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[Contents] [Appendix 3][Appendix 5]
E is for Ecstasy by Nicholas Saunders
Appendix 4: Bibliography
An annotated bibliography on MDMA generously contributed by Alexander Shulgin
Legal History
(This section deals largely with United States Law, and it is arranged
chronologically)
1970
- Sreenivasan, V.R. Problems in Identification of Methylenedioxy and Methoxy
Amphetamines. J. Crim. Law 63 304-312 (1972).
- In a study of the spectral properties of several substituted amphetamine
analogs, the properties of an unknown sample seized from an apparent drug
abuser were recorded. The evidence indicated that this material was MDMA.
As this report was initially presented to a group of crime laboratory
chemists in August, 1970, this is probably the earliest documentation of
illicit usage of MDMA.
1972
- Gaston, T.R. and Rasmussen, G.T. Identification of
3,4-Methylenedioxymethamphetamine. Microgram 5 60-63 (1972).
- Several exhibits were encountered in the Chicago area, which were
identified as MDMA as the hydrochloride salt. Chromatographic and
spectrographic properties are presented.
1982
- Anonymous. Request for Information, Microgram 15 126 (1982).
- The Drug Control Section of the DEA (Drug Enforcement Administration) has
solicited information concerning the abuse potential of both MDMA and MDE.
The request covered the abuse potential, the illicit trafficking and the
clandestine syntheses, since 1977.
1984
- Randolph, W.F. International Drug Scheduling; Convention on Psychotropic
Substances; Stimulant and/or Hallucinogenic Drugs. Federal Register 49
29273-29274 (1984).
- A request has been made from the Food and Drug Administration for
information and comments concerning the abuse potential, actual abuse,
medical usefulness and trafficking of 28 stimulants and/or hallucinogenic
drugs, including MDMA. International restrictions are being considered by
World Health Organization.
- Mullen, F.M. Schedules of Controlled Substances Proposed Placement of
3,4-Methylenedioxymethamphetamine into Schedule I. Federal Register 49
30210-30211 (1984).
- A request has been made for comments, objections, or requests for hearings
concerning the proposal by the Drug Enforcement Administration (DEA) for
the placement of MDMA into Schedule I of the Controlled Substances Act.
- Cotton, R. Letter from Dewey, Ballantine, Bushby, Palmer & Wood, 1775
Pennsylvania Avenue, N.W., Washington, D.C. 20006 to F. M. Mullen, Jr.,
DEA. September 12, 1984.
- This is a formal request for a hearing concerning the listing of MDMA as a
Schedule I drug. The retaining parties are Professor Thomas B. Roberts,
Ph.D., George Greer, M.D., Professor Lester Grinspoon, M.D. and Professor
James Bakalar.
- Mullen, F.M. Schedules of Controlled Substances. Proposed Placement of
3,4-Methylenedioxymethamphetamine into Schedule I. Hearings. Federal
Register 49 50732-50733 (1984).
- This is a notice of an initial hearing in the matter of the placement of
MDMA into Schedule I of the Controlled Substances Act. This is to be held
on February 1, 1985 and is intended to identify parties, issues and
positions, and to determine procedures and set dates and locations for
further proceedings.
1985
- Young, F.L. Memorandum and Order. Docket No. 84-48. February 8, 1985.
- A formal Memorandum and Order is addressed to the Drug Enforcement
Administration, laying out the ground rules for the hearings to be held in
the matter of the scheduling of MDMA.
- Anon : Request for Information, Microgram 18 25 (1985).
- A brief review is presented of the requests for hearings regarding the
scheduling of MDMA. A request is made for any information that might be
found concerning illicit trafficking, clandestine synthesis, and medical
emergencies or deaths associated with the use of MDMA. All such information
is to be sent to the Drug Control Section of the DEA.
- Young, F.L. Opinion and Recommended Decision on Preliminary Issue. Docket
No. 84-48. June 1, 1985.
- The question of where to schedule a drug such as MDMA is considered. The
Schedules have only one place for drugs without currently accepted medical
use, Schedule I. But a second requirement that must be met is that the drug
have a high abuse potential. There is no place for a drug without currently
accepted medical use and less-than-high abuse potential.
The first opinion is that such a drug cannot be placed in any schedule. And
if that is not acceptable to the administrator, then into Schedule III, IV
or V, depending upon the magnitude of the less-than-high abuse potential.
- Lawn, J.C. Schedules of Controlled Substances; Temporary Placement of
3,4-Methylenedioxymethamphetamine (MDMA) into Schedule I. Federal Register
50 23118-23120 (1985).
- The DEA invoked the Emergency Scheduling Act powers, to place MDMA into
Schedule I on a temporary basis, effective July 1, 1985. This move is valid
for a year, and can be extended for six months. This occurred just before
the first hearing was to take place, to determine the appropriate schedule
for MDMA.
[The chronology of the hearings was as follows:]
June 10, 1985: Los Angeles, California
July 10,11, 1985: Kansas City, Missouri
October 8,9,10,11, Nov. 1, 1985: Washington, DC.
February 14, 1986: (submitting briefs, findings, conclusions, and oral
arguments) Washington, DC.
1986
- Anon: Verordnung des BAG uber die Bet=E4ubungsmittel und andere Stoffe und
Pr=E4parate. March 17, 1986.
