LSD: Effects, Risks, Tips, and More

by Takumi Hiroshi

LSD remains one of the go-to ways to change the way you see the world around you, even though it’s illegal. However, LSD and iso-LSD, the two C-8 isomers, rapidly interconvert in the presence of bases, as the alpha proton is acidic and can be deprotonated and reprotonated. Non-psychoactive iso-LSD which has formed during the synthesis can be separated by chromatography and can be isomerized to LSD.

  • Effects of LSD on 5‐HT2C, 5‐HT5A, 5‐HT6, and 5‐HT7 receptors e.g., 147, 148, 149 are described, but their significance remains uncertain.
  • A rigorous new study finds that a single dose of LSD can ease a person’s anxiety for months.
  • When humans were given doses of 2 μg/kg i.v., the plasma level was 6–7 ng/mL in about 30 min.
  • Sheridan holds an MBChB (MD) from the University of Pretoria and an MPhil in Applied Ethics (Bioethics) from Stellenbosch University, where he focused on compassionate clinical responses to substance use disorders (SUD).

If scientists can figure out the reason why it affects your brain like this, it could potentially help treat other conditions in a safe and effective way. There are reports of inanimate objects appearing animated, with static objects seeming to move in additional spatial dimensions.63 The auditory effects of LSD may include echo-like distortions of sounds, and an intensified experience of music. There is partial cross‐tolerance (depending on whether LSD is given first or second) among LSD, mescaline, and psilocybin 168, 169, 170. The most complete cross‐tolerance is to mescaline in LSD‐tolerant subjects.

The stability of LSD in transparent containers under light was dependent on the distance between the light source and the samples, the wavelength of light, exposure time, and the intensity of light. After prolonged exposure to heat in alkaline pH conditions, 10 to 15% of the parent LSD epimerized to iso-LSD. Under acidic conditions, less than 5% of the LSD was converted to iso-LSD. It was also demonstrated that trace amounts of metal ions in the buffer or urine could catalyze the decomposition of LSD and that this process can be avoided by the addition of EDTA.

In 1967, a report gave evidence for LSD‐induced chromosomal damage 57. This report could not stand up to meticulous scientific examination and was disproved by later studies (for example, Dishotsky 58 and for complete review Grof 31). Empirical studies showed no evidence of teratogenic or mutagenic effects from use of LSD in man 59, 60, 61. Teratogenic effects in animals (mice, rats, and hamsters) were found only with extraordinarily high doses (up to 500 μg/kg s.c.) 62.

Toward the end of the 1960s, people began using LSD for recreational and spiritual purposes, 3 leading to the formation of a “psychedelic movement” during the international student protests of that era 4, 5. The National Survey on Drug Use and Health6 has, for example, reported LSD as a major drug of abuse in every annual survey since the 1970s. Some people may enjoy the effects they get from partaking in both, but your chances of a bad trip and rough comedown with nausea and vomiting are higher when you mix the two. Some people might also develop a condition called hallucinogen persisting perception disorder (HPPD).

What Does It Mean To Have a Substance Abuse Problem?

LSD can cause extreme mood swings, paranoia, and panic that can lead to dangerous behaviors. Some people may develop hallucinogen persisting perception disorder, such as flashbacks, even after they stop using LSD. In rare cases, LSD can trigger psychosis, especially in people with underlying mental health conditions. LSD (lysergic acid diethylamide), also called “acid,” is a type of synthetic and mind-altering substance (psychedelic).

Bad trips

Lower concentrations were found in the lungs, liver, brain, digestive tract, spleen, and muscle, with the lowest concentrations found in fat tissue 93, 97. In mice, 14C‐LSD (50 μg i.v.) disappeared in a few minutes from blood and was found within 10 min in nearly all organs 90. In the duodenum, the activity reached a maximum (with 50% of radioactivity) at the 2 h mark. 14C‐LSD is then transported in the chyme through the digestive tract and reaches a maximum in the colon after approximately 3 h (see Figure 3) 91.

The only study about the course of plasma levels after administration of LSD was done by Aghajanian and Bing 102. When humans were given doses of 2 μg/kg i.v., the plasma level was 6–7 ng/mL in about 30 min. Over the course of the next 8 h, plasma levels gradually fell until only a small amount of LSD was present (cf. Fig. 6). There are, however, ongoing clinical trials investigating its therapeutic potential in treating existential anxiety in terminally ill patients, addiction, and general anxiety disorder. When tolerance happens, you need more of the drug to achieve the same effect.

