Ayahuasca for the Treatment of Depression.
Fernanda Palhano-Fontes, Bruno Lobão‐soares, Nicole Leite Galvão‐coelho, Emerson Arcoverde, Draulio B Araujo
Current Topics in Behavioral Neurosciences 2022 DOI: 10.1007/7854_2021_277 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Review Randomized Placebo-controlled Peer reviewed |
|---|---|
| Topics | Ayahuasca Depression DMT |
| Keywords | Maoi Monoamine oxidase inhibitors N,N-Dimethyltryptamine |
| Citations | 25 |
| Key findings | Ayahuasca produces significant and rapid antidepressant effects, starting as early as one day after intervention. |
Abstract
Ayahuasca, the vine of the souls in Quechua, is a psychedelic brew with a few formulations that most often include the bark of a liana in the Malpighiaceae family (Banisteriopsis caapi), with leaves from a shrub in the coffee family Rubiaceae (Psychotria viridis). Mixed with water and boiled for hours or days, it produces a brownish-colored liquid with a strong and characteristic taste. Ayahuasca contains the psychedelic tryptamine N,N-Dimethyltryptamine (DMT), and Monoamine Oxidase Inhibitors (MAOi), and in the past few years, it has been tested. In recent years its antidepressant properties have been put to the test. Evidence from open and randomized placebo-controlled clinical trials has shown encouraging results, indicating significant and rapid antidepressant effects, starting as early as 1 day after the ayahuasca intervention. In addition, we have explored the nature of these effects using multivariate measures. In this article, we will review the history, pharmacology, clinical trials, and clinical and behavioral markers associated with the antidepressant effects of ayahuasca.
In the evidence
This study is part of the evidence base for a synthesis in the library. Here is how each one recorded it.
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Open and randomized placebo-controlled ayahuasca trials show significant and rapid antidepressant effects starting as early as one day after intervention.
Synthesized
Comparable studies
Other narrative reviews on DMT for depression, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Registered clinical studies investigating psychedelic drugs for psychiatric disorders. Registered clinical trials on clinicaltrials.gov evaluating psychedelics for... | 2021 | Review | n = 70 |
| Role of Psychedelics in Treatment-Resistant Depression. | 2023 | Review | |
| Psilocybin and Other Classic Psychedelics in Depression. | 2024 | Review | |
| Benefits and Challenges of Ultra-Fast, Short-Acting Psychedelics in the Treatment of Depression | 2025 | Review | |
| A Brief Review on the Potential of Psychedelics for Treating Alzheimer’s Disease and Related Depression | 2023 | Review |
Citations in the library
Cited by 22
- Ayahuasca's therapeutic potential: What we know - and what not. European Neuropsychopharmacology 2023
- Therapeutic setting as an essential component of psychedelic research methodology: Reporting recommendations emerging from clinical trials of 3,4-methylenedioxymethamphetamine for post-traumatic stress disorder Frontiers in Psychiatry November 3, 2022
- Where do we go next in antidepressant drug discovery? A new generation of antidepressants: a pivotal role of AMPA receptor potentiation and mGlu2/3 receptor antagonism Expert Opinion on Drug Discovery August 8, 2022
- The current state of ayahuasca research in animal models: A systematic review. Progress in Neuro-Psychopharmacology and Biological Psychiatry July 13, 2023
- The Antidepressant Effects of Vaporized N,N-Dimethyltryptamine: An Open-Label Pilot Trial in Treatment-Resistant Depression. Psychedelic Medicine March 1, 2025
and 17 more in the library
Cites 48
- Psilocybin produces substantial and sustained decreases in depression and anxiety in patients with life-threatening cancer: A randomized double-blind trial Journal of Psychopharmacology November 30, 2016
- Rapid and sustained symptom reduction following psilocybin treatment for anxiety and depression in patients with life-threatening cancer: a randomized controlled trial Journal of Psychopharmacology November 30, 2016
- Psilocybin with psychological support for treatment-resistant depression: an open-label feasibility study. The Lancet Psychiatry May 17, 2016
- Effects of Psilocybin-Assisted Therapy on Major Depressive Disorder JAMA Psychiatry November 4, 2020
- Psilocybin-assisted treatment for alcohol dependence: A proof-of-concept study Journal of Psychopharmacology January 13, 2015
and 43 more in the library