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I believe there have been other studies that prove this for not just the synthetic. Yet we are all supposed to accept the "facts" that psilocybin (and cannabis) are considered schedule 1 illicit substances (high potential for abuse and no currently accepted medical use).
> Yet we are all supposed to accept the "facts" that psilocybin (and cannabis) are considered schedule 1 illicit substances (high potential for abuse and no currently accepted medical use).

To be clear, this compound they're testing is also a Schedule 1 drug. COMP360 is their name for their psilocybin formulation. It's not a separate chemical, it is literally psilocybin.

Schedule 1 drugs can be used in clinical trials. Positive results in a clinical trial does not automatically remove the Schedule 1 designation. The medication is not approved yet and the clinical trial results are preliminary.

If the risk of getting a minor drug possession charge was the only thing keeping me from curing a serious disease I wouldn't hesitate for a second.
The fact that they are using a synthetic version likely means they have constructed a molecule that’s patented or otherwise IP protected. I’m always torn about this, because it means that a cheap, globally available compound (psylocibin) which was what inspired this company to begin with when the founders used it on their son will remain medically inaccessible, possibly at Schedule I in the US, while this startup’s compound may end up being covered by insurance and rake in piles of cash.

I get that it takes a lot of money to prove the efficacy of drugs. But there should be a better way to open some of these chemicals up and acknowledge the community that has worked hard, often at great personal and reputational risk, to demonstrate that these well-known drugs offer powerful options to treat a range of psychiatric illnesses.

It's just psilocybin - the formulation is protected, but it's just magic mushrooms. They're studying doses of 1mg, 10mg, and 25mg. 25mg is roughly equivalent to a beginner dose of 2.5g. They should definitely do a followup of 25, 35, and 50mg, because the higher doses are most commonly associated with the most benefits across other studies that have been done.

It's never going to be a major moneymaker - you rarely encounter people who want to continue abusing it. 1 dose is sufficient for 6 or more months of mitigated symptoms, sometimes even allowing people to entirely escape negative thought patterns and depression. Psilocybin induces new synaptic pathways, helps balance out or suppress obsessive loops, so in combination with positive reinforcement in lifestyle patterns, habits, and changing environments, a single high dose psilocybin experience can radically alter someone's mental health and outlook for the better.

The literature is fascinating - one of the safest drugs known to science, yet one of the least exploited for medical or scientific purposes. There's a whole vast wealth of good data that will come from research like this, it's exciting.

In the immortal words of Scott Alexander [1],

> I used to think that the alternative medicine people were overestimating how evil Big Pharma was. But now I know that’s not right.

> Now I know they’re underestimating it.

> If it were discovered tomorrow that potatoes cured cancer, then people wouldn’t “suppress” this “natural” remedy. Two years from now there would be an ultrapurified potato extract called POTAXOR™®© that was, on closer examination, physically and chemically identical to mashed potatoes. But these mashed potatoes would be mashed in a giant centrifuge by scientists with five Ph. Ds each. Any time someone got cancer, their doctor would prescribe POTAXOR™®© and charge $6,000 per dose, and the patient would get better, and the thought of just going out and eating a potato would never occur to anybody. Not to the doctor, who doesn’t want to sound like the idiot who tells her cancer patients to eat potatoes. Not to the FDA, who doesn’t know whether potatoes might be contaminated with lead or potato fungus or ketchup or God-knows-what. And certainly not to the patient. They would have to pay 60 cents for a potato at the supermarket, but if they have a good enough insurance the POTAXOR™®© is free!

> This system, bizarre as it is, is your guarantee against the pharmaceutical companies suppressing a promising new natural medication. Your insurance company pays $300 on fish oil, and in exchange you go to sleep at night secure that no one has discovered that potatoes cure cancer but decided to cover it up to protect their bottom line. Good deal? Given the current health system, it’s better than you had any right to expect.

Potatoes aren't on Schedule 1; that makes this situation suck a little more. But probably the alternative scenario is just the treatment remaining illegal forever.

[1] https://slatestarcodex.com/2014/06/15/fish-now-by-prescripti...

In silicon wafer manufacturing, water is one of the ingredients. I doubt you could produce it at your home with sufficient purity to be a replacement.

If I took shrooms, there is a nonzero chance I'd have a psychotic episode that could be fatal.

I'd go for something targeted than something that is pedled by preachy drug dealers personally.

Can't say how many times I heard of anecdotal stories where a user just flipped personality out of the blue, it kinda steals away emotional resolution and wisdom from resolving issues if for example trauma is related to another person.

Does anyone know if it is just synthetic psilocybin or a psilocybin-like molecule?
What people get wrong is that you don't just trip balls and get cured. Re-integration therapy is vital for lasting effects. Grabbing some shrooms and digging in is recreation, which is perfectly fine, but don't fool yourself or anyone else by suggesting it's for treatment.
As someone who accidentally discovered the anti-depressive effects of psilocybin in my early 20s, I approve this message!
I know it will not "solve" every case of depression, however, I really wish people who don't already, would try going outside and/or exercising regularly.

Anecdotal I know, but it seems like nearly every person I know who does both are rarely if ever depressed.

While the people I've known who do struggle with depression rarely if ever leave home.

Again, I know this isn't a catch all for all cases, however, I've seen far too many people turn to meds/substances when lifestyle changes could be all that's required.

It's also a couple of things that only have positive side effects as opposed to most of the medicated approaches people take.

There are many dimensions and possible pitfalls here. Uncertain mechanism of action, objectionable comparison arms, the high-bar goal of resistant depression that might lead to failure. This seems like a mix situation of a new type of antidepressant (like agomelatin which was of modest effect) and cannabis (which is traded as painkiller but people use it for recreation).