this post was submitted on 02 Nov 2023
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[–] ZephyrXero 22 points 1 year ago (3 children)

No one knows how they work because they've been restricted from researchers

[–] [email protected] 8 points 1 year ago* (last edited 1 year ago) (2 children)

That's just, like, you're opinion, man.

IIRC the dude that invented MDMA never took any illegal drugs, because he always made his own, one step ahead of the legislation.

MDMA is pretty wonderful though, and I wish researchers investigated it more. I'm pretty sure it doesn't actually make you feel happy or euphoric - rather, you have serotonin and other "happy chemicals" in glands, and these glands are controlled biochemically to open and close. I think MDMA inhibits the closing mechanism.

So, if you're on MDMA, you'll basically have a normal time of it up until something makes you feel happy - the glands will open, but then the MDMA prevents them from closing, so you keep feeling that same measure of happy. If you're out in a nightclub listening to bangin music with a bunch of lasers and smoke, you're gonna have this euphoric and epic high, whereas if you're just chilling with friends in a calm house party you'll have this calm but also amplified, lovey-dovey high. MDMA isn't what makes you happy, it just lets the happy roll on. Happy happens.

This is markedly different from other drugs, which directly affect you. Nicotine makes your synapses fire faster. Opioides distract you from pain. Cocaine turns you into a coke hoarding asshole. Then, when you're off the drug you don't work properly without it. Taking more MDMA won't make you feel better again, because you've already depleted the thing that was actually making you feel good. MDMA just made you feel more good at the time.

[–] [email protected] 8 points 1 year ago* (last edited 1 year ago) (1 children)

Happy chemical glands. That is almost correct, but the mechanism is very different.

Think of it like this, specifically for SSRIs and psychedelics: Different drugs will bind to receptors in the brain that would normally be triggered by serotonin. Psilocybin, DMT, serotonin, melatonin, etc, are all basically the same "shape" as tryptamine, a precursor to most of those. The effects of different chemicals finding a place in serotonin specific receptors that have the same shape can be wildly different than serotonin.

To use a car analogy, its like putting pure ethanol in your fuel tank instead of gasoline. They are both flammable liquids that you can pour into your car as fuel, but they burn at completely different rates and can alter performance significantly.

What this does as far as serotonin is concerned, is that serotonin is more widely available to the rest of your brain. In the case of antidepressants like SSRIs, they function the same way but only bind with specific receptors and don't cause you to get high and trip. This allows serotonin to be more evenly used across the brain, in a manner of speaking.

As far as tolerance is concerned, different drugs will bind to receptors in different ways. Once you have "saturated" a receptor, it takes a while for it to be ready for another round. Psilocybin and even ketamine are being shown to be hundreds of times more potent than common SSRIs (in some ways), so it takes a while for those affected neurons to "recover". It's not that you have depleted your serotonin, it's just that natural serotonin has fewer places to bind to.

It's very important to realize this distinction. Combining SSRIs with other drugs can cause an extreme excess of serotonin in your noggin. Serotonin has no place to go so it builds up and causes a condition called serotonin syndrome. It's not a good thing and can be fatal.

My explanation absolutely does not cover all the details. However, it is just supposed to be a shift in how you think about how these chemicals work.

[–] [email protected] 2 points 1 year ago (1 children)

specifically for SSRIs and psychedelics

Would you group MDMA in this classification? I don't think MDMA is an SSRI.

"Psychedelic" is also a much more wide ranging classification. MDMA isn't really a psychedelic.

SSRI's directly affect the body's absorption of serotonin, meaning serotonin lingers around more. My hypothesis is that MDMA affects the release of serotonin, specifically it sustains the natural release for longer.

[–] [email protected] 3 points 1 year ago* (last edited 1 year ago) (1 children)

MDMA is classified as an amphetamine. It has some characteristics of a psychedelic as it is similar, structurally, to mescaline. You get the speedy effects as well as trippy effects, basically. It has a more distributed effect on dopamine and serotonin receptors but the concept is basically the same as far as how neurons "interpret" drugs.

