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A rare case of physical dependence with psychedelic LSD - A case report

Tamonud Modak, Roshan Bhad, Ravindra Rao

Journal of Substance Use March 4, 2019 DOI: 10.1080/14659891.2019.1581286 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case report Peer reviewed
Sample size 1
Population A person who used LSD continuously for two years as his primary drug
Intervention LSD
Duration Two years of continuous use
Topics Addiction LSD
Keywords Physical dependence Craving Discontinuation Counterculture Psychological dependence Drug Clinical psychology
Citations 7
Key findings This is the first report of physical dependence to LSD, with tolerance that did not disappear rapidly on discontinuation and both physical and psychological withdrawal symptoms.

Abstract

Lysergic acid diethylamide (LSD) is a semisynthetic compound with strong psychoactive properties. LSD has been used as an adjunct to psychotherapy and treatment for various forms of drug addiction as well as a drug of abuse by the hippie counterculture movement of the 1960s. The literature regarding LSD is limited, and it has hardly been studied after it was banned in the 1970s. LSD is known to cause psychological dependence, but physical dependence on LSD is unknown. Continuous use of LSD is also unknown. We describe a case where the person used LSD continuously for a period of two years as his primary drug. He developed a craving, and tolerance to LSD and contrary to known literature the tolerance did not disappear rapidly on discontinuation. Additionally, he developed both physical and psychological symptoms on discontinuing LSD – a factor responsible for continued use. To the best of our knowledge, this is the first report of physical dependence to LSD.

Comparable studies

Other case reports and case series on LSD for addiction, most cited first.

Study Year Design Participants
LSD Overdoses: Three Case Reports Three individuals who experienced accidental LSD overdose 2020 Case series n = 3
To treat or not to treat? High-potency benzodiazepine use in a case of comorbid hallucinogen persisting perception disorder and alcohol use disorder. A 37-year-old man with hallucinogen persisting perception disorder and substance use... 2022 Case study n = 1

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