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Cactaceae (family), cactus methanolic extract, Lophophora, Lophophora williamsii, mescaline (3,4,5-trimethoxyphenethylamine).
Lophophora williamsii, also known as peyote, is found primarily in dry regions from central Mexico to Texas, particularly in regions along the Rio Grande. Peyote is commonly used in rituals and as a hallucinogen (due to its mescaline content). In 1990, the U.S. Supreme Court ruled that states may prohibit the use of peyote for religious purposes. Although peyote is illegal, the Dona Ana cactus, Coryphantha macromeris (Engelm.) Br. and R. and its runyonii (Br. and R.) L. Benson variety have been promoted as natural and legal psychedelic agents with about one-fifth of the potency of peyote.
To date, there are no available clinical trials investigating the use of peyote for any indication. However, preliminary study investigating peyote has not found long-term cognitive deficits, although more study is needed to make any firm conclusions about peyote's safety.
Some experts believe that proper use of one psychoactive substance, such as peyote, within a spiritual or clinical context helps to free an individual from the adverse effects of their addiction to another substance and thus restores them as functioning members of their community or group.
There is no proven safe or effective dose for peyote in adults.
There is no proven safe or effective dose for peyote in children.
Avoid in individuals with a known allergy or hypersensitivity to peyote, mescaline, or members of the family Cactaceae.
There is limited available evidence describing the adverse effects of peyote. Due to the hallucinogenic activity of peyote, psychosis has been reported in case reports. Ritualistic use of peyote does not appear to cause long-term cognitive deficits, although more study is needed to clarify these findings.
Use cautiously in patients with mental disorders, as peyote may induce psychotic episodes.
Use cautiously in patients with high or low blood pressure, due to mescaline's potential to alter blood pressure.
Avoid in patients who are pregnant or breastfeeding due to the potential of fetal abnormalities.
Peyote is not recommended in pregnant or breastfeeding women due to a lack of sufficient data in humans. Mescaline, a constituent of peyote, may cross the placenta, and has been linked to congenital malformations.