DMT

ALSO KNOWN AS: Businessman’s special; N,N-dimethyltryptamine

DEFINITION: DMT is a naturally occurring compound with hallucinogenic properties. It is also produced synthetically.

STATUS: Illegal except for use in controlled research; no approved medical indication in the United States (US)

CLASSIFICATION: Schedule I controlled substance in the US; Schedule III drug in Canada

SOURCE: Found in several plants, especially in the American tropics, and in trace amounts in humans and other animals. Its natural function in the human body has not been determined. Structurally, it is analogous to the neurotransmitter serotonin.

TRANSMISSION ROUTE: Ingested as a tea or mixed with marijuana and smoked; also snorted and, when liquefied, injected

History of Use

Europeans who first arrived in the Caribbean and Central and South America came into contact with Indigenous peoples who used DMT (Dimethyltryptamine) derived from plants to induce hallucinations as part of their religious experience. The explorers tried to suppress these practices, which persisted, often in secretive settings.

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DMT was first synthesized in a laboratory in 1931 by chemist Richard Manske. It gained popularity as a drug of abuse in the counterculture of the 1960s. In 2006, the US Supreme Court ruled in Gonzales v. O Centro Espirita Beneficiente Uniao Do Vegetal that a Brazilian church in the US could import and use hoasca, a tea containing DMT, for their religious ceremonies, saying that the practice is protected by the 1993 Religious Freedom Restoration Act. According to the US National Survey on Drug Use and Health, the use of DMT in the US has increased from roughly 688,000 users in 2006 to more than 1.4 million in 2012. In 2015, some 1.2 million American teenagers and adults were using hallucinogens of any kind, including DMT. By 2022, approximately 8.5 million people in the US reported using hallucinogens in the past year. This sharp rise, especially among people aged twenty-six, reflected the growing acceptance of hallucinogens in legitimate mental health practices. Although not the most common hallucinogenic, DMT has also seen a rise in use.

Effects and Potential Risks

DMT is the shortest acting of commonly abused hallucinogens. Its effects are evident within ten minutes, peak at about thirty minutes, and usually end within an hour. Hence, the street name "businessman’s special."

Physical effects of DMT abuse include increased blood pressure and heart rate, agitation, dizziness, nystagmus (involuntary rapid eye movement), and loss of coordination. At high doses, seizures and respiratory arrests have occurred. Psychological effects of DMT abuse include intense visual hallucinations, depersonalization, auditory distortions, and altered sense of time and body image. DMT causes anxiety attacks far more frequently than the hallucinogen LSD (acid) does.

DMT has found a legitimate use in the mental health care field. Although its use is still in the early stages and more studies are necessary, DMT has shown promise for treating major depressive disorder. 

Bibliography

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Bose, Jonaki, et al. Key Substance Use and Mental Health Indicators in the United States: Results from the 2015 National Survey on Drug Use and Health. Center for Behavioral Health Statistics and Quality, 2016. SAMHSA, www.samhsa.gov/data/sites/default/files/NSDUH-FFR1-2015/NSDUH-FFR1-2015/NSDUH-FFR1-2015.pdf. Accessed 6 Oct. 2017.

Columbia University's Mailman School of Public Health. "New Study Estimates over 5.5 Million U.S. Adults Use Hallucinogens." ScienceDaily, 18 Aug. 2022, www.sciencedaily.com/releases/2022/08/220818122413.htm. Accessed 26 Aug. 2024.

Davis, Kathleen. "Everything you need to know about DMT." Medical News Today, 28 June 2022, www.medicalnewstoday.com/articles/306889. Accessed 22 Nov. 2022.

Julien, Robert M., Claire D. Advokat, and Joseph E. Comaty. A Primer of Drug Actions. 12th ed., New York: Worth, 2010.

Kuhn, Cynthia, Scott Swartwelder, and Wilkie Wilson. Buzzed: The Straight Facts about the Most Used and Abused Drugs from Alcohol to Ecstasy. 4th ed., New York: Norton, 2014.

Palamar, Joseph J., and Austin Le. "Trends in DMT and Other Tryptamine Use Among Young Adults in the United States." The American Journal on Addictions, vol. 27, no. 7, 2018, p. 578, doi.org/10.1111/ajad.12803. Accessed 26 Aug. 2024.

Ruiz, Pedro, and Eric Strain. Lowinson and Ruiz's Substance Abuse: A Comprehensive Textbook. 5th ed., Philadelphia: Lippincott, 2011.

Timmermann, Christopher, et al. "Effects of DMT on Mental Health Outcomes in Healthy Volunteers." Scientific Reports, vol. 14, no. 1, 2024, pp. 1-10, doi.org/10.1038/s41598-024-53363-y. Accessed 26 Aug. 2024.