Focus on Cognitive Enhancement: A Narrative Overview of Nootropics and "Smart Drug" Use and Misuse.

IF 3.5 3区 生物学 Q1 BIOLOGY
Fabrizio Schifano, Stefania Bonaccorso, Davide Arillotta, John Martin Corkery, Giuseppe Floresta, Gabriele Duccio Papanti Pelletier, Amira Guirguis
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引用次数: 0

Abstract

Whilst "nootropics" are meant to treat a range of medical disorder-related cognitive impairments, the typically healthy "smart drugs" user ingests a range of drugs/molecules to achieve improved mental performance. Given the increasing levels of related concerns, this study aimed to provide an overview of the clinical pharmacological issues relating to both the most popular nootropics and the vast range of drugs that are being used as putative cognitive enhancers/smart drugs. In terms of the cognitive decline associated with neurological degenerative disorders, a significant variation in research methodology was observed. Therefore, the overall usefulness of these pharmaceuticals in various central nervous system disorders as supplements/adjuvant therapy needs to be better established before their widespread use can be recommended. The most popular smart drugs, self-administered to cope with high-perceived stress and academic/work-related pressure, were methylphenidate, modafinil, amphetamine-based compounds, and psychedelics. At present, however, there are relevant levels of uncertainty in terms of smart drugs' effectiveness in improving executive functions. Addressing the health harms associated with cognitive enhancers' intake remains challenging due to the lack of updated and contextualized epidemiological data. In particular, there appears to be a range of clinical concerns relating to the non-prescribed intake of stimulant smart drugs by otherwise healthy individuals. Enhanced training for prescribers, pharmacists, and healthcare professionals can strengthen monitoring and early intervention efforts.

专注于认知增强:益智药和“智能药物”使用和误用的叙述概述。
虽然“益智药”是为了治疗一系列医学疾病相关的认知障碍,但通常健康的“智能药物”使用者摄入一系列药物/分子来改善精神表现。鉴于相关关注的水平不断提高,本研究旨在概述与最流行的益智药和广泛的被用作假定的认知增强药/智能药的药物相关的临床药理学问题。在与神经退行性疾病相关的认知能力下降方面,观察到研究方法的显著差异。因此,在推荐广泛使用这些药物之前,需要更好地确定这些药物在各种中枢神经系统疾病中作为补充/辅助治疗的总体有效性。最受欢迎的智能药物是哌甲酯、莫达非尼、安非他明类化合物和迷幻药,这些药物是自我服用来应对高感知压力和学业/工作压力的。然而,目前,智能药物在改善执行功能方面的有效性存在相关程度的不确定性。由于缺乏最新和背景的流行病学数据,解决与认知增强剂摄入相关的健康危害仍然具有挑战性。特别是,似乎有一系列临床问题与非处方摄入兴奋剂智能药物有关,否则健康的个人。加强对开处方者、药剂师和卫生保健专业人员的培训可以加强监测和早期干预工作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Biology-Basel
Biology-Basel Biological Science-Biological Science
CiteScore
5.70
自引率
4.80%
发文量
1618
审稿时长
11 weeks
期刊介绍: Biology (ISSN 2079-7737) is an international, peer-reviewed, quick-refereeing open access journal of Biological Science published by MDPI online. It publishes reviews, research papers and communications in all areas of biology and at the interface of related disciplines. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Electronic files regarding the full details of the experimental procedure, if unable to be published in a normal way, can be deposited as supplementary material.
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