So after doing a lot of research for antidepressants that I could help myself in I stumbled across dextromorphan (dxm).
The company Axome is trying a two-in-one pill of DXM and the common antidepressant bupropion for a new medicine called AXS-05 it consists of a
proprietary formulation and dose of bupropion and dextromethorphan , or DM, ... defined as having TRD if they have failed two or more antidepressant
therapies.
what's fascinating about this is the detachment from ones body. I got the idea that it could work when I realize my body can do the same thing such
as the response of the fight, flight or freeze response natural of the body to deal with stressors. particularly the freeze response. I know it is not
advisable to self experiment but in this case it was based on lots of research.
Along with deciding slowly what the theraputic index is for me. Making sure not to pass the point of intoxication so moderation is key in this regard.
Quote from Wikipedia
It has multiple mechanisms of action, including actions as a nonselective serotonin reuptake inhibitor and a sigma-1 receptor agonist. DXM and its
major metabolite, dextrorphan, also block glutamate receptors at high doses, which produces effects similar to, yet distinct from, the dissociative
states created by other dissociative anesthetics such as ketamine, nitrous oxide, and phencyclidine.
Here are promising canadates for a natural alturnative to dxm
These herbs effect glutamate and are nmda antagonists
[Edited on 20-5-2020 by symboom]Vosoryx - 19-5-2020 at 16:15
Robotripping as an antidepressant does not sound very good. I've never done dxm recreationally, nor do I ever plan to, but I can tell you first-hand;
disassociating your life away really isn't a cure.
That being said, there's about as much good science behind DXM working as an antidepressant as there is science promoting SSRI's...
I've read stories about dude's getting brain damage from robotripping. Be careful.
Psychotropic drugs are really, really, REALLY complicated.symboom - 19-5-2020 at 16:24
Very true that's why it's only used as a tool I would use it for two days along with kava to relax the sign effects. This medication combo helped cure
my severe depression of 10 years so I am excited that it worked. Following the theraputic index is very important in this regard. It will be of no use
if it is passed and one become too intoxicated to even talk through therapy.
DXM is also effective in pseudobulbar affect
The crying or laughing may start as a response to a situation, such as a sad movie, but the feelings are more intense and last longer than expected.
They're difficult or impossible to stop
Which if you can't express your feeling in therapy it's would be harder to get through so this tool is quiet useful but I bet nature has a ever better
compounds with less sign effects.
I pretty much copied what the research says from axome. So I'm really glad they done that research along with already taking Bupropion i realize I'll
give it a shot and used it to help me in talk therapy medication only gets you there 50 percent of the way talk therapy is the rest of it. It must be
thought as a tool not for fun the way it is abused as this would make it ineffective.
I'm just putting prices of a puzzle together research that have already been made. Not very much is known about those nmda antagonist containing
herbs.
[Edited on 20-5-2020 by symboom]G-Coupled - 19-5-2020 at 17:09
I suspect that the new drug has DXM in it in virtual microdoses.karlos³ - 19-5-2020 at 17:25
NMDA antagonists aren't my thing, and I don't know if there is anything natural that would have an effect like the synthetic substances useful to
treat depression.
I just wanted to remind you that nature has very effective antidepressants, just acting via 5HT in that case.
Thinking of psilocybe mushrooms, which are taken in microdoses daily for a few weeks or even up to a few months.
I tried that and it was massively helpful with an apparent effect, it did take a few days but then it improved each day a bit more over 2-3 weeks, and
remained there a few months even after their use was stopped.
It is not want you look for of course, but it does work and it is natural.
You need to take a dose daily though, unlike these NMDA antagonists which probably act very long after a single dosage, at least that is what I read.symboom - 19-5-2020 at 17:37
I do understand that but the stigma of phychadelics makes it more harder to access those tools.
It's just one tool out of many everyone has a different defence mechanism which could hinder a patients progress in therapy.
Along with the so called bad trips that can happen with phychadelics even in a controlled environment can be damaging to the phyche especially if the
person is hesatant to let go.
DXM is taken with Bupropion to prolong it's effect I think it also help by putting the person in a talkative positive state also called pressured
speech. That I think Is very helpful side effect of the antidepressant stimulant to help a person in talk therapy.
