High functioning autism / Asperger's - Glutamatergic dysfunction & NMDA antagonism
To make it short (agreed, I'm bad in making things short......), I'm very probably someone with HFA or related condition, my mother has many of the same problems that are hard to describe but after being in psychiatric treatments on and off for 10 years now, I've learned much about all the matter and thought a lot about everything. My autistic traits have been overlooked because of all the environmental influences, psychological problems caused by the illness of my mother who has been mis-diagnosed(?) as schizophrenic, adult ADHD and refuses any counseling or medical therapy and struggled with life for her whole lifetime.
So after what I think to be unraveling of learned conditions from underlying neurological problems I'm basically left with what fits absolutely into high functioning autism. Ever since I've been living with the feeling that I'm only running at 25% or so, the other 75% just waiting to enfold themselves but somehow I couldn't. Also that I had/have to invest a large part of my cognitive abilities or power into coping with everyday's emotions and basic social interaction, leaving me awkward, rigid and deeply unsatisfied.
The first time I actually experienced my dreams to be not just dreams but a locked possibility was with DXM in my teens. In all its dirtyness, it shattered that dome under what I'm living and separates myself from the real world. It just made it disappear for a short time. A normality I've never felt before. Emotions flowing naturally with no effort, all the cognitive capabilities available on demand, whatever. This made me accept all the side effects and was a road into ... addiction to dissociatives, if you want to call it so.
--
I've tried so many medications and drugs, still nothing - really nothing does what NMDA antagonism is able to do. To make me feel, think, act, look, be ... plainly, simply normal. More normal than ever. Confirmed by so many situations and people, even people trained to spot intoxications, repeatedly and not a single negative experience as long as the dosage was exactly correct.
Of course subjective and very probably due to reduced stress levels, I have the feeling that while being in this state of calm positive normalness even my body functions better. Many minor aches and signs like pimples, skin redness, disturbed digestion, whatnot tend to go away after some days on a NMDA antagonist. The differencies regarding motor skills, handwriting, balance, body control - overall clumsyness - are unbelievable.
Reminds me very much of what some people report about racetams or nootropics in general. So unfortunate that they don't work for me. Sarcosine on the other side might be worth a try as well as GLYX-somewhat or other weak partial NMDA agonists.
Now 2-Oxo-PCM brings this to a level I'd never could have imagined in my craziest dreams as a teen. Before I thought of MXE to be that godsend I longed for, even when this was in a time where I knew far too little about psychology, neurology, myself and all. It took a long time, countless sad mistakes and setbacks as well as hard work that I now think of being just in the very beginning (but now I'm able to deal with this work, what I absolutely couldn't naturally before) to grow into this.
My sober state is not unlike alcohol rebound. Just without the alcohol before and for an infinite duration.
Think I've nearly found my (temporarily) ideal solution with 2-Oxo-PCM (and a bunch of other meds, of which I am not yet sure how important they are and all).
It's nothing less than life changing. Like some nanotech fiction that makes a wheelchair driver walk. And I've self-experimented much and long enough to be sure of it to be relieable, reproduceable at any point.
When I'm off the NMDA antagonism, depending on how long I've been on it, I will continue to feel normal for a few days or a week with slowly drifting away again. The dome rematerializing. Dosage and purity / selectivity is crucial. A very little too much and I'm feeling disconnected, spacey etc. and the positives turn into negatives.
But with a strict regimen of 2-Oxo-PCM of maybe 50mg split throughout the day in equal doses it's a plain miracle. Additionally I'm on venlafaxine, methylphenidate, pregabalin and buprenorphine (ugh. Hard to get off, I know.) as well as chewing tobacco where I suspect the nicotine to balance out anticholinergic properties of O-PCE and the harmala alkaloids contributing their own. The venla & MPH are probably of benefit, the others I can't say. Just that NMDA antagonism alone isn't enough but that it's the key to everything and there is a striking synergy between NMDA antagonists & buprenorphine in that each partially substitutes for the other. I hope and think that with therapy and learning the other meds will become less and less important over time.
