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Panaeolus cyanescens
Panaeolus cyanescens. Do not use appearance to judge any mushroom.

Psychedelic Therapy · Fungus

Panaeolus cyanescens

Panaeolus cyanescens Sacc. · also called Copelandia cyanescens (older genus name); "blue meanies" (a nickname that is not a reliable name)

Panaeolus cyanescens is a dung-living mushroom that contains psilocybin and psilocin, drugs that change perception and mood. It has been tested only in laboratories, never in people, and some lab papers report high psilocin content. It is illegal in many places, and wild mushrooms can look like deadly ones. A name, a nickname or a photo never makes a mushroom safe.

General information, not medical advice. Last substantive update · Not medically reviewed. A named clinician has not signed off on this page. How this page is made

About Panaeolus cyanescens

Panaeolus cyanescens is a dung-living mushroom whose main compounds are psilocybin and psilocin. Depression, cancer distress, alcohol and smoking research uses purified psilocybin, not this fungus. Lab papers report high psilocin in some samples, but content varies widely. Poisoning reports, look-alikes and legal status are the practical concerns.

What it is and its names

Panaeolus cyanescens Sacc. is the accepted species name in the GBIF database. Copelandia cyanescens is an older name for the same fungus, so papers using either name describe one species. Other synonyms include Agaricus cyanescens and Panaeolus bubalorum.

Classification keeps moving. GBIF files the species under the family Bolbitiaceae. A 2026 genome-based study argues Panaeolus belongs in its own family, Galeropsidaceae, and that the old Copelandia group is roughly the same as Panaeolus subgenus Bresadolomyces.

Panaeolus is a mixed genus. In a 2026 test of 14 Chinese species, only two were confirmed to make psilocybin, and a 1993 study found one Panaeolus species with tryptamines but no psilocybin or psilocin.

38 12 20 31

The nickname "blue meanies"

"Blue meanies" is a slang or trade name, not a scientific name. It is sometimes linked to this species. In a 2025 DNA study of 42 cultivated strains, a strain sold as "Blue Meanies" matched Psilocybe cubensis, while strains sold under another Panaeolus name matched P. cyanescens.

Treat nicknames as marketing. They do not tell you the species, the strength or the risk.

6

A dung-living fungus

Panaeolus in the wide sense is commonly found on dung, in pasture and grassland, and its dung-living habit has evolved within the group. A 1992 paper reports Copelandia dung fungi in decomposed buffalo and cattle manure in Thailand, and a 1993 paper lists this species among psychoactive fungi in the Hawaiian Islands, some eaten there for recreation.

GBIF has about 1,700 records, mostly from the Americas, Australia and Asia. Records show where it was seen, not where it is native. This page does not tell anyone how to find, grow or identify any mushroom.

12 2 20 38

What the lab papers measured

Several forensic and chemistry papers measured psilocin and psilocybin in samples of this species. A 2000 German study of confiscated mushrooms found P. cyanescens had the highest levels of the types it sampled. A 2010 German method paper found up to about 3% psilocin by dry weight in dried products. A 2003 Japanese study found Copelandia richer in psilocin than psilocybin, the reverse of Psilocybe cubensis. A 2025 strain study found the highest psilocin in a P. cyanescens strain among the three it compared.

These are single studies of specific samples with different methods. They cannot be turned into a ranking or a rule about any mushroom, and the safety point is that composition cannot be known.

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Poisoning reports

No case series confirmed as P. cyanescens poisoning was found in PubMed with an abstract. A 1966 paper title describes a group poisoning in France caused by a Copelandia (details not available). A 1988 inquiry into a 1972 Hawaii death concludes a heroin overdose was the likely cause, not the mushrooms.

For a related species, P. subbalteatus, two Chinese poisonings after eating a large amount of wild mushroom caused nausea, vomiting, numbness, dizziness or an abnormal sense of direction within about half an hour. US poison-centre data on psilocybin mushrooms in general show mostly mild to moderate effects, with rare serious ones such as seizures, coma and cardiac arrest.

13 1 34 18 23

What the clinical trials show

Trials used purified psilocybin with therapy in clinics. Several were positive for depression, but a large 2026 German trial missed its main target and a trial against an antidepressant showed no significant difference on its main measure. One small cancer-distress trial and one trial each for alcohol and smoking were positive, with blinding concerns.

A 2026 review found blinding failure above 90% in many psilocybin trials, so expectation may inflate the results.

7 29 5 21 22 11 3 15 28

Cell-dish work on this species

Extracts of P. cyanescens and Psilocybe cubensis did not worsen, and partly protected against, injury in rat heart cells in a dish. A second study found that extracts of four psilocybin mushrooms lowered some inflammation signals in human cells. A 2026 review calls these findings promising but preclinical and notes that toxicity concerns remain at higher concentrations.

Cells in a dish are not people, and this is not evidence of benefit or of heart safety.

26 27 32

Legal status

Laws differ by country and change. In the United States, the federal Schedule I list names psilocybin and psilocyn and covers material containing any quantity of them, unless excepted. A Japanese paper says this species was among those prohibited there from 2002, and a Dutch review says possession and use became illegal there in December 2008. We only verified the US rule with the regulator. This is not legal advice.

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At a glance

Traditional uses history, not proof

  • No source we read describes traditional use of this species. A 1981 paper title mentions its use in Samoa, but we could not read the paper. This is not clinical evidence.

Studied for research

  • Depression, purified psilocybin in trials, low (mixed results; this fungus was not tested)
  • Distress in serious illness, one small trial of purified psilocybin, low
  • Alcohol use disorder, one trial of purified psilocybin, low
  • Quitting smoking, one pilot trial of purified psilocybin, low (not blinded)
  • Heart cells and inflammation in a dish, extracts of this species, very-low to insufficient (lab only)

Main compounds

  • Psilocybin (becomes psilocin in the body)
  • Psilocin, the active form
  • Minor tryptamines (for example baeocystin and norbaeocystin)

Common forms

  • Dried fruiting bodies (the material analysed in forensic lab studies)
  • Laboratory extracts (cell-dish studies only)
  • Purified synthetic psilocybin (what clinical trials used)

Research links: NIDA: Psilocybin (Magic Mushrooms) · Genus Panaeolus: global species review, 2023 (abstract) · Forensic analysis of hallucinogenic mushrooms, 2010 (abstract) · Adverse events in classic psychedelic studies, 2024 (abstract) · Research Library · Genes & Biomarkers Library

What it is and its history

Accepted scientific name
Panaeolus cyanescens
Naming authority
Sacc.
Synonyms
Copelandia cyanescens (Sacc.) Singer; Copelandia cyanascens (Berk. & Broome) Singer; Agaricus cyanescens Berk. & Broome; Panaeolus bubalorum Pat.
Common names
Blue meanies (English)
Family or group
Bolbitiaceae in GBIF. A 2026 study using genome and gene comparisons concluded that Panaeolus belongs to a separate family, Galeropsidaceae, and that the old group name Copelandia is roughly the same as Panaeolus subgenus Bresadolomyces.
Classification
Fungi > Basidiomycota > Agaricomycetes > Agaricales > Bolbitiaceae (GBIF) > Panaeolus > Panaeolus cyanescens
Native range
Not verified. GBIF holds about 1,738 records: North America 776, Oceania 314, South America 185, Asia 179, Africa 26, Europe 19 (most from the US, Mexico and Australia). GBIF records show where it was recorded, not where it is native. A 1993 study lists it among psychoactive fungi in the Hawaiian Islands, and a 1992 paper reports Copelandia dung fungi in Thailand.
Habitat
Dung-living (coprophilous). A 2026 taxonomy paper says Panaeolus in the wide sense is commonly found on dung, in pasture, grassland and forest, and discusses the evolution of the dung-living lifestyle. A 1992 paper reports Copelandia dung fungi in decomposed manure of water buffalo and cattle in Thailand (species not named in the abstract).
What it looks like
Roots: Not checked.; Stems: Not checked.; Fruit: The fruiting body (cap and stalk) is the part analysed in laboratories. Appearance is deliberately not described here: this page does not teach identification.
Cultivation
Not covered on purpose.
Harvest and processing
Not covered on purpose.
Look-alikes and adulterants
Name: Deadly amatoxin mushrooms (Galerina, Amanita, Lepiota) and other toxic species; Note: A review says most fatal mushroom poisonings involve amatoxins, and Galerina marginata is the most frequent fatal Galerina. NIDA lists mistaking a toxic mushroom for a psilocybin one as a risk. No name, photo or app makes a wild mushroom safe.; Name: Other Panaeolus species, some psychoactive and some not; Note: A 2026 study tested 14 Chinese Panaeolus species and confirmed psilocybin production in only two. A 1993 study found tryptamines but no psilocybin or psilocin in P. goossensiae. A 2023 review says more study is needed to confirm which species are psychedelic.; Name: Small brown lawn mushrooms such as Panaeolina foenisecii; Note: In 19 children who accidentally ate this lawn mushroom, almost all had no symptoms and none had hallucinations. That series does not cover P. cyanescens and does not make any unknown mushroom safe.
Sustainability and conservation
Not checked.

Traditional use and history history, not clinical proof

Tradition or eraDocumented useSource
Reports of use in Samoa (1981)A 1981 paper title reports use of Copelandia cyanescens as a hallucinogenic mushroom in Samoa. No abstract exists, so the details are NOT verified. It is mentioned only as an item in the record.p7195964
France, 1966A 1966 paper title describes a group poisoning with a psilocybin-type syndrome caused by a Copelandia in France. No abstract exists, so the details are NOT verified.p4955812
Hawaiian Islands, late 20th centuryA 1993 study lists Copelandia cyanescens among psychoactive fungi in the Hawaiian Islands and says some of them are eaten there for non-traditional, recreational purposes.p8246528
Modern lawA 2009 Japanese toxicology paper says Copelandia (Panaeolus) cyanescens was among thirteen species prohibited by law from 2002 in Japan. Not verified with the regulator.p19344063
Traditional or Indigenous useNo source read describes traditional ceremonial use of this species, and none is claimed. Other historical claims (first descriptions, collectors) were not read in a source and are NOT verified.s-gbif-pcya

Traditional use shows how it was used. It does not show that it works or is safe today.

What is inside, and how it may work

What it contains and how those compounds act in cells and animals. Laboratory and animal mechanisms are not proven effects in people.

