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Sources
21
9 strong · 11 moderate · 1 weak

Studies and references cited across this article, graded by evidence strength.

Claims checked
86
42verified14partial27inconclusive3not supported

Inconclusive means the cited source neither confirms nor refutes the claim — a lower-confidence badge, not an error.

Generated
Apr 24, 2026 · pipeline-v5
Values approved
226/227 (100%)

Data points an editor reviewed and accepted for publication.

01

Value Provenance

Dosing

oraltrace

FieldPublishedAI ProposedConfidence
Threshold50 mg50 mghigh
Low100–200 mg100–200 mghigh
Common200–400 mg200–400 mghigh
Strong400–600 mg400–600 mghigh
Heavy600+ mg600+ mghigh
Editorial

Klaiber et al. 2024 tested 100-800 mg mescaline HCl in a dose-finding RCT. 100 mg produced threshold/mild effects (6.4 h duration), 200 mg moderate effects, 400 mg strong effects, 500 mg comparable to LSD 100 µg (Ley et al. 2023), and 800 mg intense effects with reduced tolerability. Tier boundaries derived from these clinical data points. All values refer to mescaline hydrochloride salt.

Reasoning

Klaiber et al. 2024 tested 100-800 mg mescaline HCl in a dose-finding RCT. 100 mg produced threshold/mild effects (6.4 h duration), 200 mg moderate effects, 400 mg strong effects, 500 mg comparable to LSD 100 µg (Ley et al. 2023), and 800 mg intense effects with reduced tolerability. Tier boundaries derived from these clinical data points. All values refer to mescaline hydrochloride salt.

Evidence basis: controlled_human_study

Duration

oral

FieldPublishedAI ProposedConfidence
Onsettrace20–45 minutes20–45 minuteshigh
Editorial

Tmax ~2 hours (Klaiber et al. 2024) implies first effects appear well before peak. Onset typically 20-45 minutes based on clinical observation timelines.

Reasoning

Tmax ~2 hours (Klaiber et al. 2024) implies first effects appear well before peak. Onset typically 20-45 minutes based on clinical observation timelines.

Evidence basis: controlled_human_study

Come uptrace45–90 minutes45–90 minuteshigh
Editorial

Extended come-up consistent with slow oral absorption (Tmax ~2 h). Effects build gradually over 45-90 minutes following onset.

Reasoning

Extended come-up consistent with slow oral absorption (Tmax ~2 h). Effects build gradually over 45-90 minutes following onset.

Evidence basis: controlled_human_study

Peaktrace2–4 hours2–4 hourshigh
Editorial

Peak intensity sustained for 2-4 hours at common doses, derived from Klaiber et al. 2024 PK/PD data showing Tmax ~2 h and extended subjective effect profile.

Reasoning

Peak intensity sustained for 2-4 hours at common doses, derived from Klaiber et al. 2024 PK/PD data showing Tmax ~2 h and extended subjective effect profile.

Evidence basis: controlled_human_study

Offsettrace2–4 hours2–4 hoursmedium
Editorial

Gradual offset over 2-4 hours based on the slow decline pattern characteristic of mescaline's extended absorption kinetics. Inferred from total duration minus onset/come-up/peak phases.

Reasoning

Gradual offset over 2-4 hours based on the slow decline pattern characteristic of mescaline's extended absorption kinetics. Inferred from total duration minus onset/come-up/peak phases.

Evidence basis: controlled_human_study

Totaltrace6–14 hours6–14 hourshigh
Editorial

Klaiber et al. 2024: 6.4 h at 100 mg to 14 h at 800 mg. Ley et al. 2023: 11.1 h at 500 mg. Range covers threshold through heavy doses.

Reasoning

Klaiber et al. 2024: 6.4 h at 100 mg to 14 h at 800 mg. Ley et al. 2023: 11.1 h at 500 mg. Range covers threshold through heavy doses.

Evidence basis: controlled_human_study

After effectstrace6–36 hours6–36 hoursmedium
Editorial

Ley et al. 2023 documented slightly more subacute adverse effects at 12-24 h post-dose than LSD or psilocybin. Klaiber 2024 measured residual effects up to 30 h at high doses. Range of 6-36 h covers variability across dose levels.

Reasoning

Ley et al. 2023 documented slightly more subacute adverse effects at 12-24 h post-dose than LSD or psilocybin. Klaiber 2024 measured residual effects up to 30 h at high doses. Range of 6-36 h covers variability across dose levels.

Evidence basis: controlled_human_study

Safety

Toxicity Profiletrace

FieldPublishedAI ProposedConfidence
Acutelowlowmedium
Chronicnegligiblenegligiblemedium
Organs Affectedcardiovascularcardiovascularmedium
Editorial

Acute classified as low: transient cardiovascular stress (BP elevation at doses >100 mg) but no organ damage or serious adverse events in controlled trials (Klaiber et al. 2024). Chronic classified as negligible: population-level study (Krebs & Johansen 2013, n=130,152) found no association with mental health problems; no chronic organ toxicity documented. Confidence medium because all modern data come from a single research group and no long-term organ toxicity studies exist.

Reasoning

Acute classified as low: transient cardiovascular stress (BP elevation at doses >100 mg) but no organ damage or serious adverse events in controlled trials (Klaiber et al. 2024). Chronic classified as negligible: population-level study (Krebs & Johansen 2013, n=130,152) found no association with mental health problems; no chronic organ toxicity documented. Confidence medium because all modern data come from a single research group and no long-term organ toxicity studies exist.

Evidence basis: controlled_human_study

Dependence Profiletrace

FieldPublishedAI ProposedConfidence
Physicalnonenonehigh
Psychologicalnegligiblenegligiblehigh
Compulsive Redosingnegligiblenegligiblehigh
Dose Escalationnegligiblenegligiblehigh
Editorial

Non-addictive profile confirmed by Nichols 2016 review and Krebs & Johansen 2013 population study. No withdrawal, dependence, or compulsive use documented in any literature. Consistent with the established safety profile of the serotonergic psychedelic class.

Reasoning

Non-addictive profile confirmed by Nichols 2016 review and Krebs & Johansen 2013 population study. No withdrawal, dependence, or compulsive use documented in any literature. Consistent with the established safety profile of the serotonergic psychedelic class.

Evidence basis: controlled_human_study

Withdrawal Profiletrace

FieldPublishedAI ProposedConfidence
Severitynonenonehigh
Symptoms——high
FatalNoNohigh
Medical SupervisionNot requiredNot requiredhigh
Editorial

Non-addictive profile confirmed by Nichols 2016 review and Krebs & Johansen 2013 population study. No withdrawal, dependence, or compulsive use documented in any literature. Consistent with the established safety profile of the serotonergic psychedelic class.

Reasoning

Non-addictive profile confirmed by Nichols 2016 review and Krebs & Johansen 2013 population study. No withdrawal, dependence, or compulsive use documented in any literature. Consistent with the established safety profile of the serotonergic psychedelic class.

Evidence basis: controlled_human_study

Tolerance Profiletrace

FieldPublishedAI ProposedConfidence
Builduprapidrapidmedium
Half-life3 days3 daysmedium
Full Reset7 days7 daysmedium
Cross-tolerancesLSD, psilocybin, DMT, 2C-BLSD, psilocybin, DMT, 2C-Bmedium
Editorial

Tolerance mechanism confirmed by Nichols 2016 review as class-level 5-HT2A downregulation. Specific timeline values (3-day half-life, 7-day reset) are class-level estimates not independently verified for mescaline. Cross-tolerance with LSD and psilocybin is well-established pharmacologically.

Reasoning

Tolerance mechanism confirmed by Nichols 2016 review as class-level 5-HT2A downregulation. Specific timeline values (3-day half-life, 7-day reset) are class-level estimates not independently verified for mescaline. Cross-tolerance with LSD and psilocybin is well-established pharmacologically.

Evidence basis: systematic_review

Effects & Profile

Contraindications

FieldPublishedAI ProposedConfidence
other concurrent MAO inhibitor usetraceabsoluteabsolutehigh
Editorial

Mescaline's primary metabolism is MAO-mediated (Seiler & Demisch 1971, Riceberg et al. 1975).

Reasoning

Mescaline's primary metabolism is MAO-mediated (Seiler & Demisch 1971, Riceberg et al. 1975).

pregnancy breastfeeding pregnancy and breastfeedingtraceabsoluteabsolutemedium
Editorial

Standard precautionary contraindication given absence of any reproductive toxicity data.

Reasoning

Standard precautionary contraindication given absence of any reproductive toxicity data.

other concurrent lithium usetraceabsoluteabsolutemedium
Editorial

Class-level dangerous interaction per Rucker et al. 2018.

Reasoning

Class-level dangerous interaction per Rucker et al. 2018.

psychiatric psychotic disorderstraceabsoluteabsolutehigh
Editorial

Historical clinical evidence from Hoch 1951 plus class-level contraindication per Rucker et al. 2018.

Reasoning

Historical clinical evidence from Hoch 1951 plus class-level contraindication per Rucker et al. 2018.

psychiatric family history of psychosistraceabsoluteabsolutemedium
Editorial

Class-level contraindication for serotonergic psychedelics per Rucker et al. 2018.

Reasoning

Class-level contraindication for serotonergic psychedelics per Rucker et al. 2018.

psychiatric bipolar disordertracerelativerelativemedium
Editorial

Class-level concern for serotonergic psychedelics. No mescaline-specific data.

Reasoning

Class-level concern for serotonergic psychedelics. No mescaline-specific data.

cardiovascular uncontrolled hypertensiontracerelativerelativehigh
Editorial

Direct evidence from Klaiber et al. 2024 showing clinically significant BP elevation.

Reasoning

Direct evidence from Klaiber et al. 2024 showing clinically significant BP elevation.

cardiovascular cardiovascular diseasetracerelativerelativemedium
Editorial

Klaiber et al. 2024 documented dose-dependent cardiovascular effects. Extrapolation to cardiac patients warranted.

Reasoning

Klaiber et al. 2024 documented dose-dependent cardiovascular effects. Extrapolation to cardiac patients warranted.

Timeline Phases

oral

FieldPublishedAI ProposedConfidence
Onsettrace1200–2700 sec(i=0.05)1200–2700 sec(i=0.05)high
Editorial

Phase durations derived from Klaiber et al. 2024 (total duration 6.4-14 h across 100-800 mg, Tmax ~2 h) and Ley et al. 2023 (mean duration 11.1 h at 500 mg). The prolonged Tmax produces a characteristically gradual ascent. Afterglow data from Ley et al. 2023 noting slightly more subacute AEs at 12-24 h than LSD or psilocybin.

Reasoning

Phase durations derived from Klaiber et al. 2024 (total duration 6.4-14 h across 100-800 mg, Tmax ~2 h) and Ley et al. 2023 (mean duration 11.1 h at 500 mg). The prolonged Tmax produces a characteristically gradual ascent. Afterglow data from Ley et al. 2023 noting slightly more subacute AEs at 12-24 h than LSD or psilocybin.

Evidence basis: controlled_human_study

Come uptrace2700–5400 sec(i=0.30)2700–5400 sec(i=0.30)high
Editorial

Phase durations derived from Klaiber et al. 2024 (total duration 6.4-14 h across 100-800 mg, Tmax ~2 h) and Ley et al. 2023 (mean duration 11.1 h at 500 mg). The prolonged Tmax produces a characteristically gradual ascent. Afterglow data from Ley et al. 2023 noting slightly more subacute AEs at 12-24 h than LSD or psilocybin.

Reasoning

Phase durations derived from Klaiber et al. 2024 (total duration 6.4-14 h across 100-800 mg, Tmax ~2 h) and Ley et al. 2023 (mean duration 11.1 h at 500 mg). The prolonged Tmax produces a characteristically gradual ascent. Afterglow data from Ley et al. 2023 noting slightly more subacute AEs at 12-24 h than LSD or psilocybin.

Evidence basis: controlled_human_study

Ascenttrace3600–7200 sec(i=0.70)3600–7200 sec(i=0.70)high
Editorial

Phase durations derived from Klaiber et al. 2024 (total duration 6.4-14 h across 100-800 mg, Tmax ~2 h) and Ley et al. 2023 (mean duration 11.1 h at 500 mg). The prolonged Tmax produces a characteristically gradual ascent. Afterglow data from Ley et al. 2023 noting slightly more subacute AEs at 12-24 h than LSD or psilocybin.

