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Lysergic acid diethylamide - Wikipedia, the free encyclopedia
LSD is typically delivered orally, usually on a substrate such as absorbent ... LSD was first synthesized on November 16, 1938, by Swiss chemist Albert Hofmann ...
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From the National Institute on Drug Abuse. Information on the hallucinogen lysergic acid diethylamide.
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LSD
Lysergic Acid Diathylamide (LSD) is a psychoactive hallucinogenic drug. ... LSD can also be rubbed against the skin. LSD has been available (at first legally) ...
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LSD is a Schedule I substance under the Controlled Substances Act. ... LSD trafficking and abuse have decreased sharply since 2000, and a resurgence ...
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LSD
LSD. 1 2. D-lysergic acid diethylamide (LSD) is the most potent hallucinogenic substance known to man. Dosages of LSD are measured in micrograms, or millionths of ...
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LSD
Hallucinogens like LSD, and psilocybin mushrooms, are frequently used in these ... Why do people take LSD? LSD, like other hallucinogens, produces a distortion ...
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LSD information from Drugs.com, includes side effects, interactions, indications ... LSD is produced in crystalline form and then mixed with excipients, or diluted ...
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{{drugbox || width = 280| image = LSD-2D, 3D.png| IUPAC_name = (6aR,9R)-N,N-diethyl-7-methyl-4,6,6a,7,8,9-
hexahydroindolo-quinoline-9-carboxamide| CAS_number = 50-37-3| PubChem = 5761| C=20 | H=25| N=3| O=1| molecular_weight = 323.43 g/mol| melting_point = 80| synonyms = LSD, LSD-25, lysergide, D-lysergic acid diethylamide, N,N-diethyl-D-lysergamide| smiles = CN1(C2=C(C(N(CC)CC)=O)C1)()CC3=CNC4=C3C2=CC=C4| elimination_half-life = 3 hours| metabolism = hepatic| excretion = renal| pregnancy_category =| pregnancy_AU = X| pregnancy_US = X| legal_AU = Schedule 9| legal_CA = Schedule III| legal_UK = Class A| legal_US = Schedule I| legal_status =| routes_of_administration = Wiktionary:oral, Wiktionary:intravenous, Wiktionary:transdermal patch-->Lysergic acid diethylamide, LSD, LSD-25, or acid, is a semisynthetic psychedelic drug of the tryptamine family. Probably the best known psychedelic, it has been used mainly as; a recreational drug, an entheogen, and a tool to aid various methods for transcendence, including meditation, psychonautics, and illicit (though at one time legal) psychedelic psychotherapy, whether self administered or not. It is synthesis from lysergic acid derived from ergot, a grain fungus that typically grows on rye and was first synthesized by Switzerland chemist Albert Hofmann. The short form LSD comes from its early codename LSD-25, which is an abbreviation for the German "Lysergsäure-diethylamid" followed by a sequential number.

LSD is sensitive to oxygen, ultraviolet, and chlorine, especially in solution, though its potency may last years if it is stored away from light and moisture at low temperature. In pure form it is colorless, odorless and mildly bitter. LSD is typically delivered orally, usually on a substrate such as absorbent Blotting paper, a sugar, or gelatin. In its liquid form, it can be administered by intramuscular or intravenous injection. The threshold dosage level needed to cause a psychoactive effect on humans is of the order of 20 to 30 kilogram#SI multiples (micrograms).

Introduced by Sandoz Laboratories as a drug with various psychiatric uses, LSD quickly became a psychedelic psychotherapy that appeared to show great promise. However, the extra-medicinal use of the drug in Western society during the mid-twentieth century led to a political firestorm that resulted in the Hallucinogenic drug#Legal status and attitudes for medicinal as well as recreational and spiritual uses. Despite this, the drug is still considered in some intellectual circles to show a great deal of promise as a medicinal substance. A number of organizations—including Beckley Foundation, Multidisciplinary Association for Psychedelic Studies, Heffter Research Institute and the Albert Hofmann—exist to fund, encourage and coordinate research into its medicinal uses.

