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Psilocybe azurescens
Psilocybe azurescens. Do not use appearance to judge any mushroom.

Psychedelic Therapy · Fungus

Psilocybe azurescens

Psilocybe azurescens Stamets & Gartz · also called Magic mushroom (a general term for many species)

Psilocybe azurescens is a mushroom that contains psilocybin, which the body turns into psilocin, a drug that changes perception and mood. It has almost no health research: no human study and one rat study that found more anxiety-like behaviour. A laboratory measured its psilocybin as high, and wild mushrooms can look like deadly ones. A name or 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 Psilocybe azurescens

Psilocybe azurescens is a mushroom whose main compounds are psilocybin and psilocin. GBIF records cluster along the Pacific coast of North America. No human study of it exists, and the one animal study found more anxiety-like behaviour in rats. Safety risks include fear, raised blood pressure, mental-health crises, seizure reports with lithium, a weakness syndrome seen with some wood-loving Psilocybe species, and fatal mix-ups with toxic wild mushrooms.

What it is

Psilocybe azurescens Stamets & Gartz is an accepted species in the family Hymenogastraceae (GBIF), published in 1995. GBIF lists no older names for it.

GBIF holds 615 records. Most are in Washington, Oregon, California and British Columbia, and 501 of 521 North American records with coordinates lie west of longitude 122 W. Records show where it was seen by people, not where it is native. A few European records exist, and an Austrian checklist lists it among cultivated fungi that have escaped into natural habitats.

17 11

What it contains

The fruiting body holds psilocybin and psilocin, with baeocystin also detected and norbaeocystin minor. In one company laboratory set of 12 samples, psilocybin averaged 1.33% of dry weight (range 0.81 to 1.77%) and psilocin 0.20% (range 0.08 to 0.29%).

Among the six species in that paper, only P. zapotecorum averaged higher in psilocybin. The authors work for the company that grew the samples. It is one method on one set of samples, and wild mushrooms may differ.

12 16

How it works in the body

Psilocybin is turned into psilocin, which activates serotonin 2A receptors (NIDA). That is thought to drive the psychedelic experience. How long effects last and how the body clears psilocin were not studied for this species.

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What research exists on this species

Human research: none found. Clinical trials of psilocybin use purified drug and are covered on the Psilocybin page.

Animal research: one 2026 rat study found more anxiety-like and depressive-like behaviour and disrupted social behaviour, with more brain inflammation and lower growth factors. The authors say high amounts may cause mood disorders.

Genetics: a draft genome was published in 2025, and a 2022 genome survey suggests many unexplored natural products in the genus.

8 2 4

Whole mushroom versus purified drug

A purified drug is measured and consistent. A mushroom holds several tryptamines in amounts that vary between samples. Results from purified psilocybin cannot be assumed for a mushroom of this species.

12 14

At a glance

Traditional uses history, not proof

  • No traditional use of this species is documented in the sources read. GBIF gives its formal naming date as 1995. NIDA's note about Central American tradition is about psilocybin mushrooms in general.

Studied for research

  • Depression, anxiety and addiction, studied for purified psilocybin only, not this species, insufficient evidence
  • Mood and social behaviour, one rat study of the mushroom, very low (worse behaviour, not a benefit)
  • Brain inflammation and growth-factor markers, same rat study, very low

Main compounds

  • Psilocybin (becomes psilocin in the body)
  • Psilocin, the active form
  • Baeocystin
  • Norbaeocystin

Common forms

  • Not covered: this page gives no preparation, growing or sourcing information.
  • Purified synthetic psilocybin is what clinical trials used (see the Psilocybin page).

Research links: NIDA: Psilocybin (Magic Mushrooms) · Rat study of Psilocybe azurescens, 2026 (abstract) · Species strength measurements, 2026 (abstract) · Wood-lover paralysis survey, 2025 (abstract) · Research Library · Genes & Biomarkers Library

What it is and its history

Accepted scientific name
Psilocybe azurescens
Naming authority
Stamets & Gartz
Common names
Flying saucer mushroom (English); Blue angel (English); Magic mushroom (English)
Family or group
Hymenogastraceae (GBIF).
Classification
Fungi > Basidiomycota > Agaricomycetes > Agaricales > Hymenogastraceae > Psilocybe > Psilocybe azurescens
Native range
Not established in a source read. GBIF holds 615 records: United States 521, Canada 17, and about 28 in Europe. By state or province: Washington 273, Oregon 191, California 41, British Columbia 14. Of 521 North American records with coordinates, 501 lie west of longitude 122 W, between about 36.8 and 54.1 N, so the records cluster along the Pacific coast of North America. Records show where it was recorded, not where it is native. A 2023 Austrian checklist lists it among cultivated fungi that have escaped into natural habitats there.
Habitat
Not verified in a source read.
What it looks like
Stems: Not covered on purpose.; Fruit: The fruiting body (cap and stalk) is the part measured in the laboratory study. Appearance is not covered on purpose.
Cultivation
Not covered on purpose.
Harvest and processing
Not covered on purpose.
Look-alikes and adulterants
Name: Deadly amatoxin mushrooms (Amanita, Lepiota, Galerina) and other toxic species; Note: NIDA lists mistaking a toxic mushroom for a psilocybin one as a risk, and a review says most fatal mushroom poisonings involve amatoxins. No source we read names a specific look-alike for this species. This page does not teach identification and no photo or name makes a mushroom safe.
Sustainability and conservation
Not checked.