- Effective April 22, 1986, MDMA has been entered into the Controlled Law
structure of the Narcotics Laws of Switzerland.
- Young, F.L. Opinion and Recommended Ruling, Findings of Fact, Conclusions
of Law and Decision of Administrative Law Judge. Docket 84-48. May 22,
1986.
- This 70 page decision was handed down as a product of the three hearings
held as outlined above. A careful analysis is given of the phrase
"currently accepted medical use" and of the phrase "accepted safety for
use." The final recommendation was that MDMA be placed in Schedule III.
- Stone, S.E. and Johnson, C.A. Government's Exceptions to the Opinion and
Recommended Ruling, Findings of Fact, Conclusions of Law and Decision of
the Administrative Law Judge. Docket No. 84- 48. June 13, 1986.
- The attorneys for the DEA reply to the decision of Judge Young with a 37
page document, including statements that he had given little if any weight
to the testimony and document proffered by the DEA, and had systematically
disregarded the evidence and arguments presented by the government. Their
statement was a rejection of the suggestion of the Administrative Law
judge, in that they maintained that MDMA is properly placed in Schedule I
of the CSA because it has no currently accepted medical use, it lacks
accepted safety for use under medical supervision, and it has a high
potential for abuse.
- Lawn, J.C. Schedules of Controlled Substances; Extension of Temporary
Control of 3,4-Methylenedioxymethamphetamine (MDMA) in Schedule I. Federal
Register 51 21911- 21912 (1986).
- The provision that allows MDMA to be placed in Schedule I on an emergency
basis (due to expire on July 1, 1986) has been extended for a period of 6
months or until some final action is taken, whichever comes first. The
effective date is July 1, 1986.
- Anon: Zweite Verordnung zur =C4nderung bet=E4ubungsmittelrechticher
Vorschriften. July 23, 1986.
- Effective July 28, 1986, MDMA was added to the equivalent of Schedule I
status, in the German Drug Law. This was in the same act that added
cathenone, DMA, and DOET.
- Lawn, J.C. Order. Docket 84-48 August 11, 1986.
- In reply to a motion by the respondents (Grinspoon, Greer et al. to strike
portions of the DEA exceptions that might allege bias on the part of the
Administrative Law Judge, and to request an opportunity for oral
presentation to the Administrator. The bias was apologized for, and struck.
The opportunity for oral presentation was not allowed.
- Kane, J. Memorandum and Opinion. Case No. 86-CR-153. In the United States
District Court for the District of Colorado. Pees and McNeill, Defendants.
October 1, 1986.
- The is an early decision dismissing a prosecution charge for unlawful acts
involving MDMA, on the basis that MDMA had been placed into Schedule I
using the Emergency Scheduling Act, and the authority to invoke this Act
was invested in the Attorney General, and the Attorney General had never
subdelegated that authority to the DEA. This transfer had not occurred at
the time of the charges being brought against the defendants, and the
charges were dismissed.
- Lawn, J.C. Schedules of Controlled Substances; Scheduling of
3,4-Methylenedioxymethamphetamine (MDMA) into Schedule I of the Controlled
Substances Act. Federal Register 51 36552-36560 (1986).
- A complete review of the scheduling process history of MDMA, including the
receipt of Administrative Law Judge Young's recommendations and a 92 point
rebuttal of it, is presented. There is an equating of standards and ethical
considerations concerning human research, with legal constraints. It is
maintained that the original stands taken, that there is no currently
accepted medical use, and there is a high abuse potential, were both
correct, and this then is the final placement of MDMA into Schedule I, on a
permanent basis. The effective date is November 13, 1986.
1987
- Coffin, Torruella, and Pettin. United States Court of Appeals for the First
Circuit. Lester Grinspoon, Petitioner, v. Drug Enforcement Administration,
Respondent. September 18, 1987.
- This is the opinion handed down in answer to the appeal made by Grinspoon
(Petitioner) to the action of the DEA (Respondent) in placing MDMA in a
permanent classification of a Schedule I drug. Most points were found for
the DEA, but one specific claim of the petitioner, that MDMA has a
currently accepted use in the United States, was accepted. The finding of
the court was that the FDA approval was not the sole criterion for
determining the acceptability of a drug for medical use. An order was
issued to vacate MDMA from Schedule I.
1988
- Lawn, J.C. Schedules of Controlled Substances; Deletion of
3,4-Methylenedioxymethamphetamine (MDMA) From Schedule I of the Controlled
Substances Act. Federal Register 53 2225 (1988).
- Notice is posted in the Federal Register that MDMA has been vacated from
Schedule I of the Controlled Substances Act and now falls under the purview
of the Analogue Drug Act. It is no longer a Scheduled Drug. This ruling was
effective December 22, 1987, and will be effective until such time as the
Administrator reconsidered the record in the scheduling procedures, and
issues another final ruling.
- Lawn, J.C. Schedules of Controlled Substances; Scheduling of
3,4-Methylenedioxymethamphetamine (MDMA) into Schedule I of the Controlled
Substances Act; Remand. Federal Register 53 5156 (1988).
