The first study of the safety and tolerability of MDMA-assisted psychotherapy in patients with alochol use disorder – the Bristol Imperial MDMA in Alcoholism Study (BIMA) – reported positive results this month. The open-label proof of concept study, led by David Nutt, demonstrated significant reductions in units of alcohol consumed. Now, more rigorous, double-blind studies will be needed. Companies like Awakn Life Sciences, led by Dr Ben Sessa, appear poised to continue this work.
As psychedelics research and clinical trials mature, we are seeing an increased prevalence of randomised controlled trials (RCTs). One such study analysed over 280 participants in prior psilocybin studies in an attempt to ascertain whether weight-based dosing is optimal or necessary. Ultimately, the study found no effect (either acute or longer-term) of weight or gender on the effects of a 20-30mg psilocybin dose. As such, the authors (which include Matthew W. Johnson, Roland R. Griffiths, Frederick S. Barrett, et al.) recommend a fixed dosing approach to future researchers:
These results suggest that the convenience and lower cost of administering psilocybin as a fixed dose outweigh any potential advantage of weight-adjusted dosing.
There’s plenty more psychedelics research to explore this month. In our endeavour to provide you with the data necessary to track and analyse the emergent psychedelic sector, we’re working with Blossom Analysis to bring you a monthly research round-up.
Clicking the title of the paper will take you to a short summary of the work on Blossom’s website.
Jump to Article
Transcriptomics-informed large-scale cortical model captures topography of pharmacological neuroimaging effects of LSD (paper)
This brain modelling study finds the topographic effects (where) LSD changes functional connectivity (FC) in the brain, via the modulation of serotonin 2A pyramidal cells.
Published (pre-print): 2 February 2021
Authors: Joshua B. Burt, Katrin H. Preller, Murat Demirtas, Jie Lisa Ji, John H. Krystal, Franz X. Vollenweider, Alan Anticevic & John D. Murray
“Psychoactive drugs can transiently perturb brain physiology while preserving brain structure. The role of physiological state in shaping neural function can therefore be investigated through neuroimaging of pharmacologically-induced effects. This paradigm has revealed that neural and experiential effects of lysergic acid diethylamide (LSD) are attributable to its agonist activity at the serotonin-2A receptor. Here, we integrate brainwide transcriptomics with biophysically-based large-scale circuit modeling to simulate acute neuromodulatory effects of LSD on human cortical dynamics. Our model captures the topographic effects of LSD-induced changes in cortical BOLD functional connectivity. These findings suggest that serotonin-2A-mediated modulation of pyramidal cell gain is the circuit mechanism through which LSD alters cortical functional topography. Individual-subject fitting reveals that the model captures patterns of individual neural differences in drug response that predict altered states of consciousness. This work establishes a framework for linking molecular-level manipulations to salient changes in brain function, with implications for precision medicine.”
Developing a new national MDMA policy: Results of a multi-decision multi-criterion decision analysis (paper)
This policy paper (2021) presents the case for a better drug policy concerning MDMA in the Netherlands (but could/should be read as applying to other countries too)
Published: 2 February 2021
Authors: Jan van Amsterdam, Gjalt-Jorn Y. Peters, Ed Pennings, Tom Blickman, Kaj Hollemans, Joost J. Breeksema, Johannes G. Ramaekers, Cees Maris, Floor van Bakkum, Ton Nabben, Willem Scholten, Tjibbe Reitsma, Judith Noijen, Raoul Koning & Wim van den Brink
Background: Ecstasy (3,4-methylenedioxymethamphetamine (MDMA)) has a relatively low harm and low dependence liability but is scheduled on List I of the Dutch Opium Act (‘hard drugs’). Concerns surrounding increasing MDMA-related criminality coupled with the possibly inappropriate scheduling of MDMA initiated a debate to revise the current Dutch ecstasy policy. Methods: An interdisciplinary group of 18 experts on health, social harms and drug criminality and law enforcement reformulated the science-based Dutch MDMA policy using multi-decision multi-criterion decision analysis (MD-MCDA). The experts collectively formulated policy instruments and rated their effects on 25 outcome criteria, including health, criminality, law enforcement and financial issues, thematically grouped in six clusters. Results: The experts scored the effect of 22 policy instruments, each with between two and seven different mutually exclusive options, on 25 outcome criteria. The optimal policy model was defined by the set of 22 policy instrument options which gave the highest overall score on the 25 outcome criteria. Implementation of the optimal policy model, including regulated MDMA sales, decreases health harms, MDMA-related organised crime and environmental damage, as well as increases state revenues and quality of MDMA products and user information. This model was slightly modified to increase its political feasibility. Sensitivity analyses showed that the outcomes of the current MD-MCDA are robust and independent of variability in weight values. Conclusion: The present results provide a feasible and realistic set of policy instrument options to revise the legislation towards a rational MDMA policy that is likely to reduce both adverse (public) health risks and MDMA-related criminal burden.“
This review paper (2021) investigates the trends in the top-cited papers on psychedelics and finds more RCT studies on psilocybin being done that get cited more often.
