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In some circumstances hallucinogens may produce panic or even suicidal feelings, which can recur without warning several days or months after taking the drug. In rare cases they produce an irreversible psychotic state mimicking schizophrenia. Spiritual or religious experiences are common, hence the ritual use of hallucinogens in some cultures. They work by chemical interference with the normal action of neurotransmitters in the brain.
The stars represent the states of Pohnpei, Kosrae, Yap, and Chuuk. The blue field is said to represent the Pacific Ocean. Effective date: 30 November 1978.
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