Psychedelic

LSD (Lysergic Acid Diethylamide)

Semisynthetic psychedelic derived from ergot alkaloids. One of the most potent psychedelics known, with effects lasting 8-12 hours.

Important information

This information is for educational purposes only. Always research thoroughly, test your substances, understand legal implications, and consult healthcare professionals. Never use substances alone or in unsafe environments.

Dosage information

LSD · Oral · non-clinical reference ranges

Tier labels reproduce reported amount and intensity terminology; they do not indicate safety or a recommendation.

Reference dose ranges for LSD by Oral, in micrograms
TierAmountNote
Threshold 25 micrograms
Light 50 to 75 micrograms
Common 75 to 150 micrograms
Strong 150 to 300 micrograms
Heavy Reported lower bound: 300 micrograms; no upper bound is established.

Dosage ranges are reference values from published literature, not recommendations. Potency varies by source, body weight, and individual sensitivity — harm-reduction practice starts well below the ranges listed.

Limitations: Figures are transcribed from a reference compilation, not measured in a controlled study; the potency of any given material is unknown until tested.

Evidence: Review or reference work

  1. Erowid Erowid LSD Vault

Duration

Total: 8-12 hours | Onset: 30-90 minutes | Peak: 3-5 hours

Effect timeline · Oral
Onset 30m–1.5h Comeup 30m–60m Peak 3h–5h Offset 2h–3h Afterglow 2h–6h

Total: 8-12 hours. Long-acting — plan for a full day.

Effect timeline · Sublingual
Onset 15m–45m Comeup 30m–60m Peak 3h–5h Offset 2h–3h Afterglow 2h–6h

Sublingual absorption may be slightly faster onset than swallowed.

Known interactions

Caution LSD + THC (Tetrahydrocannabinol)

Cannabis commonly intensifies and extends LSD experiences. Can trigger anxiety or challenging experiences, especially at the peak.

Risks: Intensified and potentially overwhelming effects · Anxiety and paranoia · Thought loops · Extended duration

Mechanism: CB1 modulation of serotonin pathways amplifies psychedelic effects unpredictably.

What reduces the risk

  • Experienced users only
  • Use minimal cannabis if at all
  • Best avoided during peak effects
  • Have a sitter present

Sources: TripSit Interaction Chart · PsychonautWiki: LSD Interactions

Caution LSD + MDMA (Ecstasy/Molly)

Known as 'candy flipping.' MDMA intensifies and alters the LSD experience. While popular, it increases neurotoxicity risk and unpredictability.

Risks: Increased neurotoxicity · Overwhelming intensity · Hyperthermia · Dehydration · Serotonin depletion

Mechanism: Both are serotonergic. MDMA's serotonin release modulates and intensifies LSD's 5-HT2A effects.

What reduces the risk

  • Experienced users only with both substances
  • Take MDMA 3-4 hours after LSD for safer timing
  • Reduce doses of both substances
  • Stay hydrated, monitor temperature

Sources: TripSit Interaction Chart · PsychonautWiki: MDMA Combinations · Erowid: Candy Flipping Reports

Caution LSD + Psilocybin

Both act on 5-HT2A receptors. Combining amplifies effects unpredictably and dramatically increases intensity.

Risks: Extremely intense experience · Prolonged duration · Difficult to predict effects · Psychological overwhelm

Mechanism: Both are 5-HT2A agonists. Cross-tolerance exists but combining increases total receptor activation.

What reduces the risk

  • Not recommended for most users
  • If combining, reduce doses of both significantly
  • Have a sitter present
  • Prepare for a long experience

Sources: TripSit Interaction Chart · PsychonautWiki: LSD Interactions

Absence of a listed interaction never implies safety. Check any combination in the app's 23×23 interaction matrix.

Harm reduction

  • Test with reagent kit
  • Accurate dosing essential
  • Safe environment
  • Trip sitter recommended
  • 12+ hour time commitment
  • Avoid if family history of psychosis

Risks & side effects

  • Challenging psychological experiences
  • HPPD (rare)
  • Exacerbation of mental health conditions
  • Unsafe behavior during trip

Effects

  • Profound visual hallucinations
  • Ego dissolution
  • Time distortion
  • Synesthesia
  • Euphoria
  • Enhanced pattern recognition
  • Emotional amplification

Schedule I internationally. No accepted medical use in most jurisdictions.

Pharmacology

Partial agonist at 5-HT2A receptors. Extremely high binding affinity.

