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AyahuascaPronounced as in the UK and in the US. Also occasionally known in English as ''ayaguasca'' (Spanish-derived), ''aioasca'' (
Brazilian Portuguese Brazilian Portuguese (; ; also known as pt-BR) is the set of Variety (linguistics), varieties of Portuguese language native to Brazil. It is spoken by almost all of the 203 million inhabitants of Brazil and widely across the Brazilian diaspora ...
-derived), or as ''yagé'', pronounced or . Etymologically, all forms but ''yagé'' descend from the compound Quechua word ''ayawaska'', from ''aya'' () and ''waska'' (). For more names for ayahuasca, see § Etymology.
is a South American psychoactive decoction prepared from '' Banisteriopsis caapi'' vine and a
dimethyltryptamine Dimethyltryptamine (DMT), also known as ''N'',''N''-dimethyltryptamine (''N'',''N''-DMT), is a Psychedelic drug, serotonergic hallucinogen and Investigational New Drug, investigational drug of the substituted tryptamine, tryptamine family tha ...
(DMT)-containing plant, used by Indigenous cultures in the
Amazon Amazon most often refers to: * Amazon River, in South America * Amazon rainforest, a rainforest covering most of the Amazon basin * Amazon (company), an American multinational technology company * Amazons, a tribe of female warriors in Greek myth ...
and Orinoco basins as part of
traditional medicine Traditional medicine (also known as indigenous medicine or folk medicine) refers to the knowledge, skills, and practices rooted in the cultural beliefs of various societies, especially Indigenous groups, used for maintaining health and treatin ...
and
shamanism Shamanism is a spiritual practice that involves a practitioner (shaman) interacting with the spirit world through altered states of consciousness, such as trance. The goal of this is usually to direct spirits or spiritual energies into ...
. The word ayahuasca, originating from Quechuan languages spoken in the
Andes The Andes ( ), Andes Mountains or Andean Mountain Range (; ) are the List of longest mountain chains on Earth, longest continental mountain range in the world, forming a continuous highland along the western edge of South America. The range ...
, refers both to the ''B. caapi'' vine and the psychoactive brew made from it, with its name meaning “spirit rope” or “
liana A liana is a long-Plant stem, stemmed Woody plant, woody vine that is rooted in the soil at ground level and uses trees, as well as other means of vertical support, to climb up to the Canopy (biology), canopy in search of direct sunlight. T ...
of the soul.” The specific
ritual A ritual is a repeated, structured sequence of actions or behaviors that alters the internal or external state of an individual, group, or environment, regardless of conscious understanding, emotional context, or symbolic meaning. Traditionally ...
use of ayahuasca was widespread among Indigenous groups by the 19th century, though its precise origin is uncertain. Ayahuasca is traditionally prepared by macerating and boiling ''B. caapi'' with other plants like '' Psychotria viridis'' during a ritualistic, multi-day process. Ayahuasca has been used in diverse South American cultures for spiritual, social, and medicinal purposes, often guided by shamans in ceremonial contexts involving specific dietary and ritual practices, with the Shipibo-Konibo people playing a significant historical and cultural role in its use. It spread widely by the mid-20th century through
syncretic Syncretism () is the practice of combining different beliefs and various schools of thought. Syncretism involves the merging or assimilation of several originally discrete traditions, especially in the theology and mythology of religion, thus ...
religions in
Brazil Brazil, officially the Federative Republic of Brazil, is the largest country in South America. It is the world's List of countries and dependencies by area, fifth-largest country by area and the List of countries and dependencies by population ...
. In the late 20th century, ayahuasca use expanded beyond South America to
Europe Europe is a continent located entirely in the Northern Hemisphere and mostly in the Eastern Hemisphere. It is bordered by the Arctic Ocean to the north, the Atlantic Ocean to the west, the Mediterranean Sea to the south, and Asia to the east ...
,
North America North America is a continent in the Northern Hemisphere, Northern and Western Hemisphere, Western hemispheres. North America is bordered to the north by the Arctic Ocean, to the east by the Atlantic Ocean, to the southeast by South Ameri ...
, and elsewhere, leading to legal cases, non-religious adaptations, and the development of ayahuasca analogs using local or synthetic ingredients. While DMT is internationally classified as a controlled substance, the plants containing it—including those used to make ayahuasca—are not regulated under
international law International law, also known as public international law and the law of nations, is the set of Rule of law, rules, norms, Customary law, legal customs and standards that State (polity), states and other actors feel an obligation to, and generall ...
, leading to varied national policies that range from permitting religious use to imposing bans or decriminalization. The
United States The United States of America (USA), also known as the United States (U.S.) or America, is a country primarily located in North America. It is a federal republic of 50 U.S. state, states and a federal capital district, Washington, D.C. The 48 ...
patent office controversially granted, challenged, revoked, reinstated, and ultimately allowed to expire a patent on the ayahuasca vine, sparking disputes over intellectual property rights and the cultural and religious significance of traditional Indigenous knowledge. Ayahuasca produces intense psychological and spiritual experiences with potential therapeutic effects. Ayahuasca’s psychoactive effects primarily result from DMT, rendered orally active by harmala alkaloids in ''B. caapi'', which act as reversible inhibitors of monamine oxidase; ''B. caapi'' and its β-carbolines also exhibit independent contributions to ayahuasca’s effects, acting on
serotonin Serotonin (), also known as 5-hydroxytryptamine (5-HT), is a monoamine neurotransmitter with a wide range of functions in both the central nervous system (CNS) and also peripheral tissues. It is involved in mood, cognition, reward, learning, ...
and
benzodiazepine Benzodiazepines (BZD, BDZ, BZs), colloquially known as "benzos", are a class of central nervous system (CNS) depressant, depressant drugs whose core chemical structure is the fusion of a benzene ring and a diazepine ring. They are prescribed t ...
receptors. Systematic reviews show ayahuasca has strong
antidepressant Antidepressants are a class of medications used to treat major depressive disorder, anxiety disorders, chronic pain, and addiction. Common side effects of antidepressants include Xerostomia, dry mouth, weight gain, dizziness, headaches, akathi ...
and
anxiolytic An anxiolytic (; also antipanic or anti-anxiety agent) is a medication or other intervention that reduces anxiety. This effect is in contrast to anxiogenic agents which increase anxiety. Anxiolytic medications are used for the treatment of anxie ...
effects with generally safe traditional use, though higher doses of ayahuasca or harmala alkaloids may increase risks.


Etymology

''Ayahuasca'' is the hispanicized spelling (i.e., spelled according to Spanish orthography) of a word that originates from the
Quechuan languages Quechua (, ), also called (, 'people's language') in Southern Quechua, is an indigenous language family that originated in central Peru and thereafter spread to other countries of the Andes. Derived from a common ancestral " Proto-Quechua" ...
, which are spoken in the Andean states of
Ecuador Ecuador, officially the Republic of Ecuador, is a country in northwestern South America, bordered by Colombia on the north, Peru on the east and south, and the Pacific Ocean on the west. It also includes the Galápagos Province which contain ...
,
Bolivia Bolivia, officially the Plurinational State of Bolivia, is a landlocked country located in central South America. The country features diverse geography, including vast Amazonian plains, tropical lowlands, mountains, the Gran Chaco Province, w ...
,
Peru Peru, officially the Republic of Peru, is a country in western South America. It is bordered in the north by Ecuador and Colombia, in the east by Brazil, in the southeast by Bolivia, in the south by Chile, and in the south and west by the Pac ...
, and
Colombia Colombia, officially the Republic of Colombia, is a country primarily located in South America with Insular region of Colombia, insular regions in North America. The Colombian mainland is bordered by the Caribbean Sea to the north, Venezuel ...
. Speakers of Quechuan languages who use modern Quechuan orthography spell it ''ayawaska''. The word refers both to the
liana A liana is a long-Plant stem, stemmed Woody plant, woody vine that is rooted in the soil at ground level and uses trees, as well as other means of vertical support, to climb up to the Canopy (biology), canopy in search of direct sunlight. T ...
'' Banisteriopsis caapi'', and to the brew prepared from it. In the Quechua languages, ''aya'' means "spirit, soul", or "corpse, dead body", and ''waska'' means "rope" or "woody vine", "
liana A liana is a long-Plant stem, stemmed Woody plant, woody vine that is rooted in the soil at ground level and uses trees, as well as other means of vertical support, to climb up to the Canopy (biology), canopy in search of direct sunlight. T ...
". The word ''ayahuasca'' has been variously translated as "liana of the soul", "liana of the dead", and "spirit liana". In the cosmovision of its users, the ayahuasca is the vine that allows the spirit to wander detached from the body, entering the spiritual world, otherwise forbidden for the alive.


