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Research/Psilocybin for Substance Use Disorders (SUD)/Dose summaries
Curated dose summary

Psilocybin for Substance Use Disorders (SUD): dose summaries

Psilocybin clinical studies for Substance Use Disorders (SUD) include 22 structured dose rows across 16 linked trials. Common source-reported dose patterns include 25 mg, 0.1 mg/kg, 0.3 mg/kg. Interpret these as descriptive trial protocols, not treatment recommendations.

Clinical studies
16
Dose rows
22
Source papers
34
Needs review
1

How to read this summary

This page summarizes source-structured dosing used in linked human clinical studies. It preserves the source-reported unit, route, frequency, and regimen notes where available.

Source-reported protocol patterns

Patterns group structured dose rows with the same reported dose, route, and regimen type. They preserve source units and do not imply clinical equivalence.

8 rows

25 mg via Oral

Reported in 8 dose rows. Source rows retain their original units and should be read descriptively, not as dosing guidance.

Routes: Oral

1 row

0.1 mg/kg via Oral

Reported in 1 dose row. Source rows retain their original units and should be read descriptively, not as dosing guidance.

Routes: Oral

1 row

0.3 mg/kg via Oral

Reported in 1 dose row. Source rows retain their original units and should be read descriptively, not as dosing guidance.

Routes: Oral

1 row

0.3-0.4 mg/kg via Oral (multi-dose)

Reported in 1 dose row. Source rows retain their original units and should be read descriptively, not as dosing guidance.

Routes: Oral

1 row

0.36 mg/kg via Oral

Reported in 1 dose row. Source rows retain their original units and should be read descriptively, not as dosing guidance.

Routes: Oral

1 row

1 mg via Oral

Reported in 1 dose row. Source rows retain their original units and should be read descriptively, not as dosing guidance.

Routes: Oral

1 row

10 mg via Oral (fixed)

Reported in 1 dose row. Source rows retain their original units and should be read descriptively, not as dosing guidance.

Routes: Oral

1 row

10-25 mg via Oral (multi-dose)

Reported in 1 dose row. Source rows retain their original units and should be read descriptively, not as dosing guidance.

Routes: Oral

Traceable dose rows

Each row comes from a linked clinical trial intervention. Rows with missing or reviewed-incomplete dosing stay visible instead of being filled by inference.

Back to evidence set →
StudyArmDoseRoute and regimenSource status
A Double-Blind Trial of Psilocybin-Assisted Treatment of Alcohol Dependence
TrialPaperNCT02061293
Psilocybin
Psilocybin
25-40 mg
Oral | flexible
two sessions | 2 doses

Dose expressed per 70 kg; initial 25 mg/70 kg at session 1, second session may be 25, 30, or 40 mg/70 kg.

Not reviewed
existing-data | percentage-of-heavy-drinking-days-following-psilocybin-assisted-psychotherapy-vs
A Study of Psilocybin for Major Depressive Disorder (MDD)
TrialPaperNCT03866174
Psilocybin
Psilocybin
25 mg
Oral
single dose | 1 dose

Encapsulated synthetic psilocybin; administered with SaS protocol.

Not reviewed
existing-data | single-dose-psilocybin-treatment-for-major-depressive-disorder-a-randomized-clin
Assessing the subjective intensity of oral psilocybin in patients with treatment-resistant depression: a pilot study (PSILODEP-PILOT)
TrialPaperISRCTN14426797
Psilocybin
Psilocybin
10-25 mg
Oral | multi-dose
two sessions | 2 doses

Two oral doses: 10 mg and 25 mg, separated by one week.

Not reviewed
existing-data | psilocybin-with-psychological-support-for-treatment-resistant-depression-an-open
Clinical and Mechanistic Effects of Psilocybin in Alcohol Addicted Patients
TrialPaperNCT04141501
Psilocybin 25 mg
Psilocybin
25 mg
Oral
single dose | 1 dose

Single oral capsule (25 mg).