- Notice is posted in the Federal Register that MDMA has been placed again
into Schedule I. The DEA has accepted the Appellate Court's instruction to
develop a standard for the term "accepted medical use," and they have done
so. The conclusion is that MDMA is properly assigned to Schedule I, and as
there have already been hearings, there is no need for any further delay.
Effective date, March 23, 1988.
- Meyers, M.A. In the United States District Court for the Southern District
of Texas, Houston Division, The United Sates of America v. A.E. Quarles,
CR. No. H-88-83. Memorandum in Support of Motion to Dismiss. March 25,
1988.
- This memorandum (13 pages and attached literature) is an instructive
vehicle addressing the applicability of the Analogue laws to MDMA, and the
possible unconstitutional vagueness of the Act itself.
- Hug, Boochever and Wiggins, Ninth Circuit Court of Appeals, California.
United States, Plaintiff-Appellee v. W.W. Emerson, Defendant-Appellant.
- An appeal was made, and was allowed, by three defendants, that the use of
the Emergency Scheduling Act by the DEA for the placement of MDMA into
Schedule I was improper, in that this power was invested specifically in
the Attorney General, and that he had failed to subdelegate this authority
to the DEA for its use.
- Harbin, H. MDMA. Narcotics, Forfeiture, and Money-Laundering Update, U.S.
Department of Justice, Criminal Division. Winter, 1988. pp. 14-19.
- A brief legal history of MDMA is presented, detailing its changing status
from emergency schedule, to permanent schedule, to non-schedule, to
schedule again, a case against its occasional status in-between as an
analogue substance. In U.S. v. Spain (10th Circuit, 1987, 825 F.2d 1426),
the MDMA conviction was undermined both by the absence of sub- delegation
of emergency scheduling powers by the Attorney General to the DEA, and by
the failure of the DEA to publish a formal scheduling order 30 days after
the publication of its "notice-order", as required by statute. This latter
failure was successful in overturning the conviction in the U.S. v. Caudel
(5th Circuit, 1987, 828 F.2d 1111)
These reversals were based on the temporary scheduling status of MDMA. The
vacating of the permanent scheduling Grinspoon v. DEA (1st Circuit 1987,
828 F.2d 881), coupled with these successful appeals of the temporary
scheduling action, will certainly serve to allow further challenge to be
made to any and all legal action that took place prior to the final and
unchallenged placement of MDMA in Schedule I on March 23, 1988.
1990
- Shulgin, A.T. How Similar is Substantially Similar? J. Forensic Sciences,
35 8-10 (1990).
- MDMA, illegal under Federal law, can only be charged in the State of
California (where it is not a Scheduled drug) as an analogue of some drug
that is Scheduled. It must be shown to be substantially similar to known
Scheduled drugs in structure or in activity. This similarity definition is
discussed.
1991
- People v. Silver. Statute Defining Controlled Substance Analog as
"Substantially Similar" to Controlled Substance not Unconstitutionally
Vague. 91 C.D.O.S. 3801., 2d App. Dist; May 21, 1991.
- The question has been brought to the Appeals Court as to a possible
vagueness in the wording of the California State Law concerning the
definition of Analogue. MDMA was the focus of the appeal. The court found
that there was no problem in the definition of the term "substantially
similar" but they did not, themselves, define it.
- Fromberg, E. Letter to R. Doblin from the Netherlands Institute for Alcohol
and Drugs. April 4, 1991.
- An explanation of the Schedule I and Schedule II structure of Dutch Law is
given. All new drugs must go into Schedule I, and yet MDMA was prosecuted
(and defended on appeal) as a (rather minor) Schedule II drug.
- Gilbert, J., Stone, P.J. and Yegan, J. Controlled Substance Analog Law is
Not Unconstitutionally Vague. Finding of the Second Appellate District
Division Six. Daily Appellate Report, May 24, 1991, page 5993-5995.
- The appellate Court considered an appeal concerning the classification of
MDMA as an analog of methamphetamine. This is question raised under the
California Health and Safety Code section 11401, concerning analogs of
scheduled drugs, as MDMA is not a scheduled drug in California. The appeal
was based (in part) on the statement that "substantially similar" was
unconstitutionally vague.
It was concluded that all that was required would be that the statute be
reasonably certain, so that a person of common intelligence need not guess
at its meaning. They found against the appeal
1994
- del Arco, M.A., La Batalla del Extasis: Su Inventor Convencio al Juez de
Que es una Droga Blanda. Tiempo, Espana, February 7, 1994.
- A consensus of experts presents MDMA as a drug with little hazard
associated with it's use. This directly addresses the "rave" scene (La
Ruta del Bakalao) in Spain, and removes much of the judicial penalties from
this social phenomenon.
- Argos, E. and Castello, L. El MDMA es Valioso en Medicina. El Pais,
Espana, January 30, 1994 pp. 28-29.
- A tribunal court in Madrid found that the material, MDMA, should be
classified as a low-hazard drug akin to marijuana, rather than a
high-hazard drug such as cocaine, heroin, or LSD. It has a well-defined
medical value.
Biochemistry
- Elayan, I., Gibb, J.W., Hanson, G.R., Lim, H.K., Foltz, R.L. and Johnson,
M. , Short-term Effects of 2,4,5-Trihydroxyamphetamine,
2,4,5-Trihydroxymethamphetamine and 3,4-Dihydroxymethamphetamine on Central
Tryptophan Hydroxylase Acticity. J. Pharm. Exptl. Therap. 262 813-8
(1993).