Main compounds

CompoundFamilyWhere it is concentratedActivity studiedLevel of evidence
Psilocybin
PubChem 10624
tryptamine (prodrug)Fruiting body
A 2000 German analysis of confiscated mushrooms (all types) found psilocybin from below 0.003% to 1.15%, with P. cyanescens among the highest. A 2003 Japanese analysis of Copelandia found about 0.08 to 0.22% psilocybin in the whole mushroom. Single studies; not comparable.
Becomes psilocin in the body (human data). 37 24 33 4Human data
Psilocin
PubChem 4980
tryptamineFruiting body
A 2003 Japanese analysis found Copelandia richer in psilocin (about 0.43 to 0.76% of the whole mushroom) than psilocybin. A 2010 German method study found up to about 3% psilocin by dry weight in dried P. cyanescens products. A 2025 strain comparison found the highest psilocin in a P. cyanescens strain of the three it compared. Content varies by sample, strain and method.
The active form; activates serotonin 2A receptors. 37 33 17 6 19Human data
Other indolamines (baeocystin, norbaeocystin, aeruginascin, norpsilocin and unidentified peaks)tryptaminesFruiting body
A 2025 study measured these in 42 strains and reported that the Panaeolus extract had more minor metabolites and unidentified peaks than the two Psilocybe species compared. Effects are not established.
Not established from the sources read. 6Lab

Mechanisms, receptors and pathways

Target or pathwayGene or receptorWhat was foundLevel
Serotonin 2A receptor5-HT2A receptor (HTR2A)In eight volunteers, psilocybin gave receptor occupancy up to 72%, and effect intensity tracked occupancy and psilocin blood levels. This is purified psilocybin in a lab, not this fungus. 19Human data
Cell injury and inflammation signalsTNF-alpha, IL-1beta, IL-6, COX-2 (cell lines)Laboratory extracts lowered some inflammation signals in a human macrophage cell line and protected rat heart cells from injury in a dish. Cell-dish findings only; the mechanism was not shown. 26 27 32Lab

Absorption, metabolism and elimination

Absorption
For purified psilocybin taken by mouth, no psilocybin was found in blood or urine in 12 adults; psilocin was the circulating form. No data on this fungus.
Distribution
Not read.
Metabolism
Not read for this fungus.
Elimination
Psilocin half-life about 3 hours (SD 1.1) in one human study of purified psilocybin.
Bioavailability
Not established for whole mushrooms.

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Isolated compounds versus whole extracts

Almost all human research used purified synthetic psilocybin. This fungus has never been tested in people. Lab studies show it contains psilocin, psilocybin and other minor compounds in amounts that differ a lot between samples, so its effects may differ from the purified drug.

Nutritional composition

Not a nutrient and has no nutritional claim.

6benefits and uses looked at
39studies and sources checked
Low certaintybest evidence rating found
5lab markers tracked in trials

4 low certainty1 very low certainty1 not enough evidence

What was looked at

The 6 benefits and uses checked for Panaeolus cyanescens, each with how strong the evidence is. Tap one to open it.

Lab markers tracked in the studies

Depression rating scores (MADRS, GRID-HAMD, QIDS-SR)Depressed mood and anxiety ratings in serious illnessPercentage of heavy drinking daysBiochemically verified smoking abstinenceTNF-alpha and IL-1beta in cultured macrophages

Benefits, one by one

Each card is a research question, not a promise. Tap a goal to filter. Open a card to see the studies, doses and limits.

Depression (major and treatment-resistant)

Low certainty

Trials of purified psilocybin with therapy show mixed results for depression. This species has never been tested in people.

6 studiesThe trials used a purified synthetic drug in fixed clinic protocols w…

Studies, doses and limits

What the trials found

Everything below is about synthetic psilocybin, a purified drug given in supervised clinical trials. No human trial has tested Panaeolus cyanescens. Mushrooms of this species vary in content and are not a medicine. Trials compared one or two supervised sessions with a niacin placebo, a waiting list, a low amount or an antidepressant.

Results

A waiting-list trial (27 adults) found large drops in depression scores. A 104-person trial found a clear edge over niacin at 6 weeks. Against the antidepressant escitalopram (59 adults) the main measure was not significantly different. The 2026 EPISODE trial (144 adults with treatment-resistant depression) missed its main target: response was 17.0% with the higher amount versus 10.6% on placebo. A 2024 meta-analysis of seven trials (436 people) found a pooled effect of 0.66.

Effect sizes as reported

Pooled effect size about 0.66 (95% CI 0.46 to 0.86) in one meta-analysis; individual trials range from clearly positive to not significant.

Why this rating

Small trials, short follow-up, widespread functional unblinding (people can tell which arm they are in), and a large 2026 trial that missed its main test. None used this fungus.

Form and dose studied

The trials used a purified synthetic drug in fixed clinic protocols with trained therapists. Dose information is not given here.

Who was studied

Adults who were screened and monitored in clinics; people with psychosis or mania history were generally excluded.

Limits

Participants were selected. A review found blinding failure above 90% in many psilocybin trials, so expectation can inflate effects.

Why researchers looked

Psilocybin is the main research focus for depression. P. cyanescens is one of several fungi that contain it, and published lab work shows its psilocin content can be high, but no one has tested it as a treatment.

Traditional use

No source read describes traditional use of this species. A 1981 paper title reports its use in Samoa, but its contents were not read.

Proposed mechanism Human pet imaging

Psilocin, the active form that the body makes from psilocybin, switches on serotonin 2A receptors in the brain. This is thought to drive the psychedelic experience. The human imaging study used purified psilocybin, not this fungus. How receptor activity relates to any lasting benefit is not settled.

A proposed mechanism does not show that the effect happens in people.

Even in clinics, adverse events are common and include headache, nausea, anxiety, raised blood pressure and, in some, suicidal thoughts. See the Safety tab.

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Depression and anxiety linked to serious illness

Low certainty

One small trial of purified psilocybin in people with life-threatening cancer found large, lasting drops in distress. It is one trial, and it did not use this fungus.

2 studiesThe trials used a purified synthetic drug in fixed clinic protocols w…

Studies, doses and limits

What the trials found

Everything below is about synthetic psilocybin, a purified drug given in supervised clinical trials. No human trial has tested Panaeolus cyanescens. Mushrooms of this species vary in content and are not a medicine.

Results

In a 51-person crossover trial, a high psilocybin amount produced large decreases in depressed mood and anxiety versus a very low, placebo-like amount. At 6 months about 80% still showed clinically significant decreases. The authors say the mystical-type experience mediated the effect.

Effect sizes as reported

Described as large by the authors; no single pooled number is given in the abstract.

Why this rating

One small trial; a very low amount is not a true placebo, so people could tell; crossover design; selected participants.

Form and dose studied

The trials used a purified synthetic drug in fixed clinic protocols with trained therapists. Dose information is not given here.

Who was studied

Adults with life-threatening cancer and depression or anxiety, screened and monitored.

Limits

Small, expectation effects likely, no follow-up beyond 6 months in this report.

Why researchers looked

Serious illness often brings depression and anxiety, and treatments are limited.

Traditional use

No source read describes traditional use of this species. A 1981 paper title reports its use in Samoa, but its contents were not read.

Proposed mechanism Human pet imaging

Psilocin, the active form that the body makes from psilocybin, switches on serotonin 2A receptors in the brain. This is thought to drive the psychedelic experience. The human imaging study used purified psilocybin, not this fungus. How receptor activity relates to any lasting benefit is not settled.

A proposed mechanism does not show that the effect happens in people.

Even in clinics, adverse events are common and include headache, nausea, anxiety, raised blood pressure and, in some, suicidal thoughts. See the Safety tab.

11 28

Alcohol use disorder

Low certainty

One 95-person trial of purified psilocybin with therapy found fewer heavy drinking days. It was a single trial and did not use this fungus.

1 studiesThe trials used a purified synthetic drug in fixed clinic protocols w…

Studies, doses and limits

What the trials found

Everything below is about synthetic psilocybin, a purified drug given in supervised clinical trials. No human trial has tested Panaeolus cyanescens. Mushrooms of this species vary in content and are not a medicine.

Results

Heavy drinking days over 32 weeks were 9.7% with psilocybin and 23.6% with diphenhydramine (difference 13.9 points, 95% CI 3.0 to 24.7). No serious adverse events in the psilocybin group.

Effect sizes as reported

About 14 percentage points fewer heavy drinking days.

Why this rating

One moderate-sized trial; likely unblinding; people with major psychiatric disorders were excluded.

Form and dose studied

The trials used a purified synthetic drug in fixed clinic protocols with trained therapists. Dose information is not given here.

Who was studied

Adults who were screened and monitored in clinics; people with psychosis or mania history were generally excluded.

Limits

Only one trial; replication is needed.

Why researchers looked

Alcohol use disorder is common and treatments only partly work.

Traditional use

No source read describes traditional use of this species. A 1981 paper title reports its use in Samoa, but its contents were not read.

Proposed mechanism Human pet imaging

Psilocin, the active form that the body makes from psilocybin, switches on serotonin 2A receptors in the brain. This is thought to drive the psychedelic experience. The human imaging study used purified psilocybin, not this fungus. How receptor activity relates to any lasting benefit is not settled.

A proposed mechanism does not show that the effect happens in people.

Even in clinics, adverse events are common and include headache, nausea, anxiety, raised blood pressure and, in some, suicidal thoughts. See the Safety tab.

3

Quitting smoking

Low certainty

A small, open-label 2026 trial found higher quit rates with purified psilocybin than with a nicotine patch. People knew which treatment they got.

1 studiesThe trials used a purified synthetic drug in fixed clinic protocols w…

Studies, doses and limits

What the trials found

Everything below is about synthetic psilocybin, a purified drug given in supervised clinical trials. No human trial has tested Panaeolus cyanescens. Mushrooms of this species vary in content and are not a medicine.

Results

At 6 months, 40.5% of 82 smokers given psilocybin plus a behavioural programme had biochemically verified prolonged abstinence versus 10.0% with the nicotine patch (OR 6.12, 95% CI 1.99 to 23.26). The trial was a pilot and was not blinded.

Effect sizes as reported

Odds ratio 6.12 (95% CI 1.99 to 23.26) in a pilot.

Why this rating

Pilot size, open label, volunteers without psychiatric disorders, one research group.

Form and dose studied

The trials used a purified synthetic drug in fixed clinic protocols with trained therapists. Dose information is not given here.

Who was studied

Psychiatrically healthy adult smokers.

Limits

Not blinded; pilot; needs larger trials.

Why researchers looked

Most quit-smoking treatments have modest long-term success.

Traditional use

No source read describes traditional use of this species. A 1981 paper title reports its use in Samoa, but its contents were not read.

