Psychedelics: Threshold of a Therapeutic Revolution

Neuropharmacology  – May 27, 2023

Source: OpenAlex

Summary

Remarkable progress in just five years has transformed the landscape for psilocybin, a potent hallucinogen, in Medicine. Psychiatry and Psychology are exploring its therapeutic potential, with the FDA granting two breakthrough therapy designations for conditions like major depression. Ongoing Psychedelics and Drug Studies are evaluating psilocybin for cancer-related Anxiety and other disorders. This reflects growing understanding of how these chemical compounds influence neurotransmitter receptors, offering new avenues for psychotherapists. The global implications for mainstream therapies are significant, moving these alkaloids from bench to bedside.

Abstract

This Special Issue of Neuropharmacology on psychedelics provides a timely and comprehensive update on progress following the previous Neuropharmacology Special Issue "Psychedelics: New Doors, Altered Perceptions". Remarkable advances have been made in basic and clinical research on psychedelics in the five years since 2018. It is partly based on the seminar series focused on psilocybin organized by the National Institutes of Health (NIH), USA from April to June 2021, the "NIH Psilocybin Research Speaker Series". Participants were world leading experts, including scientists, medical practitioners, clinical psychologists and oncologists, and attendees from additional disciplines of patient advocacy, law, government science policy and regulatory policy. To provide a global perspective, their contributions are complemented with reviews by some of the world's most eminent scientists in the field. The US Food and Drug Administration (FDA) has granted two breakthrough therapy designations for psilocybin in treatment resistant depression (TRD) in 2018 and major depressive disorder (MDD) in 2019, as well as for MDMA for the treatment of post-traumatic stress disorder (PTSD) in 2017. Clinical trials are in progress to assess the therapeutic value of psilocybin in MDD and TRD, and in other indications such as cancer-related anxiety and depression, anorexia, PTSD, substance use disorders and various types of chronic pain. The contributors' insights should assist basic and applied science for transition of psychedelics from bench to potential mainstream therapies. The implications are global, because FDA approval of these new medicines will increase international interest and efforts.

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