[HN Gopher] A psychedelic medicine performs well against depression
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       A psychedelic medicine performs well against depression
        
       https://archive.ph/rIPvX
        
       Author : vinni2
       Score  : 39 points
       Date   : 2026-02-19 21:21 UTC (1 hours ago)
        
 (HTM) web link (www.economist.com)
 (TXT) w3m dump (www.economist.com)
        
       | helterskelter wrote:
       | Obligatory mirror:
       | 
       | https://archive.ph/rIPvX
        
       | candiddevmike wrote:
       | 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).
        
         | reverend_gonzo wrote:
         | It is outrageous that both cannabis and psilocybin are
         | scheduled 1 drugs and also completely legal to buy in certain
         | locales.
        
         | pjerem wrote:
         | At that point it's not "other studies", it's more "tons of
         | studies". It's truly an exponential number of studies that had
         | the same conclusions in the last 5-10 years.
         | 
         | And N=1 but I can say without any doubt that LSD (and a pretty
         | low dose at that, 50ug at once plus some microdosing) played an
         | immense role at recovering from burnout. It was like night and
         | day even after such a low dose that I _knew_ I recovered.
         | 
         | Those are amazing and powerful but also potentially dangerous
         | substances and it's a crime that we don't allow everyone to get
         | the benefits by, if not freely legalize it, at least adding
         | those in the medical toolbox.
        
           | dylan604 wrote:
           | "I believe with the advent of acid we discovered a new way to
           | think, and it had to do with piecing together new thoughts in
           | your mind. ...
           | 
           | Why is it that people think it's so evil? What is it about it
           | that--that is--scares people so deeply? Even the guy that
           | invented it. What is it? Because they're afraid that there's
           | more to reality than they have confronted. That there are
           | doors that they're afraid to go in, and they don't want us to
           | go in there either, because if we go in, we might learn
           | somethin' that they don't know. And that makes us a little
           | out of their control"
           | 
           | --Ken Kasey
        
         | nosuchthing wrote:
         | This paper is an incredible read: _TESCREAL hallucinations:
         | Psychedelic and AI hype as inequality engines_
         | 
         | https://akjournals.com/view/journals/2054/7/S1/article-p22.x...
         | > "Researchers have called attention to the ways that the hype
         | promoting psychedelics as miracle cures        replicates
         | preceding claims about the efficacy of SSRIs and other
         | antidepressants in prior decades.        As the drug historian
         | David Herzberg articulated in conversation with UC Berkeley's
         | The Microdose:              There's been an enormous amount of
         | money invested in psychedelics as people hope that they
         | can be the real Prozac in the same way that Prozac hoped it
         | would be the real Valium and          Valium would be the real
         | barbiturates, which would be the real morphine.
         | There's a long history of hoping that maybe this time, it's not
         | so complicated;          maybe there is a simple switch to
         | change people without having to change any [other] aspect of
         | their [lives].            While others have noted similarities
         | between the earlier SSRI hype and the ongoing hype for
         | psychedelic medications,        the rhetoric of psychedelic
         | hype is tinged with utopian and magico-religious aspirations
         | that have no parallel         in the discourse surrounding
         | SSRIs or other antidepressants. I argue that this utopian
         | discourse provides insight         into the ways that global
         | financial and tech elites are instrumentalizing psychedelics as
         | one tool         in a broader world-building project that
         | justifies increasing material inequality.         This elite
         | project reveals how medicalized psychedelics can potentially
         | undermine the very prosocial and         pro-environmental
         | outcomes that the field's funders insist psychedelics will
         | promote.         To understand the envisioned role of
         | psychedelics within this elite project, this paper analyzes a
         | different         parallel hype, revealing correspondences
         | between the psychedelic industry hype and the concurrent
         | hype surrounding artificial intelligence (AI), including the
         | Large Language Models (LLMs) that power ChatGPT.         The
         | presence of these parallels is understandable when one
         | considers their underlying affinities,         like two blooms
         | from one plant: the same Silicon Valley and venture capital
         | forces are investing         enormous amounts of capital to
         | develop both as cultivars in their own image,         selecting
         | for desired traits that further the existing socioeconomic
         | order.
        
         | Aurornis wrote:
         | > 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.
        
       | _alternator_ wrote:
       | 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.
        
         | reactordev wrote:
         | You just described 150 years of Big Pharma Law.
         | 
         | Pharma, sprang up from taking wondrous compounds found in
         | nature and isolated them or refined them into new compounds
         | that they could patent, market, and sell to consumers.
         | 
         | Ibuprofen, for example, is crude oil.
        