Origins and history LSD was first synthesized on November 16, 1938Dr. Albert Hofmann;translated from the original German (LSD Ganz Persönlich) by J. Ott. MAPS-Volume 6 Number 3 Summer 1996 by Swiss chemist Dr. Albert Hofmann at the Sandoz Laboratories in Basel, Switzerland, as part of a large research program searching for medically useful ergoline derivatives. Ergot is a fungus that, by infecting cereals grains used for making rye breads, causes ergotism. After Dr. Hofmann succeeded in synthesizing Ergonovine (which became the preeminent uterotonic), he began experiments with other molecules based around the central lysergic acid component shared by ergot alkalines. Lysergic acid diethylamide, the 25th lysergic acid derivative he synthesised (hence the name LSD-25) was developed initially as a probable analeptic, a circulatory system and respiratory system stimulant, based on its structural similarity to another known analeptic, nikethamide (nicotinic acid diethylamide). However, no extraordinary benefits of the compound were identified during animal tests (though laboratory notes briefly mention that the animals became "restless" under its effects), and its study was discontinued. Its psychedelic properties were unknown until 5 years later, when Hofmann, acting on what he has called a "peculiar presentiment," returned to work on the chemical. While re-synthesizing LSD-25 for further study, Hofmann became dizzy and was forced to stop work. In his journal, Hofmann wrote that after becoming dizzy he proceeded home and was affected by a "remarkable restlessness, combined with a slight dizziness". Hofmann stated that as he lay in his bed he sank into a not unpleasant "intoxicated like condition" which was characterized by an extremely stimulated imagination. He stated that he was in a dreamlike state, and with his eyes closed he could see uninterrupted streams of "fantastic pictures, extraordinary shapes with intense, kaleidoscope play of colors." The condition lasted about two hours after which it faded away. Hofmann had attributed the psychoactive effects he experienced to accidentally absorbing a tiny amount of LSD-25 into his skin. Three days later he would take a much larger dose in order to test its effects further; this day would later be referred to as the "Bicycle Day".Hofmann, Albert. LSD—My Problem Child (McGraw-Hill, 1980). ISBN 0-07-029325-2. Available online here or here; accessed 2007-02-01.

Bicycle day On April 19, 1943 Dr. Hofmann intentionally ingested 250 micrograms of LSD, which he hypothesized would be a threshold dose, based on other ergot alkaloids. After ingesting the substance Hofmann was struggling to speak intelligibly and asked his laboratory assistant, who knew of the self-experiment, to escort him home on his bicycle, due to no vehicles being available from wartime restrictions. On the bicycle ride home, Hofmann's condition became more severe and in his journal he stated that everything in his field of vision wavered and was distorted, as if seen in a curved mirror. Hofmann also stated that while riding on the bicycle, he had the sensation of being stationary, unable to move from where he was, despite the fact that he was moving very rapidly. Once Hofmann arrived safely home, he summoned a doctor and asked his neighbor for milk, believing it may help relieve the symptoms. Hofmann wrote that despite his delirious and bewildered condition, he was able to choose milk as a nonspecific antidote for poisoning. Upon arriving the doctor could find no abnormal physical symptoms other than extremely dilated pupils. After spending several hours terrified that his body had been possessed by a demon, that his next door neighbor was a witch, and that his furniture was threatening him, Dr. Hofmann feared he had become completely insane. In his journal Hoffman said that the doctor saw no reason to prescribe medication and instead sent him to his bed. At this time Hofmann said that the feelings of fear had started to give way to feelings of good fortune and gratitude, and that he was now enjoying the colors and plays of shapes that persisted behind his closed eyes. Hoffman mentions seeing "fantastic images" surging past him, alternating and opening and closing themselves into circles and spirals and finally exploding into colored fountains and then rearranging themselves in a constant flux. Hofmann mentions that during the condition every acoustic perception, such as the sound of a passing automobile, was transformed into optical perceptions. Eventually Hoffman slept and upon awakening the next morning felt refreshed and clearheaded, though somewhat physically tired. He also stated that he had a sensation of well being and renewed life and that his breakfast tasted unusually delicious. Upon walking in his garden he remarked that all of his senses were "vibrating in a condition of highest sensitivity, which then persisted for the entire day".

Early research Early research on LSD saw its potency and noticed that even in extremely small quantities it could significantly alter the mental functioning of healthy volunteers. Due to the fact that LSD could produce changes in perceptions and emotions, early researchers hypothesized that the cause of some mental illnesses, particularly schizophrenia, were due to the human body releasing small quantities of substances identical to LSD. A lot of the research during the late 1940's dealt with this hypothesis and many LSD sessions conducted for scientific study were often termed "experimental psychoses", and this is where the terms "psychoactive" and "hallucinogenic" were coined to refer to such drugs. Generally these studies revolved around the attempt to block the effects of LSD with premedication, which was thought to be able to lead to medical treatments schizophrenia. Such studies were unsuccessful due to the fact that the effects of LSD and those of schizophrenia are drastically different and have different causes and functions. Some early researchers also started to suggest that LSD could have positive effects and could be used as a treatment for patients with psychiatric illnesses. Some reports suggested that even small doses of LSD could have dramatic effects on the personalities and attitudes and even lifestyles of test subjects. Early LSD research also found evidence of the drugs ability to facilitate relief of various emotional episodes related to traumatic memories from childhood of patients.

