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Deliriants are a subclass of . The term was coined in the early 1980s to distinguish these drugs from such as LSD and such as , due to their primary effect of causing , as opposed to the more lucid and less disturbed states produced by other types of hallucinogens, where rational thought is better preserved (including the ability to distinguish hallucinations from reality). Duncan, D. F., and Gold, R. S. (1982). Drugs and the Whole Person. New York: John Wiley & Sons The term generally refers to , which are that inhibit the function of the .

Common examples of deliriants include plants of the genera and , both containing , as well as higher than recommended dosages of (). A number of plant deliriants such as that of the , particularly in the , have been used by some indigenous cultures to reach delirious and altered states of consciousness for traditions or rituals, such as rites of passage, or .

(2025). 9780199914012, Oxford University Press.
Despite their long history of use, deliriants are the least-studied class of hallucinogens in terms of their behavioral and neurological effects.


Etymology
The term was introduced by David F. Duncan and Robert S. Gold due to a characteristic delirium-like effect which is known to manifest as a reoccurring symptom for anticholinergic hallucinogens. The term deliriant originates from delirium (dēlīrĭum) which comes from the Latin verb delirare, which means 'to go off the furrow', 'to derail'. liria (furrow) - The earth thrown up between two furrows, a ridge. ex, e - out of, from. delirio - frenzy, , deranged. It is said to be a figurative reference to going off or out of the when (agricultural) so as to be analogous to the mental aberration that is being in delirium.


Mechanism of action
The altered state of consciousness produced by common or 'classical' deliriant substances such as , and is mediated through the drug compounds' competitive antagonism of the peripheral and central muscarinic acetylcholine receptors, especially the M1 muscarinic receptor. M1 receptors are located primarily in the central nervous system and are involved in perception, attention, and cognitive functioning.

Delirium is primarily associated with antagonism of postsynaptic M1 receptors. However, antagonism of both the M1 receptor and the M2 receptor have been implicated as having negative effects on and , and the selective M2 receptor antagonist has been reported to produce deliriant effects similarly to M1 receptor antagonists. Conversely, the M3 receptor has not been implicated in cognition.

The central nervous system actions of deliriants are complex, and other muscarinic acetylcholine receptors, including the M3, M4, and M5 receptors, may also be involved in the effects of the drugs. As an example, the M1, M2, M4 and M5 receptors have all been implicated in regulating release, with the M1, M2, and M4 receptors having inhibitory effects on dopamine release and the M5 receptor having stimulatory effects.

Peripheral muscarinic receptors are part of the autonomic nervous system. M2 receptors are located in the brain and heart, M3 receptors are in salivary glands and M4 receptors are in the brain and lungs. Scopolamine is a nonspecific muscarinic antagonist at all four (M1, M2, M3, and M4) receptor sites. Due to these compounds' inhibition of various signal transduction pathways, the decrease in signaling is what leads to many of the cognitive deficits and mental impairments.

It has also been said that common anticholinergic agents/hallucinogens should be more accurately referred to as , as for instance these agents do not generally block nicotinic receptors.


Effects
The hallucinogenic experience and produced, particularly by (M1 inhibiting) anticholinergics is characterized by , agitation, , , emotional bluntness, , , incoherency of thoughts, or (mixed delirium), lucid intervals, , realistic visual or illusions (as opposed to the pseudohallucinations experienced on other classes of hallucinogens) and regression to "phantom" behaviors such as , plucking or interacting with imaginary objects or scenes. The effects of these kinds of anticholinergic compounds have also been likened to delirious fevers, , or psychotic episodes in that the subject has minimal control over their actions and may have little or no of the experience afterwards. This is a notable departure from the effects of .Sinclair, Raisa (2019). A Field Guide To Deliriants

has been shown to exert a greater impairment on , event-related potentials, and compared to (an anticholinergic and ). Some antihistamines may also act as deliriants in high doses. Due to scopolamine's prominent amnesiac and impairing effects, it has been used in for criminal purposes such as 'drugging' individuals, usually perceived as wealthy, and robbing them due to scopolamine's discombobulating effects and enhanced . It is usually done by putting the extracted and isolated powder form of the alkaloid in a victim's (alcoholic) drink, oftentimes directly by or with the help of attractive women to act as criminal accomplices to the robbers.

