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探索美国和欧洲迷幻剂的监管框架。

Exploring the regulatory framework of psychedelics in the US & Europe.

机构信息

Department of Regulatory Affairs, National Institute of Pharmaceutical Education and Research (NIPER), Hyderabad, Telangana 500037, India.

Department of Pharmacy Practice, Nims Institute of Pharmacy, Nims University Rajasthan, Jaipur, Rajasthan 303121, India.

出版信息

Asian J Psychiatr. 2024 Dec;102:104242. doi: 10.1016/j.ajp.2024.104242. Epub 2024 Sep 17.

Abstract

Psychedelic drug therapy has gained prominence for its potential in treating various mental health conditions, including depression, post-traumatic stress disorder (PTSD), and anxiety. Psychedelic treatment differs from conventional psychiatric approaches in mode of action, legal status, and treatment approach. This work delves into the therapeutic potential, mechanisms, and regulatory approvals of key psychedelic substances like psilocybin, 3,4-Methyl enedioxy methamphetamine (MDMA), mescaline, ketamine, and Lysergic acid diethylamide (LSD). It also provides an overview of legal aspects, and regulations surrounding psychedelics in the US & Europe, emphasizing their Schedule I classification due to potential misuse. The United States Food & Drug Administration (USFDA) closely monitors psychedelics, employing expedited pathways for evaluation. Further, recent guidance from the FDA on considerations for clinical Investigations supports the safe development of psychedelics for human welfare. European Medicines Agency (EMA) regulators focus on atypical psychedelics, addressing challenges in safety and efficacy. Marketed products, such as Spravato nasal spray, face limited distribution due to safety concerns. The call for careful regulation and legislation is essential for harnessing psychedelics' potential for therapeutic benefits and human welfare.

摘要

迷幻药物疗法因其在治疗各种心理健康状况方面的潜力而受到关注,包括抑郁症、创伤后应激障碍(PTSD)和焦虑症。迷幻药物治疗在作用模式、法律地位和治疗方法上与传统精神科方法不同。这项工作深入探讨了关键迷幻物质如裸盖菇素、3,4-亚甲基二氧甲基苯丙胺(MDMA)、mescaline、氯胺酮和麦角酸二乙基酰胺(LSD)的治疗潜力、机制和监管批准。它还概述了美国和欧洲迷幻药物的法律方面和法规,强调由于潜在滥用,它们被归类为附表 I。美国食品和药物管理局 (USFDA) 密切监测迷幻药物,采用加速途径进行评估。此外,美国食品和药物管理局最近发布的关于临床研究考虑因素的指南支持安全开发迷幻药物以造福人类。欧洲药品管理局 (EMA) 的监管机构专注于非典型迷幻药物,解决安全性和疗效方面的挑战。由于安全性问题, marketed 产品,如 Spravato 鼻喷雾剂,其销售范围有限。需要谨慎监管和立法,以充分发挥迷幻药物在治疗效果和人类福利方面的潜力。

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