Journal of Psychopharmacology
November 20, 2023
Andreas Halman, Geraldine Kong, Jerome Sarris et al.
42 citations
A systematic review of 52 studies published before September 2023 examined how classic psychedelics (LSD, psilocybin, mescaline, DMT, 5-MeO-DMT, and ayahuasca) interact with other drugs in humans. When combined with antidepressants, antipsychotics, anxiolytics, mood stabilizers, or recreational drugs, the psychedelics' effects were sometimes weakened, sometimes strengthened, and sometimes unchanged. Except for a few case reports, no serious adverse events were reported. The review maps the potential molecular pathways that may explain these interactions, highlighting a critical gap in knowledge about the safety and outcomes of combining psychedelics with other substances.
PCN reports : psychiatry and clinical neurosciences
December 1, 2023
Simon G D Ruffell, Max Crosland-Wood, Rob Palmer et al.
37 citations
Ayahuasca, a psychedelic plant brew from the Amazon made from Banisteriopsis caapi vine and a DMT-containing plant like Psychotria viridis, has attracted growing interest since the year 2000. This review covers its history, pharmacology, and the phenomenological responses it produces. Anecdotal reports range from positive to accounts of physical and psychological harm. The authors discuss effects on personality and mental health, and examine phenomenological analyses of the experience. They conclude that ayahuasca is a promising psychedelic agent deserving more empirical research into its neurochemical mechanisms and potential therapeutic use.
medRxiv
June 1, 2023
Andreas Halman, Geraldine Kong, Jerome Sarris et al.
17 citations
preprint
Classic psychedelics—LSD, psilocybin, mescaline, and DMT—are powerful psychoactive substances, but little is known about how they interact with other psychoactive drugs. This systematic review screened 8,487 records and identified 50 studies from 34 reports published before April 20, 2023, covering 31 studies on LSD, 11 on psilocybin, 4 on mescaline, 3 on DMT, and 1 on ayahuasca. The findings show that combining these psychedelics with antidepressants, antipsychotics, anxiolytics, mood stabilizers, or recreational drugs can attenuate, potentiate, or produce no change in effects. Except for a few case reports, no serious adverse drug events were reported.
Clinical Pharmacology & Therapeutics
September 30, 2024
Andreas Halman, Rachel Conyers, Claire Moore et al.
13 citations
Genetic variations in drug-metabolizing enzymes, particularly cytochrome P450, can influence the intensity of acute effects from psychedelics like LSD and ibogaine, suggesting that dose reductions may be appropriate for CYP2D6 poor metabolizers. Preclinical evidence also indicates that CYP2D6 metabolizer status might alter psychedelic experiences with 5-MeO-DMT and psilocybin when combined with monoamine oxidase inhibitors. Although evidence is limited, especially for pharmacodynamics, pharmacogenomic testing warrants further investigation to potentially improve safety and personalize psychedelic-assisted therapies for psychiatric conditions.
Annals of the New York Academy of Sciences
September 23, 2024
Jerome Sarris, Andreas Halman, Anna Urokohara et al.
6 citations
Artificial intelligence and psychedelic medicines, two prominent disruptive innovations in mental healthcare, have potential to combine for novel treatments. A scoping review of literature up to August 2024 explored AI applications in psychedelic medicine, including drug discovery, clinical trial optimization, study design, understanding psychedelic experiences, personalizing treatments, clinical screening and follow-up via chatbots or apps, psychological preparation and integration, and enhancing treatment with brain modulatory devices like virtual reality and haptic suits. Challenges include data protection and ethical safeguards. Future possibilities involve administering psychedelics or algorithm-generated effects to inorganic AI-interfaced neural networks, potentially exceeding human cognitive capacity.
Journal of psychoactive drugs
November 23, 2024
Daniel Perkins, Jerome Sarris, Tessa Cowley-Court et al.
5 citations
People who consume ayahuasca in naturalistic settings—religious, traditional, or non-traditional—report better current mental health and greater psychological well-being, according to a large online survey of 7,576 participants from over 50 countries. More lifetime ayahuasca uses were linked to better mental health scores, and this association remained strong even after accounting for other factors and did not fade over time. Strong mystical experiences, self-insights, and community or social support were also tied to better mental health and well-being, whereas acute extreme fear during sessions and difficulty integrating the experience were linked to poorer outcomes. These patterns held for individuals both with and without a history of mental illness.
February 21, 2023
Simon Ruffell, Nigel Netzband, WaiFung Tsang et al.
3 citations
preprint
Ayahuasca, a psychedelic brew from the Amazon Rainforest made from the Banisteriopsis caapi vine and a DMT-containing plant like Psychotria viridis, has seen a surge in global interest since 2000. This review covers its history, pharmacology, and phenomenological effects, as well as clinical applications. Tourists increasingly travel to the Amazon to consume it, and retreat centers offering plant medicine have become a thriving business. Anecdotal reports range from evangelical accounts to stories of physical and psychological harm. The brew shows promise as a psychedelic agent warranting more empirical research into its neurochemical mechanisms and therapeutic uses.
Scientific reports
November 20, 2025
Daniel Perkins, Andreas Halman, Anna Urokohara et al.
Acute subjective experiences induced by psychedelics, particularly mystical experiences, are linked to therapeutic benefits such as reduced depression, anxiety, and addiction. This study assessed a purified encapsulated DMT-harmala alkaloid product in 17 dosing sessions with 9 healthy volunteers. Strong positive correlations were found between total dose and scores on mystical experience questionnaires (MEQ-30 and SIME). The formulation reliably produced intense subjective experiences, exceeding those reported in most naturalistic ayahuasca studies, and these experiences were robustly associated with beneficial persisting psychological effects. The findings suggest this formulation warrants further clinical trials to evaluate its therapeutic potential and safety.