Last update July 10, 2023

Mescaline

Limited compatibility

Unsafe. Moderate/severe adverse effects. Compatible under certain circumstances. Follow-up recommended. Use safer alternative or discontinue breastfeeding from 5 to 7 T ½ . Read Commentary.

Mescaline is an alkaloid (phenylethylamine group) from the peyote cactus (Lophophora williamsii) and the San Pedro cactus (Echinopsis pachanol, Echinopsis peruviana), which grow in northern Mexico and the Peru-Ecuador-Bolivia area respectively. It has psychedelic (NIH 2023), sympathomimetic, hallucinogenic, euphoriant, depersonalizing and psychotic properties similar to LSD, but about 2,000 times less powerful. It has a low liposolubility. Oral administration in infusion or chewed and also smoked and by insufflation. (Vamvakopoulou 2023, Dinis-Oliveira 2019)

As of the last update, we found no published data on its excretion in breast milk.

The paucity of published pharmacokinetic data does not allow prediction of the amount of possible excretion into breast milk.

May produce increased prolactin secretion (Demisch 1979). There are reports of traditional use as a galactogogue. (Rojas Arechiga 2008). Best galactagogue results are achieved through on-demand breastfeeding along with an adequate technique in a mother who is able to maintain self-confidence. (ABM 2011, Mannion 2012)

It is known from pharmacokinetics that after 5 elimination half-lives (T½) 96.9% of an ingested substance is eliminated from the body, and after 7 T½ the plasma concentrations of the substance are negligible and would constitute the safe waiting period for resuming breast-feeding after taking mescaline. 
Taking the published T½ (6 h) as a reference, this 7 T½ would correspond to two days. In the meantime, breast milk should be expressed and discarded regularly if breastfeeding is to be resumed.

Psychotropic drugs of abuse render the mother incapable of caring for her child, endangering the life and health of both.

Bed-sharing with the baby is not recommended if you are taking this drug.

There is no scientific evidence on the benefits and risks of psychedelic drug microdosing. (NIH 2023, Kaypak 2022, de Wit 2022, Szigeti 2021, Lea 2020, Kuypers 2019)

Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

Group

Mescaline belongs to this group or family:

Pharmacokinetics

Variable Value Unit
Molecular weight 211 daltons
6 hours

References

  1. NIH. National Institute on Drug Abuse Psychedelic and Dissociative Drugs. - 2023 Consulted on July 10, 2023 Full text (link to original source)
  2. NIH. Natinal Institute on drug abuse Drogas psicodélicas y disociativas. - 2023 Consulted on July 10, 2023 Full text (link to original source)
  3. Vamvakopoulou IA, Narine KAD, Campbell I, Dyck JRB, Nutt DJ. Mescaline: The forgotten psychedelic. Neuropharmacology. 2023 Jan 1;222:109294. Abstract Full text (link to original source)
  4. de Wit H, Molla HM, Bershad A, Bremmer M, Lee R. Repeated low doses of LSD in healthy adults: A placebo-controlled, dose-response study. Addict Biol. 2022 Mar;27(2):e13143. Abstract Full text (link to original source)
  5. Kaypak AC, Raz A. Macrodosing to microdosing with psychedelics: Clinical, social, and cultural perspectives. Transcult Psychiatry. 2022 Oct;59(5):665-674. Abstract Full text (link to original source)
  6. Szigeti B, Kartner L, Blemings A, Rosas F, Feilding A, Nutt DJ, Carhart-Harris RL, Erritzoe D. Self-blinding citizen science to explore psychedelic microdosing. Elife. 2021 Mar 2;10. pii: e62878. Abstract Full text (link to original source)
  7. Lea T, Amada N, Jungaberle H, Schecke H, Klein M. Microdosing psychedelics: Motivations, subjective effects and harm reduction. Int J Drug Policy. 2020 Jan;75:102600. Abstract
  8. Kuypers KP, Ng L, Erritzoe D, Knudsen GM, Nichols CD, Nichols DE, Pani L, Soula A, Nutt D. Microdosing psychedelics: More questions than answers? An overview and suggestions for future research. J Psychopharmacol. 2019 Sep;33(9):1039-1057. Abstract Full text (link to original source)
  9. Dinis-Oliveira RJ, Pereira CL, da Silva DD. Pharmacokinetic and Pharmacodynamic Aspects of Peyote and Mescaline: Clinical and Forensic Repercussions. Curr Mol Pharmacol. 2019;12(3):184-194. Abstract Full text (link to original source)
  10. Mannion C, Mansell D. Breastfeeding self-efficacy and the use of prescription medication: a pilot study. Obstet Gynecol Int. 2012;2012:562704. Abstract Full text (link to original source) Full text (in our servers)
  11. ABM. Comité de Protocolos de la Academia Médica de Lactancia Materna. ABM Protocolo Clínico #9: Uso de Galactogogos para Iniciar o aumentar la tasa de secreción de Leche Materna. Breastfeed Med. 2011 Full text (link to original source) Full text (in our servers)
  12. Rojas Aréchiga, Mariana. El controvertido peyote. Ciencias 2008; núm. 91, julio-septiembre, pp. 44-49. Abstract Full text (link to original source)
  13. Demisch L, Neubauer M. Stimulation of human prolactin secretion by mescaline. Psychopharmacology (Berl). 1979 Sep;64(3):361-3. Abstract

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