Now I've read that in many recent papers it's speculated that a glutamatergic dysfunction might be the cause of many autism-like symptoms. Maybe due to an auto-immune condition. Memantine has proven to be safe and beneficial but isn't accepted yet. I have to try it again in this regimen I'm currently on and in lower dosages, it worked in the past but was not comparable to MXE / 2-Oxo-PCM by any means.
I can't say whether it's about just disturbing the glutamatergic circuits so the brain temporarily re-adjusts it to a better equilibrium or the right low amount high trapping NMDA antagonism makes the difference - so when on an antagonist, auto-receptors* (?) get sensibilized and glutamatergic activity gets slightly shifted towards AMPA receptors, then as the drug leaves the now sensitized auto-receptors temporarily reduce glutamate output* causing less NMDA-mediated excitatory inhibition and thus NMDA -> AMPA stays maintained. As the auto-receptors desensibilize again, things will return to the dysfunctional equilibrium.
* (The autoreceptor theory is based on what I've observed with e.g. clonidine.)
** (and that after dissociative trips, so heavier dosages, we have a hangover of clouded mind and measured under-activity of certain areas of the brain)
It's so deeply frustrating to know of a life-changing medical aid, the possible theory behind and all, to have it available right now and experiencing how life could be every hour I'm awake currently but also knowing that the law will take it away very soon and I'll grow old or die before any such medical intervention will become approved. I am desperately hoping for some established prof or whatever doing research about autism & glutamate who could maybe believe me and my theories and.. well, not much more probably. To hope for some exotic chemical they are, or intend to do so, trialing on humans where I could participate and get it on presiption is very probably irreal.
I'd do almost anything to get a permission to acquire some pure NMDA antagonist with the profile of 2-Oxo-PCM (or MXE, even ketamine) - hoping that it isn't an antibiotic and that my bladder will tolerate it*. Riluzole is a last hope but it will be a hit or miss if I should ever manage to get a script for it.
* Think there have been some threads and research about the K related bladder damage. Don't remember whether it was due to the NMDA antagonism itself or a structural coincidence that would mean the more potent O-PCM had less risk and one could find a safer replacement.
I'm only now under the influence of O-PCM able to rationally think about all this matter, to search for a professional and whatnot. Take it away from me with no replacement and within 1-2 months I'll be a chaotic treatment resistant mess again. Had this countless times and it's just a hard fact. In days on MXE or O-PCM I'm able to come further than in months or years without. Again and again. Just that now I've found a good regimen, learned how to use it, have a very clean agent and learned from past mistakes.
Anyone experiencing this too?
A Pilot Open-Label Trial of Use of the Glycine Transporter I Inhibitor, Sarcosine, in High-Functioning Children with Autistic Disorder
NMDA receptor dysfunction in autism spectrum disorders
http://linkinghub.elsevier.com.sci-hub.cc/retrieve/pii/S1471-4892(14)00135-0[h=1]A Prospective Open-Label Trial of Memantine Hydrochloride for the Treatment of Social Deficits in Intellectually Capable Adults With Autism Spectrum Disorder.[/h]http://www.ncbi.nlm.nih.gov/pubmed/27043118
[h=1]GABAergic/glutamatergic imbalance relative to excessive neuroinflammation in autism spectrum disorders[/h]http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4243332/
[h=1]Immune-glutamatergic dysfunction as a central mechanism of the autism spectrum disorders.[/h]http://www.ncbi.nlm.nih.gov/pubmed/19149568
Oh well, this was too much for the new bluelight editor.. posting these links was a mess. But it's all there, black on white, yet unavailable for the masses..
To make it short (agreed, I'm bad in making things short......), I'm very probably someone with HFA or related condition, my mother has many of the same problems that are hard to describe but after being in psychiatric treatments on and off for 10 years now, I've learned much about all the matter and thought a lot about everything. My autistic traits have been overlooked because of all the environmental influences, psychological problems caused by the illness of my mother who has been mis-diagnosed(?) as schizophrenic, adult ADHD and refuses any counseling or medical therapy and struggled with life for her whole lifetime.
