Imperial College London
Alternate

Professor David Nutt DM, FRCP, FRCPsych, FSB, FMedSci

Faculty of Medicine, Department of Brain Sciences

The Edmond J Safra Chair in Neuropsychopharmacology
 
 
 
//

Contact

 

d.nutt

 
 
//

Location

 

Burlington Danes BuildingBurlington DanesHammersmith Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Rucker:2018:10.1016/j.neuropharm.2017.12.040,
author = {Rucker, JJH and Iliff, J and Nutt, DJ},
doi = {10.1016/j.neuropharm.2017.12.040},
journal = {Neuropharmacology},
pages = {200--218},
title = {Psychiatry & the psychedelic drugs. Past, present & future},
url = {http://dx.doi.org/10.1016/j.neuropharm.2017.12.040},
volume = {142},
year = {2018}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - The classical psychedelic drugs, including psilocybin, lysergic acid diethylamide and mescaline, were used extensively in psychiatry before they were placed in Schedule I of the UN Convention on Drugs in 1967. Experimentation and clinical trials undertaken prior to legal sanction suggest that they are not helpful for those with established psychotic disorders and should be avoided in those liable to develop them. However, those with so-called 'psychoneurotic' disorders sometimes benefited considerably from their tendency to 'loosen' otherwise fixed, maladaptive patterns of cognition and behaviour, particularly when given in a supportive, therapeutic setting. Pre-prohibition studies in this area were sub-optimal, although a recent systematic review in unipolar mood disorder and a meta-analysis in alcoholism have both suggested efficacy. The incidence of serious adverse events appears to be low. Since 2006, there have been several pilot trials and randomised controlled trials using psychedelics (mostly psilocybin) in various non-psychotic psychiatric disorders. These have provided encouraging results that provide initial evidence of safety and efficacy, however the regulatory and legal hurdles to licensing psychedelics as medicines are formidable. This paper summarises clinical trials using psychedelics pre and post prohibition, discusses the methodological challenges of performing good quality trials in this area and considers a strategic approach to the legal and regulatory barriers to licensing psychedelics as a treatment in mainstream psychiatry.
AU  - Rucker,JJH
AU  - Iliff,J
AU  - Nutt,DJ
DO  - 10.1016/j.neuropharm.2017.12.040
EP  - 218
PY  - 2018///
SN  - 0028-3908
SP  - 200
TI  - Psychiatry & the psychedelic drugs. Past, present & future
T2  - Neuropharmacology
UR  - http://dx.doi.org/10.1016/j.neuropharm.2017.12.040
UR  - http://hdl.handle.net/10044/1/56333
VL  - 142
ER  -
Download