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Rafael G. Dos Santos

Universidade de São Paulo, Clinics Hospital of Ribeirão Preto

90 papers in the library · 5,039 citations · publishing 0-2026

Papers

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Psychedelics and Sleep: Preclinical and Human Studies—A Systematic Review

Psychiatry and Clinical Psychopharmacology October 11, 2026 Kim Supit, Giordano N. Rossi, José Augusto S. Reis et al.

Background: Classic psychedelics, including LSD, psilocybin, and N,N-dimethyltryptamine (DMT)/ ayahuasca, have shown promise as rapid-acting treatments for psychiatric disorders. Because sleep plays a central role in emotional regulation and neuroplasticity, psychedelic-induced changes in sleep architecture are of interest.Methods: A systematic review was conducted following PRISMA guidelines....

Ibogaine as a Double-Edged Sword: Developmental Cardiotoxicity and Neurobehavioral Alterations in Zebrafish

Behavioural Brain Research August 1, 2026 Alessandra Mara de Oliveira, Flavia R. Abe, Rafael G. Dos Santos et al.

Ibogaine has attracted increasing attention as a potential treatment for substance use disorders; however, its clinical application remains limited by well-documented cardiotoxicity, and its safety during early development is poorly understood. Here, we investigated the developmental cardiotoxic and neurobehavioral effects of ibogaine using zebrafish embryos and larvae as a translational model....

Prophylactic efficacy of cannabidiol and sodium nitroprusside in a ketamine model of schizophrenia: sex-dependent effects on positive-like and cognitive impairments

Brazilian Journal of Psychiatry June 16, 2026 Daniel B.a. Prado, Matheus T. Rossignoli, Rafael N. Ruggiero et al.

Objective: Current treatments for schizophrenia (SZ) are often not effective for all symptoms, with sex-dependent effects poorly understood. Cannabidiol (CBD) and sodium nitroprusside (SNP) have emerged as potential prophylactic options. We evaluated their efficacy in preventing positive, negative, and cognitive deficits in a ketamine (KET) rodent model of SZ in both sexes. Methods: Wistar rats...

Classic psychedelics and personality: An updated systematic review.

Journal of Psychopharmacology May 31, 2026 Anna Beatriz Vicentini, Caio César De Paula, José Augusto Silva Reis et al.

The impact of classic psychedelics (5-HT2A receptor agonists) on personality traits has been studied for decades, and it has been hypothesized that the mechanisms underlying these changes are linked to agonism at cortical serotonergic 5-HT2A receptors. However, research results are contradictory. Therefore, the present paper aims to systematically evaluate the effects of psychedelics on...

DOI: 10.1177/02698811261449386 (opens in new tab) Full text (opens in new tab) 5-ht2a receptor agonists Classic psychedelics Personality traits Systematic review

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

Journal of Psychopharmacology March 9, 2026 Caio César De Paula, Anna Beatriz Vicentini, Lorena Terene Lopes Guerra et al.

Ayahuasca has aroused increasing interest due to its therapeutic effects. However, its effects on cognition are poorly understood. Hence, a systematic review evaluating the cognitive effects of ayahuasca was conducted. This systematic review was conducted in accordance to Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. A comprehensive search was performed in...

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

The findings suggest a clinically relevant interaction between ayahuasca and SSRIs, as even modest increases in DMT exposure may intensify serotonergic effects in individuals receiving antidepressant therapy. This study provides a mechanistic and quantitative framework for assessing interaction risks between ayahuasca alkaloids and SSRIs, supporting clinical decision-making and harm-reduction...

Personality, not cognition, distinguishes chronic ayahuasca and cannabis users from non-users

European Neuropsychopharmacology February 12, 2026 José Carlos Bouso, Óscar Andión, Sabela Fondevila Estévez et al.

