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Psilocybin + MDMA is an investigational drug combination being studied by the Johns Hopkins Center for Psychedelic and Consciousness Research for the treatment of post-traumatic stress disorder (PTSD), particularly in military veterans. This combination therapy, often associated with the PAMVET (Psilocybin and MDMA for PTSD in Veterans) trial, involves the co-administration of psilocybin and 3,4-methylenedioxymethamphetamine (MDMA) alongside structured psychotherapy. Psilocybin acts as a partial agonist at the serotonin 5-HT2A receptor, inducing introspective and mystical-type experiences, while MDMA acts as a monoamine releasing agent and reuptake inhibitor, promoting prosocial effects and fear extinction. The rationale for the combination is to leverage the synergistic therapeutic potential of both compounds to facilitate the processing of traumatic memories in a controlled clinical setting.
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