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Lorena Terene Lopes Guerra

Instituto de Neurociências e Comportamento

5 papers in the library · 6 citations · publishing 2024-2026

Papers

Effects of ayahuasca on fear and anxiety: cross-talk between 5HT1A and 5HT2A receptors

Psychedelics. December 10, 2024 Lorena Terene Lopes Guerra, Rafael G. Dos Santos, Jaime E. C. Hallak 3 citations

Ayahuasca, a hallucinogenic substance, is being studied for treating mood, anxiety, and trauma-related disorders. Evidence from animal and human studies indicates its effects involve modulation of neural substrates relevant for emotional processing, particularly in brain regions rich in serotonergic receptors. Preclinical studies also show ayahuasca has specific effects on fear-related memories. This review examines current data on ayahuasca's behavioral and functional effects on anxiety and fear-related responses through its modulation of serotoninergic signaling.

Clinical pharmacology of ayahuasca: potential applications and future considerations

Expert Review of Clinical Pharmacology October 3, 2025 Lorena Terene Lopes Guerra, Isabella Caroline Da Silva Dias, Jaime E. C. Hallak et al. 2 citations

Whether subjective experience contributes to therapeutic mechanisms of ayahuasca is debated and may depend on the targeted condition. Few controlled studies exist, limiting conclusions on safety and efficacy. Ayahuasca's highly variable composition poses an additional challenge, prompting studies using isolated compounds.

Predicting drug–drug interactions between ayahuasca alkaloids and SSRIs using physiologically based pharmacokinetic modeling

Frontiers in Molecular Biosciences February 18, 2026 Gabriella de Souza Gomes Ribeiro, Beatriz Aparecida Passos Bismara Paranhos, Fabiane Dörr et al. 1 citation

Even modest increases in DMT exposure from ayahuasca may intensify serotonergic effects in individuals taking SSRI antidepressants, suggesting a clinically relevant interaction. The study provides a mechanistic and quantitative framework for assessing interaction risks between ayahuasca alkaloids and SSRIs, supporting clinical decision-making and harm-reduction strategies where controlled drug-drug interaction studies are not feasible.

Effects of ayahuasca on neuropsychological performance and social cognition: A systematic review.

Journal of psychopharmacology (Oxford, England) March 9, 2026 Caio César De Paula, Anna Beatriz Vicentini, Lorena Terene Lopes Guerra et al.

A systematic review of 16 studies found that ayahuasca has distinct short- and long-term cognitive effects. In the short term, improvements in working memory and cognitive flexibility were observed, linked to neurochemical modulation of cortical networks. Observational studies reported increased empathy and emotion recognition, while experimental studies only found reduced reaction times in social cognition tasks. Long-term studies generally found no neuropsychological deficits, with some reporting improved memory and executive function. The review notes methodological limitations including small sample sizes, varied protocols, and potential learning effects, calling for more controlled, randomized studies.

Ayahuasca, Pain, and Inflammation: A Systematic Review of Preclinical Studies

Psychoactives July 15, 2025 Bianca Villanova, Giordano Novak Rossi, Lorena Terene Lopes Guerra et al.

Ayahuasca, a psychoactive brew containing DMT and harmine, may reduce pain and inflammation. A systematic review of 29 preclinical studies found that ayahuasca and its alkaloids, especially harmine, produce antinociceptive effects and shift cytokine balance toward anti-inflammatory. More research is needed.