Exactly
It is not want you look for of course, but it does work and it is
natural.
Everyone is different and different things will work for different people that may be due to a persons unique defence mechanism.
[Edited on 20-5-2020 by symboom]Fery - 20-5-2020 at 05:28
I have never seen any antidepressant based on NMDA receptors yet. Current antidepressants increase serotonin (SSRI, SARI, NaSSA), dopamine (NDRI),
noradrenaline neurotransmission (NaSSA, NDRI). Also agomelatine is atypical antidepressant which normalizes circadian rhythm (like endogenous
melatonin) which is impaired by depressive disorder. I'm also familiar with electroconvulsive therapy which we do not yet exactly know in details how
does it work, but at the end it causes neuroregeneration - the same process as caused finally by antidepressants, by psychotherapy. Bupropion you
mentioned is NDRI, it increases noradrenaline and dopamine neurotransmission by their reuptake inhibition.
The only effect of NMDA known to me used in medicine are antagonists of NMDA - ketamine, phencyclidine etc used in anaesthesia and memantine which
slows down apoptosis of neurons as a treatment of dementia.
There are already supporting medicals based on EPA/DHA increasing the effect of major antidepressants, by my opinion eating sea food and sea fish is a
supply rich enough for EPA/DHA better than pills (they seem to help to neuroregeneration).mackolol - 20-5-2020 at 07:41
I don't know if DXM is good for this purpose, but what I'm interested in is ketamine microdosing. I have read, I don't remember where though, that
ketamine when microdosed for short amount of time, let's say one week drastically improves one's mood and that it is effective in profound depression
treatment, when normal medicines (SSRI's IMAO's) don't work.
What I remember is that NMDA receptor regulates the whole neuronal activity and when it is overactive, oxidative processes go faster in brain and it
is unhealthy. But antagonisation of NMDA receptor decreases neuronal activity and after it ceases out, brain strives for balance and makes new
neuronal pathways. I'm not sure if that is exactly, but maybe someone can tell me.
[Edited on 20-5-2020 by mackolol]symboom - 20-5-2020 at 08:56
I think ketamine and dxm are similar in that they affect nmda receptors one of course stronger than the other as both are nmda antagonists.from
personal experience I understand why it would be effective in helping you detach from your body a little for a patients therapy. I feel like it mimics
the body's own ability to do so on it own. But it give the person more control of when it is appropriate to do so. I believe that's what neuro
receptor is responsible when it happens in depersonalization/derealization. It the natural body response it turns off and on and is not consistent. I
feel like it stresses the brain and activates it even when your not in danger as a natural defence mechanism. I believe it takes a lot of the brains
internal resources in order to sustain that state.
So I am interested in understanding the nmda receptors better.
Maintaining the brains natural defence and coping mechanisms comes at a cost of the executive functioning part of the brain in order for the brain to
compensate in maintaining enough energy to power everything. Which would explain why phychosis could eventually occur in people with severe
depression.
Excerpt from website
AXS-05 is a novel, oral, investigational NMDA receptor antagonist with multimodal activity under development for the treatment of CNS disorders.
AXS-05 consists of a proprietary formulation and dose of bupropion and dextromethorphan, or DM, and utilizes our metabolic inhibition technology. The
DM component of AXS-05 is a non-competitive N-methyl-D-aspartate, or NMDA, receptor antagonist, also known as a glutamate receptor modulator. The DM
component of AXS-05 is also a sigma-1 receptor agonist, nicotinic acetylcholine receptor antagonist, and inhibitor of the serotonin and norepinephrine
transporters. The bupropion component of AXS-05 serves to increase the bioavailability of dextromethorphan, and is a norepinephrine and dopamine
reuptake inhibitor, and a nicotinic acetylcholine receptor antagonist. AXS-05 is an investigational drug not yet approved by the FDA.
Besides ketamine it seems like dxm is another nmda bassed antidepressant although not as strong comparatively.
It's quite fascinating that there are multiple path ways for treatment serotonin nmda even some specific opioids although that would be more dangerous
to use.
This is just my theory I have been wanting to find articles on this phenomenon to see if it confirms my theories but those damn pay walls.
[Edited on 20-5-2020 by symboom]
DXM
sodium_stearate - 20-5-2020 at 10:07
DXM is a big nothing-burger unless one enjoys
doing the roboshuffle.