In Colombia, isolated (powdered) scopolamine has become infamous and is referred to there by several monikers such as Burundanga and "Devil's Breath". It is usually extracted by criminals from the Borrachero Tree and may even occasionally be encountered as a there.

The plant-based alkaloids scopolamine and atropine are also notorious for their characteristic hyperactive effects and ability to cause stark and dream-like hallucinations. The hallucinations themselves are often described by users as disturbing, unpleasant or dark in nature.Grinspoon, Lester and Bakalar, James B. (1997). Psychedelic Drugs Reconsidered. The Lindesmith Center Other commonly reported behaviors and experiences include holding conversations with imagined persons or entities, smoking nonexistent cigarettes (even with nonsmokers), visual hallucinations of spiders or or being unable to recognize one's . Deliriants in particular appear to be noted for their powerful effects on users' behavior.

Ken Hedges, who was curator of archaeology at the Museum of Man, and also studied hallucinogen-based Kumeyaay recalled how when he was a student at San Diego's Mount Miguel High School in 1960, two teenage boys in Ojai who sampled datura were found on that town's main street at night; "in a state of mind that could only be called extremely deranged, they were walking from streetlight to streetlight, banging their heads on each pole until they were covered with blood." Hedge claimed that even among Native Americans, "terrifying visions" were often the result for "those who submitted themselves to the plant's power." assessment of the sacred Datura cult in Southern California ascertained that within the tribe, frequent or repeat users of datura tended to gradually become more and more antisocial, often adopting behavior patterns that the rest of the tribe viewed as "capricious malevolence".

During one of his workshops in Hawaii, psychonaut discussed the effects of the hallucinogenic plants compared to psychedelics, stating that:

During an on-camera interview, author of The God Molecule: 5-MeO-DMT and the Spiritual Path to the Divine Light, Gerardo Ruben Sandoval Isaac explained that in the Oaxaca "mushroom village" of San José del Pacifico, the psilocybin mushrooms are regarded as being "related to light" and that ( ) is "related to the darkness" and that they (the tribes) "are aware of the polarity of this flower", further crediting the idea that the hallucinogenic experience produced by deliriants is typically of a "dark" and disturbing nature. When datura was first formally discovered in colonial Jamestown, in 1676 by English soldiers during Bacon's Rebellion, they spent 11 days in altered mental states after using the leaves of the plant, which they did not know were psychoactive and poisonous, as part of a salad.

Historian Robert Beverley Jr. wrote of the observable effects seen during their intoxicated state; "They (the soldiers) turned natural fools upon it for several days: one would blow up a feather in the air; another would dart straws at it with much fury; and another, stark naked, was sitting up in a corner like a monkey, grinning and making mows (grimaces) at them; a fourth would fondly kiss and paw his companions, and sneer in their faces with a countenance more antic than any in a Dutch droll… They were not very cleanly; for they would have wallowed in their own excrements if they had not been prevented. A thousand such simple tricks they played, and after eleven days returned (to) themselves again, not remembering anything that had passed."


Deliriant substances
Naturally-occurring anticholinergic deliriants are found in the plant species Atropa belladonna (deadly nightshade), various species (Angel's Trumpets), Datura stramonium (Jimson weed), (henbane), and Mandragora officinarum (mandrake) in the form of the , , and . Other, lesser known plant sources of scopolamine and related tropanes include Scopolia carniolica to , endemic to southern , endemic to and Duboisia myoporoides, which is endemic to and contains both and .Armando T. Hunziker: The Genera of Solanaceae. A.R.G. Gantner Verlag K.G., Ruggell, Liechtenstein 2001. Rätsch, Christian, The Encyclopedia of Psychoactive Plants: Ethnopharmacology and Its Applications pub. Park Street Press 2005 Scopolamine has often been considered, pharmacologically and the premier and paradigmatic deliriant substance, to which all other deliriants and/or antimuscarinic hallucinogens are usually compared.
(2025). 9789048124473, Springer.