The increasing interest in the therapeutic potential of psychedelics and cannabis underscores the need to understand their long-term neuropsychological and personality effects. This cross-sectional study compared regular users of ayahuasca (n = 69), cannabis (n = 56), and non-substance users (n = 94) on a battery of neuropsychological tasks and psychological questionnaires. Participants were...

Ayahuasca modulation of traumatic-like fear memories requires infralimbic cortex BDNF-dependent mechanisms in rats.

European Neuropsychopharmacology February 1, 2026 Isabel Werle, Francisco S Guimarães, Rafael G. Dos Santos et al.

Rodent studies have shown that psychedelic drugs can enhance fear extinction. However, investigations to date have relied on normative aversive conditioning procedures, which limit their relevance to trauma-related memories, as these tend to be overgeneralized and resistant to extinction. Fear extinction depends on activity and plasticity within the infralimbic (IL) region of the medial...

Feasibility, safety and preliminary effects of ibogaine in patients with moderate and severe alcohol use disorder: a pilot, open-label study

Trends in Psychiatry and Psychotherapy 2026 Juliana Mendes Rocha, Renan Massanobu Maekawa, José Augusto Silva Reis et al.

INTRODUCTION: Ibogaine is a natural hallucinogen with emerging evidence for treating substance use disorders. However, its cardiovascular effects are not fully known, and most clinical data focus on opioid dependence, with limited data for Alcohol Use Disorder (AUD). This study assessed the feasibility, safety, and preliminary effects of ibogaine in patients with AUD. METHOD: In this...

DOI: 10.47626/2237-6089-2026-1437 (opens in new tab) Alcohol consumption Alcohol intake Medline Adverse effect

Psychedelic-induced behavioral and developmental effects on zebrafish: a systematic review.

Progress in Neuro-Psychopharmacology and Biological Psychiatry October 20, 2025 Arthur L. De Oliveira, Danielle P. De Oliveira, Rafael G. Dos Santos et al.

Psychedelics are mind-altering substances that have shown promising effects in the treatment of neuropsychiatric disorders owing to their antidepressant, anxiolytic and antiaddictive effects. However, data on their developmental toxicity is scarce, which might hinder its therapeutic suitability, and preclinical data on their behavioral effects is mainly restricted to rodents. In this context,...

DOI: 10.1016/j.pnpbp.2025.111534 (opens in new tab) Zebrafish Psychedelics Behavior Development +1

The Ibogaine Experience Scale (IES): Development and psychometric properties of a multidimensional measure of ibogaine’s subjective effects

PLoS One October 13, 2025 Francisco González-espejito, Laura Esteban Rodríguez, Eduardo J. Pedrero Pérez et al.

Ibogaine, an indole alkaloid derived from the root bark of Tabernanthe iboga, has long been used in traditional Bwiti healing rituals and shows promise for treating opioid dependence and neurological conditions, but existing psychometric tools fail to capture its distinctive subjective/oneiric (dream-like) effects. To address this gap, we developed the 70-item Ibogaine Experience Scale (IES)...

DOI: 10.1371/journal.pone.0333296 (opens in new tab) Psychometrics Exploratory factor analysis Scale ratio Internal consistency +6

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

Similar to what happens with other psychedelics, there is an ongoing debate on subjective experience contribution to overall therapeutic mechanisms, which can depend on the targeted conditions. There are very few evidences from controlled studies, limiting the conclusions on safety and efficacy. On top of that, ayahuasca highly variable composition posits another challenge, and studies using...

DOI: 10.1080/17512433.2025.2577726 (opens in new tab) Clinical pharmacology Limiting Safety pharmacology Systems pharmacology +5

Comparative effects of ayahuasca and breathwork on self-reported cognitive flexibility, emotion regulation, positive affect, and sleep quality

Journal of Psychedelic Studies September 4, 2025 Giordano Novak Rossi, Rishma S. I. Khubsing, Eline Haijen et al.

