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.
In the evidence
This study is part of the evidence base for a synthesis in the library. Here is how each one recorded it.
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Chronic self-administration of DMT augmented with phenelzine in a physician with bipolar depression resulted in mania and psychosis.
Synthesized
Comparable studies
Other case reports and case series on 5-MeO-DMT, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| A fatal intoxication following the ingestion of 5-methoxy-N,N-dimethyltryptamine in an ayahuasca preparation. 25-year-old white male | 2005 | Case study | n = 1 |
| Combined intoxication with methylone and 5-MeO-MIPT 27-year-old male patient | 2006 | Case report | n = 1 |
| Sudden death associated with intravenous injection of toad extract. A 24-year-old male | 2009 | Case study | n = 1 |
| 5-Meo-DALT-induced Cyclic Myoclonus (P3.013) A 29-year-old man with history of heroin and marijuana abuse | 2015 | Case report | n = 1 |
| A case report SPECT study and theoretical rationale for the sequential administration of ibogaine and 5-MeO-DMT in the treatment of alcohol use disorder. 31-year-old male military veteran with moderate alcohol use disorder | 2018 | Case study | n = 1 |