Ayahuasca
Ayahuasca is a psychoactive decoction traditionally prepared from the Banisteriopsis caapi vine and a DMT-containing plant, used by indigenous peoples of the Amazon basin in ceremonial and shamanic contexts1 since before recorded history. The β-carboline alkaloids in B. caapi act as monoamine oxidase inhibitors, rendering DMT orally active.23 Its name derives from Quechuan languages, meaning 'spirit rope' or 'liana of the soul.'3 Ayahuasca is known for producing intense spiritual and psychological experiences.13
Contents
Dosage & Duration
Dosage
Ayahuasca is not dosed by weight. It is a brewed beverage prepared by macerating and boiling B. caapi vine with DMT-containing plants such as P. viridis or D. cabrerana. Potency varies radically between preparations depending on ingredient ratios, preparation skill, and admixtures, making standardized dosing unfeasible.
Duration
Subjective Effects
Effects vary widely by individual, dose, and context.
Physical
The physical effects of Ayahuasca can be broken down into three main components all of which progressively intensify proportional to dosage.
Cognitive
The head space of ayahuasca is described by many as extremely sober and clear headed in its style when compared to other commonly used psychedelics such as LSD or Psilocin. This is despite the fact that it contains a large number of psychedelic typical and unique cognitive effects.
Visual
Geometry
The visual geometry that is present throughout this trip can be described as more similar in appearance to that of Psilocin than LSD. They can be comprehensively described as structured in their organization, organic in geometric style, intricate in complexity, large in size, fast and smooth in motion, colourful in scheme, glossy in colour, equal in blurred and sharp edges and equal in rounded and angular corners. At higher dosages they are significantly more likely to result in states of level 7B visual geometry over level 7A. In terms of their manifestation, they are progressive in nature and continuously self-complexify in settings with little or no visual input and disturbances.
Hallucinatory States
Ayahuasca and other forms of DMT produce a full range of high level hallucinatory states in a fashion that is more consistent and reproducible than that of any other commonly used psychedelic.
Auditory
The auditory effects of ayahuasca are extremely consistent in occurrence in comparison to that of LSD and psilocin and exhibit a full range of effects.
Reagent Testing
Loading reagent data
Pharmacology
Pharmacodynamics
Ayahuasca's psychoactive effects arise from the combined actions of DMT and harmala alkaloids. DMT stimulates serotonin receptors in the brain, with activity at the 5-HT2A receptor subtype most directly associated with its psychoactive properties.3 The harmala alkaloids harmine and harmaline function as selective, reversible inhibitors of monoamine oxidase A (MAO-A, classified as RIMAs).4 The β-carbolines in B. caapi also exhibit independent activity at serotonin and benzodiazepine receptors.3 Tetrahydroharmine, another constituent alkaloid, displays weak serotonin reuptake inhibition.4
Pharmacokinetics
DMT is ordinarily degraded by monoamine oxidase enzymes in the gastrointestinal tract, rendering it orally inactive when consumed alone.5 The reversible inhibition of MAO-A by harmine and harmaline prevents this oxidation, allowing DMT to pass unmetabolized through the stomach and small intestine and subsequently cross the blood-brain barrier.54 Individual polymorphisms of the CYP2D6 enzyme affect the rate at which harmine is metabolized.6
Dangerous
Highest riskThese combinations are considered extremely harmful and should always be avoided. Reactions to these drugs taken in combination are highly unpredictable and have a potential to cause death.
Unsafe
AvoidThere is considerable risk of physical harm when taking these combinations, they should be avoided where possible.
Caution
Use cautionThese combinations are not usually physically harmful, but may produce undesirable effects, such as physical discomfort or overstimulation. Extreme use may cause physical health issues. Synergistic effects may be unpredictable. Care should be taken when choosing to use this combination.