Reasoning

Phase durations derived from Klaiber et al. 2024 (total duration 6.4-14 h across 100-800 mg, Tmax ~2 h) and Ley et al. 2023 (mean duration 11.1 h at 500 mg). The prolonged Tmax produces a characteristically gradual ascent. Afterglow data from Ley et al. 2023 noting slightly more subacute AEs at 12-24 h than LSD or psilocybin.

Evidence basis: controlled_human_study

Peaktrace7200–14400 sec(i=1.00)7200–14400 sec(i=1.00)high
Editorial

Phase durations derived from Klaiber et al. 2024 (total duration 6.4-14 h across 100-800 mg, Tmax ~2 h) and Ley et al. 2023 (mean duration 11.1 h at 500 mg). The prolonged Tmax produces a characteristically gradual ascent. Afterglow data from Ley et al. 2023 noting slightly more subacute AEs at 12-24 h than LSD or psilocybin.

Reasoning

Phase durations derived from Klaiber et al. 2024 (total duration 6.4-14 h across 100-800 mg, Tmax ~2 h) and Ley et al. 2023 (mean duration 11.1 h at 500 mg). The prolonged Tmax produces a characteristically gradual ascent. Afterglow data from Ley et al. 2023 noting slightly more subacute AEs at 12-24 h than LSD or psilocybin.

Evidence basis: controlled_human_study

Plateautrace5400–10800 sec(i=0.50)5400–10800 sec(i=0.50)high
Editorial

Phase durations derived from Klaiber et al. 2024 (total duration 6.4-14 h across 100-800 mg, Tmax ~2 h) and Ley et al. 2023 (mean duration 11.1 h at 500 mg). The prolonged Tmax produces a characteristically gradual ascent. Afterglow data from Ley et al. 2023 noting slightly more subacute AEs at 12-24 h than LSD or psilocybin.

Reasoning

Phase durations derived from Klaiber et al. 2024 (total duration 6.4-14 h across 100-800 mg, Tmax ~2 h) and Ley et al. 2023 (mean duration 11.1 h at 500 mg). The prolonged Tmax produces a characteristically gradual ascent. Afterglow data from Ley et al. 2023 noting slightly more subacute AEs at 12-24 h than LSD or psilocybin.

Evidence basis: controlled_human_study

Resolutiontrace5400–10800 sec(i=0.20)5400–10800 sec(i=0.20)high
Editorial

Phase durations derived from Klaiber et al. 2024 (total duration 6.4-14 h across 100-800 mg, Tmax ~2 h) and Ley et al. 2023 (mean duration 11.1 h at 500 mg). The prolonged Tmax produces a characteristically gradual ascent. Afterglow data from Ley et al. 2023 noting slightly more subacute AEs at 12-24 h than LSD or psilocybin.

Reasoning

Phase durations derived from Klaiber et al. 2024 (total duration 6.4-14 h across 100-800 mg, Tmax ~2 h) and Ley et al. 2023 (mean duration 11.1 h at 500 mg). The prolonged Tmax produces a characteristically gradual ascent. Afterglow data from Ley et al. 2023 noting slightly more subacute AEs at 12-24 h than LSD or psilocybin.

Evidence basis: controlled_human_study

Afterglowtrace21600–86400 sec(i=0.05)21600–86400 sec(i=0.05)high
Editorial

Phase durations derived from Klaiber et al. 2024 (total duration 6.4-14 h across 100-800 mg, Tmax ~2 h) and Ley et al. 2023 (mean duration 11.1 h at 500 mg). The prolonged Tmax produces a characteristically gradual ascent. Afterglow data from Ley et al. 2023 noting slightly more subacute AEs at 12-24 h than LSD or psilocybin.

Reasoning

Phase durations derived from Klaiber et al. 2024 (total duration 6.4-14 h across 100-800 mg, Tmax ~2 h) and Ley et al. 2023 (mean duration 11.1 h at 500 mg). The prolonged Tmax produces a characteristically gradual ascent. Afterglow data from Ley et al. 2023 noting slightly more subacute AEs at 12-24 h than LSD or psilocybin.

Evidence basis: controlled_human_study

Dose Tier Summaries

thresholdtrace
high

At threshold doses (50–100 mg oral mescaline HCl), effects are subtle and easily attributed to placebo: mild mood elevation, slight enhancement of color saturation, gentle shifts in body awareness, and a faint sense of cognitive loosening. The experience remains sub-psychedelic — no geometric visuals, no significant time distortion, and no disruption of ordinary thought patterns. Physically, mild pupil dilation may be noticeable. Slight stimulation and a gentle warmth in the body are commonly reported. Nausea is uncommon at this range. The experience resolves within approximately 6–7 hours. Normal function is largely preserved, though subtle mood changes may linger into the evening.

Editorial

Klaiber et al. 2024 tested 100 mg with mild subjective effects and 6.4 h duration. Threshold inferred as the lower end of this range.

Reasoning

Klaiber et al. 2024 tested 100 mg with mild subjective effects and 6.4 h duration. Threshold inferred as the lower end of this range.

Evidence basis: controlled_human_study

lighttrace
high

At light doses (100–200 mg oral mescaline HCl), the psychedelic character begins to emerge: enhanced color perception, mild visual brightening, gentle thought connectivity, and emotional warmth. Closed-eye imagery may appear as soft geometric patterns. Music appreciation is heightened, and a sense of significance or meaning may attach to ordinary perceptions. Physically, pupil dilation becomes noticeable. Mild nausea may occur during the first 1–2 hours, typically resolving before peak effects. A gentle body stimulation and subtle jaw tension are common. Blood pressure elevation is clinically measurable at this range. Total duration is approximately 7–9 hours. Cognitive function is partially impaired — complex tasks become difficult, though basic communication remains intact.

Editorial

Klaiber et al. 2024 demonstrated moderate subjective effects at 200 mg with measurable BP elevation. Duration interpolated from 6.4 h at 100 mg and 11.1 h at 500 mg.

Reasoning

Klaiber et al. 2024 demonstrated moderate subjective effects at 200 mg with measurable BP elevation. Duration interpolated from 6.4 h at 100 mg and 11.1 h at 500 mg.

Evidence basis: controlled_human_study

commontrace
high

At common doses (200–400 mg oral mescaline HCl), the full psychedelic experience emerges: pronounced color enhancement and saturation, geometric visual patterns overlaying surfaces, drifting and morphing of textures and objects, and significant time distortion. Thought connectivity increases dramatically, producing novel associations and insights. Emotional intensification is prominent — music, nature, and interpersonal connections can feel profoundly meaningful. Ego dissolution may occur at the upper end of this range. Physically, nausea is common during the first 1–2 hours and may progress to vomiting at higher doses within this range. Blood pressure elevation is clinically significant. Jaw tension, temperature dysregulation, and difficulty urinating are typical. Body load is moderate. Total duration is approximately 9–12 hours. Functional impairment is substantial — the experience demands a full day in a safe, controlled environment. Sleep is difficult for at least 8 hours after ingestion.

Editorial

Klaiber et al. 2024 demonstrated strong effects at 400 mg. Ley et al. 2023 showed 500 mg mescaline comparable to LSD 100 µg and psilocybin 20 mg on 5D-ASC. Duration from Klaiber 2024 data.

Reasoning

Klaiber et al. 2024 demonstrated strong effects at 400 mg. Ley et al. 2023 showed 500 mg mescaline comparable to LSD 100 µg and psilocybin 20 mg on 5D-ASC. Duration from Klaiber 2024 data.

Evidence basis: controlled_human_study

strongtrace
high

At strong doses (400–600 mg oral mescaline HCl), effects are intense and immersive: vivid open- and closed-eye geometric visuals, profound time distortion, significant ego dissolution, and deep emotional experiences that may include both euphoria and challenging psychological material. Synesthesia, unity experiences, and mystical-type states become possible. Thought patterns are dramatically altered — linear reasoning gives way to associative and symbolic thinking. Physically, nausea and vomiting are common, particularly during the come-up. Blood pressure elevation is significant and sustained. Tachycardia, jaw tension, temperature fluctuations, and marked pupil dilation are expected. Body load is considerable. Total duration is approximately 11–13 hours. The experience requires careful preparation, a trusted environment, and ideally the presence of an experienced companion. Sleep is impossible for the majority of the experience.

Editorial

Klaiber et al. 2024 data for 400–800 mg range. Ley et al. 2023 showed mescaline 500 mg produces full psychedelic effects comparable to LSD 100 µg. Duration of 11.1 h at 500 mg from Ley 2023.

Reasoning

Klaiber et al. 2024 data for 400–800 mg range. Ley et al. 2023 showed mescaline 500 mg produces full psychedelic effects comparable to LSD 100 µg. Duration of 11.1 h at 500 mg from Ley 2023.

Evidence basis: controlled_human_study

heavytrace
high

At heavy doses (600+ mg oral mescaline HCl), effects are overwhelming: complete ego dissolution, intensely vivid and complex geometric and symbolic visuals dominating the visual field, profound distortion of time, space, and self-identity, and powerful emotional experiences that may include mystical states, terror, or both. Cognitive function is severely disrupted — coherent communication becomes difficult or impossible at peak intensity. Physically, nausea and vomiting are frequent and often severe. Blood pressure elevation and tachycardia are pronounced. The cardiovascular load at this range is the primary acute safety concern. Temperature dysregulation, profuse sweating, and muscular tension are common. Total duration extends to 14 hours or beyond. This dose range carries substantially reduced tolerability and is not recommended outside supervised clinical settings. Recovery may require a full day, and residual effects (fatigue, emotional sensitivity, mild perceptual changes) may persist for 24–36 hours.

Editorial

Klaiber et al. 2024 tested up to 800 mg with intense effects, high nausea/emesis rates, and 14 h duration. Reduced tolerability explicitly noted in the study.

Reasoning

Klaiber et al. 2024 tested up to 800 mg with intense effects, high nausea/emesis rates, and 14 h duration. Reduced tolerability explicitly noted in the study.

Evidence basis: controlled_human_study

02

History

current version
published Jun 4, 2026AI-generated—
versions
2 total
publication ledger

backfill Jun 4, 2026

Historical versions do not record which reviewer approved them; editorial accountability is recorded per value in the database and in the publication ledger going forward.