Therapeutic research

  • Early research (1950s–60s): Over 1,000 papers published on LSD-assisted psychotherapy before prohibition
  • University of Basel: LSD-assisted psychotherapy for anxiety associated with life-threatening illness (Gasser et al., 2014)
  • Imperial College London: LSD neuroimaging revealing increased brain connectivity and entropy (Carhart-Harris et al., 2016)
  • University of Chicago: Microdosing studies examining cognitive and emotional effects (Family et al., 2020)
  • MindMed: Phase 2b trial for generalized anxiety disorder (ongoing)
  • Research into LSD for cluster headaches shows promising anecdotal evidence

Clinical studies 24

Direct comparison of LSD and psilocybin in a double-blind placebo-controlled study

Holze et al. 2022 landmark study directly comparing LSD (100/200µg) and psilocybin (15/30mg) in 28 healthy volunteers. First rigorous head-to-head comparison. Published in Neuropsychopharmacology.

Increased Global Functional Connectivity Correlates with LSD-Induced Ego Dissolution

Tagliazucchi, Carhart-Harris et al. 2016 Current Biology. fMRI study showing LSD increases brain functional connectivity, with connectivity changes correlating with subjective ego dissolution experience.

LSD microdosing in major depressive disorder: results from an open-label trial

Muthukumaraswamy et al. 2026 Neuroscience Applied. Open-label trial examining LSD microdosing effects on major depressive disorder symptoms.

Role of the 5-HT2A Receptor in Acute Effects of LSD on Empathy and Circulating Oxytocin

Holze et al. 2021 Frontiers in Pharmacology. Demonstrates 5-HT2A receptor mediates LSD's prosocial effects on empathy and oxytocin release.

Pharmacological and non-pharmacological predictors of the LSD experience in healthy participants

Vizeli et al. 2024 Translational Psychiatry. Analysis of pharmacological and psychological predictors of LSD effects from nine placebo-controlled trials.

A low dose of LSD decreases pain perception in healthy volunteers

Ramaekers et al. 2020 study showing LSD 20µg significantly increased cold water tolerance time and reduced pain ratings. Published in Journal of Psychopharmacology.

Safety, tolerability, pharmacokinetics, and pharmacodynamics of low dose LSD in healthy older volunteers

Family et al. 2020 Psychopharmacology. First study of LSD (5-20µg) in older adults (55-75 years). Found low doses were well-tolerated with improved mood and cognition. Important for geriatric psychedelic research.

Self-blinding citizen science to explore psychedelic microdosing

Szigeti et al. 2021 landmark citizen science study with 191 participants. Found microdosing benefits may be explained by placebo effect. Published in eLife.

Crystal Structure of an LSD-Bound Human Serotonin Receptor

Wacker/Roth et al. 2017 landmark Cell paper revealing LSD's molecular binding to 5-HT2A/B receptors and why its effects last so long (receptor 'lid' mechanism).

Psychedelics Promote Structural and Functional Neural Plasticity

Ly, Olson et al. 2018 Cell Reports landmark paper showing LSD promotes dendritic arbor complexity, spinogenesis, and synaptogenesis. LSD was most potent of the compounds tested.

Neural correlates of the LSD experience revealed by multimodal neuroimaging

Carhart-Harris et al. 2016 PNAS landmark brain imaging study. First modern fMRI/MEG study of LSD showing increased brain connectivity, visual cortex activation, and ego dissolution neural correlates.

Microdosing psychedelics: More questions than answers? An overview and suggestions for future research

Kuypers, Nutt et al. 2019 J Psychopharmacology critical review of microdosing research. Highlights methodological gaps and proposes rigorous future research directions for LSD/psilocybin microdosing.

Low Doses of LSD Acutely Increase BDNF Blood Plasma Levels in Healthy Volunteers

Hutten, Mason et al. 2020 ACS Pharmacol Translat Sci. First study showing microdoses of LSD acutely increase BDNF (brain-derived neurotrophic factor) levels in humans.

LSD enhances suggestibility in healthy volunteers

Carhart-Harris et al. 2014 Psychopharmacology. Showed LSD increases suggestibility, potentially relevant to therapeutic applications combining psychedelics with psychotherapy.

LSD-assisted psychotherapy for anxiety associated with a life-threatening disease: A qualitative study of acute and sustained subjective effects

Gasser, Kirchner & Passie 2014 J Psychopharmacology. Qualitative 12-month follow-up of LSD therapy for end-of-life anxiety. 77.8% reported reduced anxiety, 66.7% improved quality of life. First modern LSD therapy study.

LSD alters eyes-closed functional connectivity within the early visual cortex in a retinotopic fashion

Roseman, Carhart-Harris et al. 2016 Human Brain Mapping. fMRI study showing LSD increases functional connectivity in visual cortex in a retinotopic pattern, explaining closed-eye visual hallucinations.

