Omidian Hossein, Omidian Alborz
Barry and Judy Silverman College of Pharmacy, Nova Southeastern University, Fort Lauderdale, FL 33328, USA.
Department of Psychiatry, Westchester Medical Center, Valhalla, NY 10595, USA.
Pharmaceuticals (Basel). 2025 Apr 9;18(4):555. doi: 10.3390/ph18040555.
Psilocybin, a naturally occurring psychedelic compound, has garnered renewed scientific interest for its potential in treating psychiatric and neurological disorders. This review systematically examines the latest research on psilocybin's pharmacokinetics, pharmacodynamics, clinical efficacy, and safety profile. Emerging evidence supports its efficacy in conditions such as major depressive disorder (MDD), treatment-resistant depression (TRD), anxiety, alcohol use disorders (AUD), and cancer-related distress. Despite promising outcomes, significant barriers remain, including methodological constraints, regulatory hurdles, and limited population diversity in clinical trials. Advances in biosynthetic production and optimized psychotherapeutic integration are necessary to ensure scalability and accessibility. Future research should focus on long-term safety, dosing precision, and neurobiological mechanisms to refine its therapeutic applications. This review provides a critical foundation for advancing evidence-based clinical integration of psilocybin.
裸盖菇素是一种天然存在的致幻化合物,因其在治疗精神和神经疾病方面的潜力而重新引起了科学界的关注。本综述系统地审视了关于裸盖菇素的药代动力学、药效学、临床疗效和安全性的最新研究。新出现的证据支持其在重度抑郁症(MDD)、难治性抑郁症(TRD)、焦虑症、酒精使用障碍(AUD)和癌症相关困扰等病症中的疗效。尽管取得了有前景的成果,但仍存在重大障碍,包括方法学限制、监管障碍以及临床试验中人群多样性有限。生物合成生产的进展和优化的心理治疗整合对于确保可扩展性和可及性是必要的。未来的研究应关注长期安全性、给药精准度和神经生物学机制,以完善其治疗应用。本综述为推进基于证据的裸盖菇素临床整合提供了关键基础。