Proposed mechanism Human pet imaging

Psilocin, the active form that the body makes from psilocybin, switches on serotonin 2A receptors in the brain. This is thought to drive the psychedelic experience. The human imaging study used purified psilocybin, not this fungus. How receptor activity relates to any lasting benefit is not settled.

A proposed mechanism does not show that the effect happens in people.

Even in clinics, adverse events are common and include headache, nausea, anxiety, raised blood pressure and, in some, suicidal thoughts. See the Safety tab.

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Heart muscle cells in a dish (lab only)

Very low certainty

Extracts of this species did not harm, and partly protected, rat heart cells in a dish. This says nothing yet about people, and it does not show heart safety.

2 studiesLaboratory extracts only. Nothing here applies to eating or using the…

Studies, doses and limits

What the trials found

No human data. The work used a rat heart-muscle cell line and laboratory extracts of Panaeolus cyanescens and Psilocybe cubensis.

Results

The extracts did not worsen endothelin-1-induced cell enlargement and protected against TNF-alpha-induced cell injury and death at the concentrations used. The authors cautioned about higher concentrations. A 2026 narrative review calls the cardioprotective findings promising but preclinical.

Effect sizes as reported

Not given in the abstract.

Why this rating

Cells in a dish only; one lab group; concentrations not comparable to eating a mushroom; no animal or human follow-up.

Form and dose studied

Laboratory extracts only. Nothing here applies to eating or using the mushroom.

Limits

Cells are not people. NIDA says psilocybin raises blood pressure and heart rate, so people with heart conditions should be careful.

Why researchers looked

Researchers wanted to know whether psilocybin mushrooms might affect the heart, since many people with heart failure also have depression.

Traditional use

No source read describes traditional use of this species. A 1981 paper title reports its use in Samoa, but its contents were not read.

Proposed mechanism Laboratory research

In the cell dish, extracts calmed some injury and inflammation signals. The authors do not show how, and the effect has not been seen in animals or people.

A proposed mechanism does not show that the effect happens in people.

Do not read this as proof of heart safety. See the Safety tab.

26 32

Inflammation signals in human cells (lab only)

Not enough evidence

Extracts of four psilocybin mushrooms, including this one, lowered some inflammation signals in a human cell line. It is a cell-dish result only.

2 studiesLaboratory extracts only.

Studies, doses and limits

What the trials found

No human data. The work used a human macrophage cell line and laboratory extracts of four psilocybin mushrooms pooled together.

Results

The extracts inhibited LPS-induced TNF-alpha and IL-1beta and lowered IL-6 and COX-2 in treated cells. They were poor inhibitors of the 15-lipoxygenase enzyme. A P. cyanescens-only result is not given in the abstract.

Effect sizes as reported

Not given in the abstract.

Why this rating

Cell dish only; four mushrooms pooled; no replication read; no animal or human data.

Form and dose studied

Laboratory extracts only.

Limits

Cell results rarely carry over to people.

Why researchers looked

Ongoing inflammation underlies many diseases, so researchers screen natural extracts in cells.

Traditional use

No source read describes traditional use of this species. A 1981 paper title reports its use in Samoa, but its contents were not read.

Proposed mechanism Laboratory research

In the cell dish, extracts calmed some injury and inflammation signals. The authors do not show how, and the effect has not been seen in animals or people.

A proposed mechanism does not show that the effect happens in people.

Not assessed in people.

27 32

Connections to the rest of health

How Panaeolus cyanescens connects to the rest of our health knowledge graph. Every link says what kind of connection it is. A safety link (for example to the liver) is a warning, not a benefit. A study that merely mentions a topic never creates a benefit link.

Explore every connection: goals, body systems, organs, symptoms, genes

B. Body systems

Connected toKind of connectionEvidence statusContextStudies
Nervous System Biological association Low certainty Studied for: Depression (major and treatment-resistant) Studied for: Depression and anxiety linked to serious illness 7 29 5 21 22 28 11 3 15
Cardiovascular System Biological association Very low certainty Studied for: Heart muscle cells in a dish (lab only) 26 32
Immune System Biological association Not enough evidence Studied for: Inflammation signals in human cells (lab only) 27 32

I. Biomarkers

Connected toKind of connectionEvidence statusContextStudies
Depression rating scores (MADRS, GRID-HAMD, QIDS-SR) Biological association Low certainty Measured in trials: lowered. A lab change is not the same as a health benefit. 29 21
Depressed mood and anxiety ratings in serious illness Biological association Low certainty Measured in trials: lowered. A lab change is not the same as a health benefit. 11
Percentage of heavy drinking days Biological association Low certainty Measured in trials: lowered. A lab change is not the same as a health benefit. 3
Biochemically verified smoking abstinence Biological association Low certainty Measured in trials: raised. A lab change is not the same as a health benefit. 15
TNF-alpha and IL-1beta in cultured macrophages Biological association Not enough evidence Measured in trials: lowered. A lab change is not the same as a health benefit. 27

J. Genes, receptors and enzymes

Connected toKind of connectionEvidence statusContextStudies
HTR2A (serotonin 2A receptor) Preliminary mechanism Human Main receptor target of psilocin. 19

L. Active compounds

Connected toKind of connectionEvidence statusContextStudies
Psilocybin Biological association Human Becomes psilocin in the body (human data).
Preparation or compound: Fruiting body
37 24 33 4
Psilocin Biological association Human The active form; activates serotonin 2A receptors.
Preparation or compound: Fruiting body
37 33 17 6 19
Other indolamines (baeocystin, norbaeocystin, aeruginascin, norpsilocin and unidentified peaks) Biological association Lab Not established from the sources read.
Preparation or compound: Fruiting body
6

Each connection is stored with the ingredient, the connected record, the kind of connection, the evidence status, the supporting studies, the preparation or compound involved, and a review date (last reviewed October 25, 2026).

Evidence at a glance: what changed in 5 lab markers

Tap a number to show only those markers. Counts are markers, not people.

The evidence

The research centre for Panaeolus cyanescens. Every record here was checked against PubMed or the publisher's page; we never list a study we have not verified.

Evidence by outcome

Bars show how many studies we found for each outcome, not how well it works. People are added up across trials only (reviews are not added, to avoid double counting).

How we rate evidence

High certainty

Several well-run trials or reviews agree; further research is unlikely to change the picture much.

Moderate certainty

Good trials point the same way, but some doubt remains.

Low certainty

Small, short or inconsistent trials. The finding could change with better research.

Very low certainty

Very little or very weak human data. Treat as a possibility only.

Mixed findings

Trials or reviews disagree with each other.

Not enough evidence

Not enough human research to say either way.

Evidence against

Good research found no benefit, or found harm.

We take the reviewers' own risk-of-bias and GRADE statements where they exist, and otherwise judge from study size, design, consistency, directness and whether a product matches what is sold. Many publications do not make evidence high. Method note: We read the abstracts of 34 PubMed papers (two more had no abstract and are listed as title-only), read one species comparison in full text, read NIDA and the US federal drug schedule, checked the name in GBIF and the compounds in PubChem. Certainty ratings are the compiler's own reading. Strength figures are quoted as the lab papers state them. Japan, Netherlands and UN entries were not verified with the regulators.

Study library: every study we checked 39
StudyDesignPeopleProduct, dose, lengthResult
Allen 1988
A private inquiry into the circumstances surrounding the 1972 death of John Gomilla, Jr., who died after allegedly consuming ten hallucinogenic mushrooms while residing in Hawaii.
J Psychoactive Drugs · PMID 3244067 · DOI
Case report
1
One 1972 death in Hawaii, reviewed by an ethnomycologist
Alleged Copelandia cyanescens
The author concludes the 18-year-old most likely took an accidental heroin overdose and that his story of eating only mushrooms was probably untrue. Doctors had considered muscarine poisoning. The abstract is truncated.
Death is not established as caused by the mushroom
Methods, limits and funding

Outcomes: Cause of death inquiry

Limitations: Author's private inquiry; abstract truncated; secondary reading only.

Funding and conflicts: Not stated in the abstract

Read: abstract (truncated)

Allen 1992
Psychoactive mushroom use in Koh Samui and Koh Pha-Ngan, Thailand.
J Ethnopharmacol · PMID 1548895 · DOI
Review
lab
Ethnomycological fieldwork in southern Thailand Psilocybe and Copelandia dung fungi (Copelandia species not named in the abstract)
Reports the first records of Psilocybe subcubensis and Copelandia dung fungi in Thailand, appearing in decomposed manure of water buffalo and cattle. Only the dung habitat is used on this page.
Copelandia dung fungi recorded in Thailand
Methods, limits and funding

Outcomes: Occurrence of psychoactive fungi

Limitations: Species of Copelandia not named in the abstract; other content of the paper is not used here.

Funding and conflicts: Not stated in the abstract

Read: abstract

Bogenschutz 2022
Percentage of Heavy Drinking Days Following Psilocybin-Assisted Psychotherapy vs Placebo in the Treatment of Adult Patients With Alcohol Use Disorder: A Randomized Clinical Trial.
JAMA Psychiatry · PMID 36001306 · DOI
Controlled trial
95
Adults with alcohol dependence
Synthetic psilocybin (purified drug), not mushrooms, two sessions with therapy
Fixed protocol doses; not reproduced here 32 weeks · vs Diphenhydramine (active placebo) plus therapy
Heavy drinking days over 32 weeks were 9.7% with psilocybin versus 23.6% with diphenhydramine (difference 13.9 points, 95% CI 3.0 to 24.7; P=.01). No serious adverse events in the psilocybin group.
About 14 percentage points fewer heavy drinking days (3.0 to 24.7)
Methods, limits and funding

Outcomes: Percentage of heavy drinking days

Limitations: One moderate-sized trial; likely unblinding; excluded people with major psychiatric disorders.

Funding and conflicts: NIH-funded (research support listed)

Registration: NCT02061293

Read: abstract

Brown 2017
Pharmacokinetics of Escalating Doses of Oral Psilocybin in Healthy Adults.
Clin Pharmacokinet · PMID 28353056 · DOI
Controlled clinical trial
12
12 healthy adults
Oral synthetic psilocybin, escalating
Fixed protocol doses; not reproduced here 24 hours per session
No psilocybin was found in plasma or urine; psilocin was the circulating form and its elimination half-life was about 3 hours (SD 1.1).
Psilocin is the active form
Methods, limits and funding

Outcomes: Blood and urine psilocybin and psilocin

Limitations: Small, open label.