- The short term effects of the three title metabolites of MDMA (THA, THM and
DHM) on tryptophan hydroxylase are reported. The first two metabolites
were quite effective, but the third (DHM) had no effect. In vitro studies
were unsuccessful in reversing these changes.
- Gibb, J.W., Hanson, G.R. and Johnson, M. Effects of
(+)-3,4-Methylenedioxymethamphetamine [(+)MDMA] and
(-)-3,4-Methylenedioxymethamphetamine [(-)MDMA] on Brain Dopamine, Serotonin, and
their Biosynthetic Enzymes. Soc. Neurosciences Abstrts. 12 169.2 (1986).
- The optical isomers of MDMA were studied in rats, as to the extent of
serotonin and dopamine depletion, and the changes in their respective
biosynthetic enzymes TPH (tryptophane hydroxylase) and TH (tyrosine
hydroxylase). The (+) was the more effective in reducing serotonin levels
at several sites in the brain, and was the more effective in reducing the
TPH levels at all sites. Striatal TH was not effected by either isomer.
- Hanson, G.R., Hanson, G.R. and Johnson, M. Effects of
(+)-3,4-Methylenedioxymethamphetamine [(+)MDMA] and
(-)-3,4-Methylenedioxymethamphetamine [(-)MDMA] on Brain Dopamine,
Serotonin, and their Biosynthetic Enzymes. Soc. Neurosciences Abstrts. 12
169.2 (1986).
- The optical isomers of MDMA were studied in rats, as to the extent of
serotonin and dopamine depletion, and the changes in their respective
biosynthetic enzymes TPH (tryptophane hydroxylase) and TH (tyrosine
hydroxylase). The (+) isomer was the more effective in reducing serotonin
levels at several sites in the brain, and was the more effective in
reducing the TPH levels at all sites. Striatal TH was not effected by
either isomer.
- Hanson, G.R., Merchant, K.M., Johnson, M., Letter, A.A., Bush, L. and Gibb,
J.W. Effect of MDMA-like Drugs on CNS Neuropeptide Systems. The Clinical,
Pharmacological and Neurotoxicological Effects of the Drug MDMA. Kluwer,
New York. (1990) Ed: S.J. Peroutka.
- An increase in both neurotensin and dynorphin in selected areas of rat
brain following single administrations of MDMA has been observed. The
ramifications of these changes are discussed.
- Johnson, M., Bush, L.G., Stone, D.M., Hanson, G.R. and Gibb, J.W. Effects
of Adrenalectomy on the 3,4-Methylenedioxymethamphetamine (MDMA)-induced
Decrease of Tryptophan Hydroxylase Activity in the Frontal Cortex and
Hippocampus. Soc. Neurosci. Abstr. 13, 464.6 (1987).
- The tryptophan hydroxylase (TPH) activity of rat frontal cortex and
hippocampus was found to decrease seven days following an acute large
dosage of MDMA. The latter area was spared enzyme loss with adrenalectomy.
- Johnson, M., Hanson, G.R. and Gibb, J.W. Effect of MK-801 on the Decrease
in Tryptophan Hydroxylase Induced by Methamphetamine and its Methylenedioxy
Analog. Europ. J. Pharmacol. 165 315-318 (1989).
- Repeated injections of methamphetamine or MDMA in rats reduced neostriatal
TPH activity. If MK-801 is administered concurrently the methamphetamine
depletion of enzyme is attenuated, but the MDMA induced depletion is not.
There may be some involvement of NMDA receptors.
- Johnson, M., Mitros, K., Stone, D.M., Zobrist, R., Hanson, G.R. and Gibb,
J.W. Effect of Flunarizine and Nimodipine on the Decrease in Tryptophan
Hydroxylase Activity Induced by Methamphetamine and
3,4-Methylenedioxymethamphetamine. J. Pharm. Exptl. Therap. 261 586-591
(1992).
- The effects of calcium channel blockers on the decrease of central
tryptophan hydroxylase activity and serotonin concentration induced by
repeated large doses of methamphetamine and MDMA were evaluated. The
results suggest that calcium influx may participate in these responses.
- Kumagai, Y., Lin, L.Y., Schmitz, D.A. and Cho, A.K. Hydroxyl Radical
Mediated Demethylenation of (Methylenedioxy)phenyl Compounds. Chem. Res.
Toxicol. 4 330-334 (1991).
- The oxidative demethylation of methylenedioxybenzene, MDA and MDMA was
achieved with two hydroxy iron-containing radical systems, one with
ascorbate and one with xanthine oxidase. Hydrogen peroxide alone was not
effective in producing the metabolite catechols.
- Kumagai, Y., Wickham, K.A., Schmitz, D.A. and Cho, A.K. Metabolism of
Methylenedioxyphenyl Compounds by Rabbit Liver Preparations. Biochem.
Pharmacol. 42 1061-1067 (1991).
- The demethyleneation of methylenedioxbenzene, MDA and MDMA is a major
metabolic pathway, and is achieved in the microcome fraction by the action
of P-450. Studies involving inducers and suppressors indicate that several
isozymes are involved in the formation of the product catechols.