Common names

Although ayahuasca is the most widely used term in
Peru Peru, officially the Republic of Peru, is a country in western South America. It is bordered in the north by Ecuador and Colombia, in the east by Brazil, in the southeast by Bolivia, in the south by Chile, and in the south and west by the Pac ...
,
Bolivia Bolivia, officially the Plurinational State of Bolivia, is a landlocked country located in central South America. The country features diverse geography, including vast Amazonian plains, tropical lowlands, mountains, the Gran Chaco Province, w ...
,
Ecuador Ecuador, officially the Republic of Ecuador, is a country in northwestern South America, bordered by Colombia on the north, Peru on the east and south, and the Pacific Ocean on the west. It also includes the Galápagos Province which contain ...
and Brazil, the brew is known by many names throughout northern South America: * hoasca or oasca in Brazil * (or , from the Cofán language or iagê in Portuguese). Relatively widespread use in
Andean The Andes ( ), Andes Mountains or Andean Mountain Range (; ) are the longest continental mountain range in the world, forming a continuous highland along the western edge of South America. The range is long and wide (widest between 18°S ...
and Amazonian regions throughout the border areas of Colombia, Peru, Ecuador and Brazil. The Cofán people also use the word . * (or / in Tupi–Guarani language or in proto-Arawak language), used to address both the brew and the ''B. caapi'' itself. Meaning "weed" or "thin leaf", it was the word utilized by
Spruce A spruce is a tree of the genus ''Picea'' ( ), a genus of about 40 species of coniferous evergreen trees in the family Pinaceae, found in the northern temperate and boreal ecosystem, boreal (taiga) regions of the Northern hemisphere. ''Picea'' ...
for naming the liana. * (or /), used by the
Colorado Colorado is a U.S. state, state in the Western United States. It is one of the Mountain states, sharing the Four Corners region with Arizona, New Mexico, and Utah. It is also bordered by Wyoming to the north, Nebraska to the northeast, Kansas ...
people * (or ), from the Chicham languages * , (or ) and , from the Yaminawa language * , from the
Shipibo language Shipibo (also Shipibo-Conibo, Shipibo-Konibo) is a Panoan language spoken in Peru and Brazil by approximately 26,000 speakers. Shipibo is a recognized indigenous Languages of Peru, language of Peru. Dialects Shipibo has three attested dialect ...
* , , , and , from the Kashinawa language * , and , used by the Tucano people * (or ) and , from the Arawakan languages * , from Bora-Muinane languagesSeifart, Frank, & Echeverri, Juan Alvaro (2015)
Proto Bora-Muinane
''LIAMES: Línguas Indígenas Americanas'', 15(2), 279 - 311.
* , used by Ese'Ejja people * , from Guahibo language * (or /), used by Tsáchila people * , from Kamëntšá languageHuber, Randall Q. and Robert B. Reed. 1992.
Vocabulario comparativo: Palabras selectas de lenguas indígenas de Colombia (Comparative vocabulary: Selected words in indigenous languages of Colombia)
'. Bogota, Colombia: Summer Institute of Linguistics.
* ("") or , in
Portuguese language Portuguese ( or ) is a Western Romance language of the Indo-European language family originating from the Iberian Peninsula of Europe. It is the official language of Angola, Brazil, Cape Verde, Guinea-Bissau, Mozambique, Portugal and São Tom� ...
, used by
União do Vegetal The Union of the Plant Beneficent Spiritist Center ( ; or UDV) is a religious society founded on July 22, 1961 in Porto Velho ( Rondônia) by José Gabriel da Costa, known as Mestre Gabriel. The UDV seeks to promote peace and to "work for the ...
church members * Daime or Santo Daime, meaning "give me" in Portuguese, the term was coined by Santo Daime's founder
Mestre Irineu Raimundo Irineu Serra, also known as Mestre (Master) Irineu, (December 15, 1892 São Vicente Ferrer, Maranhão, São Vicente Ferrer, Maranhão, Brazil - July 6, 1971) was the founder of a Syncretism, syncretic religion known as Santo Daime. Irineu w ...
in the 1940s, from a prayer ''dai-me alegria, dai-me resistência'' ("give me happiness, give me strength"). Daime members also uses the words Luz ("light") or Santa Luz ("holy light") * Some nomenclature are created by the cultural and symbolic signification of ayahuasca, with names like ''planta professora'' ("plant teacher"), ''professor dos professores'' ("teacher of the teachers"), ''sagrada medicina'' ("holy medicine") or ''la purga'' ("the purge").


Other names in the Western world

In the last decades, two new important terminologies emerged. Both are commonly used in the Western world in neoshamanic, recreative or
pharmaceutical Medication (also called medicament, medicine, pharmaceutical drug, medicinal product, medicinal drug or simply drug) is a drug used to diagnose, cure, treat, or prevent disease. Drug therapy ( pharmacotherapy) is an important part of the ...
contexts to address ayahuasca-like substances created without the traditional botanical species, due to it being expensive and/or hard to find in these countries. These concepts are surrounded by some controversies involving
ethnobotany Ethnobotany is an interdisciplinary field at the interface of natural and social sciences that studies the relationships between humans and plants. It focuses on traditional knowledge of how plants are used, managed, and perceived in human socie ...
, patents, commodification and biopiracy: * Anahuasca (ayahuasca analogues). A term usually used to refer to the ayahuasca produced with other plant species as sources of DMT (e.g., '' Mimosa hostilis'') or β-carbolines (e.g., '' Peganum harmala''). * Pharmahuasca (pharmaceutical ayahuasca). This indicates the pills produced from freebase DMT, synthetic harmaline, MAOI medications (such as
moclobemide Moclobemide, sold under the brand names Amira, Aurorix, Clobemix, Depnil and Manerix among others, is a reversible inhibitor of monoamine oxidase A (RIMA) drug primarily used to treat Clinical depression, depression and social anxiety. It is not ...
) and other isolated or purified compounds or extracts.


