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A review of psilocybin: chemistry, clinical uses and future research directions

Eliza Milliken, Peter Galettis, Jenny Martin

Australian Journal of Chemistry May 16, 2023 DOI: 10.1071/ch23010 via OpenAlex

Summary

AI-generated from the abstract

Classic psychedelics like psilocybin, ketamine, and LSD activate 5HT2A serotonin receptors and produce individualized subjective effects. Public interest in psychedelic medicine is high, but clinical evidence remains limited. Psilocybin and psilocin are tryptophan-based alkaloids found in several mushroom genera. This review covers the current evidence for psilocybin as a clinical medicine, its chemistry, proposed therapeutic mechanism, and future research directions for psilocybin-based therapies.

Study at a glance

Characteristics Review Peer reviewed
Topics LSD Psilocybin
Keywords Hallucinogen Chemistry Pharmacology
Citations 4
Key finding Psilocybin is a 5HT2A serotonin receptor agonist with potential clinical applications, but evidence for benefit still lags behind public interest.

Abstract

Classic psychedelics such as psilocybin, ketamine and lysergic acid diethylamide (LSD) are 5HT2A serotonin receptor agonists that produce individualised subjective affects. Today, public interest in psychedelic medicine has reached a fervour but the evidence for clinical benefit still lags. Psilocybin and psilocin are tryptophan based alkaloids found worldwide in mushrooms of the genera Psilocybe, Panaeolus, Conocybe, Gymnopilus, Stropharia,Pluteus and Panaeolina. This review addresses the current evidence base for psilocybin as a clinical medicine, the general chemistry and proposed mechanism of its therapeutic effect and future research directions for psilocybin based therapies.

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