My take on DXM is it creates more hassles than it solves.symboom - 20-5-2020 at 11:22
I understand your point it might help some though of course not to the extent of intoxication such as cognitive and memory impairment and without
causing hallucinations so you are right about that if your doing the roboshuffle you probably past the theraputic index levels which are much more
narrow than serotonin based treatments. DXM would only be a hindrance in higher doses. I can see why serotonin is the preferred method of treatment I
think it's theraputic index I much larger than a nmda antagonist but nmda antagonist antidepressants do show promise in treatment resistant
depression. Which is the toughest thing for many clinicans to figure out what will work having the person eventually try multiple ineffective
treatments.
Money is being spent on research in this there must be some potential in focusing on a different neuro receptor than serotonin.
Also there may be better natural nmda antagonists that arnt as intoxicating at higher doses and have a much wider theraputic index along with being
safer phychologically by not putting a person under stress which can happen with phychadelics.
[Edited on 20-5-2020 by symboom]
[Edited on 20-5-2020 by symboom]
[Edited on 20-5-2020 by symboom]
[Edited on 21-5-2020 by symboom]IrishJeremy - 16-4-2021 at 12:53
Mitragyna Speciosa is known as kratom, it contains a bunch of novel opioids whose structure is based on serotonin. In addition to reducing pain and
anxiety, many users find it helps with depression as well.
If you prefer to go with psychedelics, whether micro, or macro doses, it's easy to grow psilocybin mushrooms, albeit illegal.
There are also a number of online vendors who sell legal hallucinogens for "research purposes" . Lsd analogues such as 1p-LSD and Al-LAD have the same
effect as the parent drug for all intents and purposes.zed - 18-4-2021 at 05:13
Ummm. Mood elevator? Try Olive Leaf Extract.
Others like Tyrosine.
I'm also a big fan of hot Cocoa.
I try to stay away from Diet Coke. It's a monkey on my back, when I don't control myself.Newton2.0 - 30-4-2021 at 11:06
Kratom is problematic, unless you don't mind being addicted. That being said, it does produce some pretty dramatic antidepressant effects along with
being a solid painkiller. But addiction is a real risk with Kratom. It was a problem for me for years. Just my two cents.
symboom - 30-4-2021 at 15:27
Akuamma is similar to kratom but produces no euphoric effects many people don't like akuamma but use it to taper off kratom (and avoiding
hyperalgesia) I've read about opioid antagonist being used to lower tolerance for those that have to rely on pain killers due to chronic pain. I find
it odd that serotonin is also known to be a pain killer. Which is why they may prescribe SSRI or SNRI for pain relief. Panache - 10-5-2021 at 02:44
So today I began a clinical trial (as a participant) for an oral ketamine control release 120mg dose to treat unresponsive (to other medications) MDD.
The pill is not supposed to produce any dissociative effects albeit if this dose was administered orally ‘ eat’ diss is til would be expected.
The regime is a daily dose for 5 days then at day 8 reevaluation of your depressive symptoms. It is expected that 80% of participants will achieve a
reduction of50% or greater in their symptoms. So it’s really quick. If you show no improvement past 50% the trial is over for you. For the remaining
you go on a 90, 120,180 or placebo dose every 5 days. After 3 weeks those on the 90 and placebo will be offered the 120.
All those at this stage are offered the medication for life.
The real purpose of the trial is not a assess it’s effacacy but the rather to ensure that no dissociation occurs.
After15years with this black dog I m rather hopeful...symboom - 10-5-2021 at 06:30
Interesting I thought the dissociative was just part of the treatment but it seems as you describe it's just as effective in lower doses that don't
produce that side effect. 80% is really high effectiveness.
I had the severe depression and mushrooms helped me a lot better than prozac. This is a bit hard to describe but for me the mushrooms changed how I
viewed things like my negative thoughts and it changed my preception as my mind was rapidly producing thoughts of positive memories.
I feel like serotonin agonists (Shrooms) and NMDA antagonists (ketamine) are much more effective than SSRIs even in microdose levels. Based on what I
have read. Which is great because one is natural and one is man made so psychiatrist can make the choice what they think is more effective as
everyones body is different. I think about how many people these could have helped pull them out of the darkness of their mind.
