Adverse Health Outcomes of Psilocybin, LSD, MDMA, Ibogaine, and 5-MeO-DMT - Takeaways - MDSpire
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Negative Health Effects Associated with Psilocybin, LSD, MDMA, Ibogaine, and 5-MeO-DMT

  • By

  • Otto Simonsson

  • Melissa Bradley

  • Joshua C. Black

  • Karilynn M. Rockhill

  • Andrew A. Monte

  • Peter S. Hendricks

  • September 29, 2026

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  • 1

    The study analyzed health outcomes associated with psilocybin, LSD, MDMA, ibogaine, and 5-MeO-DMT using data from the 2025 National Survey Investigating Hallucinogenic Trends.

  • 2

    Among 1964 adults surveyed, psilocybin had the highest reported use at 3.1%, while ibogaine had the lowest at 0.2%.

  • 3

    Adverse effects were most frequently reported by users of ibogaine and 5-MeO-DMT, with 94.8% and 92.8% respectively experiencing at least one adverse effect.

  • 4

    Worsening physical health was reported by 45.1% of ibogaine users, while 51.2% of psilocybin users reported improved mental health.

  • 5

    The study highlights the need for cautious interpretation of findings due to variations in substance use and potential pharmacological risks.

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