A scoping review of 16 human and 11 animal studies suggests that classic psychedelics may not increase seizure risk in healthy individuals or animals when used alone, but concomitant use of other substances like kambo or lithium could raise that risk. The evidence is heterogeneous and lacks sufficient external validity, so conclusions should be interpreted cautiously. The review also outlines possible neurobiological mechanisms and future research directions.
This review gathers all available fMRI evidence from psilocybin studies. Twenty unique datasets were identified, five of which included participants diagnosed with depression. Dropout rates were high, and most studies lacked follow-up scanning timepoints. Research has concentrated on the amygdala, anterior cingulate cortex, and prefrontal cortex as key regions involved in psilocybin's effects. However, methods and designs across studies are inconsistent. More research is needed to clarify psilocybin's impact on the human brain and its potential to enhance psychotherapy outcomes.