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Mescaline

A classic psychedelic phenethylamine found in several cacti and central to long-standing ceremonial traditions.

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 Mescaline, peyote, san pedro, huachuma, then ranked by relevance.

Research on mescaline indicates it is a classic psychedelic that acts primarily via serotonin 5-HT2A receptors, producing acute psychotic-like and perceptual effects, but long-term use in ceremonial settings is not associated with psychological or cognitive deficits. Population studies show no link between lifetime psychedelic use (including mescaline) and mental health problems, and one study found mescaline/peyote use associated with lower opioid use disorder severity. However, clinical evidence is limited, with no adequate randomized controlled trials as of 2026, and most findings come from observational or preclinical studies.

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.

This review presents opposing views on whether drug-induced model psychoses, such as those from mescaline, are useful for studying schizophrenia, without stating a conclusion.

review

Lifetime use of psychedelics, including mescaline, was not associated with increased rates of any mental health outcomes and in some cases was associated with lower rates.

cross-sectional survey Sample size: 130152

This review reports that several effects of hallucinogens, including mescaline, involve agonist activity at the serotonin 5-HT2A receptor.

review

LSD acutely produced heightened mood and psychosis-like symptoms, yet two weeks later increased optimism and trait openness without changes in delusional thinking.

within-subjects controlled trial Sample size: 20

Lifetime use of psychedelics, including mescaline, was not significantly associated with increased likelihood of past-year mental health problems, including serious psychological distress, suicidal thoughts or attempts, depression, or anxiety.

observational cohort Sample size: 135095

This paper proposes that a hypothetical 'M substance' with properties between mescaline and adrenaline may be an aetiological agent in schizophrenia.

theoretical or philosophical paper

Potencies of hallucinogens, including mescaline, in the mouse head-twitch response paradigm strongly correlate with their reported hallucinogenic potencies in humans and with drug discrimination ED50 values in rats.

experimental study with dose-response experiments

This review summarizes evidence that hallucinogenic compounds, including LSD and psilocybin, show therapeutic potential for psychiatric disorders such as depression and post-traumatic stress disorder.

review

DMT does not induce tolerance to its psychological effects, and pindolol pre-treatment increases psychological responses to DMT.

dose-response study, tolerance study, pre-treatment study

Ayahuasca used in religious ceremonies has a safety margin comparable to codeine, mescaline, or methadone, with minimal dependence potential and risk of sustained psychological disturbance.

systematic review

A single dose of LSD in a safe setting produced subjectively meaningful and long-lasting positive effects on well-being and attitudes, with no negative effects reported.

observational cohort Sample size: 16

Regular peyote use in a religious setting was not associated with psychological or cognitive deficits, while past alcohol dependence was.

observational cohort Sample size: 176

Mescaline produced an acute psychotic state with a hyperfrontal brain pattern emphasizing the right hemisphere, questioning hypofrontality as an explanation for schizophrenic symptomatology.

observational cohort Sample size: 12

Oral doses of cannabis produce mental disturbances similar to those caused by mescaline and lysergic acid, which resemble schizophrenia symptoms and may serve as a research tool for studying psychoses.

clinical study

An enzyme localized in rabbit lung N-methylates serotonin and tryptamine to produce psychotomimetic metabolites and also acts on several phenylethylamine derivatives, including mescaline.

experimental study

Low doses of psilocybin produce 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

Unclear

This review discusses the botany, chemistry, medicinal qualities, ecology, and religious practices surrounding peyote, and notes alarming scarcity and conservation efforts.

review

Unclear

This review states that mescaline is the only phenethylamine classic psychedelic, with the lowest 5-HT2A affinity, requiring the highest doses, and that no adequate RCT exists as of 2026.

transdisciplinary scientific review

This paper proposes that the cultivated psychoactive mushroom and peyote represent distinct cases of access reorganization, requiring comparative analysis of legal and cultural frameworks.