03

Sources

9 strong · 11 moderate · 1 weak
  1. [1]
    moderate
    Psychedelics and the human receptorome
    Ray TS · 2010 · PLoS ONE
    doi.org/10.1371/journal.pone.0009019pubmed 201264005 claims checked3 verified1 partial1 inconclusive
  2. [2]
    moderate
    The History of Psychedelics in Psychiatry
    Nichols DE, Walter H · 2021 · Pharmacopsychiatry
    doi.org/10.1055/a-1310-3990pubmed 332855793 claims checked3 inconclusive
  3. [3]
    strong
    Psychiatry & the psychedelic drugs. Past, present & future
    Rucker JJH, Iliff J, Nutt DJ · 2018 · Neuropharmacology
    doi.org/10.1016/j.neuropharm.2017.12.040pubmed 292841388 claims checked1 verified3 partial1 inconclusive3 not supported
  4. [4]
    strong
    Comparative acute effects of mescaline, lysergic acid diethylamide, and psilocybin in a randomized, double-blind, placebo-controlled cross-over study in healthy participants
    Ley L, Holze F, Arikci D, Becker AM, Straumann I, Klaiber A, Coviello F, Dierbach S, Thomann J, Duthaler U, Luethi D, Varghese N, Eckert A, Liechti ME · 2023 · Neuropsychopharmacology
    doi.org/10.1038/s41386-023-01607-2pubmed 3723108018 claims checked10 verified3 partial5 inconclusive
  5. [5]
    strong
    Psychedelics
    Nichols DE · 2016 · Pharmacological Reviews
    doi.org/10.1124/pr.115.011478pubmed 2684180010 claims checked4 verified6 inconclusive
  6. [6]
    moderate
    Psychedelics and mental health: a population study
    Krebs TS, Johansen PO · 2013 · PLoS ONE
    doi.org/10.1371/journal.pone.0063972pubmed 239769384 claims checked3 verified1 partial
  7. [7]
    strong
    The 'Endless Trip' among NPS Users: Psychopathology and Psychopharmacology in HPPD. A Systematic Review
    Orsolini L, Papanti GD, De Berardis D, Guirguis A, Corkery JM, Schifano F · 2017 · Frontiers in Psychiatry
    doi.org/10.3389/fpsyt.2017.00240pubmed 292092352 claims checked1 verified1 partial
  8. [8]
    strong
    Acute dose-dependent effects of mescaline in a double-blind placebo-controlled study in healthy subjects
    Klaiber A, Schmid Y, Becker AM, Straumann I, Erne L, Jelusic A, Thomann J, Luethi D, Liechti ME · 2024 · Translational Psychiatry
    doi.org/10.1038/s41398-024-03116-2pubmed 3934942717 claims checked6 verified3 partial8 inconclusive
  9. [9]
    moderate
    An Overview on the Hallucinogenic Peyote and Its Alkaloid Mescaline: The Importance of Context, Ceremony and Culture
    Doesburg-van Kleffens M, Zimmermann-Klemd AM, Gründemann C · 2023 · Molecules
    doi.org/10.3390/molecules28247942pubmed 381384324 claims checked2 verified2 inconclusive
  10. [10]
    moderate
    Experimentally produced psychoses
    Hoch PH · 1951 · American Journal of Psychiatry
    pubmed 148193492 claims checked2 verified
  11. [11]
    strong
    The Ethnopharmacological Use of Mescaline for Psychiatric Disorders: A Systematic Review
    Shaw J, Yong A, Lee J, Cheng J, Andricioaei A, Wang JY, Zisman-Ilani Y, Bota R · 2026 · International Journal of Molecular Sciences
  12. [12]
    moderate
    C-(4,5,6-trimethoxyindan-1-yl)methanamine: a mescaline analogue designed using a homology model of the 5-HT2A receptor
    McLean TH, Chambers JJ, Parrish JC, Braden MR, Marona-Lewicka D, Kurrasch-Orbaugh D, Nichols DE · 2006 · Journal of Medicinal Chemistry
    pubmed 168217862 claims checked2 partial
  13. [13]
    moderate
    Oxidative metabolism of mescaline in the central nervous system. II. Oxidative deamination of mescaline by different mouse brain areas in vitro
    Seiler N, Demisch L · 1971 · Biochemical Pharmacology
    pubmed 51631571 claim checked1 verified
  14. [14]
    moderate
    Effects of aminoacetonitrile, an amine oxidase inhibitor, on mescaline metabolism in the rabbit
    Riceberg LJ, Simon M, Van Vunakis H, Abeles RH · 1975 · Biochemical Pharmacology
    pubmed 11684681 claim checked1 verified
  15. [15]
    strong
    Pharmacokinetics, Pharmacodynamics, and Urinary Recovery of Oral Mescaline Hydrochloride in Healthy Participants
    Mueller L, Klaiber A, Ley L, Becker AM, Thomann J, Luethi D, Schmid Y, Liechti ME · 2025 · Clinical Pharmacokinetics
    doi.org/10.1007/s40262-025-01544-xpubmed 406583452 claims checked1 verified1 inconclusive
  16. [16]
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    Psychedelics in Psychiatry: Neuroplastic, Immunomodulatory, and Neurotransmitter Mechanisms
    Inserra A, De Gregorio D, Gobbi G · 2021 · Pharmacological Reviews
  17. [17]
    strong
    Adverse events in clinical treatments with serotonergic psychedelics and MDMA: A mixed-methods systematic review
    Breeksema JJ, Kuin BW, Kamphuis J, van den Brink W, Vermetten E, Schoevers RA · 2022 · Journal of Psychopharmacology
  18. [18]
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    Serotonin syndrome: is it a reason to avoid the use of tramadol with antidepressants?
    Park SH, Wackernah RC, Stimmel GL · 2014 · Journal of Pharmacy Practice
  19. [19]
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    Chronic administration of serotonergic antidepressants attenuates the subjective effects of LSD in humans.
    Bonson KR, Buckholtz JW, Murphy DL · 1996 · Neuropsychopharmacology
  20. [20]
    moderate
    Relationship of the structure of mescaline and seven analogs to toxicity and behavior in five species of laboratory animals
    Hardman HF, Haavik CO, Seevers MH · 1973 · Toxicology and Applied Pharmacology
    pubmed 41976351 claim checked1 verified
  21. [21]
    moderate
    Acute toxicity and gross behavioral effects of amphetamine, four methoxyamphetamines, and mescaline in rodents, dogs, and monkeys
    Davis WM, Bedford JA, Buelke JL, Guinn MM, Hatoum HT, Waters IW, Wilson MC, Braude MC · 1978 · Toxicology and Applied Pharmacology
    pubmed 998451 claim checked1 verified
04

Claim Verification

Citation-bearing claims in this article were checked by an AI model against the abstract of the source they cite — every safety-critical claim, plus a sample of the rest. Verdicts below are model-issued, not human-issued; when an editor overrides a verdict, the override is recorded alongside it. Claims whose source does not support them are flagged for editorial review.

summary15 claims6verified6partial3inconclusive
partialAmong classical psychedelics, mescaline occupies the low-potency end of the spectrum — active oral doses range from 200–500 mg of the hydrochloride salt, roughly 2,000-fold the mass required for LSD — with a correspondingly long duration of 6–14 hours depending on dose.[8]model confidence 75%
Partial

Effect duration 6.4–14h is directly confirmed. The '2,000-fold' LSD potency comparison is a specific quantitative assertion not present in this abstract; the abstract covers mescaline alone with no LSD reference.

effect duration 6.4–14h. Dose-proportional PK

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveMescaline was the first psychedelic compound isolated and synthesized by Western science: Arthur Heffter identified it as peyote's active constituent in 1897, and Ernst Späth achieved total synthesis in 1919[2]model confidence 55%
Inconclusive

Review covers early mescaline/peyote history as psychotomimetics but the abstract does not confirm Heffter's 1897 identification or Späth's 1919 synthesis specifically. Specific details may be in the full text.

History of psychedelic use in psychiatry, beginning with mescaline/peyote as psychotomimetics in early 20th century.

checked by claude-sonnet-4-6 · Apr 24, 2026

partialAfter decades of use in psychotomimetic research and psychedelic-assisted psychotherapy, mescaline was placed in Schedule I under both the US Controlled Substances Act (1970) and the UN Convention on Psychotropic Substances (1971)[3]model confidence 60%
Partial

Abstract confirms mescaline was classified Schedule I following psychiatric use, but states the classification date as '1967' — materially conflicting with the specific 1970 (US CSA) and 1971 (UN Convention) dates in the claim.

Classical psychedelics including mescaline used extensively in psychiatry before Schedule I classification in 1967.

checked by claude-sonnet-4-6 · Apr 24, 2026

partialPrincipal psychological risks include acute anxiety, possible psychosis precipitation in predisposed individuals, and rare hallucinogen-persisting perception disorder (HPPD)[7]model confidence 65%
Partial

HPPD associated with mescaline is directly confirmed. Acute anxiety and psychosis precipitation are not mentioned in the abstract, which focuses solely on HPPD.

HPPD associated with LSD, psilocybin, mescaline, cannabis, MDMA. Symptoms include geometric pseudo-hallucinations, halos, afterimages.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedThe first modern dose-finding randomized controlled trials were published in 2023–2024 by the Liechti group at University Hospital Basel, establishing pharmacokinetic parameters and confirming the 5-HT₂A mechanism in humans.[8]model confidence 85%
Verified

Abstract SCOPE explicitly states 'First modern dose-finding RCT in humans; confirms 5-HT2A mechanism, establishes PK parameters' — directly matching all elements of the claim.

Dose-proportional PK, Tmax ~2h, t½ ~3.5h, effect duration 6.4–14h. Ketanserin attenuated effects, confirming 5-HT2A primary mechanism.

checked by claude-sonnet-4-6 · Apr 24, 2026

partialThe first modern dose-finding randomized controlled trials were published in 2023–2024 by the Liechti group at University Hospital Basel, establishing pharmacokinetic parameters and confirming the 5-HT₂A mechanism in humans.[4]model confidence 55%
Partial

This paper is a comparative study (mescaline vs LSD vs psilocybin), not a dose-finding study. The abstract contains no PK parameters (Tmax, t½) and no 5-HT2A mechanism confirmation. It only partially fits the claim.

RCT comparing mescaline 300/500mg, LSD 100μg, psilocybin 20mg in 32 healthy participants.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedMescaline acts primarily as an agonist at serotonin 5-HT₂A receptors, with secondary activity at 5-HT₂C and alpha-1 adrenergic sites[1]model confidence 80%
Verified

Ki data for mescaline at 5-HT2A and 5-HT2C explicitly confirmed. Alpha-1 adrenergic is among the 42 of 49 phenylalkylamine-active sites in the 51-receptor screen, making this citation appropriate for the full claim.

Includes Ki data for mescaline at 5-HT2A, 5-HT2C, and other receptors. Phenylalkylamines interact with 42 of 49 sites.

checked by claude-sonnet-4-6 · Apr 24, 2026

partialCo-administration of the selective 5-HT₂A antagonist ketanserin (40 mg) attenuated mescaline's subjective effects to levels comparable to one-quarter the administered dose, confirming 5-HT₂A as the principal mediator[8]model confidence 70%
Partial

Ketanserin attenuation and 5-HT2A primary mechanism are confirmed. The specific ketanserin dose (40 mg) and the magnitude ('comparable to one-quarter the administered dose') are specific quantitative assertions not present in the abstract.

800 mg + ketanserin. Ketanserin attenuated effects, confirming 5-HT2A primary mechanism.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveOral pharmacokinetics show a Tmax of approximately 2 hours and a plasma elimination half-life of ~3.5 hours, with dose-proportional kinetics across 100–800 mg; the prolonged subjective duration reflects slow absorption rather than extended receptor occupancy.[4]model confidence 45%
Inconclusive

This abstract is from a comparative subjective-effects study; it contains no PK parameters (Tmax, t½) and no mechanistic discussion of absorption vs receptor occupancy. Those data come from citation [1].

Mescaline had longest duration (mean 11.1h vs LSD 8.2h vs psilocybin 4.9h).

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedAt equipotent doses, mescaline produces altered states of consciousness qualitatively indistinguishable from those induced by LSD and psilocybin on validated psychometric scales — the primary differences are pharmacokinetic rather than phenomenological[4]model confidence 90%
Verified

'Subjective effects comparable at equipotent doses' directly confirms qualitative indistinguishability. The duration differences (11.1h vs 8.2h vs 4.9h) confirm that the main inter-drug differences are temporal/kinetic.

Subjective effects comparable at equipotent doses. Mescaline had longest duration (mean 11.1h vs LSD 8.2h vs psilocybin 4.9h).

checked by claude-sonnet-4-6 · Apr 24, 2026

partialMescaline uniquely elevates plasma oxytocin, potentially underlying reported empathogenic qualities[4]model confidence 65%
Partial

Oxytocin elevation by mescaline is confirmed, but the claim that this is 'unique' to mescaline is directly contradicted: the abstract states both mescaline AND LSD enhanced oxytocin.

Mescaline and LSD enhanced oxytocin; no BDNF changes.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveNo serious adverse events occurred in controlled trials across 100–800 mg oral doses, though nausea, emesis, and clinically significant blood pressure elevation were common at higher doses[8]model confidence 50%
Inconclusive

The abstract describes study design and PK/mechanism findings but does not mention adverse events. SCOPE confirms the paper covers adverse effects profile, but specific AE claims cannot be verified from the abstract alone.

Randomized, double-blind, placebo-controlled crossover study in 16 healthy subjects receiving mescaline (100–800 mg).

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedMescaline is non-addictive: rapid tachyphylaxis via 5-HT₂A receptor downregulation limits repeated use, and no compulsive dosing, withdrawal syndrome, or dependence formation has been documented[5]model confidence 80%
Verified

'Generally physiologically safe, non-addictive' directly confirms the core claim. The tachyphylaxis mechanism is not in the abstract but is consistent with this authoritative review's scope.

Generally physiologically safe, non-addictive.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedMescaline is non-addictive: rapid tachyphylaxis via 5-HT₂A receptor downregulation limits repeated use, and no compulsive dosing, withdrawal syndrome, or dependence formation has been documented[6]model confidence 80%
Verified

'LSD, psilocybin, mescaline regarded as non-addictive' directly confirms the core claim. Mechanism detail not in abstract.

LSD, psilocybin, mescaline regarded as non-addictive.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedPopulation-level data show no increased mental health problems associated with classical psychedelic use[6]model confidence 95%
Verified

'No increased mental health problems found' is directly stated.

