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Reading, engaging with, and sharing our publications, papers and commentary gives evidence-based science and policy the audience it needs and deserves. By checking this box I consent to the use of my information provided for email marketing purposes. Mephedrone 4-methylmethcathinone is a former legal-high that is now banned across the EU. It is a manufactured substance rather than natural substance. It appears as a white or off-white powder which is primarily either snorted or swallowed. Injection has also been reported. Injection of drugs is associated with higher risks of overdose and other harms like infection. Mephedrone is a stimulant and its effects are reported to be similar in some ways to cocaine and MDMA. As mephedrone has only been widely used from around onwards, not much has been established scientifically about the specific effects of the drug. People who have used mephedrone report stimulant effects such as increased energy, self-confidence and talkativeness. When mephedrone is snorted, it only takes a few minutes for its effects to appear, and the effects generally peak in half an hour or less. When swallowed usually wrapped in a cigarette paper its effects can take more than 45 minutes to appear, depending on factors like how much food is in the stomach. People using the drug also report a comedown period after use, which can also be compared to the comedown periods experienced after cocaine , speed or MDMA use. Users have reported that it is very tempting to take more mephedrone again and again to keep the high going and to prevent the comedown. This increases the risks of immediate harm and may increase the risk of becoming addicted. Much of the information in this section was taken from Schifano et al, There have been deaths associated with or caused by mephedrone use , although not as many as were reported in the media. Usually, deaths involved very high doses, mephedrone use with alcohol and other drugs including interacting prescription drugs or pre-existing problems such as heart or liver conditions. Mephedrone deaths and serious emergencies occur in a similar way to deaths from other strong stimulants. The drug effects can overload the heart, and overheating can cause seizures and organ failure. Fatal accidents have also been associated with the drug. It should always be treated as a medical emergency if someone collapses having taken mephedrone, suffers seizures, or sudden chest pains. Other much more common nasty effects, usually associated with moderate or high doses, include feeling unbearably hot, feeling faint or that your heart is racing uncomfortably fast. Some people suffer paranoia, frightening hallucinations, confusion, panic and agitation. If you or a friend gets these symptoms, stay as calm as you can, move if necessary to a more relaxed, cooler environment and try to calm down. Lying down may be helpful, taking slow breaths, breathing in and out of a paper bag helps with panic. If it does help and you feel totally recovered, it is still sensible not to get back into the party and take more mephedrone. Some people have binged on mephedrone for several days. Eating, drinking, sleeping and resting are vital. Missing these things makes someone more likely to suffer from any of the potential harms, from the slightly unpleasant effects to seizures, psychosis and death. As with other stimulants such as speed or cocaine , taking mephedrone if you have a heart problem or high blood-pressure is likely to be riskier. Mental health should be taken into account, as the chance of panic, paranoia, hallucinations and compulsive bingeing are likely to be increased if you have a disorder that predisposes you to these. The risks of harm, including death, are likely to be increased by taking the drug whilst being on prescribed medication especially antidepressants or particularly taking other stimulant drugs such as amphetamines, MDMA and cocaine. Not enough is currently known about mephedrone to say how harmful use would be over a long period of time. It is probable that the long term harms of mephedrone would be similar to drugs such as cocaine and MDMA due to their similar effects and structure. There is also some suggestion that mephedrone could be quite addictive, with cravings and low mood unless the drug is taken. However, there has not yet been enough rigorous scientific investigation into mephedrone addiction. Mephedrone harm reduction advice is partly based on what we know of related drugs like amphetamines and MDMA, as not enough research has been done on mephedrone specifically. If you are dancing also you may overheat and