theoretical or philosophical paper

This review concludes that psychedelics can exacerbate pre-existing psychotic illness and may trigger psychosis in vulnerable individuals, but phenomenological and mechanistic distinctions suggest potential therapeutic applications for carefully selected symptoms in stable patients.

narrative review

This paper proposes that natural hallucinogens, including mescaline, evolved primarily as ecological agents and that human psychoactivity is an evolutionary by-product of their action on conserved neural targets.

theoretical or philosophical paper

Mescaline or peyote use was associated with lower opioid use disorder severity, whereas use of LSD, psilocybin, MDMA, or DMT was associated with higher severity, with effects differing by level of mental health impairment.

cross-sectional survey with structural equation modeling Sample size: 45133

This paper proposes that novel structural hybrids of mescaline with PCP analogs should be synthesized to investigate potential antagonistic activity at central PCP receptors, but no experimental data are reported.

theoretical or philosophical paper

Mescaline produces cerebellar-selective BOLD suppression and global resting-state hyperconnectivity, abolishes reward-related BOLD responses, and shows frequency-dependent effects on acoustic startle, distinguishing it from LSD and psilocybin.

pharmacological and resting-state fMRI in awake rats

This review summarizes mescaline and its analogues' basic information, pharmacological and toxicological properties, and detection methods, noting a gradual increase in abuse.

review

Points of agreement

  • Mescaline acts as a 5-HT2A receptor agonist, consistent with other classic psychedelics.
  • Population studies consistently find no association between lifetime psychedelic use (including mescaline) and increased mental health problems.
  • Long-term ceremonial peyote use is not associated with psychological or cognitive deficits.
  • Mescaline acutely induces psychotic-like and perceptual alterations, as shown in experimental and observational studies.

Conflicts

  • One study found mescaline/peyote use associated with lower opioid use disorder severity, while other psychedelics were associated with higher severity, suggesting divergent effects.
  • Historical and theoretical papers debate the usefulness of mescaline-induced model psychoses for understanding schizophrenia, with some questioning the relevance and others supporting it.
  • Preclinical findings in rats distinguish mescaline's neuroimaging profile from LSD and psilocybin, but human comparative data are lacking.

Gaps

  • No adequate randomized controlled trials of mescaline exist as of 2026.
  • Long-term durability of mescaline's effects is not well studied.
  • Most evidence comes from observational or preclinical studies; controlled human data are scarce.
  • The relationship between mescaline use and opioid use disorder severity is cross-sectional and requires longitudinal confirmation.
  • Potential risks in vulnerable populations, such as those with schizophrenia spectrum disorders, are inadequately quantified.
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 Mescaline, 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 Mescaline 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 →

928 articles · 163 from the last two years · 4,385,827 participants across 165 studies reporting sample size

Common study designs

review 188 experimental study 108 historical analysis 69 observational study 35 theoretical or philosophical paper 92

Arte Visionario con San Pedro y Ayahuasca en Ecuador, en diálogo con el mundo Kichwa

Proa Revista de Antropologia e Arte August 19, 2026 Susan Elizabeth Rocha

This research addresses visionary practices in contemporary Ecuadorian art, focusing on their relationship with the ritual ingestion of San Pedro (Echinopsis pachanoi) and Ayahuasca (Banisteriopsis caapi). From a perspective grounded in animist ontologies, which understand nature as a vast web of interconnected beings with interiority, the study analyzes how these master plants function as...

magnetismo del peyote

Revista de Arqueología Americana July 10, 2026 Stacy B. Schaefer

El peyote (Lophophora williamsii) es un cactus psicoactivo con una larga historia en el centro de las creencias religiosas, las prácticas curativas y el significado transformador que experimentan diversos pueblos indígenas de México y América del Norte. Los wixárika (indios huicholes) tienen la historia más larga conocida de uso continuo del peyote, mientras que las prácticas relacionadas con...