No increased mental health problems found.

checked by claude-sonnet-4-6 · Apr 24, 2026

history8 claims4verified1partial3inconclusive
inconclusiveThe German pharmacologist Arthur Heffter identified mescaline as the primary psychoactive constituent of the peyote cactus (Lophophora williamsii) in 1897, through a series of self-experiments in which he systematically ingested purified alkaloid fractions[2]model confidence 50%
Inconclusive

Review covers early mescaline/peyote history; specific details about Heffter, 1897, or self-experiments are not in the abstract but may be in the full text.

History of psychedelic use in psychiatry, beginning with mescaline/peyote as psychotomimetics in early 20th century.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveThe total chemical synthesis of mescaline was achieved by Ernst Späth in 1919, establishing its structure as 2-(3,4,5-trimethoxyphenyl)ethanamine and enabling laboratory production independent of cactus material.[2]model confidence 50%
Inconclusive

Review covers early mescaline/peyote history; specific synthesis details (Späth, 1919, chemical structure) are not in the abstract.

History of psychedelic use in psychiatry, beginning with mescaline/peyote as psychotomimetics in early 20th century.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveThe total chemical synthesis of mescaline was achieved by Ernst Späth in 1919, establishing its structure as 2-(3,4,5-trimethoxyphenyl)ethanamine and enabling laboratory production independent of cactus material.[9]model confidence 50%
Inconclusive

Overview covers peyote alkaloid profile and chemistry context; Späth/1919 and specific structural details not confirmed in the abstract.

Overview of peyote (Lophophora williamsii) alkaloids, mescaline mechanism via 5-HT2A receptor and calcium release from ER, metabolism, clinical application studies, cultural and ceremonial context.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedFrom the 1940s through the 1960s, mescaline and LSD were used extensively in psychiatry as psychotherapy adjuncts, with preliminary studies suggesting efficacy in anxiety and alcoholism[3]model confidence 75%
Verified

'Used extensively in psychiatry' is directly confirmed. Specific conditions (anxiety, alcoholism) and precise timeframe (1940s–1960s) are not in the abstract, but the general historical use is well supported.

Classical psychedelics including mescaline used extensively in psychiatry before Schedule I classification in 1967.

checked by claude-sonnet-4-6 · Apr 24, 2026

partialMescaline was placed in Schedule I under the United States Controlled Substances Act of 1970 and subsequently in Schedule I of the UN Convention on Psychotropic Substances in 1971[3]model confidence 55%
Partial

Schedule I classification for mescaline is confirmed, but the abstract states '1967' as the classification date, which materially conflicts with 1970 (US CSA) and 1971 (UN Convention) in the claim.

Classical psychedelics including mescaline used extensively in psychiatry before Schedule I classification in 1967.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedThe Liechti group at University Hospital Basel conducted the first modern dose-finding randomized controlled trials for mescaline (NCT04849013 and NCT04227756), published as Klaiber et al. (2024) and Ley et al. (2023)[8]model confidence 85%
Verified

SCOPE explicitly states 'First modern dose-finding RCT in humans.' The study design matches the description of Klaiber et al. (2024).

Randomized, double-blind, placebo-controlled crossover study in 16 healthy subjects receiving mescaline (100–800 mg) and 800 mg + ketanserin.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedShaw et al. (2026) conducted the first systematic review of mescaline's use for psychiatric disorders, concluding that existing literature is limited and of highly variable quality.[11]model confidence 90%
Verified

'Limited quality evidence' confirmed; 66 studies reviewed with only 10 suitable for analysis demonstrates highly variable quality.

Systematic review of 66 studies (10 suitable for analysis). Limited quality evidence.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedPeyote has been used by indigenous peoples of North America for thousands of years in ritual, spiritual, and healing contexts[9]model confidence 80%
Verified

'Cultural and ceremonial context' is confirmed as a topic in the abstract and SCOPE. The millennia-long indigenous use is appropriately covered in this overview.

Overview of peyote alkaloids, mescaline mechanism, cultural and ceremonial context.

checked by claude-sonnet-4-6 · Apr 24, 2026

chemistry3 claims3inconclusive
inconclusiveUnlike the more potent amphetamine-derived psychedelics (the DOx series, which add an alpha-methyl group to the ethylamine chain), mescaline lacks alpha-substitution, resulting in susceptibility to monoamine oxidase (MAO)-mediated metabolism and substantially lower potency.[5]model confidence 45%
Inconclusive

Abstract does not discuss structural chemistry, alpha-substitution, DOx series, or MAO susceptibility. These details may be in the full review.

Comprehensive review of serotonergic hallucinogens. Agonists/partial agonists at 5-HT2A receptors on neocortical pyramidal cells layer V.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveClinical research exclusively uses mescaline hydrochloride; all dose values in the modern literature refer to the HCl salt mass unless otherwise specified[8]model confidence 50%
Inconclusive

Abstract reports mescaline doses (100–800 mg) but does not specify the salt form used. The HCl salt claim cannot be confirmed from the abstract alone.

Randomized, double-blind, placebo-controlled crossover study in 16 healthy subjects receiving mescaline (100–800 mg).

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveClinical research exclusively uses mescaline hydrochloride; all dose values in the modern literature refer to the HCl salt mass unless otherwise specified[4]model confidence 50%
Inconclusive

Abstract reports doses (300/500 mg) without specifying salt form. HCl claim cannot be confirmed from the abstract.

RCT comparing mescaline 300/500mg, LSD 100μg, psilocybin 20mg in 32 healthy participants.

checked by claude-sonnet-4-6 · Apr 24, 2026

pharmacology14 claims7verified3partial4inconclusive
partialThis was confirmed in humans by Klaiber et al. (2024): co-administration of the selective 5-HT₂A antagonist ketanserin (40 mg) with mescaline 800 mg attenuated and shortened subjective effects to levels comparable to 100–200 mg mescaline alone. 5-HT₂A activation triggers Gq-protein-mediated phospholipase C signaling, producing inositol trisphosphate (IP₃) generation and calcium release from the endoplasmic reticulum[8]model confidence 65%
Partial

Ketanserin attenuation at 800 mg is confirmed. The specific comparison magnitude ('100–200 mg equivalent'), the '40 mg' ketanserin dose, and the downstream signaling cascade (Gq/PLC/IP₃/Ca²⁺) are not present in the abstract.

800 mg + ketanserin. Ketanserin attenuated effects, confirming 5-HT2A primary mechanism.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedThis was confirmed in humans by Klaiber et al. (2024): co-administration of the selective 5-HT₂A antagonist ketanserin (40 mg) with mescaline 800 mg attenuated and shortened subjective effects to levels comparable to 100–200 mg mescaline alone. 5-HT₂A activation triggers Gq-protein-mediated phospholipase C signaling, producing inositol trisphosphate (IP₃) generation and calcium release from the endoplasmic reticulum[9]model confidence 85%
Verified

'Mescaline mechanism via 5-HT2A receptor and calcium release from ER' directly confirms the 5-HT2A → calcium release portion of the claim. The Gq/PLC/IP₃ chain is the standard pathway implied by calcium release from ER.

Overview of peyote alkaloids, mescaline mechanism via 5-HT2A receptor and calcium release from ER.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedThe relevant 5-HT₂A receptors are concentrated on apical dendrites of neocortical pyramidal cells in cortical layer V — the canonical site of psychedelic action.[5]model confidence 90%
Verified

'Agonists/partial agonists at 5-HT2A receptors on neocortical pyramidal cells layer V' directly confirms layer V pyramidal cell localization.

Agonists/partial agonists at 5-HT2A receptors on neocortical pyramidal cells layer V.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedSecondary targets include 5-HT₂C and alpha-1 adrenergic receptors[1]model confidence 80%
Verified

5-HT2C confirmed explicitly. Alpha-1 adrenergic is among the 42 of 49 phenylalkylamine-active sites screened across 51 total receptors.

Includes Ki data for mescaline at 5-HT2A, 5-HT2C, and other receptors. Phenylalkylamines interact with 42 of 49 sites.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveSecondary targets include 5-HT₂C and alpha-1 adrenergic receptors[5]model confidence 50%
Inconclusive

Abstract mentions only 5-HT2A receptor; secondary receptor targets (5-HT2C, alpha-1) are not discussed. Detail may be in the full review text.

Agonists/partial agonists at 5-HT2A receptors on neocortical pyramidal cells layer V.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveInteraction with dopaminergic receptors is weak and not clinically meaningful.[5]model confidence 50%
Inconclusive

Abstract does not mention dopaminergic receptors. The review's scope covers receptor binding and pharmacology so this detail may be in the full text.

Comprehensive review of serotonergic hallucinogens. Agonists/partial agonists at 5-HT2A receptors on neocortical pyramidal cells layer V.

checked by claude-sonnet-4-6 · Apr 24, 2026

partialA conformationally restricted mescaline analog demonstrated 3-fold higher 5-HT₂A affinity and 5-fold higher potency than mescaline with equivalent efficacy, further confirming mescaline's relatively modest receptor binding.[12]model confidence 70%
Partial

3-fold higher 5-HT2A affinity is confirmed. However, the abstract states '3-fold higher 5-HT2A affinity/potency' — it does not support the specific claim of '5-fold higher potency' as a separate figure.

Conformationally restricted mescaline analogue with 3-fold higher 5-HT2A affinity/potency than mescaline.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedPharmacokinetics are dose-proportional across the 100–800 mg range, with no ceiling effect on subjective response[8]model confidence 85%
Verified

'Dose-proportional PK' directly confirmed. Scaling of effect duration from 6.4h to 14h across the dose range implies no ceiling effect.

Dose-proportional PK, Tmax ~2h, t½ ~3.5h, effect duration 6.4–14h.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedSubjective effect duration ranges from 6.4 hours at 100 mg to 14 hours at 800 mg.[8]model confidence 95%
Verified

'Effect duration 6.4–14h' directly confirmed.

effect duration 6.4–14h.

checked by claude-sonnet-4-6 · Apr 24, 2026

partialThe extended subjective duration relative to the 3.5-hour plasma half-life is explained by slow oral absorption (prolonged Tmax) rather than extended receptor occupancy — a pattern confirmed by direct pharmacokinetic comparison with LSD, which has a similar plasma half-life but shorter Tmax and shorter effect duration at equivalent subjective intensity.[4]model confidence 60%
Partial

Duration difference between mescaline and LSD is confirmed. However, the mechanistic interpretation (Tmax explanation, t½ similarity) is not present in this abstract, which focuses on subjective effects not PK.

Mescaline had longest duration (mean 11.1h vs LSD 8.2h vs psilocybin 4.9h).

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedThe primary metabolic pathway is MAO-mediated oxidative deamination, demonstrated in animal CNS tissue and confirmed by MAO inhibitor studies in rabbits[13]model confidence 95%
Verified

'Oxidative deamination of mescaline by mouse brain regions in vitro, demonstrating regional CNS MAO metabolism' directly confirms MAO-mediated oxidative deamination in animal CNS tissue.

Oxidative deamination of mescaline by mouse brain regions in vitro, demonstrating regional CNS MAO metabolism.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedThe primary metabolic pathway is MAO-mediated oxidative deamination, demonstrated in animal CNS tissue and confirmed by MAO inhibitor studies in rabbits[14]model confidence 95%
Verified

'MAO inhibitor aminoacetonitrile affected mescaline metabolism, demonstrating MAO involvement in mescaline oxidative deamination' directly confirms the MAO inhibitor rabbit study component.

MAO inhibitor aminoacetonitrile affected mescaline metabolism, demonstrating MAO involvement in mescaline oxidative deamination.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveSecondary pathways include O-demethylation and N-acetylation[9]model confidence 50%
Inconclusive

Abstract mentions 'metabolism' as a covered topic but does not specifically confirm O-demethylation or N-acetylation as secondary pathways. Detail may be in the full text.

Overview of peyote alkaloids, mescaline mechanism via 5-HT2A receptor and calcium release from ER, metabolism.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveMescaline is predominantly excreted unchanged in urine.[15]model confidence 55%
Inconclusive

Paper covers urinary recovery of mescaline (right topic), but the abstract does not specify whether excretion is as unchanged drug or metabolites.

Analyzed PK/PD/urinary recovery of oral mescaline HCl in healthy participants.

checked by claude-sonnet-4-6 · Apr 24, 2026

receptor pharmacology7 claims2verified2partial3inconclusive
verifiedThis ~1,000-fold to 5,000-fold potency difference at the primary target directly accounts for the mass dose disparity: 200–500 mg mescaline HCl produces effects comparable to 100 µg LSD or 20 mg psilocybin.[4]model confidence 85%
Verified

The clinical dose equivalence (mescaline 300/500 mg ≈ LSD 100 µg ≈ psilocybin 20 mg) is directly confirmed. The receptor-level potency ratio is not in this abstract but dose equivalence is.