Government research During the Cold War intelligence agencies were keenly interested in the possibilities of using LSD for interrogation and mind control, as well as for large-scale social engineering (political science). The CIA research on LSD, most of which was done under Project MKULTRA, the code name for a CIA mind-control research program begun in the 1950s and continued until the late 1960s. Tests were also conducted by the U.S. Army Biomedical Laboratory (now known as the U.S. Army Medical Research Institute of Chemical Defense) located in the Edgewood Arsenal at Aberdeen Proving Grounds. Subjects would take LSD (without consent) and then perform a battery of tests to investigate the effects of the drug on soldiers. Based on remaining publicly available records, the projects seem to have concluded that LSD was of little practical use as a mind control drug and moved on to other drugs. Both the CIA and the Army experiments became highly controversial when they became public knowledge in the 1970s, as the test subjects were not normally informed of the nature of the experiments, or even that they were subjects in experiments at all. At least one person, an Army scientist named Frank Olson is thought by some to have committed suicide by leaping from a tall building as a result of his being unknowingly given LSD. Frank Olson's son, Eric Olson, believes that his father was murdered by government officials and a 1994 exhumation and examination by forensic pathologists at George Washington University of the body suggested that Olson had suffered blunt trauma to the back of his head prior to falling from the building. Most of the MKULTRA records were deliberately destroyed in 1973. The controversy contributed to Gerald Ford's creation of the United States President's Commission on CIA activities within the United States and new regulations on informed consent.

The United Kingdom government also engaged in LSD testing; in 1953 and 1954, scientists working for MI6 dosed servicemen in an effort to find a "truth drug". The test subjects were not informed that they were being given LSD, and had in fact been told that they were participating in a medical project to find a cure for the common cold. One subject, aged 19 at the time, reported seeing "walls melting, cracks appearing in people's faces … eyes would run down cheeks, Salvador Dalí-type faces … a flower would turn into a slug". After keeping the trials secret for many years, MI6 agreed in 2006 to pay the former test subjects financial compensation. Like the CIA, MI6 decided that LSD was not a practical drug for mind control purposes.Rob Evans, " MI6 pays out over secret LSD mind control tests". The Guardian 24 February 2006.

Recreational use LSD first became popular recreational drug use among a small group of mental health professionals such as psychiatrists and psychologists during the 1950s, as well as by socially prominent and politically powerful individuals such as Henry Luce and Clare Boothe Luce to whom the early LSD researchers were connected socially.

Several mental health professionals involved in LSD research, most notably Harvard psychology professors Dr. Timothy Leary and Dr. Ram Dass, became convinced of LSD's potential as a tool for spirituality growth. In 1961, Dr. Timothy Leary received grant money from Harvard University to study the effects of LSD on test subjects. 3,500 doses were given to over 400 people. Of those tested, 90% said they would like to repeat the experience, 83% said they had "learned something or had insight," and 62% said it had changed their life for the better.

Their research became more esoteric and controversial, as Leary and Alpert alleged links between the LSD experience and the state of Enlightenment (concept) sought after in many mysticism traditions. They were dismissed from the traditional academic psychology community, and as such cut off from legal scientific acquisition of the drug. Drs. Leary and Alpert acquired a quantity of LSD and relocated to a private mansion, where they continued their research. The experiments lost their scientific character as the pair evolved into countercultural spirituality gurus associated with the hippie movement, encouraging people to question authority and challenge the status quo, a concept summarized in Leary's catchphrase, "Turn on, tune in, drop out".

The drug was banned in the United States on October 6, 1966, with scientific therapeutic research as well as individual research also becoming prohibitively difficult. Many other countries, under pressure from the U.S., quickly followed suit. Since 1967, underground recreational and therapeutic LSD use has continued in many countries, supported by a black market and popular demand for the drug. Legal, academic research experiments on the effects and mechanisms of LSD are also conducted on occasion, but rarely involve human subjects. Despite its proscription, the hippie counterculture continued to promote the regular use of LSD, led by figures such as Leary and psychedelic rock bands such as, The Doors, The Grateful Dead. Acidhead has been used as a — sometimes derogatory — name for people who frequently use LSD.According to Leigh Henderson and William Glass, two researchers associated with the National Institute on Drug Abuse who performed a 1994 review of the literature, LSD use is relatively uncommon when compared to the abuse of alcohol, cocaine, and prescription drugs. Over the previous fifteen years, long-term usage trends stayed fairly stable, with roughly 5% of the population using the drug and most users being in the 16 to 23 age range. A particularly compelling look at the actions of LSD was performed by Barry Jacobs recording from electrodes implanted into cat Raphe nuclei. Behaviorally relevant doses of LSD result in a complete blockade of action potential activity in the dorsal raphe, effectively shutting off the principal endogenous source of serotonin to the telencephalon.

Some reports indicate that although administration of chlorpromazine (Thorazine) or similar typical antipsychotic tranquilizers will not end an LSD trip, it will either lessen the intensity or immobilize and numb the patient, a side effect of the medication. While it also may not end an LSD trip, the best chemical treatment for a "bad trip" is an anxiolytic agent such as diazepam (Valium) or another benzodiazepine. Some have suggested that administration of niacin (nicotinic acid, vitamin B3) could be useful to end the LSD user's experience of a "bad trip". The nicotinic acid in niacin as opposed to nicotinamide, will produce a full body heat rash, due to widening of peripheral blood vessels. The effect is somewhat akin to a poison ivy rash. Although it is not clear to what extent the effects of LSD are reduced by this intervention, the physical effect of an itchy skin rash may itself tend to distract the user from feelings of anxiety. Indeed, nicotinic acid was experienced as a stressor by all tested persons. The rash itself is temporary and disappears within a few hours. It is questionable if this method could be effective for people having serious adverse psychological reactions.