Funding and conflicts: Non-US government research support listed

Registration: NCT02163707

Read: abstract

Carhart-Harris 2021
Trial of Psilocybin versus Escitalopram for Depression.
N Engl J Med · PMID 33852780 · DOI
Controlled trial
59
Adults with long-standing moderate-to-severe major depression
Synthetic psilocybin (purified drug), not mushrooms, two sessions, versus the antidepressant escitalopram
Fixed protocol doses; not reproduced here 6 weeks · vs Escitalopram (with a very low psilocybin amount)
Main result not significant: -8.0 points with psilocybin versus -6.0 with escitalopram (difference 2.0, 95% CI -5.0 to 0.9; P=0.17). Remission 57% versus 28%, but secondary outcomes were not corrected for multiple comparisons. Adverse event rates were similar.
No significant difference on the main measure (-5.0 to 0.9)
Methods, limits and funding

Outcomes: Change in QIDS-SR-16 at week 6

Limitations: Small; secondary results not corrected for multiple comparisons.

Funding and conflicts: Alexander Mosley Charitable Trust and Imperial College London centre

Registration: NCT03429075

Read: abstract

Cohen 2025
Comprehensive analysis of 42 psilocybin-producing fungal strains reveals metabolite diversity and species-specific clusters.
Sci Rep · PMID 40263354 · DOI
Lab analysis
lab
42
42 cultivated strains of 9 species (supplier-labelled, checked by DNA)
Fruiting bodies of Psilocybe and Panaeolus strains
· vs Psilocybe cubensis and P. tampanensis strains
The abstract reports large metabolite differences within and between 9 species. In the full text, a P. cyanescens strain had the highest psilocin among three compared species, a P. cubensis strain the highest psilocybin, and the Panaeolus extract had more minor metabolites. Strains sold under the name 'Blue Meanies' matched Psilocybe cubensis by DNA, while strains labelled Panaeolus cambodginiensis matched P. cyanescens.
Strains differ widely; nicknames do not identify species
Methods, limits and funding

Outcomes: Indole alkaloid profiles and DNA identity

Limitations: Cultivated strains; small numbers per strain; full text read via Europe PMC for the species comparison.

Funding and conflicts: Not stated in the abstract

Read: full-text (PMC12015540)

Davis 2021
Effects of Psilocybin-Assisted Therapy on Major Depressive Disorder: A Randomized Clinical Trial.
JAMA Psychiatry · PMID 33146667 · DOI
Controlled trial
27
Adults with major depressive disorder, not on antidepressants
Synthetic psilocybin (purified drug), not mushrooms, two supervised sessions with therapy
Fixed protocol doses; not reproduced here Primary outcome at week 4 after sessions · vs Waiting-list control (delayed treatment)
Mean GRID-HAMD scores at weeks 1 and 4 after treatment were 8.0 and 8.5 in the immediate group versus 23.8 and 23.5 in the waiting-list group at matched times (Cohen d 2.5 and 2.6, both P<.001). 71% had a clinically significant response and 54 to 58% were in remission.
Large drops in depression scores versus waiting list
Methods, limits and funding

Outcomes: Depression severity (GRID-HAMD), QIDS-SR

Limitations: Small, waiting-list control (not blinded), selected participants, no psychosis or serious suicide attempt history.

Funding and conflicts: NIH-funded (research support listed)

Registration: NCT03181529

Read: abstract

Diaz 2018
Amatoxin-Containing Mushroom Poisonings: Species, Toxidromes, Treatments, and Outcomes.
Wilderness Environ Med · PMID 29325729 · DOI
Review
Review of amatoxin mushroom poisonings Amanita, Lepiota and Galerina mushrooms (not psilocybin mushrooms)
Most mushroom poisonings are caused by unknown mushrooms, and most fatal ones by amatoxin-containing mushrooms. Galerina marginata is the most frequent fatal Galerina. Treatment is supportive and some patients need a liver transplant; symptoms can seem to ease before liver failure.
Deadly poisonings come mostly from unidentified wild mushrooms
Methods, limits and funding

Outcomes: Epidemiology and outcomes

Limitations: Narrative review.

Funding and conflicts: Not stated in the abstract

Read: abstract

Freitas 2025
The safety of psilocybin-assisted psychotherapy: A systematic review.
Aust N Z J Psychiatry · PMID 39670342 · DOI
Systematic review
24 clinical-trial articles Psilocybin-assisted psychotherapy (clinical trials)
Most common events: raised blood pressure, headache, nausea, vomiting, fatigue and anxiety. Suicidal thoughts and behaviour were infrequent and mainly in people with a past history. No deaths were attributed to psilocybin. The authors urge cautious optimism because data are preliminary and varied.
Common mild to moderate events; rare serious events
Methods, limits and funding

Outcomes: Adverse events

Limitations: Heterogeneous definitions and reporting.

Funding and conflicts: Non-US government research support listed

Read: abstract

Gonmori 2009
[Acute encephalopathy caused by cyanogenic fungi in 2004, and magic mushroom regulation in Japan].
Chudoku Kenkyu · PMID 19344063
Review
n/a
Japanese toxicology report (abstract in English) n/a
The abstract states that thirteen species of magic mushrooms were prohibited by law from 2002 in Japan, including Copelandia (Panaeolus) cyanescens.
Named in Japan's 2002 prohibition (per this abstract)
Methods, limits and funding

Outcomes: Japanese magic mushroom regulation

Limitations: Secondary source; the Japanese law itself was not read.

Funding and conflicts: Not stated in the abstract

Read: abstract

Griffiths 2016
Psilocybin produces substantial and sustained decreases in depression and anxiety in patients with life-threatening cancer: A randomized double-blind trial.
J Psychopharmacol · PMID 27909165 · DOI
Controlled trial
51
Adults with life-threatening cancer and depression or anxiety
Synthetic psilocybin (purified drug), not mushrooms, crossover, with support
Fixed protocol doses; not reproduced here 5 weeks between sessions, 6-month follow-up · vs Very low (placebo-like) amount
High-dose sessions produced large decreases in depressed mood and anxiety. At 6 months about 80% still showed clinically significant decreases. The mystical-type experience on session day mediated the effect.
Large, sustained decreases in distress
Methods, limits and funding

Outcomes: Clinician and self-rated depressed mood and anxiety, quality of life

Limitations: Small; a very low amount is not a true placebo so people could tell; crossover design.

Funding and conflicts: NIH-funded (research support listed)

Registration: NCT00465595

Read: abstract

He 2026
Systematic study of Panaeolus (Agaricales, Galeropsidaceae) sensu lato and psilocybin-producing traits of species from China.
IMA Fungus · PMID 41607716 · DOI
Taxonomy
review
14
Panaeolus sensu lato; 14 Chinese species tested for psilocybin
Panaeolus fruiting bodies
The group is shown to be a distinct family, Galeropsidaceae, separate from Bolbitiaceae. Subgenus Bresadolomyces is roughly equivalent to the traditional Copelandia group. These fungi are commonly found on dung and in pasture. Of 14 Chinese species tested, only two (P. cinctulus and a new species) were confirmed psilocybin producers.
Panaeolus is a mixed genus: only some species make psilocybin
Methods, limits and funding

Outcomes: Family, subgenus and psilocybin-producing traits

Limitations: The Chinese species tested did not include P. cyanescens in the abstract.

Funding and conflicts: Not stated in the abstract

Read: abstract

Heim 1966
[On a group poisoning with psilocybian syndrome caused in France by a Copelandia].
C R Acad Hebd Seances Acad Sci D · PMID 4955812
Case report
Group poisoning in France (title only) Copelandia
No abstract is available in PubMed. Only the title was read: it describes a group poisoning with a psilocybin-type syndrome caused by a Copelandia in France. Details, numbers and outcomes are NOT verified.
Historical group poisoning
Methods, limits and funding

Outcomes: Not read

Limitations: Title only; contents not verified.

Funding and conflicts: Not stated

Read: title-only

Hinkle 2024
Adverse Events in Studies of Classic Psychedelics: A Systematic Review and Meta-Analysis.
JAMA Psychiatry · PMID 39230883 · DOI
Meta-analysis
3504
214 studies; 3504 participants with analysable adverse-event data

Serious adverse events: none reported in healthy participants and about 4% in people with existing neuropsychiatric disorders (worsening depression, suicidal behaviour, psychosis, convulsions). No reports of deaths by suicide, persistent psychotic disorders or hallucinogen persisting perception disorder in contemporary research settings. Quality of adverse-event monitoring varied widely.
Generally well tolerated in research settings
Methods, limits and funding

Outcomes: Serious and non-serious adverse events

Limitations: Heterogeneous monitoring and reporting; screened participants in supervised settings.

Funding and conflicts: Not stated in the abstract

Read: abstract

Johnson 2026
Psilocybin or Nicotine Patch for Smoking Cessation: A Pilot Randomized Clinical Trial.
JAMA Netw Open · PMID 41805956 · DOI
Controlled trial
82
Adult cigarette smokers
Synthetic psilocybin (purified drug), not mushrooms, one session plus a cognitive behavioural programme
Fixed protocol doses; not reproduced here 6-month follow-up · vs Nicotine patch plus the same programme
40.5% with psilocybin versus 10.0% with the nicotine patch (OR 6.12, 95% CI 1.99 to 23.26; P=.003). Participants and investigators knew which treatment was given.
Higher abstinence than patch in a pilot (1.99 to 23.26)
Methods, limits and funding

Outcomes: Biochemically verified prolonged abstinence at 6 months

Limitations: Pilot; open label (unblinded); psychiatrically healthy volunteers.

Funding and conflicts: Non-US government research support listed

Registration: NCT01943994

Read: abstract

Jorgenson 2026
Psychoactive mushroom edibles: trends and toxicities reported to the United States National Poison Data System, 2023-2024.
Clin Toxicol (Phila) · PMID 41493095 · DOI
Observational
362
362 psychoactive mushroom edible exposures
Unregulated mushroom edibles (Amanita muscaria, psilocybin or unspecified)
2023 to 2024 · vs Stratified by mushroom type
Polysubstance exposure, confusion and central nervous system depression were linked to admission and to moderate or worse toxicity. No deaths were reported. The authors call effects unpredictable and the products unregulated with unlisted ingredients.
Unpredictable effects from unregulated products
Methods, limits and funding

Outcomes: Admission and severity

Limitations: Voluntary reports; mixed products.

