Up-to-Date on clinical and preclinical studies of psilocybin therapy
Folia Pharmacologica Japonica – June 30, 2024
Source: OpenAlex
Summary
Psilocybin, a compound from magic mushrooms, offers rapid, lasting antidepressant effects for 30-40% of patients resistant to standard internal medicine treatments. This breakthrough in Psychedelics and Drug Studies highlights the therapeutic potential of this naturally occurring alkaloid. Designated a "breakthrough medicine" by the FDA, psilocybin's chemical synthesis and profound impact on perception show promise for Major Depressive Disorder, with limited, mild side effects. Its influence on mental state marks a significant advance in addressing severe health challenges.
Abstract
Major Depressive Disorder (MDD) poses a significant global health burden, with 30-40% patients developing resistance to standard clinical antidepressants, such as selective serotonin reuptake inhibitors and tricyclic antidepressants. In 2016, Carhart-Harris and colleagues reported that psilocybin, the hallucinogenic compound derived from magic mushrooms, exhibits rapid and enduring antidepressant effects in patients with treatment-resistant depression. Subsequent clinical studies have found the therapeutic potential of psilocybin in MDD, depressive episode in bipolar disorder, anorexia, and drug addiction. In 2018 and 2019, the U.S. Food and Drug Administration designated psilocybin as a "breakthrough medicine" for treatment-resistant depression and MDD, respectively. Notably, the side effects of psilocybin are limited to transient and mild issues, such as headache and fatigue, suggesting its safety. In 2023, we published a review on the role of serotonin 5-HT2A receptors in the antidepressant effects of serotonergic psychedelics (Nihon Yakurigaku Zasshi, Volume 158, Issue 3, Page 229-232). Here, we present our study alongside the latest clinical and preclinical research on the antidepressant effects of psilocybin and provide an overview of the potential and issues related to psilocybin therapy.