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  • DMT is an intense naturally-occurring psychedelic that's been taken for centuries.

  • The drug is typically used via inhalation or is taken orally in the form of an ayahuasca-like

  • preparation.

  • Although it's not as popular as LSD or psilocybin, it is a widely discussed and used psychedelic.

  • DMT is also present endogenously in the human body.

  • As always, there will be more information and links to references on TheDrugClassroom.com

  • which you can find using the link below.

  • Among the potential positive effects are closed and open eye visuals, spiritual or otherwise

  • meaningful experiences, euphoria, mood lift, and auditory hallucinations.

  • The negative effects can include increased heart rate, increased blood pressure, fear,

  • anxiety, and paranoia.

  • Although I won't fully discuss ayahuasca here, it does come with some other common effects

  • that may be considered negative such as vomiting, diarrhea, and nausea.

  • DMT's effects depend on the dose, though the vast majority of attention is given to its

  • peak effects.

  • At low doses, it might provide some mood effects, such as anxiolysis and mood elevation.

  • These doses typically aren't very hallucinogenic, but they can lead to objects vibrating, items

  • becoming more colorful, and the appearance of slight geometric patterns.

  • More complete doses come with effects that are highly variable between users, but some

  • parts of the experience can be placed into typical groups.

  • Multiple proposals have been made regarding how to group the effects and experiences.

  • One commonality between them is that the lowest or initial stage of an experience contains

  • colorful geometry of increasing prominence in the visual field and behind closed eyes.

  • A step up from this is the progression to being immersed in what seems like a different

  • world.

  • Sometimes a further peak experience of white light and euphoria is obtained, although the

  • immersion into another world is the most commonly discussed experience.

  • Depending on dose and individual response, you may only reach the initial stage.

  • Although you can group the effects, the actual contents of a full immersive experience differ

  • between users.

  • Here are some of the common elements:

  • A full replacement of normal reality with an "alternate universe."

  • The universe can include visual objects and even seemingly sentient, intelligent, or powerful

  • entities that sometimes interact with the user.

  • Regardless of eyes being closed or open there is rapidly changing "kaleidoscopic" imagery.

  • A feeling of euphoria is often present following an initial period of anxiety.

  • Some users report laughter, calmness, or a feeling of joy.

  • Although it's possible to experience significant anxiety and fear during the entire experience.

  • And other users don't report any discernible feelings during the peak effects.

  • There's also a dissociation from the body and, when your eyes are closed in particular,

  • a disconnection from normal reality.

  • This can mean no longer feeling your body and sometimes at least a partial disconnection

  • from "self" occurs as well.

  • Disconnecting from the "self" or your mind may include an absence of thoughts or a temporary

  • lack of personal memories.

  • Lastly, another common element is that people report the experience feels as real or more

  • real than normal reality or dreaming.

  • Not all of these effects appear for everyone, but they're a general outline of a full DMT

  • experience.

  • There's also a pretty typical progression of the experience with a full dose.

  • Initially there's a "rush" phase during which you may feel disoriented and like you're being

  • rocketed to a new location.

  • Your head may feel like it's intensely vibrating.

  • This can be accompanied by a sound, usually of a high-pitch, such as a whine.

  • This initial period is often filled with transient anxiety brought on by the intensity of the

  • effect.

  • The rush progresses towards a detachment or dissociation from the body and normal reality.

  • People sometimes remain partly connected to normal reality with their eyes open, depending

  • on the dose.

  • The "rush" is followed either by a full breakthrough experience or first by a brief waiting period.

  • When the waiting period is present, which it isn't for everyone, it may be filled with

  • colors and a sense that an experience is about to unfold.

  • Users can feel like they're moving, such as heading down a tunnel.

  • And the internal feeling and progression is sometimes described like that of a rollercoaster.

  • When it comes to the contents of a full experience, it's difficult to give a description.

  • As was previously noted, there are often impressive geometric patterns and incredibly bright or

  • intense colors.

  • There can also be non-earth landscapes and environments.

