ALSUntangled #77: Psilocybin
Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration – December 22, 2024
Source: OpenAlex
Summary
Despite psilocybin, a naturally derived hallucinogen and alkaloid, showing plausible neurological mechanisms influencing neurogenesis and inflammation, zero pre-clinical models, case reports, or trials currently support its use in medicine for ALS. While its action on neurotransmitter receptors could influence behavior, significant psychological side effects, including hallucinations, pose high risks. Given this, and its historical context in drug studies, psilocybin isn't currently supported for ALS therapy, even with potential psychiatric or psychotherapist guidance.
Abstract
ALSUntangled reviews alternate and off-label treatments prompted by patient interest. Here, we review psilocybin, a chemical derived from mushrooms and belonging in the category of drugs known as psychedelics. Psilocybin has plausible mechanisms for slowing ALS progression because of its ability to cross the blood brain barrier and effect neurogenesis and inflammation. Currently, there are no pre-clinical ALS models, case reports, or trials for psilocybin and ALS in the context of disease modifying therapy. Depending on dosing, there can be a high risk of psychological side effects including hallucinations and physical harm. Based on the above information, we do not currently support the use of psilocybin as a means to slow ALS progression.