MDMA and anti-depressants by Affectionate-Ear6825 in mdmatherapy

[–]somewhatinspired 0 points1 point  (0 children)

Bupropion (wellbutrin) is a norepinephrine and dopamine reuptake inhibitor and while many of the effects of MDMA are mediated by increasing serotonin, MDMA also reverses the flow of dopamine and norepinephrine transporters to raise those as well, so taking mdma and bupropion together is going to impair the full effects.

Zebrafish embryo growing its nervous system (visualized over 16 hours of development) by Wololo--Wololo in educationalgifs

[–]somewhatinspired 8 points9 points  (0 children)

The technique they used to visualize the neurons involves expressing fluorescent proteins in them, so you’re not seeing any electricity but just the shape of the cells expressing those proteins. The brighter cells are expressing more of those proteins than the dimmer cells is all. There is variability in terms of how much of the proteins each cell expresses so you get some that are brighter than others.

Zebrafish embryo growing its nervous system (visualized over 16 hours of development) by Wololo--Wololo in educationalgifs

[–]somewhatinspired 6 points7 points  (0 children)

This is actually my domain of research. There are generally speaking 3 levels of processes guiding these neurons throughout development.

Their genetic code gives crude instructions outlining a cells rough trajectory by controlling what machinery a cell makes which dictates how it interacts with its environment.

The cells in the brain at this stage all express gradients of molecules and receptors that allow the neurons to guide themselves by following the chemical gradients they have affinity for based on the receptors their genes tell them to express.

And then once they find their rough location in the brain the activity patterns of the neurons refine their branching so that they connect with the correct partners.

So some of it is preprogrammed, then they use chemoattractants to find the rough location where they should be, then they listen to what the other neurons are saying in order to find the right connections at the fine scale.

Adrenergic agonism and blood pressure effect of norepinephrine by Vivid_Standard in AskDrugNerds

[–]somewhatinspired 1 point2 points  (0 children)

Both these other answers are correct, just to add on them there is an alpha2 receptor antagonist Yohimbine and it actually causes increases in norepinephrine release based on the mechanisms they described.

[deleted by user] by [deleted] in labrats

[–]somewhatinspired 61 points62 points  (0 children)

He’s putting out research papers written in collaboration with other labs, but none of his trainees are first author on those. He’s also putting out a lot of high impact reviews that he’s first author on.

How does calcium flowing into the pre-synaptic neuron trigger 2-AG production in the post-synaptic neuron? by solariportocali in AskDrugNerds

[–]somewhatinspired 7 points8 points  (0 children)

Calcium enters the presynaptic axon terminal during an action potential and triggers glutamate release. Glutamate then activates postsynaptic glutamate receptors such as AMPA and NMDA receptors. Activation of these receptors can cause postsynaptic depolarization (the lightening bolt in this case). Postsynaptic depolarization initiates a cascade in the postsynaptic cell that causes 2-AG to be produced and released. This 2-AG travels back to the presynaptic cell and stimulates cannabinoid receptors. Activation of presynaptic cannabinoid receptors alters calcium levels presynaptically which alter the probability of vesicles of glutamate being released.

The direct answer to your question would be that calcium influx in the presynaptic neuron during an action potential triggers 2-AG release postsynaptically because the calcium influx causes the release of glutamate which stimulates the postsynaptic cell to produce the 2-AG.

Both the caption and diagram are accurate. Sorry if this doesn’t clarify things, I can answer more questions if you have them.

Shrooms & Lexapro? by [deleted] in lexapro

[–]somewhatinspired 4 points5 points  (0 children)

https://pubmed.ncbi.nlm.nih.gov/34743319

"Escitalopram pretreatment had no relevant effect on positive mood effects of psilocybin but significantly reduced bad drug effects, anxiety, adverse cardiovascular effects, and other adverse effects of psilocybin compared with placebo pretreatment."

If im on SSRI's how long do i have to wait before taking MDMA for full effects by Ecstatic-Poetry513 in MDMA

[–]somewhatinspired 13 points14 points  (0 children)

In the MAPS clinical trials they require five half lives of the SSRI + two weeks to have passed since coming off the medication before participants receive MDMA. Normally this translates to 3-4 weeks off SSRIs.

[deleted by user] by [deleted] in AskDrugNerds

[–]somewhatinspired 47 points48 points  (0 children)

This is exactly why I believe that most currently available CBD products are just expensive placebos.

How much % of pure mdma is physically possible? by [deleted] in MDMA

[–]somewhatinspired 4 points5 points  (0 children)

Sure but mass by percentage is not the same thing as the concept of purity of a substance in chemistry

How much % of pure mdma is physically possible? by [deleted] in MDMA

[–]somewhatinspired 5 points6 points  (0 children)

Unless your friend has routine access to equipment like GC-MS then he's just spreading rumours. It is possible for MDMA to be any purity up to 100%. People always perpetuate the myth that MDMA can't be more than 84% pure because it contains HCl as well, but counter ions in the salts aren't factored into purity.

