Treatment of neuropathic pain with repeated low-dose MDMA: a case report.

IF 3.2 3区 医学 Q2 PSYCHIATRY Frontiers in Psychiatry Pub Date : 2025-02-03 eCollection Date: 2025-01-01 DOI:10.3389/fpsyt.2025.1513022
Peter Gasser, Matthias E Liechti, Friederike Holze
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Abstract

A 64-year-old male patient who suffered from traumatic life experiences and neuropathic pain after oncological chemotherapy was treated with medium to high doses of lysergic acid diethylamide (LSD) and high doses and microdoses of methylenedioxymethamphetamine (MDMA). At the beginning of treatment, the patient did not experience any acute subjective effects of LSD at a dose of 200 µg. After increasing the LSD dose to 400 µg, he experienced subjective acute effects, and the first lasting therapeutic effects were observed. After changing from LSD to MDMA at both high doses (150-175 mg) and repeated low doses (12.5-25 mg), the patient exhibited marked improvements in neuropathic pain that were sustained even after stopping repeated MDMA treatment. MDMA mini/microdosing has not yet been broadly investigated. This case documents benefits of low doses of MDMA for the treatment of a pain disorder. Further research is needed on effects of MDMA on pain.

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重复低剂量MDMA治疗神经性疼痛1例报告。
64岁男性患者在肿瘤化疗后遭受创伤性生活经历和神经性疼痛,采用中至高剂量麦角酸二乙胺(LSD)和高剂量及微剂量亚甲基二氧甲基苯丙胺(MDMA)治疗。在治疗开始时,患者未经历200µg LSD剂量的任何急性主观效应。将LSD剂量增加到400µg后,他经历了主观急性效应,并观察到第一次持久的治疗效果。在从LSD改为MDMA高剂量(150-175 mg)和重复低剂量(12.5-25 mg)后,患者表现出神经性疼痛的显着改善,即使在停止重复MDMA治疗后仍持续存在。MDMA迷你/微剂量尚未广泛研究。本病例记录了低剂量MDMA治疗疼痛障碍的益处。MDMA对疼痛的影响有待进一步研究。
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来源期刊
Frontiers in Psychiatry
Frontiers in Psychiatry Medicine-Psychiatry and Mental Health
CiteScore
6.20
自引率
8.50%
发文量
2813
审稿时长
14 weeks
期刊介绍: Frontiers in Psychiatry publishes rigorously peer-reviewed research across a wide spectrum of translational, basic and clinical research. Field Chief Editor Stefan Borgwardt at the University of Basel is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. The journal''s mission is to use translational approaches to improve therapeutic options for mental illness and consequently to improve patient treatment outcomes.
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