Short for lysergic acid diethylamide, is a powerful hallucinogenic substance. It is a hallucinogenic compound that can alter perception, thoughts, and feelings. Its effects are primarily mediated by the serotonergic system in the brain. Here’s how it works:
Serotonin Receptors: LSD interacts with proteins on the surface of brain cells called serotonin receptors. Specifically, it binds to the 5-HT2A receptor.
Signaling Pathways: Serotonin receptors activate two major signaling pathways within cells: through G-proteins and through β-arrestins. LSD mainly acts through the β-arrestin pathway instead of the G-protein pathway.
Structural Interaction: LSD’s unique effects are influenced by its structural interaction with the receptor. Related ergoline compounds can shape the receptor’s structure differently, triggering distinct effects.
Swiss chemist Albert Hofmann first synthesized LSD in 1938. He accidentally ingested it three days later, experiencing its psychedelic effects.
Effects: LSD alters perception, mood, and cognition. Users may experience vivid hallucinations, synesthesia (cross-sensory experiences), and altered time perception.
Dosage: LSD is typically taken orally as a small paper square (blotter) or liquid on sugar cubes. The dosage is measured in micrograms (µg), with common doses ranging from 50 to 200 µg.
Trips: An LSD trip can last 6 to 12 hours. Users report intense visual patterns, emotional insights, and a sense of interconnectedness with the universe.
Safety: While LSD is considered non-addictive, it can be psychologically intense.
The LSD user’s reactions are extremely subjective, variable, and unpredictable. One trip may be filled with brilliant hallucinogenic sights and sensations, mind expansion, as well as euphoric feelings of oneness with the universe; while, another trip may bring anxiety, panic, fear, and depression, despair, and solitude of disappointment. An individual’s body image may be distorted; the sensations can turn to a ‘bad trip’ and eventually culminate in frank psychosis. The drug moves quickly to the brain and throughout the body and acts on both the central and autonomic nervous systems. All traces of the drug disappear from the brain rapidly in about 20 min, although the effects may last many more hours.
As mentioned, flashback is a real perturbing side effect. One theory suggests that flashbacks are induced by stress or fatigue, or by resort to other drugs. However, frequent or long-term use of LSD has been shown to culminate in tolerance. Emotional, physical, and mental stability returns to baseline quickly. As a result, tolerant users require more of the drug to achieve the same effect and invariably invite more trouble.
Abuse of LSD is rather difficult; the drug produces such an absurd high that daily ingestion is almost impossible. Thus LSD use does not lead to physical dependence. However, the tolerance as mentioned disappears after a few days of abstinence without producing craving. So, LSD dependence is typically psychological and not physical.
LSD has had a fascinating impact on various famous individuals. Let’s explore some notable figures who experimented with psychedelics:
LSD is not considered physically addictive in the same way as substances like opioids or nicotine. However, it can lead to psychological dependence in some individuals. Here’s why:
Tolerance: With repeated use, LSD users develop tolerance, meaning they need higher doses to achieve the same effects. This can lead to more frequent use.
Cross-Tolerance: LSD shares cross-tolerance with other hallucinogens like psilocybin (found in magic mushrooms). If someone develops tolerance to LSD, they may also have reduced sensitivity to other psychedelics.
Psychological Effects: LSD can produce intense, mind-altering experiences. Some users seek these effects repeatedly, leading to a desire for more trips.
Risk of “Bad Trips”: While most LSD experiences are positive, some users may have distressing or frightening trips. Despite this, they may continue using LSD, hoping for better experiences.
Set and Setting: The context in which someone takes LSD matters. Positive environments and intentions can enhance the experience, but negative settings can lead to anxiety or paranoia.
Individual Variability: Not everyone who uses LSD becomes psychologically dependent. Some people use it occasionally without feeling compelled to continue.
In summary, while LSD itself isn’t physically addictive, its psychological effects and patterns of use can lead to dependence in susceptible individuals. As always, if you have any concerns about substance use, consider seeking professional advice.
Dr. Kenneth Spielvogel is a board-certified Physician with a focused interest in addiction medicine. He is dedicated to providing comprehensive and compassionate care to patients throughout all stages of life. With nearly 30 years of experience, he combines his expertise with a genuine warmth and attentiveness, making him a trusted choice for patients seeking personalized healthcare. From Inspiration to Dedication: Inspired by his father’s career in medicine, Dr. Spielvogel followed his own path, choosing to specialize initially on women’s health. Seeing the devastation of drug and alcohol use disorders on his patients, he focused his continuing education on all aspects of addiction medicine. He continues to integrate this knowledge into both inpatient and ambulatory care.
Areas of Expertise: Dr. Spielvogel offers a wide range of services, including:
Menopause and hormone replacement therapy (HRT)
Family planning and infertility
Abnormal bleeding disorders
Minimally invasive surgery and robotics
Preconception counseling and prenatal care
Annual exams and preventative care
Full scope treatment of addiction and recovery A Personalized Approach:
Dr. Spielvogel believes in building strong relationships with his patients. He takes the time to understand their individual needs and concerns, tailoring his approach to ensure they feel heard and supported. He also speaks fluent Spanish, enabling him to serve a diverse community. Beyond the Exam Room: Dr. Spielvogel is passionate about empowering patients to make informed decisions about their health. He enjoys counseling patients on healthy lifestyle choices, including weight management, and stays up-to-date on the latest advancements in all aspects of healthcare.
Education and Affiliations:
Medical Degree: George Washington University School of Medicine
Residency: University of Colorado Health Sciences Center
Board Certification: American Board of Obstetrics & Gynecology
Affiliations: MemorialCare Medical Group Long Beach, Pediatrix Medical Group Consultant and clinical care member for both One Method and Carrara treatment centers