Funding and conflicts: Not stated in the abstract

Read: abstract

Laussmann 2010
Forensic analysis of hallucinogenic mushrooms and khat (Catha edulis Forsk) using cation-exchange liquid chromatography.
Forensic Sci Int · PMID 20047807 · DOI
Lab analysis
lab
Internet-distributed hallucinogenic mushroom products analysed by German customs-linked lab Dried Panaeolus cyanescens and Psilocybe cubensis products
· vs Psilocybe cubensis samples
Highest total amounts of psilocin were detected in dried P. cyanescens, reaching up to 3.00 +/- 0.24 mg per 100 mg. Handling of fresh material changed the amounts found.
One lab method study found its highest psilocin in dried P. cyanescens
Methods, limits and funding

Outcomes: Psilocin and psilocybin content by HPLC

Limitations: Seized/internet samples of unknown origin; method paper; few samples; cannot give a general strength.

Funding and conflicts: Not stated in the abstract

Read: abstract

Leonard 2018
Does getting high hurt?
J Psychopharmacol · PMID 30182795 · DOI
Observational
5883
5883 single-substance exposures to psilocybin-containing mushrooms reported to US poison centres
Psilocybin-containing mushrooms (species not identified)
2000 to 2016
Most patients were 13 to 29 years old and male. Common effects were hallucinations (45.8%), agitation (24.1%) and fast heart rate (18.0%). Serious effects were infrequent but included hyperthermia, seizures, coma, raised creatinine and cardiac arrest. Most were treated and released from the emergency department.
Mostly mild to moderate; serious effects rare but possible
Methods, limits and funding

Outcomes: Clinical effects and outcomes

Limitations: Voluntary reporting; species rarely confirmed; other substances may be involved.

Funding and conflicts: Not stated in the abstract

Read: abstract

Madsen 2019
Psychedelic effects of psilocybin correlate with serotonin 2A receptor occupancy and plasma psilocin levels.
Neuropsychopharmacology · PMID 30685771 · DOI
Pet imaging
8
8 healthy volunteers
Oral psilocybin in a research setting
Fixed protocol doses; not reproduced here Single day · vs Baseline scan
Dose-related receptor occupancy up to 72%; occupancy and psilocin levels both tracked the intensity of the experience, supporting 5-HT2A activation as a key driver.
Psilocin acts through serotonin 2A receptors
Methods, limits and funding

Outcomes: 5-HT2A receptor occupancy, psilocin blood levels, subjective intensity

Limitations: Only 8 people; healthy volunteers.

Funding and conflicts: Non-US government research support listed

Read: abstract

Merlin 1993
Species identification and chemical analysis of psychoactive fungi in the Hawaiian islands.
J Ethnopharmacol · PMID 8246528 · DOI
Review
lab
Fungi collected in the Hawaiian Islands Copelandia cyanescens and other dung fungi (and Amanita muscaria)
Lists five dung-living (coprophilous) and one non-dung species known to contain psychoactive alkaloids in the islands, including Copelandia cyanescens, some of which are eaten for recreation. Panaeolus goossensiae contains tryptamine compounds but no psilocybin or psilocin.
C. cyanescens listed among psychoactive fungi in Hawaii
Methods, limits and funding

Outcomes: Species identification and alkaloid presence

Limitations: Review of collections from the 1980s and 90s; no strength data in the abstract.

Funding and conflicts: Not stated in the abstract

Read: abstract

Mertens 2026
Efficacy and Safety of Psilocybin in Treatment-Resistant Major Depression: The EPISODE Randomized Clinical Trial.
JAMA Psychiatry · PMID 41848690 · DOI
Controlled trial
144
Adults with treatment-resistant depression, antidepressants withdrawn
Synthetic psilocybin (purified drug), not mushrooms, with psychotherapy
Fixed protocol doses; not reproduced here Main end point at week 6 · vs Nicotinamide (active placebo) and a low psilocybin amount
Response was 17.0% with the higher psilocybin amount, 12.5% with the lower and 10.6% with placebo (adjusted OR 1.73, 95% CI 0.53 to 6.23; P=.19). The authors call it an inconclusive trial. Suicidal ideation on dosing days was reported more often with the higher amount (4% vs 1 to 2%). Two serious adverse reactions followed the higher amount, including one case of hallucinogen persisting perception disorder.
Main test not significant (0.53 to 6.23)
Methods, limits and funding

Outcomes: Response (50% or more drop in HAMD17) at week 6

Limitations: Inconclusive trial; safety signals reported.

Funding and conflicts: Funding not stated in the abstract

Registration: NCT04670081

Read: abstract

Metaxa 2024
Efficacy of psilocybin for treating symptoms of depression: systematic review and meta-analysis.
BMJ · PMID 38692686 · DOI
Meta-analysis
436
Adults with depression symptoms in seven trials
Synthetic psilocybin (purified drug), not mushrooms
Fixed protocol doses; not reproduced here Varied · vs Placebo or non-psychoactive drugs
Pooled benefit favoured psilocybin (Hedges g 0.66, 95% CI 0.46 to 0.86). All studies had moderate risk of bias; the authors rated certainty moderate and say expectancy effects need further study.
Moderate pooled effect (0.46 to 0.86)
Methods, limits and funding

Outcomes: Change in depression scores

Limitations: Few small trials; expectancy effects; moderate risk of bias in all.

Funding and conflicts: Non-US government research support listed

Registration: CRD42023388065

Read: abstract

Montoy 2025
US Poison Center Encounters for Psilocybin-Related Exposures: 2013-2022.
J Am Coll Emerg Physicians Open · PMID 40927687 · DOI
Observational
6933
6933 US poison-centre encounters for psilocybin-containing substances
Psilocybin-containing substances (species not identified)
2013 to 2022 · vs Other psychedelics and toxic plants and mushrooms
Encounters rose from 477 in 2013 to 1441 in 2022, a 3-fold increase, nearly all since 2019.
Rising poison-centre calls
Methods, limits and funding

Outcomes: Trend in encounters

Limitations: Reports are voluntary; species not identified.

Funding and conflicts: Not stated in the abstract

Read: abstract

Musshoff 2000
Hallucinogenic mushrooms on the German market - simple instructions for examination and identification.
Forensic Sci Int · PMID 10978653 · DOI
Lab analysis
lab
Mushroom material confiscated in Germany Confiscated mushrooms incl. Panaeolus cyanescens
· vs Other species in the sample set
Across the sample set, psilocybin ranged from below 0.003% to 1.15% and psilocin from 0.01% to 0.90%. Panaeolus cyanescens was the mushroom with the highest levels of psilocybin and psilocin among those found.
Highest levels among the types sampled in that study
Methods, limits and funding

Outcomes: Psilocybin and psilocin content

Limitations: Confiscated material of unknown origin; unequal sample numbers; 2000 methods.

Funding and conflicts: Not stated in the abstract

Read: abstract

Nayak 2021
Classic Psychedelic Coadministration with Lithium, but Not Lamotrigine, is Associated with Seizures: An Analysis of Online Psychedelic Experience Reports.
Pharmacopsychiatry · PMID 34348413 · DOI
Case report series
Online reports of psychedelics with mood stabilisers Classic psychedelics with lithium or lamotrigine (self-reports)
· vs Lamotrigine reports
47% of 62 lithium reports involved seizures and 39% involved medical attention; none of 34 lamotrigine reports did. The authors provisionally conclude a significant seizure risk with lithium.
Possible seizure risk with lithium
Methods, limits and funding

Outcomes: Seizures and medical attention

Limitations: Self-selected anonymous online reports; unverified; species and amounts unknown.

Funding and conflicts: Not stated in the abstract

Read: abstract

Nkadimeng 2020
Effects and safety of Psilocybe cubensis and Panaeolus cyanescens magic mushroom extracts on endothelin-1-induced hypertrophy and cell injury in cardiomyocytes.
Sci Rep · PMID 33339902 · DOI
Laboratory research
cells
H9C2 rat heart muscle cell line Laboratory extracts of dried Panaeolus cyanescens and Psilocybe cubensis
Concentrations in cell culture 48 hours · vs Untreated and endothelin-1/TNF-alpha injured cells
Extracts did not worsen endothelin-1-induced heart-cell enlargement and protected against TNF-alpha-induced injury and cell death at the concentrations used. The authors caution about higher concentrations and say safety in cardiovascular disease is not fully known.
Cell-dish findings only
Methods, limits and funding

Outcomes: Cell enlargement (hypertrophy) and TNF-alpha cell injury

Limitations: Rat cells in a dish; not people; extract concentrations are not comparable to eating a mushroom.

Funding and conflicts: Non-US government research support listed

Read: abstract

Nkadimeng 2021
Anti-Inflammatory Effects of Four Psilocybin-Containing Magic Mushroom Water Extracts in vitro on 15-Lipoxygenase Activity and on Lipopolysaccharide-Induced Cyclooxygenase-2 and Inflammatory Cytokines in Human U937 Macrophage Cells.
J Inflamm Res · PMID 34385833 · DOI
Laboratory research
cells
Human U937 macrophage cell line Laboratory extracts of four psilocybin mushrooms incl. Panaeolus cyanescens
25 and 50 ug/mL in cell culture 24 hours · vs Untreated and quercetin control
The extracts were poor inhibitors of the 15-lipoxygenase enzyme. They inhibited LPS-induced TNF-alpha and IL-1beta significantly and lowered IL-6 and COX-2 in cells. The four extracts were pooled in the abstract, so a P. cyanescens-only result is not given.
Cell-dish anti-inflammatory signals
Methods, limits and funding

Outcomes: Inflammatory markers (TNF-alpha, IL-1beta, IL-6, COX-2, IL-10)

Limitations: Human cells in a dish; four species pooled in the abstract.

Funding and conflicts: Not stated in the abstract

Read: abstract

Orsini 2026
Blinding Integrity in Psychedelic Randomized Clinical Trials: A Systematic Review.
JAMA Psychiatry · PMID 41984443 · DOI
Systematic review
112
112 randomised trials of psychedelics (11 psilocybin)
Psychedelic drugs in trials (not mushrooms)
Only 29.5% of the 112 trials tested blinding. The authors say this raises concerns about the validity of efficacy findings.
Functional unblinding is widespread
Methods, limits and funding

Outcomes: Whether trials tested blinding and how well it held

Limitations: Review of other trials; does not re-test outcomes.

Funding and conflicts: Not stated in the abstract

Read: abstract

Raison 2023
Single-Dose Psilocybin Treatment for Major Depressive Disorder: A Randomized Clinical Trial.
JAMA · PMID 37651119 · DOI
Controlled trial
104
Adults with major depressive disorder
Synthetic psilocybin (purified drug), not mushrooms, single dose with psychological support
Fixed protocol doses; not reproduced here Primary outcome day 43 · vs Niacin placebo
Psilocybin lowered MADRS scores more than niacin (mean difference -12.3, 95% CI -17.5 to -7.2; P<.001 at day 43). More people had sustained response but not remission. No serious treatment-emergent adverse events, but psilocybin had higher rates of overall and severe adverse events.
Clinically meaningful reduction versus placebo (-17.5 to -7.2)
Methods, limits and funding

Outcomes: Change in MADRS depression score at day 43

Limitations: Niacin placebo is easy to tell apart from a psychedelic; medication taper required; selected participants.