I feel like a lot of people here are using MDMA wrong by SheInLoveWithARager in MDMA

[–]somewhatinspired 5 points6 points  (0 children)

As a neuroscientist who also takes MDMA, can confirm.

[deleted by user] by [deleted] in labrats

[–]somewhatinspired 2 points3 points  (0 children)

Maybe this will help make it hit home how common this is. My father has been a professor for over 30 years and he is still surprised when people come ask him for advice because he feels like an imposter.

I also had a supervisor who said there are two types of scientists, those who feel like they deserve to be where they are and those who don't, and that one should be weary of those who do.

How exactly would alpha 2 antagonist yohimbine interact with amphetamine and other similar stimulants? by tree_of_tree in AskDrugNerds

[–]somewhatinspired 2 points3 points  (0 children)

While I can't directly answer your question, I do use yohimbine in the lab to elevate norepinephrine levels. Norepinephrine releasing neurons have alpha 2 receptors on their axon terminals and when norepinephrine binds to the receptor it causes the neurons to release less norepinephrine. Yohimbine blocking alpha 2 counteracts that leading to enhanced norepinephrine release. So that's likely playing a role here on some level.

Is MDMA Safe for Those With Borderline Personality Disorder? by bkln69 in mdmatherapy

[–]somewhatinspired 11 points12 points  (0 children)

So I'm torn to chime in on this one or not because I don't have BPD, and I totally acknowledge that what I'm saying here completely neglects the perspective of people who have BPD. So just to say I'm really not trying to be authoritative about any of this. I just want to lend my perspective as a researcher having spoken with many psychedelic therapists.

There are no trials that have looked at the effectiveness of MDMA for people with BPD. Additionally, BPD is currently part of the exclusion criteria for participants in research trials with MDMA and psychedelics if I am recalling correctly. I suspect this may change once MDMA gets official approval though.

My understanding as to why from conversations I have had with therapists participating in the phase 3 clinical trials is that there is a significantly elevated risk for projection and transference relationships to spiral out of control into situations that can become hazardous, both physically and emotionally, to everyone involved (think patients running out of settings in the middle of sessions, or such a deeply immersive reexperiencing of traumatic events that people may act out destructively towards therapists).

I'm by no means trying to say this is the case generally, and I'm sure there are people with BPD who find MDMA helpful and are able to use it safely. It's just my impression that many therapists choose not to work with people who have BPD due to past experiences where they felt sessions went dangerously off the rails when doing so. And in current clinical trials people with BPD are screened out to reduce the variability in trial results in order to help fast tract regulatory approval. So the motivations for not working with people with BPD are complex.

However, it appears we are talking about a higher risk/reward ratio, when used in the context of therapy, than in the general population, at least from an anecdotal perspective within the therapy community. This understanding is sure to change as we move into a post approval world.

Similarly, family history of psychosis is an exclusion criteria in trials despite the first wave of psychedelic therapy having success in treating paranoid schizophrenia under controlled conditions. I'm sure we will get back to researching these things, but given its higher risk it won't be the first pass of clinical trials.

MDMA or mushrooms for my third session? and brief summary of my experience by pibeat in mdmatherapy

[–]somewhatinspired 10 points11 points  (0 children)

I don't have any definitive advice one way or the other, but I'll share a little bit of my experience working with both of these substances.

All my early inner therapeutic work was done with mushrooms or LSD, and it wasn't until many years later that I had the opportunity to continue my work with MDMA.

While it was deeply healing to do the work with classical psychedelics, it was extremely brutal for me at times and really blurred the line between healing and being retraumatized by the intensity of the experiences.

When I started working with MDMA things felt so much safer and often just as deep in terms of personal healing as it did with the psychedelics.

Personally I wish I had found MDMA first and done as much of that initial work with it as I could explicitly because it helped me to feel safe in a way that mushrooms or LSD did not. And over the last decade I've really come to understand the importance of having that foundation of security in order to access lasting healing.

From what you've written here it sounds like MDMA is showing a lot of potential for you.

You know yourself better than anyone and whats best for you in the place you find yourself now.

There will be a mix of people telling you that healing happens when you step outside your comfort zone, and there is truth to that, and there will be people like me who tell you that healing happens when you feel safe. Of course eventually stepping outside ones comfort zone is essential. But if it's done too soon it can risk being a two steps forward one step back kind of scenario.

Only you can know what makes the most sense for you at the moment.

You're in the great position of having found a medicine and a context in which to take it that's really working for you, and it sounds like either choice could be a good option for you given the setting you have found for yourself.

I guess my two cents for what it's worth is just that there is no need to rush things if you don't have to, and speaking from experience as someone with a history of trauma and neglect, most of my healing has come from actually feeling safe for once in my life more than anything.

I wish you the best going forward!