there are any adverse effects during the psychedelic experience, a pharmacological antagonist or antidote to the drug can be administered to immediately terminate the experience. “This underlines the importance of medical supervision being available at all times,” Rucker noted.

Psychedelics are heavily influenced by the environment surrounding the drug experience. Rucker is proposing they be administered under a controlled setting and with a trusted therapist’s supervision. Together with a reclassification of the drug, medical research could generate a better understanding and application of the benefits of psychedelics to mental health.

1.Rucker JJH. Psychedelic drugs should be legally reclassified so that researchers can investigate their therapeutic potential. BMJ. 2015; 350:h2902.

http://www.bmj.com/content/350/bmj.h2902/related

Brief History of 8 Hallucinogens

Humans have been ingesting mind-altering substances for a very long time. Hallucinogen-huffing bowls 2,500 years old (http://www.livescience.com/5240-ancient-family-heirlooms-snort-hallucinogens.html) have been found on islands in the Lesser Antilles, and traditional cultures from the Americas to Africa use hallucinogenic substances for spiritual purposes. Here are some notable substances that send the mind tripping.

LSD is commonly known as “acid,” but its scientific name is a mouthful: lysergic acid diethylamaide. The drug was first synthesized in 1938 from a chemical called ergotamine. Ergotamine, in turn, is produced by a grain fungus that grow on rye.

LSD was originally produced by a pharmaceutical company under the name Delysid, but it got a bad reputation in the 1950s when the CIA decided to research its effects on mind control. The test subjects of the CIA project MKULTRA proved very difficult to control indeed, and many, like counter-culture writer Ken Kesey, started taking the drug for fun (and for their own form of 1960s enlightenment).

ayahuasca-vine-110929

Ayahuasca is a hallucinatory mixture of Amazonian infusions centered around the Banisteriopsis caapi vine. The brew has long been used by native South American tribes for spiritual rituals and healing, and like other hallucinogens, ayahuasca often triggers very intense emotional experiences (vomiting is also common). In 2006, National Geographic writer Kira Salak described her experience with ayahuasca in Peru for the magazine.

” I will never forget what it was like. The overwhelming misery. The certainty of never-ending suffering. No one to help you, no way to escape. Everywhere I looked: darkness so thick that the idea of light seemed inconceivable,” Salak wrote. “Suddenly, I swirled down a tunnel of fire, wailing figures calling out to me in agony, begging me to save them. Others tried to terrorize me. ‘You will never leave here,’ they said. ‘Never. Never.'”

Nonetheless, Salak wrote, when she broke free of her hallucinations, her crippling depression was alleviated. It’s anecdotal experiences like this that have led researchers to investigate the uses of hallucinogens as therapy for mental disorders such as anxiety, depression and post-traumatic stress disorder.

Peyote is a cactus that gets its hallucinatory power from mescaline. Like most hallucinogens, mescaline binds to serotonin receptors in the brain, producing heightened sensations and kaleidoscopic visions.

Native groups in Mexico have used peyote in ceremonies for thousands of years, and other mescaline-producing cacti have long been used by South American tribes for their rituals. Peyote has been the subject of many a court battle because of its role in religious practice; currently, Arizona, Colorado, New Mexico, Nevada and Oregon allow some peyote possession, but only if linked to religious ceremonies, according to Arizona’s Peyote Way Church of God.

The “magic” ingredient in hallucinogenic mushrooms is psilocybin, a compound that breaks down into psilocin in the body. Psilocin bonds to serotonin receptors all over the brain, and can cause hallucinations as well as synesthesia, or the mixture of two senses. Under the influence, for example, a person might feel that they can smell colors.

In keeping with the human tradition of eating anything that might alter your mind, people have been ingesting psilocybin-continuing mushrooms for thousands of years. Synthetic psilocybin is now under study as a potential treatment for anxiety, depression and addiction.

Best known by its street name, “angel dust,” PCP stands for phencyclidine. The drug blocks receptors in the brain for the neurotransmitter glutamate. It’s more dangerous than other hallucinogens, with schizophrenia-like symptoms and nasty side effects.

Those side effects are why PCP has no medical uses. The drug was tested as an anesthetic in the 1950s and used briefly to knock out animals during veterinary surgeries. But by the 1960s, PCP had hit the streets and was being used as a recreation drug, famous for the feelings of euphoria and invincibility it bestowed on the user. Unfortunately, a side effect of all that euphoria is sometimes truly destructive behavior, including users trying to jump out of windows or otherwise self-mutilating. Not to mention that high enough doses can cause convulsions.

Derived from the African iboga plant, ibogaine is another hallucinogen with a long history of tribal use. More recently, the drug has shown promise in treating addiction, although mostly in Mexico and Europe where ibogaine treatment is not prohibited as it is in the U.S.

Using ibogaine as therapy is tricky, however. The drug can cause heart rhythm problems, and vomiting is a common side effect. The Massachusetts-based Multidisciplinary Association for Psychedelic Research (MAPS) reports that an estimated 1 in 300 ibogaine users die due to the drug. The group is studying the long-term effects of ibogaine on patients in drug treatment programs in New Zealand and Mexico.

Salvia divinorum, also known as seer’s or diviner’s sage, grows in the cloud forest of Oaxaca, Mexico. The native Mazatec people have long used tea made out of the leaves in spiritual ceremonies, but the plant can also be smoked or chewed for its hallucinogenic effects.

Salvia is not currently a controlled substance, according to the National Institute on Drug Abuse, but it is under consideration to be made illegal and placed in the same drug class as marijuana.

