Skin on Drugs: Psychotropic Compounds in Cutaneous Biology
M. Fernández‐guarino, Nicolás Yagüe-septién, Laura Marín-ochoa, María Luisa Hernández‐bule, Stefano Bacci, Ana Banzo, Daniel Peña-jiménez
International Journal of Molecular Sciences June 26, 2026 Peer reviewed DOI: 10.3390/ijms27135808 via OpenAlex
Summary
Psychotropic compounds, including cannabinoids and antidepressants like fluoxetine, show significant effects on skin health through neurochemical and immune pathways. Cannabinoids can reduce inflammation and promote anti-aging when applied topically. Fluoxetine may help in allergic conditions and enhance wound healing. Psychedelics, particularly psilocybin, could influence aging and immune responses, with evidence suggesting they prevent UV damage and reduce aging markers. These findings emphasize the potential of these compounds in dermatological treatments.
Study at a glance
| Key finding | Cannabinoids and fluoxetine demonstrate therapeutic potential for skin health, while psychedelics may influence aging and immune modulation. |
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Abstract
Recent evidence reveals that several psychotropic compounds exert significant biological effects on the skin through neurochemical and immunomodulatory pathways. Cannabinoids such as tetrahydrocannabinol (THC) show potent anti-inflammatory, antipruritic, and anti-aging properties when applied topically, and may hold therapeutic potential. Antidepressants, particularly fluoxetine (Prozac), have been shown to regulate the expression of pro-inflammatory cytokines in keratinocytes, suggesting benefits applied in allergic pathologies. Additionally, fluoxetine promotes wound healing and cell regeneration, indicating broader dermatological applications. Psychedelics, acting as serotonin receptor agonists (5-HTR), may influence cellular aging and immune modulation via the serotonergic system. Studies report that 5-HT receptor agonists can prevent UV-induced photocarcinogenesis, while psilocybin has been observed to reduce aging markers in human fibroblasts. Furthermore, recent data suggests that psilocin may alleviate acute itch involving the kynurenine pathway. These findings highlight the emerging relevance of psychoactive compounds in cutaneous biology, bridging neuropharmacology and dermatology toward novel therapeutic strategies.