Funding and conflicts: Funding not stated in the abstract

Registration: NCT03866174

Read: abstract

Schenk-Jaeger 2017
No clinically relevant effects in children after accidental ingestion of Panaeolina foenisecii (lawn mower's mushroom).
Clin Toxicol (Phila) · PMID 28073319 · DOI
Observational
19
19 young children (mean age 3) who accidentally ate 1 to 5 mushrooms
Panaeolina foenisecii (a different small lawn mushroom)
1 to 5 mushrooms (accidental) Follow-up at least 4 hours
16 of 19 children had no symptoms, 2 had minor belly discomfort, 1 was mildly hyperactive and was watched in hospital for 12 hours. None had hallucinations. The authors conclude small amounts probably do not cause significant symptoms.
No clinically significant effects
Methods, limits and funding

Outcomes: Symptoms after accidental ingestion

Limitations: Small series; one species; not P. cyanescens.

Funding and conflicts: Not stated in the abstract

Read: abstract

Strauss 2023
Global species diversity and distribution of the psychedelic fungal genus Panaeolus.
Heliyon · PMID 37274634 · DOI
Review
review
Review of the genus Panaeolus Panaeolus species
Summarises species diversity, distribution, DNA sequence coverage and psychedelic potential from published results. The authors say much more study is needed to confirm which species are truly psychedelic and which compounds they produce.
Psychedelic status unconfirmed for many Panaeolus species
Methods, limits and funding

Outcomes: Which Panaeolus species are psychedelic, where they occur

Limitations: Only the abstract was read for this entry.

Funding and conflicts: Not stated in the abstract

Read: abstract

Tominc 2026
Biological Effects of Magic Mushroom Extracts: A Narrative Review Over the Past 15 Years.
Int J Med Mushrooms · PMID 42868530 · DOI
Review
review
Narrative review of extract studies 2010 to 2025 (no clinical trials) Extracts of Gymnopilus, Panaeolus and Psilocybe
The review says Panaeolus cyanescens stands out for promising cardioprotective and anti-inflammatory effects in lab studies, while concerns about toxicity persist at higher concentrations. It excludes clinical trials.
Promising in lab models only
Methods, limits and funding

Outcomes: Biological effects in lab models

Limitations: Narrative review of preclinical work; no human data.

Funding and conflicts: Not stated in the abstract

Read: abstract

Tsujikawa 2003
Morphological and chemical analysis of magic mushrooms in Japan.
Forensic Sci Int · PMID 14642723 · DOI
Lab analysis
lab
Magic mushrooms circulating in Japan Psilocybe cubensis and Copelandia (species not named in the abstract)
· vs Psilocybe cubensis
In Psilocybe cubensis psilocin/psilocybin were 0.14-0.42%/0.37-1.30% in the whole mushroom. In Copelandia they were 0.43-0.76%/0.08-0.22%. The authors conclude P. cubensis is psilocybin-rich whereas Copelandia is psilocin-rich.
Copelandia samples were richer in psilocin than psilocybin
Methods, limits and funding

Outcomes: Psilocin and psilocybin by HPLC

Limitations: Species within Copelandia not named in the abstract; seized material.

Funding and conflicts: Not stated in the abstract

Read: abstract

Yao 2024
Mushroom poisoning of Panaeolus subbalteatus from Ningxia, northwest China, with species identification and tryptamine detection.
Toxicon · PMID 38971474 · DOI
Case report series
Patients in two poisoning incidents in China Wild Panaeolus subbalteatus (a different species in the same genus)
Symptoms about 0.5 hour after eating
After eating a large amount of wild mushroom, some patients had nausea, vomiting, numbness of throat and limbs, dizziness or an abnormal sense of direction about half an hour later. Psilocybin and psilocin were found in the mushroom and only psilocin in blood and urine.
Gastrointestinal and neurological symptoms in a poisoning of a related species
Methods, limits and funding

Outcomes: Symptoms, mushroom and blood/urine tryptamines

Limitations: Different species from P. cyanescens; few patients.

Funding and conflicts: Not stated in the abstract

Read: abstract

n/a 2026
NIDA: Psilocybin (Magic Mushrooms) (page read 2026-10-25)
n/a · Source
Authoritative guidance
n/a
n/a n/a
NIDA says psilocybin has a low level of toxicity, meaning a low potential for fatal events like breathing problems or a heart attack, but that health risks exist, particularly when unsupervised and outside clinical settings. It says there is the risk of mistaking a mushroom and taking a toxic one, that there is no data on safety in pregnancy, that exposures reported to poison control have increased, that CDC reports found toxic chemicals in some psilocybin-labelled candies, and that the FDA granted Breakthrough Therapy designation to a few psilocybin formulations being studied for depression. It notes Central American Indigenous use of psilocybin mushrooms for healing and ritual going back to about 3000 B.C.
Methods, limits and funding

Outcomes: NIDA says psilocybin has a low level of toxicity, meaning a low potential for fatal events like breathing problems or a heart attack, but that health risks exist, particularly when unsupervised and outside clinical settings. It says there is the risk of mistaking a mushroom and taking a toxic one, that there is no data on safety in pregnancy, that exposures reported to poison control have increased, that CDC reports found toxic chemicals in some psilocybin-labelled candies, and that the FDA granted Breakthrough Therapy designation to a few psilocybin formulations being studied for depression. It notes Central American Indigenous use of psilocybin mushrooms for healing and ritual going back to about 3000 B.C.

Limitations: General psilocybin page; not about this species.

Read: full-text

n/a 2026
US eCFR: 21 CFR 1308.11 Schedule I (version dated 2026-10-20, read 2026-10-25)
n/a · Source
Regulation
n/a
n/a n/a
The Schedule I list of hallucinogenic substances names Psilocybin (code 7437) and Psilocyn (code 7438), and covers any material, compound, mixture or preparation containing any quantity of the listed substances unless excepted or listed in another schedule.
Methods, limits and funding

Outcomes: The Schedule I list of hallucinogenic substances names Psilocybin (code 7437) and Psilocyn (code 7438), and covers any material, compound, mixture or preparation containing any quantity of the listed substances unless excepted or listed in another schedule.

Limitations: Lists the chemicals; it does not name this mushroom or describe state-level changes.

Read: full-text

n/a 2026
PubChem: Psilocybin (CID 10624, C12H17N2O4P, 284.25) and psilocin (CID 4980, C12H16N2O, 204.27), checked via PubChem REST 2026-10-25
n/a · Source
Database
n/a
n/a n/a
Psilocybin is [3-[2-(dimethylamino)ethyl]-1H-indol-4-yl] dihydrogen phosphate, C12H17N2O4P, molecular weight 284.25. Psilocin is 3-[2-(dimethylamino)ethyl]-1H-indol-4-ol, C12H16N2O, molecular weight 204.27.
Methods, limits and funding

Outcomes: Psilocybin is [3-[2-(dimethylamino)ethyl]-1H-indol-4-yl] dihydrogen phosphate, C12H17N2O4P, molecular weight 284.25. Psilocin is 3-[2-(dimethylamino)ethyl]-1H-indol-4-ol, C12H16N2O, molecular weight 204.27.

Limitations: Chemical database, not a safety source.

Read: api

n/a 2026
GBIF Backbone Taxonomy: Panaeolus cyanescens Sacc. (key 2526769) and synonym Copelandia cyanescens (key 5240425), retrieved 2026-10-25
n/a · Source
Database
n/a
n/a n/a
Panaeolus cyanescens Sacc. is the accepted species (order Agaricales, family Bolbitiaceae in GBIF). Synonyms: Agaricus cyanescens Berk. & Broome, Copelandia cyanascens (Berk. & Broome) Singer, Copelandia cyanescens (Sacc.) Singer, Panaeolus bubalorum Pat. About 1,738 occurrence records: North America 776, Oceania 314, South America 185, Asia 179, Africa 26, Europe 19; most from the US (446), Mexico (336) and Australia (269).
Methods, limits and funding

Outcomes: Panaeolus cyanescens Sacc. is the accepted species (order Agaricales, family Bolbitiaceae in GBIF). Synonyms: Agaricus cyanescens Berk. & Broome, Copelandia cyanascens (Berk. & Broome) Singer, Copelandia cyanescens (Sacc.) Singer, Panaeolus bubalorum Pat. About 1,738 occurrence records: North America 776, Oceania 314, South America 185, Asia 179, Africa 26, Europe 19; most from the US (446), Mexico (336) and Australia (269).

Limitations: GBIF records show where it was recorded, not where it is native, and include cultivated or reported material.

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van Amsterdam 2011
Harm potential of magic mushroom use: a review.
Regul Toxicol Pharmacol · PMID 21256914 · DOI
Review
Dutch expert review of the literature on magic mushrooms Magic mushrooms (species not specified in abstract)
The Dutch expert group (CAM) concluded dependence potential was low, acute toxicity moderate, chronic toxicity low, and public health and criminal aspects negligible. The authors say combined use with alcohol and the setting deserve attention, and that panic attacks and flashbacks are low in frequency but unpredictable. Use became illegal in the Netherlands in December 2008.
Relatively few and mild reported adverse effects (2011 view)
Methods, limits and funding

Outcomes: Dependence, toxicity, public health

Limitations: 2011 review; much newer data exist; written for a Dutch policy request.

Funding and conflicts: Non-US government research support listed

Read: abstract

What we do not know yet

  • No human trial of Panaeolus cyanescens for any condition.
  • No poisoning case series confirmed as this species with an abstract in PubMed.
  • Strength figures come from a few seized or cultivated samples and cannot be generalised.
  • No animal toxicity or interaction study of the fungus.
  • Native range, conservation status and law outside the US are not verified.

How new research is added

New studies go to a review queue and a person reads each before any rating changes.

Lab markers

What changed in blood or saliva tests during trials. A changed number is not the same as feeling or being healthier, and we give no "normal ranges".

Other 5

▼

Depression rating scores (MADRS, GRID-HAMD, QIDS-SR)

Lowered in trials

Standard questionnaires or interviews that turn depression symptoms into a score. Lower means fewer symptoms.

