Ayahuasca: pharmacology, neuroscience and therapeutic potential
Abstract
Ayahuasca is the Quechua name for a tea obtained from the vine Banisteriopsis caapi, and used for ritual purposes by the indigenous populations of the Amazon. The use of a variation of the tea that combines B. caapi with the leaves of the shrub Psychotria viridis has experienced unprecedented expansion worldwide for its psychotropic properties. This preparation contains the psychedelic 5-HT 2A receptor agonist N,N-dimethyltryptamine (DMT) from P. viridis, plus β-carboline alkaloids with monoamine-oxidase-inhibiting properties from B. caapi. Acute administration induces a transient modified state of consciousness characterized by introspection, visions, enhanced emotions and recollection of personal memories. A growing body of evidence suggests that ayahuasca may be useful to treat substance use disorders, anxiety and depression. Here we review the pharmacology and neuroscience of ayahuasca, and the potential psychological mechanisms underlying its therapeutic potential. We discuss recent findings indicating that ayahuasca intake increases certain mindfulness facets related to acceptance and to the ability to take a detached view of one's own thoughts and emotions. Based on the available evidence, we conclude that ayahuasca shows promise as a therapeutic tool by enhancing self-acceptance and allowing safe exposure to emotional events. We postulate that ayahuasca could be of use in the treatment of impulse-related, personality and substance use disorders and also in the handling of trauma. More research is needed to assess the full potential of ayahuasca in the treatment of these disorders.
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Converging evidence from preclinical and human studies suggests oral formulations of DMT such as ayahuasca show potential in reducing anxiety, depressive symptoms, addictive behaviors, and posttraumatic distress.
“Indeed, converging evidence from preclinical and human studies suggest that oral formulations of DMT such as ayahuasca show potential in reducing anxiety, depressive symptoms, addictive behaviors, and posttraumatic distress (1–3, 30–35).”
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 [31]
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“When DMT is administered without the other ayahuasca components, effects arise within minutes after ingestion when inhaled or injected, and last for 15min (15).”
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“INTRODUCTION N,N -dimethyltryptamine (DMT) is a naturally occurring psychedelic that is a component of Ayahuasca, which is widely used for recreational and spiritual purposes [1].”
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Ayahuasca’s Antidepressant Effects Covary with Behavioral Activation as Well as Mindfulness
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Behavioral Changes Over Time Following Ayahuasca Exposure in Zebrafish
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Ethnobotanies of refusal: Methodologies in respecting plant(ed)‐human resistance
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Toxicological Aspects and Determination of the Main Components of Ayahuasca: A Critical Review
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Stability Evaluation of DMT and Harmala Alkaloids in Ayahuasca Tea Samples
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Is Ayahuasca an Option for the Treatment of Crack Cocaine Dependence?
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Adverse pharmacokinetic interactions between illicit substances and clinical drugs
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Benefits and Challenges of Ultra-Fast, Short-Acting Psychedelics in the Treatment of Depression
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Within-treatment changes in a novel addiction treatment program using traditional Amazonian medicine
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Ayahuasca and tobacco smoking cessation: results from an online survey in Brazil
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New insights into the chemical composition of Ayahuasca
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Ayahuasca may help to improve self‐compassion and self‐criticism capacities
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Dimethyltryptamine: Endogenous Role and Therapeutic Potential
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Bioactive Azepine-Indole Alkaloids from Psychotria nemorosa
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Maternal and developmental toxicity of the hallucinogenic plant-based beverage ayahuasca in rats
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Acute Intoxication following Dimethyltryptamine Ingestion
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How does ayahuasca work from a psychiatric perspective? Pros and cons of the entheogenic therapy
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Ayahuasca Beverages: Phytochemical Analysis and Biological Properties
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Teacher plants — Indigenous Peruvian-Amazonian dietary practices as a method for using psychoactives
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New agents and perspectives in the pharmacological treatment of major depressive disorder
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Ayahuasca blocks ethanol preference in an animal model of dependence and shows no acute toxicity
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Reaction of N , N -Dimethyltryptamine with Dichloromethane Under Common Experimental Conditions
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The current state of ayahuasca research in animal models: A systematic review
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Effects of psychedelics on neurogenesis and broader neuroplasticity: a systematic review
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Ayahuasca: A risk for travellers?
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Awake or Sleeping? Maybe Both… A Review of Sleep-Related Dissociative States
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Integrating Psychedelic Medicines and Psychiatry: Theory and Methods of a Model Clinic
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- Authors
- Domínguez-Clavé, E., Soler, J., Elices, M., Pascual, J. C., Álvarez, E., de la Fuente Revenga, M., Friedlander, P., Feilding, A., & Riba, J.
- Affiliations
- Universitat Autònoma de Barcelona (ES)
- Beckley Foundation (GB)
- Venue
- Brain Research Bulletin
- Publisher
- Elsevier BV
- Published
- 2016-09
- Volume
- 126
- Issue
- Pt 1
- Pages
- 89-101
- ISSN
- 0361-9230 (ISSN-L)
- OpenAlex
- W2301686735
- Cited by
- 226
- References
- 139
- Citations by year
- 2026: 17 · 2025: 27 · 2024: 22 · 2023: 16 · 2022: 29 · 2021: 28 · 2020: 29 · 2019: 18 · 2018: 25 · 2017: 9 · 2016: 4 · 2012: 1
- FWCI
- 2.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brain Research Bulletin (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Alkaloids: synthesis and pharmacology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Synthesis and bioactivity of alkaloids
- Keywords
- ayahuasca, Banisteriopsis caapi, Psychotria viridis, N,N-dimethyltryptamine, β-carbolines, monoamine oxidase inhibition, psychedelics, altered states of consciousness, substance use disorders, anxiety, depression, mindfulness, self-acceptance, trauma, personality disorders, impulse control disorders, therapeutic potential
- MeSH terms
- Animals, Carbolines, Humans, Neurosciences, Pharmacology, Plant Extracts, Banisteriopsis
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