become dehydrated. It is therefore a good idea to take regular breaks from dancing and drink moderate amounts of water. Before mephedrone was made illegal, people would sell mephedrone as plant fertilizer, bath salts or as a research chemical. This was a disguise for selling it for use as a recreational drug, to get around the law. Drug Science is an independent, science-led drugs charity. We rely on donations to continue to promote evidence-based information about drugs without political or commercial interference. We are grateful … But we need more. Becoming a donor will help ensure we can continue our work. Join our Community and access opportunities to become more deeply engaged in our work. Search for:. Keep up with developments in drug science Reading, engaging with, and sharing our publications, papers and commentary gives evidence-based science and policy the audience it needs and deserves. Home Mephedrone Meow Meow. Mephedrone Meow Meow. Previous: MDMA. Module: Psilocybin Science. Next: Modafinil. What is mephedrone? What are the different forms of mephedrone? How does mephedrone work as a drug in the body and brain? What are the effects of mephedrone? Does mephedrone have any medical uses? None known. What are the risks of using mephedrone? Are there health conditions that make mephedrone more dangerous? Mixing mephedrone with other drugs. What are the long-term effects of mephedrone on health and wellbeing? Mephedrone harm reduction advice. Mephedrone myths and misunderstandings. Is it actually plant food or bath salts? Related Content. December 1 Would you let your teenager try psychedelics? November 15 Where are we now? November 14 November 10 Support our work and help ensure that evidence-based research can influence policy and public opinion, not political or commercial agenda.

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Mephedrone , also known as 4-methylmethcathinone 4-MMC , or 4-methylephedrone , is a synthetic stimulant and entactogen drug of the amphetamine and cathinone classes. Slang names include meph , \\\\\\\[ 5 \\\\\\\] drone , \\\\\\\[ 6 \\\\\\\] and MCAT. It comes in the form of tablets or a powder, which users can swallow, snort or inject, producing similar effects to MDMA , amphetamines , and cocaine. As well as producing the intended stimulant effects, negative side effects occur when mephedrone is used, with teeth grinding the most common. The metabolism of mephedrone has been studied in rats and humans, and the metabolites can be detected in urine after usage. Nothing is known about the potential neurotoxicity of mephedrone, but scientists have suggested possible dangers associated with its use based on its similarity to other drugs. Several people have died after consuming mephedrone, but some deaths that the media attributed to the drug were later determined to have been caused by other factors. Mephedrone was first synthesised in but did not become widely known until it was rediscovered in By mephedrone was reported to be available for sale on the internet, by law enforcement agencies had become aware of the compound and by it had been reported in most of Europe, becoming particularly prevalent in the United Kingdom. Mephedrone was first made illegal in Israel in , followed by Sweden later that year. In it was made illegal in many European countries and in December , the EU ruled it illegal. In September the USA temporarily classified mephedrone as illegal, with effect from October Mephedrone is one of hundreds of designer drugs or legal highs that have been reported in recent years, including artificial chemicals such as synthetic cannabis and semi-synthetic substances such as methylhexaneamine. These drugs are primarily developed to avoid being controlled by laws against illegal drugs, thus giving them the label of designer drugs. A drug similar to mephedrone, containing cathinone , was sold legally in Israel from around , under the name hagigat. When this was made illegal, the cathinone was modified and the new products were sold by the Israeli company, Neorganics. Their research suggests that the drug first became available to purchase on the internet in , when it was also discussed on internet forums. Europol noted that they became aware of it in , after it was found in Denmark, Finland and the UK. Between the summer of and March the use of mephedrone grew rapidly in the UK, with it becoming readily available at music festivals , head shops and on the internet. Whilst the evidence is anecdotal, researchers, charity workers, teachers and users have reported widespread and increasing use of the drug. The drug's rapid growth in popularity was believed to be