Adverse effects

But if you or your loved one plans to, there are steps you can take to lower your odds of an overdose. It also doesn’t create the need for you to take it to complete daily tasks. LSD can affect your senses, causing you to hallucinate and see and hear things that do not exist — or distort what is happening around you. When you place it on your tongue or swallow it, it releases the drug into your system. In its purest form, LSD looks like a white or colorless crystalline powder, has no smell, and might taste bitter.

Psychomotor functions (coordination and reaction time) are frequently impaired after LSD 33, 34, 35. LSD also decreases performance on tests of attention and concentration 36, 37. Jarvik et al. 38 found 100 μg LSD to impair recognition and recall of various stimuli. Aronson and Watermann 39 showed learning processes to be unaffected by 75–150 μg LSD.

  • Impairment of visual memory was shown in the Bender–Gestalt test 34.
  • One study suggested that one‐way cross‐tolerance from LSD to DMT does not occur 171.
  • LSD mixed with marijuana ups your chances of unpredictable mood swings and other side effects, including psychosis in rare cases.
  • When you take LSD, it reacts with these receptors to trigger the hallucinogenic effects within your senses.
  • The incidence of psychotic reactions, suicide attempts, and suicides during treatment with LSD, as noted in Table 1, appears comparable to the rate of complications during conventional psychotherapy.
  • People tend to take LSD to get a high, “trippy” feeling that one can’t get from reality.

What Does an LSD Trip Look Like?

Extensive binary excretion of 14C‐LSD occurred in both the rat and guinea pig 103. Urine was collected for 24 h and feces for 48 h from monkeys (M. mulatta) (0.2 mg/kg LSD i.v.). This observation suggests that LSD underwent almost complete metabolic change in monkeys 97. Beyond objectively measurable somatic changes, there are other somatic symptoms experienced by some subjects (cf. Table 1).

Visit our website terms of use and permissions pages at for further information. The practical (forensic) detection limits are as low as 0.1 and 0.25 ng/mL for LSD and N‐desmethyl‐LSD, respectively. The elimination of 14C‐LSD in the rat, guinea pig, and rhesus monkey over a 96‐h period has been investigated by Siddik et al. 103. Rats (1 mg/kg i.p.) excreted 73% of the 14C in feces, 16% in urine, and 3.4% in the expired air as 14CO2. Guinea pigs (1 mg/kg i.p.) excreted 40% in feces, 28% in urine, and 18% as expired 14CO2. Rhesus monkeys lsd what to know (0.15 mg/kg i.m.) eliminated 23% in the feces and 39% in the urine.

Somatic Effects

You can also join a recovery program to help you quit LSD or cut back. A few LSD users could also develop drug-induced psychosis, a mental disorder that causes you to have delusions, hallucinations, and unusual physical behaviors and speech. People tend to take LSD to get a high, “trippy” feeling that one can’t get from reality.

Psychological Effects

The pharmacology of LSD is indeed quite complex, which may, in part, explain why its mechanisms of action remain unclear. LSD is physiologically well tolerated and there is no evidence for long‐lasting effects on brain and other parts of the human organism. Hope was placed in these substances for new treatments for psychiatric conditions and discoveries that would “unlock the mysteries” of the mind. The research of LSD faded after these advancements and also because the clinical promises failed to be realized while illicit use of hallucinogens pressured governments into taking police action against such use. Government funding of research dried up, as well, and a generation of scientists moved on to other topics. As these new studies move forward, it is hoped that this present paper will be a roadmap for also securing the data missing from our knowledge of the pharmacology of LSD.

If a loved one or friend takes LSD, keep a close eye on them to make sure they don’t have negative effects. If you or a loved one is showing signs of an overdose, it’s a medical emergency. The 5S- or levo- stereoisomers of lysergamides do not exist in nature and are not formed during the synthesis from d-lysergic acid. Retrosynthetically, the C-5 stereocenter could be analysed as having the same configuration of the alpha carbon of the naturally occurring amino acid L-tryptophan, the precursor to all biosynthetic ergoline compounds. An extensive number of individuals participated in LSD research, with Passie 2 estimating some 10,000 patients participating in research of the 1950s and 1960s. The incidence of psychotic reactions, suicide attempts, and suicides during treatment with LSD, as noted in Table 1, appears comparable to the rate of complications during conventional psychotherapy.

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