LSD
A potent serotonergic hallucinogen that alters perception, mood, and cognition via 5-HT2A receptor activation.
Modern clinical research has shown that LSD in controlled settings induces bliss, synesthesia, derealization, and mystical experiences mediated by the 5-HT2A receptor. LSD increases feelings of closeness, openness, and trust while impairing recognition of negative emotional expressions. In patients with anxiety associated with life-threatening disease, anxiety was reduced for 2 months after two doses. LSD is physiologically safe with low toxicity and no complications observed in medical settings. However, therapeutic value remains to be confirmed in larger controlled trials, and most evidence comes from small pilot studies. Information about LSD pharmacokinetics in humans is limited and more research is needed.