[Edited on 10-5-2021 by symboom]karlos³ - 10-5-2021 at 06:43
I can second the effectiveness of serotonin agonists for depression, although I prefer synthetic ones for that purpose.
SSRI are in my opinion worthless, and it seems that quite some studies confirm that, given that they judge their effectivity as on par with a placebo.
[Edited on 10-5-2021 by karlos³]pneumatician - 10-5-2021 at 07:06
EPA/DHA better than pills (they seem to help to neuroregeneration).
where this info come from???symboom - 10-5-2021 at 07:13
It seems like they block rather than assist in dealing with emotions for example SSRI are known to cause emotional blunting/ flat affect. They are
effective at their job after around 1 month.karlos³ - 10-5-2021 at 07:19
With microdosing of an LSD analogue(AL-LAD, around 10µg in the morning), I had pretty good results after 3-4 days already, and beneficial in every
aspect with no side effects.
It increased for a few days and then stayed like that for the whole time I took it(a few months).
They should put that into pills and prescribe that for depressed patients!
[Edited on 10-5-2021 by karlos³]Panache - 16-5-2021 at 20:07
So it’s been a week and my god what a difference. I began on the 3month trial today. I have effusive for days. The subtlety and nuance of the
changes is remarkable. I feel myself again for the first time in 13years. I have only one remaining contact from before I fell ill. My ex wife.
The most interesting thing is the insight I gained into how unwell nha did been, that previously i have been incapable of understanding.
13years what a waste. I have no doubt this drug has been held back from clinical use by the war on drugs. Fuck the baby boomers have much to answer
for. That other thing climate change hmmmmmmm.symboom - 16-5-2021 at 21:29
Glad to hear you have back control of your mind if that makes sense.
I had the same realizations with shrooms and low dose dmt. like why is this drug evil and they say you shouldn't use it. Including I well researched
it drugs before in understanding how it works along with set and setting. Got out a notebook put on music that reflects my thoughts. Then write down
things that I wanted to overcome.
[Edited on 17-5-2021 by symboom]Xanax - 17-5-2021 at 11:41
I burned my brain on DXM...
Abused it daily for weeks, som times in doses of 2 500 mg at once... Long time ago but I think it was corrosive on the brain.
But I did a ketamine-treatment a couple of years ago with a small positive result. Not prescribed at the hospital, i mixed it up in my kitchen. Dont
know really how it works but i think it had something to do with the NMDA- o glutamate-receptors. I had a major depression, which lasted for about 20
years, so I tested everythin (including ECT-treatment with a major memory-loss). I didn't care... But ketamine reminded of the result of the ECT.
Finaly I have came through the depression (not due to the ketamine), but I still have a lot of prescriptions including Venlafaxine.
[Edited on 2021-5-18 by Xanax]pneumatician - 17-5-2021 at 19:38
If it were me, I would look at Hypericum perforatum. L'herba de Sant Joan, el "Prozac natural"...
Antidepressants help with 50% then therapy helps with the other percentage in overcoming mental illness.
As what I understand the antidepressants break the cycle of rumination by modifying the mood which indirectly affect the thoughts. This is the nature
vs nurture thinking. From what I understand that researchers focus on the nature theory like that's just how it is. They believe that these mental
conditions are inherited by family members and that it is genetic at least for scizophenia. I think the nurture theory is very underestimated.
The sad part is that according to the disability office of the United States comments that severe anxiety and depression is expected to last only 1
year this is obviously not always true.
Nature theory these conditions stem from brain defects they are born with it.
Nurture theory these conditions are a result of the past or present environment the person is in.
My theory is that depression/anxiety progresses into personality disorders like the person can't tell what is the condition and what is their
personality like an identity crisis is felt by the person after that I think it can progress in to psychosis and further into scizophenia. This of
course if it is not cured of the condition it gets worse.
My theory based on the effect on nurture. This doesn't mean nature doesn't play a role just one is greater than the other as it takes time to form new
neuroconnections.
I know that the field of psychology is still growing there are things they presume based on clinical results. The thing that can be confusing that is
causation is not coorlation.
From the understanding of CBT is that
Thoughts affect emotions which influence behavior.
