Research library / Clinical trial
Antidepressant Effects of a Single Dose of Ayahuasca in Patients With Recurrent Depression: A SPECT Study
Sanches RF, de Lima Osório F, Dos Santos RG, et al. Journal of Clinical Psychopharmacology 2016;36(1):77-81
This study followed 17 inpatients with recurrent depression who each drank a single dose of ayahuasca, the Amazonian brew that contains DMT and harmine. Depression ratings were taken during the acute effects and for up to three weeks afterwards, and brain blood flow was measured with SPECT imaging eight hours after the dose. Scores on several depression scales dropped significantly from 80 minutes onward and stayed lower through day 21. The scans showed more blood flow in areas involved in mood and emotion, including the nucleus accumbens and insula. Nearly half of participants vomited; no other adverse effects were recorded. Everyone knew they were getting ayahuasca and there was no comparison group, so the improvement cannot be separated from expectation or hospital care. The authors themselves call for placebo-controlled trials.
What it found
- Depression scores (HAM-D, MADRS, BPRS) fell significantly from 80 minutes after dosing through day 21.
- Eight hours after dosing, SPECT showed increased blood flow in the left nucleus accumbens, right insula and left subgenual area.
- Vomiting was the only adverse effect recorded, reported by 47% of participants.