Simultaneous polysubstance use among Danish 3,4‐methylenedioxymethamphetamine and hallucinogen users: combination patterns and proposed biological bases
Human Psychopharmacology Clinical and Experimental – June 14, 2012
Source: OpenAlex
Summary
Danish hallucinogen users display extensive polysubstance dependence, consuming an average of 12.6 psychoactive substances lifetime. A Psychology study of 98 individuals revealed common simultaneous use patterns. Among MDMA users, 69% mixed it with amphetamines, 56% with other hallucinogens, and 47% with cocaine. At last recalled use, MDMA was combined with an average of 2.1 additional substances across 32 unique combinations, hinting at a complex Neurotransmitter Receptor Influence on Behavior. This research in Psychedelics and Drug Studies provides insights relevant to Forensic Toxicology and Drug Analysis, highlighting precise drug combination preferences.
Abstract
Objective To describe patterns of simultaneous polysubstance use (SPU) among Danish 3,4‐methylenedioxymethamphetamine (MDMA) (“Ecstasy”) and hallucinogen users. Methods A cross‐sectional survey of 98 active MDMA and/or hallucinogen users recruited through homepage advertisements, flyers, and word of mouth in Denmark. Lifetime and recent substance use and SPU at last recalled use was described by structured interviews. Hair samples from a subset of participants were analyzed for MDMA. Results The participants had used an average of 12.6 (95% confidence interval: 11.7–13.4) psychoactive substances during their lifetime. SPU was prevalent among MDMA, d ‐lysergic acid diethylamide (LSD), and psilocybin users, in particular with alcohol and cannabis. Among MDMA users, 69% had combined MDMA with amphetamines, 56% with hallucinogens, and 47% with cocaine. At last recalled use, MDMA was taken with 2.1 ± 1.2 substances in 32 different combinations. The participants preferred specific drug combinations and named several, which in their experience enhanced or counteracted each other. Alcohol and cannabis were typically used before , during , and after MDMA, LSD, and psilocybin, whereas amphetamines were predominantly taken before these substances. When LSD was combined with MDMA, the majority took MDMA after LSD. Conclusions Simultaneous polysubstance use was common among Danish MDMA and hallucinogen users, and patterns of preferred substance combinations were evident. Copyright © 2012 John Wiley & Sons, Ltd.