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Instability of the ecstasy market and a new kid on the block: mephedrone

Tibor M Brunt, Anneke Poortman, Raymond J.m. Niesink, Wim van den Brink

Journal of Psychopharmacology September 8, 2010 DOI: 10.1177/0269881110378370 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational study Peer reviewed
Sample size 70
Population Regular ecstasy users
Topics MDMA
Keywords Mephedrone Cathinone Recreational drug Designer drug Pharmacology Amphetamine
Citations 217
Key findings Mephedrone partially replaced MDMA in ecstasy tablets in the Netherlands in 2009, producing amphetamine-like effects and strong cravings in most users.

Abstract

Recently, several reports have indicated instability of the ecstasy market in the Netherlands and other EU countries. In the current study, we demonstrate this instability in the Netherlands, showing a decrease of ecstasy tablets containing 3,4-methylenedioxymetamphetamine (MDMA) by more than 50% in 2009. In addition, we describe a partial replacement of MDMA in tablets sold as ecstasy by a previously unseen substance, mephedrone (or 4-methylmethcathinone). Mephedrone was quantified and ecstasy tablets contained between 96 and 155 mg of this new compound. So far, no studies about mephedrone’s effects have been published. For this study, we gathered information on the acute subjective effects of mephedrone from 70 regular ecstasy users. Overall, the majority of users considered the effects enjoyable. Mephedrone seemed to evoke effects similar to other amphetamine type psychostimulants, including MDMA. In contrast to MDMA, however, mephedrone induced strong feelings of craving in most users. If the unstable ecstasy market situation persists, the potential of mephedrone to substitute for MDMA might be substantial. Mephedrone, sold as ecstasy, is therefore likely to be a valid cause for health concern.

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