Hallucinogenic Drugs

Abstract

Hallucinogens constitute one of the oldest classes of drugs used by humanity, often in the context of spiritual practices. Classic hallucinogens such as lysergic acid diethylamide (LSD), psilocybin, N,N‐dimethyltryptamine (DMT), mescaline and 2,5‐dimethoxy‐4‐methylamphetamine (DOM) produce complex psychological and physical effects, including perceptual changes, cognitive shifts in reality and emotional alterations. These drugs primarily act on serotonin systems through 5‐hydroxytryptamine 2A (5HT2A) receptors, with additional activity through dopamine and glutamate systems. Investigation of the neurochemical and behavioural effects of this class of drugs has provided important insights into pharmacology and psychiatric conditions. Given their popularity as recreational drugs, investigation of their actions and effects continues to be an important endeavour. After a long hiatus, clinical studies in humans have resumed with these drugs in laboratories around the world.

Key Concepts:

  • Hallucinogens have been used for thousands of years by various societies, often in conjunction with spiritual practices.

  • In present day, hallucinogens remain highly popular as recreational drugs.

  • The chemical structure of hallucinogens consists of tryptamines (LSD and psilocybin) and phenethylamines (mescaline and DOM).

  • The potency of hallucinogens is directly correlated to their ability to act as agonists at the serotonin receptor subtype, 5‐HT2A.

  • Drugs that act at sites other than 5‐HT2A receptors can also produce hallucinogen‐like effects (e.g. ketamine, MDMA, salvinorin A, nitrous oxide, GHB).

  • The signature effects of hallucinogens include perceptual changes, alterations in affect and shifts in cognitive ability.

  • Negative responses associated with hallucinogens include ‘bad trips’ (severe anxiety and a disconnection with reality) as well as rare instances of ‘flashbacks’ and psychotic breaks.

  • Human research with hallucinogens has recently been revitalised, augmenting the scientific advances made previously with animal studies.

Keywords: hallucinogen; LSD; serotonin; 5‐HT2; drugs of abuse; behavioural pharmacology

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Further Reading

Fantegrossi WE, Murnane KS and Reissig CJ (2008) The behavioral pharmacology of hallucinogens. Biochemical Pharmacology 75(1): 17–33.

Pellerin C (1998) Trips: How Hallucinogens Work in Your Brain. New York, NY: Seven Stories Press.

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Schultes RE and Hofmann A (1980) The Botany and Chemistry of Hallucinogens. New York: Charles C. Thomas.

Schultes RE, Hofmann A and Ratsch C (2001) Plants of the Gods: Their Sacred, Healing, and Hallucinogenic Powers. Rochester, VA: Healing Arts Press.

Stamets P and Weil A (1996) Psilocybin Mushrooms of the World: An Identification Guide. Ithaca, NY: Ten Speed Press.

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Bonson, Katherine R(Aug 2012) Hallucinogenic Drugs. In: eLS. John Wiley & Sons Ltd, Chichester. http://www.els.net [doi: 10.1002/9780470015902.a0000166.pub2]