Human psychopharmacology and dose-effects of salvinorin A, a kappa opioid agonist hallucinogen present in the plant Salvia divinorum
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2022;10(12):67 Drug Alcohol Depend. 2011 23-Feb;():. 10.1016/j.drugalcdep.2010.11.005What this means for my practice?
Salvinorin A resulted in orderly dose- and time-related participant ratings of drug strength and increases on most subscales of the Hallucinogen Rating Scale and on the Mysticism Scale. Additionally, salvinorin A produced no significant physiological changes and no adverse events were reported. Although, any conclusions on safety are limited due to the small sample size and the healthy, hallucinogen-experienced status of participants. These factors may also explain the relative lack of dysphoric effects and presence of dose-related positive effects as participants may have been better prepared for the strong altered states of consciousness.
Study Summary
Four healthy participants were included in this double-blind, placebo-controlled study examining the dose-related effects of inhaled salvinorin A. Participants were administered ascending doses of salvinorin A (0.375 - 21 μg/kg) or placebo across twenty sessions with a washout period of at least one day between sessions. Placebo was administered once every five sessions for a total of four sessions, therefore participants received the treatment drug in sixteen of the twenty sessions. Physiological drug effects were assessed by measuring heart rate and blood pressure, as well as resting and kinetic tremor severity on a 5-point scale. Drug strength was assessed using participant ratings on an 11-point scale and subjective drug effects were assessed using the Hallucinogen Rating Scale (HRS) and the Mysticism Scale. Salvinorin A did not significantly increase heart rate or blood pressure. While subjective reports of drug effects did show some similarities to classic hallucinogens, including mystical-type effects, participant experiences were unique and often characterized by disruptions in vestibular and interoceptive signals and unusual recurring themes, such as revisiting childhood memories. Despite these intense subjective effects, participants were largely behaviorally inactive.
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