Therapeutic Potential of Psychedelic Compounds for Substance Use Disorders

Preprints.org  – October 17, 2024

Source: OpenAlex

Summary

Psychedelics are re-emerging as powerful therapeutics for substance use disorders, a major challenge in Psychology and Medicine. Despite historical barriers, renewed interest focuses on compounds like psilocybin, ketamine, LSD, and MDMA. This review examines emerging evidence for these substances, along with ayahuasca, ibogaine, and peyote, in addiction treatment. Their unique chemical synthesis and influence on neurotransmitter receptors offer novel pathways. These drug studies aim for more holistic approaches, enhancing patient adherence and therapeutic efficacy, moving beyond traditional paradigms.

Abstract

Psychedelics have recently (re)emerged as therapeutics of high potential for multiple mental health conditions, including substance use disorders (SUDs). Despite early mid-20th century anecdotal reports and pilot studies demonstrating the possibility of these substances in efficaciously treating conditions such as alcohol and opioid use disorders, legal restrictions and social stigma have historically hindered further research into this area. Nevertheless, concurrent with the rise in SUDs and other mental health conditions, researchers have again turned their attention to these compounds, searching for differing pharmacological targets as well as more holistic treatments that might increase patient adherence and efficacy. The aim of this review is to examine the emerging evidence with regards to the therapeutic treatment of SUDs with the psychedelic compounds psilocybin, ketamine, lysergic acid diethylamide (LSD), 3,4-methylenedioxymethamphetamine (MDMA), ayahuasca, ibogaine and peyote.

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