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Current Neuropharmacology

ISSN 1570-159X

11 papers in the library · 844 citations · publishing 2011-2025

Papers

Ayahuasca: Psychological and Physiologic Effects, Pharmacology and Potential Uses in Addiction and Mental Illness

Current Neuropharmacology March 2, 2018 Jonathan Hamill, Jaime E. C. Hallak, Serdar Dursun et al. 179 citations

Ayahuasca is a traditional Amazonian brew made from Banisteriopsis caapi vine and Psychotria viridis leaves, containing beta-carboline alkaloids and the hallucinogen DMT. Originally used by indigenous shamans for spiritual and healing purposes, it has been incorporated into folk medicine and religious ceremonies in Brazil and is now also used recreationally in Europe and North America. This review summarizes ayahuasca's behavioral and physiological effects, safety profile, proposed mechanisms, and potential clinical uses for psychiatric disorders and addictions. The side effect profile appears relatively mild, but more detailed studies are needed. Some researchers advocate relaxing government regulations to allow comprehensive clinical trials.

Dreams and Psychedelics: Neurophenomenological Comparison and Therapeutic Implications

Current Neuropharmacology June 19, 2017 Rainer Kraehenmann 90 citations

The overlap between dreaming and psychedelic states suggests that psychedelics temporarily produce dreamlike subjective experiences, which may lead to lasting improvements in psychosocial functioning and well-being. Future clinical research should investigate how the acute dreamlike effects of psychedelics relate to therapeutic outcomes.

The Psychedelic Future of Post-Traumatic Stress Disorder Treatment

Current Neuropharmacology January 5, 2024 Tamar Glatman Zaretsky, Kathleen M. Jagodnik, Robert Barsic et al. 73 citations

Post-traumatic stress disorder (PTSD) affects an estimated 12 million U.S. adults, and many remain symptomatic despite standard psychological and pharmacological treatments. Psychedelic compounds—including psilocybin, LSD, DMT, ayahuasca, MDMA, and ketamine—are being studied as potential therapies. This comprehensive review summarizes current PTSD treatments and their shortcomings, then examines clinical studies of psychedelic-assisted therapy for PTSD and related disorders. For each drug, the review covers history, psychological and somatic effects, pharmacology, and safety, along with proposed mechanisms for trauma treatment. It concludes with future directions to maximize therapeutic benefit and minimize risk for individuals and communities affected by trauma.

Effects of MDMA on Extracellular Dopamine and Serotonin Levels in Mice Lacking Dopamine and/or Serotonin Transporters

Current Neuropharmacology March 1, 2011 Yoko Hagino, Yukio Takamatsu, Hideko Yamamoto et al. 64 citations

MDMA increases extracellular dopamine and serotonin in the striatum and prefrontal cortex of mice. In mice lacking both dopamine and serotonin transporters, the dopamine increase in the striatum is absent, while the serotonin increase is greatly reduced. In the prefrontal cortex, MDMA raises dopamine levels regardless of transporter knockout. These findings confirm that MDMA acts on both the dopamine and serotonin transporters to elevate these neurotransmitters.

The Nature of 3, 4-Methylenedioxymethamphetamine (MDMA)-Induced Serotonergic Dysfunction: Evidence for and Against the Neurodegeneration Hypothesis

Current Neuropharmacology March 1, 2011 Dominik K. Biezonski, Jerrold S. Meyer 51 citations

High doses of MDMA (Ecstasy) reduce the expression of serotonergic markers in the forebrains of rats and nonhuman primates, and neuroimaging suggests similar reductions in the serotonin transporter (SERT) in heavy human users. These effects have often been interpreted as a loss of serotonergic fibers and terminals. However, this view is challenged because MDMA usually does not trigger glial cell reactions typical of central nervous system damage. This review addresses both sides of the MDMA-neurotoxicity controversy, including recent data from a rat binge model. The findings implicate neuroregulatory mechanisms underlying MDMA-induced serotonergic dysfunction and question the need to invoke degeneration.

Methylone and Monoamine Transporters: Correlation with Toxicity

Current Neuropharmacology March 1, 2011 Chiharu Sogawa, Norio Sogawa, Kazumi Ohyama et al. 50 citations

Methylone, a synthetic hallucinogenic amphetamine analog similar to MDMA, inhibits the activity of dopamine, norepinephrine, and serotonin transporters in a concentration-dependent manner, with the strongest effect on the norepinephrine transporter, followed by dopamine and then serotonin transporters. Compared to methamphetamine, methylone is less effective at blocking dopamine and norepinephrine transporters but more effective at blocking the serotonin transporter. Methylone alone is not toxic to cells except at high concentrations, but when combined with methamphetamine, it produces a synergistic toxic effect in cells that express monoamine transporters, likely because methylone acts as a transportable substrate that inhibits transporter function.

MDMA (3,4-Methylenedioxymethamphetamine) Analogues as Tools to Characterize MDMA-Like Effects: An Approach to Understand Entactogen Pharmacology

Current Neuropharmacology August 1, 2013 Patricio Sáez‐briones, Alejandro Hernández 41 citations

MDMA (Ecstasy) produces a unique altered state of consciousness called the entactogenic syndrome, described as an open mind state, which may have therapeutic applications in psychotherapy and neuropsychiatric disorders. The pharmacological mechanism involves disruption of monoaminergic neurotransmission, but its full mechanism is not completely understood. Despite many structurally similar molecules, almost no experimental evidence shows that any analogue truly reproduces MDMA's full pharmacological profile, suggesting MDMA may be a pharmacological rarity. This review summarizes MDMA's pharmacology and the evidence from classical MDMA analogues, highlighting the need to develop better analogues.

Ibogaine/Noribogaine in the Treatment of Substance Use Disorders: ASystematic Review of the Current Literature

Current Neuropharmacology October 20, 2022 Alessio Mosca, Stefania Chiappini, Andrea Miuli et al. 30 citations

Ibogaine and noribogaine, psychedelic substances from plants of the Apocynaceae family, show some efficacy in treating substance use disorders, particularly opiate detoxification. However, their use carries concerning risks of cardiotoxicity and mortality. A meta-analysis of side effects found a significant risk of developing headaches after treatment. The evidence, drawn from case reports, randomized controlled trials, open-label studies, surveys, and observational studies, remains unclear on overall efficacy and toxicity. Further research is needed to evaluate therapeutic benefits and safety.

Evolutionary Considerations on the Emerging Subculture of the E-psychonauts and the Novel Psychoactive Substances: A Comeback to the Shamanism?

Current Neuropharmacology December 2, 2016 Laura Orsolini, Paul St John‐smith, Daniel Mcqueen et al. 28 citations

Multiple evolutionary mechanisms—optimal foraging, costly signaling, and reproduction at the expense of health—may jointly explain the recent spread and diffusion of the novel psychoactive substances (NPS) market, representing a reason for concern.

Gender Differences in Suicidal and Self-Harming Responses to Esketamine: A Real-World Retrospective Study

Current Neuropharmacology October 20, 2025 21 citations

A single dose of esketamine quickly reduced suicidal thoughts and depression in people with treatment-resistant depression. Preliminary evidence suggests that men and women may respond differently, indicating that personalized treatment approaches could improve results. More research is needed to confirm these gender differences, examine long-term effects, and understand the biological reasons behind them.