Not reviewed
existing-data | psilocybin-assisted-therapy-for-relapse-prevention-in-alcohol-use-disorder-a-pha
Effects and Therapeutic Potential of Psilocybin in Alcohol Dependence
TrialPaperNCT01534494
Psilocybin
Psilocybin
0.3-0.4 mg/kg
Oral | multi-dose
two sessions | 2 doses

Two doses (0.3 mg/kg and 0.4 mg/kg) given in separate all-day sessions 4 weeks apart; delivered with 12-session MET including preparation and debriefing.

Not reviewed
existing-data | psilocybin-assisted-treatment-for-alcohol-dependence-a-proof-of-concept-study
Efficacy and Safety of Psilocybin in Treatment-Resistant Major Depression
TrialPaperNCT04670081
Psilocybin high
Psilocybin
25 mg
Oral | flexible
two sessions | 2 doses

Sequences: 25 mg at session1 then 5 mg at session2, or 25 mg at both sessions

Not reviewed
existing-data | methodological-challenges-in-psychedelic-drug-trials-efficacy-and-safety-of-psil
Efficacy and Safety of Psilocybin in Treatment-Resistant Major Depression
TrialPaperNCT04670081
Psilocybin low
Psilocybin
5 mg
Oral | multi-dose
two sessions | 2 doses

Session 1: 5 mg; Session 2: 25 mg

Not reviewed
existing-data | methodological-challenges-in-psychedelic-drug-trials-efficacy-and-safety-of-psil
Imperial College London Open-Label Psilocybin Pilot for Treatment-Resistant Depression (Carhart-Harris / Lyons 2016–2018)
TrialPaperCARHART-HARRIS-2016-LANCETPSYCH-PSILOCYBIN-TRD-IMPERIAL
TRD patients
Psilocybin
10 mg
Oral | fixed
single dose | 1 dose

Initial safety dose

Not reviewed
existing-data | psilocybin-with-psychological-support-improves-emotional-face-recognition-in-tre
Imperial College London Open-Label Psilocybin Pilot for Treatment-Resistant Depression (Carhart-Harris / Lyons 2016–2018)
TrialPaperCARHART-HARRIS-2016-LANCETPSYCH-PSILOCYBIN-TRD-IMPERIAL
TRD patients
Psilocybin
25 mg
Oral | fixed
single dose | 1 dose

Subsequent treatment dose administered 1 week after the first dose

Not reviewed
existing-data | psilocybin-with-psychological-support-improves-emotional-face-recognition-in-tre
Pilot Trial of Visual Healing in Psilocybin-assisted Therapy for Alcohol Use Disorder
TrialPaperNCT04410913
Standard setting
Psilocybin
25 mg
Oral
two sessions | 2 doses

Standard set-and-setting; second session at 4 weeks (participant may choose Visual Healing or standard).

Not reviewed
existing-data | nature-themed-video-intervention-may-improve-cardiovascular-safety-of-psilocybin
Pilot Trial of Visual Healing in Psilocybin-assisted Therapy for Alcohol Use Disorder
TrialPaperNCT04410913
Visual Healing
Psilocybin
25 mg
Oral
two sessions | 2 doses

First session with Visual Healing; second session at 4 weeks (participant may choose Visual Healing or standard).

Not reviewed
existing-data | nature-themed-video-intervention-may-improve-cardiovascular-safety-of-psilocybin
Psilocybin – Induced Neuroplasticity in the Treatment of Major Depressive Disorder
TrialPaperNCT03554174
Low dose psilocybin
Psilocybin
0.1 mg/kg
Oral
single dose | 1 dose

0.1 mg/kg oral capsule

Not reviewed
existing-data | sub-acute-effects-of-psilocybin-on-eeg-correlates-of-neural-plasticity-in-major-
Psilocybin – Induced Neuroplasticity in the Treatment of Major Depressive Disorder
TrialPaperNCT03554174
Medium dose psilocybin
Psilocybin
0.3 mg/kg
Oral
single dose | 1 dose

0.3 mg/kg oral capsule

Not reviewed
existing-data | sub-acute-effects-of-psilocybin-on-eeg-correlates-of-neural-plasticity-in-major-
Psilocybin for Opioid Use Disorder in Patients on Methadone Maintenance With Ongoing Opioid Use
TrialPaperNCT05242029
Psilocybin
Psilocybin
40 mg
Oral
single dose

Participants undergo two dosing sessions (baseline and 3 months); active-first participants receive 40 mg at baseline; second dosing at 3 months varies per randomisation.