Published: 4 February 2021
“This study was designed to identify trends in the top-cited classic psychedelic publications. The top 50 publications on classic psychedelics with the greatest total of number of citations and annual citation rate were identified and pooled. Unique articles (n = 77) were dichotomized by median year of publication (2010); the differential distribution of study characteristics between the “Recent Cohort” (n = 40) and “Older Cohort” (n = 37) were documented. The Recent Cohort had a greater annual citation rate (median 76.5, IQR 43.8 to 103.3) compared to the Older Cohort (median 8.8, IQR 4.2 to 17.2, p < .001). The Recent Cohort included a greater number of clinical studies (n = 27 [67.5%] vs. n = 10 [27.0%]) while the Older Cohort included more basic science and preclinical studies (n = 22 [59.5%] vs. n = 3 [7.5%], p < .001). Psilocybin was the predominant psychedelic studied in the Recent Cohort (n = 26 [40.6%] vs. n = 8 [17.4%]) while lysergic acid diethylamide (LSD) was predominantly studied in the Older Cohort (n = 26 [56.5%] vs. n = 19 [29.7%], p = .028). The Recent Cohort included more studies examining affective disorders (n = 16 [25.8%] vs. n = 1 [2.7%]) and substance use disorders (n = 6 [9.7%] vs. n = 1 [2.7%]), while the Older Cohort included a greater number of pharmacological outcomes (n = 26 [70.3%] vs. n = 11 [17.7%], p < .001). This study identified and documented trends in the top-cited classic psychedelic publications. The field is continuing to form a foundational understanding of the pharmacological effects of psychedelics and is now advancing with the identification of therapeutic uses within clinical populations.“
This open-label study (n=32) with 6 dosages (weekly) of oral ketamine (35-210mg/70kg) found that it significantly reduced suicidal ideation in those with chronic suicidal thoughts, with clinically significant lower scores in 69% of participants at the end (which held at 50% 4 weeks later).
Published: 4 February 2021
Authors: Adem T. Can, Daniel F. Hermens, Megan Dutton, Cyrana C. Gallay, Emma Jensen, Monique Jones, Jennifer Scherman, Denise A. Beaudequin, Cian Yang, Paul E. Schwenn & Jim Lagopoulos
“Recently, low-dose ketamine has been proposed as a rapid-acting treatment option for suicidality. The majority of studies to date have utilised intravenous (IV) ketamine, however, this route of administration has limitations. On the other hand, oral ketamine can be administered in a range of settings, which is important in treating suicidality, although studies as to safety and feasibility are lacking. n = 32 adults (aged 22–72 years; 53% female) with chronic suicidal thoughts participated in the Oral Ketamine Trial on Suicidality (OKTOS), an open-label trial of sub-anaesthetic doses of oral ketamine over 6 weeks. Participants commenced with 0.5 mg/kg of ketamine, which was titrated to a maximum 3.0 mg/kg. Follow-up assessments occurred at 4 weeks after the final dose. The primary outcome measure was the Beck Scale for Suicide Ideation (BSS) and secondary measures included scales for suicidality and depressive symptoms, and measures of functioning and well-being. Mean BSS scores significantly reduced from a high level of suicidal ideation at the pre-ketamine (week 0) timepoint to below the clinical threshold at the post-ketamine (week 6) timepoint. The proportion of participants that achieved clinical improvement within the first 6 weeks was 69%, whereas 50% achieved a significant improvement by the follow-up (week 10) timepoint. Six weeks of oral ketamine treatment in participants with chronic suicidality led to significant reduction in suicidal ideation. The response observed in this study is consistent with IV ketamine trials, suggesting that oral administration is a feasible and tolerable alternative treatment for chronic suicidality.“
Psilocybin-induced changes in brain network integrity and segregation correlate with plasma psilocin level and psychedelic experience (paper)
This fMRI study (n=15) investigated the effects of psilocybin (14/21mg/70kg) on the brain and found that the higher the psilocin (active metabolite of psilocybin) and subjective drug experience (SDI) correlated with lower network integrity and segregation (less top-down, more bottom-up).
