Mood & Mental Health

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Review

Only High-Dose Psilocybin Beat Escitalopram for Depression

Only High-Dose Psilocybin Beat Escitalopram for Depression

Psilocybin mushrooms

What they found

A study found only high-dose psilocybin was significantly more effective than escitalopram, with a 6.45-point advantage over placebo.

A study found only high-dose psilocybin was significantly more effective than escitalopram, with a 6.45-point advantage over placebo.

The number

6.45-point better result than placebos

How solid is it?

Strong human

Strong human

Meta-analysis/systematic review

Meta-analysis/systematic review

Evidence ladder: Lab dish → Animal → Early human → Strong human. Reviews summarize earlier research.

At a glance

Latin name

Compound

psilocybin; escitalopram; MDMA

psilocybin; escitalopram; MDMA

Published in

The BMJ

The BMJ

Covered in Shroom Scan

Section

PSILOCYBIN & LEGISLATION

PSILOCYBIN & LEGISLATION

As it ran in Shroom Scan

Psychedelics at Large

Psychedelics at Large

Another new study evaluated the effectiveness of psychedelics versus escitalopram (Lexapro) for depressive symptoms, finding that only high-dose psilocybin was significantly more effective than escitalopram, while low-dose psychedelics and MDMA were less effective. Psilocybin had a 6.45-point better result than placebos in antidepressant trials and outperformed Lexapro at both 10 mg and 20 mg doses, using a specific depression rating scale (the 17-item Hamilton Depression Rating Scale).

Another new study evaluated the effectiveness of psychedelics versus escitalopram (Lexapro) for depressive symptoms, finding that only high-dose psilocybin was significantly more effective than escitalopram, while low-dose psychedelics and MDMA were less effective. Psilocybin had a 6.45-point better result than placebos in antidepressant trials and outperformed Lexapro at both 10 mg and 20 mg doses, using a specific depression rating scale (the 17-item Hamilton Depression Rating Scale).

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