Traditional use and history history, not clinical proof

Tradition or eraDocumented useSource
NamingGBIF gives the original publication as Integration: Journal for Mind Moving Plants and Culture, volume 6, page 21 (1995), by Stamets and Gartz. No traditional or historical use of this species was found in the sources read; claims of ancient use for it are NOT verified.s-gbif-pazu
Psilocybin mushrooms in generalNIDA says there is evidence that Indigenous people in Central America used psilocybin mushrooms for healing and spiritual rituals as far back as 3000 B.C. This concerns psilocybin mushrooms in general, not this species.s-nida-psilocybin

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
Mean 1.33% of dry weight (range 0.81 to 1.77%, 12 samples grown in one company laboratory; one method).
Turned into psilocin in the body (NIDA). 16 12 14Lab
Psilocin
PubChem 4980
tryptamineFruiting body
Mean 0.20% of dry weight (range 0.08 to 0.29%) in the same samples.
The active form; acts mainly on serotonin 2A receptors (NIDA). 16 12 14Lab
Baeocystin
PubChem 161359
tryptamineFruiting body
Detected in P. azurescens in the same study; not quantified in the abstract or text read.
Effects not established from the sources read. 16 12Lab
Norbaeocystin
PubChem 9795063
tryptamineFruiting body
Minor across all six species in the same study.
Effects not established from the sources read. 16 12Lab

Mechanisms, receptors and pathways

Target or pathwayGene or receptorWhat was foundLevel
Serotonin 2A receptor5-HT2A receptor (HTR2A)NIDA says psilocin attaches to and activates serotonin receptors, mainly 5-HT2A, which researchers think is responsible for much of the subjective experience. This is a general statement about psilocybin, not a test of this species. 14Authoritative guidance
Brain inflammation, oxidative stress, BDNF and GDNFIL-6, TNF-alpha, ROS, SOD, BDNF, GDNFIn one rat study of the mushroom, the authors report more inflammation and oxidative stress and lower BDNF and GDNF in three brain regions. 8Animal research
Unexplored chemistry (genome analysis)Genes for natural productsGenome analysis of five Psilocybe species including P. azurescens suggests much more chemistry than is known. The authors link this to the unexplained paralytic effects attributed to some magic mushrooms. It does not show that this species causes them. 4 2Lab

Absorption, metabolism and elimination

Absorption
Not studied for this species in people.
Distribution
Not read.
Metabolism
NIDA says the body converts psilocybin to psilocin.
Elimination
Not read for this species. Timing figures for purified psilocybin are on the Psilocybin page.
Bioavailability
Not established for whole mushrooms of this species.

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Isolated compounds versus whole extracts

Human trials use purified psilocybin. A mushroom holds psilocybin, psilocin and other tryptamines in amounts that vary, and the only study of this species (in rats) tested the whole mushroom. Results from one cannot be assumed for the other.

Nutritional composition

Not a nutrient and has no nutritional claim.

3benefits and uses looked at
18studies and sources checked
Very low certaintybest evidence rating found
6lab markers tracked in trials

2 very low certainty1 not enough evidence

What was looked at

The 3 benefits and uses checked for Psilocybe azurescens, each with how strong the evidence is. Tap one to open it.

Lab markers tracked in the studies

Anxiety-like behaviour (elevated plus maze, rats)Depressive-like behaviour (forced swim test, rats)Social interaction (three-chamber test, rats)Brain inflammation markers (IL-6, TNF-alpha, rats)Oxidative stress markers (ROS, SOD, rats)Nerve growth factors (BDNF, GDNF, rats)

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, anxiety and addiction (research on purified psilocybin)

Not enough evidence

Clinical research in this area uses purified psilocybin. No human study tested Psilocybe azurescens, so nothing here shows this mushroom helps any condition. See the Psilocybin page for the trial evidence.

2 studiesNot covered here.

Studies, doses and limits

What the trials found

NIDA says researchers are testing psilocybin for substance use disorders, depression, anxiety and obsessive-compulsive disorder. We found no human trial, case series or survey of Psilocybe azurescens for any benefit.

Results

No result exists for this species. Trial results for purified psilocybin are covered on the Psilocybin page, where they are rated low certainty with mixed findings.

Why this rating

No human study of this species exists in the sources read. Results from purified psilocybin cannot be assumed to apply to a mushroom of unknown and variable strength.

Form and dose studied

Not covered here.

Limits

A mushroom can hold other tryptamines besides psilocybin, and its content varies between samples (one laboratory set ranged from 0.81 to 1.77% psilocybin by dry weight).

Why researchers looked

Psilocybin is the main research focus in several mental-health conditions; this mushroom is one of many that contain it.

Traditional use

No traditional use of this species is documented in the sources read. GBIF gives its formal naming date as 1995. NIDA's note about Central American tradition is about psilocybin mushrooms in general.

Proposed mechanism Authoritative guidance

Psilocybin is turned into psilocin, which switches on serotonin 2A receptors in the brain (NIDA). This is thought to drive the psychedelic experience. NIDA does not discuss this species separately.

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

See the Safety tab, including look-alike poisonings and the weakness syndrome linked to some wood-loving Psilocybe species.

14 12

Mood, anxiety and social behaviour (one animal study of the mushroom)

Very low certainty

In rats given the mushroom by mouth for 14 days, anxiety-like and depressive-like behaviour went up and social interaction went down. This is evidence against a mood benefit in that model, and it is only one animal study.

1 studiesAmounts are not reproduced here.

Studies, doses and limits

Results

Male Wistar rats got three different amounts of Psilocybe azurescens by tube every other day for 14 days. Compared with the study's controls, the mushroom significantly increased anxiety-like behaviour (elevated plus maze) and depressive-like behaviour (forced swim test) and disrupted social behaviour (three-chamber test). The authors say high amounts may cause mood disorders.

Effect sizes as reported

Not given in the abstract.

Why this rating

A single rat study; the abstract gives no group sizes or effect sizes; amounts used were very high compared with clinical work; rat behaviour tests do not map neatly onto human mood.

Form and dose studied

Amounts are not reproduced here.

Who was studied

Male Wistar rats only.

Limits

One lab, one species, males only, behaviour tests that are imperfect stand-ins for human feelings. The abstract does not say whether lower amounts behaved differently.

Why researchers looked

The authors say the adverse effects of psilocybin mushrooms have been less studied than their benefits, and tested Psilocybe azurescens for the first time in rats.

Traditional use

No traditional use of this species is documented in the sources read. GBIF gives its formal naming date as 1995. NIDA's note about Central American tradition is about psilocybin mushrooms in general.

Proposed mechanism Animal research

The authors of the rat study propose that high amounts of the mushroom raise brain inflammation and oxidative stress and lower nerve growth factors. This is a proposal from one animal study, not shown in people.

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

A reason for caution, not proof of harm in people.

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Brain inflammation, oxidative stress and growth factors (rat study)

Very low certainty

In the same rat study, the mushroom was linked to more brain inflammation and oxidative stress and lower nerve growth factors. This is a lab and animal finding, not a health benefit and not shown in people.

1 studiesAmounts are not reproduced here.

