Adverse experiences resulting in emergency medical treatment seeking following the use of magic mushrooms
Journal of Psychopharmacology – April 07, 2022
Source: OpenAlex
Summary
"Magic mushrooms" containing psilocybin, a psychoactive alkaloid, rarely cause serious adverse effects necessitating a medical emergency. From 9233 past-year users globally, only 19 (0.2%) sought emergency medical treatment, a per-event risk of 0.06%. Young age was the sole predictor. Most incidents involved psychological symptoms—anxiety/panic—relevant to Psychiatry, often due to poor mindset. All but one returned to normality within 24 hours. These Psychedelics and Drug Studies confirm their safety in Medicine and Complementary and Alternative Medicine, showing severe physiological effects requiring Anesthesia are exceedingly rare.
Abstract
Background: Psilocybin-containing mushrooms are used for recreational, spiritual, self-development and therapeutic purposes. However, physiologically relatively nontoxic, adverse reactions are occasionally reported. Aims: This study investigated the 12-month prevalence and nature of magic mushroom-related adverse reactions resulting in emergency medical treatment seeking in a global sample of people reporting magic mushroom use. Methods: We use data from the 2017 Global Drug Survey – a large anonymous online survey on patterns of drug use conducted between November 2016 and January 2017. Results: Out of 9233 past year magic mushroom users, 19 (0.2%) reported having sought emergency medical treatment, with a per-event risk estimate of 0.06%. Young age was the only predictor associated with higher risk of emergency medical presentations. The most common symptoms were psychological, namely anxiety/panic and paranoia/suspiciousness. Poor ‘mindset’, poor ‘setting’ and mixing substances were most reported reasons for incidents. All but one respondent returned back to normality within 24 h. Conclusions: The results confirm psilocybin mushrooms are a relatively safe drug, with serious incidents rare and short lasting. Providing harm-reduction information likely plays a key role in preventing adverse effects. More research is needed to examine the detailed circumstances and predictors of adverse reactions including rarer physiological reactions.