Low certainty
Results and what it means

Why it was measured

They are the main way trials judge whether a depression treatment works.

Statistical vs. clinical meaning

Score changes can be real yet inflated by expectation when people know they received a psychedelic.

Safety implication

Suicidal thoughts on dosing days were reported more often with the higher amount in one trial.

StudyResultPeopleProduct
29Lower MADRS scores than niacin placebo at day 43 (mean difference -12.3, 95% CI -17.5 to -7.2).104 adults with major depressionSynthetic psilocybin single dose versus niacin
21Response (50% drop) was 17.0% vs 10.6% on placebo; not significant (P=.19).144 adults with treatment-resistant depressionSynthetic psilocybin versus nicotinamide

29 21

▼

Depressed mood and anxiety ratings in serious illness

Lowered in trials

Clinician and self-rated scales of low mood and anxiety, used to follow distress in people with cancer.

Low certainty
Results and what it means

Why it was measured

Distress affects quality of life and is a main goal of supportive care.

Statistical vs. clinical meaning

Self-rated outcomes in a trial where participants could tell the sessions apart.

Safety implication

Sessions were supervised; outcomes outside clinics are unknown.

StudyResultPeopleProduct
11High-dose sessions produced large decreases; about 80% still showed clinically significant decreases at 6 months.51 adults with life-threatening cancerSynthetic psilocybin versus a very low amount, crossover

11

▼

Percentage of heavy drinking days

Lowered in trials

The share of days a person drank heavily, recorded by an interview that goes back day by day.

Low certainty
Results and what it means

Why it was measured

It is the standard main outcome in alcohol treatment trials.

Statistical vs. clinical meaning

A self-reported outcome in a trial where blinding probably failed.

Safety implication

No serious adverse events in the psilocybin group.

StudyResultPeopleProduct
39.7% with psilocybin vs 23.6% with diphenhydramine over 32 weeks (P=.01).95 adults with alcohol dependenceSynthetic psilocybin plus therapy vs active placebo plus therapy

3

▲

Biochemically verified smoking abstinence

Raised in trials

Not smoking for a long period, confirmed by a breath or urine test rather than by self-report alone.

Low certainty
Results and what it means

Why it was measured

It is the standard main outcome in quit-smoking trials.

Statistical vs. clinical meaning

Verified by testing, but the trial was a pilot and open label.

Safety implication

No serious adverse events were attributed to either treatment.

StudyResultPeopleProduct
1540.5% with psilocybin vs 10.0% with nicotine patch at 6 months (OR 6.12, 95% CI 1.99 to 23.26).82 adult smokersSynthetic psilocybin plus therapy vs nicotine patch plus therapy

15

▼

TNF-alpha and IL-1beta in cultured macrophages

Lowered in trials

Signalling proteins that cells release when inflamed; measured here in a dish, not in a person.

Not enough evidence
Results and what it means

Why it was measured

Researchers use them to screen extracts for anti-inflammatory signals.

Statistical vs. clinical meaning

A lab screen; it does not show a benefit in any person.

Safety implication

Not assessed.

StudyResultPeopleProduct
27Extracts of four psilocybin mushrooms (P. cyanescens among them, pooled) lowered LPS-induced TNF-alpha and IL-1beta in human U937 cells.Human macrophage cell lineLaboratory extracts, not people

27

Safety

What studies and official sources say about side effects, medicines and who should check first. Each point shows what kind of evidence it comes from.

Main points to know 7
  • A mushroom's name, nickname or look does not make it safe: deadly mushrooms exist, and even the name 'blue meanies' is unreliable. Most mushroom poisonings come from unidentified wild mushrooms, and most deaths come from amatoxin mushrooms (Amanita, Lepiota and Galerina), which can cause liver failure after a delay. NIDA lists mistaking a toxic mushroom for a psilocybin one as a real risk. 'Blue meanies' is a trade nickname, not a scientific name: in one DNA study, strains sold under that name matched Psilocybe cubensis, and strains sold under another Panaeolus name matched P. cyanescens. Within the Panaeolus genus itself, only some species have been shown to make psilocybin, and at least one (P. goossensiae) had tryptamines but no psilocybin or psilocin. This page does not teach identification. Review 8 35 6 20 12
  • Strength is unpredictable, and some lab samples of this species had high psilocin. Laboratory papers report that P. cyanescens samples had the highest psilocin or psilocybin levels among the types they compared: a 2000 German analysis of confiscated mushrooms, a 2010 German method study (up to about 3% psilocin by dry weight in dried product) and a 2025 strain comparison. The same papers show that content differs a lot between samples, strains and methods, so no general ranking can be drawn. The practical point is that nobody can know how strong a given mushroom is. Poison-centre data and NIDA describe agitation, fast heart rate, panic and, rarely, seizures, very high temperature, coma and cardiac arrest after psilocybin mushrooms in general. Lab analysis 24 17 6 18 35
  • Psychosis, mania, bipolar disorder and serious mental illness. Clinical trials excluded people with a history of psychosis or mania. Serious events in research settings (about 4% of people with existing neuropsychiatric conditions) included worsening depression, suicidal behaviour, psychosis and convulsions. NIDA says mental-health problems are more likely with use outside clinical settings. One 2026 trial reported more suicidal ideation on dosing days with the higher psilocybin amount and one case of hallucinogen persisting perception disorder. Systematic review 14 21 35
  • Heart conditions and high blood pressure. Raised blood pressure and heart rate are among the most common events in psilocybin trials, and NIDA says psilocybin raises both. Poison-centre data list cardiac arrest as a rare serious effect. The only heart-related work on this species used rat heart cells in a dish; its authors say safety in cardiovascular disease is not fully known and caution about higher concentrations. Systematic review 9 35 18 26
  • Lithium and other medicines. In a 2021 analysis of anonymous online reports, 47% of 62 reports of a classic psychedelic taken with lithium involved seizures. Interactions with antidepressants and other medicines were not studied in the sources read. Never stop or change a medicine on your own. Case report 25
  • Pregnancy, breastfeeding, driving and risky behaviour. NIDA says there is no data on psilocybin safety in pregnancy, and warns of dangerous behaviour including unsafe driving while intoxicated. Nothing specific to this species was found. Authoritative guidance 35
  • Products and mixtures: edibles are unregulated. Poison-centre reports on psychoactive mushroom edibles (362 cases in 2023 to 2024) describe unregulated products, often with unlisted ingredients and unpredictable effects. Using several substances at once was linked to hospital admission and more severe toxicity. NIDA cites CDC reports of toxic chemicals in some psilocybin-labelled candies. The Dutch expert review also singled out alcohol combined with mushrooms. Observational 16 35 39
Side effects 6
EffectHow oftenSeverity and recoveryEvidence
Headache, nausea, vomiting, fatigue, dizziness
These data are for purified psilocybin, not this fungus.
Among the most common events in trials of purified psilocybin; no single rate usedmild to moderate
Usually short-lived
Systematic review 9 14
Raised blood pressure and heart rate
NIDA warns about heart conditions.
Common in trialsmild to moderate; risky with heart disease
Usually while effects last
Systematic review 9 35
Anxiety, panic, agitation, hallucinations
Species were not identified in these reports. Voluntary reporting.
In US poison-centre reports for psilocybin mushrooms: hallucinations 45.8%, agitation 24.1%, fast heart rate 18.0% of 5,883 single-substance casesmild to severe
Usually resolves; most were treated and released
Observational 18
Rare serious effects: very high temperature, seizures, coma, raised creatinine, cardiac arrest
Other substances may have been involved.
Infrequent in poison-centre datasevere
Not described in the abstract
Observational 18
Stomach and nervous-system symptoms after eating a wild Panaeolus species
A related species, not P. cyanescens. After a large amount of wild mushroom, some patients had nausea, vomiting, numbness, dizziness or an abnormal sense of direction about half an hour later.
Case series: a few patients, species P. subbalteatusmild to moderate
Not described in the abstract
Case report 34
Suicidal thoughts and rare lasting perception changes
A large meta-analysis found no reports of persistent psychosis or lasting perception disorder in contemporary research settings; monitoring quality varied.
4% vs 1 to 2% reported suicidal ideation on dosing days with the higher psilocybin amount in one 2026 trial; one case of hallucinogen persisting perception disordersevere
Unclear
Controlled trial 21 14
Liver

No liver injury from psilocybin was found in the sources read. Liver failure is the hallmark of poisoning by deadly amatoxin mushrooms, which are not psilocybin mushrooms but are a main reason mistakes with wild mushrooms can kill. 8

Monitoring. Not assessed.

This is a safety connection. It is not evidence that Panaeolus cyanescens supports liver health.

Medicines and supplements 3
WithWhy it mattersImportanceEvidenceWhat to do
Lithium
prescription
Unknown.47% of 62 online reports of a psychedelic taken with lithium involved seizures; none of 34 lamotrigine reports did.Case report Very low certainty 25Do not combine without a doctor; reports suggest a real seizure risk.
Antidepressants such as SSRIs, and MAOIs
prescription
Overlap with the serotonin system is expected, but no interaction study was read for this page.Not verified.Not read Not enough evidence 29 21Ask a doctor or pharmacist; do not stop any medicine on your own. Some trials had people taper antidepressants first.
Alcohol and other drugs taken together
recreational
Not established.A Dutch expert review said combined use with alcohol deserves attention. In US edible reports, using several substances at once was linked to more admissions and more severe toxicity.Review Very low certainty 39 16Mixing substances raises unpredictability.
Who should check first 6
SituationAdviceEvidence
History of psychosis, mania or bipolar disorder (or a close family history)Excluded from major trials. Talk to a doctor. Serious events including psychosis occurred in research settings in people with existing disorders.Systematic review 14
Heart disease or high blood pressurePsilocybin raises blood pressure and heart rate (NIDA). Cell-dish results on this species are not evidence of heart safety.Authoritative guidance 35 26
Pregnancy and breastfeedingNo safety data (NIDA).Authoritative guidance 35
Taking lithiumReports of seizures. See Interactions.Case report 25
Driving or operating machineryNIDA warns of dangerous behaviour including unsafe driving.Authoritative guidance 35
Young childrenChildren sometimes eat small brown lawn mushrooms by accident. In one series of 19 children who ate a related lawn mushroom (Panaeolina foenisecii), 16 had no symptoms and none had hallucinations. That series does not cover P. cyanescens. Call poison control after any unknown mushroom is eaten.Observational 30
Overdose, product quality and regulators

Summary. NIDA describes psilocybin itself as having low toxicity, meaning fatal breathing failure or heart attack are unlikely, but it says real health risks exist. A Dutch expert group rated acute toxicity of magic mushrooms as moderate and chronic toxicity as low (2011 review). The largest danger to someone who picks, buys or is handed an unknown mushroom is that it is the wrong species. No toxicity study of P. cyanescens in animals or people was found.

