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Psychedelic news: The government fast-tracked LSD as an anxiety treatment

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Re: Psychedelic news: The government fast-tracked LSD as an anxiety treatment

#11
post #4

[flagged]

If someone chugs a bottle of vodka and loses it, you don’t turn around and presume that a bottle of beer will lead to the same result.

You might find Pollan’s “How to Change Your Mind” a good read to get some background of fear uncertainty and death/dread around some drugs and how it’s tainted a lot of perception over the years.

Re: Psychedelic news: The government fast-tracked LSD as an anxiety treatment

#12

MindMed’s MM120 is set to compete with such drugs as Spravato, a type of ketamine that, for now, is the only FDA-approved nasal spray for treatment-resistant depression. When Spravato came to market in 2019, its manufacturer Johnson & Johnson charged $4,720 to $6,785 per dose. These prices are ridiculous.

Good grief!

AFAIK a "hit" of LSD is like IDK what the street price of a ketamine dose is but I would be surprised if it was more than $20.

Then again you can't bill those to an insurance company...

Re: Psychedelic news: The government fast-tracked LSD as an anxiety treatment

#13
post #4

[flagged]

> Not trying to be an alarmist

Every form of medication has associated risk and there are horrific anecdotes for everything. The key is to get more probable benefit than probable detriment. If the risk for a particular medication is unusually high then the problem it's likely to help with has to be commensurately severe.

Re: Psychedelic news: The government fast-tracked LSD as an anxiety treatment

#14
post #3

Curious if someone more familiar with this space could comment on what exactly is meant when it says the drug in question -- MM120 -- has been "pharmacologically optimized" from the base LSD? I know the "real" vs "synthetic" distinction is kind of silly w.r.t. psychedelics in general (especially so with LSD since it's only ever been synthetic), but understanding exactly how the new crop of drugs actually differ from…

it's more accurate to characterize LSD as semi-synthetic, just like thebaine derivatives such as hydrocodone, hydromorphone, and oxycodone. it's a simple one or two step transformation from ergot-derived alkaloids.

it seems like MM120 is literally just the "optimal dose" of the tartate salt (the normal salt LSD is co-crystallized with) of LSD in a pill. it doesn't seem like there's any special delivery device, nor is it any sort of prodrug nor is it a deuterated analogue.

Re: Psychedelic news: The government fast-tracked LSD as an anxiety treatment

#17
post #3

Curious if someone more familiar with this space could comment on what exactly is meant when it says the drug in question -- MM120 -- has been "pharmacologically optimized" from the base LSD? I know the "real" vs "synthetic" distinction is kind of silly w.r.t. psychedelics in general (especially so with LSD since it's only ever been synthetic), but understanding exactly how the new crop of drugs actually differ from…

MM120 is chemically identical to LSD. The "optimization" they claim is just a regulatory workaround aimed at maintaining patent protection for longer.

As far as shorter trips, Compass Pathways is testing psilocybin for depression. Another company, Field Trip Health, was developing an analog of psilocybin with a shorter trip duration, but it doesn't seem to be progressing past Phase 1 trials.

Re: Psychedelic news: The government fast-tracked LSD as an anxiety treatment

#18
post #7

Different drugs are useful in different stages of life. Please don’t give LSD to children.

I've not heard of people doing that - is there a reason for your concern?

My understanding is that the brain undergoes important development until around 25 years old, so it's best to push drug use to after. If someone insists on doing something earlier, before 16 years old is probably a terrible idea.

Re: Psychedelic news: The government fast-tracked LSD as an anxiety treatment

#19
post #4

[flagged]

psilocybin (or more accurately the active drug it is converted to, psilocin) and LSD are extremely similar as classical psychedelics. psychosis is possible with any sort of psychoactive drug and individuals with a family history of bipolar disease or schizophrenia should avoid consuming any psychoactive substances. with that said, psychosis is extremely uncommon with LSD in healthy individuals at reasonable doses, and LSD use actually has a slight negative correlation with later development of schizophrenia.

i'm not sure about that particular case, but consuming LSD while on lithium (commonly prescribed for bipolar disorder) essentially guarantees an acute episode of psychosis and possibly seizures so I wonder if that particular individual was on lithium at the time.

Re: Psychedelic news: The government fast-tracked LSD as an anxiety treatment

#20
post #3

Curious if someone more familiar with this space could comment on what exactly is meant when it says the drug in question -- MM120 -- has been "pharmacologically optimized" from the base LSD? I know the "real" vs "synthetic" distinction is kind of silly w.r.t. psychedelics in general (especially so with LSD since it's only ever been synthetic), but understanding exactly how the new crop of drugs actually differ from…

MM120 is chemically identical to LSD. The "optimization" they claim is just a regulatory workaround aimed at maintaining patent protection for longer. As far as shorter trips, Compass Pathways is testing psilocybin for depression. Another company, Field Trip Health, was developing an analog of psilocybin with a shorter trip duration, but it doesn't seem to be progressing past Phase 1 trials.

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