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Alex Piot

@alexpiot

PhD student at the Clinical Psychopharmacology Unit - UCL | Wellcome Trust Director of Research - Centre for Evidence Based Drug Policy

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Latest posts by Alex Piot @alexpiot

Through a better understanding of these synaptic adaptations we can move toward more synapse-informed therapeutics. Targeting proteins like PRIP or calcineurin might finally allow us to move towards the next generation of anxiolytic and anti seizure drugs.

27.02.2026 07:45 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Benzos turn GABAa receptors into metabotropic-like signaling hubs, triggering a cascade that dephosphorylates receptors and disassembles inhibitory synapses. Meanwhile, chronic use recruits TSPO-activated microglia to prune away new excitatory spines, resulting in a reorganization of brain circuitry

27.02.2026 07:45 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Synaptic correlates of benzodiazepine tolerance - Molecular Psychiatry Molecular Psychiatry - Synaptic correlates of benzodiazepine tolerance

I'm thrilled to share my first first-author paper πŸŽ‰

We review the synaptic correlates of benzodiazepine tolerance and the molecular mechanisms that drive it.

Many thanks to Prof Jovanovic for all her support!
πŸ”— www.nature.com/articles/s41...

27.02.2026 07:45 πŸ‘ 1 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0
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"Pipes as an engagement tool: qualitative findings from a crack equipment and harm reduction training intervention in England" by Casey Sharpe and colleagues (2026) via @ijdrugpolicy.bsky.social . Does your area give out pipes for people who smoke drugs?

Link: www.sciencedirect.com/science/arti...

01.02.2026 23:27 πŸ‘ 2 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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We’re running a short survey on public views about ketamine reclassification and UK drug policy. If you’re 16+ and living in the UK, we’d really appreciate you taking 15 minutes to complete it and share with your networks: www.tinyurl.com/ket-survey

29.11.2025 13:37 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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@charlotte2153.bsky.social speaking last night on record high drug-related deaths in the UK:

β€œ[The Home Office's stance] is ideological, not evidence-based, which is why I believe the Home Office is fundamentally incapable of dealing with drug deaths and drug harm in our communities.”

06.11.2025 09:38 πŸ‘ 3 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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DDN_October25 DDN October 2025 We have thought-provoking contributions on wellbeing in this issue – mental and physical – including our cover story (p6) in which the team demonstrate that addressing nutritional deficiency should be...

Great to see our commentary on stimulant use and nutrition hit the cover of Drink and Drug News magazine this month. Nutrition is often overlooked but crucial issue in harm reduction, time to bring it to the table ! viewer.joomag.com/ddn-october2...

06.10.2025 16:35 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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The landscape of ketamine use disorder: Patient experiences and perspectives on current treatment options buff.ly/HXPQOvF @bexharding.bsky.social

08.05.2025 14:01 πŸ‘ 4 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

Our Op-ed on the UK’s drug death crisis, following last week’s Westminster Hall debate we helped secure. Drug-related deaths are a health issueβ€”and should be governed by DHSC. The MDA in its current form is outdated and counterproductive.
parliamentnews.co.uk/the-uks-drug...

02.04.2025 08:11 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Psychedelic-assisted therapy for mental health: Policy considerations Psychedelic-assisted therapy for mental health conditions is being researched in clinical trials. There are associated benefits, risks and policy considerations.

New @ukparliament.parliament.uk report just released.

Our Directors of Research @alexpiot.bsky.social & Psychedelic Policy & Regulation Timmy Davis were pleased to contribute, alongside @profdavidnutt.bsky.social, @profjoneill.bsky.social and others.

post.parliament.uk/research-bri...

18.02.2025 14:14 πŸ‘ 6 πŸ” 2 πŸ’¬ 0 πŸ“Œ 2
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Home Office may reclassify ketamine in response to record levels of use Illegal use in UK seems to reflect growth of unregulated market in US, where its high-profile users include Elon Musk

The #drugpolicyratchet looks set for another turn, even though the ACMD has repeatedly found no evidence that changing the class of a drug has any effect on levels of use. www.theguardian.com/society/2025... #ketamine

08.01.2025 06:50 πŸ‘ 10 πŸ” 5 πŸ’¬ 1 πŸ“Œ 0

I’d like to be added please :)

04.12.2024 18:55 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Powerful closing #EHRC2024 plenary. Now the time for "strong language" to achieve, maintain & build #harmreduction with/for our communities. "No more hiding behind rhetoric of 'target' & 'vulnerable' populations". "Zero tolerance on poverty, zero tolerance on inequality, zero tolerance on stigma!"

04.12.2024 13:09 πŸ‘ 7 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

An explanatory note for the Bill can be found here: publications.parliament.uk/pa/bills/cbi...

03.12.2024 13:33 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The bill signals a push for greater flexibility in drug policy, with the proposed legislation primarily aimed at streamlining scheduling changes. Ideally, this could ease the pressure off the drug policy ratchet and pave the way for a thorough review of the evidence of several Schedule 1 drugs.

03.12.2024 11:47 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

This implies as well that drug policy is still being conceived of as a moral issue, which while highly problematic, may have some practical advantages here. It also aligns with Tory-era polling we conducted showing most MPs agreed that drug policy was failing but felt unable to speak out.

03.12.2024 11:47 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

First, the fact that it’s a PMB is interesting. Technically the government is not the one putting forward the legislation. Similar to assisted dying, it seems the government would rather keep its hands clean of drug related policy issues while still pushing for change. We can expect more of this…

03.12.2024 11:47 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

The bill proposes to shift the power of drug scheduling changes from the Privy Council’s Order in Council process to the Secretary of State using Statutory Instruments approved by Parliament while maintaining input from the ACMD

03.12.2024 11:47 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

A Private Member’s Bill proposing changes to how Schedule 2 drugs are amended is set for its second reading this Friday, with the full text now available. This could have significant implicationsβ€”here’s why it matters… πŸ‘‡

publications.parliament.uk/pa/bills/cbi...

03.12.2024 11:47 πŸ‘ 1 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0

Looking forward to #SaferLives24 today !

26.11.2024 10:17 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0