- Letter, A.A., Merchant, K., Gibb, J.W. and Hanson, G.R. Roles of D2 and
5-HT2 Receptors in Mediating the Effects of Methamphetamine,
3,4-Methylenedioxymethamphetamine, and 3,4-Methylenedioxyamphetamine on
Striato-Nigral Neurotensin Systems. Soc. Neurosciences Abstrts. 12 1005 (#
277.7) 1986.
- The chronic treatment of rats with methamphetamine, MDA or MDMA leads to a
2-3x increase of the neurotensin-like immunoreactivity in the
striato-nigral areas of the brain. Efforts to assign neurotransmitter roles
led to the simultaneous administration of serotonin and dopamine
antagonists. These interrelationships are discussed.
- Merchant, K., Letter, A.A., Stone, D.M., Gibb, J.W. and Hanson, G.R.
Responses of Brain Neurotensin-like Immunoreactivity to
3,4-Methylene-dioxymethamphetamine (MDMA) and 3,4-Methylenedioxyamphetamine
(MDA). Fed. Proc. 45 1060 (# 5268) (1986).
- The administration of MDA and MDMA profoundly alters the levels of
neurotensin-like immunoreactivity (NTLI) concentrations in various portions
of the brain of the rat. Increases of up to a factor of 3x are observed in
some regions of the brain.
- Nash, J.F. and Meltzer, H.Y. Neuroendocrinological Effects of MDMA in the
Rat. The Clinical, Pharmacological and Neurotoxicological Effects of the
Drug MDMA. Kluwer, New York. (1990) Ed: S.J. Peroutka.
- MDMA has been observed to increase plasma ACTH and corticosterone
concentrations in a dose-dependent manner. A series of pharmacological
challenges suggests that serotonin release may be a responsible factor.
- Poland, R.E. Diminished Corticotropin and Enhanced Prolactin Responses to
8-Hydroxy-2-(di-n-propylamino)tetralin in Methylenedioxymethamphetamine
Pretreated Rats. Neuropharmacology 29 1099-1101 (1990).
- Pretreatment of rats with a single, modest dose of MDMA followed by a
challenge with the serotonin agonist 8-OH DPAT led to a decrease
corticotropin and an enhanced prolactin response. This suggests that MDMA
produces abnormal serotonin receptor-coupled neuroendocrine responses.
- Schmidt, C.J. and Taylor, V.L. Acute Effects of
Methylenedioxymethamphetamine (MDMA) on 5-HT Synthesis in the Rat Brain.
Pharmacologist 29 ABS-224 (1987). See also: Biochemical Pharmacology 36
4095-4102 (1987).
- Acute exposure of MDMA dropped the tryptophane hydroxylase activity of
rats, and this persisted for several days. Subsequent administration of
Fluoxetine recovered this activity, but reserpine or alpha-methyl-tyrosine
did not.
- Stone, D.M., Hanson, G.R. and Gibb, J.W. GABA-Transaminase Inhibitor
Protects Against Methylenedioxy-methamphetamine (MDMA)-induced
Neurotoxicity. Soc. Neurosci. Abstr. Vol. 13, Part 3 (1987). # 251.3.
- The neurotoxicity of MDMA (in the rat) was protected against by
GABA-transaminase inhibitors.
- Stone, D.M., Johnson, M., Hanson, G.R. and Gibb, J.W. A Comparison of the
Neurotoxic Potential of Methylenedioxyamphetamine (MDA) and its
N-methylated and N-ethylated Derivatives. Eur. J. Pharmacol. 134 245-248
(1987).
- Multiple doses of MDA and MDMA decreases the level of brain tryptophan
hydroxylase (TPH). The N-ethyl homologue was without effect. It is argued
that although the studies here were well above human exposures, the
cumulative effects of repeated exposures, the differences between rat and
human metabolism, and increased human sensitivity to this drug, could
present a serious threat to human abusers of this drug.
- Stone, D.M., Johnson, M., Hanson, G.R. and Gibb, J.W. Acute Inactivation of
Tryptophan Hydroxylase by Amphetamine Analogs Involves the Oxidation of
Sulfhydryl Sites. Europ. J. Pharmacol. 172 93-97 (1989).
- MDMA, Fenfluramine and methamphetamine, separately, reduced the tryptophan
hydroxylase activity in rat brain. The enzyme activity could be restored,
in the cases of the latter two drugs, by treatment that suggested that some
reversible oxidation of sulfhydryl groups was involved. With MDMA, the
changes were irreversible, and serotonergic toxicity is suggested.
- Stone, D.M., Stahl, D.C., Hanson, G.R. and Gibb, J.W. Effects of
3,4-methylenedioxyamphetamine (MDA) and 3,4-methylenedioxymethamphet-amine
(MDMA) on Tyrosine Hydroxylase and Tryptophane Hydroxylase Activity in the
Rat Brain. Fed. Proc. 45 1060 (# 5267) April 13-18, 1986.
- The effects of rats treated chronically with either MDA or MDMA on the
enzymes involved with neurotransmitter synthesis is reported. The levels of
tryptophane hydroxylase (TPH, involved with serotonin synthesis) were
markedly reduced, differently in different areas of the brain. The tyrosine
hydroxylase (TH, involved with dopamine synthesis) remains unchanged. This
is in contrast to the documented reduction of TH that follows high dosages
of methamphetamine.
