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Questioning the role of palmitoylethanolamide in psychosis: a systematic review of clinical and preclinical evidence

Bortoletto R, Piscitelli F, Candolo A, Bhattacharyya S, Balestrieri M, Colizzi M. Frontiers in Psychiatry, 2023; 14:1231710.

ReviewHumans

Design
Review
Subjects
13 studies: 11 in people and 2 in animals
Dose used in the study
The supplementation studies used 600 mg once or twice a day for 8 to 12 weeks
What was measured
Levels of palmitoylethanolamide in people with psychosis, and the effects of supplementation

What the authors reported

This systematic review found:

  • Six observational studies found raised plasma levels of palmitoylethanolamide in people with psychosis, described as a possible early compensatory response.
  • One study found palmitoylethanolamide levels raised in the central nervous system too, though this rise seemed to be lost over the longer term.
  • Three studies of supplementation reported reduced negative psychotic and manic symptoms, with no serious adverse events.
  • The two animal models showed no change in palmitoylethanolamide.

Limits of this study

A systematic review without a pooled analysis. Only three of the studies tested supplementation. One author (Colizzi) declares consulting for GW Pharma and Roche, outside this work; the others declared no conflict. The authors' stated limitations and funding were not visible on the page checked.

Source

PubMed 37533892 · doi:10.3389/fpsyt.2023.1231710

Entry checked against the full text at the publisher (Frontiers) on 2026-10-19. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.