History


Origins

Archaeological evidence of the use of psychoactive plants in northeastern Amazon dates back to 1500–2000 BCE. Anthropomorphic figurines, snuffing trays and pottery vessels, often adorned with mythological figures and sacred animals, offer a glimpse of the
pre-Columbian In the history of the Americas, the pre-Columbian era, also known as the pre-contact era, or as the pre-Cabraline era specifically in Brazil, spans from the initial peopling of the Americas in the Upper Paleolithic to the onset of European col ...
culture regarding use of the sacred plants, their preparation and ritual consumption itar naranjo 86 Although several botanical specimens (like tobacco, coca and ''Anadenanthera spp.'') were identified among these objects, there is no unequivocal evidence of this date referring directly to ayahuasca. ''Banisteriopsis caapi'' use is suggested from a pouch containing carved snuffing trays, bone spatulas and other paraphernalia with traces of harmine and DMT, discovered in a cave in southwestern Bolivia in 2008, and chemical traces of harmine in the hair of two mummies found in northern Chile. Both cases are linked to Tiwanaku people, circa 900 CE. There are several reports of oral and nasal use of ''Anadenanthera spp.'' (rich in bufotenin) ritualistically and therapeutically during labor and infancy, and researchers suggest that addition of ''Banisteriopsis spp.'' to catalyze its psychoactivity emerged later, due to contact between different groups of Amazon and
Altiplano The Altiplano (Spanish language, Spanish for "high plain"), Collao (Quechuan languages, Quechua and Aymara language, Aymara: Qullaw, meaning "place of the Qulla people, Qulla") or Andean Plateau, in west-central South America, is the most extens ...
. Despite claims by numerous anthropologists and ethnologists, such as Plutarco Naranjo, regarding the millennial usage of ayahuasca, compelling evidence substantiating its pre-Columbian consumption is yet to be firmly established. As articulated by Dennis McKenna:
"No one can say for certain where the practice may have originated, and about all that can be stated with certainty is that is already spread among numerous indigenous tribes throughout Amazon basin by the time ayahuasca came to the attention of Western ethnographers in the mid-nineteenth century"
The first western references of the ayahuasca beverage dates back to seventeenth century, during the
European colonization of the Americas During the Age of Discovery, a large scale colonization of the Americas, involving a number of European countries, took place primarily between the late 15th century and the early 19th century. The Norse explored and colonized areas of Europe a ...
. The earlier report is a letter from Vincente de Valverde to the Holy Office of the Inquisition. Jose Chantre y Herrera still in the seventeenth century, provided the first detailed description of a "devilish potion" cooked from bitter herbs and lianas (called ''ayaguasca'') and its rituals:
" ..In other nations, they set aside an entire night for divination. For this purpose, they select the most capable house in the vicinity because many people are expected to attend the event. The diviner hangs his bed in the middle and places an infernal potion, known as ayahuasca, by his side, which is particularly effective at altering one's senses. They prepare a brew from bitter vines or herbs, which, when boiled sufficiently, must become quite potent. Since it's so strong at altering one's judgment in small quantities, the precaution is not excessive, and it fits into two small pots. The witch doctor drinks a very small amount each time and knows well how many times he can sample the brew without losing his senses to properly conduct the ritual and lead the choir".
Another report produced in 1737 by the missionary Pablo Maroni, describes the use of a psychoactive liana called ayahuasca for divination in the Napo River, Ecuador:
"For divination, they use a beverage, some of white datura flowers, which they also call Campana due to its shape, and others from a vine commonly known as Ayahuasca, both highly effective at numbing the senses and even at taking one's life if taken in excess. They also occasionally use these substances for the treatment of common illnesses, especially headaches. So, the person who wants to divine drinks the chosen substance with certain rituals, and while deprived of their senses from the mouth downwards, to prevent the strength of the plant from harming them, they remain in this state for many hours and sometimes even two or three days until the effects run their course, and the intoxication subsides. After this, they reflect on what their imagination revealed, which occasionally remains with them for delirium. This is what they consider accomplished and propagate as an oracle."
Latter reports were produced by Juan Magnin in 1740, describing ayahuasca use as a medicinal plant by the Jivaroan peoples (called ''ayahuessa'') and by Franz Xaver Veigl in 1768, that reports about several "dangerous plants", including a bitter liana used for
precognition Precognition (from the Latin 'before', and 'acquiring knowledge') is the purported psychic phenomenon of seeing, or otherwise becoming directly aware of, events in the future. There is no accepted scientific evidence that precognition is a ...
and sorcery. All these reports were written in context of Jesuit missions in South America, specially the Mainas missions, in
Latin Latin ( or ) is a classical language belonging to the Italic languages, Italic branch of the Indo-European languages. Latin was originally spoken by the Latins (Italic tribe), Latins in Latium (now known as Lazio), the lower Tiber area aroun ...
and sent only to Rome, so their audience wasn't very large and they were promptly lost in the archives. For this reason, ayahuasca didn't receive interest for the entire subsequent century.


Early academic research

In academic discourse, the initial mention of ayahuasca dates back to Manuel Villavicencio's 1858 book, "''Geografía de la República del Ecuador.''" This work vividly delineates the employment and rituals involving ayahuasca by the Jivaro people. Concurrently, Richard Spruce embarked on an Amazonian expedition in 1852 to collect and classify previously unidentified botanical specimens. During this journey, Spruce encountered and documented ''Banisteriopsis caapi'' (at time named ''Banisteria caapi'') and observed an ayahuasca ceremony among the Tucano community situated along the Vaupés River. Subsequently, Spruce uncovered the usage and cultivation of ''B. caapi'' among various indigenous groups dispersed across the Amazon and Orinoco basins, like the Guahibo and Sápara. These multifarious encounters, together with Spruce's personal accounts of subjective ayahuasca experiences, were collated in his work, "Notes of a Botanist On The Amazon and Andes.". By the end of the century, other explorers and anthropologists contributed more extensive documentation concerning ayahuasca, notably the Theodor Koch-Grünberg's documents about Tucano and Arecuna's rituals and ceremonies, Stradelli's first-hand reports of ayahuasca rituals and mythology along the Jurupari and Vaupés and Alfred Simson's first description of admixture of several ingredients in the making of ayahuasca in Putumayo region, published in 1886. In 1905, Rafael Zerda Bayón named the active extract of ayahuasca as ''telepathine,'' a name latter used by the Colombian chemist Guillermo Fischer Cárdenas when he isolated the substance in 1932. Contemporaneously, Lewin and Gunn were independently studying the properties of the ''banisterine,'' extracted of the ''B. caapi,'' and its effects on animal models. Further clinical trials were being conducted, exploring the effects of banisterine on Parkinson's disease. Later it was found that both ''telepathine'' and ''banisterine'' are the same substance, identical to a chemical already isolated from '' Peganum harmala'' and given the name Harmine.


Shamanism, ''mestizos'' and ''vegetalistas''

Researchers like Peter Gow and Brabec de Mori argue that ayahuasca use indeed developed alongside the Jesuit missions after the 17th century. By examining the ícaros (ayahuasca-related healing chants), they found that the chants are always sung in Quechua (a
lingua franca A lingua franca (; ; for plurals see ), also known as a bridge language, common language, trade language, auxiliary language, link language or language of wider communication (LWC), is a Natural language, language systematically used to make co ...
along the Jesuit and Franciscan missions in the region), no matter the linguistic background of the group, with similar language structures between different ícaros that are markedly different from other indigenous songs. Moreover, often the cosmology of ayahuasca often mirrors the Catholicism, with particular similarities in the belief that ayahuasca is thought to be the body of ''ayahuascamama'' that is imbibed as part of the ritual, like wine and bread are taken as being the body and blood of Jesus Christ during Christian Eucharist. Brabec de Mori called this “Christian camouflage” and suggested that rather than being a way for disguising the ayahuasca ritual, it suggests that practice evolved entirely within these contexts. Indeed, the colonial processes in Western Amazon are intrinsically related with the development of ayahuasca use in the last three centuries, as it promoted a deep reshape in traditional ways of life in the region. Many indigenous groups moved into the Missions, seeking protection from death and slavery promoted by the Bandeiras, inter-tribal violence, starvation and disease (
smallpox Smallpox was an infectious disease caused by Variola virus (often called Smallpox virus), which belongs to the genus '' Orthopoxvirus''. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (W ...
). This movement resulted in an intense cultural exchange and resulted in the formation of ''
mestizos ( , ; fem. , literally 'mixed person') is a term primarily used to denote people of mixed Ethnic groups in Europe, European and Indigenous ancestry in the former Spanish Empire. In certain regions such as Latin America, it may also refer to ...
'' (in Spanish) or ''caboclos'' (in Portuguese), a social category formed by people with mixture of European and native ancestry, who were an important part of the economy and culture of the region. According to Peter Gow, the ayahuasca shamanism (the use of ayahuasca by a trained shaman to diagnose and cure illnesses) was developed by these ''mestizos'' in the processes of colonial transformation. The Amazon rubber cycles (1879–1912 and 1945–1945) sped up these transformations, due to slavery, genocide and brutality against indigenous populations and large migratory movements, specially from the Brazilian Northeast Region as a workforce for the rubber
plantation Plantations are farms specializing in cash crops, usually mainly planting a single crop, with perhaps ancillary areas for vegetables for eating and so on. Plantations, centered on a plantation house, grow crops including cotton, cannabis, tob ...
s. The ''mestizo'' practices became deeply intertwined with the culture of rubber workers, called ''caucheros'' (in Spanish) or ''seringueiros'' (in Portuguese). Ayahuasca use with therapeutic goals is the main result of this
Trans-cultural diffusion In cultural anthropology and cultural geography, cultural diffusion, as conceptualized by Leo Frobenius in his 1897/98 publication ''Der westafrikanische Kulturkreis'', is the spread of culture, cultural items—such as ideas, fashion, styles, rel ...
, with some practitioners pointing the ''caucheros'' as the main responsible for using ayahuasca to cure all sort of ailments of the body, mind and soul, with even some regions using the term ''Yerba de Cauchero'' ("rubber-worker herb"). As a result, the ayahuasca shamans in urban areas and ''mestizo'' settlements, specially in the regions of Iquitos and Pucallpa (in Peru), became the ''vegetalistas,'' folk healers who are said to gain all their knowledge from the plants and the spirits bound to it. So the ''vegetalist'' movement was a heterogeneous mixture of Western Amazon (''mestizo'' shamanic practices and ''cauchero'' culture) and
Andean The Andes ( ), Andes Mountains or Andean Mountain Range (; ) are the longest continental mountain range in the world, forming a continuous highland along the western edge of South America. The range is long and wide (widest between 18°S ...
elements (shaped by other migratory movements, like those originated from Cuzco through Urubamba Valley and from western Ecuador), influenced by Christian aspects derived from the Jesuit missions, as reflected by the mythology, rituals and moral codes related to ''vegetalista'' ayahuasca use.