Studies, doses and limits

Results

Measured by ELISA in the hippocampus, prefrontal cortex and amygdala, the authors report increased inflammation markers (IL-6 and TNF-alpha) and oxidative stress (ROS and SOD), and decreased neurotrophic factors (BDNF and GDNF).

Effect sizes as reported

Not given in the abstract.

Why this rating

One animal study, abstract only, marker values and group sizes not available to us.

Form and dose studied

Amounts are not reproduced here.

Who was studied

Male Wistar rats.

Limits

Markers measured at the end of 14 days; no human equivalent shown; direction of change in each individual marker is as the authors summarise it.

Why researchers looked

The authors looked for biological reasons behind the behaviour changes they saw in the rats.

Traditional use

No traditional use of this species is documented in the sources read. GBIF gives its formal naming date as 1995. NIDA's note about Central American tradition is about psilocybin mushrooms in general.

Proposed mechanism Animal research

The authors of the rat study propose that high amounts of the mushroom raise brain inflammation and oxidative stress and lower nerve growth factors. This is a proposal from one animal study, not shown in people.

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

Treated as a possible safety signal, not a finding about people.

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Connections to the rest of health

How Psilocybe azurescens 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 Not enough evidence Studied for: Depression, anxiety and addiction (research on purified psilocybin) Studied for: Mood, anxiety and social behaviour (one animal study of the mushroom) 14 12 8

I. Biomarkers

Connected toKind of connectionEvidence statusContextStudies
Anxiety-like behaviour (elevated plus maze, rats) Biological association Very low certainty Measured in trials: raised. A lab change is not the same as a health benefit. 8
Depressive-like behaviour (forced swim test, rats) Biological association Very low certainty Measured in trials: raised. A lab change is not the same as a health benefit. 8
Social interaction (three-chamber test, rats) Biological association Very low certainty Measured in trials: lowered. A lab change is not the same as a health benefit. 8
Brain inflammation markers (IL-6, TNF-alpha, rats) Biological association Very low certainty Measured in trials: raised. A lab change is not the same as a health benefit. 8
Oxidative stress markers (ROS, SOD, rats) Biological association Very low certainty Measured in trials: raised. A lab change is not the same as a health benefit. 8
Nerve growth factors (BDNF, GDNF, rats) Biological association Very low certainty Measured in trials: lowered. A lab change is not the same as a health benefit. 8

J. Genes, receptors and enzymes

Connected toKind of connectionEvidence statusContextStudies
HTR2A (serotonin 2A receptor) Preliminary mechanism Authoritative guidance Main receptor target of psilocin (NIDA). 14

K. Biological pathways

Connected toKind of connectionEvidence statusContextStudies
Psilocybin biosynthetic genes Preliminary mechanism Lab A draft genome of P. azurescens was published in 2025 to help study the genes that make psilocybin. 2

L. Active compounds

Connected toKind of connectionEvidence statusContextStudies
Psilocybin Biological association Lab Turned into psilocin in the body (NIDA).
Preparation or compound: Fruiting body
16 12 14
Psilocin Biological association Lab The active form; acts mainly on serotonin 2A receptors (NIDA).
Preparation or compound: Fruiting body
16 12 14
Baeocystin Biological association Lab Effects not established from the sources read.
Preparation or compound: Fruiting body
16 12
Norbaeocystin Biological association Lab Effects not established from the sources read.
Preparation or compound: Fruiting body
16 12

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 6 lab markers

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

The evidence

The research centre for Psilocybe azurescens. 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 12 PubMed papers (full text for two of them), read NIDA, the US federal drug schedule, the UN 1971 convention schedule list and the poison.org home page, checked the name and records in GBIF and compounds in PubChem. Certainty ratings are the compiler's own reading. The strength figures come from a company-linked paper. The FDA page itself was not opened.

Study library: every study we checked 18
StudyDesignPeopleProduct, dose, lengthResult
Beck 2025
"Wood-lover paralysis": Describing a toxidrome with symptoms of weakness caused by some lignicolous "wood-loving" Psilocybe mushrooms.
Toxicon · PMID 40490153 · DOI
Survey
392
392 survey respondents, mainly from Australia and New Zealand
Wood-loving Psilocybe mushrooms (species not named in the abstract)
Not reproduced here
In a 2020 retrospective online survey, 42.1% of respondents reported wood-lover paralysis. Onset was typically within 4 hours. Weakness hit mobility in 80.4%, swallowing in 26.7% and breathing in 16.6%. Symptoms lasted into the next day for 48.1%, and 21.5% had a fall or accident. The cause is unknown.
Under-recognised weakness syndrome with some wood-loving species
Methods, limits and funding

Outcomes: Reported weakness after mushroom ingestion

Limitations: Self-selected online survey, self-reported, retrospective. The abstract does not name P. azurescens.

Funding and conflicts: No competing interests declared

Read: abstract

Bollinger 2025
High-quality draft genomes of ecologically and geographically diverse Psilocybe species.
Microbiol Resour Announc · PMID 39727395 · DOI
Genome announcement
lab
Five Psilocybe genomes including P. azurescens DNA sequencing
The paper announces draft genomes of five Psilocybe species, including P. azurescens, to help study the genes that make psilocybin and to improve how the genus is classified.
Genetic resource only
Methods, limits and funding

Outcomes: Genome sequences

Limitations: Short data announcement; no chemistry or health results.

Funding and conflicts: No competing interests declared

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 reproduced here
Most mushroom poisonings are caused by unknown mushrooms, and most fatal ones by amatoxin mushrooms (Amanita, Lepiota, Galerina). Galerina marginata is the most frequently reported fatal Galerina. Late-appearing stomach symptoms, with or without a false recovery, can come before acute liver failure. Treatment is supportive apart from liver transplant, and about half of those with amatoxin liver failure will need a transplant.
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

Dörner 2022
Genetic Survey of Psilocybe Natural Products.
Chembiochem · PMID 35583969 · DOI
Genome analysis
lab
Genomes of five Psilocybe species (P. azurescens, P. cubensis, P. cyanescens, P. mexicana, P. serbica) Computer analysis of genomes
The genomes pointed to far more unexplored chemistry than lab tests show. P. cyanescens and P. mexicana were found to make aeruginascin. The authors say this may help explain poorly understood effects such as the paralytic effects blamed on some magic mushrooms.
Genes suggest more chemistry than is known
Methods, limits and funding

Outcomes: Predicted natural products

Limitations: Genome browsing, not a test of what the mushroom contains or does. The abstract does not say which species makes which unknown compounds.

