Anyways serotonin and anxiety are strongly related. When your serotonin system is out of whack which it is with all regular users (not once in a blue moon users) your brain is under constant stress.
It's interesting that you say that because Serotonin in itself is no excitatory, but is rather inhibitory. I never thought of it that way, but it's possible that the anxiety you can feel from SRA's would be considered paradoxical as Serotonin should in theory cause relaxation, rather than nervousness. I am unsure, however. I will so some research to see if I can figure out the anxiety causing mechanism of Serotonin.
Just out of interest why would you recommend an NMDA receptor antagonist in treatment for short term post MDMA use?
Dose dependant neurotoxicity isn't really mediated by how long you take it for. Sure, if you take higher doses for a longer period of time - neurotoxicity will build up and be more damaging in the long run, but even short-term use can cause some neurotoxic effects. NMDA antagonists will usually reverse most the associated neurotoxicity by reversing the outflow of Ca++ ions.
For a serotonin antagonist would an antipsychotic like Rispiridone be effective?
I have no personal experiences with Rispiridone so I can't input from that perspective, however, by taking a look at Rispiridone's pharmacodynamic actions, I see no reason why it shouldn't be effective. However, something about Rispiridone raises a red-flag for me. It has been shown to
irreversibly bind to and antagonize 5-HT7. Based on what I know about pharmacology, it seems to me that, that could cause problems in the future. Although I am unsure.
I have also heard taking an SSRI just an hour into rolling can be effective to prevent neurotoxicity what are your thoughts on this?
That is interesting. To quote wikipedia "SSRI's have been shown to almost completely eliminate the serotonergic effects of MDxx (e.g. MDMA). The exact mechanism that causes this interaction is still unclear." My thoughts is; most SSRI antidepressants work by binding to SERT, DAT, and NET. By blocking the Serotonin transporter, even if a Serotonin releasing agent is active in the body, an SSRI wouldn't allow any Serotonin to flow in or out of the Serotonin transporters and therefore would greatly dull any effects associated with a SRA.
Totally different question but in terms of suitable antidepressants for MDMA related depression many people in ED share the opinion SSRIs are pretty ineffective if you have frazzled your brain in this way. Some suggest either Mirtazapine or Stablon are more suitable. What would be your opinion on this?
I guess that makes sense. Since your brain has become accustom to a massive amount of Serotonin, having a measly amount more from an SSRI isn't going to do anything. Mirtazapine is excellent because of it's antagonistic effects on Serotonin. But (this is very important) Mirtazapine indirectly agonizes Serotonin at 5-HT1a. Studys have shown that 5-HT1a agonism also seems to stimulate the release of many neurotransmitters, but most noticeably, Dopamine and Beta-Endorphin. The heightened dopaminergic and endorphinergic activity can be attributed to Mirtazapines more potent antidepressant and anxiolytic effects over SSRI's
Also could you recommend a list of suppliments that you think would be effective for people suffering from MDMA depression / anxiety.
To be honest, I don't know a lot about supplements. However, from my experience with St. John's Wort, and the mechanism of action of Hypericin and Hyperforin, it should be effective at treating anxiety and depression. The anxiolytic effect of St. Johns Wort can be attributed to the GABA agonizing effects of Hyperforin, and the antidepressant effects can be attributed to the heighten Serotonin and Dopamine levels that are seemed to be caused by Hypericin. L-Tyrosine should also heighten levels of Dopamine and Norepinephrine in the body and could also be taken as well to help with anti-depression as well.
Im really sorry to throw this at you but I can see from your responses you are very educated and knowledgable in this field.
Hope you dont mind all the questions.
Not a problem at all! It's what interests me and I find it fascinating!
