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Prevalence and associations of classic psychedelic-related seizures in a population-based sample.

Otto Simonsson, Simon B Goldberg, Richard Chambers, Walter Osika, Dustin M Long, Peter S Hendricks

Drug and alcohol dependence October 1, 2022 DOI: 10.1016/j.drugalcdep.2022.109586 via PubMed

Summary

AI-generated from the abstract

Among a US-representative sample of 2,822 adults, 613 reported lifetime classic psychedelic use, and 1.5% of those users reported having a seizure while using a classic psychedelic—a rate similar to epilepsy prevalence in the general population. Nearly half of those who had a seizure were also taking antidepressants, mood stabilizers, or opioid replacement therapies at the time. Seizures were more common among respondents with a personal or family history of epilepsy. The findings suggest that classic psychedelic use may elevate seizure risk in certain people, especially those with a personal or family history of epilepsy.

Study at a glance

Characteristics Cross-sectional survey Peer reviewed
Sample size 2,822
Population US adults representative by sex, age, and ethnicity
Topics LSD Psilocybin
Keywords Adverse Psychedelics Risk
Citations 16
Key finding Classic psychedelic-related seizures occurred in 1.5% of lifetime users, with higher risk among those with a personal or family history of epilepsy.

Abstract

Previous studies have reported links between classic psychedelic use and seizures, but little remains known about prevalence and potential risk factors of classic psychedelic-related seizures. Using a sample representative of the US adult population with regard to sex, age, and ethnicity (N = 2822), this study examined the prevalence and potential risk factors of classic psychedelic-related seizures, in a subsample of respondents who reported lifetime classic psychedelic use (n = 613). Among those who reported lifetime classic psychedelic use, 1.5 % reported classic psychedelic-related seizures, a statistic that comports with the prevalence of epilepsy in the US population. Among those who reported seizures while using a classic psychedelic, almost half reported co-use of antidepressants, mood stabilizers, or opioid replacement therapies at the time of the seizures. Notably, classic psychedelic-related seizures were more commonly reported in certain respondents, especially those with a personal or family history of epilepsy. These results suggest that classic psychedelic use could increase the risk of seizures in certain populations, particularly those with a personal or family history of epilepsy.

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