  • Euphoria is a common feeling, along with a sense of wonder, amazement, and confusion.

  • A few general categories for the type of experiences someone can have were put forth by Rick Strassman,

  • who carried out DMT research.

  • The first is "personal," which are experiences based around personal issues, which might

  • be difficult to accept.

  • The second is "transpersonal," which are novel experiences in terms of quality and intensity

  • but they have some basis in the subject's previous experience.

  • Mystical and near-death-type experiences may be grouped in this category.

  • And the third is "invisible worlds," which involve encounters with autonomous, freestanding

  • realities seemingly inhabited by alien beings capable of interaction.

  • Strassman reported that around half of volunteers receiving a high dose of DMT reported an "invisible

  • worlds" experience at least once.

  • Just to give an idea of the range of things witnessed during the experiences, people have

  • reported everything from "high-tech machine-like objects" to "a ballroom with crystal chandeliers"

  • to "circus imagery."

  • A key component of many experiences is ineffability, or the inability to describe the effects with

  • language.

  • Not only can people struggle to impart their experiences onto others, they themselves may

  • recall just a small portion of what was experienced.

  • This is often because there's an overwhelming amount of data in the form of feelings or

  • visual perception.

  • Entities are clearly an interesting part of the experience.

  • They don't always appear and many people use DMT without encountering them, but they are

  • frequently reported.

  • Again, there's massive variation.

  • People come back describing the entities as elves, spirits, gods, dwarfs, reptiles, insects,

  • mantises, stick figures, and sometimes just an unseen but felt "presence."

  • Those descriptions typically aren't meant to be precise.

  • For example, if someone describes "elves," that's largely due to it being the best available

  • term.

  • It's not because the elves people usually think of are exactly what was seen.

  • These things may interact in the form of welcoming the user, laughing, or seemingly imparting

  • some sort of wisdom.

  • They may also just probe or examine the user.

  • And sometimes they don't even acknowledge the user.

  • Although the entities are more often described as benign and even helpful, they can sometimes

  • be persecutory and antagonistic.

  • Users tend to have the feeling that these beings are not a part of themselves, but this

  • may very well just be a feeling.

  • While people are under the influence, they usually don't move much or at all.

  • Sometimes deep breathing is present, the user's mouth may be partly open, and there can be

  • REM-like movements behind the eyelids.

  • The main acute negative psychological effects are anxiety and confusion.

  • Paranoia, including feeling like you or others are being controlled by an outside force,

  • is also sometimes encountered.

  • These effects normally fade away quickly, but you should definitely be cautious when

  • it comes to using the drug.

  • Ayahuaca will be fully explored in a separate video, but since DMT is a key component of

  • it, I'll briefly mention it.

  • The term traditionally refers to Banisteriopsis caapi, though it's come to refer to a brew

  • made up of Caapi and Psychotria viridis, which contains DMT.

  • Using it orally lengthens the effect to 3 to 4 hours and reduces the peak intensity

  • and ineffability.

  • Although it can still be a very intense effect and it may be even more intense in terms of

  • the emotional and psychological impact.

  • Some medical applications for DMT have been explored.

  • Much of the data involves ayahuasca, which complicates matters.

  • Three areas where DMT or ayahuasca may have some efficacy are depression, anxiety, and

  • addiction.

  • But there's relatively little research in all of those cases.

  • It's worth exploring given the drug's effect and the trend towards efficacy that has been

  • shown so far.

  • The endogenous nature of the substance has led to multiple hypotheses about its potential

  • role, assuming it even has one.

  • A popular, though minimally supported hypothesis, is that it plays a role in dreaming, near-death

  • experiences, or naturally arising spiritual experiences.

  • Other proposals are that it could be an immune system modulator or a tool that helps the

  • brain survive potentially life-threatening conditions.

  • Although it was once posited to be the cause of schizophrenia and other forms of psychosis,

  • that's no longer really supported.

  • But some people still think it could have an impact on psychiatric illness.

  • Even in healthy people some proposals are that it could regulate mood and anxiety.

  • In each of these cases we need a lot more research to figure out what it might be doing.

