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The acid test


It's been banned for 35 years, but some scientists argue that a comeback for the therapeutic use of psychedelic drugs is overdue. Is there a place for LSD in medicine today?


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Cycling home from the Sandoz Pharmaceutical Laboratories in 1943, the Swiss biochemist Albert Hofmann found himself on the trip of his life. The familiar route had unexpectedly been transformed into an undulating boulevard like a Salvador Dali painting, fringed by buildings that yawned and rippled, "as if seen in a curved mirror".

This was not a fantastical dream, but the result of a rather unorthodox experiment. Five years earlier, in a search for novel therapeutic agents to treat migraines, Hofmann had combined an ergot alkaloid, lysergic acid, with a diethylamine building block to create the 25th molecule in a series of lysergic acid compounds. At the time, pharmacological assessment of the new molecule, lysergic acid diethylamide (LSD), had revealed nothing of interest.

Hofmann did not realise he had stumbled upon a compound with mind-altering properties that would change both the scientific and social world until he resynthesised the substance on April 16, 1943 and accidentally absorbed some through his skin. Intrigued by the effects he experienced, Hofmann ran a series of experiments on himself, starting with the famous bicycle 'trip'. He took 0.25 milligrams of LSD — which he believed to be a miniscule dose. Today it is known that one-thousandth of that amount is enough to produce psychedelic effects.

The first experiment immersed Hofmann in an enchanting world of perceptual distortions in which objects morphed into surreal images, and sounds transposed into colourful kaleidoscopic visions. But the inner distortion of his mind reached such frightening proportions that Hofmann feared for his sanity and his life.

"Familiar objects and pieces of furniture assumed grotesque, threatening forms. Every attempt to put an end to the disintegration of the outer world and the dissolution of my ego, seemed to be wasted effort," Hofmann wrote in his 1980 seminal work, LSD: My Problem Child. "A demon had invaded me. I jumped up and screamed, trying to free myself from him… my body seemed to be without sensation, lifeless, strange. Was I dying?

"Another reflection took shape, an idea full of bitter irony: if I was now forced to leave this world prematurely, it was because of this lysergic acid diethylamide that I myself had brought forth into the world."

Hofmann had not only brought forth a new drug, he had given birth to a new field of scientific research — psychedelic medicine — which scientists and physicians of the day embraced with great enthusiasm.

Barely able to believe Hofmann's reports of the drug's vivid effects, Ernst Rothlin, the director of the pharmacology department at Sandoz at the time, and two colleagues, conducted similar self-experimentation using one third of Hofmann's dose. Rothlin too found himself plunged into a world that the Beatles famously described as full of "tangerine trees and marmalade skies". His experience included frightening demonic twists and turns of his mind They agreed that LSD, the hallucinogenic effects of which can last for 6 to 12 hours, had extraordinary potency.

Believing LSD could be of great value to psychiatry, Sandoz made the drug readily available to scientific and clinical investigators for medical research under the trade name Delysid.

THE FLURRY OF RESEARCH that ensued suggested that LSD might encourage the release of memories or reveal the unconscious in psychoanalysis; or help psychotherapy patients to reach new levels of self-awareness. Many psychiatrists were encouraged to take the drug to enable them to subjectively understand schizophrenia or share psychedelic experiences with their patients.

Patients were given LSD for conditions ranging from anxiety disorders, obsessive-compulsive disorders, depression and bereavement to sexual dysfunction. The early literature even describes attempts to fix what was termed 'frigidity', using LSD to release repressed memories of abuse, while noting that the compound accentuated anxiety in some patients.

Inevitably, LSD escaped from the lab. As the drug counter-culture gathered momentum in the 1960s, the boundary between scientific inquiry and the quest for 'spiritual enlightenment' began to blur — and the scientific community distanced itself from the drug.

One of the best-known catalysts in this transition was Timothy Leary, a doctoral psychologist from Harvard University, who turned LSD from a scientific interest into a cult. Recruiting Harvard students as disciples, Leary's clinical LSD experiments at Harvard in the 1960s attracted more willing participants than could be accommodated, creating a black market for the drug on campus among those who missed out.

