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Psilocybin as a Serotonergic Therapy in Epilepsy: Narrative Review of Therapeutic Potentials and Seizure Risks

Miguel Benjamín Cervera-Sánchez, Daniel San-Juan, Roberto Díaz-peregrino, Evelin Zulema Camacho-Castillo, Sthefany Anahi Bringas-Ortiz, Christian Padilla-Cabezutd

December 29, 2025 DOI: 10.22541/au.176701186.65064859/v1 via OpenAlex

Summary

AI-generated from the abstract

Psilocybin shows promise for treating neuropsychiatric disorders, but its relationship with seizures and epilepsy is paradoxical. A narrative review of literature up to November 2025 examined this connection. The review suggests that while psilocybin may have therapeutic potential, its effects on seizure activity are complex and not fully understood, requiring further investigation to clarify risks and benefits.

Study at a glance

Characteristics Narrative review
Topics Psilocybin Serotonin
Keywords Narrative review Medicine Psychotherapist
Key finding Psilocybin presents a paradoxical relationship with seizures and epilepsy, indicating both potential therapeutic effects and risks that are not yet fully understood.

Abstract

Background: Psilocybin has shown promise in neuropsychiatric disorders but presents a paradoxical relationship with seizures and epilepsy. Methods: A narrative review was conducted up to November 23, 2025. We conducted structured literature searches a

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