Tolerance
Serotonergic psychedelics (LSD, psilocybin, mescaline), Other 5-HT2A agonists
Harm Potential
Addiction & Dependence
Psychological
Extremely LowAyahuasca shows no psychological addiction potential and many users report a self-regulating quality to the substance. Research has shown it may actually be effective in treating addictions, with lower Addiction Severity Index scores observed in ayahuasca users compared to controls.7
Physical
Extremely LowAyahuasca is not physically addictive and does not produce physical dependence.8 The substance builds no significant tolerance and can theoretically be used frequently without developing dependence.8
Toxicity
Nausea, vomiting, and diarrhea ('la purga') are common acute effects during the experience; these are transient symptoms related to the mechanism of action and are not indicative of organ damage.9
Acute increases in blood pressure and heart rate (tachycardia) occur during intoxication; these effects are transient and resolve after the experience ends.8
Transient increases in prolactin, cortisone, and growth hormone secretion have been correlated with ayahuasca consumption; these hormonal changes occur during the acute experience.8
Harmaline has been reported to exhibit antimicrobial, antileishmanial, and antiplasmodial properties.3 Harmala alkaloids have demonstrated ability to expel parasitic worms by stunning or killing them.
Psychosis Risk
Ayahuasca is suspected of triggering psychosis and schizophrenia in individuals with a predisposition to these conditions.5 Acute delusions, paranoia, and confusional states may occur during the experience, particularly when accompanied by severe nausea. Family history of psychotic disorders is considered a contraindication.11
Seizure Risk
Seizures are listed among the rarer side effects of ayahuasca.9
History & Culture
Indigenous Origins and Archaeological Evidence
Ayahuasca has been used by the indigenous peoples of South America since before recorded history. The word itself derives from Quechuan languages spoken in the Andes, with its name translating to "spirit rope" or "liana of the soul," referring both to the Banisteriopsis caapi vine and the…
Trip Reports
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Legality
International
Ayahuasca is not internationally scheduled under the 1961 Single Convention, the 1971 Convention on Psychotropic Substances, or the 1988 Convention. DMT is in Schedule I of the 1971 Convention, but the INCB states that plant and fungal materials and preparations containing scheduled psychotropics, including ayahuasca, are not under international control.
By Country
References
Source Pages
Disregard Everything I Say
Drug Users Bible by Dominic Milton Trott
Erowid: Ayahuasca Analogues and Pharmahuasca
Erowid: Ayahuasca Vault
Erowid: DMT Freebase Content in Ayahuasca/Pharmahuasca Preparations
McKenna et al. 1998 - Scientific Investigation of Ayahuasca
PsychonautWiki: Ayahuasca
PsychonautWiki: Harmala alkaloid
PsychonautWiki: Peganum harmala
TripSit Factsheet: DMT
TripSit Wiki: Ayahuasca
TripSit: Drug Combination Chart
Wikipedia
Citations
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- (n.d.). RCW 69.50.204 — Schedule I. app.leg.wa.gov. https://app.leg.wa.gov/RCW/default.aspx?cite=69.50.2041
- (n.d.). RCW 69.50.4013 — Possession, use of controlled substance. app.leg.wa.gov. https://app.leg.wa.gov/RCW/default.aspx?cite=69.50.40131
- (n.d.). RCW 69.50.401 — Prohibited acts: A—Penalties. app.leg.wa.gov. https://app.leg.wa.gov/RCW/default.aspx?cite=69.50.4011
- (n.d.). Seattle Resolution 32021. clerk.seattle.gov. https://clerk.seattle.gov/~archives/Resolutions/Resn_32021.pdf1
Further Reading
Alcohol and Drug Foundation: Ayahuasca
Callaway et al. 1999 - Pharmacokinetics of Hoasca alkaloids in healthy humans
Nichols 2016 - Psychedelics
Osório et al. 2015 - Antidepressant effects of a single dose of ayahuasca
Palhano-Fontes et al. 2019 - Rapid antidepressant effects of ayahuasca
Santos et al. 2013 - Safety and side effects of ayahuasca in humans
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