Abstract Background and aims Research on classical psychedelics like ayahuasca is increasingly focused on treating mental disorders and enhancing well-being. Ayahuasca has shown promise in improving cognitive flexibility, emotion regulation, and sleep, though findings are mixed and further research is needed. This study tracked participants over three months, assessing cognitive flexibility,...

DOI: 10.1556/2054.2025.00440 (opens in new tab) Ayahuasca Affect linguistics Flexibility engineering Sleep quality +6

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.

Pain is a protective mechanism that can be classified into acute and chronic types. Ayahuasca is a psychoactive brew rich in dimethyltryptamine or DMT (a 5-HT2A receptor agonist), and harmine (a monoamine-oxidase (MAO) inhibitor) used for religious and therapeutic purposes. Previous preclinical and anecdotal evidence suggests that ayahuasca and its compounds have antinociceptive and...

Adverse Effects and Safety of Antidepressants and Psychedelics for Depression in Cancer: A Systematic Review of Randomized Controlled Trials

Psychoactives March 4, 2025 Renan Massanobu Maekawa, Lorena T. L. Guerra, José Carlos Bouso et al.

Depression is common among patients suffering from cancer, but is often challenging to diagnose due to the overlap of symptoms with cancer and its treatments. Additionally, treating depression in cancer patients is challenging because of the confusion between the adverse effects of antidepressants, cancer treatments, and cancer symptoms. This study aims to evaluate the safety and adverse...

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 is a hallucinogenic substance currently being investigated for the treatment of mood, anxiety, and trauma-related disorders. Evidence from animal and human studies suggest that the effects of ayahuasca involve modulation of neural substrates relevant for emotional processing, especially in regions rich in serotonergic receptors. Moreover, preclinical studies also show that ayahuasca...

Why N,N-dimethyltryptamine matters: unique features and therapeutic potential beyond classical psychedelics.

Frontiers in Psychiatry November 6, 2024 Cristiano Chaves, Rafael G. Dos Santos, Serdar Dursun et al. 11 citations

The "wine of jurema", used in ancient Brazilian shamanic rituals, is rich in N,N-dimethyltryptamine (DMT), a naturally occurring tryptamine like serotonin and melatonin. Widely found in plants and animals, DMT is the main component of some botanical tisanes used for centuries as a channel of communication with the otherworld (1, 2). Despite being classified as a "classical psychedelic” (2-4),...

DOI: 10.3389/fpsyt.2024.1485337 (opens in new tab) Full text (opens in new tab) Psychedelics Mental health treatment Pharmacology Therapeutic research

Ayahuasca-enhanced extinction of fear behaviour: Role of infralimbic cortex 5-HT2A and 5-HT1A receptors.

British Journal of Pharmacology June 1, 2024 Isabel Werle, Laura M M Nascimento, Aymee L A Dos Santos et al. 21 citations

Ayahuasca (AYA) is a botanical psychedelic with promising results in observational and small clinical trials for depression, trauma and drug use disorders. Its psychoactive effects primarily stem from N,N-dimethyltryptamine (DMT). However, there is a lack of research on how and where AYA acts in the brain. This study addressed these questions by examining the extinction of aversive memories in...

Guidelines for Establishing Safety in Ayahuasca and Ibogaine Administration in Clinical Settings

Psychoactives December 11, 2023 Juliana Mendes Rocha, José Augusto Silva Reis, Giordano Novak Rossi et al. 3 citations

As the research field with psychedelic substances grows, it is expected to encompass a more extensive cohort of individuals presenting a spectrum of medical conditions, comorbidities, and unique physiological traits, thereby increasing the likelihood of potential adverse events. Furthermore, it is worth noting that there is a scarcity of the specialized literature regarding procedures to ensure...

DOI: 10.3390/psychoactives2040024 (opens in new tab) Ayahuasca Guideline Clinical trial Adverse effect +1

Main targets of ibogaine and noribogaine associated with its putative anti-addictive effects: A mechanistic overview.