Der gezüchtete psychoaktive Pilz als Fall der Zugangs-Reorganisation — mit dem komparativen Fall des Peyote.** Transdisziplinäre Monografie (Ausbaustufe). Zweisprachig **DE + EN**

Zenodo (CERN European Organization for Nuclear Research) July 1, 2026 Schüller Thomas

Der gezüchtete psychoaktive Pilz als Fall der Zugangs-Reorganisation — mit dem komparativen Fall des Peyote.** Transdisziplinäre Monografie (Ausbaustufe). Zweisprachig **DE + EN**. Thomas Schüller · Syntagma Forschung Wien · ORCID [0009-0003-9799-6747](https://orcid.org/0009-0003-9799-6747) · privat finanziert · **CC BY 4.0**

Meskalin / Mescaline

Zenodo (CERN European Organization for Nuclear Research) July 1, 2026 Schüller Thomas

# FORSCH-0351 — Meskalin / Mescaline Eigenständiges bilinguales Vollwerk (DE+EN). Transdisziplinäre wissenschaftliche Übersicht zu Meskalin entlang acht Disziplinen, mit expliziter Geltungsstufen-Kennzeichnung (gesichert / wahrscheinlich / offen). **Schwesterwerke (gleiche Struktur):** FORSCH-0291 (LSD) · FORSCH-0350 (Psilocybin) **Theorieanker:** FORSCH-0083 (ρ/δ) · **Dach:** FORSCH-0328...

NOVEL STRUCTURAL HYBRIDS OF MESCALINE WITH PCP-ANALOGS: POTENTIAL ANTAGONISTS FOR CENTRAL PCP-RECEPTORS

Bulletin of Pharmaceutical Sciences. Assiut University May 26, 2026 R. Shafik, N. Eshba, M. El-Semary et al.

The possible involvement of the synclinal conformation of mescaline with phencyclidine (PCP)-receptors has promoted the synthesis of certain novel structural hybrids of mescaline with PCP-analogs. The effect of mescaline and the potential antagonisticactivity of the newly proposed derivatives at central PCP-receptors of albino rat brains will await investigation. The suggested compounds were...

Mescaline Alters Cerebellar Function, Global Connectivity, and Frequency-Selective Acoustic Gating: A BOLD fMRI Study in Awake Rats.

Neuroscience Bulletin May 21, 2026 Noah Cavallaro, Priya Rai, David Akins et al.

Mescaline, a 5-HT2A agonist psychedelic used ceremonially for millennia, lacks neuroimaging characterization due to its Schedule 1 status. Using pharmacological and resting-state fMRI in awake rats, we report mescaline's first comprehensive neurobiological profile. Acutely, mescaline produced cerebellar-selective BOLD suppression, suggesting functional disconnection from forebrain structures....

Characterization Of Peyote Hybird Lophophora williamsii var Jourdaniana Through Genomic Analysis And Molecular Studies

Open MIND April 28, 2026 Ginny Li

Peyote cactus (Lophophora williamsii var. Jourdaniana) along with many other cacti can synthesize the hallucinogen, mescaline. They have recently garnered public attention after they re-emerged as a potential source as the new generation of mental health medications. Particularly since restrictions for psychoactive-based medication in research was relaxed in Canada. Despite the attention in...

[Research Progress on Mescaline and Its Analogues].

Fa yi xue za zhi April 25, 2026 Ruidi Shen, Zhenhua Qian

The abuse of new psychoactive substances is severe globally. Among phenethylamine compounds, mescaline and its analogues are a class of substances that are often overlooked, yet their abuse has shown a gradual increase in recent years. This paper reviews mescaline and its analogues from three aspects: their basic information, pharmacological and toxicological properties, and detection methods....

The Ethnopharmacological Use of Mescaline for Psychiatric Disorders: A Systematic Review

International Journal of Molecular Sciences March 28, 2026 Jonathan Shaw, Aidan Yong, Jacky Lee et al.

Mescaline, the primary bioactive alkaloid found in Peyote and San Pedro cactus, has been used in traditional medicine for centuries and is now attracting renewed interest for clinical applications. The purpose of this systematic review was to search the literature for studies reporting the use of mescaline to address the gap in our understanding of mescaline use and its impact. References were...

Clinical trials

All Mescaline trials →