Funding and conflicts: One author reports an ownership interest in CaaMTech, LLC

Read: abstract

Hinkle 2024
Adverse Events in Studies of Classic Psychedelics: A Systematic Review and Meta-Analysis.
JAMA Psychiatry · PMID 39230883 · DOI
Systematic review
3504
114 of 214 studies reported usable adverse-event data (3,504 participants)

Not reproduced here
Serious adverse events were reported for no healthy participants and for about 4% of participants with existing neuropsychiatric disorders, including worsening depression, suicidal behaviour, psychosis and convulsive episodes. No deaths by suicide, persistent psychosis or hallucinogen persisting perception disorder were reported in contemporary research settings. Only 16 of 68 recent studies used systematic adverse-event assessment.
Generally well tolerated in research settings, but monitoring was uneven
Methods, limits and funding

Outcomes: Serious and non-serious adverse events

Limitations: Quality of adverse-event reporting varied a lot.

Funding and conflicts: Philanthropic support for the authors' centre disclosed; no other conflicts

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 poison-centre exposures to mushroom edibles (Amanita muscaria, psilocybin or unspecified)
Unregulated psychoactive mushroom edibles
Not reproduced here
Polysubstance exposure, confusion and central nervous system depression were linked to admission and worse toxicity. No deaths were reported. The authors call the effects unpredictable and the products unregulated with unlisted ingredients.
Unpredictable effects from edibles
Methods, limits and funding

Outcomes: Hospital admission, severity

Limitations: Reported cases only; product contents unknown.

Funding and conflicts: Not stated in the abstract

Read: abstract

Leonard 2018
Does getting high hurt?
J Psychopharmacol · PMID 30182795 · DOI
Observational
5883
5,883 single-substance psilocybin-mushroom exposures reported to US poison centres
Psilocybin-containing mushrooms (unsupervised use; species not recorded)
Not reproduced here
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 overheating, seizures, coma and cardiac arrest. Most were treated and released from the emergency department.
Mostly mild or moderate, with rare serious cases
Methods, limits and funding

Outcomes: Clinical effects and outcomes

Limitations: Reported cases only; mushroom species and amount not confirmed.

Funding and conflicts: Not stated in the abstract

Read: abstract

Moghadam 2026
The Effect of Magic Mushroom (Psilocybe azurescens) on Social Interaction, Anxiety- and Depressive-Like Behaviors in Male Rats; the Role of Neuroinflammation, Oxidative Stress, and Neurotrophic Factors.
J Neurosci Res · PMID 41493855 · DOI
Animal study
animal
Male Wistar rats (group sizes not given in the abstract) Oral Psilocybe azurescens given by tube
Not reproduced here Every other day for 14 days
The authors report that the mushroom significantly increased anxiety-like and depressive-like behaviours and disrupted social interaction. This came with more brain inflammation and oxidative stress and lower nerve growth factors (BDNF and GDNF) in the hippocampus, prefrontal cortex and amygdala. They say high amounts may cause mood disorders.
Worse mood-like behaviour in rats
Methods, limits and funding

Outcomes: Social interaction, anxiety-like and depressive-like behaviour; brain levels of inflammation, oxidative stress and growth-factor markers

Limitations: Animal study. Rats are not people, the amounts were far above anything used in clinics, and the abstract gives no group sizes.

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 experience reports (Erowid, Shroomery, Reddit) Classic psychedelics taken with mood stabilisers
Not reproduced here
In 62 lithium plus psychedelic reports, 47% 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, not verified, not a trial.

Funding and conflicts: Authors include staff of Erowid, one of the data sources; one author sits on the board of the Heffter Research Institute

Read: abstract

Silvester 2026
Three cases of wood-lover paralysis: clinical insights from Victoria, Australia.
Clin Toxicol (Phila) · PMID 41910179 · DOI
Case series
3
Three patients with muscle weakness after eating Psilocybe mushrooms
Psilocybe subaeruginosa (DNA-confirmed in two cases)
Not reproduced here
One patient had mild weakness. One had severe weakness with takotsubo cardiomyopathy. One had severe weakness with respiratory failure needing a breathing tube. Samples from two cases were Psilocybe subaeruginosa by DNA. Psilocin was found in the blood of two patients. The authors say no specific alkaloid has been proven to cause the weakness.
Wood-lover paralysis can be life-threatening
Methods, limits and funding

Outcomes: Clinical course

Limitations: Three cases; species other than P. subaeruginosa not tested.

Funding and conflicts: Not stated in the abstract

Read: abstract

Voglmayr 2023
Alien and cryptogenic fungi and oomycetes in Austria: an annotated checklist (2nd edition).
Biol Invasions · PMID 36643959 · DOI
Checklist
n/a
375 alien fungal taxa in Austria n/a
The full text lists Psilocybe azurescens among five cultivated fungi that have escaped into natural habitats in Austria, and says it was expected to be recorded there and has since been recorded.
Recorded outside North America in Austria
Methods, limits and funding

Outcomes: Which fungi are alien to Austria

Limitations: Checklist; the abstract does not mention this species (read in the full text).

Funding and conflicts: Not stated

Read: full-text

Windsor 2026
Development of Psilocybe Mushroom Species Reference Material-Cultivation Parameters and Chemical Profiles.
J AOAC Int · PMID 39960890 · DOI
Lab analysis
lab
Six Psilocybe species grown in a company laboratory, including P. azurescens (12 samples) Psilocybin, psilocin and related tryptamines measured by thin-layer chromatography
Not reproduced here
In the full text, P. azurescens averaged 1.33% psilocybin (range 0.81 to 1.77%, 12 samples) and 0.20% psilocin (range 0.08 to 0.29%) by dry weight. Among the six species, average psilocybin was highest in P. zapotecorum, then P. azurescens. Baeocystin was detected in P. azurescens; norbaeocystin was minor in all species; aeruginascin was not seen.
Lab values for one set of laboratory-grown samples
Methods, limits and funding

Outcomes: Psilocybin and psilocin content (percent of dry weight) by species

Limitations: Laboratory measurement only (says nothing about effects in people). Only six species compared, one method, samples grown indoors by the authors' company, so wild mushrooms may differ. The abstract notes a 2026 erratum.