Published (pre-print): 5 February 2021
Authors: Martin K. Madsen, Dea S. Stenbaek, Albin Arvidsson, Sophia Armand, Maja R. Marstrand-Jorgensen, Sys S. Johansen, Kristian Linnet, Brice Ozenne, Gitte M. Knudsen & Patrick M. Fisher
“The emerging novel therapeutic psilocybin produces psychedelic effects via engagement of cerebral serotonergic targets by psilocin (active metabolite). The serotonin 2A receptor critically mediates these effects by altering distributed neural processes that manifest as increased entropy, reduced functional connectivity (FC) within discrete brain networks (i.e., reduced integrity) and increased FC between networks (i.e., reduced segregation). Reduced integrity of the default mode network (DMN) is proposed to play a particularly prominent role in psychedelic phenomenology, including perceived ego-dissolution. Here, we investigate the effects of a psychoactive oral dose of psilocybin (0.2-0.3 mg/kg) on plasma psilocin level (PPL), subjective drug intensity (SDI) and their association in fifteen healthy individuals. We further evaluate associations between these measures and resting-state FC, measured with functional magnetic resonance imaging, acquired over the course of five hours after psilocybin administration. We show that PPL and SDI correlate negatively with measures of network integrity (including DMN) and segregation, both spatially constrained and unconstrained. We also find that the executive control network and dorsal attention network desegregate, increasing connectivity with other networks and throughout the brain as a function of PPL and SDI. These findings provide direct evidence that psilocin critically shapes the time course and magnitude of changes in the cerebral functional architecture and subjective experience following psilocybin administration. Our findings provide novel insight into the neurobiological mechanisms underlying profound perceptual experiences evoked by this emerging transnosological therapeutic and implicate the expression of network integrity and segregation in the psychedelic experience and consciousness.“
This naturalistic (open-label) EEG study (n=35) with smoked DMT (~40mg) confirmed earlier findings (but now outside the lab) that DMT significantly decreased alpha, and increased delta and gamma oscillations. The latter also correlated with subjective mystical-type experiences (MEQ).
Published: 10 February 2021
Authors: Carla Pallavicini, Federico Cavanna, Federico Zamberlan, Laura A. de la Fuente, Yayla Ilksoy, Yonatan S. Perl, Mauricio Arias, Celeste Romero, Robin L. Carhart-Harris, Christopher Timmermann & Enzo Tagliazucchi
“Background: N,N-dimethyltryptamine is a short-acting psychedelic tryptamine found naturally in many plants and animals. Few studies to date have addressed the neural and psychological effects of N,N-dimethyltryptamine alone, either administered intravenously or inhaled in freebase form, and none have been conducted in natural settings. Aims: Our primary aim was to study the acute effects of inhaled N,N-dimethyltryptamine in natural settings, focusing on questions tuned to the advantages of conducting field research, including the effects of contextual factors (i.e. “set“ and “setting“), the possibility of studying a comparatively large number of subjects, and the relaxed mental state of participants consuming N,N-dimethyltryptamine in familiar and comfortable settings. Methods: We combined state-of-the-art wireless electroencephalography with psychometric questionnaires to study the neural and subjective effects of naturalistic N,N-dimethyltryptamine use in 35 healthy and experienced participants. Results: We observed that N,N-dimethyltryptamine significantly decreased the power of alpha (8–12 Hz) oscillations throughout all scalp locations, while simultaneously increasing power of delta (1–4 Hz) and gamma (30–40 Hz) oscillations. Gamma power increases correlated with subjective reports indicative of some features of mystical-type experiences. N,N-dimethyltryptamine also increased global synchrony and metastability in the gamma band while decreasing those measures in the alpha band. Conclusions: Our results are consistent with previous studies of psychedelic action in the human brain, while at the same time the results suggest potential electroencephalography markers of mystical-type experiences in natural settings, thus highlighting the importance of investigating these compounds in the contexts where they are naturally consumed.”
