Neurometabolic effects of psilocybin, 3,4-methylenedioxyethylamphetamine (MDE) and d-methamphetamine in healthy volunteers. A double-blind, placebo-controlled PET study with [18F]FDG
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2022;10(10):19 Neuropsychopharmacology. 1999 14-Feb;():. 10.1016/S0893-133X(98)00089-XWhat this means for my practice?
Psilocybin shows hypermetabolism in the right hemispheric frontotemporal regions. Besides the cortical hypometabolism and cerebellar hypermetabolism, the METH group showed metabolic changes that were somewhat the opposite of the psilocybin group. The MDE group showed metabolic effects that were similar to both the psilocybin and METH group, providing evidence for the hypothesis that entactogens are a distinct psychoactive substance, that are intermediates between stimulants and hallucinogens. The results are limited by the associated difficulties in planning studies on humans with restricted drugs.
Study Summary
Thirty-two healthy subjects underwent a double-blind, randomized, placebo-controlled PET study to test the neurometabolic effects of a hallucinogen, entactogen, and a stimulant and these drugs' interactions with a prefrontal activation task. The hallucinogen, entactogen and stimulant used were psilocybin, MDE, and d-methamphetamine, respectively. The main objective of this study was to examine cerebral glucose metabolism across all three drugs. For psilocybin, hypermetabolism was found in the right anterior cingulate, and hypometabolism was found in the thalamus and left precentral region. Both cortical hypometabolism and cerebellar hypermetabolism were found in both the MDE and METH groups. In all three drugs, increases in cognitive action were reduced but less so in the MDE group.
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