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May 2026

Addiction

What May 2026's 6 new studies found, synthesized from the papers below. All Addiction research →

The synthesis

Synthesized from 6 studies in the library · AI-generated, grounded in the abstracts below

Found by searching the library for Addiction, substance use disorder, dependence, alcohol use disorder, opioid use disorder, then ranked by relevance.

Research in May 2026 suggests psilocybin may be effective for cocaine addiction, with one small study reporting 'remarkable' results, and an epigenetic study in alcohol use disorder identified methylome changes linked to psilocybin treatment. Ibogaine was associated with rapid detoxification and sustained abstinence in opioid-dependent individuals, though relapse occurred. However, evidence is limited by small sample sizes, lack of primary endpoint achievement, and qualitative designs.

Evidence by study

Direction is which way each study's own result points, not our rating of the study.

What the directions mean
Supports:
the study found the intervention worked, or its hypothesis held.
Opposes:
it found the opposite, no benefit or a harm.
No effect:
no significant difference either way.
Mixed:
effects in both directions within the same study.
Unclear:
the abstract does not report a direction.

The E8-based neurochemical simulation suggests psilocybin therapy can be optimized for cocaine addiction, predicting therapeutic outcomes.

theoretical simulation

Psilocybin treatment was associated with methylome changes in TLE4 and RASGRP4, but primary endpoints (duration of abstinence, mean alcohol use) were not reached.

RCT (epigenome-wide association study) Sample size: 37

Ibogaine treatment was associated with rapid detoxification, improved mood, reduced anxiety, and periods of sustained abstinence, though relapse occurred in some cases.

qualitative collective case study Sample size: 10

The article proposes an interdisciplinary framework suggesting addiction involves the neocortex assigning meaning to reward cycles, but does not present empirical data.

theoretical/conceptual

A small study prioritizing Black and low-income participants found 'remarkable' results for psilocybin against cocaine addiction.

observational (small study)

The article analyzes the concept of independence in psychedelic research, discussing potential benefits and drawbacks of independent actors, but does not present empirical findings on addiction.

theoretical/analysis

Points of agreement

  • Psilocybin and ibogaine show potential for treating substance use disorders (cocaine, alcohol, opioids).
  • Both psilocybin and ibogaine are associated with improvements in mood and reductions in craving or use.
  • The need for further research with larger samples and rigorous designs is implied across studies.

Conflicts

  • The psilocybin study for alcohol use disorder did not reach primary endpoints, while the cocaine addiction study reported 'remarkable' results, suggesting inconsistent efficacy across substances.
  • Ibogaine showed sustained abstinence in some but relapse in others, indicating variable individual outcomes.

Gaps

  • Durability of treatment effects beyond short-term follow-up is not established.
  • Sample sizes are small (n=37, n=10) and lack diversity in some studies.
  • Blinding and placebo controls are absent in the cocaine and ibogaine studies.
  • Dose optimization and long-term safety data are missing.
  • The role of epigenetic changes in mediating clinical outcomes is unclear.
Browse these studies in the library