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A Physician’s Attempt to Self-Medicate Bipolar Depression with N,N-Dimethyltryptamine (DMT)

Tanida Brown, Wanda Shao, Shehzad Ayub, David Chong, Christian Cornelius

Journal of Psychoactive Drugs August 8, 2017 DOI: 10.1080/02791072.2017.1344898 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case study Case report Peer reviewed
Sample size 1
Population A physician with refractory bipolar depression
Interventions DMT phenelzine
Topics 5-MeO-DMT Depression DMT
Citations 21
Key findings Chronic self-administration of DMT with phenelzine in a physician with bipolar depression resulted in mania and psychosis.

Abstract

N,N-dimethyltryptamine (DMT) is a psychoactive substance that has been gaining popularity in therapeutic and recreational use. This is a case of a physician who chronically took DMT augmented with phenelzine in an attempt to self-medicate refractory bipolar depression. His presentation of altered mental status, mania, and psychosis is examined in regards to his DMT use. This case discusses DMT, the possible uses of DMT, and the theorized mechanism of DMT in psychosis and treatment of depression, particularly involving its agonist activity at 5-HT1A, 5-HT2A, and 5-HT2C. It is also important to recognize the dangers of self-medication, particularly amongst physicians.