Funding and conflicts: All authors work for Nammex, which states a financial interest in developing Psilocybe cultivars (industry-linked)

Read: full-text

n/a 1971
United Nations Convention on Psychotropic Substances, 1971 (UNODC PDF), list of substances in Schedule I
n/a · Source
Regulation
n/a
n/a n/a
The 'List of Substances in the Schedules', under Schedule I, includes psilocine (psilotsin) and psilocybine. Under Schedule I, parties agree to prohibit all use except for scientific and very limited medical purposes by authorised persons. The convention text does not name mushrooms or this species.
Methods, limits and funding

Outcomes: The 'List of Substances in the Schedules', under Schedule I, includes psilocine (psilotsin) and psilocybine. Under Schedule I, parties agree to prohibit all use except for scientific and very limited medical purposes by authorised persons. The convention text does not name mushrooms or this species.

Limitations: Treaty text as published by UNODC; the file read may not show later changes to the schedules. How each country applies it differs. Not legal advice.

Read: full-text

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 low toxicity, raises blood pressure and heart rate, and can cause fear, panic or risky behaviour such as unsafe driving. It lists misidentifying a mushroom and taking a toxic one as a risk, and says some candies marketed as psilocybin products caused severe illness (CDC). It says psilocybin converts to psilocin, which acts mainly on the serotonin 2A receptor, and that researchers are testing psilocybin for depression, anxiety and substance use disorders. It says there is no data on the safety of psilocybin in pregnancy and that the FDA granted Breakthrough Therapy designation to a few psilocybin formulations being studied for depression. It describes evidence of use by Indigenous people in Central America as far back as 3000 B.C. It is about psilocybin mushrooms in general, not this species.
Methods, limits and funding

Outcomes: NIDA says psilocybin has low toxicity, raises blood pressure and heart rate, and can cause fear, panic or risky behaviour such as unsafe driving. It lists misidentifying a mushroom and taking a toxic one as a risk, and says some candies marketed as psilocybin products caused severe illness (CDC). It says psilocybin converts to psilocin, which acts mainly on the serotonin 2A receptor, and that researchers are testing psilocybin for depression, anxiety and substance use disorders. It says there is no data on the safety of psilocybin in pregnancy and that the FDA granted Breakthrough Therapy designation to a few psilocybin formulations being studied for depression. It describes evidence of use by Indigenous people in Central America as far back as 3000 B.C. It is about psilocybin mushrooms in general, not this species.

Limitations: Government fact page, not a trial. It does not name Psilocybe azurescens.

Read: full-text

n/a 2026
US eCFR: 21 CFR 1308.11 Schedule I (version dated 2026-10-21)
n/a · Source
Regulation
n/a
n/a n/a
Paragraph (d), hallucinogenic substances, covers any material, compound, mixture or preparation containing any quantity of the listed substances, and the list includes Psilocybin (code 7437) and Psilocyn (code 7438).
Methods, limits and funding

Outcomes: Paragraph (d), hallucinogenic substances, covers any material, compound, mixture or preparation containing any quantity of the listed substances, and the list includes Psilocybin (code 7437) and Psilocyn (code 7438).

Limitations: Federal regulation text only. State laws, enforcement and any exemptions are not covered; this is not legal advice.

Read: full-text

n/a 2026
PubChem: Psilocybin (CID 10624), psilocin (CID 4980), baeocystin (CID 161359), norbaeocystin (CID 9795063)
n/a · Source
Database
n/a
n/a n/a
Psilocybin C12H17N2O4P, molecular weight 284.25; psilocin C12H16N2O, 204.27; baeocystin C11H15N2O4P, 270.22; norbaeocystin C10H13N2O4P, 256.19.
Methods, limits and funding

Outcomes: Psilocybin C12H17N2O4P, molecular weight 284.25; psilocin C12H16N2O, 204.27; baeocystin C11H15N2O4P, 270.22; norbaeocystin C10H13N2O4P, 256.19.

Limitations: Chemical database, not a safety source.

Read: api

n/a 2026
GBIF Backbone Taxonomy and occurrence records: Psilocybe azurescens Stamets & Gartz (key 5242469), retrieved 2026-10-25
n/a · Source
Database
n/a
n/a n/a
Accepted species with no listed synonyms, family Hymenogastraceae, order Agaricales, phylum Basidiomycota; published in Integration: Journal for Mind Moving Plants and Culture 6: 21 (1995). 615 occurrence records: United States 521, Canada 17, and about 28 in Europe. By state or province: Washington 273, Oregon 191, California 41, British Columbia 14. Of 521 North American records with coordinates, 501 lie west of longitude 122 W, between about 36.8 and 54.1 N. Most records (531) are human observations, many from the public iNaturalist platform.
Methods, limits and funding

Outcomes: Accepted species with no listed synonyms, family Hymenogastraceae, order Agaricales, phylum Basidiomycota; published in Integration: Journal for Mind Moving Plants and Culture 6: 21 (1995). 615 occurrence records: United States 521, Canada 17, and about 28 in Europe. By state or province: Washington 273, Oregon 191, California 41, British Columbia 14. Of 521 North American records with coordinates, 501 lie west of longitude 122 W, between about 36.8 and 54.1 N. Most records (531) are human observations, many from the public iNaturalist platform.

Limitations: GBIF records show where it was recorded and photographed, not where it is native. Records are uneven because they depend on where people look and report.

Read: api

n/a 2026
America's Poison Centers (poison.org): home page, read 2026-10-25
n/a · Source
Public health guidance
n/a
n/a n/a
Says to use the Poison Control online tool or call a poison center at 1-800-222-1222; both are free, expert and confidential.
Methods, limits and funding

Outcomes: Says to use the Poison Control online tool or call a poison center at 1-800-222-1222; both are free, expert and confidential.

Limitations: United States number only.

Read: full-text

What we do not know yet

  • No human study of Psilocybe azurescens for any use or safety question.
  • One rat study only; group sizes and effect sizes not available from the abstract.
  • Only one set of strength measurements, from a company-linked laboratory.
  • Not known whether it can cause the weakness syndrome described for some wood-loving Psilocybe mushrooms.
  • Native range and conservation were 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 6

▲

Anxiety-like behaviour (elevated plus maze, rats)

Raised in trials

A test in which rats choose between open and enclosed arms of a raised maze. Less time in open arms is read as more anxiety-like behaviour.

