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Possible Therapeutics Effects of Ayahuasca, a Psychedelic Compound

L. Silva, L. Bravo

European Psychiatry June 1, 2022 DOI: 10.1192/j.eurpsy.2022.2260 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Non-systematic review Randomized Placebo-controlled Double-blind Peer reviewed
Intervention Ayahuasca
Topics Addiction Anxiety Ayahuasca Psilocybin
Keywords Hallucinogen Placebo Psychopathology Pharmacology
Key findings Ayahuasca had a significant antidepressant effect compared to placebo in a randomized controlled trial, and long-term use was not associated with increased psychopathology or worse neuropsychological functioning.

Abstract

Introduction: Ayahuasca is an hallucinogenic tea prepared from the Amazonian vine Banisteriopsis caapi and the leaves of the plant Psychotria Viridis. Banisteriopsis caapi contains monoamine oxidase inhibitors (MAO) that render the N, N-dimethyltryptamine (DMT) of Psychotria Viridis active. This brew is being used as a sacrament in syncretic religions in urban areas of Brazil and worldwide with the purpose of enabling a spiritual experience as well as healing for a variety of conditions such as drug addiction, depression and anxiety disorders.

Objectives: This work aims to provide an understanding on the potential benefits of ayahuasca in psychiatric symptoms, as well as its neuropsychological functioning, neuroimaging and adverse events.

Methods: A non-systematic review was performed on PubMed database and Google Scholar, using the key words “Ayahuasca, Drug Addiction, Psychedelics, DMT, Neuroplasticity”. The review included experimental studies in humans, observational studies, systemic review articles and clinical trials.

Results: In a randomized placebo-controlled trial, ayahuasca had a significant antidepressant effect when compared to the placebo group. Long term ayahuasca usage was associated with structural alterations in the medial parts of the brain with no evidence of increased psychopathology or worse neuropsychological functioning. According to reviewed studies the incident of prolonged psychotic reaction among ayahuasca users is rare and the causal relation with ayahuasca is sometimes difficult to establish.

Conclusions: Despite the promising results, more controlled double-blinded studies with larger populations are necessary to better understand the therapeutic potentials and side effects of ayahuasca. Disclosure No significant relationships.

Comparable studies

Other systematic reviews and meta-analyses on ayahuasca for addiction, most cited first.

Study Year Design Participants
Effects of Ayahuasca and its Alkaloids on Drug Dependence: A Systematic Literature Review of Quantitative Studies in Animals and Humans 2016 Systematic review
Effects of ayahuasca and its alkaloids on substance use disorders: an updated (2016-2020) systematic review of preclinical and human studies. Rodents and humans (healthy ritual ayahuasca users and patients with substance use... 2022 Systematic review n = 9
Psychedelic Treatments for Substance Use Disorder and Substance Misuse: A Mixed Methods Systematic Review Adults with substance use disorder or substance misuse 2023 Systematic review
[Efficacy of psychedelics in psychiatry, a systematic review of the literature]. Patients with psychiatric conditions (anxiety, depression, major depressive disorder,... 2021 Systematic review n = 25
The current state of ayahuasca research in animal models: A systematic review. Rodents, primates, and zebrafish 2023 Systematic review n = 32

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