Journal
BIOLOGICAL PSYCHIATRY
Volume 72, Issue 10, Pages 871-879Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.biopsych.2012.06.012
Keywords
Hallucinogen; kappa-opioid; perception; psychosis; Salvia; Salvinorin A
Categories
Funding
- National Alliance for Research on Schizophrenia and Depression Young Investigator Award
- National Institute on Drug Abuse [R21 DA029826-01A1]
- Department of Veterans Affairs
- National Institute of Mental Health
- National Institute of Drug Abuse
- National Institute of Alcoholism and Alcohol Abuse
- Yale Center for Clinical Investigation
- Eli Lilly
- Astra Zeneca
- Abbott Laboratories
- Organon
- Pfizer
- Sanofi
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Background: Salvia divinorum (Salvia) is an increasingly popular recreational drug amongst adolescents and young adults. Its primary active ingredient, Salvinorin A (SA)-a highly selective agonist at the kappa opiate receptor-is believed to be one of the most potent naturally occurring hallucinogens. However, there is little experimental data on the effects of SA in humans. Methods: In a 3-day, double-blind, randomized, crossover, counterbalanced study, the behavioral, subjective, cognitive, psychophysiological, and endocrine effects of 0 mg, 8 mg, and 12 mg of inhaled SA were characterized in 10 healthy individuals who had previously used Salvia. Results: SA produced psychotomimetic effects and perceptual alterations, including dissociative and somaesthetic effects, increased plasma cortisol and prolactin, and reduced resting electroencephalogram spectral power. The SA administration was associated with a rapid increase of its levels in the blood. SA did not produce euphoria, cognitive deficits, or changes in vital signs. The effects were transient and not dose-related. SA administration was very well-tolerated without acute or delayed adverse effects. Conclusions: SA produced a wide range of transient effects in healthy subjects. The perceptual altering effects and lack of euphoric effects would explain its intermittent use pattern. Such a profile would also suggest a low addictive potential similar to other hallucinogens and consistent with kappa opiate receptor agonism. Further work is warranted to carefully characterize a full spectrum of its effects in humans, to elucidate the underlying mechanisms involved, and to explore the basis for individual variability in its effects.
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