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Interest in psychedelics for treating psychiatric disorders has resurged recently and is well documented; less well recognised are their anti\u2010inflammatory properties. Growing evidence now demonstrates that psychedelics modulate immune responses, including inhibiting pro\u2010inflammatory cytokine release. Furthermore, in vivo studies demonstrate that psychedelics, like (\n                      <jats:italic>R<\/jats:italic>\n                      )\u2010DOI, reduce inflammation in animal models of acute and chronic inflammatory disease such as asthma. Likewise, some clinical studies with psychedelic drugs (e.g. psilocybin) demonstrate an impact upon circulating cytokine levels, supporting a translation from the animal models to the clinical arena. Such data emphasise the promise of therapeutic approaches targeting inflammation. Interestingly, recent research has also uncovered compounds that maintain therapeutic potential without likely causing psychedelic effects. These discoveries suggest that drugs informed by psychedelic drugs, but which do not evoke psychedelic experiences, which we term PIPI drugs (Psychedelic drug Informed but Psychedelic experience Inactive), could offer effective treatments for mental health and inflammation, presenting new avenues for therapeutic development.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LINKED ARTICLES<\/jats:title>\n                    <jats:p>\n                      This article is part of a themed issue Emerging Therapeutic Opportunities for Psychedelic and Related Drugs. To view the other articles in this section visit\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/bph.v183.14\/issuetoc\">http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/bph.v183.14\/issuetoc<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bph.70138","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T06:00:32Z","timestamp":1753768832000},"page":"4006-4021","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Are we hallucinating or can psychedelic drugs modulate the immune system to control inflammation?"],"prefix":"10.1111","volume":"183","author":[{"given":"Omar","family":"Qureshi","sequence":"first","affiliation":[{"name":"Celentyx Ltd, Birmingham Research Park  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie","family":"Cowley","sequence":"additional","affiliation":[{"name":"Neuropharmacology Research Group, College of Medicine and Health University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Pegg","sequence":"additional","affiliation":[{"name":"Neuropharmacology Research Group, College of Medicine and Health University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison J.","family":"Cooper","sequence":"additional","affiliation":[{"name":"Neuropharmacology Research Group, College of Medicine and Health University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Gordon","sequence":"additional","affiliation":[{"name":"Celentyx Ltd, Birmingham Research Park  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine A.","family":"Brady","sequence":"additional","affiliation":[{"name":"Celentyx Ltd, Birmingham Research Park  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Belli","sequence":"additional","affiliation":[{"name":"Institute of Inflammation and Ageing, College of Medicine and Health University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Butterworth","sequence":"additional","affiliation":[{"name":"Division of Pharmacy and Optometry, School of Health Sciences Manchester Academic Health Sciences Centre, University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Upthegrove","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Oxford  Oxford UK"},{"name":"Institute for Mental Health University of Birmingham  Birmingham UK"},{"name":"Birmingham Early Intervention Service Birmingham Women's and Children's NHS foundation Trust  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick","family":"Andrews","sequence":"additional","affiliation":[{"name":"Salk Institute for Biological Studies  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4624-9672","authenticated-orcid":false,"given":"Nicholas M.","family":"Barnes","sequence":"additional","affiliation":[{"name":"Neuropharmacology Research Group, College of Medicine and Health University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/bph.16178"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/bph.16177"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/bph.16182"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/bph.16181"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/bph.161"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/bph.16176"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.2546"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199605093341902"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1042\/BJ20101844"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1124\/pr.118.015552"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/01902148.2016.1141263"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1124\/mol.54.1.94"},{"key":"e_1_2_10_14_1","first-page":"218","article-title":"Cholinesterase, D\u2010lysergic acid diethylamide, and 2\u2010bromolysergic acid diethylamide","volume":"20","author":"Bertino J. 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