Psychedelic Science Newsletter
Issue #38May 25, 20267 studies

Buprenorphine extends ketamine's anti-suicide effects for 4 weeks in depression trial

This week brought major advances in psychedelic medicine—from the largest brain imaging study of psilocybin ever conducted to breakthrough combinations that could make ketamine's life-saving effects last longer.

🎯 Buprenorphine extends ketamine's anti-suicide effects

  • 50 adults with major depression and suicidal thoughts received ketamine infusions, then were randomized to receive either low-dose buprenorphine (0.2-0.8 mg/day) or placebo for 4 weeks
  • The buprenorphine group showed much greater reductions in suicidal ideation scores (-11.6 points) compared to placebo (-6.3 points)
  • No serious treatment-related adverse events occurred, suggesting this combination could be both effective and safe

Why it matters: Ketamine rapidly reduces suicidal thoughts but the effects fade quickly. This study provides the first evidence that a follow-up medication can significantly sustain ketamine's life-saving benefits—potentially offering a scalable solution for people at highest risk.

🥇 Top 1% journal 🔗 The American journal of psychiatry Journal Article 🗓️ May 19

Key Findings

🧠 Largest psilocybin brain imaging study launches

  • PsiConnect enrolled 62 participants for comprehensive brain scans before and after 19 mg psilocybin doses
  • The study combines multiple brain imaging techniques (fMRI, structural MRI, diffusion MRI, and EEG) with three different contexts: meditation, music, and movies
  • Half the participants completed 8 weeks of meditation training, allowing researchers to study how meditation and psilocybin interact in the brain
  • Follow-ups continue for one year post-treatment, with data made publicly available for other researchers
💡 This unprecedented dataset could reveal how context shapes psilocybin's effects on the brain and behavior.
🎖️ Top 10% journal 🔗 Scientific data Journal Article 🗓️ May 21

🍄 Mescaline shows unique brain signature in rats

  • Awake rats given mescaline showed selective suppression of brain activity in the cerebellum, unlike LSD and psilocybin
  • Despite cerebellar suppression, the brain showed global hyperconnectivity, with the cerebellum forming new connections to the hippocampus, thalamus, and sensory areas
  • Mescaline enhanced acoustic filtering at certain frequencies (+27.6% at 4 kHz, +27.3% at 20 kHz) but impaired it at others (-16.4% at 12 kHz)
💡 Mescaline's unique cerebellar effects suggest it floods the brain with unprocessed sensory information, potentially explaining its distinct perceptual alterations.
🎖️ Top 10% journal 🔗 Neuroscience bulletin Journal Article 🗓️ May 21

🌿 Psychedelics show promise for eating disorders

  • A meta-analysis of 8 studies identified how psychedelic experiences may help with eating disorder recovery through improved emotion processing and enhanced body connection
  • Researchers found that people with eating disorders need specialized safety considerations during psychedelic therapy due to physical vulnerabilities from low weight
  • The analysis suggests therapists need dual expertise in both psychedelic treatment and eating disorder psychology for optimal outcomes
💡 Psychedelics may address core eating disorder symptoms, but require specialized protocols to ensure safety in this vulnerable population.
🥉 Top 5% journal 🔗 BMC medicine Journal Article 🗓️ May 20

🏥 Most palliative care providers skeptical of psilocybin therapy

  • Survey of 121 palliative care stakeholders found 61% had unfavorable attitudes toward psilocybin-assisted therapy for end-of-life distress
  • However, 95% of physicians reported favorable attitudes, showing a stark divide between clinical and non-clinical staff
  • Lack of trained healthcare providers was identified as the primary barrier to implementation, with 68% endorsing early-stage illness intervention
💡 The gap between physician enthusiasm and broader healthcare team skepticism could complicate rolling out psilocybin therapy in palliative care settings.
🎖️ Top 10% journal 🔗 Palliative medicine Journal Article 🗓️ May 19

💊 Oral ketamine proves effective for depression

  • Meta-analysis of 8 studies with 414 participants found oral ketamine significantly reduced depression scores compared to placebo
  • Patients were 2.38 times more likely to achieve remission with oral ketamine versus placebo
  • Oral ketamine showed similar effectiveness to other forms of ketamine (IV, nasal) with no serious adverse events reported
💡 Oral ketamine could make this breakthrough depression treatment more accessible by eliminating the need for IV infusions or clinic visits.
Top 20% journal 🔗 Asian journal of psychiatry Review 🗓️ May 19

🎵 Setting specific intentions enhances psychedelic benefits

  • Study of recreational psychedelic users found those with mental health and self-discovery intentions experienced greater mystical experiences and improved well-being
  • Recreational intentions were unrelated to well-being improvements and negatively correlated with positive outcomes
  • Specific, relevant intentions that were integrated after the experience correlated with the best outcomes, while flexible intentions led to worse results
💡 How you approach a psychedelic experience—with clear, meaningful intentions—may be as important as the substance itself for therapeutic benefits.
🔗 Journal of psychoactive drugs Journal Article 🗓️ May 22

Implications

These studies reveal psychedelic medicine is rapidly maturing from experimental treatments to practical therapies. The combination approaches—like buprenorphine extending ketamine's effects—suggest the future may involve strategic drug pairings rather than single interventions. Meanwhile, the emphasis on context, intentions, and specialized training highlights that successful psychedelic therapy requires much more than just the drugs themselves.

Studies in this issue

Primary sources used for this newsletter.

  1. Using psilocybin therapy in end-of-life care: views from patients and providers
    key findingPalliative medicine2026-05-19PMID 42154482