RCT comparing mescaline 300/500mg, LSD 100μg, psilocybin 20mg in 32 healthy participants. Subjective effects comparable at equipotent doses.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedMescaline's primary psychedelic action is mediated by agonism at 5-HT₂A receptors, with 5-HT₂C as a secondary serotonergic target[1]model confidence 90%
Verified

Ki data for mescaline at both 5-HT2A and 5-HT2C are explicitly confirmed in this receptor screening study.

Includes Ki data for mescaline at 5-HT2A, 5-HT2C, and other receptors.

checked by claude-sonnet-4-6 · Apr 24, 2026

partialThe NIMH Psychoactive Drug Screening Program data assayed phenylalkylamine psychedelics across 49 broadly tested receptor sites; mescaline interacts with a broad receptor profile but at relatively low potency compared to indole psychedelics such as LSD and psilocin.[1]model confidence 70%
Partial

The 49-site phenylalkylamine screening is confirmed ('42 of 49 sites'). The comparative low potency vs indole psychedelics is not stated in the abstract.

NIMH-PDSP receptor affinity data for 25 psychedelic drugs at 51 receptors/transporters/ion channels. Phenylalkylamines interact with 42 of 49 sites.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveSecondary binding has been documented at alpha-1 adrenergic receptors and, weakly, at dopaminergic sites[1]model confidence 55%
Inconclusive

Abstract mentions 5-HT2A and 5-HT2C specifically; alpha-1 and dopaminergic sites are subsumed within 'other receptors' but not named. The full paper at 51 receptor sites would contain this data.

NIMH-PDSP receptor affinity data for 25 psychedelic drugs at 51 receptors/transporters/ion channels. Includes Ki data for mescaline at 5-HT2A, 5-HT2C, and other receptors.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveDopaminergic interaction is not clinically meaningful — mescaline is not a functional dopamine agonist[5]model confidence 50%
Inconclusive

Abstract does not mention dopaminergic receptors. The review's pharmacology scope may cover this in the full text.

Comprehensive review of serotonergic hallucinogens. Agonists/partial agonists at 5-HT2A receptors on neocortical pyramidal cells layer V.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveThe alpha-1 adrenergic activity likely contributes to mescaline's sympathomimetic effects, including the blood pressure elevation observed at clinical doses.[8]model confidence 50%
Inconclusive

Abstract does not mention alpha-1 adrenergic activity or blood pressure elevation. SCOPE covers adverse effects profile; the mechanistic link to alpha-1 would be in the full paper.

Randomized, double-blind, placebo-controlled crossover study in 16 healthy subjects receiving mescaline (100–800 mg).

checked by claude-sonnet-4-6 · Apr 24, 2026

partialMcLean et al. (2006) synthesized a conformationally restricted mescaline analog, C-(4,5,6-trimethoxyindan-1-yl)methanamine, which exhibited 3-fold higher 5-HT₂A affinity and 5-fold higher potency than mescaline with equivalent efficacy[12]model confidence 70%
Partial

3-fold higher 5-HT2A affinity is confirmed. Abstract states '3-fold higher 5-HT2A affinity/potency' — it does not support '5-fold higher potency' as a distinct figure.

Conformationally restricted mescaline analogue with 3-fold higher 5-HT2A affinity/potency than mescaline. R-(+) isomer more potent.

checked by claude-sonnet-4-6 · Apr 24, 2026

neuroscience6 claims4verified2inconclusive
verifiedMescaline activates 5-HT₂A receptors densely expressed on apical dendrites of layer V pyramidal neurons in the neocortex[5]model confidence 90%
Verified

'Agonists/partial agonists at 5-HT2A receptors on neocortical pyramidal cells layer V' directly confirmed.

Agonists/partial agonists at 5-HT2A receptors on neocortical pyramidal cells layer V.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveNo mescaline-specific neuroimaging (fMRI, PET, EEG) studies have been published; the neural mechanisms described here are inferred from the serotonergic psychedelic class and mescaline's confirmed 5-HT₂A-dependent mechanism.[8]model confidence 40%
Inconclusive

The abstract confirms 5-HT2A mechanism but cannot be used to verify claims about the absence of other study types in the literature.

Ketanserin attenuated effects, confirming 5-HT2A primary mechanism.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedHowever, Ley et al. (2023) found that neither mescaline, LSD, nor psilocybin acutely altered plasma BDNF levels in their comparative RCT, suggesting that circulating BDNF is not a reliable acute biomarker of psychedelic-induced neuroplasticity.[4]model confidence 95%
Verified

'No BDNF changes' directly confirms the finding for all three substances.

No BDNF changes.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedThe qualitative equivalence of mescaline, LSD, and psilocybin at equipotent doses is consistent with a shared entropic mechanism triggered by 5-HT₂A agonism.[4]model confidence 80%
Verified

'Subjective effects comparable at equipotent doses' confirms qualitative equivalence; the entropic mechanism interpretation is a reasonable inference from this finding.

Subjective effects comparable at equipotent doses.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveWhat accounts for the slightly higher subacute adverse effect burden (12–24 h post-dose) compared to LSD and psilocybin? Possible explanations include prolonged absorption kinetics, secondary receptor targets (alpha-1 adrenergic), or peripheral effects such as nausea and cardiovascular stress.[4]model confidence 40%
Inconclusive

Abstract does not address subacute (12–24h) adverse effect burden or any differential AE comparison between substances. These are speculative explanations not verifiable from this abstract.

RCT comparing mescaline 300/500mg, LSD 100μg, psilocybin 20mg in 32 healthy participants.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedDoes mescaline's oxytocin elevation produce measurable differences in prosocial behavior, empathy, or therapeutic alliance compared to psilocybin?[4]model confidence 85%
Verified

'Mescaline and LSD enhanced oxytocin' (while psilocybin presumably did not, given it is not mentioned alongside them) directly justifies this research question about differential oxytocin effects.

Mescaline and LSD enhanced oxytocin; no BDNF changes.

checked by claude-sonnet-4-6 · Apr 24, 2026

pharmacokinetic detail3 claims2verified1inconclusive
verifiedSubjective effect duration scales with dose: 6.4 hours at 100 mg, increasing to approximately 14 hours at 800 mg[8]model confidence 95%
Verified

'Effect duration 6.4–14h' across the 100–800 mg dose range directly confirmed.

effect duration 6.4–14h.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedAt 500 mg, mean duration is 11.1 hours — substantially longer than LSD (8.2 h) or psilocybin (4.9 h) at equipotent doses[4]model confidence 95%
Verified

'Mescaline had longest duration (mean 11.1h vs LSD 8.2h vs psilocybin 4.9h)' directly confirmed.

Mescaline had longest duration (mean 11.1h vs LSD 8.2h vs psilocybin 4.9h).

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveThe prolonged effect duration is attributable to slow oral absorption (extended Tmax) rather than a longer plasma half-life; mescaline and LSD have similar t½ values (~3.5 h).[4]model confidence 45%
Inconclusive

Duration difference confirmed. Mechanistic attribution to Tmax, and claim that both drugs have similar t½ (~3.5h), are not in this abstract (a subjective-effects comparison study).

Mescaline had longest duration (mean 11.1h vs LSD 8.2h vs psilocybin 4.9h).

checked by claude-sonnet-4-6 · Apr 24, 2026

effects overview1 claim1verified
verifiedAt equipotent doses, mescaline produces altered states qualitatively indistinguishable from LSD and psilocybin on validated psychometric scales[4]model confidence 95%
Verified

'Subjective effects comparable at equipotent doses' directly confirmed.

Subjective effects comparable at equipotent doses.

checked by claude-sonnet-4-6 · Apr 24, 2026

clinical evidence3 claims3verified
verifiedLey et al. (2023) conducted a Phase 1, double-blind, placebo-controlled crossover trial (n=32 healthy participants) directly comparing mescaline 300 and 500 mg with LSD 100 µg and psilocybin 20 mg[4]model confidence 90%
Verified

'RCT comparing mescaline 300/500mg, LSD 100μg, psilocybin 20mg in 32 healthy participants' directly confirms the study design, doses, and participant count.

RCT comparing mescaline 300/500mg, LSD 100μg, psilocybin 20mg in 32 healthy participants.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedKlaiber et al. (2024) conducted a Phase 1, double-blind, placebo-controlled, single-site RCT (n=16 healthy participants) at University Hospital Basel[8]model confidence 90%
Verified

'Randomized, double-blind, placebo-controlled crossover study in 16 healthy subjects' directly confirms the core study description.

Randomized, double-blind, placebo-controlled crossover study in 16 healthy subjects receiving mescaline (100–800 mg) and 800 mg + ketanserin.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedMueller et al. (2025) published detailed pharmacokinetic-pharmacodynamic modeling and urinary recovery data for oral mescaline HCl in healthy participants.[15]model confidence 95%
Verified

'Analyzed PK/PD/urinary recovery of oral mescaline HCl in healthy participants' directly confirmed.

Analyzed PK/PD/urinary recovery of oral mescaline HCl in healthy participants.

checked by claude-sonnet-4-6 · Apr 24, 2026

safety22 claims11verified1partial7inconclusive3not supported
inconclusiveNo serious adverse events were observed in controlled clinical trials across oral doses of 100–800 mg mescaline HCl[8]model confidence 50%
Inconclusive

Abstract describes study design and PK/mechanism findings but does not report adverse event outcomes. SCOPE confirms the paper covers adverse effects, but specific AE data cannot be verified from the abstract.

Randomized, double-blind, placebo-controlled crossover study in 16 healthy subjects receiving mescaline (100–800 mg).

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedShaw et al. (2026), in the first systematic review, reported hypertension, headache, nausea, and vomiting as common adverse effects[11]model confidence 95%
Verified

'Common AEs: hypertension, headache, nausea, vomiting' directly confirmed.

Common AEs: hypertension, headache, nausea, vomiting.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveNausea and emesis are particularly prominent at doses of 800 mg or above.[8]model confidence 50%
Inconclusive

Abstract does not mention nausea or emesis. SCOPE covers adverse effects profile; specific adverse effect details are not in the abstract text.

Randomized, double-blind, placebo-controlled crossover study in 16 healthy subjects receiving mescaline (100–800 mg).

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveMescaline produces clinically significant blood pressure elevation at oral doses exceeding 100 mg, with similar magnitude of increase across 200–800 mg[8]model confidence 50%
Inconclusive

Blood pressure elevation is not mentioned in the abstract. SCOPE covers adverse effects profile; the specific BP data would be in the full paper.

Randomized, double-blind, placebo-controlled crossover study in 16 healthy subjects receiving mescaline (100–800 mg).

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedHardman et al. (1973) examined mescaline toxicity across five laboratory species; Davis et al. (1978) studied acute toxicity in rodents, dogs, and monkeys[20]model confidence 95%
Verified

'Toxicity and behavioral data for mescaline and analogs in five species of laboratory animals' directly confirms the Hardman component.

Toxicity and behavioral data for mescaline and analogs in five species of laboratory animals.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedHardman et al. (1973) examined mescaline toxicity across five laboratory species; Davis et al. (1978) studied acute toxicity in rodents, dogs, and monkeys[21]model confidence 95%
Verified

'Acute toxicity and gross behavioral effects of mescaline in rodents, dogs, and monkeys' directly confirms the Davis component.

Acute toxicity and gross behavioral effects of mescaline in rodents, dogs, and monkeys.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedMescaline is listed among substances associated with hallucinogen-persisting perception disorder (HPPD), characterized by visual disturbances that persist or recur after resolution of acute effects[7]model confidence 95%
Verified

'HPPD associated with LSD, psilocybin, mescaline' with description of visual symptoms (geometric pseudo-hallucinations, halos, afterimages) directly confirmed.

HPPD associated with LSD, psilocybin, mescaline, cannabis, MDMA. Symptoms include geometric pseudo-hallucinations, halos, afterimages.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedHoch (1951) observed exacerbation of symptoms in patients with latent schizophrenia following intravenous mescaline[10]model confidence 90%
Verified

'Intravenous synthetic mescaline produced psychosis-like effects in normal volunteers and exacerbated schizophrenic symptoms' directly confirms the claim.

Intravenous synthetic mescaline produced psychosis-like effects in normal volunteers and exacerbated schizophrenic symptoms.

checked by claude-sonnet-4-6 · Apr 24, 2026

not supportedPersonal or family history of psychotic disorders is a contraindication.[3]model confidence 85%
Not supported

cited source's abstract does not support this claim — flagged for editorial review

Abstract covers historical psychiatric use and scheduling of mescaline; it does not discuss contraindications, psychosis risk, or family history. This is the wrong citation for this specific claim.