related to both its availability and legality. In comparison over a similar time period, the entries for cocaine and MDMA were accessed approximately times. Media organisations including the BBC and The Guardian , as well as a news section in the Annals of Botany \\\\\\\[ 38 \\\\\\\] later corrected \\\\\\\[ 39 \\\\\\\] , incorrectly reported that mephedrone was commonly used as a plant fertiliser. In fact sellers of the drug described it as 'plant food' because it was illegal to sell the compound for human consumption. On 30 March , Alan Johnson , the then Home Secretary , announced that mephedrone would be made illegal 'within weeks' after the ACMD sent him a report on the use of cathinones. He said that the decision by the Home Secretary was 'unduly based on media and political pressure' and there was 'little or no discussion about how our recommendation to classify this drug would be likely to impact on young people's behaviour. We need to stop harming people who need help and support'. The parliamentary debate was held on 8 April, one day after the general election had been announced, meaning it was during the so-called 'wash-up period' when legislation is passed with little scrutiny. Only one hour was spent debating the ban and all three parties agreed, meaning that no vote was required. Compared to previous surveys, more users purchased it off dealers, rather than the internet. Of the various drugs used by the survey participants, it was the most likely for users to have concerns about. Rather than the price rising due to increased scarcity of the drug, it is thought to have risen for two other reasons. Firstly dealers know that there is still demand for mephedrone, but are aware that supplies of mephedrone may be exhausted in the future. Secondly, the dealers perceive that customers are likely to be willing to pay more, for an illegal substance. In the first six months of , the number of cocaine related deaths fell for the first time in four years, and fewer soldiers tested positive for cocaine in than in She suggested that this may have been due to users switching to mephedrone from cocaine, but cautioned that before full figures are available for and , it will be difficult to determine whether mephedrone saved lives, rather than cost them. There have been no formal published studies into the effects of mephedrone psychological and behavioural effects of mephedrone on humans nor on animals from which the potential effects could be extrapolated. As a result, the only information available comes from users themselves and clinical reports of acute mephedrone toxicity. Users have reported that mephedrone causes euphoria , stimulation , an enhanced appreciation for music , an elevated mood , decreased hostility , improved mental function and mild sexual stimulation ; these effects are similar to the effects of cocaine, amphetamines and MDMA. These effects last different amounts of time, depending on the way the drug is taken. When taken orally, users report they can feel the effects within 15—45 minutes, when snorted the effects are felt within minutes and peak within half an hour. The effects last for between two and three hours when taken orally or nasally, but only half an hour if taken intravenously. The ECMDDA reported that mephedrone can cause various unintended side effects including: poor concentration , teeth grinding , problems focusing visually, poor short-term memory , hallucinations, delusions, erratic behaviour \\\\\\\[ 1 \\\\\\\] and dilated pupils. Other effects that users in internet forums have noted include changes in body temperature, increased heart rate , breathing difficulties, loss of appetite, increased sweating , discolouration of extremeties, anxiety , paranoia and depression. They reported that none of their patients suffered from cold or blue peripheries, contrary to other reports. Nine out of the 15 of patients had a Glasgow Coma Scale GCS of 15 indicating that they were in a normal mental state, 4 had a GCS below 8, but these patients all reported using a central nervous system depressant, most commonly GHB , with mephedrone. The patients also reported polydrug use of a variety of compounds. Almost nothing is known about the long-term effects of the drug due to the short history of its use. Mephedrone can come in the form of capsules, tablets or white powder that users may swallow, snort, inject, smoke or use rectally. Of those, two thirds snorted the drug and the average dosage per session was 0. Users who snorted the drug reported using more per session than those who took it orally 0. This was contrary to another study in New Zealand where users of benzylpiperazine thought