Synthetic compounds such as (Benadryl), (Dramamine), and tropine benzilate are deliriants. Nutmeg, although purportedly not as strong or as unpleasant as diphenhydramine or scopolamine, is considered a deliriant, due to its propensity to cause anticholinergic-like symptoms when taken in large doses.Demetriades, A. K.; Wallman, P. D.; McGuiness, A.; Gavalas, M. C. (2005). "Low Cost, High Risk: Accidental Nutmeg Intoxication". Emergency Medicine Journal. 22 (3): 223–225. doi:10.1136/emj.2002.004168. PMC 1726685. The effects caused by and found in can last up to several days, similarly to the tropane alkaloids found in datura.Ehrenpreis, J. E.; Deslauriers, C; Lank, P; Armstrong, P. K.; Leikin, J. B. (2014). "Nutmeg Poisonings: A Retrospective Review of 10 Years Experience from the Illinois Poison Center, 2001–2011". Journal of Medical Toxicology. 10 (2): 148–151. doi:10.1007/s13181-013-0379-7. PMC 4057546. The mushroom referred to as with its active agents and may also be considered an 'atypical' deliriant, although fly agaric is probably more accurately described as a .

(2025). 9789291682492, European Monitoring Centre for Drugs and Drug Addiction. .
Satora, L.; Pach, D.; Butryn, B.; Hydzik, P.; Balicka-Slusarczyk, B. (June 2005). "Fly agaric (Amanita muscaria) poisoning, case report and review". Toxicon. 45 (7): 941–3. doi:10.1016/j.toxicon.2005.01.005.

In rare cases, highly toxic plants from the (wolfsbane) genus have been used as "deliriants" by certain groups practicing European witchcraft, the or due to the unpleasant but supposed altered state of consciousness which can be a side effect of wolfsbane poisoning. Plants of the aconitum genus contain the and in the case of , an extremely toxic alkaloid called , which is in rare cases, taken as an ordeal poison and on the Indian subcontinent by ascetic groups such as the , where it may be mixed with other psychoactive plants or poisons such as datura and cannabis. Risk of death is considered very high when taking A. ferox and its use is restricted to only the most experienced of their particular school of .Barrett, Ron (2008). Aghor medicine: pollution, death, and healing in northern India. Edition: illustrated. University of California Press. , .Svoboda, Robert (1986). Aghora: At the Left Hand of God. Brotherhood of Life. .


Recreational use
Despite the fully legal status of several common deliriant plants and OTC medicines, deliriants are largely unpopular as recreational drugs due to the severe dysphoria, uncomfortable and generally damaging cognitive and physical effects, as well as the unpleasant nature of the hallucinations. Anticholinergics are said to be typically responsible for 15–20% of acute poisoning admissions, up to 40% of poisoning admission to intensive care units and 16% of poison centre calls. The anticholinergic syndrome may be accompanied by sedation, , seizures and/or cardiovascular toxicity not necessarily mediated by muscarinic antagonism but rather secondary to other drug effects on other receptors or . In theory, an ideal for the anticholinergic syndrome caused by these particular substances would be a selective M1 . Some are in development but reportedly as of 2016, none are in clinical use.

Ultimately, user reports of recreational deliriant usage on the drug resource website also generally indicate a firm unwillingness to repeat the experience. In addition to potentially dangerous mental/behavioral effects ( during deliriant experiences are common) some , such as those found in plants of the genus, are exceptionally toxic and can cause death due to -induced heart failure, and even in small doses. Anticholinergics have been shown to increase the risk of developing with long-term use, even at therapeutic doses, therefore they are presumed to carry an even greater risk when used at hallucinogenic dosages. Scopolamine in particular has been implemented in scientific models used to study the cholinergic hypothesis for Alzheimer's disease and other related dementias.More SV, Kumar H, Cho DY, Yun YS, Choi DK (September 2016). "Toxin-Induced Experimental Models of Learning and Memory Impairment". International Journal of Molecular Sciences. 17 (9): 1447. doi:10.3390/ijms17091447. PMC 5037726.