Is microdosing a placebo? A rapid review of low-dose LSD and psilocybin research

Polito, Liknaitzky 2024 J Psychopharmacology. Rapid review examining evidence for microdosing effects, finding limited placebo-controlled evidence but consistent self-report improvements.

LSD (lysergic acid diethylamide)

Howard, Stork 2024 Encyclopedia of Toxicology. Comprehensive toxicology reference entry covering LSD pharmacology, toxicity profile, clinical effects, and treatment guidelines.

Lysergic Acid Diethylamide (LSD) and the Heart: Exploring the Potential Impacts of LSD on Cardiovascular Function

Suleria et al. 2025 Cureus. Review examining LSD's cardiovascular effects including heart rate, blood pressure changes, and potential cardiac risks.

Are the LSD-analogs lisuride and ergotamine examples of non-hallucinogenic serotonin 5-HT2A receptor agonists?

Kehler & Lindskov 2025 J Psychopharmacology. Analysis of why some 5-HT2A agonists like lisuride produce therapeutic effects without hallucinogenic properties.

Acute effects of lysergic acid diethylamide on resting brain function

Müller et al. 2019 Swiss Medical Weekly. Neuroimaging review summarizing LSD's acute effects on resting-state brain function and network connectivity.

Dose-dependent LSD effects on cortical/thalamic and cerebellar activity: BOLD activity, underlying receptor changes, and behavioral correlates

Ghaw et al. 2024 Brain Communications. fMRI study showing dose-dependent LSD effects on cortical, thalamic, and cerebellar BOLD activity with receptor correlates.

Ketanserin reverses the acute effects of LSD in a randomized, double-blind, crossover study in healthy subjects

Becker et al. 2022 Neuroscience Applied. Neuroimaging study demonstrating 5-HT2A antagonist ketanserin blocks LSD's subjective and brain activity changes.

LSD microdosing in major depressive disorder: results from an open-label trial

Muthukumaraswamy 2026 Neuroscience Applied. Open-label trial of LSD microdosing for major depressive disorder showing preliminary efficacy data.

Sources 2

  1. Gasser, P., et al. LSD-assisted psychotherapy for anxiety associated with a life-threatening disease. The Journal of Nervous and Mental Disease, 202(7), pp. 513-520 (2014) doi:10.1097/NMD.0000000000000113
  2. Erowid Erowid LSD Vault

History & culture

LSD was first synthesized by Albert Hofmann at Sandoz Laboratories in Basel, Switzerland on November 16, 1938, from ergotamine derived from the ergot fungus. Its psychoactive properties were discovered accidentally on April 19, 1943 — now celebrated as 'Bicycle Day' — when Hofmann absorbed a small amount through his skin and rode his bicycle home during the first intentional LSD trip. The CIA's MKUltra program (1953–1973) covertly tested LSD for mind control. The 1960s saw widespread cultural adoption through figures like Timothy Leary, Ken Kesey's Merry Pranksters, and the Grateful Dead. It was made illegal in the US in 1968.

Natural origins

LSD is semisynthetic — derived from ergotamine, an alkaloid produced by the ergot fungus (Claviceps purpurea) that parasitizes rye and other cereal grains. Ergot has a dark history: mass ergot poisoning ('St. Anthony's Fire') caused convulsions, gangrene, and hallucinations throughout medieval Europe. Some historians theorize that the kykeon consumed during the Eleusinian Mysteries of ancient Greece may have contained ergot alkaloids. Hawaiian baby woodrose (Argyreia nervosa) and morning glory (Ipomoea) seeds contain the related compound LSA (ergine).

Molecular family: Ergolines

Ergolines are alkaloids based on the ergoline scaffold, which fuses an indole group with a four-membered pyrrolidine ring. This complex tricyclic structure is found in ergot fungi (Claviceps purpurea) and produces the most potent psychedelic known. LSD is a semisynthetic lysergic acid amide derived from lysergic acid, an ergoline precursor. Key characteristics: - Tricyclic ergoline scaffold (indole + pyrrolidine) - Present in ergot-infected grains and natural ergot fungi - LSD is a semisynthetic modification of lysergic acid - Longest-acting of all classical psychedelics - One of the most powerful substances known (active at ~100 micrograms) The ergoline structure represents an elegant solution by nature to creating powerful compounds. Lysergic acid is the natural backbone, while LSD's synthesis adds the diethylamide group—this single modification fundamentally changed consciousness research and culture.

Structurally related to None identified

External resources