Physical Physical reactions to LSD are highly variable and may include the following: uterus contractions, hypothermia, fever, elevated levels of blood sugar, goose bumps, increase of heart rate, jaw clenching, perspiration, Mydriasis, saliva production, mucus production, sleeplessness, paresthesia, hyperreflexia, tremors and synesthesia. LSD users report numbness, weakness, trembling, and nausea. Though LSD is often incorrectly referred to as a hallucinogen, it is actually a psychotropic, as it does not create objects that aren't real, but merely changes one's perception of what is real.LSD was studied in the 1960s by Eric Kast as an analgesic for serious and chronic pain and nociception caused by cancer or other major trauma. Even at low (sub-psychedelic) dosages, it was found to be at least as effective as traditional opiates while being much longer lasting (pain reduction lasting as long as a week after peak effects had subsided). Kast attributed this effect to a decrease in anxiety. This reported effect is being tested (though not using LSD) in an ongoing (as of 2006) study of the effects of the Psychedelic drug tryptamine psilocybin on anxiety in terminal cancer patients.

Furthermore, LSD has been illicitly used as a treatment for cluster headaches, an uncommon but extremely painful disorder. Researcher Peter Goadsby describes the headaches as "worse than natural childbirth or even amputation without anesthetic."Dr. Goadsby is quoted in " Research into psilocybin and LSD as cluster headache treatment", and he makes an equivalent statement in an Health Report interview on Australian Radio National (9 August 1999). Pages accessed 2007-01-31. Although the phenomenon has not been formally investigated, case reports indicate that LSD and psilocybin can reduce cluster pain and also interrupt the cluster-headache cycle, preventing future headaches from occurring. Currently existing treatments include various ergolines, among other chemicals, so LSD's efficacy may not be surprising. A dose-response study, testing the effectiveness of both LSD and psilocybin is currently, as of 2007, being planned at McLean Hospital. A 2006 study by McLean researchers interviewed 53 cluster-headache sufferers who treated themselves with either LSD or psilocybin, finding that a majority of the users of either drug reported beneficial effects. Unlike attempts to use LSD or MDMA in psychotherapy, this research involves non-psychological effects and often sub-psychedelic dosages; therefore, it is plausible that a respected medical use of LSD will arise.Summarized from " Research into psilocybin and LSD as cluster headache treatment" and the Clusterbusters website. Pages accessed 2007-01-31.

Psychological LSD's psychological effects (colloquialism called a "trip") vary greatly from person to person, depending on factors such as previous experiences, state of mind and environment, as well as dose strength. They also vary from one trip to another, and even as time passes during a single trip. An LSD trip can have long term psychoemotional effects; some users cite the LSD experience as causing significant changes in their personality and life perspective. Widely different effects emerge based on what Timothy Leary called set and setting; the "set" being the general mindset of the user, and the "setting" being the physical and social environment in which the drug's effects are experienced.

Some psychological effects may include an experience of Euphoria (emotion), radiant colors, objects and surfaces appearing to ripple or "breathe," colored patterns behind the eyes, a sense of time distortion, crawling geometric patterns overlaying walls and other objects, morphing objects, loss of a sense of identity or the ego, and powerful, and sometimes brutal, psycho-physical reactions described by users as reliving their own birth. LSD has been shown to not cause hallucinations, but rather alterations in one's customary perceptions of what is considered 'real'. This is called a psychotropic or psychedelic effect.

LSD experiences can range from indescribably ecstatic to extraordinarily difficult. Many difficult experiences (or "bad trips") are associated with a feeling of panic resulting from the inability (while under the influence of the chemical) to re-attach to customary structures of self with which one has identified in one's ordinary experience of reality. One of the primary effects of LSD is its dissolution of the psychological structures that psychologists call neuroses or complexes. Since people ordinarily identify with their neuroses the dissolution of these psychological structures can present the feeling of being somewhat at sea . LSD, though admittedly in a somewhat dramatic fashion, actually, therefore, brings about a less obscured experience of reality and not one filled with deluded hallucinations as popular myth has claimed. It was for this reason that Timothy Leary and Richard Alpert considered the chemical to be of potentially beneficial application in psychotherapy. If the user is in a hostile or otherwise unsettling environment, or is not mentally prepared for the powerful distortions in perception and thought that the drug causes, effects are more likely to be unpleasant than if he or she is in a comfortable environment and has a relaxed, balanced and open mindset.