Not reviewed
existing-data | psilocybin-for-opioid-use-disorder-in-two-adults-stabilized-on-buprenorphine-a-t
Psilocybin for Treatment-Resistant Depression
TrialPaperNCT05029466
Delayed treatment
Psilocybin
25 mg
Oral
single dose, repeat dosing if relapse criteria met | 3 doses

Fixed 25 mg oral psilocybin. Participants who relapsed could receive up to two repeat doses, for a total of up to three dosing sessions.

Not reviewed
existing-data | psilocybin-assisted-psychotherapy-for-treatment-resistant-depression-a-randomize
Psilocybin for Treatment-Resistant Depression
TrialPaperNCT05029466
Immediate treatment
Psilocybin
25 mg
Oral
single dose, repeat dosing if relapse criteria met | 3 doses

Fixed 25 mg oral psilocybin. Participants who relapsed could receive up to two repeat doses, for a total of up to three dosing sessions.

Not reviewed
existing-data | psilocybin-assisted-psychotherapy-for-treatment-resistant-depression-a-randomize
Psilocybin in Alcohol Use Disorder With Comorbid Depression (PAD)
TrialPaperNCT06235411
Psilocybin 1 mg (control)
Psilocybin
1 mg
Oral
two sessions | 2 doses

Inactive psilocybin control (1 mg) administered on same schedule; same accompaniment and assessments.

Not reviewed
existing-data | psilocybin-in-alcohol-use-disorder-and-comorbid-depressive-symptoms-results-from
Psilocybin in Alcohol Use Disorder With Comorbid Depression (PAD)
TrialPaperNCT06235411
Psilocybin 25 mg
Psilocybin
25 mg
Oral
two sessions | 2 doses

Two administrations 3 weeks apart; patient accompanied during session (~6 hours); preparation day before and integration day after.

Not reviewed
existing-data | psilocybin-in-alcohol-use-disorder-and-comorbid-depressive-symptoms-results-from
Psilocybin-assisted Group Therapy for Demoralization in Long-term AIDS Survivors
TrialPaperNCT02950467
Group therapy + psilocybin
Psilocybin
Needs review
Oral
single dose

One individual oral psilocybin treatment session; dose not stated in registry fragment. Supplement is not parsed as PDF: paper:psilocybin-assisted-group-therapy-for-demoralized-older-long-term-aids-survivor- / Supplement 1 | Supplement is not parsed as PDF: paper:psilocybin-assisted-group-therapy-for-demoralized-older-long-...

Needs Review
needs-review | psilocybin-assisted-group-therapy-and-attachment-observed-reduction-in-attachmen
Psilocybin-facilitated Smoking Cessation Treatment: A Pilot Study
TrialPaperNCT01943994
Psilocybin-assisted
Psilocybin
30 mg
Oral | fixed
single dose | 1 dose

30 mg per 70 kg; single day-long session

Not reviewed
existing-data | psilocybin-or-nicotine-patch-for-smoking-cessation-a-pilot-randomized-clinical-trial
Psilocybin-facilitated Treatment for Cocaine Use
TrialPaperNCT02037126
Psilocybin
Psilocybin
0.36 mg/kg
Oral
single dose | 1 dose

Single oral dose administered during an 8-hour session; paired with CBT preparation and integration.

Not reviewed
existing-data | psilocybin-in-the-treatment-of-cocaine-use-disorder-a-randomized-clinical-trial
Safety, tolerability, and feasibility of psilocybin-facilitated treatment for methamphetamine use disorder: A pilot study (Psi-MA)
TrialPaperACTRN12622000463774
Psilocybin + therapy
Psilocybin
25 mg
Oral
single dose | 1 dose

25 mg oral capsule administered 1–2 days after last preparatory session; supervised dosing day (~8 hours).