This double-blind placebo-controlled fMRI study (n=53) on ketamine (r-ketamine, continuous iv) and cognition found that ketamine increased metacognitive bias, negatively impacted metacognitive sensitivity, and increased activation of posterior brain areas.
Published: 10 February 2021
Authors: Mirko Lehmann, Claudia Neumann, Sven Wasserthal, Johannes Schultz, Achilles Delis, Peter Trautner, René Hurlemann & Ulrich Ettinger
“Only little research has been conducted on the pharmacological underpinnings of metacognition. Here, we tested the modulatory effects of a single intravenous dose (100 ng/ml) of the N-methyl-D-aspartate-glutamate-receptor antagonist ketamine, a compound known to induce altered states of consciousness, on metacognition and its neural correlates. Fifty-three young, healthy adults completed two study phases of an episodic memory task involving both encoding and retrieval in a double-blind, placebo-controlled fMRI study. Trial-by-trial confidence ratings were collected during retrieval. Effects on the subjective state of consciousness were assessed using the 5D-ASC questionnaire. Confirming that the drug elicited a psychedelic state, there were effects of ketamine on all 5D-ASC scales. Acute ketamine administration during retrieval had deleterious effects on metacognitive sensitivity (meta-d′) and led to larger metacognitive bias, with retrieval performance (d′) and reaction times remaining unaffected. However, there was no ketamine effect on metacognitive efficiency (meta-d′/d′). Measures of the BOLD signal revealed that ketamine compared to placebo elicited higher activation of posterior cortical brain areas, including superior and inferior parietal lobe, calcarine gyrus, and lingual gyrus, albeit not specific to metacognitive confidence ratings. Ketamine administered during encoding did not significantly affect performance or brain activation. Overall, our findings suggest that ketamine impacts metacognition, leading to significantly larger metacognitive bias and deterioration of metacognitive sensitivity as well as unspecific activation increases in posterior hot zone areas of the neural correlates of consciousness.”
Single, Fixed-Dose Intranasal Ketamine for Alleviation of Acute Suicidal Ideation. An Emergency Department, Trans-Diagnostic Approach: A Randomized, Double-Blind, Placebo-Controlled, Proof-of-Concept Trial (paper)
This double-blind placebo-controlled study (n=30) with intranasal ketamine (40mg) found significant reductions in suicidal ideation (SI, 80 vs 33% remission) and depressive symptoms (MADRS) 4 hours after administration for those with SI in the emergency department.
