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Acute Cardiovascular Effects of Psilocybin: A Pooled Analysis of 14 Studies with Safety Recommendations

Sandeep M. Nayak, Nathan D. Sepeda, Matthew Nielsen Dick, Praachi Tiwari, Zarmeen Zahid, Ceyda Sayalı, Brandon M. Weiss, David B. Yaden, Albert Garcia‐romeu, Brian S. Barnett, Frederick S. Barrett

medRxiv Preprint Server April 28, 2026 preprint DOI: 10.64898/2026.04.28.26351625 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review
Population Participants from 14 psilocybin studies
Topics Psilocybin
Key findings Comprehensive cardiovascular safety data for psilocybin are limited, and the common exclusion criterion of blood pressure ≥140/90 mmHg lacks robust empirical support.

Abstract

Background Psilocybin has increasingly been studied as a therapeutic for psychiatric and neurologic conditions, yet comprehensive cardiovascular safety data are limited. Current trials often exclude individuals with blood pressure ≥140/90 mmHg, criteria established conservatively without robust empirical support.