  • One last point to round out this section is that DMT differs from other psychedelics in

  • that it effectively lacks a tolerance.

  • It's possible to use the drug multiple times per day.

  • When inhaled, DMT lasts 10 to 15 minutes and begins working in under 30 seconds.

  • Some effects may appear by 15 seconds, subsequently building to the full effect within a minute

  • or two.

  • Orally the duration is 3 to 4 hours and the onset is 30 to 45 minutes.

  • DMT is the simplest of the common tryptamine hallucinogens.

  • It is structurally similar to melatonin and serotonin.

  • It's also similar to other psychedelics, such as 5-MeO-DMT.

  • The drug is found in other animals and is widespread in the plant kingdom.

  • Among its sources are Psychotria viridis, Diplopterys cabrerana, and Mimosa tenuiflora.

  • Other plants have historically been taken intranasally, but DMT is typically a minor

  • constituent.

  • Ayahuasca is classically made with Banisteriopsis caapi and Psychotria viridis, the latter providing

  • the DMT.

  • Brews sometimes contain other hallucinogenic, stimulating, or otherwise active drugs.

  • This makes ayahuasca a more complex pharmacological substance.

  • After decades of research we now have pretty good evidence for the endogenous nature of

  • DMT.

  • It's believed to be synthesized beginning with tryptophan, which is used to form tryptamine.

  • An enzyme called INMT catalyzes the addition of methyl groups to tryptamine.

  • This leads to n-methyltryptamine and then to DMT.

  • The most important production sites for the drug are unknown.

  • INMT is expressed throughout the body, with some high level areas being the lungs, thyroid,

  • and adrenal gland.

  • Notable levels are also found in the pineal gland.

  • Although this doesn't immediately apply to humans, DMT has been detected in rat pineal

  • gland.

  • The implication of that finding is unclear and may not be particularly important.

  • DMT's primary mechanisms are serotonin receptor agonism, Sigma-1 agonism, and trace amine

  • receptor agonism.

  • Serotonin receptor agonism is probably the most important factor for the psychedelic

  • effects.

  • It binds to many serotonin receptors and is known to be an agonist at 5-HT1a, 5-HT2a,

  • and 5-HT2c.

  • 5-HT2a is likely an important mediator of the psychedelic activity, but other sites

  • could play a role.

  • DMT is known to be a Sigma-1 agonist, but how his contributes is still being worked

  • out.

  • This action might play a role in potential neuroprotective effects.

  • Although a role for Sigma-1 in psychoactivity hasn't been ruled out, there's more support

  • for physiological effects.

  • It's also not clear if Sigma-1 is relevant when DMT is at endogenous levels.

  • DMT has activity at the TAAR1 trace amine site.

  • This has been hypothesized to play a role in a regulatory action of endogenous DMT on

  • mood and cognitive functioning.

  • It could also potentially contribute to low-dose DMT's impact on mood.

  • Some of the other effects and contributing mechanisms include the following:

  • DMT has been shown to bind to the serotonin transporter and VMAT2.

  • And metabotropic glutamate receptor 2 might be an important modulatory site for psychedelic

  • activity since it influences glutamate release.

  • Research has found agonists and antagonists at this site can influence DMT's activity.

  • The drug also leads to a temporary rise in prolactin, growth hormone, and cortisol.

  • Inhalation is the most common route of administration, followed by oral when taken in an ayahuasca-like

  • manner.

  • A light inhalation dose is 10 to 20 mg, a common dose is 20 to 40 mg, and a strong dose

  • is 40 to 60 mg.

  • DMT is typically inactive orally, but it can work when combined with MAOIs, such as the

  • beta-carbolines harmine and harmaline.

  • There are a few groups for the oral preparations.

  • Ayahuasca contains Banisteriopsis caapi and Psychotria viridis.

  • Pharmahuasca contains DMT on its own along with MAOIs.

  • And anahuasca, or analog ayahuasca, uses alternative DMT and MAOI plants.