By 1967, Leary had abandoned any pretense to scientific research. To a gathering of 30,000 hippies at the Golden Gate Bridge in San Francisco, he prescribed the catch phrase, "turn on, tune in, drop out".

As LSD became increasingly associated with drug abuse, student riots and anti-war demonstrations, the U.S. Food and Drug Administration (FDA) moved swiftly to classify LSD as a Schedule 1 drug under the Federal Controlled Substances Act of 1970. Worldwide prohibition followed in 1971.

Swiss chemist Albert Hoffman with a model of the LSD molecule.
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Readers' comments

Arguments against LSD research don't make sense

If those are the best criticisms that people can come up with, then I find that pretty reassuring.

LSD causes long-lasting psychoses? The risk is only 1 in 50000 of a "psychosis lasting longer than 48 hours", and we have good treatments for that. And they seldom occur in people without preexisting mental disease, which can be screened for.

Flashbacks could be caused by subtle brain damage? Or, they could not. Let's do the research. Are flashbacks all that harmful, compared with the side effects that other drugs can cause? (Weight gain, word-finding difficulties, rash, osteoporosis, immune suppression, seizures, etc.) Nobody ever died from a flashback. Some people even like them.

It would be a brave ethics committee that would approve the use of a drug that could cause harm? Well, I guess Tylenol's out, then. And penicillin. In fact, any prescription drug can cause harm. That's why they're not over-the-counter.

Batey can't see the benefits of being forced to hallucinate? Maybe he should ask then why other people DO see the benefits. Maybe there's something about it he's missed. In any case, cluster headache sufferers benefit from a sub-hallucinogenic dose, so it's an irrelevant comment.

Published data is only anecdotal? This is actually an argument in FAVOR of randomized placebo-controlled trials.

If it's as good as its protagonists suggest, it would have been taken up by the drug companies long ago? What, a drug long out of patent that only needs to be taken once every three to six months? Sounds like a real moneymaker to me, and we all know that drug companies have patients' best interests at heart. That's why they're rushing to develop vaccines for tropical diseases that only Africans get.

In the case of cluster headache, there are compounds that act in a similar mechanism without the risk of flashbacks? True; they're called "psilocybin" and "lysergic acid amide". Not a good argument against psychedelics.

You'd have to control the dose extremely carefully because the drugs are potent in microgram amounts? Sure, and so's thyroid hormone, and I don't notice any problems dosing THAT. Modern technology has solved the problem of dosing things precisely.

There's absolutely no role for any substance that causes hallucinations? We'd better ban prednisone, then. And antiparkinsons medications. And benzodiazepines. Methysergide causes hallucinations in higher doses. It's easy to make a list of commonly prescribed drugs that cause hallucinations. There are a lot of them.

Despite the hype and propaganda, LSD is actually pretty safe, given appropriately in a controlled environment.

Flashbacks ? What flashbacks ?

Whats the scientific evidence that flashbacks are more than just a convenient myth for propaganda like this article?
Where's all these flashbacks ? I've never had any and I've never met anyone who has. Even if you meet someone who has, how do you know what they took was really acid ? Unless they are supported with rigorous research, such claims are merely myth.

I have actually had a few flashbacks

I can confirm that flashbacks do actually occur. I did LSD Several times, in college, over 13 years ago and I've had 3 flashbacks since. While they are not a myth, they also weren't threatening in any way. Not one lasted for more than a few minutes and none were anywhere close to a real "trip". In every case it was just trails from a light source or the hallucination of a wall or mirror bending. Quite fun, over quick, and no damage done. The last time I was driving and I saw the trails of the taillights of the cars in front of me for a few seconds which did not impare my driving in any way. They are making a mountain out of a molehill.