Journal of Psychopharmacology December 1, 2023 Genís Ona, Ingrid Reverte, Giordano N. Rossi et al. 20 citations

There is a growing interest in studying ibogaine (IBO) as a potential treatment for substance use disorders (SUDs). However, its clinical use has been hindered for mainly two reasons: First, the lack of randomized, controlled studies informing about its safety and efficacy. And second, IBO's mechanisms of action remain obscure. It has been challenging to elucidate a predominant mechanism of...

DOI: 10.1177/02698811231200882 (opens in new tab) Full text (opens in new tab) Noribogaine Hallucinogen Substance use disorders Ibogaine therapy: ibogaine +10

Subjective Effects of a Single Dose of Ayahuasca among College Students with Harmful Alcohol Use: Qualitative Analysis of Participant Accounts

Psychoactives November 17, 2023 Anna Beatriz Vicentini, Lucas Silva Rodrigues, Giordano Novak Rossi et al. 4 citations

Alcohol is the recreational drug most frequently consumed, and its high frequency of use can lead to worsening social, psychological, and domestic issues. The age group most susceptible to alcohol dependence is 18- to 24-year-old youths, demanding interventional tools to target early involvement risks. Ayahuasca seems to be a promising therapeutic tool since evidence suggests it presents...

Identifying setting factors associated with improved ibogaine safety: a systematic review of clinical studies.

European Archives of Psychiatry and Clinical Neuroscience October 1, 2023 Juliana Mendes Rocha, José A S Reis, José Carlos Bouso et al. 21 citations

Ibogaine is a psychoactive alkaloid derived from the west-African shrub Tabernanthe iboga. Western cultures are increasing the interest for the substance due to its claimed anti addictive properties, although the evidence supporting this effect is still preliminary. The use of ibogaine often occurs with no medical supervision in uncontrolled settings, and its use has been associated with...

DOI: 10.1007/s00406-023-01590-1 (opens in new tab) Full text (opens in new tab) Noribogaine Ibogaine safety Controlled medical setting Clinical studies

Longitudinal and transcultural assessment of the relationship between hallucinogens, well-being, and post-traumatic growth during the COVID-19 pandemic

Scientific Reports September 11, 2023 José Carlos Bouso, Dóra Révész, Genís Ona et al. 9 citations

The COVID-19 pandemic has had a devastating impact on the health and wellbeing of the global population. This paper presents the results of a longitudinal transcultural study that was begun at the peak of the pandemic (in April, 2020). An online survey was used to collect data from English-, Spanish-, and Portuguese-speaking participants. The survey collected information about...

DOI: 10.1038/s41598-023-41199-x (opens in new tab) Full text (opens in new tab) Hallucinogen Psychopathology Pandemic Portuguese +5

Hallucinations and Hallucinogens: Psychopathology or Wisdom?

Culture, Medicine, and Psychiatry June 1, 2023 José Carlos Bouso, Genís Ona, Maja Kohek et al. 8 citations

Hallucinations are currently associated almost exclusively with psychopathological states. While it is evident that hallucinations can indicate psychopathology or neurological disorders, we should remember that hallucinations also commonly occur in people without any signs of psychopathology. A similar case occurs in the case of hallucinogenic drugs, which have been long associated with...

DOI: 10.1007/s11013-022-09814-0 (opens in new tab) Full text (opens in new tab) Hallucinations Hallucinogens Ontology Psychedelics +2

Neural Network Modulation of Ayahuasca: A Systematic Review of Human Studies

Psychoactives March 20, 2023 Guilherme Henrique de Morais Santos, Lucas Silva Rodrigues, Juliana Mendes Rocha et al. 6 citations

Background: Ayahuasca is a serotoninergic hallucinogen that plays a central role in the Amazonian traditional medicine. Its psychoactive effects are associated with the presence of N,N-dimethyltryptamine (DMT), and monoamine oxidase inhibitors (MAO-A). Advances in neuroimaging investigations have provided insight into ayahuasca’s neurobiological mechanisms of action. Methods: Selecting only...