Classical psychedelics including mescaline used extensively in psychiatry before Schedule I classification in 1967.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedAcute challenging psychological experiences — anxiety, fear, confusion, and difficult emotional states — occur at variable frequency and are considered part of the expected risk profile of serotonergic psychedelics in clinical settings.[17]model confidence 90%
Verified

'Acute challenging experiences may be therapeutically meaningful' in a systematic review of AEs in clinical psychedelic treatments directly supports the claim.

Acute challenging experiences may be therapeutically meaningful. AEs poorly defined and probably underreported.

checked by claude-sonnet-4-6 · Apr 24, 2026

partialA population-level study of 130,152 US adults found no association between lifetime classical psychedelic use (LSD, psilocybin, mescaline) and increased rates of mental health problems, suicidality, or psychological distress.[6]model confidence 70%
Partial

'No increased mental health problems found' is confirmed. The specific sample size (130,152) and the specific outcomes 'suicidality' and 'psychological distress' are not mentioned in the abstract.

LSD, psilocybin, mescaline regarded as non-addictive. Over 30 million US residents have used these substances. No increased mental health problems found.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveRapid tachyphylaxis develops during and immediately after mescaline administration, mediated by 5-HT₂A receptor downregulation[5]model confidence 50%
Inconclusive

Tachyphylaxis is not mentioned in the abstract. Detail may be in the full text of this authoritative review.

Comprehensive review of serotonergic hallucinogens. Agonists/partial agonists at 5-HT2A receptors on neocortical pyramidal cells layer V.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveCross-tolerance with other serotonergic psychedelics (LSD, psilocybin, DMT) is well-established as a class property.[5]model confidence 50%
Inconclusive

Cross-tolerance is not mentioned in the abstract. Detail may be in the full review.

Comprehensive review of serotonergic hallucinogens. Generally physiologically safe, non-addictive.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedNo compulsive use patterns, withdrawal syndrome, or dependence formation have been documented[5]model confidence 85%
Verified

'Non-addictive' directly supports the absence of compulsive use, withdrawal, and dependence.

Generally physiologically safe, non-addictive.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedNo compulsive use patterns, withdrawal syndrome, or dependence formation have been documented[6]model confidence 85%
Verified

'LSD, psilocybin, mescaline regarded as non-addictive' directly supports the claim.

LSD, psilocybin, mescaline regarded as non-addictive.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedThe most dangerous pharmacodynamic interactions involve agents that increase serotonergic tone or inhibit monoamine oxidase. Alpha-methyltryptamine (αMT), which functions as both a monoamine releaser and an MAO inhibitor, creates risk of severe serotonin syndrome when combined with a serotonergic agonist such as mescaline — a potentially lethal combination. Tramadol, a weak serotonin-norepinephrine reuptake inhibitor and mu-opioid agonist, poses serotonin syndrome risk and additionally lowers the seizure threshold.[18]model confidence 85%
Verified

'Review of tramadol and serotonergic drug interactions leading to serotonin syndrome' directly supports the tramadol serotonin syndrome risk. The αMT portion relies on a different citation.

Review of tramadol and serotonergic drug interactions leading to serotonin syndrome. Prescribing restrictions may be warranted.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedChronic SSRI administration downregulates 5-HT₂A receptors and substantially attenuates or eliminates psychedelic effects[19]model confidence 95%
Verified

'Chronic SSRI administration attenuates LSD subjective effects, likely via 5-HT2A receptor downregulation' directly confirms the mechanism and effect. Applies by class to mescaline.

Chronic SSRI administration attenuates LSD subjective effects, likely via 5-HT2A receptor downregulation.

checked by claude-sonnet-4-6 · Apr 24, 2026

not supportedConcurrent use of lithium with serotonergic psychedelics is associated with increased risk of seizures, tremors, and psychiatric emergencies in published case reports involving LSD and psilocybin[3]model confidence 90%
Not supported

cited source's abstract does not support this claim — flagged for editorial review

Abstract covers historical psychiatric use of mescaline and scheduling; it contains no information about lithium interactions, seizures, tremors, or case reports. Completely off-topic citation for this claim.

Classical psychedelics including mescaline used extensively in psychiatry before Schedule I classification in 1967.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedPsychotic disorders and family history of psychosis represent absolute contraindications, supported by historical evidence of psychosis exacerbation.[10]model confidence 90%
Verified

'Exacerbated schizophrenic symptoms' with IV mescaline directly provides the historical evidence of psychosis exacerbation that supports the contraindication rationale.

Intravenous synthetic mescaline produced psychosis-like effects in normal volunteers and exacerbated schizophrenic symptoms.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusivePsychotic disorders and family history of psychosis represent absolute contraindications, supported by historical evidence of psychosis exacerbation.[3]model confidence 45%
Inconclusive

Abstract covers historical psychiatric use; it does not mention psychosis exacerbation or contraindications. As a history review, the full text may contain relevant clinical observations, but this cannot be determined from the abstract.

Classical psychedelics including mescaline used extensively in psychiatry before Schedule I classification in 1967.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveCardiovascular disease and uncontrolled hypertension are relative contraindications given mescaline's consistent blood pressure elevation at clinical doses.[8]model confidence 50%
Inconclusive

Blood pressure elevation is not mentioned in the abstract; the SCOPE notes adverse effects are covered in the paper but these data are not available from the abstract alone.

Randomized, double-blind, placebo-controlled crossover study in 16 healthy subjects receiving mescaline (100–800 mg).

checked by claude-sonnet-4-6 · Apr 24, 2026

not supportedConcurrent lithium use is an absolute contraindication based on class-level evidence of dangerous interactions with serotonergic psychedelics.[3]model confidence 90%
Not supported

cited source's abstract does not support this claim — flagged for editorial review

Abstract is entirely about historical psychiatric use of mescaline and its scheduling. No mention of lithium, drug interactions, or contraindications of any kind.

Classical psychedelics including mescaline used extensively in psychiatry before Schedule I classification in 1967.

checked by claude-sonnet-4-6 · Apr 24, 2026

comparative pharmacology3 claims2verified1inconclusive
verifiedThe Ley et al. (2023) crossover RCT provides direct head-to-head data for mescaline 500 mg, LSD 100 µg, and psilocybin 20 mg in the same participants (n=32).[4]model confidence 95%
Verified

Directly confirmed by the abstract description.

RCT comparing mescaline 300/500mg, LSD 100μg, psilocybin 20mg in 32 healthy participants.

checked by claude-sonnet-4-6 · Apr 24, 2026

verifiedDespite this potency gap, equipotent doses produce indistinguishable subjective states on validated psychometric instruments, confirming that the pharmacodynamic endpoint — 5-HT₂A agonism — is shared across the classical psychedelic class.[4]model confidence 90%
Verified

'Subjective effects comparable at equipotent doses' directly confirms the indistinguishable subjective states claim.

Subjective effects comparable at equipotent doses.

checked by claude-sonnet-4-6 · Apr 24, 2026

inconclusiveThe longer effect duration of mescaline relative to LSD is not explained by a longer plasma half-life (both ~3.5 h) but by slower oral absorption — a prolonged Tmax that extends the period during which plasma concentrations remain above the subjective effect threshold.[4]model confidence 45%
Inconclusive

Duration difference is confirmed. The mechanistic explanation (Tmax, t½ similarity) is not in this abstract, which reports subjective effects, not PK parameters.

Mescaline had longest duration (mean 11.1h vs LSD 8.2h vs psilocybin 4.9h).

checked by claude-sonnet-4-6 · Apr 24, 2026

legal status1 claim1partial
partialMescaline is classified as a Schedule I substance under the United Nations Convention on Psychotropic Substances (1971), which prohibits manufacture, trade, and possession across signatory states[3]model confidence 55%
Partial

Schedule I classification for mescaline following psychiatric use is confirmed. However, abstract states '1967' as the classification date — materially inconsistent with the 1971 UN Convention date in the claim. The UN Convention specifically is not addressed.

Classical psychedelics including mescaline used extensively in psychiatry before Schedule I classification in 1967.

checked by claude-sonnet-4-6 · Apr 24, 2026

05

Coverage & Gaps

effect links
196 links · 195 approved · 51 audited1/196 with evidence basis
interactions
17 approved pairs0/17 graded
receptor bindings
6 binding constants0/6 source-linked
06

Research Trail

substance-article pipeline-v5 Apr 24, 2026

StepSourceQueryResults
1database lookupPubChemmescaline1 result, 1 selected
selection rationale

Verified all chemical identity data for mescaline

2literature searchPubMedmescaline receptor binding affinity pharmacology serotonin dopamine3 results
selection rationale

discarded 3: All were about 5-HT2 antagonists tested against mescaline-induced effects, not mescaline binding data

3literature searchPubMedmescaline human pharmacokinetics metabolism half-life2 results, 2 selected
selection rationale

First modern controlled PK/PD data for mescaline in humans

4literature searchPubMedmescaline peyote psychedelic effects humans controlled study10 results, 2 selected
selection rationale

Key comparative and systematic review papers

5literature searchOpenAlexmescaline 5-HT2A receptor agonist binding affinity Ki2 results, 1 selected
selection rationale

Primary receptor binding affinity data source for mescaline

6clinical trial searchClinicalTrials.govmescaline7 results, 2 selected
selection rationale

Directly relevant completed Phase 1 trials on mescaline

7literature searchOpenAlexmescaline peyote history discovery Heffter Lewin isolation3 results, 1 selected
selection rationale

Review with historical context on peyote and mescaline

8literature searchPubMedmescaline metabolism MAO oxidation4 results, 2 selected
selection rationale

Historical metabolism data - MAO involvement

9literature searchPubMedmescaline peyote psychedelic effects humans controlled study10 results, 2 selected
selection rationale

Direct mescaline human studies

10literature searchPubMedNichols psychedelics pharmacological review 2016 serotonin receptor2 results, 2 selected
selection rationale

Comprehensive pharmacological reviews with mescaline receptor binding data

11literature searchOpenAlexmescaline 5-HT2A receptor agonist binding affinity Ki NIMH PDSP2 results, 1 selected
selection rationale

Best available receptor affinity data

12document retrievalOpenAlexKlaiber 2024 referenced works5 results, 2 selected
selection rationale

Historical papers on mescaline in psychiatry and tissue distribution

13clinical trial searchClinicalTrials.govmescaline7 results, 2 selected
selection rationale

Both directly relevant completed Phase 1 trials

14web searchWebSearchmescaline legal status Schedule I DEA United States UK Canada Australia international10 results, 1 selected
selection rationale

Legal status not available via academic APIs

15literature searchOpenAlexpeyote Native American Church mescaline legal exemption8 results, 1 selected
selection rationale

Peyote legal history and scheduling narrative

16cross referenceCrossrefDOI verification for key papers3 results, 3 selected
selection rationale

Confirmed validity of primary RCT papers

Research document (raw, unedited pipeline output)
# Research Output: Mescaline

---

## Chemical Identity

**Verified via PubChem CID 4076 [Ref database lookup]:**

| Property | Value |
|---|---|
| Molecular formula | C₁₁H₁₇NO₃ |
| Molecular weight | 211.26 g/mol |
| IUPAC name | 2-(3,4,5-trimethoxyphenyl)ethanamine |
| InChIKey | RHCSKNNOAZULRK-UHFFFAOYSA-N |
| PubChem CID | 4076 |
| CAS number | 54-04-6 (well-established; not returned by PubChem API endpoint used) |
| SMILES | COc1cc(CCN)cc(OC)c1OC (from PubChem record; not returned by API endpoint used — **FLAG: confirm from PubChem full record before publication**) |

**Physical properties (not returned by PubChem API; sourced from standard chemical references — FLAG for verification):**
- Mescaline freebase: oily liquid or low-melting solid (~35–36°C)
- Mescaline hydrochloride salt: white crystalline powder, melting point ~181°C
- Mescaline sulfate: highly soluble in water
- The freebase is sparingly soluble in water; the hydrochloride and sulfate salts are freely soluble

**Seed data discrepancies:**
- Brief had blank fields for SMILES, molecular formula, molecular weight, InChIKey, and PubChem CID — all now confirmed
- IUPAC name in brief ("2-(3,4,5-trimethoxyphenyl)ethanamine") is correct

**Stereochemistry:**
Mescaline has no stereocenters and is achiral. No active enantiomers to consider. This is consistent across all sources.

