Health status of ayahuasca users
Abstract
Ayahuasca is a psychedelic brew originally used for magico-religious purposes by Amerindian populations of the western Amazon Basin. Throughout the last four decades, the use of ayahuasca spread towards major cities in all regions of Brazil and abroad. This trend has raised concerns that regular use of this N,N-dimethyltryptamine- and harmala-alkaloid-containing tea may lead to mental and physical health problems associated typically with drug abuse. To further elucidate the mental and physical health of ayahuasca users, we conducted a literature search in the international medical PubMed database. Inclusion criteria were evaluation of any related effect of ayahuasca use that occurred after the resolution of acute effects of the brew. Fifteen publications were related to emotional, cognitive, and physical health of ayahuasca users. The accumulated data suggest that ayahuasca use is safe and may even be, under certain conditions, beneficial. However, methodological bias of the reviewed studies might have contributed to the preponderance of beneficial effects and to the few adverse effects reported. The data up to now do not appear to allow for definitive conclusions to be drawn on the effects of ayahuasca use on mental and physical health, but some studies point in the direction of beneficial effects. Additional studies are suggested to provide further clarification.
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Traditional ayahuasca is relatively safe, especially when consumed in a ritualized setting, but its effects can be unpredictable due to varying combinations and concentrations of plant-based ingredients and interindividual differences in gastrointestinal absorption.
“While traditional ayahuasca is relatively safe, especially when consumed in a ritualized setting (46), its effects can be unpredictable due to varying combinations and concentrations of plant-based ingredients and interindividual differences in gastrointestinal absorption.”
From Potential therapeutic effects of an ayahuasca-inspired N,N-DMT and harmine formulation: a controlled trial in healthy subjects (2024) · cites this paper as [46]
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- Authors
- Barbosa, P. C. R., Mizumoto, S., Bogenschutz, M. P., & Strassman, R. J.
- Affiliations
- Universidade Estadual de Santa Cruz Ilheus in Bahia State Brazil
- Universidade Federal de São Paulo (BR)
- University of New Mexico (US)
- Venue
- Drug Testing and Analysis
- Publisher
- Wiley
- Published
- 2012-07
- Volume
- 4
- Issue
- 7-8
- Pages
- 601-609
- ISSN
- 1942-7603 (ISSN-L)
- 1942-7611
- OpenAlex
- W1797327965
- Cited by
- 112
- References
- 53
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 7 · 2023: 12 · 2022: 9 · 2021: 14 · 2020: 11 · 2019: 8 · 2018: 13 · 2017: 8 · 2016: 10 · 2015: 4 · 2014: 3 · 2013: 6 · 2012: 1
- FWCI
- 0.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Drug Testing and Analysis (publishedVersion)
- PubMed (publishedVersion)
- UNIFESP Institutional Repository (Universidade Federal de São Paulo) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Alkaloids: synthesis and pharmacology
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Forensic Toxicology and Drug Analysis
- Keywords
- ayahuasca, N,N-dimethyltryptamine, harmala alkaloids, psychedelic drug use, health effects, mental health, physical health, cognitive effects, emotional impact, drug safety, Amazonian traditional medicine
- MeSH terms
- Brazil, Cognition, N,N-Dimethyltryptamine, Hallucinogens, Health Status, Humans, Personality, Plant Extracts, Religion, Banisteriopsis
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