- Wilkerson, G. and London, E.D. Effects of Methylenedioxymethamphetamine on
Local Cerebral Glucose Utilization in the Rat. Neuropharmacology 28
1129-1138 (1989).
- MDMA was found to influence glucose utilization at some 60 different areas
in the rat brain, as determined by the employment of radioactive
2-deoxyglucose. A thorough tally has been made of these areas, and the
changes that follow four different dose levels of exposure.
Metabolism
- Cho, A.K., Hiramatsu, M., Distefano, E.W., Chang, A.S and Jenden, D.J.
Stereochemical Differences in the Metabolism of
3,4-Methylenedioxymethamphetamine in vivo and in vitro: A Pharmacokinetic
Analysis. Drug Metabol. Disposition 18 686-691 (1990).
- The optical isomers of MDMA were demethylated to form MDA, with the active
(+)-isomer being 3x more extensively degraded. The loss of the
methylenedioxy group gave N-methyl-alphamethyldopamine proved to be the
major metabolite.
- Fitzgerald, R.L., Blanke, R., Narasimhachari, N., Glennon, R. and
Rosecrans, J. Identification of 3,4-Methylenedioxyamphetamine (MDA) as a
Major Urinary Metabolite of 3,4-Methylenedioxymethamphetamine (MDMA). NIDA
Research Monograph, #81 321 (1988).
- Rats were administered MDMA chronically and, from both the plasma and the
excreta, unchanged MDMA and the demethylation product MDA were detected by
GCMS as the trifluoroacetamide derivatives.
- Fitzgerald, R.L., Blanke, R.V. and Poklis, A. Stereoselective
Pharmacokinetics of 3,4-Methylenedioxymethamphetamine in the Rat. Chirality
2 241-248 (1990).
- The optical isomers of MDMA and MDA were assayed in the rat, following the
administration of MDMA by two different dosages and by two different
routes. The S-isomer of MDMA was found to clear more rapidly, resulting in
a preferred presence of its metabolite, the S-isomer of MDA. Blood levels,
isomer ratios, and half-lives are given.
- Fukuto, J.M., Kumagai, Y. and Cho, A.K. Determination of the Mechanism of
Demethylenation of (Methylenedioxy)phenyl Compounds by Cytochrome P450
Using Deuterium Isotope Effects. J. Med. Chem. 34 2871-2876 (1991).
- Kinetic studies of the demethylenation of several methylenedioxy compounds
(including MDMA) have shown, by isotope effects, to be mediated by
different mechanisms.
- Helmlin, H. -J., Bracher, K., Salamone, S.J. and Brenneisen, R., Analysis
of 3,4-Methylenedioxymethamphetamine (MDMA) and its Metabolites in Human
Plasma and Urine by HPLC-DAD, GC-MS and Abuscreen-Online. Abstracts from
CAT/SOFT Joint Meeting, October 10-16, 1993, Phoenix, Arizona.
- Urine and plasma samples were taken from a number of patients being
administered 1.5 mg/Kg MDMA for psychotherapy research purposes. Maximum
plasma levels (300 ng/mL) were seen at 140 minutes. The main urinary
metabolites were 4-hydroxy-3-methoxymethamphetamine and
3,4-dihydroxymethamphetamine, both excreted in conjugated form. The two
N-demethylated homologues of these compounds were present as minor
metabolites. The cross-reactivity of the Abuscreen immunoassay for both
the metabolites (including MDA, another metabolite) and the parent drug
were determined.
- Hiramatsu, M., DiStefano, E., Chang, A.S. and Cho, A.K. A Pharmacokinetic
Analysis of 3,4-Methylenedioxy-methamphetamine Effects on Monoamine
Concentrations in Brain Dialysates. Europ. J. Pharmacol. 204 135-140
(1991).
- The role of the MDMA metabolite, MDA, in the releasing of dopamine, was
studied in brain dialysates. It was noted that the plasma levels of MDA
were higher following the administration of (+)-MDMA as compared to
(-)-MDMA, to the rat.
- Hiramatsu, M., Kumagai, Y., Unger, S.E. and Cho, A.K. Metabolism of
Methylenedioxymethamphetamine: Formation of Dihydroxymeth-amphetamine and a
Quinone Identified as its Glutathione Adduct. J. Pharmacol. Exptl. Therap.
254 521-527 (1990).
- Studies were made of the in vitro metabolism of MDMA by rat liver
microsomes, of the optical isomers of MDMA. A P- 450 dependent hydrolysis
to N,alpha-dimethyl was observed, which was further converted by superoxide
oxidation to a metabolite that formed an adduct with glutathione. It is
speculated that this pathway may account for some of the irreversible
action on serotoninergic neurons.
- Kumagai, Y., Lin, L.Y., Schmitz, D.A. and Cho, A.K. Hydroxyl Radical
Mediated Demethylenation of (Methylenedioxy)phenyl Compounds, Chem. Res.
Toxicol. 4 330-334 (1991).
- The oxidative demethylenation of several methylenedioxy compounds such as
MDMA has been studied, with two hydroxyl radical generating systems. The
various requirements for this metabolic transformation are defined.