Ecstasy, “E” or “X” are the street names for MDMA, or (get ready for a long one) 3,4-methylenedioxymethamphetamine. The drug acts on serotonin in the brain, causing feelings of euphoria, energy and distortions of perception. It can also nudge body temperatures up, raising the risk of heat stroke. Animal studies suggest that MDMA causes long-term and potentially dangerous changes in the brain, according to the National Institute on Drug Abuse.

MDMA was first synthesized by a chemist looking for substances to stop bleeding in 1912. No one paid the compound much mind for the next half-decade, but by the 1970s, MDMA had hit the streets. It was popular at raves and nightclubs and among those who liked their music psychedelic. Today, ecstasy is still a common street drug, but researchers are investigating whether MDMA could be used to treat post-traumatic stress disorder and cancer-related anxiety.

http://www.livescience.com/16286-hallucinogens-lsd-mushrooms-ecstasy-history.html

End The War On Drugs, Say Nobel Prize-Winning Economists

war_on_drugs_thumb

The decades-long global war on drugs has failed and it’s time to shift the focus from mass incarceration to public health and human rights, according to a new report endorsed by five Nobel Prize-winning economists.

The report, titled “Ending the Drug Wars” and put together by the London School of Economics’ IDEAS center, looks at the high costs and unintended consequences of drug prohibitions on public health and safety, national security and law enforcement.

“The pursuit of a militarized and enforcement-led global ‘war on drugs’ strategy has produced enormous negative outcomes and collateral damage,” says the 82-page report. “These include mass incarceration in the US, highly repressive policies in Asia, vast corruption and political destabilization in Afghanistan and West Africa, immense violence in Latin America, an HIV epidemic in Russia, an acute global shortage of pain medication and the propagation of systematic human rights abuses around the world.”

The report urges the world’s governments to reframe their drug policies around treatment and harm reduction rather than prosecution and prison.

It is also aimed at the United Nations General Assembly, which is preparing to convene a special session on drug policy in 2016. The hope is to push the U.N. to encourage countries to develop their own policies, because the report declares the current one-size-fits-all approach has not proved to be effective.

“The UN must recognize its role is to assist states as they pursue best-practice policies based on scientific evidence, not undermine or counteract them,” said Danny Quah, a professor of economics at LSE and a contributor to the report. “If this alignment occurs, a new and effective international regime can emerge that effectively tackles the global drug problem.”

In addition to contributions from Quah and a dozen other foreign and drug policy experts, the report has been endorsed by five past winners of the Nobel Prize in Economics: Kenneth Arrow (1972), Sir Christopher Pissarides (2010), Thomas Schelling (2005), Vernon Smith (2002) and Oliver Williamson (2009). Also signing on to the report’s foreword are a number of current and former international leaders, including George Shultz, secretary of state under President Ronald Reagan; Nick Clegg, British deputy prime minister; and Javier Solana, the former EU high representative for common foreign and security policy.

Guatemalan President Otto Perez Molina, who has announced that his government may present a plan to legalize production of marijuana and opium poppies by the end of 2014, has also publicly backed the report. Molina plans to discuss the report at the U.N.

A recent Pew survey suggests that Americans may be ready to refocus the U.S. end of the drug war, with 67 percent favoring policies that would provide drug treatment.

“The drug war’s failure has been recognized by public health professionals, security experts, human rights authorities and now some of the world’s most respected economists,” said John Collins, the International Drug Policy Project coordinator at LSE IDEAS. “Leaders need to recognize that toeing the line on current drug control strategies comes with extraordinary human and financial costs to their citizens and economies.”

http://www.huffingtonpost.com/2014/05/06/end-drug-war_n_5275078.html?utm_hp_ref=politics

Thanks to Dr. Lutter for bringing this to the attention of the It’s Interesting community.

LSD used as drug therapy for the first time in 40 years

Swiss scientists broke a four-decade-long informal ban on LSD research yesterday when they announced the results of a study in which cancer patients received the drug to curb their anxiety about death.

The study, which was published in the Journal of Nervous and Mental Disease, looked at the safety and efficacy of LSD when used in combination with talk therapy. The researchers used the semisynthetic psychedelic drug to facilitate discussions about the cancer patients’ fears of dying. The patients who took LSD, most of whom were terminally ill, experienced 10-hour-long supervised “trips.” One patient described the trips to The New York Times as a “mystical experience,” where “the major part was pure distress at all the memories I had successfully forgotten for decades.”

These periods of distress are regarded as therapeutically valuable because they allow patients to address their memories and the emotions they evoke. The patients underwent 30 such trips over the course of two months.

A year after the sessions ceased, the patients who had received a full dose of LSD — 200 micrograms — experienced a 20 percent improvement in their anxiety levels. That was not the case for the group who received a lower dose, however, as their anxiety symptoms actually increased. They were later allowed to try the full dose after the trial had ended.

Because of the small number of study participants, the researchers are reluctant to make any conclusive statements about the LSD treatment’s effectiveness. Indeed, the results were not statistically significant. But the fact that the study took place at all bodes well for psychedelic drug research, as the drug caused no serious side effects. Rick Doblin, executive director of the Multidisciplinary Association for Psychedelic Studies, a foundation that has funded many of these studies, thinks that revisiting LSD-based treatments is worthwhile. “We want to break these substances out of the mold of the counterculture,” Doblin told The New York Times, “and bring them back to the lab as part of a psychedelic renaissance.”

http://www.theverge.com/2014/3/5/5473828/lsd-drug-therapy-first-time-in-40-years

Thanks to Jody Troupe for bringing this to the attention of the It’s Interesting community.