Published: 14 February 2021
Authors: Yoav Domany & Cheryl B. McCullumsmith
“Background: Suicidal patients often present to the emergency department, where specific anti-suicidal treatment is lacking. Ketamine, a Glutamate modulator and a rapidly acting antidepressant with anti-suicidal properties, might offer relief. Aims: Evaluation of single, fixed-dosed intranasal ketamine for acute suicidal ideation in the emergency department. Methods: Between August 2016 and April 2018, 30 eligible suicidal subjects, scheduled for psychiatric hospitalization, independently of their psychiatric diagnosis, were randomized to intranasal ketamine 40 mg or saline placebo. Safety and efficacy evaluations were scheduled for 30, 60, 120, and 240 min post administration and on days 1, 2, 3, 4, 5, 7, 21, and 28. Primary outcome was suicidal ideation. Results: Fifteen subjects were randomized for each study group. All were analyzed for primary and secondary outcomes. Four hours post administration, the mean difference in suicidal symptoms between the groups, measured by the Montgomery-Åsberg Depression Rating Scale (MADRS) item of suicidal thoughts (MADRS-SI), was 1.267 (95% confident interval 0.1-2.43, p < 0.05) favoring treatment. Remission from suicidal ideation was evident in 80% for the ketamine group compared with 33% for the controls (p < 0.05). The mean difference in depressive symptoms, measured by MADRS, at the same time was 9.75 (95% confident interval 0.72-18.79, p < 0.05) favoring ketamine. Treatment was safe and well-tolerated. Conclusions: Single, fixed-dose, intranasal ketamine alleviated suicidal ideation and improved depressive symptoms four hours post-administration. We present here an innovative paradigm for emergency department management of suicidal individuals. Future larger-scale studies are warranted. “
Psilocybin induces rapid and persistent growth of dendritic spines in frontal cortex in vivo (paper)
This pre-print article shows that brain cells, specifically the layer five pyramidal neurons in mice, grew by 10% after the introduction of psilocybin. The effects were still present 30 days later, providing more evidence for brain plasticity as an underlying mechanism of psychedelic-assisted therapies’ long-lasting effects.
Published (pre-print): 17 February 2021
Authors: Ling-Xiao Shao, Clara Liao, Ian Gregg, Neil Savalia, Kristina Delagarza & Alex C. Kwan
“Psilocybin is a serotonergic psychedelic with untapped therapeutic potential. Here we chronically imaged apical dendritic spines of layer 5 pyramidal neurons in mouse medial frontal cortex. We found that a single dose of psilocybin led to ~10% increases in spine density and spine head width. Synaptic remodeling occurred quickly within 24 hours and was persistent 1 month later. The results demonstrate structural plasticity that may underpin psilocybin’s long-lasting beneficial actions.”
First study of safety and tolerability of 3,4-methylenedioxymethamphetamine-assisted psychotherapy in patients with alcohol use disorder (paper)
This open-label study (n=14) with MDMA-assisted psychotherapy (2 sessions;187.5mg) found it to be well-tolerated and safe to use. The average consumption of alcohol at 9 months later was 18.7 units, versus 130.6 units before the detox (start of study).
Published: 18 February 2021
Authors: Ben Sessa, Laurie Higbed, Steve O’Brien, Claire Durant, Chloe Sakal, Daniel Titheradge, Tim M. Williams, Anna Rose-Morris, Elsa Brew-Girard, Sam Burrows, Chantelle Wiseman, Sue Wilson, James Rickard & David J. Nutt
“Background: 3,4-methylenedioxymethamphetamine (MDMA) therapy has qualities that make it potentially well suited for patients with addictions, but this has never been explored in a research study. We present data from the Bristol Imperial MDMA in Alcoholism (BIMA) study. This is the first MDMA addiction study, an open-label safety and tolerability proof-of-concept study investigating the potential role for MDMA therapy in treating patients with alcohol use disorder (AUD). Aims: This study aimed to assess if MDMA-assisted psychotherapy can be delivered safely and can be tolerated by patients with AUD post detoxification. Outcomes regarding drinking behaviour, quality of life and psychosocial functioning were evaluated. Methods: Fourteen patients with AUD completed a community alcohol detoxification and received an eight-week course of recovery-based therapy. Participants received two sessions with MDMA (187.5mg each session). Psychological support was provided before, during and after each session. Safety and tolerability were assessed alongside psychological and physiological outcome measures. Alcohol use behaviour, mental well-being and functioning data were collected for nine months after alcohol detoxification. Results: MDMA treatment was well tolerated by all participants. No unexpected adverse events were observed. Psychosocial functioning improved across the cohort. Regarding alcohol use, at nine months post detox, the average units of alcohol consumption by participants was 18.7 units per week compared to 130.6 units per week before the detox. This compares favourably to a previous observational study (the ‘Outcomes’ study) by the same team with a similar population of people with AUD. Conclusions: This study provides preliminary support for the safety and tolerability of a novel intervention for AUD post detox. Further trials to examine better the therapeutic potential of this approach are now indicated.”