- Lim, H.K. and Foltz, R.L. Metabolism of 3,4-Methylenedioxymeth-amphetamine
(MDMA) in Rat. FASEB Abstracts Vol. 2 No. 5 page A-1060. Abst: 4440.
- The metabolism of MDMA in the rat is studied. Seven metabolites have been
identified from urine. These are: 4-hydroxy-3-methoxymethamphetamine;
3,4-methylenedioxyamphetamine; 4-hydroxy-3-methoxyamphetamine;
4-methoxy-3-hydroxymethamphetamine; 3,4-methylenedioxyphenylacetone,
3,4-dihydroxyphenyl acetone and 4-hydroxy-3-methoxyphenylacetone
- Lim, H.K. and Foltz, R.L. In Vivo and In Vitro Metabolism of
3,4-Methylenedioxymethamphetamine in the Rat: Identification of Metabolites
using an Ion Trap Detecor. Chem. Res. Toxicol. 1 370-378(1988).
- Four metabolic pathways for MDMA metabolism in the rat have been
identified. These are N-demethylation, O-dealkylation, deamination, and
conjugation. A total of eight distinct metabolites have been observed and
identified.
- Lim, H.K. and Foltz, R.L. Identification of Metabolites of
3,4-Methylenedioxymethamphetamine in Human Urine. Chem. Res. Toxicol. 2
142-143 (1989).
- The metabolites observed in the rat following MDMA administration are, to a
large degree, identical to those found in man. The metabolic paths observed
are N-demethylation, O-dealkylation, deamination, and conjugation. The
major metabolite in this one individual (an undocumented MDMA user accident
victim) is 3-methoxy-4-hydroxymethamphetamine.
- Lim, H.K. and Foltz, R.L. Application of Ion Trap MS/MS Techniques for
Identification of Potentially Neurotoxic Metabolites of
3,4-Methylenedioxymeth-amphetamine (MDMA). Paper presented at the CAT
Quarterly Meeting, February 3, 1990, San Jose, California.
- The GCMS analysis of the rat liver metabolites of MDMA has given evidence
of ring hydroxylation. Employing MS/MS techniques and unresolved synthetic
mixtures, tentative structural assignments have been presented for the
hydroxylation of MDMA at all three available ring positions. Another
possible metabolite is ring-hydroxylated MDA. A possible neurotoxic role of
such products is suggested by their structural relationship to
6-hydroxydopamine.
- Lim, H.K. and Foltz, R.L. In vivo Formation of Aromatic Hydroxylated
Metabolites of 3,4-Methylenedioxymeth-amphetamine in the Rat:
Identification by Ion Trap Tandem Mass Spectrometric (MS/MS and MS/MS/MS)
Techniques. Biological Mass Spectrometry 20 677-686 (1991).
- Metabolism studies in the rat have shown that MDMA can be hydroxylated at
all three possible aromatic positions. The three corresponding compounds
with N-demethylation also are formed. The 6-position is favoured. All
metabolites are observed in the liver, only the 6-hydroxyl isomer in the
brain, and none can be found in urine.
- Lim, H.K., Zeng, S., Chei, D.M. and Foltz, R.L. Comparitive Investigation
of Disposition of 3,4-(Methylenedioxy)methamphetamine (MDMA) in the Rat and
the Mouse by a Capillary Gas Chromatography-Mass Spectrometry Assay based
on Perfluorotributylamine-enhanced Ammonia Positive Ion Chemical Ionization
. J. Pharmaceut. Biomed. Anal. 10 657-665 (1992).
- An assay is described that allows a quantitative measure of MDMA and three
of its primary metabolites, methylenedioxamphetamine,
4-hydroxy-3-methoxymethamphetamine and 4-hydroxy-3-methoxyamphetamine. The
latter two metabolites were excreted mainly as the glucuronide and sulfate
conjugates. The metabolic patterns of the rat and the mouse are compared.
- Lin, L., Kumagai, Y., Cho, A.K. Enzymatic and Chemical Demethylenation of
(Methylenedioxy)amphetamine and (Methylenedioxy)methamphetamine by Rat
Brain Microsomes. Chem Res. Tox. 5 401-406 (1992)
- Metabolism of MDA and MDMA by microsomal preparation from rat brains. The
products observed were the corresponding catechol derivatives. The
oxidizing agents appear to involve both a cytochrome P-450 component and
hydroxyl radical.
- Yousif, M.Y., Fitzgerald, R.L., Narasimhachari, N., Rosecrans, J.A.,
Blanke, R.V. and Glennon, R.A. Identification of Metabolites of
3,4-Methylenedioxymethamphetamine in Rats. Drug and Alcohol Dependence. 26
127-135 (1990).
- Two metabolites of MDMA have been established as being present in rat
urine, by both HPLC and GCMS; these were MDA and
4-hydroxy-3-methoxy-N-methylamphetamine. From HPLC alone, evidence was
found for the positional isomer 3-hydroxy-4-methoxy-N-methyl- amphet-amine,
for 4-hydroxy-3-methoxy-amphet amine, and for 3,4-dihydroxy- amphetamine,
but these were not confirmed by GCMS. MDA was identified in both plasma and
brain extracts.
in vitro studies
- Azmitia, E.C., Murphy, R.B. and Whitaker-Azmitia, P.M. MDMA (Ecstasy)
Effects on Cultured Serotonergic Neurons: Evidence for Ca 2+ -Dependent
Toxicity Linked to Release. Brain Research 510 97-103 (1990).