           | hermanzegerman wrote:
           | Yet Ibuprofen is so easy to make that only 6 plants make it
           | worldwide and when one goes offline the shortages are felt
           | throughout the world. Might be a bit more difficult than just
           | crude oil
        
             | reactordev wrote:
             | 6 plants _are allowed to make it_. Everyone else thought
             | the licensing fee was too high.
             | 
             | Unless you are referring to natural botanical plants, in
             | which case, Pine Trees and turpentine is a good alternative
             | found. IANAL but it would still need to find a way around
             | the Ibuprofen compound patent.
        
               | hermanzegerman wrote:
               | What licensing fee? There aren't any patent protections
               | on Ibuprofen anymore. It's a generic for a very long
               | time.
               | 
               | Also last time there was a shortage, one american BASF
               | plant went down and they had trouble for almost a year
               | before they could resume production
        
               | Aurornis wrote:
               | > 6 plants are allowed to make it. Everyone else thought
               | the licensing fee was too high
               | 
               | What licensing fee? It's an old, generic medicine. Anyone
               | who wanted to set up an Ibuprofen manufacturing plant
               | could do so relatively easily.
               | 
               | The reason more plants aren't coming online is that
               | Ibuprofen is a couple pennies per pill at retail prices.
               | There isn't money in making more ibuprofen.
        
           | jrmg wrote:
           | FWIW I at least am willing to pay someone else to make my
           | Ibuprofen from the crude oil so I don't have to. Sounds like
           | it'd be messy.
        
         | dylan604 wrote:
         | Devil's advocate suggests that a synthetic can be produced the
         | same way every time where a cultured plant might have varying
         | levels of the active compound in the plant. That makes it
         | difficult to prescribe doses. As an example, suggesting a
         | patient take 1 cap and 2 stems will be problematic for accurate
         | dosing.
         | 
         | Conspirator's advocate says that bigPharma has synthesized and
         | patented every active plant compound so that keeping the actual
         | plants scheduled is to their benefit.
        
           | dmbche wrote:
           | I'm fairly certain it's possible to extract psylocibin from
           | the murshroom, giving the same advantages that the synthetic
           | would have!
           | 
           | Edit0: for a more thorough look:
           | https://www.mdpi.com/1424-8247/18/3/380
        
             | adgjlsfhk1 wrote:
             | that's generally much more expensive
        
               | dmbche wrote:
               | Than RnD for a brand new synthetic drug?
        
         | hermanzegerman wrote:
         | The same thing with Ketamine. As an i.v.-Medication dirt cheap,
         | but the same drug in a nasal spray suddenly 500$(Spravato)
        
         | Aurornis wrote:
         | It's a myth that you need a novel molecule to get a patent on a
         | medicine.
         | 
         | A company can develop a formulation of generic, off-patent
         | compounds and get FDA approval for that patented formulation.
         | 
         | Even old off-patent drugs are often brought back in new, on-
         | patent formulations that can't be sold generically until the
         | expiration of the patents on the formulation that was approved.
         | 
         | So even if they used psilocybin, they would get a patent on
         | their formulation and get FDA approval for that formulation.
        
         | dekhn wrote:
         | Yes, they have a few patents on the unique formulation (a
         | hydrated crystalline form of psilocybin). See also:
         | https://psychedelicalpha.com/data/psilocybin-patent-tracker
        
       | yewenjie wrote:
       | Does anyone know if it is just synthetic psilocybin or a
       | psilocybin-like molecule?
        
         | dzmien wrote:
         | From what I can tell from searching for "Comp360", it is simply
         | synthetic psilocybin. See
         | https://pmc.ncbi.nlm.nih.gov/articles/PMC10595939/
        
         | dekhn wrote:
         | Everything I've read from them indicates it's the same
         | chemical, but in a specific formulation. It's described in
         | detail in the patent (one of them:
         | https://patents.google.com/patent/US20200199161A1/en)
        
       | zamalek wrote:
       | 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.
        
         | mewpmewp2 wrote:
         | I think there's simply so much value in being able to see the
         | same thing in so many different perspectives that you never
         | have considered possible at all in your life before.
        
       | jesse__ wrote:
       | As someone who accidentally discovered the anti-depressive
       | effects of psilocybin in my early 20s, I approve this message!
        
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       (page generated 2026-02-19 23:00 UTC)