So after what I think to be unraveling of learned conditions from underlying neurological problems I'm basically left with what fits absolutely into high functioning autism. Ever since I've been living with the feeling that I'm only running at 25% or so, the other 75% just waiting to enfold themselves but somehow I couldn't. Also that I had/have to invest a large part of my cognitive abilities or power into coping with everyday's emotions and basic social interaction, leaving me awkward, rigid and deeply unsatisfied.
The first time I actually experienced my dreams to be not just dreams but a locked possibility was with DXM in my teens. In all its dirtyness, it shattered that dome under what I'm living and separates myself from the real world. It just made it disappear for a short time. A normality I've never felt before. Emotions flowing naturally with no effort, all the cognitive capabilities available on demand, whatever. This made me accept all the side effects and was a road into ... addiction to dissociatives, if you want to call it so.
--
I've tried so many medications and drugs, still nothing - really nothing does what NMDA antagonism is able to do. To make me feel, think, act, look, be ... plainly, simply normal. More normal than ever. Confirmed by so many situations and people, even people trained to spot intoxications, repeatedly and not a single negative experience as long as the dosage was exactly correct.
Of course subjective and very probably due to reduced stress levels, I have the feeling that while being in this state of calm positive normalness even my body functions better. Many minor aches and signs like pimples, skin redness, disturbed digestion, whatnot tend to go away after some days on a NMDA antagonist. The differencies regarding motor skills, handwriting, balance, body control - overall clumsyness - are unbelievable.
Reminds me very much of what some people report about racetams or nootropics in general. So unfortunate that they don't work for me. Sarcosine on the other side might be worth a try as well as GLYX-somewhat or other weak partial NMDA agonists.
Now 2-Oxo-PCM brings this to a level I'd never could have imagined in my craziest dreams as a teen. Before I thought of MXE to be that godsend I longed for, even when this was in a time where I knew far too little about psychology, neurology, myself and all. It took a long time, countless sad mistakes and setbacks as well as hard work that I now think of being just in the very beginning (but now I'm able to deal with this work, what I absolutely couldn't naturally before) to grow into this.
My sober state is not unlike alcohol rebound. Just without the alcohol before and for an infinite duration.
Think I've nearly found my (temporarily) ideal solution with 2-Oxo-PCM (and a bunch of other meds, of which I am not yet sure how important they are and all).
It's nothing less than life changing. Like some nanotech fiction that makes a wheelchair driver walk. And I've self-experimented much and long enough to be sure of it to be relieable, reproduceable at any point.
When I'm off the NMDA antagonism, depending on how long I've been on it, I will continue to feel normal for a few days or a week with slowly drifting away again. The dome rematerializing. Dosage and purity / selectivity is crucial. A very little too much and I'm feeling disconnected, spacey etc. and the positives turn into negatives.
But with a strict regimen of 2-Oxo-PCM of maybe 50mg split throughout the day in equal doses it's a plain miracle. Additionally I'm on venlafaxine, methylphenidate, pregabalin and buprenorphine (ugh. Hard to get off, I know.) as well as chewing tobacco where I suspect the nicotine to balance out anticholinergic properties of O-PCE and the harmala alkaloids contributing their own. The venla & MPH are probably of benefit, the others I can't say. Just that NMDA antagonism alone isn't enough but that it's the key to everything and there is a striking synergy between NMDA antagonists & buprenorphine in that each partially substitutes for the other. I hope and think that with therapy and learning the other meds will become less and less important over time.
Now I've read that in many recent papers it's speculated that a glutamatergic dysfunction might be the cause of many autism-like symptoms. Maybe due to an auto-immune condition. Memantine has proven to be safe and beneficial but isn't accepted yet. I have to try it again in this regimen I'm currently on and in lower dosages, it worked in the past but was not comparable to MXE / 2-Oxo-PCM by any means.
I can't say whether it's about just disturbing the glutamatergic circuits so the brain temporarily re-adjusts it to a better equilibrium or the right low amount high trapping NMDA antagonism makes the difference - so when on an antagonist, auto-receptors* (?) get sensibilized and glutamatergic activity gets slightly shifted towards AMPA receptors, then as the drug leaves the now sensitized auto-receptors temporarily reduce glutamate output* causing less NMDA-mediated excitatory inhibition and thus NMDA -> AMPA stays maintained. As the auto-receptors desensibilize again, things will return to the dysfunctional equilibrium.