Very low certainty
Results and what it means

Why it was measured

It is a common animal test used to look for anxiety-like effects of a substance.

Statistical vs. clinical meaning

Suggests a possible unwanted effect at high amounts in rats; says little about people.

Safety implication

Signals possible anxiety with high amounts; human data for this species are lacking.

StudyResultPeopleProduct
8The mushroom significantly increased anxiety-like behaviour.Male Wistar ratsPsilocybe azurescens by tube every other day for 14 days

8

▲

Depressive-like behaviour (forced swim test, rats)

Raised in trials

A test in which rats are placed in water and the time spent floating is read as depressive-like behaviour.

Very low certainty
Results and what it means

Why it was measured

It is a standard animal test used to screen for mood effects.

Statistical vs. clinical meaning

Opposite of a mood benefit in this animal model; not a measure of human depression.

Safety implication

A reason for caution with repeated high amounts.

StudyResultPeopleProduct
8The mushroom significantly increased depressive-like behaviour.Male Wistar ratsPsilocybe azurescens by tube every other day for 14 days

8

▼

Social interaction (three-chamber test, rats)

Lowered in trials

A test of how much a rat chooses to spend time with another rat rather than an empty space.

Very low certainty
Results and what it means

Why it was measured

Changes in sociability are used as a sign of altered mood or brain function in animals.

Statistical vs. clinical meaning

Animal behaviour result only.

Safety implication

No human implication can be drawn.

StudyResultPeopleProduct
8Social interaction behaviour was disrupted.Male Wistar ratsPsilocybe azurescens by tube every other day for 14 days

8

▲

Brain inflammation markers (IL-6, TNF-alpha, rats)

Raised in trials

Proteins the body makes during inflammation, measured here in brain tissue.

Very low certainty
Results and what it means

Why it was measured

The authors wanted to test whether inflammation could explain the behaviour changes.

Statistical vs. clinical meaning

Possible mechanism proposed by the authors; not proven.

Safety implication

No human implication can be drawn.

StudyResultPeopleProduct
8Neuroinflammation increased in the hippocampus, prefrontal cortex and amygdala.Male Wistar ratsPsilocybe azurescens by tube every other day for 14 days

8

▲

Oxidative stress markers (ROS, SOD, rats)

Raised in trials

Measures of damaging reactive oxygen molecules and the enzyme (SOD) that helps clear them.

Very low certainty
Results and what it means

Why it was measured

Oxidative stress is often studied alongside brain and mood changes.

Statistical vs. clinical meaning

Animal laboratory finding only.

Safety implication

No human implication can be drawn.

StudyResultPeopleProduct
8The authors report increased oxidative stress in the same three brain regions.Male Wistar ratsPsilocybe azurescens by tube every other day for 14 days

8

▼

Nerve growth factors (BDNF, GDNF, rats)

Lowered in trials

Proteins that support the survival and growth of nerve cells.

Very low certainty
Results and what it means

Why it was measured

Lower levels are linked in animal work to mood problems, so they were measured.

Statistical vs. clinical meaning

Opposite of what is often hoped for from psilocybin in other work; this is one rat study of the whole mushroom.

Safety implication

No human implication can be drawn.

StudyResultPeopleProduct
8BDNF and GDNF were decreased in the hippocampus, prefrontal cortex and amygdala.Male Wistar ratsPsilocybe azurescens by tube every other day for 14 days

8

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 11
  • Wild mushrooms can look like deadly ones: a name or a photo does not make a mushroom safe. Most mushroom poisonings come from unidentified wild mushrooms, and most deaths come from mushrooms that contain amatoxins, found in Amanita, Lepiota and Galerina species. NIDA lists mistaking a toxic mushroom for a psilocybin one as a risk. Deadly poisoning can seem to ease and then end in liver failure days later. We found no source that names a specific look-alike for this species, and this page does not teach identification. Nothing here makes any mushroom safe to eat. Review 3 14
  • A weakness syndrome linked to some wood-loving Psilocybe mushrooms. A 2025 survey of 392 people, mostly in Australia and New Zealand, found 42.1% reported temporary weakness after wood-loving Psilocybe mushrooms, usually within 4 hours. Some had trouble swallowing (26.7%) or breathing (16.6%). A 2026 case series described three patients, one with respiratory failure needing a breathing tube, after Psilocybe subaeruginosa. The cause is unknown. None of the sources we read names Psilocybe azurescens, so we cannot say whether it can cause this. Survey 1 10 4
  • Strength is uncertain and may be high. In one laboratory set (12 samples grown in a company lab), P. azurescens averaged 1.33% psilocybin and 0.20% psilocin by dry weight, with psilocybin ranging from 0.81 to 1.77%. That was the second highest of six species in that set. These are one company's measurements by one method, and wild mushrooms may differ. The numbers describe chemistry, not what a person will feel, and say nothing about safe amounts. Lab analysis 12
  • Psychosis, mania, bipolar disorder and serious mental illness. Clinical studies of classic psychedelics report serious events in about 4% of participants with existing neuropsychiatric disorders, including worsening depression, suicidal behaviour, psychosis and convulsions. NIDA says people with mental-health conditions face higher risk outside clinical settings. Systematic review 5 14
  • Possible mood harm shown in rats. In one study, rats given this mushroom for 14 days showed more anxiety-like and depressive-like behaviour and lower nerve growth factors. It is an animal study at high amounts and may not apply to people, but no human safety study of this species exists to set against it. Animal study 8
  • Fear, panic and risky behaviour. NIDA says the experience can be frightening and can lead to dangerous behaviour such as unsafe driving or walking into traffic. In US poison-centre data on psilocybin mushrooms, the most common effects were hallucinations, agitation and a fast heart rate, and serious effects were infrequent. Observational 14 7
  • Heart and blood pressure. NIDA says psilocybin typically raises blood pressure and heart rate, which may be dangerous for people with heart conditions. Authoritative guidance 14
  • Lithium and seizures. In 62 online reports of lithium combined with a classic psychedelic, 47% involved seizures. These are anonymous, unverified reports, not a trial, but the authors call the seizure risk significant. Case report 9
  • Edibles and look-alike products. US poison centres received 362 reports of mushroom edibles in 2023-2024. Effects were unpredictable, ingredients were often unlisted, and mixing substances raised the chance of admission. NIDA cites CDC reports that some candies marketed as psilocybin products caused severe illness. Observational 6 14
  • Pregnancy. NIDA says there is no data on the safety of taking psilocybin during pregnancy, for the mother or the baby. Anyone who is pregnant or breastfeeding should ask a health provider. Authoritative guidance 14
  • Legal status. Psilocybin and psilocyn are Schedule I in US federal regulation, and psilocybin and psilocin are listed in Schedule I of the 1971 UN Convention. Laws differ by country, state and region, and they change. Check a current official source. This is not legal advice. Regulation 15 13
Side effects 6
EffectHow oftenSeverity and recoveryEvidence
Hallucinations, agitation and fast heart rate
Reported cases only; the species eaten was not confirmed.
45.8%, 24.1% and 18.0% in US poison-centre cases of psilocybin mushrooms (species unconfirmed)mild to moderate
Usually resolves
Observational 7
Raised blood pressure and heart rate
NIDA warns about heart conditions.
Not establishedmild to moderate; risky with heart disease
Usually while effects last
Authoritative guidance 14
Anxiety, fear, panic, paranoia ("bad trip")
NIDA says this can lead to dangerous behaviour.
Not establishedmoderate
Usually resolves
Authoritative guidance 14
Temporary muscle weakness, sometimes with swallowing or breathing trouble ("wood-lover paralysis")
Not linked to P. azurescens in the sources read; a self-selected survey.
42.1% of 392 survey respondents reported it with wood-loving Psilocybe mushroomsmild to life-threatening
Symptoms lasted into the next day for 48.1%
Survey 1 10
Worse anxiety-like and depressive-like behaviour (rats)
One animal study.
Not establishedunknown in people
Not studied
Animal study 8
Serious events in people with existing mental-health conditions
Includes worsening depression, suicidal behaviour, psychosis and convulsions.
About 4% of participants with existing neuropsychiatric disorders in research studiessevere
Varies
Systematic review 5
Liver