In the case of MDMA, it does increase serotonin, dopamine and noradrenaline levels. So, by using your gland analogy with MDMA makes more sense in that these chemicals will be depleted and can leave you feeling like garbage the next day. Combine that with how neurons "see" different drugs, and that is more of a complete picture. You can only force feed your brain so many neurotransmitters before it needs to recover.

Serotonin syndrome is also a risk with MDMA. Not only are your neurons making more serotonin, it may not have a place to go.

[–] [email protected] 5 points 1 year ago (2 children)

Yes, MDMA is an amphetamine, as per the name. However it is significantly different to mescaline, which has an extra functional group off the carbon ring. In 2D the molecules look very similar, but in 3D they're very, very different, and as such their function differs also. Mescaline is hallucinogenic, MDMA is not particularly so.

I'd be hesitant to attribute speedy effects to MDMA, in particular with tablet form, in which various drugs tend to be mixed. MDMA in pure form has nowhere near the same stimulant effect as speed, or ecstacy pills laced with speed or whatever else.

I don't think MDMA alone is likely to cause serotonin syndrome, however mixing it with SSRI's most definitely would be a high risk. Rather, the common issue with MDMA, particularly with excessive use over time, is serotonin depletion.

[–] [email protected] 4 points 1 year ago

Chemical discussions aside, MDMA cut with other drugs is nasty. The hangovers from mixed MDMA are horrid, to say the least. More days of my youth than I would like to admit were spent in bed because of that trash.

Risk is risk. I hope that someone reads our discussion to be more familiar with those risks, TBH. Drugs are drugs, and drugs affect people in different ways.

But sorry if I got distracted with psychedelics rather than MDMA. I haven't read into MDMA in a while. I have been so entrenched in the mushroom world for a bit that everything reads like a conversation about psychedelics. (That spawned a yet another hobby of growing gourmet and medicinal mushrooms, but I digress.)

[–] [email protected] 2 points 1 year ago* (last edited 1 year ago) (1 children)

I've done MDMA many times, and unless I got it contaminated the same way every time, it definitely has a strong stimulant effect.

I should probably note that I did a reagent test on many of the batches I got, so I'm fairly confident it was the real thing.

[–] [email protected] 1 points 1 year ago (1 children)

It has some stimulant effects, yes, but it's not as strong as speed and relatively weak compared to other amphetamines.

[–] [email protected] 1 points 1 year ago

Not as long lasting. "Not as strong" really depends on the dose. I take Adderall now and it's a lot milder than when I did MDMA.

[–] havokdj 2 points 1 year ago

Drugs were not regulated at all when MDMA was invented, but when Shulgin rediscovered it, drugs were at the very early stages of prohibition.

I should make this very clear about MDMA though, I think people should try it, but MDMA you should be careful with. MDMA is one of the least sustainable drugs to abuse, but the effects it can have if you abuse it, are life-long. At the very least you can lose the magic which is usually permanent.

It is definitely a state that is meant to be respected. If you want to take something similar to MDMA more often, I'd recommend 2CB although you'll have a clearer headspace on that.

[–] [email protected] 6 points 1 year ago

Yes, but the brain is an extremely complicated thing. Data was just released showing 3,300 new types of brain cells. This is relatively new information that was likely only discovered with newer technology. (In some cases, we knew about these cells, but they were ignored as irrelevant.) Even without mentioning psychedelics, it's going to take us years to understand how the brain functions.

To your point, we could have been so much farther ahead with our research and understanding. It is actually quite depressing to think that this kind of research was restricted because of politics.

FWIW, I am a massive supporter of using psychedelic treatments. From my own use, I believe I was able to completely break out of nasty cycles of anxiety and depression. It's not for everyone and it has its own risks, for sure.

[–] AgentOrangesicle 0 points 1 year ago

Hot take, but hurtfully inaccurate. It's worth looking at the research on hallucinogenic Tryptamines. DMT naturally exists in the brain and is used during R.E.M. sleep.