Many users experience a dissolution between themselves and the "outside world".Linton, Harriet B. and Langs, Robert J. " Subjective Reactions to Lysergic Acid Diethylamide (LSD-25)". Arch. Gen. Psychiat. Vol. 6 (1962): 352–68. This unitive quality may play a role in the spiritual and religious aspects of LSD. The drug sometimes leads to disintegration or restructuring of the user's historical personality and creates a mental state that some users report allows them to have more choice regarding the nature of their own personality.

Some experts hypothesize that drugs such as LSD may be useful in psychotherapy, especially when the patient is unable to "unblock" repressed subconscious material through other psychotherapeutic methods,Cohen, S. (1959). The therapeutic potential of LSD-25. A Pharmacologic Approach to the Study of the Mind, p251–258. and also for treating alcoholism. One study concluded, "The root of the therapeutic value of the LSD experience is its potential for producing self-acceptance and self-surrender," presumably by forcing the user to face issues and problems in that individual's psyche. Many believe that, in contrast, other drugs (such as alcohol, heroin, and cocaine) are used to escapism from reality. Studies in the 1950s that used LSD to treat alcoholism professed a 50% success rate,Maclean, J.R.; Macdonald, D.C.; Ogden, F.; Wilby, E., "LSD-25 and mescaline as therapeutic adjuvants." In: Abramson, H., Ed., The Use of LSD in Psychotherapy and Alcoholism, Bobbs-Merrill: New York, 1967, pp. 407–426; Ditman, K.S.; Bailey, J.J., "Evaluating LSD as a psychotherapeutic agent," pp.74–80; Hoffer, A., "A program for the treatment of alcoholism: LSD, malvaria, and nicotinic acid," pp. 353–402. five times higher than estimates near 10% for Alcoholics Anonymous.Minogue, S. J. "Alcoholics Anonymous." The Medical Journal of Australia May 8 (1948):586–587. Some LSD studies were criticized for methodological flaws, and different groups had inconsistent results. Mangini's 1998 paper reviews this history and concludes that the efficacy of LSD in treating alcoholism remains an open question.

Many notable individuals have commented publicly on their experiences with LSD. Some of these comments date from the era when it was legally available in the US and Europe for non-medical uses, and others pertain to psychiatric treatment in the 1950s and 60s. Still others describe experiences with illegal LSD, obtained for philosophic, artistic, therapeutic, spiritual, or recreational purposes.

Sensory / perception LSD causes expansion and altered experience of senses, emotions, memory, time, and awareness for 6 to 14 hours, depending on dosage and tolerance. Generally beginning within thirty to ninety minutes after ingestion, the user may experience anything from subtle changes in perception to overwhelming cognitive shifts. LSD does not produce hallucinations, but instead illusions and vivid daydream-like Fantasy (psychology), in which ordinary objects and experiences can take on entirely different appearances or meanings.

Changes in auditory and visual perception are typical. Visual effects include the illusion of motion aftereffect ("walls breathing"), after image-like trails of moving objects ("tracers"), the appearance of moving colored geometric patterns (especially with closed eyes), an intensification of colors and brightness ("sparkling"), new textures on objects, blurred vision, and shape suggestibility. Users commonly report that the inanimate world appears to animate in an unexplained way; for instance, objects that are static in three dimensions can seem to be moving relative to one or more additional spatial dimensions.See, e.g., Gerald Oster's article " Moiré patterns and visual hallucinations". Psychedelic Rev. No. 7 (1966): 33–40. Many of the basic visual effects resemble the phosphenes seen after applying pressure to the eye and have also been studied under the name "form constants". Auditory effects are not that pronounced and include Echo (phenomenon)-like distortions of sounds, a mixing of all sounds which makes it harder to discern distinct sounds, the feeling that what you're hearing is your thought, a general intensification of the experience of music, and an increased discrimination of instruments and sounds.

Higher doses often cause intense and fundamental distortions of sensory perception such as synaesthesia, the experience of additional spatial or temporal dimensions, and temporary dissociation.

Spiritual LSD is considered an entheogen because it can catalyze intense spiritual experiences where users feel they have come into contact with a greater spiritual or cosmic order. Some users report insights into the way the mind works, and some experience long-lasting changes in their life perspective. Some users consider LSD a religious sacrament, or a powerful tool for access to the divine. Several books have been written comparing the LSD trip to the state of enlightenment (Buddhism) of eastern philosophy.

Such experiences under the influence of LSD have been observed and documented by researchers such as Alan Watts, Timothy Leary and Stanislav Grof. For example, Walter Pahnke conducted the Good Friday Marsh Chapel Experiment under Leary's supervision, performing a double blind experiment on the administration of psilocybin to volunteers who were students in religious graduate programs, e.g., divinity or theology.Video of the experiment can be viewed here. That study provided evidence that psychotropics may induce mystical religious states (at least in people with a spiritual predisposition).

Potential risks of LSD use Although LSD is generally considered nontoxic, it may temporarily impair the ability to make sensible judgments and understand common dangers, thus making the user more susceptible to accidents and personal injury. Contrary to popular belief, LSD has shown no malignant effect on a user's memory, regardless of dosage or frequency of trips.

