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Acetylcholine, memory, and hallucination

I was recently contacted by a curious person who was interested in using choline or acetylcholine promoters to enhance the memory of psychedelic or dissociative session. It is true that while in a waking state acetlycholine is essential in both memory storage and recall, but in a dreaming or hallucinogenic state acetylcholine only promotes memory recall and compression (associative memory linking), and during this process new memory formation is essentially offline. I guessed that if anything, the addition of acetylcholine promoters would probably enhance the visuals of the psychedelic trip (which mimics a waking dream), but would do little to improve memory of the experience.

Undaunted, underground researchers went to work on this problem by combining typical doses of both Ketamine and LSD with pre-doses of 800mg of galantamine and 500mg choline, both acetylcholine precoursers and promoters. The report has come back that the addition of acetylcholine promoters made the visuals extremely intense, impossible to stop, and impossible to steer in a conscious direction. "Full-blown eyelid movie," was a telling snippet, and the fact that the images were not always pleasant and were impossible to control is another telling fact. And this is from someone who has tried both substances in combo before with very predictable results. The addition of acetylcholine promoters made the internal imaging engine go into an unstoppable overdrive.

I could spend some time discussing Hobson's AIM model of 5-HT and acetylcholine modulators ruling the balance between waking/external perception and dreaming/internal imagination, but you probably know all that stuff already. If not, Google The Dream Drugstore for a full read of the topic. If anyone else has info on this combo, pass it on please.

Posted By jamesk at 2008-09-02 18:49:50 permalink | comments
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Dreamer. : 2008-09-02 20:16:50
Yes, sounds like a good experiment, I assume it must have been done in a dark room, probably in bed, with eyes closed, in order to be seeing "full blown eyelid movies" - otherwise such intense hallucinations would have been projected into the lit room environment and appeared as open-eyed hallucinations.

Sounds like this experiment is really bridging between a powerful dream state and the waking state, but that can be dangerous, as we see below.

I noted from the following snippet from the "dream drugstore" Amazon.com link -

"Dreaming involves cholinergic activity but in sleep. When such activity is present in waking, psychosis ensues. This is one of the most plausible and defendable views on psychosis out there. By extension, drugs that cause psychosis, or aleviate it, must affect in some way the aminergic and cholinergic systems of the brain. (...) Dreaming and psychosis involve high activation and internal or hallucinatory inputs, for example)."

This psychosis aspect of chcolinergic activity in a waking state, enhanced with LSD and Ketamine, might explain the uncontrollable and at times unpleasant image sequence ("full blown eyelid movie") experienced by the underground researcher. Perhaps the additional stimulation of the acetylcholine receptors in the brain at the same time LSD and Ketamine are active in the brain pushes the brain closer to psychosis. This would explain the "uncontrollable unpleasent hallucination" aspect of what you wrote.

Sounds like it was close to being out of control but this person must have stayed grounded and dealt with it in the dark environment. This level of imagery in an open eyed environment might have been even more difficult.

This might have some uses for patients who want to do a "brain dump" and see what comes out of their deep unconscious memories..... but likely should only be tried by experienced people or under proper supervision. In a less experienced person, this could likely give rise to a psychotic break.

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