that because it was legal it was safe. The drugs advice charity Lifeline recommends that to reduce the potential harm caused by using mephedrone, users should only use mephedrone occasionally less than weekly , use less than 0. Users should also drink plenty of water whilst taking the drug as it causes dehydration. Very little is known about the pharmacology of mephedrone. The actions of amphetamines and cathinones are determined by the differences in how they bind to noradrenalin, dopamine and serotonin transporters. We don't have a testing system. It could be very dangerous, we just don't know. These chemicals have never been put into animals, let alone humans. He also told the BBC 'all we can say is \\\\\\\[mephedrone\\\\\\\] is probably as harmful as ecstasy and amphetamines and wait until we have some better scientific evidence to support that. An article published in a edition of British Journal of Pharmacology examined the effects of mephedrone, MDMA , and amphetamine in the nucleus accumbens of rats. Dopamine and serotonin were collected using microdialysis, and increases in dopamine and serotonin were measured using HPLC. Reward and drug seeking are linked to increases in dopamine concentrations in the nucleus accumbens, and drug half-life plays a role in drug seeking as well. Based on histological examination, most of the author's probes were in the nucleus accumbens shell. They reached their peak concentrations at 40 minutes and 20 minutes, respectively, and returned to baseline by minutes post injection. Analysis of the ratio of the AUC for dopamine DA and serotonin 5-HT indicated that mephedrone was preferentially a serotonin releaser, with a ratio of 1. Additionally, half-lives for the decrease in DA and 5-HT were calculated for each drug. Mephedrone had decay rates of MDMA had decay values of Taken together, these findings show that mephedrone induces a massive increase in both DA and 5-HT, combined with rapid clearance. The rapid rise and subsequent fall of DA levels could explain some of the addictive properties that mephedrone displays in some users. Based on the analysis of rat and human urine by gas chromatography and mass spectrometry , mephedrone is thought to be metabolised by three phase I pathways. It can be demethylated to the primary amine producing compounds 2, 3 and 5 the ketone group can be reduced producing 3 or the tolyl group can be oxidised producing 6. It is thought that 5 and 6 are further metabolised by conjugation to the glucuronide and sulfate derivatives. Knowledge of the primary routes of metabolism should allow the intake of mephedrone to be confirmed by drug tests , as well as more accurate determination of the cause of side effects and potential for toxicity. As of March , there have been no reported studies on the potential neurotoxicity of mephedrone \\\\\\\[ 77 \\\\\\\] nor is the median lethal dose known. Shortly afterwards they 'developed palpitations, 'blurred tunnel vision,' chest pressure and sweating'. The patient was treated with 1 mg of lorazepam and the sympathomimetic features decreased and they were discharged within 6 hours of arrival. He was treated with lorazepam and discharged 15 hours after admission. Simon Gibbons and Mire Zloh of The School of Pharmacy, University of London stated that based on the chemical similarities between methcathinone and mephedrone, 'it is highly likely that mephedrone will display neurotoxicity'. They concluded that experimental research is needed to investigate the toxicity of mephedrone. The doctors treating the patient stated it was caused by either a direct toxic effect of mephedrone on the heart muscle, or by an immune response. The patient started to recover after arriving at the hospital and it was not necessary to administer any medication. Mephedrone may be quantitated in blood, plasma or urine by gas chromatography-mass spectrometry to confirm a diagnosis of poisoning in hospitalized patients or to provide evidence in a medicolegal death investigation. In , an year-old Swedish woman died in Stockholm after taking mephedrone. The tabloid newspaper Svenska Dagbladet reported that the woman went into convulsions and turned blue in the face. An autopsy showed severe brain swelling. The possession of mephedrone became classified as a criminal offence in Sweden on 15 December In , there were unconfirmed reports speculating about the role mephedrone has played in the deaths of several young people in the UK. By July , mephedrone had been alleged to be involved in 52 fatalities in the UK, but detected in only 38 of these cases. Of the nine that coroners had finished investigating, two were caused directly by