Headache Disorders (Cluster & Migraine)Chronic PainPsilocybinLSD

Unauthorized Research on Cluster Headache

This commentary (2008) recalls the history of unauthorized research on cluster headaches that started out from individual claims in online forums to the implementation of systematic surveys conducted by medical professionals. Psilocybin, LSD, and LSA (contained in Hawaiian baby woodrose and morning glory seeds) now appear to be at least as effective as the conventional medication to treat cluster headache.

Authors

  • Andrew Sewell

Published

Preprints
meta Study

Abstract

Review: Perhaps the greatest triumph of unauthorized research on visionary plants and drugs to date is the discovery that small doses of LSD, psilocybin, and LSA (lysergic acid amide) are more effective than any conventional medication in treating the dismal disorder, cluster headache. Five years ago, no one other than cluster headache patients or neurologists had ever heard of cluster headache. Now, treatment of cluster headache is routinely listed among potential therapeutic uses for psychedelic's, and has even penetrated popular culture to the point that the character Gregory House, M.D. has used a psychedelic drug to treat headache on the TV show House not once, but twice (Kaplow 2006; Dick 2007). The first mention of therapeutic effect from a psychedelics' on headache comes from Drs. D. Webster Prentiss and Francis P. Morgan, professors of medicine and pharmacology at Columbian University (now George Washington University), who began to conduct animal and human experiments with peyote in 1894 in order to determine whether or not it had any valuable medicinal properties. Two years later, their report concluded: “The conditions in which it seems probable that the use of mescal buttons will produce beneficial results are the following: In general ‘nervousness,’ nervous headache, nervous irritative cough… [etc.].” In their account are a number of cases, including #5: “The same gentleman reports that his wife formerly used to take the tincture [anhalonium1] for nervous headaches and that it always relieved her. She has them so seldom now that she does not use it” (Prentiss $ Morgan 1896).

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Research Summary of 'Unauthorized Research on Cluster Headache'

Introduction

The paper reviews a long and sporadic history of observations that psychedelic compounds can relieve headache, and argues that a particularly striking effect has been seen in cluster headache. Earlier clinical and ethnobotanical reports dating back to the late 19th and early 20th centuries documented symptomatic relief after peyote or mescaline, and mid-20th century psychotherapists and headache clinicians occasionally noted remissions after LSD; these signals were never pursued systematically by mainstream research. The authors set out to describe how informal, patient‑driven use of psychedelics (so‑called unauthorized research) has generated evidence that small or sub‑psychedelic doses of LSD, psilocybin and LSA may abort individual cluster attacks, terminate active cluster periods and sometimes extend or even prevent future cluster periods, a pattern not shared by conventional medications. Sewell and colleagues further seek to situate these observations in a broader historical and clinical context, summarising relevant case histories, grassroots movements (notably Clusterbusters), and their own effort to assemble and verify patient reports. The paper emphasises the gap between scattered clinical anecdotes and controlled trials, and frames the collected evidence as a rationale for formal clinical investigation despite substantial methodological limitations in the available data.

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References (3)

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Richards, W. A., Rhead, J. C., Dileo, F. B. et al. · Journal of Psychedelic Drugs (1997)

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Unauthorized Research on Cluster Headache — Research Summary & Context | Blossom