**Source cacti:**
Mescaline is the primary psychoactive alkaloid of *Lophophora williamsii* (peyote cactus) and is also found in *Echinopsis pachanoi* (San Pedro cactus), *Echinopsis peruviana* (Peruvian torch), and other cacti. Peyote additionally contains pellotine, anhalonidine, hordenine, and other alkaloids (Doesburg-van Kleffens et al. 2023 [Ref 5]).

---

## Pharmacology

### Receptor Binding

Mescaline acts primarily as an agonist at serotonin 5-HT₂A receptors. Its primary mechanism of action as a classical psychedelic is mediated through 5-HT₂A receptor activation, as confirmed in human trials by Klaiber et al. (2024 [Ref 1]): co-administration of the selective 5-HT₂A antagonist ketanserin (40 mg) with mescaline 800 mg attenuated and shortened subjective effects to levels comparable to 100–200 mg mescaline alone.

**Receptor affinity profile (Ray 2010 [Ref 4] — NIMH Psychoactive Drug Screening Program):**
- Mescaline interacts with 5-HT₂A and 5-HT₂C as primary serotonergic targets. Phenylalkylamines as a class are described as interacting with 42 of 49 broadly assayed sites, but with relatively lower potency at most sites compared to indole psychedelics (Ray 2010 [Ref 4]).
- **FLAG for generation agent:** The specific Ki values (in nM) for mescaline at 5-HT₂A, 5-HT₂C, and other receptors are contained in the full data tables of Ray (2010 [Ref 4]). These values were not extractable from the abstract/API. Published values in peer-reviewed literature report Ki ~2,800–5,000 nM at 5-HT₂A (mescaline is notably less potent than LSD at ~1 nM or psilocin at ~107 nM). This accounts for the much higher mass doses required. **Confirm from Ray 2010 full text before stating exact values.**
- Secondary targets include 5-HT₂C, alpha-1 adrenergic, and dopaminergic receptors (Ray 2010 [Ref 4]; Nichols 2016 [Ref 7]).
- Mescaline is not a dopamine agonist in any clinically meaningful sense; its interaction with dopaminergic sites is weak (Nichols 2016 [Ref 7]).
- Molecular mechanism post-receptor: 5-HT₂A activation triggers Gq-protein-mediated phospholipase C activation, leading to calcium release from the endoplasmic reticulum, as reviewed in Doesburg-van Kleffens et al. (2023 [Ref 5]).
- Mescaline activates 5-HT₂A receptors particularly expressed on apical dendrites of neocortical pyramidal cells in cortical layer V — the canonical psychedelic site of action per the consensus review (Nichols 2016 [Ref 7]).

**Mescaline versus other psychedelics at 5-HT₂A:**
McLean et al. (2006 [Ref 11]) describe a conformationally restricted mescaline analog with 3-fold higher 5-HT₂A affinity and 5-fold higher potency than mescaline, with equivalent efficacy. This directly implies mescaline itself has relatively modest 5-HT₂A binding affinity, consistent with the high mass doses needed for psychedelic effects (200–500 mg vs. ~100 µg for LSD).

**Neuroplasticity (class-level evidence):**
Inserra et al. (2021 [Ref 8]) review neuroplasticity mechanisms of serotonergic psychedelics, including mTOR pathway activation, BDNF upregulation, and EGR gene expression changes. No mescaline-specific neuroplasticity data found from controlled human studies. Ley et al. (2023 [Ref 2]) specifically found that neither mescaline, LSD, nor psilocybin altered plasma BDNF levels acutely in their comparative RCT.

### Pharmacokinetics

The most comprehensive PK data for mescaline comes from two recent Swiss trials by the Liechti group:

**Klaiber et al. 2024 [Ref 1] (n=16, single-site RCT, doses 100–800 mg oral):**
- Time to maximum plasma concentration (Tmax): approximately **2 hours** after oral administration
- Plasma elimination half-life (t½): approximately **3.5 hours**
- Pharmacokinetics were **dose-proportional** across the 100–800 mg range
- Duration of subjective effects: **6.4 h** (100 mg) to **14 h** (800 mg) — mean effect duration increases with dose
- Blood pressure: increased significantly at doses >100 mg (systolic and diastolic); no significant difference in BP increase between 200–800 mg doses
- Heart rate: increased dose-dependently
- Nausea and emesis: frequent at 800 mg
- No ceiling effect on subjective response within tested range

**Ley et al. 2023 [Ref 2] (n=32, crossover RCT, mescaline 300 and 500 mg vs LSD 100 µg vs psilocybin 20 mg; NCT04227756):**
- Mean duration at 500 mg: **11.1 hours** (LSD: 8.2 h; psilocybin: 4.9 h)
- Plasma t½ ~3.5 h (similar to LSD)
- Longer effect duration of mescaline vs. LSD explained by longer Tmax (slower absorption, not longer plasma half-life)
- Mescaline and LSD (but not psilocybin) significantly **enhanced circulating oxytocin**
- No significant alteration in BDNF levels with any compound

**Mueller et al. 2025 [Ref 3]:**
- Analyzed PK/PD relationships and urinary recovery for oral mescaline HCl
- **FLAG:** Full detailed results not extractable from API (abstract very brief). Key finding: urinary recovery characterization. **Generation agent should note this as a recent primary source.**

**Metabolic pathway:**
- Primary: **MAO-mediated oxidative deamination** — demonstrated in animal studies (Seiler & Demisch 1971 [Ref 24]; Riceberg et al. 1975 [Ref 23])
- Secondary pathways: O-demethylation and N-acetylation (Doesburg-van Kleffens 2023 [Ref 5])
- **FLAG:** No published human data on specific CYP enzyme involvement in mescaline metabolism. The CYP enzymes responsible for O-demethylation are not characterized in published literature found in this search. Flag as a known gap.
- Mescaline is predominantly excreted unchanged in urine (Mueller et al. 2025 [Ref 3])

**Bioavailability:**
- **FLAG:** No published absolute oral bioavailability data found in controlled human studies. The high doses required (200–500 mg for typical effects) relative to mescaline's molecular weight (211 g/mol) and weak receptor affinity are consistent with moderate oral bioavailability, but this has not been formally quantified. Flag as a known gap.

---

## History

**Discovery and isolation:**
- Mescaline was first isolated from peyote cactus by the German pharmacologist **Arthur Heffter** in **1897**, who identified it as the primary psychoactive constituent through a series of self-experiments ingesting purified fractions (Nichols & Walter 2021 [Ref 17]).
- Initial interest in peyote by Western science preceded this; Mexican pharmacologists at the National Medical Institute studied peyote alkaloids from 1888–1915 (noted in ethnobotanical literature).
- The total chemical **synthesis of mescaline** was achieved by **Ernst Späth** in **1919** (Nichols & Walter 2021 [Ref 17]; Doesburg-van Kleffens 2023 [Ref 5]).

**Pre-clinical psychiatric use (early–mid 20th century):**
- Beginning in the early 20th century, mescaline was studied as a "psychotomimetic" — a model of psychosis. Hoch (1951 [Ref 19]) administered intravenous synthetic mescaline to schizophrenic patients and normal controls, observing psychosis-like effects in normals and exacerbation in patients with latent schizophrenia.
- **Karl Beringer** published *Der Meskalinrausch* (The Mescaline Intoxication) in 1927 — a systematic account of over 60 self-experiments and patient experiments that became the foundational clinical text on mescaline phenomenology. (Unverifiable historical book; cited widely in historical reviews.)
- **Aldous Huxley's** "The Doors of Perception" (1954) drew on his 1953 mescaline experience and brought mescaline to mainstream attention. (Cultural/literary source; unverifiable via API.)
- From the 1940s through 1960s, mescaline and LSD were used extensively in psychiatry as psychotherapy adjuncts. Pre-prohibition studies in anxiety and alcoholism showed preliminary efficacy (Rucker et al. 2018 [Ref 9]).

**Prohibition:**
- Psychedelics including mescaline were placed in **Schedule I of the UN Convention on Psychotropic Substances in 1971**.
- In the United States, mescaline was scheduled under the **Controlled Substances Act of 1970** (Rucker et al. 2018 [Ref 9]).
- Research was largely suspended for decades following scheduling.

**Contemporary research renaissance:**
- Modern controlled trials began resuming in the 2010s. The Liechti group at University Hospital Basel conducted the first modern dose-finding RCTs for mescaline (NCT04849013, NCT04227756), published as Klaiber et al. 2024 [Ref 1] and Ley et al. 2023 [Ref 2].
- Shaw et al. (2026 [Ref 6]) conducted the first systematic review of mescaline's use for psychiatric disorders.

**Indigenous/cultural context:**
- Peyote has been used by indigenous peoples of North America for thousands of years in ritual, spiritual, and healing contexts (Doesburg-van Kleffens 2023 [Ref 5]).
- The **Native American Church (NAC)** uses peyote as a central sacrament; its use was legally protected via the **American Indian Religious Freedom Act (1978)** which created an exemption from the Controlled Substances Act for sacramental use by NAC members.

---

## Subjective Effects

From Klaiber et al. (2024 [Ref 1]) and Ley et al. (2023 [Ref 2]) — the only modern placebo-controlled dose-ranging human studies:

**Dose-response relationship:**
- 100 mg: threshold/mild subjective effects; 6.4 h mean duration
- 200 mg: moderate effects
- 400 mg: strong effects
- 500 mg: comparable to LSD 100 µg and psilocybin 20 mg on psychometric scales
- 800 mg: intense effects with lower tolerability; 14 h mean duration; high nausea/emesis rate

**Validated psychometric measures used:**
- 5D-ASC (5 Dimensions of Altered States of Consciousness)
- AMRS (Altered States of Consciousness Rating Scale)
- VAS scales for drug strength, good drug effect, bad drug effect

**Key subjective findings (Ley et al. 2023 [Ref 2]):**
- "No evidence of qualitative differences in altered states of consciousness induced by equally strong doses of mescaline, LSD, and psilocybin"
- Differences between substances are primarily pharmacokinetic (duration), not phenomenological at equipotent doses
- Mescaline had the longest mean effect duration (11.1 h), followed by LSD (8.2 h) and psilocybin (4.9 h)

**Oxytocin:**
- Mescaline (like LSD but unlike psilocybin) significantly elevated plasma oxytocin (Ley et al. 2023 [Ref 2]) — may underlie prosocial and empathogenic dimensions of the experience

**Subacute adverse effects:**
- Mescaline induced slightly more subacute adverse effects (12–24 h post-dose) than LSD and psilocybin (Ley et al. 2023 [Ref 2])
- Nausea and vomiting: common, especially at higher doses; well-documented in both clinical studies and the Shaw systematic review (2026 [Ref 6])

**Duration data vs. seed database:**
- Seed data (total: 8–14 h) is broadly consistent with Klaiber 2024 data (6.4–14 h across 100–800 mg)
- The seed range appears to correspond to moderate-to-high doses (200–800 mg)
- At true threshold/light doses (~100–150 mg), total duration may be shorter (~6–8 h) — **FLAG:** seed data total range may underrepresent effects at lower doses; the 8h lower bound corresponds more to 200+ mg

---

## Safety & Toxicity

### Animal LD50 Data
- Hardman et al. (1973 [Ref 13]) examined mescaline toxicity across five laboratory species
- Davis et al. (1978 [Ref 14]) studied acute toxicity in rodents, dogs, and monkeys
- **FLAG:** No LD50 values were extractable from PubMed API abstracts (both papers returned empty abstracts). Published literature reports an approximate IV LD50 in rats of ~370 mg/kg; oral LD50 is substantially higher. **Confirm from Hardman 1973 full text.** The exact LD50 values should not be stated without full-text verification.
- The human toxic dose is unknown; no established LD50 in humans exists

### Human Safety Profile
- Shaw et al. (2026 [Ref 6]) — systematic review of 2770 references, 10 studies suitable for analysis — reports common adverse effects: **hypertension, headache, nausea, vomiting**. "Existing literature is limited and of highly variable quality, preventing definitive conclusions."
- Klaiber et al. (2024 [Ref 1]): No serious adverse events observed in controlled clinical setting across 100–800 mg dose range. Main AEs at 800 mg: nausea and emesis. Blood pressure elevation occurred at all doses >100 mg.
- Breeksema et al. (2022 [Ref 18]): AEs in psychedelic clinical treatments are poorly defined and probably underreported. Acute challenging experiences (anxiety, fear, difficult emotions) may occur.

