The Primary Care Companion for CNS Disorders has published research that examines the relationship between psilocybin and some brain chemicals.
Psilocybin and Serotonin Toxicity
Psilocybin is a substance found in some mushrooms that can alter certain brain chemicals, such as serotonin and dopamine. Some studies suggest it might help with conditions such as depression and PTSD when used alongside therapy. However, medical professionals don’t fully understand how small, unmonitored doses – microdosing – works. Many worry it might not be safe.
In a recent case, a woman was taking mental health medications, including a high dose of venlafaxine and bupropion. This included some recreational psilocybin use. When her doctor added a sleep medication called trazodone to her regimen, she experienced symptoms like sweating, shaking, and nausea. Her doctor identified these as signs of serotonin toxicity. The combination of medications, including psilocybin, led to too much serotonin in her brain.
This case shows that mixing psilocybin with certain medications can be risky and might lead to serotonin toxicity. It’s essential to be cautious and monitored when using psilocybin, especially alongside other medications.
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