Ayahuasca religions

Although ''mestizo'', ''vegetalista'' and indigenous ayahuasca use was part of a longer tradition, these several configurations of ''mestizo vegetalismo'' were not isolated phenomena. In the end of the nineteenth century, several messianic/ millennialist cults sparkled across semi-urban areas across the entire Amazon region, merging different elements of indigenous and ''mestizo'' folk culture with Catholicism, Spiritism and
Protestantism Protestantism is a branch of Christianity that emphasizes Justification (theology), justification of sinners Sola fide, through faith alone, the teaching that Salvation in Christianity, salvation comes by unmerited Grace in Christianity, divin ...
. In this context, the use of ayahuasca will take form of urban, organized non-indigenous religions in outskirts of main cities of northwest of Brazil, (along the basins of
Madeira Madeira ( ; ), officially the Autonomous Region of Madeira (), is an autonomous Regions of Portugal, autonomous region of Portugal. It is an archipelago situated in the North Atlantic Ocean, in the region of Macaronesia, just under north of ...
, Juruá and Purus River) within the ''cauchero/seringueiro'' cultural complex, resignifying and adapting both the ''vegetalista'' and ''mestizo'' shamanism to new urban formations, unifying essential elements to building a cosmology for the new emerging cult/faith, merging with elements of folk Catholicism, African-Brazilian religions and Kardecist spiritism. These new cults arise from charismatic leaderships, often messianic and prophetic, who came from rural areas after migration movements, sometimes called ''ayahuasqueiros'', in semi-urban communities across the borders of Brazil, Bolívia and Peru (a region that will later form the state of
Acre The acre ( ) is a Unit of measurement, unit of land area used in the Imperial units, British imperial and the United States customary units#Area, United States customary systems. It is traditionally defined as the area of one Chain (unit), ch ...
). This new configuration of these belief systems is referred by Goulart as ''tradição religiosa ayahuasqueira urbana amazônica'' ("urban-amazonian ''ayahuasqueiro'' religious tradition") or ''campo ayahuasqueiro brasileiro'' ("brazilian ''ayahuasqueiro'' field") by Labate, emerging as three main structured religions, the Santo Daime and Barquinha, in Rio Branco and the União do Vegetal (UDV) in
Porto Velho Porto Velho (, ''Old Port'') is the capital (political), capital of the Brazilian States of Brazil, state of Rondônia, in the upper Amazon River basin. The population is 460,434 people (as of the Brazilian Institute of Geography and Statistics, ...
, three denominations that, notwithstanding shared characteristics besides ayahuasca utilization, have several particularities regarding its practices, conceptions and processes building social legitimacy and relationships with Brazilian government, media, science and other society stances. Since the latter half of twentieth century, the ayahuasca religious expanded to other parts of Brazil and several countries in the world, notably in the West.


Modern use

Beat writer William S. Burroughs read a paper by Richard Evans Schultes on the subject and while traveling through South America in the early 1950s sought out ayahuasca in the hopes that it could relieve or cure
opiate An opiate is an alkaloid substance derived from opium (or poppy straw). It differs from the similar term ''opioid'' in that the latter is used to designate all substances, both natural and synthetic, that bind to opioid receptors in the brain ( ...
addiction Addiction is a neuropsychological disorder characterized by a persistent and intense urge to use a drug or engage in a behavior that produces natural reward, despite substantial harm and other negative consequences. Repetitive drug use can ...
(see '' The Yage Letters''). Ayahuasca became more widely known when the McKenna brothers published their experience in the Amazon in ''True Hallucinations''. Dennis McKenna later studied pharmacology,
botany Botany, also called plant science, is the branch of natural science and biology studying plants, especially Plant anatomy, their anatomy, Plant taxonomy, taxonomy, and Plant ecology, ecology. A botanist or plant scientist is a scientist who s ...
, and
chemistry Chemistry is the scientific study of the properties and behavior of matter. It is a physical science within the natural sciences that studies the chemical elements that make up matter and chemical compound, compounds made of atoms, molecules a ...
of ayahuasca and oo-koo-he, which became the subject of his master's thesis. Richard Evans Schultes allowed Claudio Naranjo to make a special journey by canoe up the Amazon River to study ayahuasca with the South American Indigenous peoples. He brought back samples of the beverage and published the first scientific description of the effects of its active alkaloids. In recent years, the brew has been popularized by Wade Davis (''One River),'' English novelist Martin Goodman in ''I Was Carlos Castaneda'', Chilean novelist Isabel Allende, writer Kira Salak, author Jeremy Narby (''The Cosmic Serpent''), author Jay Griffiths (''Wild: An Elemental Journey''), American novelist Steven Peck, radio personality Robin Quivers,, writer Paul Theroux ('' Figures in a Landscape: People and Places''), and NFL quarterback Aaron Rodgers.


Preparation

Sections of '' Banisteriopsis caapi'' vine are macerated and boiled alone or with leaves from any of a number of other plants, including '' Psychotria viridis'' (''chacruna''), '' Diplopterys cabrerana'' (also known as ''chaliponga'' and ''chacropanga''), and '' Mimosa tenuiflora'', among other ingredients which can vary greatly from one shaman to the next. The resulting brew may contain the powerful
psychedelic drug Psychedelics are a subclass of hallucinogenic drugs whose primary effect is to trigger non-ordinary mental states (known as psychedelic experiences or "trips") and a perceived "expansion of consciousness". Also referred to as classic halluc ...
dimethyltryptamine Dimethyltryptamine (DMT), also known as ''N'',''N''-dimethyltryptamine (''N'',''N''-DMT), is a Psychedelic drug, serotonergic hallucinogen and Investigational New Drug, investigational drug of the substituted tryptamine, tryptamine family tha ...
and monoamine oxidase inhibiting
harmala alkaloid Harmala alkaloids are several alkaloids that act as monoamine oxidase inhibitors (MAOIs). These alkaloids are found in the seeds of ''Peganum harmala'' (also known as harmal or Syrian rue), as well as ''Banisteriopsis caapi'' (ayahuasca), leave ...
s, which are necessary to make the DMT orally active by allowing it (DMT) to be processed by the
liver The liver is a major metabolic organ (anatomy), organ exclusively found in vertebrates, which performs many essential biological Function (biology), functions such as detoxification of the organism, and the Protein biosynthesis, synthesis of var ...
. The traditional making of ayahuasca follows a ritual process that requires the user to pick the lower Chacruna leaf at sunrise, then say a prayer. The vine must be "cleaned meticulously with wooden spoons" and pounded "with wooden mallets until it's fibre." Brews can also be made with plants that do not contain DMT, ''Psychotria viridis'' being replaced by plants such as '' Justicia pectoralis'', '' Brugmansia'', or sacred tobacco, also known as ''mapacho'' ('' Nicotiana rustica''), or sometimes left out with no replacement. This brew varies radically from one batch to the next, both in potency and psychoactive effect, based mainly on the skill of the shaman or brewer, as well as other admixtures sometimes added and the intent of the ceremony. Natural variations in plant alkaloid content and profiles also affect the final concentration of
alkaloid Alkaloids are a broad class of natural product, naturally occurring organic compounds that contain at least one nitrogen atom. Some synthetic compounds of similar structure may also be termed alkaloids. Alkaloids are produced by a large varie ...
s in the brew, and the physical act of cooking may also serve to modify the alkaloid profile of harmala alkaloids. The actual preparation of the brew takes several hours, often taking place over the course of more than one day. After adding the plant material, each separately at this stage, to a large pot of water, it is boiled until the water is reduced by half in volume. The individual brews are then added together and brewed until reduced significantly. This combined brew is what is taken by participants in ayahuasca ceremonies.


