Pubdate: Wed, 16 Aug 2006
Source: Chicago Sun-Times (IL)
Copyright: 2006 The Sun-Times Co.
Contact:  http://www.suntimes.com/
Details: http://www.mapinc.org/media/81
Author: Jim Ritter, Health Reporter
Bookmark: http://www.mapinc.org/find?232 (Chronic Pain)
Bookmark: http://www.mapinc.org/hallucinogens.htm (Hallucinogens)

PAIN SUFFERER TURNS TO 'SHROOMS'

Every New Year's Eve and July 4th, Bob Wold brews a tea containing a 
psychedelic drug from "magic mushrooms."

Wold takes a small dose of the drug psilocybin -- just enough to make 
sounds more distinct and colors a bit brighter. "I get a couple 
giggles out of it," he said. "It's like having two or three beers."

But Wold doesn't take "shrooms" for the four-hour high. Rather, he 
has found that psilocybin is the only drug that prevents one of the 
most painful conditions known to man, cluster headaches.

Hundreds of cluster headache sufferers have begun to self-medicate 
with psilocybin and LSD. And now Harvard Medical School researchers 
plan to do a carefully controlled study of the drugs.

Vivid hallucinations

Wold, a 53-year-old construction contractor, began suffering cluster 
headaches about 25 years ago. He would get four to six headaches a 
day, each lasting 45 to 60 minutes. Each cluster period would last 
three or four months. "The pain is similar to if you hit your thumb 
with a hammer," he said.

Five or six years ago, Wold read an Internet posting from a man who 
said his cluster headaches went away after he took LSD for 
recreational purposes. Word spread, and other patients began taking 
LSD or psilocybin.

LSD can cause vivid hallucinations and distortions of color, sound, 
touch, etc. It also can impair judgment, leading to injury. 
Afterwards, users can suffer acute anxiety or depression. Psilocybin 
can cause vivid distortions of sights and sounds and emotional 
disturbances, according to the U.S. Drug Enforcement Administration.

Wold had tried about 75 legal drugs, but none worked very long. 
Figuring he had nothing to lose, he tried psilocybin, and found that 
two doses a year worked wonders. He orders spores over the Internet 
and grows mushrooms at his Lombard home.

"For the past five years, I've been pretty much pain-free and 
headache-free," he said.

Wold has formed a support group, ClusterBusters, to promote research 
on psychedelics. The group has heard from about 400 patients who have 
used psilocybin or LSD.

In a preliminary study, researchers from Harvard's McLean Hospital 
surveyed patients who had used psilocybin or LSD. Twenty-five of 48 
psilocybin users and seven of eight LSD users reported the drugs 
prevented the entire cluster period when headaches normally occurred.

Studying psychedelics

"No other medication, to our knowledge, has been reported to 
terminate a cluster period," researchers wrote in the June 27 issue 
of the journal Neurology.

No one knows why psychedelics might work. But Harvard researcher Dr. 
John Halpern noted that the drugs share a similar structure to 
medications that have been approved for cluster headaches.

However, researchers acknowledged several limitations to their study, 
including the possibility that people with good outcomes were more 
likely to participate than those with poor outcomes.

Halpern and colleagues are planning a follow-up study in which a 
psychedelic drug would be compared to an inactive placebo.

Psilocybin and LSD are Schedule 1 drugs, meaning they are illegal 
unless used in research approved by the DEA and Food and Drug Administration.

Halpern warns that psilocybin and LSD "are drugs of abuse and are 
potentially quite dangerous. . . . My advice then is to not 
self-medicate but to respect our laws and to help us properly and 
safely conduct the research needed to find out if these substances 
work for real."

[Sidebar]

Cluster Headaches

- -- More common in men.

- -- Begin suddenly, with severe pain around one eye. Usually last 45 
to 90 minutes.

- -- Typically hit at the same time each day for several weeks until 
the cluster period is over. Periods usually last 4 to 8 weeks and may 
occur every few months.

- -- Stress and alcohol can bring on attacks.

- -- Preventive medicines can reduce the number of headaches during 
cluster periods. Other drugs can shorten headaches and reduce severity.

SOURCE: American Academy of Family Physicians
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MAP posted-by: Beth Wehrman