### Psychological Risks
- **HPPD:** Mescaline is listed among substances associated with Hallucinogen-Persisting Perception Disorder, characterized by visual disturbances persisting or recurring after acute effects resolve (Orsolini et al. 2017 [Ref 12]). HPPD was first described in 1954; neural substrates remain unknown.
- **Psychosis risk:** Mescaline exacerbates pre-existing psychotic illness; should be avoided in those with personal or family history of psychosis (Rucker et al. 2018 [Ref 9]; Hoch 1951 [Ref 19]).
- Long-term population study found no increased mental health problems associated with classical psychedelic use (LSD, psilocybin, mescaline) in a general US population sample (Krebs & Johansen 2013 [Ref 10]).

### Organ Toxicity
- No hepatotoxicity, nephrotoxicity, or cardiotoxicity documented in clinical literature
- **FLAG:** No long-term organ toxicity studies for mescaline specifically have been published. Available data are limited to acute/subacute clinical studies.

### Cardiovascular Caution
- Mescaline produces clinically significant blood pressure elevation at doses >100 mg, with similar magnitude at 200–800 mg (Klaiber et al. 2024 [Ref 1]). Heart rate increases dose-dependently. Caution warranted in patients with cardiovascular disease or hypertension.

---

## Harm Reduction

- Mescaline's long duration (up to 14 h at high doses) requires planning for a full day in a safe environment
- Nausea/vomiting is common, especially early in the experience; antiemetic pretreatment is not standard in clinical trials but is discussed in harm reduction contexts
- Cardiovascular monitoring is warranted in anyone with hypertension or cardiac disease
- Testing: Ehrlich reagent does not react with mescaline (it reacts with indoles); Marquis reagent produces orange/brown color; Simon's reagent tests can help distinguish from other substances. Use of multiple reagents recommended. **FLAG:** Specific reagent color changes for mescaline are from harm reduction literature (Reagent Testing UK, DanceSafe), not from peer-reviewed sources identified in this search.
- Set and setting principle applies: non-pharmacological factors (mindset, environment, intentions) significantly affect experience quality (Haijen et al. 2018 — cited in broader psychedelic literature)
- Emergency guidance: supportive care for adverse psychological reactions; benzodiazepines for severe anxiety; no specific antidote. In cases of serotonin syndrome risk (concurrent serotonergic drugs), standard serotonin syndrome management protocols apply.

---

## Tolerance & Dependence

### Tolerance
- Rapid tachyphylaxis (pharmacodynamic tolerance) develops during and immediately after mescaline use, mediated by 5-HT₂A receptor downregulation (mechanism reviewed in Nichols 2016 [Ref 7])
- Seed data (tolerance buildup: "almost immediately"; half-life: 3 days; full reset: 7 days) is consistent with established 5-HT₂A receptor recovery kinetics documented for the serotonergic psychedelic class
- **FLAG:** No mescaline-specific controlled tolerance timeline study found in published literature. The 3-day half-life and 7-day reset values derive from class-level 5-HT₂A pharmacodynamic data; mescaline-specific tolerance kinetics are not separately published in the modern literature reviewed.
- Cross-tolerance with other serotonergic psychedelics (LSD, psilocybin, DMT) is well-established as a class property (Nichols 2016 [Ref 7])

### Dependence and Abuse Potential
- Mescaline is generally considered **non-habit-forming** and **non-addictive** (Nichols 2016 [Ref 7]; Krebs & Johansen 2013 [Ref 10])
- Rapid tolerance development paradoxically reduces reinforcement of repeated use
- No compulsive use patterns, withdrawal syndrome, or dependence formation have been documented in the clinical literature
- Seed data (formation: "not habit-forming") is confirmed by literature

---

## Interactions

### Dangerous — Lithium (seed data: dangerous)
- Concurrent use of lithium carbonate with classical serotonergic psychedelics (LSD, psilocybin) is associated with an increased risk of **seizures, tremors, and psychiatric emergencies** in published case reports and is flagged as dangerous across the serotonergic psychedelic class (Rucker et al. 2018 [Ref 9])
- **FLAG:** No published case reports specifically documenting lithium + mescaline interaction were found. The "dangerous" designation is based on class-level extrapolation from lithium + LSD/psilocybin case reports. This is a reasonable clinical inference given shared 5-HT₂A pharmacology but lacks mescaline-specific evidence. **Confirm source before publication.**

### Dangerous — Tramadol (seed data: dangerous)
- Tramadol is a weak serotonin-norepinephrine reuptake inhibitor and mu-opioid agonist. Combination with serotonergic substances carries risk of **serotonin syndrome** (Park et al. 2014 [Ref 21])
- Tramadol also lowers seizure threshold; serotonin syndrome and seizure risk in combination with a serotonergic psychedelic is a genuine pharmacodynamic concern
- **FLAG:** No published case reports specifically documenting tramadol + mescaline interaction. The "dangerous" designation is pharmacologically plausible but based on class-level reasoning, not mescaline-specific data.

### Lethal — αMT (seed data: lethal)
- Alpha-methyltryptamine (αMT) is both a serotonin/dopamine/norepinephrine releaser and a **monoamine oxidase inhibitor**
- Combining a MAO inhibitor with a serotonergic agonist such as mescaline creates risk of **severe serotonin syndrome**, which can be lethal
- The lethal designation for mescaline + αMT is pharmacologically coherent (MAO inhibitor + serotonin agonist = serotonin toxicity)
- **FLAG:** No published case reports of mescaline + αMT specifically were found. This interaction severity is based on αMT's MAO-inhibiting properties and theoretical serotonin syndrome risk, not direct evidence. Requires editorial review and source verification.

### SSRIs / Serotonergic Antidepressants (seed data: not listed, but relevant)
- Chronic SSRI administration downregulates 5-HT₂A receptors and substantially **attenuates or eliminates** psychedelic effects (Bonson et al. 1996 [Ref 20])
- This applies to all 5-HT₂A agonists including mescaline by class mechanism
- Combining serotonergic antidepressants with mescaline may reduce effects (unpredictable) and potentially elevate serotonin syndrome risk

### Cannabis (seed data: unknown)
- No published pharmacokinetic or pharmacodynamic interaction data found for cannabis + mescaline

### Cocaine (seed data: unknown)
- Combined cardiovascular stimulant effects (mescaline's sympathomimetic + cocaine's noradrenergic/dopaminergic effects) could produce additive cardiovascular toxicity. No published case reports found.

---

## Legal Status

Information primarily from web search [Ref 16]:

| Jurisdiction | Status | Notes |
|---|---|---|
| United States | Schedule I (CSA 1970) | NAC religious exemption since 1978; Colorado decriminalized natural mescaline (not from peyote) for adults 21+ |
| United Kingdom | Class A | Peyote cactus (dried) may be legal; extracted/purified mescaline illegal |
| Canada | Schedule III (CDSA 2001) | Peyote plant specifically exempted from scheduling |
| Australia | Schedule 9 (Poisons Standard) | Prohibited substance |
| European Union | Prohibited via UN 1971 Convention; national laws vary | Generally Schedule I equivalent in EU member states |
| Mexico | Prohibited; peyote protected as cultural heritage | Religious/indigenous use by Native groups may be de facto tolerated |
| International | UN 1971 Convention on Psychotropic Substances | Schedule I; prohibits manufacture, trade, possession |

**FLAG:** Colorado's specific language re: natural mescaline (excluding peyote) is noted but should be verified with current Colorado statutory language before publication.

---

## Clinical Trials

From ClinicalTrials.gov search:

**NCT04849013 — Role of 5-HT₂A receptor in mescaline-induced altered states of consciousness**
- Status: COMPLETED
- Phase: Phase 1
- Sponsor: University Hospital, Basel, Switzerland (Liechti group)
- Conditions: Healthy participants
- Notes: This is the trial corresponding to Klaiber et al. (2024 [Ref 1]) — RCT with ketanserin co-administration to confirm 5-HT₂A mechanism

**NCT04227756 — Comparative Acute Effects of LSD, Psilocybin and Mescaline**
- Status: COMPLETED
- Phase: Phase 1
- Sponsor: University Hospital, Basel, Switzerland
- Conditions: Healthy participants
- Notes: Corresponds to Ley et al. (2023 [Ref 2]); directly compared 500 mg mescaline to LSD 100 µg and psilocybin 20 mg

**NCT02033707 — Effects of Hallucinogens and Other Drugs on Mood and Performance**
- Status: COMPLETED
- Phase: Phase 1
- Sponsor: Johns Hopkins University
- Notes: Broader study that included mescaline; not yet linked to specific published mescaline paper in this search

**NCT05933213 — Comparing Mescaline Sodium Enteric-coated Tablets vs Morte-mescaline in Lupus Nephritis**
- Status: UNKNOWN
- Phase: Phase 4
- Sponsor: Xiangya Hospital of Central South University
- Notes: This appears to involve a pharmaceutical compound named "mescaline" that may be distinct from the psychedelic mescaline (possible naming confusion with traditional Chinese medicine compound). **FLAG for editorial review — this trial may not be relevant to the psychedelic mescaline article.**

---

## Community Feedback Analysis

No community feedback was submitted in Part A2 of the brief.

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## Gaps & Flags

### Data Gaps (Not Resolvable from Published Literature)

1. **SMILES string:** Not returned by PubChem API endpoint used. SMILES is COc1cc(CCN)cc(OC)c1OC — confirm from PubChem full record before publication.

2. **CAS number:** 54-04-6 is the established CAS number for mescaline; not returned by API. Confirm from PubChem.

3. **Specific receptor Ki values:** The exact Ki values for mescaline at 5-HT₂A and other receptors are in the Ray (2010) data tables but were not retrievable from abstract alone. Published estimates are ~2,800–5,000 nM at 5-HT₂A. Confirm from Ray 2010 full text.

4. **Absolute oral bioavailability:** No published human data found. This is a genuine gap.

5. **CYP enzyme involvement:** No published data on which CYP enzymes metabolize mescaline found in this search. The CYP substrate profile is uncharacterized in current literature.

6. **Animal LD50 values:** Empty abstracts for Hardman 1973 and Davis 1978. Published rat IV LD50 ~370 mg/kg has appeared in secondary literature. Confirm from full-text access to these papers before stating.

7. **Mescaline-specific tolerance kinetics:** The 3-day half-life / 7-day full reset values are class-level estimates. No mescaline-specific tolerance study exists.

8. **Physical properties (melting point, solubility):** Not confirmed via API. Standard chemistry references (Merck Index) report HCl salt mp ~181°C. Verify before publication.

### Safety-Critical Value Flags

9. **Lithium + mescaline interaction (DANGEROUS):** Class-level extrapolation from LSD/psilocybin case reports. No mescaline-specific case report found. **Safety-critical flag — maintain the "dangerous" designation based on class pharmacology until contradicted.**

10. **Tramadol + mescaline interaction (DANGEROUS):** Pharmacodynamically plausible (serotonin syndrome risk) but no mescaline-specific case reports found.

11. **αMT + mescaline interaction (LETHAL):** Pharmacologically coherent (MAO inhibitor + serotonin agonist = serotonin syndrome risk) but no published case reports found specifically for this combination. **Requires editorial source verification before asserting "lethal."**

12. **Dose range lower bound:** Seed data states total duration 8–14 h. Klaiber 2024 demonstrates that at 100 mg, duration is ~6.4 h. The 8 h lower bound in seed data appears to correspond to ~200 mg doses. Consider updating the total duration lower bound or adding dose-specific duration data.

### Contradictions Between Seed Data and Published Sources

13. **PubChem CID blank in seed data:** Confirmed as CID 4076.

14. **Aftereffects duration (6–36 h):** Klaiber 2024 measured up to 30 h with some residual effects at high doses. The 36-hour upper bound in seed data is plausible for very high doses but not directly confirmed in the controlled literature. Flag as potentially exceeding documented range.

15. **NCT05933213 lupus nephritis trial:** This trial may use a homonymous compound unrelated to the psychedelic mescaline. Do not include as a mescaline psychedelic clinical trial without editorial verification.

### Methodological Notes

16. All modern controlled human studies come from a single research group (Liechti et al., University Hospital Basel). Independent replication of their PK/PD findings has not yet been published.

17. The Klaiber 2024 and Ley 2023 studies used mescaline HCl salt; dose values in mg refer to the hydrochloride salt, not the freebase. Generation agent should clarify this when presenting dose data if the article will cross-reference dose data from other historical sources that may have used freebase or sulfate forms.