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Systematic Review

Hofmann vs. Paracelsus: Do Psychedelics Defy the Basics of Toxicology?—A Systematic Review of the Main Ergolamines, Simple Tryptamines, and Phenylethylamines

by
Luis Alberto Henríquez-Hernández
1,2,*,
Jaime Rojas-Hernández
2,3,
Domingo J. Quintana-Hernández
2,4 and
Lucas F. Borkel
2
1
Unit of Toxicology, Clinical Science Department, Universidad de Las Palmas de Gran Canaria, Paseo Blas Cabrera Felipe s/n, CP 35016 Canary Islands, Spain
2
Asociación Científica Psicodélica, CP 35300 Canary Islands, Spain
3
Asociación Canaria para el Desarrollo de la Salud a través de la Atención, CP 35007 Canary Islands, Spain
4
Faculty of Psychology, Universidad del Atlántico Medio, CP 35017 Canary Islands, Spain
*
Author to whom correspondence should be addressed.
Toxics 2023, 11(2), 148; https://doi.org/10.3390/toxics11020148
Submission received: 15 January 2023 / Revised: 30 January 2023 / Accepted: 31 January 2023 / Published: 3 February 2023
(This article belongs to the Special Issue The Identification of Drug Abuse)

Abstract

Psychedelics are experiencing a strong renaissance and will soon be incorporated into clinical practice. However, there is uncertainty about how much harm they can cause at what doses. This review aimed to collect information on the health-hazardous doses of psychedelic substances, to be aware of the risks to which patients may be subjected. We focused on ergolamines, simple tryptamines, and phenylethylamines. We reviewed articles published in major medical and scientific databases. Studies reporting toxic or lethal doses in humans and animals were included. We followed PRISMA criteria for revisions. We identified 3032 manuscripts for inclusion. Of these, 33 were ultimately useful and gave relevant information about effects associated with high psychedelics doses. Despite having different molecular structures and different mechanisms of action, psychedelics are effective at very low doses, are not addictive, and are harmful at extremely high doses. For LSD and psilocybin, no dose has been established above which the lives of users are endangered. In contrast, MDMA appears to be the most dangerous substance, although reports are biased by recreational missuses. It seems that it is not only the dose that makes the poison. In the case of psychedelics, the set and setting make the poison.
Keywords: psychedelics; LSD; MDMA; mescaline; psilocybin; lethal dose; overdose; toxicology psychedelics; LSD; MDMA; mescaline; psilocybin; lethal dose; overdose; toxicology

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MDPI and ACS Style

Henríquez-Hernández, L.A.; Rojas-Hernández, J.; Quintana-Hernández, D.J.; Borkel, L.F. Hofmann vs. Paracelsus: Do Psychedelics Defy the Basics of Toxicology?—A Systematic Review of the Main Ergolamines, Simple Tryptamines, and Phenylethylamines. Toxics 2023, 11, 148. https://doi.org/10.3390/toxics11020148

AMA Style

Henríquez-Hernández LA, Rojas-Hernández J, Quintana-Hernández DJ, Borkel LF. Hofmann vs. Paracelsus: Do Psychedelics Defy the Basics of Toxicology?—A Systematic Review of the Main Ergolamines, Simple Tryptamines, and Phenylethylamines. Toxics. 2023; 11(2):148. https://doi.org/10.3390/toxics11020148

Chicago/Turabian Style

Henríquez-Hernández, Luis Alberto, Jaime Rojas-Hernández, Domingo J. Quintana-Hernández, and Lucas F. Borkel. 2023. "Hofmann vs. Paracelsus: Do Psychedelics Defy the Basics of Toxicology?—A Systematic Review of the Main Ergolamines, Simple Tryptamines, and Phenylethylamines" Toxics 11, no. 2: 148. https://doi.org/10.3390/toxics11020148

APA Style

Henríquez-Hernández, L. A., Rojas-Hernández, J., Quintana-Hernández, D. J., & Borkel, L. F. (2023). Hofmann vs. Paracelsus: Do Psychedelics Defy the Basics of Toxicology?—A Systematic Review of the Main Ergolamines, Simple Tryptamines, and Phenylethylamines. Toxics, 11(2), 148. https://doi.org/10.3390/toxics11020148

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