Optimal dosing for psilocybin pharmacotherapy: Considering weight-adjusted and fixed dosing approaches (paper)
This analysis of psilocybin dosages given in 10 previous studies (n=288) found no effect of weight, nor gender, on the effects (acute or long-term) of the dosage (20-30mg) of psilocybin used. The authors recommend a fixed dosing approach going forward to simplify dosing regimes.
Published: 20 February 2021
“Background: Growing evidence suggests psilocybin, a naturally occurring psychedelic, is a safe and promising pharmacotherapy for treatment of mood and substance use disorders when administered as part of a structured intervention. In most trials to date, psilocybin dose has been administered on a weight-adjusted basis rather than the more convenient procedure of administering a fixed dose. Aims: The present post hoc analyses sought to determine whether the subjective effects of psilocybin are affected by body weight when psilocybin is administered on a weight-adjusted basis and when psilocybin is administered as a fixed dose. Methods: We analyzed acute subjective drug effects (mystical, challenging, and intensity) associated with therapeutic outcomes from ten previous studies (total N=288) in which psilocybin was administered in the range 20 to 30mg/70 kg (inclusive). Separate multivariate regression analyses examined the relationships between demographic variables including body weight and subjective effects in participants receiving 20mg/70kg (n=120), participants receiving 30mg/70kg (n=182), and participants whose weight-adjusted dose was about 25mg (to approximate the fixed dose that is currently being evaluated in registration trials for major depressive disorder) (n=103). Results: In the 20mg/70kg and 30mg/70 kg weight-adjusted groups, and in the fixed dose group, no significant associations were found between subjective effects and demographic variables including body weight or sex. Across a wide range of body weights (49 to 113kg) the present results showed no evidence that body weight affected subjective effects of psilocybin. Conclusions: These results suggest that the convenience and lower cost of administering psilocybin as a fixed dose outweigh any potential advantage of weight-adjusted dosing.”
Classic psychedelic coadministration with lithium, but not lamotrigine, is associated with seizures: an analysis of online psychedelic experience reports (paper)
This analysis of online reports (n=96) found that the use of psychedelics in combination with lithium led to seizures (47%), bad trips (64%), and emergency medical treatment (39%). The authors express the caution people should take when self-medicating/combining psychedelics with antidepressants (with lithium being commonly used for bipolar disorder).
Published (pre-print): 24 February 2021
“Introduction: Psychedelics show promise in treating unipolar depression, though patients with bipolar disorder have been excluded from recent psychedelic trials. There is limited information on the use of classic psychedelics (e.g.LSD or psilocybin) in individuals using mood stabilizers to treat bipolar disorder. This is important to know as individuals with bipolar depression may attempt to treat themselves with psychedelics while on a mood stabilizer, particularly given enthusiastic media reports of the efficacy of psilocybin for depression. Methods: This study analyzed reports of classic psychedelics administered with mood stabilizers from three websites (Erowid.org, Shroomery.org, and Reddit.com). Results: Strikingly, 47% of 62 lithium plus psychedelic reports involved seizures and an additional 18% resulted in bad trips while none of 34 lamotrigine reports did. Further, 39% of lithium reports involved medical attention. Most of the lamotrigine reports (65%) but few (8%) of the lithium reports were judged to have no effect on the psychedelic experience. Discussion: Although further research is needed, we provisionally conclude that psychedelic use may pose a significant seizure risk for patients on lithium.“
More Psychedelic Research Papers
Use CTRL/CMD+F to quickly search if anything relevant for you has been published this month.
- Cannabinoids is a “No-Go” While a Cancer Patient is on Immunotherapy; but is It Safe to Use Psychedelics During Cancer Immunotherapy? (in cells/mice, also probably much higher dose than you would experience for (one time) therapeutic dosage)
- The DARK Side of Total Synthesis: Strategies and Tactics in Psychoactive Drug Production (“.. we provide brief historical accounts of the main classes of psychoactive drugs and discuss several foundational total syntheses that ultimately provide the groundwork for producing these molecules in academic, industrial, and clandestine settings.“)
- Psychedelic philanthropy: The nonprofit sector and Timothy Leary’s 1960s psychedelic movement (Argues for the role of philanthropy in funding early psychedelic research by Leary and colleagues)
- Role of nitric oxide signaling in the antidepressant mechanism of action of ketamine: A randomized controlled trial (“suggesting that the nitric oxide pathway may not play a primary role in ketamine’s antidepressant or dissociative effects.”)