mephedrone. Toxicology reports showed that the teenagers had in fact not taken any mephedrone and that they in fact died as a result of consuming alcohol and the heroin substitute methadone. Mephedrone has been implicated in the death of a 22 year old male, who had also injected black tar heroin. Mephedrone was found in his blood at a concentration of 0. The blood concentration of morphine, a metabolite of heroin, was 0. Mephedrone is a white substance. It is sold most commonly as crystals or a powder, but also in the form of capsules or pills. Mephedrone can be synthesised in several ways. The simplest method, due to the availability of the compounds, \\\\\\\[ 1 \\\\\\\] is to add 4-methylpropiophenone dissolved in glacial acetic acid to bromine , creating an oil fraction of 4'-methylbromopropiophenone. The oil fraction can then be dissolved in dichloromethane CH 2 Cl 2 and drops of the solution added to another solution of CH 2 Cl 2 containing methylamine hydrochloride and triethylamine. Hydrochloric acid HCl is then added and the aqueous layer is removed and turned alkaline using sodium hydroxide before the amine is extracted using CH 2 Cl 2. The CH 2 Cl 2 is then evaporated using a vacuum, creating an oil which is then dissolved in a non-aqueous ether. HCl gas is then bubbled through the mixture to produce 4-methylmethcathinone hydrochloride. It can also be produced by oxidising the ephedrine analogue 4-methylephedrine using potassium permanganate dissolved in sulfuric acid. Because 4-methylephedrine can be obtained in a specific enantiomeric form it is possible to produce mephedrone consisting of only one enantiomer. There is a danger associated with this method as it may cause manganese poisoning if the product is not correctly purified. A stereospecific form of S -mephedrone could be prepared via Friedel—Crafts acylation. The first step in the synthesis would react toluene and S -N-trifluoroacetylalanoyl chloride in the presence of aluminium chloride , then deprotect the intermediate with hydrochloric acid-propyl alcohol. This would produce S methylcathinone, which could then be methylated to produce mephedrone. One published study that analysed samples of mephedrone bought off the internet in the UK in found that it was racemic a mixture of both stereoisomers and of high purity. When mephedrone was rediscovered in , it was not specifically illegal to possess in any country. As its use has increased many countries have passed legislation making the possession, sale and manufacturing of mephedrone illegal. It was first made illegal in Israel , where it had been found in products such as Neodoves pills, in January In June , it was classified as a narcotic with the possession of 15 grams or more resulting in a minimum of two years in prison - a longer sentence, gram for gram than given for the possession of cocaine or heroin. In , as its use became more prevalent, many countries passed legislation prohibiting mephedrone. On 7 April the Misuse of Drugs Act Amendment Order was passed by parliament, making mephedrone and other substituted cathinones, Class B drugs from 16 April In some countries, mephedrone is not specifically listed as illegal but is controlled under legislation that makes compounds illegal if they are analogs of drugs already listed. In Australia during it was not specifically listed as prohibited, \\\\\\\[ 15 \\\\\\\] but the Australian Federal Police state that it is an analogue to methcathinone and therefore illegal. In February , 22 men were arrested in conjunction with importing mephedrone. Cathinone and methcathinone are listed in separate sections of Schedule III while diethylpropion and pyrovalerone also cathinones , are listed in separate sections of Schedule IV, each without language to capture analogues, isomers, etc. The Drug Enforcement Administration state that as an analogue of methcathinone , possession of mephedrone can be controlled by the Federal Analog Act , but according to the Los Angeles Times this only applies if it is sold for human consumption. This action was claimed to be necessary to protect the public from the supposed hazard posed by the drug. Except as authorized by law, this action will make possessing and selling Mephedrone or the products that contain it illegal in the U. Wikimedia Foundation. Naphyrone — NRG 1 redirects here. For the protein NRG1, see Neuregulin 1. Designer drug — Not to be confused with Drug design. Designer drug is a term used to describe drugs that are created or marketed, if they had already existed to get around existing drug laws, usually by preparing analogs or derivatives of existing drugs by… … Wikipedia. Methedrone — Not to be confused