June 28, 2026

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Corticosteroids Significantly Increase Risk of Mania and Depression in Meta-Analysis
Clinical Pearl
Psychiatric Symptoms Associated with Corticosteroid Use: A Systematic Review and Meta-analysis

This meta-analysis confirms that corticosteroid use significantly increases the risk of depressive symptoms and acute manic episodes, prompting psychiatrists to monitor mood closely during high-dose or early-phase steroid therapy.

Drug Development
Centanafadine Demonstrates Statistically Significant, Clinically Relevant Improvements in ADHD Symptoms - Pharmacy Times

Centanafadine demonstrates statistically significant and clinically relevant improvements in ADHD symptoms, supporting its potential as a new treatment option for attention-deficit/hyperactivity disorder.

Drug Development
Otsuka’s centanafadine scores in ADHD, comorbid anxiety trial - BioWorld News

Centanafadine demonstrated efficacy in a clinical trial for ADHD with comorbid anxiety, marking a significant development in the pharmacotherapy of attention-deficit/hyperactivity disorder.

Drug Development
Definium releases LSD for depression Phase 3 results and Colorado activists fight recent bill’s amendments to sharing psychedelics - The Microdose

Definium Therapeutics released Phase 3 results for its LSD-based treatment for depression, marking a significant clinical trial readout in psychedelic psychiatry.

Clinical Pearl
A randomized clinical trial of repeated doses of psilocybin for the treatment of obsessive–compulsive disorder

A randomized clinical trial published in the Journal of Psychopharmacology evaluates repeated doses of psilocybin as a treatment for obsessive-compulsive disorder.

Clinical Pearls

Bite-sized clinical takeaways from today's literature (sources from Mar 14 – Jun 28)

  • Consider centanafadine as a novel non-stimulant option for patients with ADHD who also present with comorbid anxiety.
  • Monitor mood closely in patients initiating high-dose corticosteroid therapy due to the significant risk of inducing depressive symptoms or acute manic episodes.
  • Evaluate psilocybin as an emerging investigational treatment modality for obsessive-compulsive disorder based on recent randomized clinical trial data.
  • Stay informed about definium therapeutics' phase 3 results for LSD-based depression treatments to anticipate future shifts in psychedelic psychiatry pharmacotherapy.
  • Recognize that centanafadine offers statistically significant improvements in ADHD symptoms, supporting its potential role in the treatment algorithm.