- Ketamine for PTSD: Well, Isn’t That Special (editorial/commentary, remarks on Feder et al., 2021, who used repeated ketamine iv administration)
- Development and Evaluation of a Therapist Training Program for Psilocybin Therapy for Treatment-Resistant Depression in Clinical Research (therapist training program by COMPASS)
- Ketamine-Assisted Psychotherapy for PTSD Related to Racial Discrimination (case study, partial success with ketamine for PTSD)
- Effects of LSD are differentially modulated in arrestin knockout mice (in mice, “ LSD produces diverse behavioral effects through Arr1 and Arr2, and that the psychedelic drug-like actions of LSD appear to require Arr2 [arrestin].“)
- Pharmacokinetics and Pharmacodynamics of Salvinorin A and Salvia divinorum: Clinical and Forensic Aspects (review)
- Ketamine and the Future of Rapid-Acting Antidepressants (review, history and brain mechanisms of how ketamine works)
- Treatment with psilocybin: applications for patients with psychiatric disorders (Dutch, review)
- Fine-tuning neural excitation/inhibition for tailored ketamine use in treatment-resistant depression (pre-print)
- Psychedelic drugs and perception: a narrative review of the first era of research (review, argues that no complete review has been done, but maybe that is missing some of the many (specific) reviews of the literature and many books written about research pre-2000)
- The rebirth of psychedelic psychiatry: Recent research suggests psychedelic agents might help treat anxiety, depression, other disorders (review)
- An experimental study targeting N-methylD-aspartate receptor in depression; beyond ketamine (in mice, with ketamine, citalopram, glycine, and glycine & ketamine)
- New psychoactive substances (NPS) and serotonin syndrome onset: A systematic review (review of 10 studies)
- Antidepressant Actions of Ketamine: Potential Role of L-Type Calcium Channels (review, “Voltage-gated L-type calcium channels have been shown to mediate the rapid-acting antidepressant effects of ketamine, especially involving induction of BDNF synthesis downstream, while BDNF deficiency decreases the expression of L-type calcium channels.”)
- Errors in a Response Rate and in Effect Sizes in Study of Psilocybin-Assisted Therapy for Major Depressive Disorder (small correction to Davis et al., 2020)
- Cost-per-remitter with esketamine nasal spray versus standard of care for treatment-resistant depression (favorable cost-effectiveness analysis of the very expensive esketamine vs oral antidepressants alone)
- What is the clinical evidence on psilocybin for the treatment of psychiatric disorders? A systematic review (review, 9 papers included)
- Rapid tolerance to behavioral effects of ethanol in rats: prevention by R-(-)-ketamine (in rats, mixed findings on preventing tolerance to alcohol (ethanol))
- Ketamine and the Future of Rapid-Acting Antidepressants (review)
- Antidepressant Actions of Ketamine: Potential Role of L-Type Calcium Channels (review, specifically on modulation of intracellular calcium)
- Do NMDA-R Antagonists Re-Create Patterns of Spontaneous Gamma-Band Activity in Schizophrenia? A Systematic Review and Perspective (review, finds different activation of gamma oscillations after ketamine (+) than in schizophrenia (+/-/=)
- Update on GPCR-based targets for the development of novel antidepressants (expert review, depression (MDD), and g coupled proteins, few mentions of psychedelics)
- Predictive performance of parent-metabolite population pharmacokinetic models of (S)-ketamine in healthy volunteers (better modeling of ketamine concentrations on healthy people)
- Hazy memories in the courtroom: a review of alcohol and other drug effects on false memory and suggestibility (false memories and suggestibility after psychedelics, alcohol, etc – not much research on psychedelics and memory yet)
- Psilocin acutely disrupts sleep and affects local but not global sleep homeostasis in laboratory mice (in mice, affects sleep, but not long-term)
- Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review (review, mentions ketamine for suicidal ideation but not studied for -behavior prevention)
- Ketamine disrupts gaze patterns during face viewing in the common marmoset (in monkeys, but seems like it could have been done in humans?)
