Hi there!
So... I started my account here about 4 years ago, but quickly dropped out of sight. A lot has happened in the meantime, to say the least. In hindsight, I now realize that I was not truly ready for serious work with the nobler entheogens back in 2011. I was way too depressed, repressed, conflicted and embittered. Although I still only have very limited experience with traditional "plant teachers" (especially salvia, sinicuichi, morning glories and psilocybes), that element of my cynically reckless drug hobby did turn out to be spiritually helpful in the long run. I can attribute several key insights to them, which gradually coaxed me toward greater self-integration. For the first few years, though, I was desperately miserable and impatient for mindless release, rather than self-confrontation, so I quickly sunk to using alcohol and synthetic cannabinoids (JWH-018 was still legal then) to self-medicate my anxiety and existential malaise with cheap, superficial euphoria.
Okay, I won't belabor you folks with the whole, sordid story, but suffice it to say that I'm in a much better place now, thank God! I attended a spiritual retreat that prompted an ongoing shift in personal philosophy, got back into therapy, went through rehab (for the alcohol), and finally threw away all those cursed naphthoylindoles about a year ago. Still tempted by alcohol these days, but I am steadily losing interest in it, largely because I'm now on antidepressants: sertraline/Zoloft (an SSRI) for the anxiety, depression and OCD, and quetiapine/Seroquel (an atypical antipsychotic) to suppress seratonin-induced hypomania and insomnia.
I am still very much interested in entheogens, both as a tool for further self-awareness, and to replace my interest in ASCs with something more positive than alcohol. Of course, I'm fully aware that I can't mess around with any of the classical, seratonergic psychedelics (including DMT, mescaline, psilocybin, MAOI inhibitors and LSA, right?), because of the SSRI regimen. I'm wondering if there might still be some options, though, and wanted to get some feedback on that idea here first. Ideally, I would be able to ask my psychiatrist, but even experts often think of hallucinogens (= "psychotomimetics"?) as inherently dangerous.
1) Salvia divinorum - This was the very first hallucinogen I ever experienced, so it has a special significance to my. That encounter was terrifying (because of my rigid, modernist philosophy at the time), and I haven't tried it again since, but I think I could handle it now, especially as a quid or oral tincture. I'm thinking it might be okay with sertraline because it isn't seratonergic - it's a selective kappa opioid receptor agonist, which is not directly related to the monoamine system, if I'm understanding that right.
Is there a risk of indirect interaction? I considered CYP enzyme competition, and found the the following reference: "“These results suggest that Salvinorin A may be a substrate of UGT2B7, CYP2D6, CYP1A1, CYP2E1 and CYP2C18.”" (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2719774/) Sertraline is also a substrate and "moderate inhibitor" of CYP2D6. I'm not sure which is a stronger competitor, but SD is so short-acting that it's unlikely to cause any complications, right? It seems to me that the most likely interaction would simply be to extend or potentiate one effect or the other.
A brief spike in seratonin wouldn't kill me. I survived several weeks of very strong seratonergic hypomania, while titrating up to my current dose. It isn't pleasant, but that's likely the worst-case scenario. Also, that very first time I tried salvia (as smoked "fortified leaf"
, I actually happened to be on the same sertraline regimen that I'm on now, and noticed no increased seratonin effect. (Yeah, I was reckless then.) Thoughts?
2) Sinicuichi - This was my second successful assay, and I was on the same regimen then, as well. I made a simple, water extract of whole leaves. Vaporizing a pinch of this resulted in real psychedelic effects: closed-eye visuals of tesselated geometric shapes, and what I've come to call "muscular euphoria". As with the SD, I only experienced this once before getting sidetracked with JWH-018 (at which point I immediately stopped my antidepressant regimen).
I know this plant is seratonergic, because it left me with a hypomanic "hangover" for a few days - mainly the same agitation I get from starting a new regimen, plus some hypnagogic "flashbacks". It must be quite weak for a psychedelic, though. So far I haven't found any other sinicuichi reports that note such relatively strong, visual effects, and I suspect that may be because my assay was distinctly potentiated by the SSRI regimen. So, does this sound too reckless for me to consider as an option? Because of the hangover, I wouldn't mess around with it very often. A few days of hypomania could be worth it though, and I up my quetiapine dose to mitigate that.
Uh... Sorry! I'm always way too long-winded. If anyone actually read this, any feedback would be appreciated. Hopefully I'll be able to get off the antidepressants some day, and experiment with other entheogens, but for right now it's probably best to stick with it until I've made more progress. I think salvia could redirect my energy away from alcohol, and serve as an additional ally as I continue to work through this long-delayed process of spiritual renewal. :-)