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Article: The global regulatory landscape for psychedelic drugs

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Jessica Riggleman, Owner of Raeco, LLC, examines the global regulatory landscape for psychedelic drugs, with a particular focus on Schedule I classification

Depending on the country and specific drug, the global regulatory landscape for psychedelic drugs is complex and variable. Generally, most countries regulate psychedelic drugs as controlled substances, with varying degrees of legal and medical restrictions on their use, possession, and distribution.

Canada

Psychedelic drugs are regulated under Canada’s Controlled Drugs and Substances Act, which restricts their use, possession, and distribution. However, Health Canada has recently begun to grant exemptions for using psilocybin in end-of-life care and research purposes.

Europe & The United Kingdom

In Europe, the regulatory landscape for psychedelic drugs varies by country.
In the Netherlands, for example, some psychedelic mushrooms are legal to possess and use under certain circumstances. In most other countries, they are regulated as controlled substances. In the United Kingdom, psilocybin is a Schedule I drug, although there are growing calls for its reclassification to allow for therapeutic use.

South America

In South America, traditional indigenous use of psychedelic plants such as ayahuasca is legal and widely practiced, although the use of these substances outside of traditional contexts is typically prohibited.

The United States

Psychedelic drugs such as lysergic acid diethylamide (LSD), psilocybin, and 3,4 Methylenedioxymethamphetamine (MDMA) are classified as Schedule I substances under the Controlled Substances Act, indicating that they have a high potential for abuse and no accepted medical use. However, some states have recently passed laws allowing for the therapeutic use of these drugs under certain circumstances.

Deep Dive into psychedelic regulation: Schedule I classification

Overall, the global regulatory landscape for psychedelic drugs is complex and evolving, with increasing recognition of their potential therapeutic benefits and growing calls for their reclassification and increased access for medical and research purposes. However, significant legal and regulatory barriers remain, particularly in countries where these drugs are classified as Schedule I substances with no accepted medical use.

The U.S. Food and Drug Administration (FDA) has not approved any psychedelic drugs for therapeutic use except for ketamine, which is approved for treatment-resistant depression. Ketamine is often classified as a dissociative anesthetic, rather than a classical psychedelic like LSD or psilocybin. However, it does have some psychedelic properties, particularly at higher doses. There has been growing interest in the potential therapeutic benefits of psychedelic drugs such as psilocybin, MDMA, and LSD for various mental health conditions, including depression, anxiety, addiction, and post-traumatic stress disorder.

The FDA regulates drugs based on their intended use, and the approval process typically involves several stages, including preclinical research, clinical trials, and review processes.
For psychedelic drugs, the regulatory pathway is complicated by their Schedule I classification under the Controlled Substances Act, which means that they are considered to have a high potential for abuse and no accepted medical use.

Protecting against the abuse of psychedelic drugs

The potential for abuse of psychedelic drugs is influenced by a number of factors, including the dose, the route of administration, the setting in which the drug is used, and the individual’s past experiences and expectations. In a controlled therapeutic setting, the risk of abuse is generally considered to be low, as the drugs are administered under careful supervision and in a supportive environment.

The Schedule I classification of psychedelic drugs poses significant challenges to their development and research as potential therapeutics. The Controlled Substances Act of 1970 classifies Schedule I drugs as substances with a high potential for abuse, no accepted medical use, and a lack of accepted safety for use under medical supervision. This classification imposes several restrictions and barriers to the development of psychedelic drugs as therapeutics.

The Schedule I classification restricts the availability of these drugs for research purposes. Researchers must apply for a special license from the Drug Enforcement Administration (DEA) to conduct studies with Schedule I drugs, and the application process can be lengthy and cumbersome. This creates a significant barrier to entry for researchers who want to study the therapeutic potential of these drugs.

There is limited funding available for research into these drugs. Some government agencies are generally prohibited from funding research into Schedule I drugs, which limits the available resources for studying their potential therapeutic effects.

This classification imposes additional regulatory requirements on drug developers who want to bring psychedelic drugs to market as therapeutics. The FDA requires a higher level of evidence for drugs in Schedule I compared to those in other schedules, which can make the approval process more difficult and time-consuming.

Schedule I classification closing thoughts on the regulatory landscape for psychedelic drugs

Finally, the Schedule I classification carries a significant stigma and cultural baggage, which can make it more difficult to conduct research and bring these drugs to market. Many people still associate psychedelic drugs with the counterculture of the 1960s and 1970s and view them as dangerous and potentially harmful.

Read full article at  https://www.openaccessgovernment.org/article/the-global-regulatory-landscape-for-psychedelic-drugs/155963/



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Press Release: PsychedelicNewsWire Named Official Media Sponsor of the 4th Annual Psychedelic Therapeutics and Drug Development Conference

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LOS ANGELES, May 17, 2024 (GLOBE NEWSWIRE) — PsychedelicNewsWire (“PNW”), a specialized communications platform for the psychedelics sector and one of the 60+ brands powered by IBN (“InvestorBrandNetwork”), is pleased to announce that it will be the Official Media Sponsor for the 4th Annual Psychedelic Therapeutics and Drug Development Conference (“the conference”), an industry flagship event dedicated to research and development of psychedelics in the healthcare space hosted by Arrowhead SciTech Conferences & Events (“Arrowhead”). The event will be held at the iconic Revere Hotel Boston Common, 200 Stuart Street, Boston, MA 02116 on 23-24 May 2024



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Risks of Psychedelics for People with Personality Disorders

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While psychedelics have shown promise in treating certain mental health conditions, a recent study suggests they may pose risks for individuals with personality disorders. The findings underscore the importance of careful screening and personalized approaches in psychedelic-assisted therapy.

