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Phantom Limb Pain: Sub‐Hallucinogenic Treatment With Lysergic Acid Diethylamide (LSD‐25)

M Fanciullacci, E. Del Bene, G Franchi, F Sicuteri

Headache The Journal of Head and Face Pain July 1, 1977 DOI: 10.1111/j.1526-4610.1977.hed1703118.x (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case series Case report Peer reviewed
Sample size 7
Population Five males and two females aged 25 to 78 with phantom limb pain
Dose sub-hallucinogenic doses (oral); intravenous infusion or bolus injection of 10 ng/ml at 0.5 ml/min
Topics LSD
Keywords Hallucinogen Analgesic Phantom pain Phantom limb pain Nociception Anesthesia Facilitation
Citations 30
Key findings Sub-hallucinogenic doses of LSD-25 improved phantom limb pain in five of seven patients and reduced analgesic use.

Abstract

SYNOPSIS Oral treatment of phantom limb pain in five males and two females ranging in age from 25 to 78 years with sub‐hallucinogenic doses of Iysergic acid diethyImaide (LSD‐25) resulted in improvement in pain in five patients and reduction in use of analgesics. In two of the five patients improvement was striking and in the other three, pain and analgesic use were reduced moderately. LSD treatment was ineffective in two patients. Intravenous infusion or bolus injection of LSD‐25, 10ngml at 0.5 mlmin. resulted in facilitation of 5‐HT venospasm. The findings suggest that LSD‐25 facilitation of 5‐HT activity occurs centrally consistent with the hypothesis of the central nature of phantom limb pain.

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