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LSD (Lysergic acid diethylamide)

A classic serotonergic psychedelic used in early and contemporary research on anxiety, cluster headache, and models of consciousness.

State of the evidence

Synthesized

Synthesized from 25 studies in the library · AI-generated, grounded in the abstracts below

Found by searching the library for LSD, lysergic acid diethylamide, lysergide, then ranked by relevance.

Research indicates that LSD produces profound alterations in brain connectivity and neural signal diversity, which correlate with its characteristic psychological effects such as visual hallucinations and ego dissolution. In controlled therapeutic settings, LSD-assisted psychotherapy shows promise for reducing anxiety in life-threatening diseases and for decreasing alcohol misuse, with effects sustained up to 12 months. However, evidence is limited by small sample sizes, and the durability and broader efficacy of LSD treatments remain uncertain.

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 review presents opposing views on whether drug-induced model psychoses are useful for studying schizophrenia, without stating a conclusion.

review

LSD increased visual cortex cerebral blood flow, decreased visual cortex alpha power, and expanded primary visual cortex functional connectivity, which correlated with visual hallucinations, while decreased parahippocampus-retrosplenial cortex connectivity correlated with ego-dissolution and altered meaning.

experimental study

LSD-assisted psychotherapy reduced trait and state anxiety at 2 months with effect sizes of 1.1 and 1.2, and reductions were sustained for 12 months with no serious adverse events.

randomized controlled trial Sample size: 12

Crystal structures of two serotonin receptor subtypes reveal how ligand binding differences influence signaling mechanisms and biological responses, including for a precursor of LSD.

structural biology study

LSD and other ergoline derivatives are agonists at the rat trace amine receptor 1, suggesting a potential additional mechanism for their effects.

pharmacological characterization

A single dose of LSD, in the context of various alcoholism treatment programs, was associated with a decrease in alcohol misuse (OR 1.96, 95% CI 1.36–2.84).

meta-analysis Sample size: 536

LSD increased global functional connectivity in the brain, which correlated with subjective reports of ego dissolution and reduced modular organization.

observational cohort

Classic psychedelics, including LSD, show strong potential as therapeutics for psychological distress, depression, and addiction, and as tools for studying mystical experiences and brain function.

integrative review

The crystal structure of LSD bound to the human serotonin receptor 5-HT2B reveals a 'lid' formed by extracellular loop 2 that may explain LSD's slow binding kinetics and its selective signaling.

experimental study with structural biology and molecular dynamics simulations

LSD is physiologically well tolerated in controlled settings and shows renewed potential for brain research and experimental treatments, though its pharmacology is complex and not completely understood.

review

LSD-assisted psychotherapy produced sustained reductions in anxiety and improvements in quality of life over 12 months, with no lasting adverse reactions.

prospective follow-up with qualitative content analysis Sample size: 10

Intravenous DMT produced dose-dependent hallucinogenic effects that paralleled its pharmacokinetics, and the Hallucinogen Rating Scale distinguished these effects better than biological variables.

double-blind, saline placebo-controlled, randomized study Sample size: 12

Psychedelic substances psilocybin, ketamine, and LSD increased neural signal diversity beyond levels seen in normal waking consciousness, with the increase most pronounced for temporal signal diversity and correlating with the intensity of psychedelic experience.

observational study

Sixty years of study have confirmed early speculations regarding the important relationship between serotonin and both drug-induced and disorder-based psychotic states.

review

LSD produced pronounced hallucinogenic and empathogenic mood effects, decreased prepulse inhibition, and increased autonomic and endocrine measures in healthy subjects.

double-blind, randomized, placebo-controlled, crossover study Sample size: 16

The paper reports the successful synthesis of 1D-LSD and provides its analytical characterization, enabling differentiation from 1T-LSD.

laboratory study

Low-dose LSD altered subjective visual perception but did not affect visual contrast surround suppression, indicating a selective effect on visual processing.

observational cohort

LSD enhanced inter-brain synchrony and felt connectedness in romantic couples compared to placebo, indicating a potential mechanism for psychedelic-induced social bonding.

randomized controlled trial

The text does not report specific findings; it reflects on the experience of conducting the trial and highlights what remains uncertain about LSD-assisted therapy for major depression.

randomized trial

Fluoxetine pretreatment reduced the aversive subjective effects of LSD, including anxiety and dysphoria, in healthy volunteers.

observational cohort

The paper describes a high-sensitivity immunochromatographic assay for the simultaneous detection of mescaline and LSD in hair.

laboratory study

Low doses of psilocybin produced perceptible pharmacological effects without significant perceptual alterations, cognitive impairment, or increased anxiety.

Phase 1, randomized, double-blind, placebo-controlled, single ascending dose study Sample size: 56

Proposes that classic serotonergic psychedelics, empathogenic-entactogenic agents, and glutamatergic dissociatives can enable direct engagement with traumatic, shame-laden, and affective antecedents of sexual difficulties by transiently altering states of consciousness and softening defensive avoidance.

review

Psychedelic drugs show therapeutic potential for mental health conditions, and there are potential paths for rescheduling them from Schedule I to reduce barriers to research and medical use.

review

Structural modifications at the N-1-acyl position of lysergamide analogs influence toxicity patterns, particularly affecting cardiopulmonary and genotoxic endpoints.

in silico toxicological assessment

Points of agreement

  • LSD increases brain connectivity and neural signal diversity, correlating with psychedelic effects like ego dissolution and visual hallucinations.
  • LSD-assisted psychotherapy reduces anxiety in life-threatening diseases and alcohol misuse, with effects lasting up to 12 months.
  • LSD is physiologically well tolerated in controlled settings with no serious adverse events.
  • LSD acts on serotonin receptors, particularly 5-HT2A, and its pharmacology is complex.