Traditional use

The uses of ayahuasca in traditional societies in
South America South America is a continent entirely in the Western Hemisphere and mostly in the Southern Hemisphere, with a considerably smaller portion in the Northern Hemisphere. It can also be described as the southern Subregion#Americas, subregion o ...
vary greatly. Some cultures do use it for shamanic purposes, but in other cases, it is consumed socially among friends, in order to learn more about the natural environment, and even in order to visit friends and family who are far away. Nonetheless, people who work with ayahuasca in non-traditional contexts often align themselves with the philosophies and cosmologies associated with ayahuasca
shamanism Shamanism is a spiritual practice that involves a practitioner (shaman) interacting with the spirit world through altered states of consciousness, such as trance. The goal of this is usually to direct spirits or spiritual energies into ...
, as practiced among
Indigenous people There is no generally accepted definition of Indigenous peoples, although in the 21st century the focus has been on self-identification, cultural difference from other groups in a state, a special relationship with their traditional territ ...
s like the Urarina of the Peruvian Amazon. Dietary taboos are often associated with the use of ayahuasca, although these seem to be specific to the culture around Iquitos,
Peru Peru, officially the Republic of Peru, is a country in western South America. It is bordered in the north by Ecuador and Colombia, in the east by Brazil, in the southeast by Bolivia, in the south by Chile, and in the south and west by the Pac ...
, a major center of ayahuasca tourism. Ayahuasca retreats or ''healing centers'' can also be found in the Sacred Valley of Peru, in areas such as
Cusco Cusco or Cuzco (; or , ) is a city in southeastern Peru, near the Sacred Valley of the Andes mountain range and the Huatanay river. It is the capital of the eponymous Cusco Province, province and Cusco Region, department. The city was the cap ...
and Urubamba, where similar dietary preparations can be observed. These retreats often employ members of the Shipibo-Konibo tribe, an indigenous community native to the Peruvian Amazon. In the rainforest, these taboos tend towards the purification of one's self—abstaining from spicy and heavily seasoned foods, excess fat, salt, caffeine, acidic foods (such as citrus) and sex before, after, or during a ceremony. A diet low in foods containing tyramine has been recommended, as the speculative interaction of tyramine and MAOIs could lead to a hypertensive crisis; however, evidence indicates that harmala alkaloids act only on MAO-A, in a reversible way similar to
moclobemide Moclobemide, sold under the brand names Amira, Aurorix, Clobemix, Depnil and Manerix among others, is a reversible inhibitor of monoamine oxidase A (RIMA) drug primarily used to treat Clinical depression, depression and social anxiety. It is not ...
(an antidepressant that does not require dietary restrictions). Dietary restrictions are not used by the highly urban Brazilian ayahuasca church
União do Vegetal The Union of the Plant Beneficent Spiritist Center ( ; or UDV) is a religious society founded on July 22, 1961 in Porto Velho ( Rondônia) by José Gabriel da Costa, known as Mestre Gabriel. The UDV seeks to promote peace and to "work for the ...
, suggesting the risk is much lower than perceived and probably non-existent. The ritual use of ayahuasca by the Achuar people is featured in the Bruce Parry 2008 documentary series ''
Amazon Amazon most often refers to: * Amazon River, in South America * Amazon rainforest, a rainforest covering most of the Amazon basin * Amazon (company), an American multinational technology company * Amazons, a tribe of female warriors in Greek myth ...
'', in which Parry forces himself to participate in the rite.


Ceremony and the role of shamans

Shamans, curanderos and experienced users of ayahuasca advise against consuming ayahuasca when not in the presence of one or several well-trained shamans. In some areas, there are purported ''brujos'' (Spanish for "
witch Witchcraft is the use of magic by a person called a witch. Traditionally, "witchcraft" means the use of magic to inflict supernatural harm or misfortune on others, and this remains the most common and widespread meaning. According to ''Enc ...
es") who masquerade as real shamans and who entice tourists to drink ayahuasca in their presence. Shamans believe one of the purposes for this is to steal one's energy and/or power, of which they believe every person has a limited stockpile. The shamans lead the ceremonial consumption of the ayahuasca beverage, in a rite that typically takes place over the entire night. During the ceremony, the effect of the drink lasts for hours. Prior to the ceremony, participants are instructed to abstain from spicy foods, red meat and sex. The ceremony is usually accompanied with purging which include vomiting and diarrhea, which is believed to release built-up emotions and
negative energy Negative energy is a concept used in physics to explain the nature of certain fields, including the gravitational field and various quantum field effects. Gravitational energy Gravitational energy, or gravitational potential energy, is the po ...
.


Shipibo-Konibo and their relation to Ayahuasca

It is believed that the Shipibo-Konibo are among the earliest practitioners of Ayahuasca ceremonies, with their connection to the brew and ceremonies surrounding it dating back centuries, perhaps a millennium. Some members of the Shipibo community have taken to the media to express their views on Ayahuasca entering the mainstream, with some calling it "the
commercialization Commercialisation or commercialization is the process of introducing a new product or production method into commerce—making it available on the market. The term often connotes especially entry into the mass market (as opposed to entry into e ...
of ayahuasca." Some of them have even expressed their worry regarding the increased popularity, saying "the contemporary 'ayahuasca ceremony' may be understood as a substitute for former cosmogonical
ritual A ritual is a repeated, structured sequence of actions or behaviors that alters the internal or external state of an individual, group, or environment, regardless of conscious understanding, emotional context, or symbolic meaning. Traditionally ...
s that are nowadays not performed anymore."


Icaros

The Shipibo have their own language, called Shipibo, a Panoan language spoken by approximately 26,000 people in Peru and Brazil. This language is commonly sung by the shaman in the form of a chant, called an Icaro, during the Ayahuasca ritual as a way to establish a "balance of energy" during the ritual to help protect and guide the user during their experience.