Not reviewed
existing-data | psilocybin-assisted-psychotherapy-for-methamphetamine-use-disorder-a-pilot-open-

Limitations

  • Rows are drawn from structured clinical trial intervention records linked to human clinical papers; absence from this table is not proof that a source never reported dosing.
  • Dose units are preserved as reported, so mg, mg/kg, ml/kg, and other units should not be read as directly comparable.
  • 1 target-compound intervention row did not have a displayable numeric dose and remains visible through coverage status rather than guessed.
  • 1 dose row still carries a needs-review marker from the source review workflow.
  • This summary covers 34 eligible clinical source papers currently linked to the pair.
  • This page is an evidence navigation aid and does not recommend dosing.

Source papers

Percentage of Heavy Drinking Days Following Psilocybin-Assisted Psychotherapy vs Placebo in the Treatment of Adult Patients With Alcohol Use Disorder
JAMA Psychiatry | 2022
Single-Dose Psilocybin Treatment for Major Depressive Disorder: A Randomized Clinical Trial
JAMA | 2023
Psilocybin with psychological support for treatment-resistant depression: an open-label feasibility study
Lancet Psychiatry | 2016
Psilocybin-assisted therapy for relapse prevention in alcohol use disorder: a phase 2 randomized clinical trial
EClinicalMedicine | 2025
Psilocybin-assisted treatment for alcohol dependence: a proof-of-concept study
Journal of Psychopharmacology | 2015
Methodological challenges in psychedelic drug trials: Efficacy and safety of psilocybin in treatment-resistant major depression (EPIsoDE) - Rationale and study design
Neuroscience Applied | 2022
Psilocybin with psychological support improves emotional face recognition in treatment-resistant depression
Psychopharmacology | 2017
Nature-themed video intervention may improve cardiovascular safety of psilocybin-assisted therapy for alcohol use disorder
Frontiers in Psychiatry | 2023
Sub-acute effects of psilocybin on EEG correlates of neural plasticity in major depression: Relationship to symptoms
Journal of Psychopharmacology | 2023
Psilocybin for Opioid Use Disorder in Two Adults Stabilized on Buprenorphine: A Technical Report on Study Modifications and Preliminary Findings
Psychedelic Medicine | 2023
Psilocybin-assisted psychotherapy for treatment resistant depression: A randomized clinical trial evaluating repeated doses of psilocybin
Med | 2024
Psilocybin in alcohol use disorder and comorbid depressive symptoms: Results from a feasibility randomized clinical trial
Addiction | 2025

Source trials

A Double-Blind Trial of Psilocybin-Assisted Treatment of Alcohol Dependence
CTG | NCT02061293
A Study of Psilocybin for Major Depressive Disorder (MDD)
CTG | NCT03866174
Assessing the subjective intensity of oral psilocybin in patients with treatment-resistant depression: a pilot study (PSILODEP-PILOT)
ISRCTN | ISRCTN14426797
Clinical and Mechanistic Effects of Psilocybin in Alcohol Addicted Patients
CTG | NCT04141501
Effects and Therapeutic Potential of Psilocybin in Alcohol Dependence
CTG | NCT01534494
Efficacy and Safety of Psilocybin in Treatment-Resistant Major Depression
CTG | NCT04670081
Imperial College London Open-Label Psilocybin Pilot for Treatment-Resistant Depression (Carhart-Harris / Lyons 2016–2018)
Other | CARHART-HARRIS-2016-LANCETPSYCH-PSILOCYBIN-TRD-IMPERIAL
Pilot Trial of Visual Healing in Psilocybin-assisted Therapy for Alcohol Use Disorder
CTG | NCT04410913
Psilocybin – Induced Neuroplasticity in the Treatment of Major Depressive Disorder
CTG | NCT03554174
Psilocybin for Opioid Use Disorder in Patients on Methadone Maintenance With Ongoing Opioid Use
CTG | NCT05242029
Psilocybin for Treatment-Resistant Depression
CTG | NCT05029466
Psilocybin in Alcohol Use Disorder With Comorbid Depression (PAD)
CTG | NCT06235411