The effect of methamphetamine and 3,4-methylenedioxymethamphetamine on peripheral endocannabinoid concentrations: a study in healthy adults.
Ana Deutsch, Connor J Haggarty, Gavin N Petrie, Matthew N Hill, Anya K. Bershad, Harriet de Wit, Leah M. Mayo
Psychopharmacology February 1, 2026 DOI: 10.1007/s00213-025-06888-7 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Within-subject, double-blind, placebo-controlled trial Peer reviewed |
|---|---|
| Sample size | 22 |
| Population | Healthy adults |
| Interventions | Methamphetamine MDMA |
| Dose | 20 mg MA, 100 mg MDMA |
| Topics | MDMA |
| Keywords | Endocannabinoids Methamphetamine Stimulants Substance use disorders |
| Citations | 1 |
| Key findings | Methamphetamine, but not MDMA, significantly lowered plasma 2-AG concentrations compared to placebo, while neither drug affected AEA levels. |
Abstract
Stimulant drugs such as methamphetamine (MA) and 3,4-methylenedioxymethamphetamine (MDMA) can impact neurobiological systems implicated in stress, reward processing, and drug use. Although recent preclinical evidence implicates the endocannabinoid (eCB) system in these processes, little is known about the acute effects of stimulants on eCB levels in humans. The aim of the present study was to investigate the effects of acute administration of the prototypical psychostimulant MA and the psychostimulant-empathogen MDMA on circulating eCB levels in healthy adults. Using a within-subject, double-blind design, this study assessed the acute effects of MA (20 mg), MDMA (100 mg), and placebo on plasma eCB levels in healthy human participants (N = 22) during three separate sessions. Blood samples assessing concentrations of the eCBs anandamide (AEA) and 2-Arachidonoylglycerol (2-AG) were collected between 150- and 180-minutes post-drug administration, and subjective measures of drug effects were collected at regular intervals. MA, but not MDMA, was associated with significantly lower 2-AG plasma concentrations compared to placebo. Neither drug impacted AEA concentrations. However, during the placebo condition, higher AEA concentrations were correlated with disliking the 'drug effects', suggesting a possible relationship between AEA levels and negative expectations of subjective drug effects. These findings provide novel insights into how stimulant drugs act on the eCB system and may help to develop treatments for SUDs.
Comparable studies
Other randomized controlled trials on MDMA, most cited first.
Citations in the library
Cites 12
- MDMA-assisted therapy for severe PTSD: a randomized, double-blind, placebo-controlled phase 3 study. Nature Medicine June 1, 2021
- MDMA-assisted therapy for moderate to severe PTSD: a randomized, placebo-controlled phase 3 trial. Nature Medicine October 1, 2023
- Distinct acute effects of LSD, MDMA, and d-amphetamine in healthy subjects Neuropsychopharmacology November 16, 2019
- A direct comparison of the behavioral and physiological effects of methamphetamine and 3,4-methylenedioxymethamphetamine (MDMA) in humans Psychopharmacology June 30, 2011
- Direct comparison of the acute subjective, emotional, autonomic, and endocrine effects of MDMA, methylphenidate, and modafinil in healthy subjects Psychopharmacology May 27, 2017
and 7 more in the library