Dr. Suresh Muthukumaraswamy, lead researcher in the world's first LSD microdosing clinical trial, discusses the unique design of his experiment, challenges faced, and potential benefits. They explore therapy in psychedelic assisted psychotherapy, regulatory considerations, and the relationship between the Maori and plant medicines in New Zealand.
LSD microdosing showed significant positive effects on participants' well-being, creativity, and energy levels, emphasizing its potential therapeutic benefits.
Research on LSD microdosing highlighted the importance of dosage titration, flexibility in dosing schedules, and the impact of different settings on the effects, paving the way for improving the microdosing experience.
Deep dives
Researching LSD Microdosing in a Naturalistic Setting
Dr. Suresh Kumaraswamy conducted a clinical trial on LSD microdosing in New Zealand, allowing participants to take LSD home with them. The trial involved 80 healthy volunteers who took either a placebo or LSD microdoses every third day for six weeks. They reported significant effects on their well-being, happiness, creativity, and energy levels on the days they took the LSD microdoses. The study also found that the setting in which the doses were taken, such as daily activities, had a clear impact on the effects. The research aims to provide evidence-based guidelines for LSD microdosing, and further studies are planned to explore the potential benefits of microdosing in depressed patients.
Dosage Titration and Flexibility in Microdosing Trials
The study revealed that some participants found a 10-microgram dose of LSD to be too strong and experienced disruptions in daily functioning. This led researchers to implement a titration procedure, starting with a lower dose of 5 micrograms for certain participants and gradually increasing the dose. The trial also highlighted the importance of offering flexibility in dosing schedules to fit participants' daily lives rather than rigidly sticking to an every-third-day regimen. The data showed that the effects of microdosing were more pronounced when participants took doses outside of a laboratory setting and engaged in various activities. Future studies will continue to explore dosage titration and flexibility to optimize the microdosing experience.
The Significance of Placebo Responses and Intention in Microdosing
The study distinguished between placebo responses and effects related specifically to LSD microdosing. While placebo responses were observed, the data clearly showed that participants experienced significant positive effects on their mood, creativity, energy, and feelings of connection on the days they took LSD microdoses. Researchers are now developing an app that will accompany microdosing and help users set intentions, journal their experiences, and implement therapeutic strategies. This holistic approach combines the potential benefits of microdosing with psychological support and intention setting to maximize the therapeutic effects.
The Cultural Context and Future Possibilities of Psychedelics in New Zealand
In New Zealand, there is still lingering stigma around psychedelics, but attitudes are slowly changing. A referendum on cannabis did not pass, indicating the need for further education and awareness. However, there is recognition of the mental health crisis in the country, and if psychedelics can offer potential solutions, there is likely to be widespread support. Challenges remain in navigating regulatory systems and cultural sensitivities, but New Zealand's flexible and responsive research environment allows for expedited clinical trials. The potential for collaboration with indigenous communities, such as the Maori, who have indigenous rights to certain mushroom species, opens up opportunities for further research and exploration.
This is another special interview recorded on location at the 2022 Wonderland Conference in Miami, FL. Dr. Muthukumaraswamy shares the unique design of his LSD microdose trial, plans for future research, and how these studies might be received in New Zealand and around the globe.
Suresh completed his Ph.D. in psychology at the University of Auckland in 2005 after which he joined the newly established Cardiff University Brain Research Imaging Centre as a postdoctoral fellow. In 2014, Suresh received a Rutherford Discovery Fellowship and has returned to Auckland where he works in The School of Pharmacy (Faculty of Medicine and Health Sciences).
Suresh’s main research interests are in understanding how therapies alter brain activity and in developing methodologies to measure these changes in both healthy individuals and patient groups - particularly patients with depression. His previous studies have involved a range of compounds including hallucinogens (ketamine, LSD, psilocybin), anesthetics (propofol, dexmedetomidine), anti-epileptics (vigabatrin, perampanel, tiagabine) and GABA-enhancers (zolpidem, gaboxadol). Suresh’s research has used a wide-range of neuroimaging techniques including magnetoencephalography, electroencephalography, functional magnetic resonance imaging and magnetic resonance spectroscopy.
Highlights:
Dr. Muthukumaraswamy shares his academic and professional background, and what led him to studying psychedelics.
Dr. Muthukumaraswamy explains the origin story and unique design of his LSD microdosing study.
How study volunteers generally respond to microdosing in a lab vs. in their normal daily environments.
Design elements Dr. Muthukumaraswamy plans to implement in future LSD microdose studies.
Considering how Dr. Muthukumaraswamy’s take-home LSD microdose study might impact research and policy in other countries.
The legal landscape of psychedelics relevant to New Zealand’s indigenous Māori community.
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