There is also some indication that LSD may trigger a fugue state state in individuals who are taking certain classes of antidepressants such as lithium salts and Tricyclic antidepressant. In such a state, the user has an impulse to wander, and may not be aware of his or her actions, which can lead to physical injury." LSD and Antidepressants" (2003) via Erowid. Selective serotonin reuptake inhibitor are believed to interact more benignly, with a tendency to noticeably reduce LSD's subjective effects.Kit Bonson, " The Interactions between Hallucinogens and Antidepressants" (2006). Similar and perhaps greater reductions have also been reported with MAOIs.

As Albert Hofmann reports in LSD – My Problem Child, the early pharmacological testing Sandoz performed on the compound (before he ever discovered its psychoactive properties) indicated that LSD has a pronounced effect upon the mammalian uterus. Sandoz's testing showed that LSD can stimulate uterine contractions with efficacy comparable to Ergoline#Lysergic acid amides, the active uterotonic component of the ergot fungus (Hofmann's work on ergot derivatives also produced a modified form of ergobasine which became a widely accepted medication used in obstetrics, under the trade name Ergoline#Lysergic acid amides). Therefore, LSD use by pregnant women could be dangerous and is contraindication.

Initial studies in the 1960s and 70s raised concerns that LSD might produce genetic damage or developmental abnormalities in fetuses. However, these initial reports were based on in vitro studies or were poorly controlled and have not been substantiated. In studies of chromosome changes in human users and in monkeys, the balance of evidence suggests no significant increase in chromosomal damage. For example, studies were conducted with people who had been given LSD in a clinical setting. White blood cells from these people were examined for visible chromosomal abnormalities. Overall, there appeared to be no lasting changes. Several studies have been conducted using illicit LSD users and provide a less clear picture. Interpretation of these data is generally complicated by factors such as the unknown chemical composition of street LSD, concurrent use of other psychoactive drugs, and diseases such as hepatitis in the sampled populations. It seems possible that the small number of congenital abnormalities reported in users of street LSD is either coincidental or related to factors other than a toxic effect of pure LSD.

Flashbacks and HPPD There is a reported possibility of "Flashback (psychological phenomenon)", a psychological phenomenon in which an individual experiences an episode of some of LSD's subjective effects long after the drug has worn off — sometimes weeks, months, or even years afterward. Flashbacks can incorporate both positive and negative aspects of LSD trips. Colloquial usage of the term flashback refers to any experience reminiscent of LSD effects, with the typical connotation that the episodes are of short duration. However, psychiatry recognizes a disorder in which LSD-like effects are persistent and cause clinically significant impairment or distress. This syndrome is called hallucinogen persisting perception disorder (HPPD), though not truly hallucinogenic, a Diagnostic and Statistical Manual of Mental Disorders diagnosis. Several scientific journal articles have described the disorder.See, for example,

The issues of HPPD and flashbacks are complicated and subtle, with no definitive explanations currently available. Any attempt at explanation must reflect several observations: first, over 70 percent of LSD users claim never to have "flashed back"; second, the phenomenon does appear linked with LSD use, though a causal connection has not been established; and third, a higher proportion of psychiatric patients report flashbacks than "normal" users.{{cite web| url = http://www.maps.org/research/abrahart.html| title = A Critical Review of Theories and Research Concerning Lysergic Acid Diethylamide (LSD) and Mental Health| author = David Abrahart| date = 1998| accessdate = 2007-02-02--> Several studies have tried to determine how likely a "normal" user (that is, a user not suffering from known psychiatric conditions) of LSD is to experience flashbacks. The larger studies include Blumenfeld's in 1971 and Naditch and Fenwick's in 1977, which arrived at figures of 20% and 28%, respectively. A recent review suggests that HPPD (according to the DSM-IV definition) caused by LSD appears to be rare and affects a distinctly vulnerable subpopulation of users.; Differences in the estimated prevalence of flashbacks may partly depend on the multiple meanings of the term and the fact that Hallucinogen Persisting Perception Disorder can only be diagnosed in a person who admits to their health care practitioner that they have used psychotropics.

Debate continues over the nature and causes of chronic flashbacks. Explanations in terms of LSD physically remaining in the body for months or years after consumption have been discounted by experimental evidence. Some say HPPD is a manifestation of post-traumatic stress disorder, not related to the direct action of LSD on brain chemistry, and varies according to the susceptibility of the individual to the disorder. Many emotionally intense experiences can lead to flashbacks when a person is reminded acutely of the original experience. However, not all published case reports of chronic flashbacks appear to describe an anxious hyper-vigilant state reminiscent of post-traumatic stress disorder.