Human doses studied. Not given here.

High dose or long term signals. Not reviewed for this species.

Overdose response. Not reviewed; seek emergency care for severe effects.

Genotoxicity. Not read.

Edible products are unregulated and may contain unlisted ingredients; mushrooms of unknown origin may not be what they are sold as, and strength varies.

Names do not identify species. In a DNA check of 42 cultivated strains, a strain sold as 'Blue Meanies' was Psilocybe cubensis, while strains sold under another Panaeolus name matched P. cyanescens. 6

Edibles. 362 US poison-centre reports in 2023 to 2024; ingredients often unlisted. NIDA cites CDC reports of toxic chemicals in some psilocybin-labelled candies. 16 35

Content variability. Psilocin and psilocybin content differed widely between types and samples in forensic analyses. 24 17 33

BodyActionDate
US Drug Enforcement Administration (via 21 CFR 1308.11) (United States)Psilocybin (code 7437) and psilocyn (code 7438) are listed in Schedule I, covering any material, compound, mixture or preparation containing any quantity of them unless excepted. The rule names the chemicals; it does not name this mushroom. State laws differ and are not covered. source2026-10-25
US Food and Drug Administration (United States)NIDA says the FDA granted Breakthrough Therapy designation to a few psilocybin formulations studied for depression. That is a development status, not an approval, and it concerns purified psilocybin, not mushrooms. source2026-10-25
When to get medical help
  • Anyone who has eaten an unknown or wild mushroom and develops vomiting, diarrhea or belly pain, even if they feel better later: call poison control or emergency services at once and keep a sample if safe. Amatoxin poisoning can seem to improve before the liver fails.
  • Chest pain, seizure, very high temperature, confusion that does not clear, or loss of consciousness: call your local emergency number now.
  • Thoughts of suicide or self-harm after use: call your local emergency number or crisis line.
  • Children who have eaten any unknown mushroom: call poison control immediately.
  • In the US, Poison Help is 1-800-222-1222 (poison.org). Numbers elsewhere were not verified here; use your local emergency number.

If someone may be poisoned or in a crisis, contact a clinician or emergency service straight away. In the US, Poison Control is 1-800-222-1222.

General information only, not medical advice. Ask a clinician or pharmacist before use, especially with medicines, in pregnancy or with a health condition. See the Natural Remedy Safety guide.

Frequently asked questions

What is Panaeolus cyanescens?

A mushroom in the genus Panaeolus that contains psilocybin and psilocin. It lives on dung and is not the same as Psilocybe cubensis, although both are called magic mushrooms.

38 12

Is Copelandia cyanescens a different mushroom?

No. It is an older name for the same fungus. GBIF lists Copelandia cyanescens as a synonym of Panaeolus cyanescens, and a 2026 study treats the old Copelandia group as part of Panaeolus.

38 12

Are "blue meanies" this species?

Not reliably. The nickname is marketing. In one DNA study, a strain sold as "Blue Meanies" was Psilocybe cubensis.

6

Is it stronger than other psilocybin mushrooms?

Some lab papers found the highest psilocin or psilocybin in their P. cyanescens samples, but samples, methods and storage differ, so no general claim is possible. The safety point is that strength is unpredictable.

24 17 6

Has it been tested as a medicine in people?

No. No human trial of this fungus was found. Trials used purified synthetic psilocybin, and results for depression are mixed.

21 22

What did cell studies show?

Extracts of the mushroom did not harm, and partly protected, rat heart cells in a dish and lowered some inflammation signals in human cells. These are lab results only and do not show benefit or safety in people.

26 27 32

Can eating the wrong mushroom be deadly?

Yes. Most deaths from mushroom poisoning come from amatoxin mushrooms, which can seem to improve before the liver fails. A name, a photo or an app does not make a wild mushroom safe. Call poison control or emergency services after any unknown mushroom is eaten.

8 35

What do poisoning reports say?

No case series confirmed as P. cyanescens was found. For a related Panaeolus species, a small Chinese report described nausea, vomiting, numbness and dizziness. US poison-centre data on psilocybin mushrooms show mostly mild to moderate effects and rare serious ones.

34 18

Is it safe for people with heart conditions or mental illness?

Not known to be. Psilocybin raises blood pressure and heart rate, and trials excluded people with psychosis or mania. Cell-dish results on this species do not show heart safety. Talk to a doctor.

35 14 26

Does it interact with medicines?

Reports link lithium with seizures. Interactions with antidepressants and other medicines were not studied in the sources we read, so no safe combination can be named. Talk to a doctor or pharmacist and do not stop a medicine on your own.

25

Is it legal?

Laws differ by country and change. In the United States psilocybin and psilocyn are Schedule I. A Japanese paper says this species was named in Japan's 2002 prohibition, and a Dutch review says use became illegal there in 2008. We did not verify the other countries with their regulators. This is not legal advice.

36 10 39

Where can I read about psilocybin research in general?

See the psilocybin page and the guide on how to read a psychedelic clinical trial. Both explain what trials of purified psilocybin do and do not show.

28 14

Explore by health goal

Editorial transparency
Written by
AlternativeMed editorial team. Research compiled with AI assistance, then checked against PubMed records.
Medical review
None. This page has not been reviewed by a physician or pharmacist.
First published
2026-10-25
Last substantive update
2026-10-25
How we research
We read the abstracts of 34 PubMed papers (two more had no abstract and are listed as title-only), read one species comparison in full text, read NIDA and the US federal drug schedule, checked the name in GBIF and the compounds in PubChem. Certainty ratings are the compiler's own reading. Strength figures are quoted as the lab papers state them. Japan, Netherlands and UN entries were not verified with the regulators.
How we rate evidence
See "How we rate evidence" in the Evidence tab.
Independence
No product is promoted. No affiliate links are shown. This page is information, not encouragement to use anything, and does not teach identification, growing or foraging.
Sources 39

Each source was opened and checked. Where we read only the abstract, it says so. The small numbers in the text point here.

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  2. Allen JW, Merlin MD. Psychoactive mushroom use in Koh Samui and Koh Pha-Ngan, Thailand.. J Ethnopharmacol. 1992. PMID 1548895. DOI 10.1016/0378-8741(92)90020-r. (abstract)
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  15. Johnson MW, Naude GP, Hendricks PS, Garcia-Romeu A. Psilocybin or Nicotine Patch for Smoking Cessation: A Pilot Randomized Clinical Trial.. JAMA Netw Open. 2026. PMID 41805956. DOI 10.1001/jamanetworkopen.2026.0972. (abstract)
  16. Jorgenson DM, Santos Leon E, Vakkalanka JP, Krispin S et al. Psychoactive mushroom edibles: trends and toxicities reported to the United States National Poison Data System, 2023-2024.. Clin Toxicol (Phila). 2026. PMID 41493095. DOI 10.1080/15563650.2025.2599402. (abstract)
  17. Laussmann T, Meier-Giebing S. Forensic analysis of hallucinogenic mushrooms and khat (Catha edulis Forsk) using cation-exchange liquid chromatography.. Forensic Sci Int. 2010. PMID 20047807. DOI 10.1016/j.forsciint.2009.12.013. (abstract)
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  22. Metaxa AM, Clarke M. Efficacy of psilocybin for treating symptoms of depression: systematic review and meta-analysis.. BMJ. 2024. PMID 38692686. DOI 10.1136/bmj-2023-078084. (abstract)
  23. Montoy JCC, Wang RC, Coker AR, Smollin CG et al. US Poison Center Encounters for Psilocybin-Related Exposures: 2013-2022.. J Am Coll Emerg Physicians Open. 2025. PMID 40927687. DOI 10.1016/j.acepjo.2025.100231. (abstract)
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  25. Nayak SM, Gukasyan N, Barrett FS, Erowid E et al. Classic Psychedelic Coadministration with Lithium, but Not Lamotrigine, is Associated with Seizures: An Analysis of Online Psychedelic Experience Reports.. Pharmacopsychiatry. 2021. PMID 34348413. DOI 10.1055/a-1524-2794. (abstract)
  26. Nkadimeng SM, Steinmann CML, Eloff JN. Effects and safety of Psilocybe cubensis and Panaeolus cyanescens magic mushroom extracts on endothelin-1-induced hypertrophy and cell injury in cardiomyocytes.. Sci Rep. 2020. PMID 33339902. DOI 10.1038/s41598-020-79328-5. (abstract)
  27. Nkadimeng SM, Steinmann CML, Eloff JN. Anti-Inflammatory Effects of Four Psilocybin-Containing Magic Mushroom Water Extracts in vitro on 15-Lipoxygenase Activity and on Lipopolysaccharide-Induced Cyclooxygenase-2 and Inflammatory Cytokines in Human U937 Macrophage Cells.. J Inflamm Res. 2021. PMID 34385833. DOI 10.2147/JIR.S317182. (abstract)
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  29. Raison CL, Sanacora G, Woolley J, Heinzerling K et al. Single-Dose Psilocybin Treatment for Major Depressive Disorder: A Randomized Clinical Trial.. JAMA. 2023. PMID 37651119. DOI 10.1001/jama.2023.14530. (abstract)
  30. Schenk-Jaeger KM, Hofer-Lentner KE, Plenert B, Eckart D et al. No clinically relevant effects in children after accidental ingestion of Panaeolina foenisecii (lawn mower's mushroom).. Clin Toxicol (Phila). 2017. PMID 28073319. DOI 10.1080/15563650.2016.1271129. (abstract)
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  34. Yao Y, Zhang YZ, Liang JQ, Liu F et al. Mushroom poisoning of Panaeolus subbalteatus from Ningxia, northwest China, with species identification and tryptamine detection.. Toxicon. 2024. PMID 38971474. DOI 10.1016/j.toxicon.2024.107849. (abstract)
  35. n/a. NIDA: Psilocybin (Magic Mushrooms) (page read 2026-10-25). n/a. 2026. (full-text)
  36. n/a. US eCFR: 21 CFR 1308.11 Schedule I (version dated 2026-10-20, read 2026-10-25). n/a. 2026. (full-text)
  37. n/a. PubChem: Psilocybin (CID 10624, C12H17N2O4P, 284.25) and psilocin (CID 4980, C12H16N2O, 204.27), checked via PubChem REST 2026-10-25. n/a. 2026. (api)
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Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.