Despite these overtly negative effects both on the physical and mental health of the user, usage of deliriants for recreational purposes has still gone on for centuries and was said to be introduced in and surrounding areas by , who would smoke or ingest plants such as datura to experience hallucinations.

(2025). 9780195370010, Oxford University Press. .
It has been said that certain groups who used deliriant plants, especially in () practices, would traditionally mix in medicinal or plants either directly during the intoxications or later on to counter negative health consequences or symptoms such as dysphoria or senility.Hansen, Harold A. The Witch's Garden pub. Unity Press 1978


Occultism and folklore
Deliriants such as , belladonna, mandrake, jimsonweed and are associated with and featured in many stories and beliefs within European mythology.Schultes, Richard Evans; Hofmann, Albert (1979). The Botany and Chemistry of Hallucinogens (2nd ed.). Springfield Illinois: Charles C. Thomas. pps. 261-4.
(1986). 9780898151695, Ten Speed Press. .
In ancient Greek myth, wreaths of henbane leaves were used to crown the newly deceased to make them forget their former lives as they crossed or wandered near the in the . The belladonna plant genus, is named after the , , who cut the thread of life. In early medieval times, Mandrake was believed to have commonly grown under where dripped from the bodies of deceased murderers, with some sources stating blood and others claiming or urine.
(2025). 9780485890037, Continuum International Publishing Group. .

Tropane-containing nightshades have played an integral role in and European witchcraft. Henbane is reputed for having been used in Greco-Roman magic during ancient times as well as being associated with and maleficium during the Late Middle Ages. During this period in medieval Europe, the Central European species Scopolia carniolica was also used as an admixture in .Starý, František, Poisonous Plants (Hamlyn colour guides) – pub. Paul Hamlyn April, 1984, translated from the Czech by Olga Kuthanová. Belladonna was purported to aid in the "flight of witches" where they reportedly would experience " " or hallucinatory .

(1987). 087596964X, Rodale. . 087596964X

(the root of Mandragora officinarum) is mentioned twice in the , and was also frequently mentioned as a typical ingredient in recipes since at least as far back as the Early Modern Period. During this time period, the plant datura stramonium (jimsonweed) was discovered in by colonialists and eventually lumped in with the other classic 'witches weeds' of the nightshade family that were endemic to Europe. Datura has a long history of usage both in and the Southwestern United States by indigenous cultures using it for , and magical purposes.

(2025). 9780813366128, Basic Books. .
Cecilia Garcia; James D. Adams (2005). Healing with medicinal plants of the west - cultural and scientific basis for their use. Abedus Press. .

In modern times, both Datura and are still used for sorcery, black magic, and in .Endredy, James (2011). The Flying Witches of Veracruz: A Shaman's True Story of Indigenous Witchcraft, Devil's Weed, and Trance Healing in Aztec BrujeriaCampos, Don Jose (2011). The Shaman & Ayahuasca: Journeys to Sacred Realms. In certain South American countries, members of the Brugmansia genus have been known to be occasionally added to brews by malevolent sorcerers (brujos) or bad shamans who wish to take advantage of unsuspecting tourists. Genuine 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 amount.

Since medieval times, extremely of the (wolfsbane) genus were also associated with folklore and magic and were used for similar purposes as the tropane-containing nightshades. Despite being a highly poisonous and often deadly plant to work with, it was still often included in recipes for flying ointments and magical salves, likely as a way to help counteract both the and side effects of the scopolamine. The aconitum genus (specifically aconitum napellus) was firmly associated with and witchcraft in Europe, particularly when it came to mythos surrounding werewolves and .Schultes, Richard Evans; Albert Hofmann (1979). Plants of the Gods: Origins of Hallucinogenic Use New York: McGraw-Hill. . This is believed to have originated at least partially from wolfsbane's alleged tendency to cause which supposedly can be reported to feel like one's body is covered in fur. In , the goddess is said to have invented aconitum which used to transform into a spider.

(1982). 9780486227986, Dover Publications. .


Classes of deliriants

Anticholinergics

Tropanes


Disubstituted esters:


Antihistamines


Other


See also


External links

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