Traditional brew

Traditional ayahuasca brews are usually made with '' Banisteriopsis caapi'' as an MAOI, while
dimethyltryptamine Dimethyltryptamine (DMT), also known as ''N'',''N''-dimethyltryptamine (''N'',''N''-DMT), is a Psychedelic drug, serotonergic hallucinogen and Investigational New Drug, investigational drug of the substituted tryptamine, tryptamine family tha ...
sources and other admixtures vary from region to region. There are several varieties of caapi, often known as different "colors", with varying effects, potencies, and uses. DMT admixtures: * '' Psychotria viridis'' (Chacruna) Rätsch, Christian (2005), pp. 704-708. The Encyclopedia of Psychoactive Plants: Ethnopharmacology and Its Applications. Rochester, Vermont: Park Street Press, 1998. – leaves * '' Psychotria carthagenensis'' (Amyruca) – leaves * '' Diplopterys cabrerana'' (Chaliponga, Chagropanga, ''Banisteriopsis rusbyana'') – leaves * '' Mimosa tenuiflora'' (''M. hostilis'') - root bark Other common admixtures: * '' Justicia pectoralis'' * '' Brugmansia sp.'' (Toé) *
Opuntia ''Opuntia'', commonly called the prickly pear cactus, is a genus of flowering plants in the cactus family Cactaceae, many known for their flavorful fruit and showy flowers. Cacti are native to the Americas, and are well adapted to arid clima ...
''sp''. * Epiphyllum ''sp.'' * Cyperus ''sp.'' * '' Nicotiana rustica'' (Mapacho, variety of tobacco) * '' Ilex guayusa'', a relative of
yerba mate Yerba mate or yerba maté (), ''Ilex paraguariensis'', is a plant species of the holly genus native to South America. It was named by the French botanist Augustin Saint-Hilaire. The leaves of the plant can be steeped in hot water to make a bev ...
* '' Lygodium venustum'', (Tchai del monte) * ''Phrygilanthus eugenioides'' and Clusia ''sp'' (both called Miya) * '' Lomariopsis japurensis'' (Shoka) Common admixtures with their associated ceremonial values and spirits: * Ayahuma bark: Cannon Ball tree. Provides protection and is used in healing susto (soul loss from spiritual fright or trauma). * Capirona bark: Provides cleansing, balance and protection. It is noted for its smooth bark, white flowers, and hard wood. *Chullachaki caspi bark (''Byrsonima christianeae''): Provides cleansing to the physical body. Used to transcend physical body ailments. *Lopuna blanca bark: Provides protection. *Punga amarilla bark: Yellow Punga. Provides protection. Used to pull or draw out negative spirits or energies. * Remo caspi bark: Oar Tree. Used to move dense or dark energies. *Wyra (huaira) caspi bark ('' Cedrelinga catanaeformis''): Air Tree. Used to create purging, transcend gastro/intestinal ailments, calm the mind, and bring tranquility. *Shiwawaku bark: Brings purple medicine to the ceremony. *Uchu sanango: Head of the sanango plants. *Huacapurana: Giant tree of the Amazon with very hard bark. *Bobinsana ( Calliandra angustifolia): Mermaid Spirit. Provides major heart chakra opening, healing of emotions and relationships.


Non-traditional use

In the late 20th century, the practice of ayahuasca drinking began spreading to Europe, North America and elsewhere. The first ayahuasca churches, affiliated with the Brazilian
Santo Daime Santo Daime () is a Universalism, universalistic/Syncretism, syncretic religion founded in the 1930s in the Brazilian Amazon rainforest, Amazonian States of Brazil, state of Acre State, Acre based on the teachings of Raimundo Irineu Serra, known ...
, were established in the
Netherlands , Terminology of the Low Countries, informally Holland, is a country in Northwestern Europe, with Caribbean Netherlands, overseas territories in the Caribbean. It is the largest of the four constituent countries of the Kingdom of the Nether ...
. A legal case was filed against two of the Church's leaders, Hans Bogers (one of the original founders of the Dutch Santo Daime community) and Geraldine Fijneman (the head of the
Amsterdam Amsterdam ( , ; ; ) is the capital of the Netherlands, capital and Municipalities of the Netherlands, largest city of the Kingdom of the Netherlands. It has a population of 933,680 in June 2024 within the city proper, 1,457,018 in the City Re ...
Santo Daime community). Bogers and Fijneman were charged with distributing a controlled substance (DMT); however, the prosecution was unable to prove that the use of ayahuasca by members of the Santo Daime constituted a sufficient threat to public health and order such that it warranted denying their rights to
religious freedom Freedom of religion or religious liberty, also known as freedom of religion or belief (FoRB), is a principle that supports the freedom of an individual or community, in public or private, to manifest religion or belief in teaching, practice ...
under ECHR Article 9. The 2001 verdict of the Amsterdam district court is an important precedent. Since then groups that are not affiliated to the Santo Daime have used ayahuasca, and a number of different "styles" have been developed, including non-religious approaches.


Ayahuasca analogs

In modern Europe and North America, ayahuasca analogs are often prepared using non-traditional plants which contain the same alkaloids. For example, seeds of the Syrian rue plant can be used as a substitute for the ayahuasca vine, and the DMT-rich '' Mimosa hostilis'' is used in place of '' chacruna''. Australia has several indigenous plants which are popular among modern '' ayahuasqueros'' there, such as various DMT-rich species of ''
Acacia ''Acacia'', commonly known as wattles or acacias, is a genus of about of shrubs and trees in the subfamily Mimosoideae of the pea family Fabaceae. Initially, it comprised a group of plant species native to Africa, South America, and Austral ...
''. The name "ayahuasca" specifically refers to a botanical decoction that contains '' Banisteriopsis caapi''. Brews similar to ayahuasca may be prepared using several plants not traditionally used in South America: DMT admixtures: * '' Acacia maidenii'' (Maiden's wattle) – bark *not all plants are "active strains", meaning some plants will have very little DMT and others larger amounts * '' Acacia phlebophylla'', and other
Acacia ''Acacia'', commonly known as wattles or acacias, is a genus of about of shrubs and trees in the subfamily Mimosoideae of the pea family Fabaceae. Initially, it comprised a group of plant species native to Africa, South America, and Austral ...
s, most commonly employed in Australia – bark * '' Anadenanthera peregrina'', ''A. colubrina, A. excelsa, A. macrocarpa'' * '' Desmanthus illinoensis'' (Illinois bundleflower) – root bark is mixed with a native source of beta-Carbolines (e.g., passion flower in North America) to produce a hallucinogenic drink called prairiehuasca. MAOI admixtures: * Harmal (''Peganum harmala'', Syrian rue) – seeds * Passion flower * synthetic MAOIs, especially RIMAs (due to the dangers presented by irreversible MAOIs)


Effects


Adverse effects

In the short term, ingesting Ayahuasca can cause nausea, vomiting and diarrhea. These three effects, known as purging, are traditionally recognized to be a part of the spiritual experience of ayahuasca. Physiologically, vomiting is a result of increased
serotonin Serotonin (), also known as 5-hydroxytryptamine (5-HT), is a monoamine neurotransmitter with a wide range of functions in both the central nervous system (CNS) and also peripheral tissues. It is involved in mood, cognition, reward, learning, ...
circulating in the gut, which directly stimulates the
vagus nerve The vagus nerve, also known as the tenth cranial nerve (CN X), plays a crucial role in the autonomic nervous system, which is responsible for regulating involuntary functions within the human body. This nerve carries both sensory and motor fibe ...
. Other short-term side effects include increased blood pressure and
tachycardia Tachycardia, also called tachyarrhythmia, is a heart rate that exceeds the normal resting rate. In general, a resting heart rate over 100 beats per minute is accepted as tachycardia in adults. Heart rates above the resting rate may be normal ...
. Additionally, increased secretion of hormones like
prolactin Prolactin (PRL), also known as lactotropin and mammotropin, is a protein best known for its role in enabling mammals to produce milk. It is influential in over 300 separate processes in various vertebrates, including humans. Prolactin is secr ...
,
cortisone Cortisone is a pregnene (21-carbon) steroid hormone. It is a naturally-occurring corticosteroid metabolite that is also used as a pharmaceutical prodrug. Cortisol is converted by the action of the enzyme corticosteroid 11-beta-dehydrogenase ...
, and growth hormone has been correlated with ayahuasca consumption. Rarer side effects include dyspnea,
seizure A seizure is a sudden, brief disruption of brain activity caused by abnormal, excessive, or synchronous neuronal firing. Depending on the regions of the brain involved, seizures can lead to changes in movement, sensation, behavior, awareness, o ...
s and
serotonin syndrome Serotonin syndrome (SS) is a group of symptoms that may occur with the use of certain Serotonin, serotonergic medications or Recreational drug use, drugs. The symptoms can range from mild to severe, and are potentially fatal. Symptoms in mild c ...
. Ayahuasca is suspected of triggering
psychosis In psychopathology, psychosis is a condition in which a person is unable to distinguish, in their experience of life, between what is and is not real. Examples of psychotic symptoms are delusions, hallucinations, and disorganized or inco ...
in people with a predisposition to the condition, and there is a lack of safety information for Ayahuasca's possible effects on pregnancy and breastfeeding.