Conflicts

  • One review presents opposing views on whether drug-induced model psychoses are useful for studying schizophrenia, without resolution.
  • Low-dose LSD altered subjective visual perception but not visual contrast surround suppression, suggesting selective effects.
  • In silico predictions of LSD derivative toxicity vary across platforms, with some indicating genotoxicity alerts while others classify as non-mutagenic.

Gaps

  • Durability of therapeutic effects beyond 12 months is not established.
  • Sample sizes in clinical trials are small (e.g., 12, 16, 10).
  • Blinding and placebo control are challenging in psychedelic trials.
  • Long-term safety and toxicity of LSD and its derivatives are not fully characterized.
  • Mechanisms of action, including the role of trace amine receptors and specific serotonin receptor subtypes, require further study.
  • Effects in diverse populations and across different doses are not well studied.
Browse these studies in the library
How we analyze this

This synthesis reads the 15 most-cited and 10 most recent studies whose primary subject is LSD, up to 25 in all. The most-cited set anchors the established evidence, and the recent set surfaces work that is too new to have gathered citations yet.

A study qualifies only when LSD or a known alias appears in its title or keywords, so broad reviews that mention it only in passing are left out. Each study is read from its abstract, strongest evidence first, and the summary reports the direction of the results along with any conflicts and gaps.

Latest monthly recap: July 2026 →

2,698 articles · 610 from the last two years · 11,705,982 participants across 766 studies reporting sample size

Common study designs

review 542 systematic review 125 experimental study 232 historical analysis 120 theoretical or philosophical paper 168

720. Unraveling anxiolytic and anti-addictive properties of lysergic acid diethylamide in a model of alcohol use disorder

International Journal of Neuropsychopharmacology September 9, 2026 Todd M Solomon, Robert Barrow, Daniel R Karlin et al.

Abstract Background Effective and well-tolerated pharmacotherapies for generalized anxiety disorder (GAD), which is one of the most common psychiatric disorders, are needed. Aims & Objectives To determine the dose-response relationship of MM120 (lysergide D-tartrate) in adults with moderate to severe GAD. Method This phase 2b, multicenter, randomized, double-blind, placebo-controlled study...

722. Predictors of therapeutic response to LSD in anxiety: short- and long-term outcomes

International Journal of Neuropsychopharmacology September 9, 2026 Friederike Holze, F Müller, Peter Gasser et al.

Abstract Background Anxiety disorders are a major health burden and current treatment options yield unsatisfactory results. Psychedelics, such as lysergic acid diethylamide (LSD) that act via agonism on serotonin 2A receptors, have recently been shown to be effective in the treatment of anxiety symptoms. Aims & Objectives Here, we determine the relationship between the acute experience and...

710. The neuropsychopharmacology of LSD

International Journal of Neuropsychopharmacology September 9, 2026 D McCulloch

Abstract Background LSD has recently entered phase 3 clinical trials for anxiety and depressive disorders, yet understanding of its mechanisms of action in the human brain remains incomplete. The serotonin 2A receptor (5-HT2AR) is the critical target for psychedelic effects, but no investigations to date have evaluated the relation between target engagement and systems-level brain function....

Deconstruction of lysergic acid diethylamide.

Proceedings of the National Academy of Sciences of the United States of America September 8, 2026 Andrian G Basargin, Andras Domokosa, Joseph J. Hennessey et al.

Of the classic psychedelics, lysergic acid diethylamide (LSD) is perhaps the best-known, but its complex chemical architecture has limited synthetic investigations aimed at generating analogues with improved safety and efficacy profiles. Here, we systematically deconstruct the tetracyclic ergoline core of LSD to create 9 simplified ergoline analogues (i.e., ergologs) and evaluate them in...

859. From Neurons to Behavior: Preclinical Insights into LSD’s Anxiolytic Mechanisms

The International Journal of Neuropsychopharmacology September 1, 2026 Gabriella Gobbi

Abstract Background Lysergic acid diethylamide (LSD), a serotonergic psychedelic, has gained renewed interest for its potential anxiolytic effects in clinical trials. However, the neurobiological mechanisms underlying these effects remain poorly understood. Aims & Objectives The goal of this study is to understand the mechanism of action of LSD in animal models by using in vivo...

401. Prophylactic effects of LSD on inflammatory rodent model of depression

The International Journal of Neuropsychopharmacology September 1, 2026 Amel Bouloufa, Sarah Delcourte, Renaud Rovera et al.

Abstract Background Recent clinical findings have highlighted the therapeutic potential of serotonergic psychedelics, including lysergic acid diethylamide (LSD), in the treatment of affective disorders. Despite these advances, the mechanisms driving their beneficial effects remain partially understood. Aims & Objectives This study sought to assess the prophylactic effects of LSD in rodent...

230. LSD microdosing for depression: hype or hope? A randomised controlled trial in major depressive disorder

International Journal of Neuropsychopharmacology September 1, 2026

Abstract Background Depressive disorders affect approximately 280 million people worldwide, with many patients finding existing treatments ineffective or limited by adverse effects. Growing evidence from community microdosing reports suggests that psychedelic therapies may help alleviate depressive symptoms. Among these, lysergic acid diethylamide (LSD) microdosing has shown particular promise...

Clinical trials

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