Psychosis There are some cases of LSD inducing a psychosis in people who appeared to be healthy prior to taking LSD. This issue was reviewed extensively in a 1984 publication by Rick Strassman. In most cases, the psychosis-like reaction is of short duration, but in other cases it may be chronic. It is difficult to determine if LSD itself induces these reactions or if it merely triggers latent conditions that would have manifested themselves otherwise. The similarities of time course and outcomes between putatively LSD-precipitated and other psychoses suggests that the two types of syndromes are not different and that LSD may have been a nonspecific trigger. Several studies have tried to estimate the prevalence of LSD-induced prolonged psychosis arriving at numbers of around 4 in 1,000 individuals (0.8 in 1,000 volunteers and 1.8 in 1,000 psychotherapy patients in Cohen 1960; 9 per 1,000 psychotherapy patients in Melleson 1971).

Chemistry

LSD is an ergoline derivative. It is commonly produced from reacting diethylamine with an activated form of lysergic acid. Activating reagents include phosphoryl chloride Stereoselective LSD-like Activity in a Series of D-Lysergic Acid Amides of (R)- and (S)-2-Aminoalkanes Aaron P. Monte, Danuta Marona-Lewicka, Arthi Kanthasamy, Elaine Sanders-Bush, and David E. Nichols. J. Med. Chem. 38(6): 958 - 966 (1995) DOI: and peptide coupling reagents Lysergamides of Isomeric 2,4-Dimethylazetidines Map the Binding Orientation of the Diethylamide Moiety in the Potent Hallucinogenic Agent N,N-Diethyllysergamide (LSD)Nichols, D. E.; Frescas, S.; Marona-Lewicka, D.; Kurrasch-Orbaugh, D. M. J. Med. Chem. 45(19) 4344-4349 (2002). DOI: . Lysergic acid is made by alkaline hydrolysis of lysergamides like ergotamine, a substance derived from the ergot fungus on rye, or, theoretically, from ergine (lysergic acid amide, LSA), a compound that is found in morning glory (Ipomoea tricolor) and hawaiian baby woodrose (Argyreia nervosa) seeds. LSD is a chirality (chemistry) compound with two stereocenters at the carbon atoms C-5 and C-8, so that theoretically four different optical isomerism of LSD could exist. LSD, also called (+)-D-LSD, has the absolute configuration (5R,8R). The C-5 isomers of lysergamides do not exist in nature and are not formed during the synthesis from D-lysergic acid. However, LSD and iso-LSD, the two C-8 isomers, rapidly interconvert in the presence of base (chemistry). Non-psychoactive iso-LSD which has formed during the synthesis can be removed by chromatography and can be isomerized to LSD. A totally pure salt of LSD will emit small flashes of white light when shaken in the dark.http://www.erowid.org/library/books_online/tihkal/tihkal26.shtml LSD is strongly fluorescent and will glow bluish-white under UV light.

Stability "LSD," writes the chemist Alexander Shulgin, "is an unusually fragile molecule." It is stable for indefinite amounts of time if stored, as a solid salt or dissolved in water, at low temperature and protected from air and light exposure. Two portions of its molecular structure are particularly sensitive, the carboxamide attachment at the 8-position and the covalent bond between the 8-position and the aromatic hydrocarbon. The former is affected by high pH, and if perturbed will produce isolysergic acid diethylamide (iso-LSD), which is biologically inactive. If water or alcohol adds to the double bond (especially in the presence of light), LSD converts to "lumi-LSD", which is totally inactive in human beings, to the best of current knowledge. Furthermore, chlorine destroys LSD molecules on contact; even though chlorinated tap water typically contains only a slight amount of chlorine, because a typical LSD solution only contains a small amount of LSD, dissolving LSD in tap water is likely to completely eliminate the substance.

A controlled study was undertaken to determine the stability of LSD in pooled urine samples. The concentrations of LSD in urine samples were followed over time at various temperatures, in different types of storage containers, at various exposures to different wavelengths of light, and at varying pH values. These studies demonstrated no significant loss in LSD concentration at 25 °C for up to 4 weeks. After 4 weeks of incubation, a 30% loss in LSD concentration at 37 °C and up to a 40% at 45 °C were observed. Urine fortified with LSD and stored in amber glass or nontransparent polyethylene containers showed no change in concentration under any light conditions. Stability of LSD in transparent containers under light was dependent on the distance between the light source and the samples, the wavelength of light, exposure time, and the intensity of light. After prolonged exposure to heat in alkaline pH conditions, 10 to 15% of the parent LSD epimerized to iso-LSD. Under acidic conditions, less than 5% of the LSD was converted to iso-LSD. It was also demonstrated that trace amounts of metal ions in buffer or urine could catalyze the decomposition of LSD and that this process can be avoided by the addition of EDTA.

Production

Because an active dose of LSD is astonishingly minute, a large number of doses can be synthesized from a comparatively small amount of raw material. Beginning with ergotamine tartrate, for example, one can manufacture roughly one kilogram of pure, crystalline LSD from five kilograms of the ergotamine salt. Five kilograms of LSD — 25 kilograms of ergotamine tartrate — could provide 100 million doses, sufficient for supplying the entire illicit demand of the United States. Since the masses involved are so small, concealing and transporting illicit LSD is much easier than smuggling other illegal drugs like cocaine or cannabis (drug) in equal dosage quantities. " LSD in the US – Manufacture", DEA Publications.