with methedrine, mephedrone, methadone, or methylone. Substituted amphetamine — Optical isomers of amphetamine D amphetamine … Wikipedia. Mephedrone Not to be confused with methedrine, methedrone , methadone , or methylone. Retrieved Addiction 1 : — PMID Ecstasy and related drug trends bulletin. Archived from the original on Annales de Toxicologie Analytique 21 S1 : Lifeline publications. London: The Daily Telegraph. BBC News. International Journal of Drug Policy 22 2 : — Mephedrone: the phantom menace'. Vice Magazine. The Observer. Clinical toxicology 46 3 : — Forensic Science International 1—3 : 59— November London Toxicology Group. Retrieved 22 March Psychonaut Web Mapping Project. June - September Annales de Toxicologie Analytique. The Drug Enforcement Administration. July State Food and Drug Administration, P. London: The Observer. New Scientist. Annex 1 to the Risk assessment report: Technical report on mephedrone Report. Drugs and Alcohol Today 10 1 : 14— National Treatment Agency for Substance Misuse. October Journal of psychopharmacology. UK government. Safer Communities 9 4 : 26— Emergency medicine journal 28 8 : —9. PMC Press Association. Annals of Botany 6 : v—viii. Annals of Botany 4 : iii. The name did not catch on But on 1 November , someone did add the name 'Meow' to the Wikipedia entry for Mephedrone at the head of a list of 'street names. The Sun. Drugs and Alcohol Today 10 3 : The Guardian. London: The Guardian. The Lancet : — British Journalism Review 21 4 : 31— QJM 11 : —9. Advisory Council on the Misuse of Drugs. British Medical Journal : c Transform Drug Policy Foundation. Retrieved 13 April June Drugs and Alcohol Today 10 2 : 6—9. The Scunthorpe Telegraph. Therapeutic Advances in Psychopharmacology 1 2 : 35— April Chemistry World. Nature News. Independent Scientific Committee on Drugs. The Lancet : BBC Radio 5 Live. The Independent. Straight Statistics. Retrieved 23 March Click Liverpool. Emergency Medicine Journal 28 4 : — Herald Scotland. The Irish Medical Journal 5. Psychopharmacology 3 : — BBC Newsbeat. British Journal of Pharmacology : no. Analytical and Bioanalytical Chemistry 3 : — Journal of Medical Toxicology 6 3 : — British Medical Journal Case Reports : bcr British Medical Journal: Heart 96 24 : —2. The Local. Forensic Science International 1 : e62—e Journal of Analytical Toxicology 34 3 : — Addiction 91 12 : — Daily Mail London. Institute of Psychiatry, King's College London. Tetrahedron: Asymmetry 14 11 : — Science Daily. March The Drug Treatment Centre Board. Regulation amending the Ordinance banning certain hazardous goods\\\\\\\]' in Swedish. Dala Demokraten. City Magazine. September Retrieved 17 March Croatian Ministry of Health and Social Welfare. Selected laws in Germany - Buzer. Romanian Health Ministry. Isle of Man Today. Irish Independent. Police Professional. Office of Public Sector Information. The Huntsville Times. Irish Department of Health and Children. The Irish Times. Belgian Department of Justice. Italian Ministry of Health. French Ministry of Health and Sports. Die Presse. Deutsche Welle. Sydney Morning Herald. The Age. New Zealand Ministry of Health. The Southland Times. Canadian Department of Justice. Globe and Mail. Canadian Medical Association Journal 9 : E—4. John's streets'. CBC News. The Montreal Gazette. The Telegram. United States Drug Enforcement Agency. Los Angeles Times. New York State Health Department. May 23 ABC News. Categories: Dopamine agonists Serotonin receptor agonists Cathinones Drugs acting on the nervous system Drugs acting on the cardiovascular system Euphoriants Phenethylamines Sympathomimetic amines. Designer drug is a term used to describe drugs that are created or marketed, if they had already existed to get around existing drug laws, usually by preparing analogs or derivatives of existing drugs by… … Wikipedia Methedrone — Not to be confused with methedrine, mephedrone, methadone, or methylone. Dictionaries export , created on PHP,. Mark and share Search through all dictionaries Translate… Search Internet. RS methylamino 4-methylphenyl propanone \\\\\\\[ 1 \\\\\\\] Oral , insufflation , IV, rectal , \\\\\\\[ 2 \\\\\\\] smoking \\\\\\\[ 3 \\\\\\\]. CID Contents 1 History 1. State level. Drug policy by country. Adenosine antagonists. See also Sympathomimetic amines. Phenethylamines and amphetamines , cathinones, etc. Receptor ligands. Reuptake inhibitors. Releasing agents. Enzyme inhibitors. DAT inhibitors. VMAT inhibitors. PAH inhibitors. TH inhibitors. MAO inhibitors. COMT inhibitors. DBH inhibitors. Amphetamines Phenylisopropylamines. Catecholamines and relatives..

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