Your flashbacks are normal

Your flashbacks are normal experiences. You always see trials, you just aren't as overly aware of it until you take LSD. Just like trails, physical objects "bending" or moving like it's liquid are also normal. Your brain tends to fix the images though so you see a nice uniform picture. You become more aware of your brain's faults and you get "flashbacks" ever once in a while.

what flash backs

i have done lsd a few times it seems to make me a little more aware of what is going on around me , i have never had any horrible flash backs . the most i have seen on acid is thing bleeding into other things this overwellming jolt of happiness racing through my body i never once thought that i was going to die just dont eat to much youll freak youself out. LSD is a wonderful drug it makes you open up the only down fall is your fears seem to be 10X more scarrier than what they are that is why you need to be around the people that you most trust and care for to be there to enjoy it with you . just give LSD a chance in this world it is not a drug to kill yourself on that is why you shouldnt give it to certain people like crazzy pepople . i dont know what everyones proplem with LSD is , it is just a peace making drug that makes you feel good and relaxed .

lucy

you apprently havent eaten very much lucy or you didnt eat the good stuff.

Garbage

I have never heard such garbage, again no doubt from an armchair expert who does not know the first thing about the subject in real terms. You can cure these major illnesses ? You can screen for them effectively ? Which planet is the person from, and what mickey mouse knowledge do they hold on the subject ? I have had extensive experience of all the major drugs, and taken LSD 200 to 300 times in very large doses in todays terms. This is ancient history back in the 1970s, when (officially) the amount was many times more in a dose. On taking it a few times in small amounts, I wondered what all the fuss was about. I thought it a totally gentle and harmless thing, with scare stories being spread about it. It was my intention to get higher and higher and I took larger and larger amounts, up to 3 or 4 tablets at a time, when the amounts were much greater in a dose. I then found out what it is capable of, and my naivete went. I went through a terror that is beyond words, and tried to kill myself to escape the experience. Went out of my head completely and ended up in a hospital, strapped down being filled with goodness knows what. That was after attacking people and throwing them around. I have never recovered from this experience and had a breakdown that was associated with it later. It is not possible to think of this without panic setting in, and that happened over 30 years ago.Have had permanent partial hallucinations ever since, to this day. Because some idiot calls themselves an "LSD doc" does not mean they know anything about the subject, as this idiot obviously does not. I consider LSD to be the most dangerous of all the drugs, as do a number of my friends who took it from those days. You have to bear in mind that doses have been far smaller since those days. Why is it that it is the ones that are most vocal that know the least about subjects ? It is not possible to know whether somebody has an underlying mental illness, and you cannot say that the drug precipitated what was already there. Having had a breakdown I came across many such fools as this "LSD doc". People who professed to be experts, and who did not know anything of any use and who were in no way any use. Of all those countless ones I know who have had "treatment" for mental illnesses, I have never know any to have been helped. These "experts" are worse than useless, as they actually think they have expertise.

Agreement

I have had extensive experience with LSD, primarily in liquid form and very VERY pure. The largest dose I have ever taken was 24 hits, and I can say that it is a miracle that I am still alive. The experience is something I can not begin to put into words nor even describe. The drug itslef is very dangerous if not handled by experienced users, and kept in a very controlled enviornment. The one thing I do remember from that night is the fact that me and 8 of my friends all looked at one another 25 minutes in and said "This definitely does not need to be in the hands of inexperienced users, because the potency of this batch is extremely dangerous.". 10 minutes after that it came on like a Cat5 hurricane and didnt let up for 18 hrs. One of my friends even told me that a tree in the front yard was the only thing that kept him remotely tied to reality, so you can take this any way you want. LSD 25 is not a drug to toy with or just use to get your kicks. The repercussions of misuse could cost you your mind or more important your life.

Your problem is my problem

Garbage, Agreement:

The focus of the article was that it should be legalized for careful research and controlled medical use. I think it should be obvious that a deliberate overdose would cause problems as you are describing. Higher and higher? 24 hits??

If this was heroin you'd be dead. As a chronic migraine sufferer who found relief through psychedelics, why should I have live under the same no-tolerance restrictions you obviously need?

Spiritual Use of Psychedelics

Not only are psychedelics like LSD and psilocybin useful as theraputic medicin a recent study done at Johns Hopkins University has shown that psilocybin can induce genuine spiritual or religious experience that has lasting beneficial effects.

It is no wonder that religions like Matrixism that promote the use of psychedelics are gaining in popularity.