Psychological effects

People who have consumed ayahuasca report having mystical experiences and spiritual revelations regarding their purpose on earth, the true nature of the
universe The universe is all of space and time and their contents. It comprises all of existence, any fundamental interaction, physical process and physical constant, and therefore all forms of matter and energy, and the structures they form, from s ...
, and deep insight into how to be the best person they possibly can. Many people also report therapeutic effects, especially around depression and personal traumas. This is viewed by many as a spiritual awakening and what is often described as a near-death experience or rebirth. It is often reported that individuals feel they gain access to higher spiritual
dimension In physics and mathematics, the dimension of a mathematical space (or object) is informally defined as the minimum number of coordinates needed to specify any point within it. Thus, a line has a dimension of one (1D) because only one coo ...
s and make contact with various spiritual or extra-dimensional beings who can act as guides or healers. The experiences that people have while under the influence of ayahuasca are also culturally influenced. Westerners typically describe experiences with psychological terms like "
ego death Ego death is a "complete loss of subjective self-identity". The term is used in various intertwined contexts, with related meanings. The 19th-century philosopher and psychologist William James uses the synonymous term "self-surrender", and Jung ...
" and understand the hallucinations as repressed memories or metaphors of mental states. However, at least in Iquitos, Peru (a center of ayahuasca ceremonies), those from the area describe the experiences more in terms of the actions in the body and understand the visions as reflections of their environment, sometimes including the person who they believe caused their illness, as well as interactions with spirits. Most psychological effects can be accredited to the influx of
serotonin Serotonin (), also known as 5-hydroxytryptamine (5-HT), is a monoamine neurotransmitter with a wide range of functions in both the central nervous system (CNS) and also peripheral tissues. It is involved in mood, cognition, reward, learning, ...
caused by the psychoactive combination of DMT with ''beta-''carbolines. Serotonin stimulates a group of G-protein coupled receptors known as 5-HT receptors. Specifically, stimulation of the 5-HT2A receptor type is correlated with hallucinogenic effects.


Potential therapeutic effects

There are potential
antidepressant Antidepressants are a class of medications used to treat major depressive disorder, anxiety disorders, chronic pain, and addiction. Common side effects of antidepressants include Xerostomia, dry mouth, weight gain, dizziness, headaches, akathi ...
and
anxiolytic An anxiolytic (; also antipanic or anti-anxiety agent) is a medication or other intervention that reduces anxiety. This effect is in contrast to anxiogenic agents which increase anxiety. Anxiolytic medications are used for the treatment of anxie ...
effects of ayahuasca. Ayahuasca has also been studied for the treatment of addictions and shown to be effective, with lower Addiction Severity Index scores seen in users of ayahuasca compared to controls. Ayahuasca users have also been seen to consume less
alcohol Alcohol may refer to: Common uses * Alcohol (chemistry), a class of compounds * Ethanol, one of several alcohols, commonly known as alcohol in everyday life ** Alcohol (drug), intoxicant found in alcoholic beverages ** Alcoholic beverage, an alco ...
.


Pharmacology


DMT

N,N-Dimethyltryptamine (DMT) is a naturally occurring, serotonergic hallucinogen found in plants and mammals, classified as a DEA Schedule I substance with no accepted medical use, and under investigation for clinical applications. Ayahuasca’s psychoactive effects stem mainly from DMT, made orally active by MAOIs in the ''B. caapi'' vine, and its activation of serotonin receptors, particularly 5-HT2A, with additional contributions from harmine and harmaline.


Harmala alkaloids

While many studies focus on DMT and serotonin agonists, recent research and traditional use highlight the central role of the ''B. caapi'' vine and its β-carbolines in ayahuasca, noting their potential psychotropic effects through serotonin and benzodiazepine receptor interactions. Harmala alkaloids like harmaline and harmine are believed to cause hallucinations, vomiting, confusion, and
ataxia Ataxia (from Greek α- negative prefix+ -τάξις rder= "lack of order") is a neurological sign consisting of lack of voluntary coordination of muscle movements that can include gait abnormality, speech changes, and abnormalities in e ...
through central nervous system stimulation and 5-HT receptor binding, similar to DMT.


Harmine

Harmine is a naturally occurring harmala alkaloid with monoamine oxidase-inhibiting under preliminary research for potential anti- HIV properties. It is found in various plants such as ''Peganum harmala'' and ''B. caapi'', historically studied for Parkinson’s disease and currently in early-phase clinical trials. Harmine is the primary β-carboline alkaloid in ayahuasca and has been studied for potential therapeutic effects including modulation of astrocytic function,
anti-inflammatory Anti-inflammatory is the property of a substance or treatment that reduces inflammation, fever or swelling. Anti-inflammatory drugs, also called anti-inflammatories, make up about half of analgesics. These drugs reduce pain by inhibiting mechan ...
properties, influence on neural progenitor proliferation, and possible roles in
addiction Addiction is a neuropsychological disorder characterized by a persistent and intense urge to use a drug or engage in a behavior that produces natural reward, despite substantial harm and other negative consequences. Repetitive drug use can ...
and depression treatment through mechanisms involving
glutamate Glutamic acid (symbol Glu or E; known as glutamate in its anionic form) is an α-amino acid that is used by almost all living beings in the biosynthesis of proteins. It is a Essential amino acid, non-essential nutrient for humans, meaning that ...
regulation and
BDNF Brain-derived neurotrophic factor (BDNF), or abrineurin, is a protein found in the and the periphery. that, in humans, is encoded by the ''BDNF'' gene. BDNF is a member of the neurotrophin family of growth factors, which are related to the cano ...
signaling.


Harmaline

Harmaline is a beta-carboline alkaloid derived from the harman skeleton, found in various organisms including ''Peganum'' seeds, and acts as a oneirogen. Harmaline, a harmala alkaloid, has been reported to exhibit a range of pharmacological effects, including hypothermic, vasorelaxant,
antimicrobial An antimicrobial is an agent that kills microorganisms (microbicide) or stops their growth (bacteriostatic agent). Antimicrobial medicines can be grouped according to the microorganisms they are used to treat. For example, antibiotics are used aga ...
, antitumoral, antiplatelet, antileishmanial, and antiplasmodial activities, as well as
anxiolytic An anxiolytic (; also antipanic or anti-anxiety agent) is a medication or other intervention that reduces anxiety. This effect is in contrast to anxiogenic agents which increase anxiety. Anxiolytic medications are used for the treatment of anxie ...
,
antidepressant Antidepressants are a class of medications used to treat major depressive disorder, anxiety disorders, chronic pain, and addiction. Common side effects of antidepressants include Xerostomia, dry mouth, weight gain, dizziness, headaches, akathi ...
, and hallucinogenic properties at certain doses. Tetrahydroharmine Tetrahydroharmine is a harmala alkaloid found in organisms such as ''
Daphnia pulex ''Daphnia pulex'' is the most common species of water flea. It has a cosmopolitan distribution: the species is found throughout the Americas, Europe, and Australia. It is a model species, and was the first crustacean to have its genome sequenced. ...
'' and '' Euglena gracilis''. Tetrahydroharmine, a component of ayahuasca with weak
SSRI Selective serotonin reuptake inhibitors (SSRIs) are a class of drugs that are typically used as antidepressants in the treatment of major depressive disorder, anxiety disorders, and other psychological conditions. SSRIs primarily work by ...
properties, has been associated with increased serotonin uptake sites and variable psychoactive effects, with preferences for higher tetrahydroharmine content reported in some ayahuasca-using churches, potentially due to differences in plant composition and preparation methods.


Effect of polymorphisms

Individual polymorphisms of the cytochrome P450-2D6 enzyme, and more over the isolated indocine metabolite from the inhabitation of CPY134a, with a varied rate of gustation due to physiological factors affect the ability of individuals to metabolize harmine.


