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US FDA moves to fast-track psychedelic drugs after Trump order

The vouchers could cut FDA review from months to weeks as the agency backs psilocybin and methylone programs and opens a first U.S. ibogaine study.

  • On Friday, the FDA issued national priority vouchers to three companies studying psychedelic medicines for treatment-resistant depression, major depressive disorder, and post-traumatic stress disorder, aiming to fast-track regulatory reviews.
  • President Donald Trump signed an executive order Saturday directing FDA Commissioner Dr. Marty Makary to prioritize psychedelic drugs granted "breakthrough therapy" status, a designation reserved for therapies showing substantial promise over existing options.
  • The FDA also permitted the first United States clinical study of ibogaine, allowing Miami-based DemeRx to research noribogaine hydrochloride as a potential treatment for alcohol use disorder affecting nearly 28 million Americans.
  • Treatments will be restricted to controlled, hospital settings under clinical supervision, not dispensed for home use. Officials emphasized rigorous oversight is essential to ensure patient safety and effectiveness.
  • The American Psychiatric Association welcomes research but advocates for rigorous clinical evidence, cautioning that potential downsides must be evaluated before these therapies move beyond approved research settings.
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Measures include the development of medications containing psilocybin, the ingredient in magic mushrooms, as well as methylone, a synthetic cathinone used as a substitute for MDMA.

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Chicago Sun Times broke the news in Chicago, United States on Thursday, April 23, 2026.
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