Ambien: Side Effects Include WHAT?

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By Terry Gotham

A lifetime ago, I worked in a Sleep Lab at the Johns Hopkins Hospital in Baltimore, Maryland. We looked at the effects of sleep deprivation on pain tolerance & sensitivity. The non-clinical way of explaining that is, I poked and prodded a bunch of hilariously tired people. Inability to sleep continues to be a huge issue on & off playa, with 40% of Americans admitting to Gallup they don’t get as much sleep as they’d like. While the CDC has declared insufficient sleep a public health problem, Burners are the champions of functional partying with nowhere near appropriate amounts of sleep. But, because a lot of Americans are currently taking/addicted to sleep aids, I figured I’d run through the risks & rewards to consuming Ambien (Zolpidem). People are even attempting to tether it to the death of Justice Scalia, so get a non-caffinated beverage and strap in for this wild, amnesiac ride.

One of the immediate problems that people discount when they start taking Ambien is when you don’t follow the specific rule: Please allow yourself a full 8 hours of sleep to sleep after taking Ambien. There is nothing in the world so disoriented than a random dude attempting to build a geodesic dome 6hrs into an Ambien dose on playa. Seriously, if you need to get sleep and you don’t have 8hrs to sleep, take another drug. Do a shot of whiskey, eat some melatonin gummies (recommended option), or if you’re Archer, soak the melatonin gummies in whiskey. While the Indian Army gives its soldiers Ambien, I can’t say I recommend the practice if you’ve gotta be up at 0500 after getting to sleep at midnight.

This next point I cannot stress enough. Be very, very careful consuming Ambien on repeated evenings. Most sleep medicine practitioners agree that you can develop an addiction to Ambien in two weeksThe easiest way to keep this from happening is to try your hardest to not take the substance one night after another. Even reducing the frequency to once every 3 days or once a week, can seriously help your chances at preventing physical dependence. Don’t discount the potency of Ambien or other sleep aids, even over the counter ones. Over the long term, Ambien loses its effectiveness, but maintains the dependency. If you think taking a fistful of pills to sleep is scary, imagine taking them & realizing they’ve become totally ineffective.

But these aren’t the reasons you’ve heard of Ambien, or that you joke about it with your friends. You have because you’ve heard all these horror stories about people taking Ambien and sleep eating, sleep driving and sleep fucking with no memory of it. And I’m here to tell you all of those horror stories are true. Yes, even the ones you heard about people killing their spouse & mounting an Ambien defense, claiming they didn’t remember it.

First, Ambien has caused people to develop what I can only describe as a sleep eating disorder. This is where you binge eat while retaining no memory of it. The New York Times reported on research done by the Mayo Clinic & the Minnesota Regional Sleep Disorders Center, confirming this wackiness. Dr. Carlos Schenck has estimated that thousands of Ambien consumers suffer from this issue. While turned on gas burners, peanut butter in the sleeping bag & weight gain seem like it could be fun on the playa, I think we can all agree that this side effect should be a deal breaker.

Sleep driving is a real problem for people who consume Ambien in suburban & rural areas of the country. If I had to wager, more than 1 person who reads this will have had an experience of driving on playa on Ambien & not remember it. As you can imagine, this has significant legal ramifications, as this report from the Journal of Clinical Sleep Medicine found. It reviewed cases where patients had reported 3-5hrs worth of amnesia and had been pulled over for driving while intoxicated. Personally, the risk of operating a motor vehicle sans-memory or non-autonomic functioning would keep me off a drug forever, but this is America, home of the brave. I’m not entirely sure what recommendations I could make from a harm reduction perspective, but hopefully, your unconscious self remembers to put your seatbelt on.

The third in the trio of “What The Fuck?!” side effects is sleep sex. So many people have reported going to sleep after Ambien, then waking their partners up and asking for wildly different sex, that the Daily Beast’s story about this was actually titled Is Ambien Sex Hotter? While the veracity of the reports may vary, the volume has been such that even non-drug publications like Men’s Health & the NY Daily News have reported on it. I’m not going to tell anyone they shouldn’t try to spice up their sex life, but as per my GHB article, I’m against people giving other people roofies. If you want to roofie yourself, maybe ask yourself a couple of questions as to why before doing so.

The last problem I need to mention doesn’t affect the vast majority of Burners, but it might affect their parents. Even after giving themselves the 8hrs of rest that Ambien directs, Consumer Reports and other sources have confirmed that if you’re over the age of 80, there’s some residual coordination/drowsiness problems that amplify the risk of accidents while driving. If Gramps has trouble sleeping, perhaps get him those gummy bears or ZZZQuil, instead.

Of course, it’s not all bad. It’s not only exceptional at providing 8hrs of restful sleep to those who need it very occasionally, but it might actually help you recover from a stroke. Researchers at the Stanford School of Medicine found that stroke recovery in mice was improved when given Ambien, both in sensory acuity & motor coordination. The findings still need to be independently verified by other insitutions for humans, but what kind of reporter would I be if I didn’t include some good news. If you’re interested in trends in pharmacology and sales information, here’s an exhaustive report on the industry and specific consumption patterns of Zolpidem in the USA & China. If you run into John Stamos, ask him about it. He’s probably got a story or two about how he got off the stuff.

