Prevalence and Reasons for Microdosing Cannabis, Psilocybin, LSD, and MDMA Among U.S. Adults

Cannabis is the most commonly microdosed substance among U.S. adults, with 9.4% (24.1 million) reporting lifetime use, followed by psilocybin (5.3%, 13.7 million), LSD (4.8%, 12.4 million), and MDMA (2.2%, 5.7 million). Cannabis is primarily microdosed for medical reasons such as pain management, whereas psilocybin, LSD, and MDMA are more often used recreationally. Lifetime microdosing is more prevalent among people with poorer mental health and those living in jurisdictions with fewer restrictions on cannabis and psychedelics. As policies continue to evolve, the prevalence of microdosing may increase, highlighting the need for ongoing surveillance.

Study at a glance

Abstract

IntroductionMicrodosing involves consuming low doses of psychoactive substances, typically between 1/5th and 1/20th of a recreational dose. Despite increasing public attention to cannabis and psychedelics amid evolving drug policies, epidemiologic data on microdosing remain limited.MethodsA cross-sectional, web-based survey (Characterizing the Epidemiology of Cannabidiol Use Survey) of 1,523 U.S. adults was conducted in October-November 2023 and analyzed in 2024-2025 using the Ipsos KnowledgePanel. Participants reported lifetime microdosing of cannabis, psilocybin, lysergic acid diethylamide (LSD), and 3,4-methylenedioxymethamphetamine (MDMA). Lifetime prevalence, frequency, and reasons for microdosing were assessed, along with associations with demographics, mental health, quality of life, and cannabis and psychedelic policy environments. Survey weights were applied to generate nationally representative estimates.ResultsCannabis was the most commonly microdosed substance (9.4%; 95% CI=8.0, 10.7; 24.1 million adults), followed by psilocybin (5.3%; 95% CI=4.3, 6.3; 13.7 million adults), LSD (4.8%; 95% CI=3.8, 5.9; 12.4 million adults), and MDMA (2.2%; 95% CI=1.5, 2.9; 5.7 million adults). Cannabis (41.2%; 95% CI=33.3, 49.5) was primarily microdosed for medical purposes (e.g., to manage pain), whereas psilocybin (66.6%; 95% CI=56.9, 75.1), LSD (59.2%; 95% CI=46.5, 70.8), and MDMA (86.0%; 95% CI=68.8, 94.5) were more commonly microdosed for recreational purposes (e.g., to get less high). Across all substances, lifetime microdose use was more prevalent among respondents reporting poorer mental health and among those residing in jurisdictions that permitted recreational cannabis use and had decriminalized psychedelic possession.ConclusionsDespite cannabis, psilocybin, LSD, and MDMA remaining illegal at the federal level, a considerable number of U.S. adults reported having microdosed these substances in their lifetime. Microdosing was associated with poorer mental health and was more common among respondents who lived in environments with fewer restrictions on the use of cannabis and psychedelics. As policy reforms continue to expand, the prevalence of microdosing may increase, making ongoing surveillance essential for evidence-based public health responses.