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Psilocybin versus nicotine patch: a smoking-cessation pilot

A 2026 pilot favored supervised psilocybin plus behavioral therapy, but its unblinded design limits certainty.

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Supplement Science Insights Editorial Team

Published September 23, 2026

The study and its comparison

Eighty-two psychiatrically healthy smokers were randomized to a supervised psilocybin session or a nicotine-patch course. Both groups received thirteen weeks of cognitive behavioral therapy. [1]

At six months, verified prolonged abstinence was 40.5 percent versus 10.0 percent. Sixty-eight participants completed follow-up; the analysis retained randomized denominators. No serious adverse events were attributed to either treatment. [1]

What the finding establishes

The trial was small and unblinded, so expectations and selected eligibility matter. Investigators disclosed grants and relationships with psychedelic and pharmaceutical organizations; full study funding was not established from the abstract. The result is not proof that unsupervised mushroom use safely treats nicotine dependence. [1]

A hypothetical distinction

Imagine two groups receive the same behavioral program but know their assigned treatment. That knowledge can still affect the comparison.

Interpretation checklist — Psilocybin versus nicotine patch
DetailInterpretation
Measured outcomeKeep the endpoint specific
Study preparationNot every retail product
Remaining uncertaintyNot resolved by a mechanism
Psilocybin versus nicotine patch: a smoking-cessation pilot — original article outline diagram
Original editorial diagram of this article’s sections; no product photograph or clinical finding is depicted.

Sources for this article

  1. Psilocybin or Nicotine Patch for Smoking Cessation: A Pilot Randomized Clinical Trial.
    Source consulted: 2026-09-19. This is a reference resource, not a claim that we conducted the studies or tested a product.