  • Analyses of ayahuasca preparations have found the average 100 milliliter dose of ayahausca

  • contains 25 to 35 mg of DMT.

  • People may use one or more dose.

  • The DMT content in ayahuasca can vary a bit.

  • This is why, at least in some cases, a ceremony leader in the Uniao de Vegetal (a syncretic

  • church that uses ayahuasca) will test a batch before it's given to other members.

  • DMT has at least been taken for centuries, most prominently in South America and the

  • Caribbean in the form of snuffs and ayahuasca-like preparations.

  • There's a record of snuff use dating back millennia, but DMT is typically a minor active

  • drug in those cases.

  • DMT's greatest historical use is in the form of ayahuasca, which has long been taken in

  • regions like Peru, Colombia, and Ecuador.

  • There are accounts as early as the 1700s of Caapi on its own or potentially in combination

  • with DMT being used.

  • Most of the reports seem to just involve Caapi, which could mean it was being taken for lesser

  • psychoactive reasons or for its emetic and purgative effects.

  • The ayahuasca vine has been widely used in the Amazon for centuries, and DMT-containing

  • brews probably stretch back centuries as well.

  • It's been taken for many reasons, including to receive help from protective spirits, to

  • receive insight into the causes and cures of disease, to see the future, to send messages

  • to other groups, and to prepare for war and hunting.

  • Following the European involvement in the Amazon rubber booms, multiple syncretic ayahuasca-using

  • religions appeared in Brazil.

  • They were called Uniao de Vegetal (the UDV), Santo Daime, and Barquinha.

  • They blended Brazilian cosmological beliefs, Catholic and European traditions, and other

  • bits of traditional beliefs and knowledge from South America.

  • Santo Daime was the first to appear in the 1930s.

  • It was formed by a Brazilian rubber tapper who encountered the drink through contact

  • with indigenous peoples.

  • Santo Daime became more active internationally and in urban areas after the 1970s.

  • Barquinha formed from a split with Santo Daime in 1945.

  • And the UDV was formed in 1961, also by a rubber tapper.

  • DMT was first synthesized in 1931 by Richard Manske, a Canadian chemist.

  • The first definitive isolation of the drug from a plant was reported in 1955.

  • It came from Anadenanthera peregrina seeds, which were used to prepare a snuff.

  • However, at least a partial isolation may have occurred earlier in 1946 when a Brazilian

  • chemist obtained an alkaloid from Mimosa tenuiflora.

  • That work was followed up in 1959 by American researchers who isolated DMT from Mimosa tenuiflora

  • root bark with a .57% yield.

  • In the 1950s and 1960s, the first reports of endogenously detectable psychoactive tryptamines

  • appeared.

  • Bufotenin was the first to be reported, but DMT and 5-MeO-DMT followed.

  • Stephen Szara, a Hungarian chemist, gave the first report of pure DMT's hallucinogenic

  • effects in 1956.

  • He had synthesized the drug in his lab.

  • This led to him giving it to medical colleagues, dozens of doctors, and eventually some psychotic

  • patients.

  • Even though psychedelics rose into the public consciousness in the 1960s, ayahuasca was

  • largely absent.

  • DMT itself did receive some attention, but it wasn't among the most common psychedelics.

  • A 1966 article from Timothy Leary, "Programmed Communication During Experiences With DMT,"

  • described the effects.

  • The piece brought the drug to the attention of quite a few people.

  • It included a report from Alan Watts, who was already a popular philosopher by that

  • time.

  • Tests in the 1970s confirmed the drug wasn't active orally, even when using as much as

  • a gram.

  • Meanwhile, it was shown to be very psychoactive if taken via injection or inhalation.

  • Experiments began to find that taking it orally with an MAOI could make the drug active.

  • For example, a report from Jeremy Bigwood said 100 mg of DMT with 86 mg of harmaline

  • could yield significant effects.

  • He reported, "DMT-like hallucinations...very similar to...a DMT and harmaline-containing

  • ayahuasca brew that I had previously experimented with."

  • Other tests in the 1980s and 1990s found the same.

