Entactogenic

From WikiMD's Food, Medicine & Wellness Encyclopedia

Entactogens are a class of psychoactive drugs that produce experiences of emotional communion, oneness, relatedness, emotional openness—that is, entactogenesis. The term entactogen is derived from the roots "en" (within), "tactus" (touch), and "gen" (produce), which together imply a touch within. This class of drugs is closely related to empathogens, which are substances that produce feelings of empathy. The most well-known entactogen is MDMA (3,4-methylenedioxymethamphetamine), commonly known as ecstasy.

History[edit | edit source]

The term "entactogen" was coined in the 1980s by David E. Nichols to differentiate MDMA and related drugs from classical hallucinogens and stimulants. Entactogens are known for their unique ability to enhance feelings of social connectedness and emotional sensitivity, without causing significant hallucinogenic effects or intense stimulation.

Pharmacology[edit | edit source]

Entactogens act primarily by increasing the release of serotonin, dopamine, and norepinephrine in the brain, with the most pronounced effect on serotonin. This increase in neurotransmitters contributes to the mood-lifting, empathetic, and euphoric effects experienced by users. The mechanism of action involves the inhibition of neurotransmitter reuptake and, in some cases, direct receptor agonism.

Effects[edit | edit source]

The effects of entactogens can vary depending on the specific substance, dosage, and individual user. Common effects include:

  • Enhanced sense of well-being
  • Increased emotional openness and empathy
  • Decreased feelings of social anxiety
  • Mild euphoria
  • Enhanced sensory perception

However, the use of entactogens is not without risks. Potential adverse effects include:

  • Neurotoxicity, particularly with substances like MDMA
  • Dehydration and hyperthermia
  • Psychological dependence
  • Acute adverse reactions, such as panic attacks or acute anxiety

Legal Status[edit | edit source]

The legal status of entactogens varies by country, with many, including MDMA, being classified as controlled substances under various drug laws. Research into the therapeutic potential of entactogens, particularly MDMA for the treatment of Post-Traumatic Stress Disorder (PTSD), has led to discussions about reclassifying some of these substances for medical use.

Research and Therapeutic Use[edit | edit source]

Recent years have seen a resurgence in research into the therapeutic applications of entactogens, especially MDMA-assisted therapy for PTSD. Clinical trials have shown promising results, with many participants experiencing significant reductions in PTSD symptoms. This has led to increased interest in the potential psychiatric uses of entactogens, although more research is needed to fully understand their efficacy and safety.

See Also[edit | edit source]

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Contributors: Prab R. Tumpati, MD