- Acute Psychological Adverse Reactions in First-Time Ritual Ayahuasca Users (n=7, subsample of earlier study, although negative acute experience, remission (2) and improvement (2) in mental health for those suffering from psychiatric disorder)
- Psychedelic harm reduction and integration: A transtheoretical model for clinical practice (harm reduction for those using psychedelics for those working with patients who (will) use psychedelics)
- Cortical spreading depolarization and ketamine: a short systematic review (review, ketamine’s blocking effect on cortical spreading depolarization (loss of ion homeostasis – following stroke/seizure/trauma)
- Antidepressant drugs act by directly binding to TRKB neurotrophin receptors (not on psychedelics specifically, but more evidence on how antidepressants work in the brain by also binding to a specific receptor (TRKB) which facilitates activation of of BDNF, or brain-derived neurotrophic factor receptor, or thus increasing brain plasticity)
- Acute Psychological Adverse Reactions in First-Time Ritual Ayahuasca Users: A Prospective Case Series (case studies, “… it is possible that participating in ayahuasca ceremonies may entail acute psychological negative reactions, those challenging experiences can also have positive long-term effects.“)
- Nitrous oxide as an adjunctive therapy in major depressive disorder: a randomized controlled double-blind pilot trial (RCT, on nitrous oxide, very significant findings)
- Combining ecstasy and ethanol: higher risk for toxicity? A review (drinking and ecstasy, “Increased toxicity is due to an aggravation of MDMA pharmacodynamics, while MDMA pharmacokinetics is largely unaffected“)
- Ketamine-50 years in use: from anesthesia to rapid antidepressant effects and neurobiological mechanisms (review)
- Intranasal Esketamine: from Origins to Future Implications in Treatment-Resistant Depression (review)
- Safety of ibogaine administration in detoxification of opioid dependent individuals: a descriptive open-label observational study (n=14, open-label, safety study, ibogaine for opioid addiction)
- The rebirth of psychedelic psychiatry (review)
- Clinical trials for rapid changes in suicidal ideation: Lessons from ketamine (review/perspective with blueprint going forward)
- Low-dose ketamine as an adjuvant for pain control in a cancer patient: a case report (case study, ketamine for pain control in cancer patient)
- Serotonin 2A Receptor (5-HT2AR) Activation by 25H-NBOMe Positional Isomers: In Vitro Functional Evaluation and Molecular Docking (“… this is the first comparative evaluation of the functional effects of the positioning of the methoxy groups in the phenethylamine moiety of NBOMes.“)
- Functional connectivity between the amygdala and subgenual cingulate gyrus predicts the antidepressant effects of ketamine in patients with treatment-resistant depression (n=15, proposes that fMRI studies before treatment could identify responders)
- The Evolved Psychology of Psychedelic Set and Setting: Inferences Regarding the Roles of Shamanism and Entheogenic Ecopsychology (review, proposes psychedelics/shamanism as having played a part in human evolution)
- Prolonged epigenetic and synaptic plasticity alterations following single exposure to a psychedelic in mice (in mice, finds that DOI alters the brain both acutely and several days later)
- Neuregulin signaling mediates the acute and sustained antidepressant effects of subanesthetic ketamine (in mice, forced swim test, finds new signalling pathway via neuregulin)
- Psychedelics and the Predictive Mind: A Review of the Potential Mechanisms that Underpin the Efficacy of Psilocybin to Treat Depressive Disorders (thesis, direct download link)
- An apathetic child with hallucinations (case report, child who took LSD)
- Identifying New/Emerging Psychoactive Substances at the Time of COVID-19; A Web-Based Approach (web scraper, finds 10 new psychoactive substances (NPSs))
- Ketamine specifically reduces cognitive symptoms in depressed patients: An investigation of associated neural activation patterns (n=47, MDD, open-label “… ketamine differentially affects MDD symptoms, with the largest symptom reduction in the cognitive domain.”)
Join our Newsletter
Get the latest research updates sent to your inbox.