Manufacturing LSD requires laboratory equipment and experience in the field of organic chemistry. It takes two or three days to produce 30 to 100 grams of pure compound. It is believed that LSD usually is not produced in large quantities, but rather in a series of small batches. This technique minimizes the loss of precursor chemicals in case a synthesis step does not work as expected.

Forms of LSD

LSD is produced in crystalline form and then mixed with excipients or redissolved for production in ingestible forms. Liquid solution is either distributed as-is in small vials or, more commonly, sprayed onto or soaked into a distribution medium. Historically, LSD solutions were first sold on sugar cubes, but practical considerations forced a change to tablet form. Early pills or tabs were flattened on both ends and identified by color: "grey flat", "blue flat", and so forth. Next came "domes", which were rounded on one end, then "double domes" rounded on both ends, and finally small tablets known as "microdots". Later still, LSD began to be distributed in thin squares of gelatin ("window panes", "gel tabs") and, most commonly, as Blotting paper: sheets of paper which are soaked into an LSD solution, dried, and perforated into small squares of individual dosage units. The paper is then cut into small square pieces called "tabs" or "hits". The user can then absorb the LSD out of the paper using his/her tongue, or simply swallow it. Individual producers often print designs onto the paper serving to identify different makers, batches or strengths, and such "blotter art" often emphasizes psychedelic themes.

LSD has been sold under a wide variety of often short-lived and regionally restricted street names including Acid, Trips, Alice Dee, Blotter, Liquid A, Lucy in the Sky with Diamonds, Microdots, Sunshine, Twenty-five, Windowpane, etc., as well as names that reflect the designs on the sheets of blotter paper.Honig, David. Frequently Asked Questions via Erowid.{{cite web]| date = 2005-04-05| accessdate = 2007-01-31--> On occasion, authorities have encountered the drug in other forms — including powder or crystal, and capsule. More than 200 types of LSD tablets have been encountered since 1969 and more than 350 paper designs have been observed since 1975. Designs range from simple five-point stars in black and white to exotic artwork in full four-color print.

Legal status LSD is Schedule I in the United StatesFrom : LSD is a Schedule I substance under the Controlled Substances Act.. This means it is illegal to manufacture, buy, possess, process or distribute LSD without a DEA license (which is almost never given). There can also be substantial discrepancies between the amount of chemical LSD that one possesses and the amount of possession with which one can be charged in the U.S. This is because LSD is almost always present in a medium (e.g. blotter or neutral liquid), and the amount that can be considered with respect to sentencing is the total mass of the drug and its medium. This discrepancy was the subject of 1995 United States Supreme Court case, Neal v. U.S.{{cite court |litigants=Neal v. United States |reporter=U.S. |volume=516 |opinion=284 |pinpoint= |court= |date=1996 |url=http://www.law.cornell.edu/supct/html/94-9088.ZO.html-->, originating from U.S. v. Neal, 46 F.3d 1405 (7th Cir. 1995)

The United Nations Convention on Psychotropic Substances (adopted in 1971) requires its parties to prohibit LSD. Hence, it is illegal in all parties to the convention, which includes the United States, Australia, and most of Europe. However, enforcement of extant laws varies from country to country.

LSD is easy to conceal and smuggle. A tiny vial can contain thousands of doses. Not much money is made from retail-level sales of LSD, so the drug is typically not associated with the violent organized crime organizations involved in cocaine and opiate smuggling.

Canada In Canada, LSD is a controlled substance under Schedule III of the Controlled Drugs and Substances Act. Every person who seeks to obtain the substance without disclosing authorization to obtain such substances 30 days prior to obtaining another prescription from a practitioner is guilty of an indictable offense and liable to imprisonment for a term not exceeding 3 years. Possession for purpose of trafficking is guilty of an indictable offense and liable to imprisonment for 10 years.

Hong Kong In Hong Kong, Lysergide and derivatives are regulated under Schedule 1 of Hong Kong Chapter 134 Dangerous Drugs Ordinance, and can be used legally only by health professionals and for university research purposes. The substance can be given by pharmacists under a prescription. Anyone who supplies the substance without prescription can be fined $10,000(HKD). The penalty for trafficking or illegally manufacturing the substance is a $5,000,000 (Hong Kong dollar) fine and life imprisonment. Possession of the substance for consumption without license from the Department of Health is illegal with a $1,000,000 (HKD) fine and/or 7 years' imprisonment..

United Kingdom In the United Kingdom, LSD is classed as a class A drug. This means that, without a license, possession of the drug is punishable with 7 years imprisonment and/or an unlimited fine, and trafficking is punishable with life imprisonment and an unlimited fine (see mai

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