Metabolism of psilocybin and psilocin: clinical and forensic toxicological relevance.

Abstract:

:Psilocybin and psilocin are controlled substances in many countries. These are the two main hallucinogenic compounds of the "magic mushrooms" and both act as agonists or partial agonists at 5-hydroxytryptamine (5-HT)2A subtype receptors. During the last few years, psilocybin and psilocin have gained therapeutic relevance but considerable physiological variability between individuals that can influence dose-response and toxicological profile has been reported. This review aims to discuss metabolism of psilocybin and psilocin, by presenting all major and minor psychoactive metabolites. Psilocybin is primarily a pro-drug that is dephosphorylated by alkaline phosphatase to active metabolite psilocin. This last is then further metabolized, psilocin-O-glucuronide being the main urinary metabolite with clinical and forensic relevance in diagnosis.

journal_name

Drug Metab Rev

journal_title

Drug metabolism reviews

authors

Dinis-Oliveira RJ

doi

10.1080/03602532.2016.1278228

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

84-91

issue

1

eissn

0360-2532

issn

1097-9883

journal_volume

49

pub_type

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