Navigating the Psychedelic Landscape: Potential Risks for Individuals with Personality Disorders

Psychedelics, including substances like psilocybin and LSD, have gained significant traction in recent years for their potential therapeutic benefits in treating mental health conditions such as depression, anxiety, and PTSD. However, a recent publication in the Journal of Psychopharmacology has raised concerns about the suitability of these substances for individuals with personality disorders.

The study surveyed individuals who had used psychedelics and who were also diagnosed with personality disorders. A considerable number of respondents reported negative and persistent psychological impacts following their psychedelic experiences. Notably, these included heightened anxiety, paranoia, mood instability, and an exacerbation of existing personality disorder symptoms.

Researchers suggest that the vulnerability of individuals with personality disorders to the adverse effects of psychedelics may stem from pre-existing challenges in emotional regulation, self-identity, and interpersonal relationships. The profound and introspective nature of psychedelic experiences can intensify these issues, potentially leading to psychological distress and symptom aggravation.

This research highlights the critical need for thorough screening and assessment in the context of psychedelic-assisted therapy. It suggests that individuals with personality disorders might require tailored therapeutic approaches and robust support systems to navigate potential risks and to secure safe and positive outcomes.

Why It Matters

The burgeoning interest in psychedelic therapy underscores the necessity to discern both the potential benefits and risks across different demographic groups. This study contributes valuable insights, particularly for clinicians and researchers, stressing the importance of personalized treatment plans and the cautious consideration of individual vulnerabilities when administering psychedelic-assisted therapy.

Potential Implications

The findings from this study emphasize the need for ethical and responsible practices within the field of psychedelic-assisted therapy. There is a pressing requirement for the development of detailed screening protocols that can identify individuals who may be more susceptible to the adverse effects of psychedelics. Furthermore, crafting specialized therapeutic strategies that cater specifically to the needs of individuals with personality disorders is essential for ensuring their safety and overall well-being during and after undergoing psychedelic experiences.

The Bigger Picture

The debate surrounding the therapeutic use of psychedelics is complex, with various factors influencing the suitability of these treatments for different individuals. While there are promising results in general populations, the nuanced needs and potential vulnerabilities of those with personality disorders require careful consideration to prevent harm and maximize therapeutic outcomes. This necessitates ongoing research, improved clinical protocols, and a commitment to patient-centered care in the burgeoning field of psychedelic medicine.

Source: Science Alert



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Treating Depression: Psychedelics vs. Antidepressants

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Recent research suggests that psychedelics and traditional antidepressants, while both potentially effective in treating depression, work through distinct mechanisms. Understanding these differences could lead to more personalized and effective treatment approaches. Psychedelics vs. Antidepressants: What are the key differences?

Unlocking the Mysteries of Depression Treatment: Psychedelics vs. Antidepressants

The quest for effective depression treatments continues to be a significant focus in mental health research. Traditional antidepressants, like selective serotonin reuptake inhibitors (SSRIs), have been a mainstay in treatment, prescribed widely despite varying efficacy among individuals and often accompanying unwanted side effects. In contrast, psychedelics have recently garnered attention for their rapid and enduring antidepressant effects observed in clinical trials.

A recent study has delved into the distinct mechanisms of action of SSRIs and psychedelics, illuminating how they uniquely influence the brain and potentially alleviate symptoms of depression. SSRIs primarily increase serotonin levels in the brain, which is believed to enhance mood and diminish depressive symptoms. However, this process can require several weeks to manifest noticeable effects, and not all patients respond favorably to SSRIs.

Conversely, psychedelics such as psilocybin, found in “magic mushrooms,” operate through a different mechanism. Research indicates that psilocybin’s antidepressant effects are not directly due to elevated serotonin levels. Instead, psilocybin is thought to promote neuroplasticity, the brain’s capacity to reorganize and form new neuronal connections. This heightened neuroplasticity may facilitate more adaptable thought patterns and an improved ability to process emotions, contributing to the rapid and sustained antidepressant effects seen in clinical trials.

Moreover, the study examined the role of the 5-HT2A serotonin receptor, a primary target for both SSRIs and psychedelics. While SSRIs inhibit this receptor’s activity, psychedelics activate it. Intriguingly, blocking the 5-HT2A receptor did not reduce psilocybin’s antidepressant effects, suggesting that its therapeutic benefits originate from other pathways.

Psychedelics vs. Antidepressants: Why It Matters?

Understanding the distinct mechanisms by which psychedelics and antidepressants affect the brain is crucial for the development of more personalized and effective treatment strategies for depression. This knowledge could lead to enhanced patient selection for specific treatments, reducing trial and error while optimizing outcomes. Furthermore, exploring the unique properties of psychedelics may pave the way for novel antidepressant medications that are quicker acting and have fewer side effects.

Potential Implications

This research could catalyze a shift in depression treatment paradigms, moving from a one-size-fits-all approach to more targeted therapies. By pinpointing the specific mechanisms that underlie different antidepressant interventions, clinicians can customize treatment plans based on individual patient profiles and needs. This personalized approach could improve treatment success rates and enhance the quality of life for individuals battling depression.

What Next?

While the study of psychedelics for therapeutic purposes is still in its nascent stages, the initial findings are promising and suggest that psychedelics may offer a valuable addition to the arsenal of tools for combating depression and other mental health conditions.

Source: Neuroscience News



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