I had to take time off school recently for anxiety reasons and will be attending therapy for my depression and social anxiety. Over the past weeks, however, I went through about .75 g of MXE after a 2 month break from dissociatives. I think I used it consistently for about half a week and its been about another half a week since I stopped. Since that session I've felt like a million bucks and have sorted out a lot of problems in my life, although I can feel the effects fade more every day. This is exciting to me because of all the relatively new research with ketamine being an effective antidepressant. I plan to take another small t-break, maybe about a month, to help reset any residual tolerance and form a consistent dosing schedule. Has anyone done or considered doing the same?
I have definitely had my times of over usage, but looking on the bright side those times have taught me a good lesson as well as shown me my limits. It's obvious I can't handle it myself so I will be having a friend hold my supply for me; I don't need the extra anxiety trying to maintain extreme self-control. My main concerns are dosage, timing, and tolerance and trying to form a balance amongst these factors. I think I will start at 150mg (probably 50mg early in the day and 100mg later to cap it off) once a week and see how long the residual effects last and which way my tolerance is headed. It would be nice to find a regimen with a sustainable tolerance. I am keeping a mindset similar to current antidepressant therapy as it seems logical.
Also interesting is the relation between NMDA and AMPA receptors. Apparently ketamine's rapid effectiveness is only indirectly due to NMDA antagonism, and is mostly due to increased AMPA activity from this antagonism and increased BDNF levels. This makes a lot of sense to me as I always feel refreshed after a dissociative session, as if my mind and body have been "reset". It's the only thing that allows me to objectify my problems and get through things when I am being my own worst enemy. As a simile, this reminds a lot of computers and how it's healthy for them to be rebooted every so often. For this reason I am also going to research nootropics to incorporate into my regimen, as well as research the glutamate system in general. I have dabbled in piracetam, aniracetam, oxiracetam, and noopept with variable efficacy, but noticed great stuff from oxiracetam. I was never fastidious in my dosing, however, but plan to be now. Racetams in general have been theorized to work by increasing AMPA activity, and noopept has shown to increase BDNF levels which is why I think they could help. I really feel this a novel area of research as depression and related disorders are like cancer: there is not one single cause even if the manifested symptoms are similar (some need ssris for serotonin, some need stims for dopamine/norepinephrine), and it's not all chemical-based, so you can't throw ssris at everybody and expect them to improve.
Thanks for reading if you got this far lol. I guess I'm mostly interested in experience regarding (relatively) controlled usage and how it affected your tolerance over time.