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dc.contributor.authorMcKenna, Dennis J.en_US
dc.identifier.citationMCKENNA, Dennis J. Clinical investigations of the therapeutic potential of ayahuasca: rationale and regulatory challenges. Pharmacology and Therapeutics, v. 102, n. 2, p. 111-129, 2004.en_US
dc.rightsrestricted accessen_US
dc.subject.otherRegião Amazônicapt_BR
dc.subject.otherAbuso de Álcoolpt_BR
dc.titleClinical investigations of the therapeutic potential of ayahuasca: rationale and regulatory challengesen_US
dc.creator.affilliationUniversity of Minnesota. Academic Health Center. Center for Spirituality and Healing. Minneapolis, MN, USA.en_US
dc.description.abstractenAyahuasca is a hallucinogenic beverage that is prominent in the ethnomedicine and shamanism of indigenous Amazonian tribes. Its unique pharmacology depends on the oral activity of the hallucinogen, N,N dimethyltryptamine (DMT), which results from inhibition of monoamine oxidase (MAO) by β-carboline alkaloids. MAO is the enzyme that normally degrades DMT in the liver and gut. Ayahuasca has long been integrated into mestizo folk medicine in the northwest Amazon. In Brazil, it is used as a sacrament by several syncretic churches. Some of these organizations have incorporated in the United States. The recreational and religious use of ayahuasca in the United States, as well as “ayahuasca tourism” in the Amazon, is increasing. The current legal status of ayahuasca or its source plants in the United States is unclear, although DMT is a Schedule I controlled substance. One ayahuasca church has received favorable rulings in 2 federal courts in response to its petition to the Department of Justice for the right to use ayahuasca under the Religious Freedom Restoration Act. A biomedical study of one of the churches, the Uñiao do Vegetal (UDV), indicated that ayahuasca may have therapeutic applications for the treatment of alcoholism, substance abuse, and possibly other disorders. Clinical studies conducted in Spain have demonstrated that ayahuasca can be used safely in normal healthy adults, but have done little to clarify its potential therapeutic uses. Because of ayahuasca's ill-defined legal status and variable botanical and chemical composition, clinical investigations in the United States, ideally under an approved Investigational New Drug (IND) protocol, are complicated by both regulatory and methodological issues. This article provides an overview of ayahuasca and discusses some of the challenges that must be overcome before it can be clinically investigated in the United States.en_US
dc.subject.decsÍndios Sul-Americanospt_BR
dc.subject.decsEcossistema Amazônicopt_BR
dc.subject.decsSaúde de Populações Indígenaspt_BR
dc.subject.decsAntropologia Culturalpt_BR
dc.subject.decsMedicina Tradicionalpt_BR
dc.subject.decsTranstornos Relacionados ao Uso de Álcoolpt_BR
dc.subject.enSerotonin transportersen_US
dc.subject.enClinical studiesen_US
dc.subject.enSubstance abuseen_US
dc.subject.enImmune modulationen_US
Appears in Collections:ASMT - Artigos de Periódicos

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