Interactions


Society and culture


Legal status

Internationally, DMT is a Schedule I drug under the Convention on Psychotropic Substances. The Commentary on the Convention on Psychotropic Substances notes, however, that the plants containing it are not subject to international control: A fax from the Secretary of the International Narcotics Control Board (INCB) to the Netherlands Ministry of Public Health sent in 2001 goes on to state that "Consequently, preparations (e.g. decoctions) made of these plants, including ayahuasca, are not under international control and, therefore, not subject to any of the articles of the 1971 Convention." Despite the INCB's 2001 affirmation that ayahuasca is not subject to drug control by international convention, in its 2010 Annual Report the Board recommended that governments consider controlling (i.e. criminalizing) ayahuasca at the national level. This recommendation by the INCB has been criticized as an attempt by the Board to overstep its legitimate mandate and as establishing a reason for governments to violate the human rights (i.e., religious freedom) of ceremonial ayahuasca drinkers. Under American federal law, DMT is a Schedule I drug that is illegal to possess or consume; however, certain religious groups have been legally permitted to consume ayahuasca. A court case allowing the
União do Vegetal The Union of the Plant Beneficent Spiritist Center ( ; or UDV) is a religious society founded on July 22, 1961 in Porto Velho ( Rondônia) by José Gabriel da Costa, known as Mestre Gabriel. The UDV seeks to promote peace and to "work for the ...
to import and use the tea for religious purposes in the United States, '' Gonzales v. O Centro Espírita Beneficente União do Vegetal'', was heard by the U.S. Supreme Court on November 1, 2005; the decision, released February 21, 2006, allows the UDV to use the tea in its ceremonies pursuant to the
Religious Freedom Restoration Act The Religious Freedom Restoration Act of 1993, Pub. L. No. 103-141, 107 Stat. 1488 (November 16, 1993), codified at through (also known as RFRA, pronounced "rifra"), is a 1993 United States federal law that "ensures that interests in religio ...
. In a similar case in Ashland, Oregon-based Santo Daime church sued for their right to import and consume ayahuasca tea. In March 2009, U.S. District Court Judge Panner ruled in favor of the Santo Daime, acknowledging its protection from prosecution under the Religious Freedom Restoration Act. In 2017 the
Santo Daime Santo Daime () is a Universalism, universalistic/Syncretism, syncretic religion founded in the 1930s in the Brazilian Amazon rainforest, Amazonian States of Brazil, state of Acre State, Acre based on the teachings of Raimundo Irineu Serra, known ...
Church Céu do Montréal in Canada received religious exemption to use ayahuasca as a sacrament in their rituals. Religious use in Brazil was legalized after two official inquiries into the tea in the mid-1980s, which concluded that ayahuasca is not a recreational drug and has valid spiritual uses. In France,
Santo Daime Santo Daime () is a Universalism, universalistic/Syncretism, syncretic religion founded in the 1930s in the Brazilian Amazon rainforest, Amazonian States of Brazil, state of Acre State, Acre based on the teachings of Raimundo Irineu Serra, known ...
won a court case allowing them to use the tea in early 2005; however, they were not allowed an exception for religious purposes, but rather for the simple reason that they did not perform chemical extractions to end up with pure DMT and harmala and the plants used were not scheduled. Four months after the court victory, the common ingredients of ayahuasca as well as harmala were declared ''stupéfiants'', or narcotic schedule I substances, making the tea and its ingredients illegal to use or possess. In June 2019, Oakland, California, decriminalized natural entheogens. The City Council passed the resolution in a unanimous vote, ending the investigation and imposition of criminal penalties for use and possession of entheogens derived from plants or fungi. The resolution states: "Practices with Entheogenic Plants have long existed and have been considered to be sacred to human cultures and human interrelationships with nature for thousands of years, and continue to be enhanced and improved to this day by religious and spiritual leaders, practicing professionals, mentors, and healers throughout the world, many of whom have been forced underground." In January 2020, Santa Cruz, California, and in September 2020,
Ann Arbor Ann Arbor is a city in Washtenaw County, Michigan, United States, and its county seat. The 2020 United States census, 2020 census recorded its population to be 123,851, making it the List of municipalities in Michigan, fifth-most populous cit ...
, Michigan, decriminalized natural entheogens.


Intellectual property issues

Ayahuasca has stirred debate regarding intellectual property protection of traditional knowledge. In 1986 the US Patent and Trademarks Office (PTO) allowed the granting of a patent on the ayahuasca vine ''B. caapi''. It allowed this patent based on the assumption that ayahuasca's properties had not been previously described in writing. Several public interest groups, including the Coordinating Body of Indigenous Organizations of the Amazon Basin (COICA) and the Coalition for Amazonian Peoples and Their Environment (Amazon Coalition) objected. In 1999 they brought a legal challenge to this patent which had granted a private US citizen "ownership" of the knowledge of a plant that is well-known and sacred to many Indigenous peoples of the Amazon, and used by them in religious and healing ceremonies. Later that year the PTO issued a decision rejecting the patent, on the basis that the petitioners' arguments that the plant was not "distinctive or novel" were valid; however, the decision did not acknowledge the argument that the plant's religious or cultural values prohibited a patent. In 2001, after an appeal by the patent holder, the US Patent Office reinstated the patent, albeit to only a specific plant and its asexually reproduced offspring. The law at the time did not allow a third party such as COICA to participate in that part of the reexamination process. The patent, held by US entrepreneur Loren Miller, expired in 2003.


Research

A 2016 systematic literature review found that ayahuasca and its alkaloids show promising
anxiolytic An anxiolytic (; also antipanic or anti-anxiety agent) is a medication or other intervention that reduces anxiety. This effect is in contrast to anxiogenic agents which increase anxiety. Anxiolytic medications are used for the treatment of anxie ...
and
antidepressant Antidepressants are a class of medications used to treat major depressive disorder, anxiety disorders, chronic pain, and addiction. Common side effects of antidepressants include Xerostomia, dry mouth, weight gain, dizziness, headaches, akathi ...
effects in both animal and human studies, suggesting the potential for new treatments with fewer
side effects In medicine, a side effect is an effect of the use of a medicinal drug or other treatment, usually adverse but sometimes beneficial, that is unintended. Herbal and traditional medicines also have side effects. A drug or procedure usually used ...
. A 2024 systematic review and meta-analysis found that ayahuasca shows strong antidepressant effects ( Hedges’ g = -1.34). A separate 2024 systematic thematic review found that traditional ayahuasca use is generally safe, though higher doses of ayahuasca or higher doses of isolated harmala alkaloids like harmaline may pose risks. Ayahuasca has been reported to restore the blunted salivary cortisol awakening response in people with
treatment-resistant depression Treatment-resistant depression (TRD) is often defined as major depressive disorder in which an affected person does not respond adequately to at least two different antidepressant medications at an adequate dose and for an adequate duration. Inad ...
48hours after the experience, although circulating cortisol levels remained blunted.


See also

* Changa * Icaro * Kambo (drug) * Ibogaine * Yachay * Dimethyltryptamine/harmine


Notes


References


Further reading

* Burroughs, William S. and Allen Ginsberg. '' The Yage Letters''. San Francisco: City Lights, 1963. * Langdon, E. Jean Matteson & Gerhard Baer, eds. ''Portals of Power: Shamanism in South America''. Albuquerque: University of New Mexico Press, 1992. * Shannon, Benny. ''The Antipodes of the Mind: Charting the Phenomenology of the Ayahuasca Experience''. Oxford: Oxford University Press, 2002. * Taussig, Michael. ''Shamanism, Colonialism, and the Wild Man: A Study in Terror and Healing''. Chicago: University of Chicago Press, 1986. * * * *


External links

* *
Ayahuasca - PsychonautWiki

Ayahuasca - Erowid

What is Ayahuasca? - Tripsitter

The Ayahuasca Experience: A Pilgrimage to the Spirit - Double Blind Magazine
{{DEFAULTSORT:Ayahuasca 5-HT2A agonists Biopiracy Entheogens Herbal and fungal hallucinogens Indigenous culture of the Amazon Mixed drinks Monoamine oxidase inhibitors Polysubstance drinks Serotonin receptor agonists