No liver injury from psilocybin or from this species was found in the sources read. Liver failure is the hallmark of poisoning by deadly amatoxin mushrooms, which are a different group. 3

Monitoring. Not assessed.

This is a safety connection. It is not evidence that Psilocybe azurescens supports liver health.

Medicines and supplements 3
WithWhy it mattersImportanceEvidenceWhat to do
Lithium
prescription
Unknown.47% of 62 online reports involved seizures.Case report Very low certainty 9Do not combine without a doctor; reports suggest a real seizure risk.
Antidepressants such as SSRIs, and MAOIs
prescription
Serotonin-system overlap is expected, but no interaction study was read for this page.Not verified.Not read Not enough evidence Ask a doctor or pharmacist; do not stop any medicine on your own.
Alcohol, cannabis and other drugs
recreational
Not studied here.Poison-centre data link combined substances to higher admission rates for mushroom edibles.Observational Low certainty 6Mixing substances makes outcomes less predictable.
Who should check first 5
SituationAdviceEvidence
History of psychosis, mania or bipolar disorder (or a close family history)Talk to a doctor. Serious events including psychosis occurred in people with existing conditions in research.Systematic review 5
Heart disease or high blood pressurePsilocybin raises blood pressure and heart rate (NIDA).Authoritative guidance 14
Pregnancy and breastfeedingNo safety data (NIDA).Authoritative guidance 14
Taking lithiumReports of seizures. See Interactions.Case report 9
Driving or operating machineryNIDA warns of dangerous behaviour including unsafe driving.Authoritative guidance 14
Overdose, product quality and regulators

Summary. NIDA describes psilocybin as having low toxicity, meaning breathing failure or heart attack are unlikely, but real risks exist. For this species there is almost no safety research: one rat study and a strength measurement. The biggest danger from a wild mushroom is eating the wrong species.

Animal. One rat study reported worse mood-like behaviour and brain markers at high amounts over 14 days.

High dose or long term signals. Rat study only.

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.

Edibles. 362 poison-centre reports, ingredients often unlisted; NIDA cites CDC reports of toxic chemicals in some psilocybin-labelled candies. 6 14

Content variability. In one laboratory set, psilocybin in P. azurescens ranged from 0.81 to 1.77% of dry weight across 12 samples. 12

BodyActionDate
US Drug Enforcement Administration (via 21 CFR 1308.11) (United States)Psilocybin (code 7437) and psilocyn (code 7438) are listed in Schedule I. The paragraph covers any material, compound, mixture or preparation containing any quantity of the listed substances. source2026-10-25
United Nations Convention on Psychotropic Substances, 1971 (International)Psilocine and psilocybine are listed in Schedule I of the convention text. The convention does not name mushrooms or this species, and each country applies it differently. source2026-10-25
US Food and Drug Administration (as described by NIDA) (United States)NIDA says FDA granted Breakthrough Therapy designation to a few psilocybin formulations being studied for depression. This is a development status, not an approval, and does not concern wild mushrooms. source2026-10-25
When to get medical help
  • Anyone who has eaten a wild mushroom and develops vomiting, diarrhea or belly pain, even if they feel better later: call poison control or emergency services at once. Amatoxin poisoning can seem to improve before the liver fails.
  • Trouble swallowing or breathing, sudden weakness, 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.
  • In the US, call a poison center at 1-800-222-1222 (poison.org). Numbers in other countries 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 Psilocybe azurescens?

A mushroom species in the family Hymenogastraceae that contains psilocybin and psilocin. It was formally named by Stamets and Gartz in 1995 (GBIF). It is one of many psilocybin-containing species, often called magic mushrooms.

17 14

Where has it been recorded?

GBIF holds 615 records, mostly from Washington (273), Oregon (191), California (41) and British Columbia (14), so records cluster along the Pacific coast of North America. A few records come from Europe, and an Austrian checklist lists it among cultivated fungi that have escaped there. Records show where it was seen, not where it is native.

17 11

Is it stronger than other magic mushrooms?

One company laboratory measured 12 samples at an average of 1.33% psilocybin by dry weight (range 0.81 to 1.77%). In that set of six species, only P. zapotecorum averaged higher. That is one lab, one method and indoor-grown samples, so it does not settle how strong any particular mushroom is, and it is not a guide to effects.

12

Has it been tested in people?

We found no human study of this species. Clinical trials use purified psilocybin, not mushrooms. See the Psilocybin page for those results.

14

What did the animal study find?