* (The autoreceptor theory is based on what I've observed with e.g. clonidine.)
** (and that after dissociative trips, so heavier dosages, we have a hangover of clouded mind and measured under-activity of certain areas of the brain)
It's so deeply frustrating to know of a life-changing medical aid, the possible theory behind and all, to have it available right now and experiencing how life could be every hour I'm awake currently but also knowing that the law will take it away very soon and I'll grow old or die before any such medical intervention will become approved. I am desperately hoping for some established prof or whatever doing research about autism & glutamate who could maybe believe me and my theories and.. well, not much more probably. To hope for some exotic chemical they are, or intend to do so, trialing on humans where I could participate and get it on presiption is very probably irreal.
I'd do almost anything to get a permission to acquire some pure NMDA antagonist with the profile of 2-Oxo-PCM (or MXE, even ketamine) - hoping that it isn't an antibiotic and that my bladder will tolerate it*. Riluzole is a last hope but it will be a hit or miss if I should ever manage to get a script for it.
* Think there have been some threads and research about the K related bladder damage. Don't remember whether it was due to the NMDA antagonism itself or a structural coincidence that would mean the more potent O-PCM had less risk and one could find a safer replacement.
I'm only now under the influence of O-PCM able to rationally think about all this matter, to search for a professional and whatnot. Take it away from me with no replacement and within 1-2 months I'll be a chaotic treatment resistant mess again. Had this countless times and it's just a hard fact. In days on MXE or O-PCM I'm able to come further than in months or years without. Again and again. Just that now I've found a good regimen, learned how to use it, have a very clean agent and learned from past mistakes.
Anyone experiencing this too?
A Pilot Open-Label Trial of Use of the Glycine Transporter I Inhibitor, Sarcosine, in High-Functioning Children with Autistic Disorder
Experimental molecules for ASD treatment reported to be the NMDA antagonist include memantine and riluzole. A recent double-blind, placebo-controlled trial reported that children with autism treated with memantine as adjunctive therapy with risperidone had decreased symptoms of irritability [27]. Riluzole is thought to inhibit the release of glutamate at the presynaptic nerve cell terminus [28] and enhance glutamate reuptake [29]. Wink et al reported improvement in the severe repetitive behavior of three ASD patients by riluzole [30]. On the other hand, experimental molecules for ASD treatment focusing on enhancing and augmenting NMDA function include d-cycloserine (DCS) and GLYX-13. A preliminary, open-label study of the effects of DCS in a sample of children with ASD showed that it appeared to reduce measures of social withdrawal during a 12 week trial [31]. GLYX-13 is a monoclonal antibody fragment with partial agonist effects at the glycine modulatory site. Treatment with GLYX-13 has been demonstrated to rescue the ASD-analogous behavioral deficit in the animal model [32], but no clinical trial has been reported yet. The opposing mechanisms of memantine and DCS and the other NMDA agonists highlight the need for approaches to clinically assay NMDA function in individuals with ASD, which remains a daunting task.
NMDA receptor dysfunction in autism spectrum disorders
http://linkinghub.elsevier.com.sci-hub.cc/retrieve/pii/S1471-4892(14)00135-0[h=1]A Prospective Open-Label Trial of Memantine Hydrochloride for the Treatment of Social Deficits in Intellectually Capable Adults With Autism Spectrum Disorder.[/h]http://www.ncbi.nlm.nih.gov/pubmed/27043118
[h=1]GABAergic/glutamatergic imbalance relative to excessive neuroinflammation in autism spectrum disorders[/h]http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4243332/
[h=1]Immune-glutamatergic dysfunction as a central mechanism of the autism spectrum disorders.[/h]http://www.ncbi.nlm.nih.gov/pubmed/19149568
Oh well, this was too much for the new bluelight editor.. posting these links was a mess. But it's all there, black on white, yet unavailable for the masses..
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