  • A threshold of around 20 mg of DMT was determined and the ideal amount was considered 30 to

  • 40 mg.

  • In discussing pharmahuasca, Jonathan Ott, an ethnobotanist, reported good effects with

  • 30 mg or more of DMT taken with 120 mg of harmine.

  • One of the greatest popularizers of DMT was Terence McKenna during the 1980s and 1990s.

  • He frequently discussed his experiences and was enthusiastic about the drug.

  • In 1992, Brazil legalized the use of ayahausca following a legal challenge from the UDV.

  • A similar action occurred in the US in 2006 when the Supreme Court ruled the UDV could

  • use their "hoasca" brew despite it containing a Schedule 1 drug.

  • This was due to the 1993 Religious Freedom Restoration Act, which initially allowed the

  • Native American Church to legally use peyote.

  • Similar legal cases have appeared in other countries.

  • During the 1990s, Rick Strassman began investigating DMT and he reignited psychedelic research

  • in humans, which had been dead in the US for years.

  • He picked DMT because it was short-acting, naturally occurring, possibly had inadequately

  • explored roles in humans, and was relatively obscure.

  • Hundreds of doses were eventually given to dozens of volunteers.

  • His research and opinions were discussed in the 2000 book DMT: The Spirit Molecule, contributing

  • to the drug's popularization.

  • A documentary by the same name was released in 2010, reaching even more people.

  • During the 2000s and 2010s, interest in the drug increased, partly due to it being discussed

  • by individuals like Rick Strassman, Joe Rogan, and Graham Hancock.

  • Multiple documentaries and videos have been released covering DMT and ayahuasca.

  • This rise in interest led to more people extracting DMT, more people using it, more ayahuasca

  • ceremonies being held in North America, and more people traveling to South America to

  • take the brew.

  • Currently, DMT isn't as popular as LSD or psilocybin, but it has become more common

  • in the past couple decades.

  • It is sometimes synthesized, though it's often extracted from plant sources, something that

  • can be done with minimal chemistry knowledge.

  • Ayahuasca continues to be used in South America as a "plant teacher" and medicine.

  • It has spread to many countries around the world and has even received some attention

  • from popular media sources.

  • Ayahuasca retreats are regularly held in Peru, Brazil, and Ecuador.

  • Iquitos, Peru is an especially popular location for ayahuasca.

  • This kind of drug or spiritual tourism has been connected with some negative effects:

  • Such as sexual assault, ayahuasca shamans not being adequately paid by promoters, and

  • people receiving brews that actually contain other hallucinogenic plants.

  • DMT is Schedule 1 in the US and is typically an illegal drug around the world.

  • Laws pertaining to plants that contain DMT vary and those plants are often in a grey

  • area.

  • They might be legal to possess, but extracting DMT from them will usually be illegal.

  • The acute negative effects of DMT are fairly minor and it's not much of a concern for healthy

  • people.

  • It does put some stress on the cardiovascular system, which should be kept in mind.

  • The primary acute concerns are psychological since it can be a very intense and stressful

  • experience, with the potential to be confusing.

  • Those with ongoing psychiatric disorders would be wise to avoid it.

  • It does not appear there have been any deaths from DMT alone.

  • There are some reports of death following ayahuasca use, but they're rare.

  • In those cases it's also not clear what the exact cause of death was.

  • Though it is the case you should generally take even greater precautions with ayahuasca,

  • such as avoiding any other serotonergic drugs.

  • DMT's long-term safety is unknown.

  • Some of the best information we have comes from looking at regular users of ayahuasca

  • who often take the drug every other week.

  • We don't have nearly enough data from these cases, but it doesn't appear ayahuasca is

  • correlated with any severe health issues.

  • Nevertheless, care should still be taken.

  • Some of the risky combinations include tramadol, stimulants like amphetamine and cocaine, and

  • other psychedelics.

  • Other psychedelics typically won't lead to physical health issues in healthy people,

  • but they could raise the chance of problematic psychological experiences.

DMT is an intense naturally-occurring psychedelic that's been taken for centuries.

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