In one 2026 rat study, the mushroom given by mouth for 14 days increased anxiety-like and depressive-like behaviour and disrupted social behaviour, with more brain inflammation and lower nerve growth factors. It is one animal study at high amounts, so it is a caution rather than proof of harm in people.

8

Is it safe?

No mushroom is safe because of its name or look. Psilocybin can cause intense fear and raises blood pressure and heart rate, and no safety study of this species in people exists. US poison-centre data on psilocybin mushrooms show mostly mild to moderate effects, with rare serious ones.

14 7

Can it be confused with deadly mushrooms?

Mix-ups are the main danger of wild mushrooms. Most mushroom poisonings come from unidentified mushrooms and most deaths from amatoxin mushrooms such as some Amanita, Lepiota and Galerina. No source we read names a particular look-alike for this species, and this page does not teach identification.

3 14

What is wood-lover paralysis, and does it apply here?

It is a temporary weakness reported after some wood-loving Psilocybe mushrooms. In a 2025 survey of 392 people, 42.1% reported it, some with trouble swallowing or breathing. A 2026 case series involved Psilocybe subaeruginosa. None of the sources we read names Psilocybe azurescens, so we cannot say whether it applies.

1 10

Is it legal?

Psilocybin and psilocyn are Schedule I in US federal regulation, and psilocybin and psilocin are listed in Schedule I of the 1971 UN Convention. Laws differ by country, state and region and change often, and this is not legal advice. Check a current official source.

15 13

How is it different from psilocybin and Psilocybe cubensis?

Psilocybin is the chemical; Psilocybe azurescens and Psilocybe cubensis are two different mushrooms that contain it. Almost all human research uses purified psilocybin. Mushrooms of any species vary in what they contain.

12 14

Does it treat depression or any other condition?

No evidence shows that this mushroom treats anything. Research on psilocybin for depression, anxiety and addiction is on purified psilocybin in supervised trials and is still being tested.

14

What should someone do after a wild mushroom has been eaten and they feel unwell?

Call poison control or your local emergency number at once, even if symptoms ease. In the US, a poison center can be reached at 1-800-222-1222. Amatoxin poisoning can seem to improve before the liver fails.

18 3

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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 12 PubMed papers (full text for two of them), read NIDA, the US federal drug schedule, the UN 1971 convention schedule list and the poison.org home page, checked the name and records in GBIF and compounds in PubChem. Certainty ratings are the compiler's own reading. The strength figures come from a company-linked paper. The FDA page itself was not opened.
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 18

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

  1. Beck SA, Barlow C, Engel L et al. "Wood-lover paralysis": Describing a toxidrome with symptoms of weakness caused by some lignicolous "wood-loving" Psilocybe mushrooms.. Toxicon. 2025. PMID 40490153. DOI 10.1016/j.toxicon.2025.108450. (abstract)
  2. Bollinger IM, Singer H, Jacobs J et al. High-quality draft genomes of ecologically and geographically diverse Psilocybe species.. Microbiol Resour Announc. 2025. PMID 39727395. DOI 10.1128/mra.00250-24. (abstract)
  3. Diaz JH. Amatoxin-Containing Mushroom Poisonings: Species, Toxidromes, Treatments, and Outcomes.. Wilderness Environ Med. 2018. PMID 29325729. DOI 10.1016/j.wem.2017.10.002. (abstract)
  4. Dörner S, Rogge K, Fricke J et al. Genetic Survey of Psilocybe Natural Products.. Chembiochem. 2022. PMID 35583969. DOI 10.1002/cbic.202200249. (abstract)
  5. Hinkle JT, Graziosi M, Nayak SM et al. Adverse Events in Studies of Classic Psychedelics: A Systematic Review and Meta-Analysis.. JAMA Psychiatry. 2024. PMID 39230883. DOI 10.1001/jamapsychiatry.2024.2546. (abstract)
  6. Jorgenson DM, Santos Leon E, Vakkalanka JP 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)
  7. Leonard JB, Anderson B, Klein-Schwartz W. Does getting high hurt?. J Psychopharmacol. 2018. PMID 30182795. DOI 10.1177/0269881118793086. (abstract)
  8. Moghadam H, Akbari P, Beirami E et al. The Effect of Magic Mushroom (Psilocybe azurescens) on Social Interaction, Anxiety- and Depressive-Like Behaviors in Male Rats; the Role of Neuroinflammation, Oxidative Stress, and Neurotrophic Factors.. J Neurosci Res. 2026. PMID 41493855. DOI 10.1002/jnr.70107. (abstract)
  9. Nayak SM, Gukasyan N, Barrett FS 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)
  10. Silvester A, Hampton S, May TW et al. Three cases of wood-lover paralysis: clinical insights from Victoria, Australia.. Clin Toxicol (Phila). 2026. PMID 41910179. DOI 10.1080/15563650.2026.2640196. (abstract)
  11. Voglmayr H, Schertler A, Essl F, Krisai-Greilhuber I. Alien and cryptogenic fungi and oomycetes in Austria: an annotated checklist (2nd edition).. Biol Invasions. 2023. PMID 36643959. DOI 10.1007/s10530-022-02896-2. (full-text)
  12. Windsor C, Kreynes AE, Chilton JS et al. Development of Psilocybe Mushroom Species Reference Material-Cultivation Parameters and Chemical Profiles.. J AOAC Int. 2026. PMID 39960890. DOI 10.1093/jaoacint/qsaf007. (full-text)
  13. n/a. United Nations Convention on Psychotropic Substances, 1971 (UNODC PDF), list of substances in Schedule I. n/a. 1971. (full-text)
  14. n/a. NIDA: Psilocybin (Magic Mushrooms) (page read 2026-10-25). n/a. 2026. (full-text)
  15. n/a. US eCFR: 21 CFR 1308.11 Schedule I (version dated 2026-10-21). n/a. 2026. (full-text)
  16. n/a. PubChem: Psilocybin (CID 10624), psilocin (CID 4980), baeocystin (CID 161359), norbaeocystin (CID 9795063). n/a. 2026. (api)
  17. n/a. GBIF Backbone Taxonomy and occurrence records: Psilocybe azurescens Stamets & Gartz (key 5242469), retrieved 2026-10-25. n/a. 2026. (api)
  18. n/a. America's Poison Centers (poison.org): home page, read 2026-10-25. n/a. 2026. (full-text)
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.