If you’re planning on taking the stuff, take it and hit the pillow immediately. Don’t take it and go brush your teeth or try to do your taxes. Take it, crash out, and set your alarm for 8-9hrs from when your head hits the pillow. If you suffer from chronic insomnia, definitely speak to your doctor, therapist, herbalist or local Vitamin Shoppe employee. There are substances that can knock you out that won’t cause you to eat bacon at 3 AM or ask your husband to be tied up like a pig on a spit and not remember it.

GHB: Interactions, Advice & A Touch of Sanity

By Terry Gotham

Every time issues of consent come up on the playa or in the regional Burner community, “date rape” drugs such as GHB are inevitably mentioned. To help people make smart choices both about what they do personally and what substances they want at their events, I spoke to Dr. Joseph Palamar at NYU, widely quoted expert on substance abuse & recreational drug use, to make sure the readers of Burners.me got the best information available about the drug. If y’all like this, let me know, and I’ll try to bring on more experts for these harm reduction posts.

GHB has largely become a boogeyman in the drug world. Even though it is the literal best case practice treatment for narcolepsy, it’s become associated with irresponsible choices & shady characters over the years. While many Burners enjoy it recreationally, the label of date rape drug has stuck and there’s a large gap in a lot of drug education and messaging surrounding it. Just because it’s assumed that the majority of the people using it are using it “on” other people doesn’t necessarily make it true. For everyone who isn’t trying to violate the consent of people on & off playa, here’s a quick set of frank tips that should serve you well if you’re trying to hang with Xyrem.

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LSD Research: Where We Are In 2016

by Terry Gotham

Since the interview with MAPS went over so well, I figured I’d keep the hype train about psychedelics research going. Over the last couple of years, really great thing have happened surrounding MDMA & Magic Mushrooms, but for some of us, LSD is the Holy Grail of psychedelics research.

To provide some history, back in the 50’s & 60’s, there was a significant amount of research surrounding LSD. Everything from autism to homosexuality to childhood schizophrenia was treated with LSD in places like the Silver Spring Maryland Hospital. Dozens of studies were performed, and LSD was seen as a promising psychomimetic (insanity mimicking) and later as a “psychedelic” (mind-manifesting). But we all know what happened next.  Manson used a bunch of it to trick girls into killing people and horror stories about hippies & kids going insane and never coming back pervaded the landscape. Oh yea, and Nixon shit all over it.

However, over the last decade or so, we’ve seen a resurgence in research associated with those very same psychedelics. While MDMA for PTSD & Psilocybin for terminal cancer anxiety has stolen the spotlight, LSD has quietly been examined by a number of research groups, with some encouraging results. LSD has been shown to be effective for anxiety surrounding terminal cancer as well, as the recently completed Phase II clinical trial sponsored by MAPS has shown. If you’re interested in bypassing the hype and getting directly to the full text pdf, here it is.Two other avenues of LSD research have been making steady progress during this psychedelics renaissance.

Alcoholism treatment with LSD was evaluated by two researchers in the Dept. of Neuroscience at the Norwegian University of Science & Technology. A meta-analysis of the current research findings surrounding LSD & alcoholism were evaluated, and the findings were very encouraging. From the paper’s abstract:

A single dose of LSD, in the context of various alcoholism treatment programs, is associated with a decrease in alcohol misuse. ~Krebs & Johansen, 2012

This isn’t surprising to some of you, who have commented about how psychedelics have helped cope with addiction & addictive tendencies. But for the effect to be verified academically, is very important.

The second area of research that is getting some LSD-infused love is cluster headaches, also known as suicide headaches. A study published in the Journal of Neurology 7 of 8 LSD users stated they saw a termination of cluster headache attacks. MAPS has also published on this phenomena. Cluster headaches have very few treatments and they paralyze those who experience them, so researchers are very excited at the potential for LSD & LSD analogues to help.

Another aspect of LSD consumption that deserves more study is microdosing. After I was critical of the loose reporting surrounding this practice, I had a number of interesting conversations with burners who reached out to discuss their anecdotal use of LSD to improve their life. Some microdose daily, others told me about habits where they’d microdose one week on 2-3 weeks off, and back and forth. There’s a giant uncontrolled experiment going on out there, and instead of trying to generate page views by claiming executives are dropping tabs in the office, I agree with Forbes (a phrase I don’t use often) that we need to evaluate this in a much more sophisticated & systematic way.

If you’re really hankering for some LSD & don’t want to break the law, head to Dr. Peter Gasser in Switzerland. VICE did a great little round up of how and why this psychiatrist is able to prescribe LSD to his patients. It’s a nice little story, and continues to back up my claim that Switzerland isn’t a real place. It’s totally the future with Alps & chocolate.

So much more work to be done, but hope you found a couple of reasons to celebrate how far we’ve come as you’ve read this.