- The relationship of MDMA with serotonin neurons, and with calcium cation
release has been determined in the fetal cells of newborn rats. Long-term
serotonin changes are blocked by 5-HT re-uptake blockers, and the
interactions between MDMA and caffeine have been reported. It has been
suggested that Ca cation release may play a role in MDMA toxicity.
- Battaglia, G., Brooks,B.P., Kulsakdinum, C. and De Souza, E.B.
Pharmacologic Profile of MDMA 3,4-Methylenedioxymeth-amphetamine at Various
Brain Recognition Sites. Eur.J.Pharmacol. 149 159-163 (1988).
- The affinity of MDMA for various neurotransmitter receptor and uptake sites
was studied in vivo, using competition with various radioligands.
Comparisons with MDA, MDE, amphetamine and methamphetamine are reported.
- Berger, U.V., Gu, X.F. and Azmitia, E.C. The Substituted Amphetamines
3,4-Methylenedioxymethamphetamine, Methamphetamine, p-Chloroamphetamine and
Fenfluramine Induce 5-Hydroxytryptamine Release via a Common Mechanism
Blocked by Fluoxetine and Cocaine. Eur. J. Pharmacol. 215 153-60 (1992).
- An in vitro assay has been used to compare several drugs for their ability
to induce synaptosomal serotonin release. Para-chloroamphetamine and
fenfluramine were equally effective, MDMA less so, and methamphetamine very
much less so still. Evidence is presented that the serotonin release
produced by these drugs employs a common mechanism.
- Bradberry, C.W., Sprouse, J.S., Aghajanian, G.K. and Roth, R.H.
3,4-Methylenedioxymethamphetamine (MDMA)-Induced Release of Endogenous
Serotonin from the Rat Dorsal Raphe Nucleus in vitro: Effects of Fluoxetine
and Tryptophan. Neurochem. Int. 17 509-513 (1990).
- Brain slices of the dorsal raphe nucleus were exposed to a medium
containing MDMA and the released serotonin was measured. A serotonin
transport inhibitor (Fluoxetine) reduced the amount released, whereas the
addition of tryptophan increased the amount released.
- Bradberry, C.W., Sprouse, J.S., Sheldon, P.W., Aghajanian, G.K. and Roth,
R.H. In Vitro Microdialysis: A Novel Technique for Stimulated
Neurotransmitter Release Measurements. J. Neuroscience Methods. 36 85-90
(1991).
- A novel technique allowing measurement of neurotransmitter release and
single unit recordings from brain slices is described. The effects of MDMA
on slices of dorsal raphe nucleus and frontal cortex were used to
demonstrate it.
- Brady, J.F., Di Stephano, E.W. and Cho, A.K. Spectral and Inhibitory
Interactions of (+/-)-3,4-Methylenedioxyamphetamine (MDA) and
(+/-)-3,4-Methylenedioxymethamphetamine (MDMA) with Rat Hepatic Microsomes.
Life Sciences 39 1457-1464 (1986).
- Both MDA and MDMA were shown to form complexes with cytochrome P-450 that
were inhibitory to its function as to demethylation of benzphetamine and
carbon monoxide binding. Liver microsome studies showed the metabolic
demethylation of MDMA and the N-hydroxylation of MDA.
- Frye, G. and Matthews, R. Effect of 3,4-Methylenedioxymethamphetamine
(MDMA) on Contractive Responses in the G. Pig Ileum. The Pharmacologist 28
149 (1986).
- Using the longitudinal muscle of the guinea pig ilium, MDMA evoked
dose-related, transient contractions, but failed to reduce contractions
produced by serotonin, acetylcholine, or GABA. The MDMA contractions were
blocked by atropine, and do not appear to involve serotonin receptors.
- Gehlert, D.R., Schmidt, C.J., Wu, L. and Lovenberg, W. Evidence for
Specific Methylenedioxymethamphet-amine (Ecstasy) Binding Sites in the Rat
Brain. Europ. J. Pharmacol. 119 135-136 (1985).
- Evidence is presented from binding to rat brain homogenate studies. The use
of the serotoninergic re-uptake inhibitor, active in vivo ,does not
antagonize this binding, nor in studies with uptake into striatal
microsomes.
- Levin, J.A., Schmidt, C.J. and Lovenberg, W. Release of [3H]-Monoamines
from Superfused Rat Striatal Slices by Methylenedioxymethamphetamine
(MDMA). Fed. Proc. 45 1059 (#5265) April 13-18, 1986.
- The release of tritiated serotonin and dopamine from superfused rat
striatal slices was observed for three amphetamine derivatives. MDMA and
p-chloroamphetamine were equivalent, and about 10x the potency of methamphet
amine. This last compound was, however, some 10x more effective than MDMA
in the release of dopamine.
- Lyon, R.A., Glennon, R.A. and Titeler, M. 3,4-Methylenedioxymethamphetamine
(MDMA): Stereoselective Interactions at Brain 5- HT1 and 5-HT2 Receptors.
Psychopharmacology 88 525-526 (1986).
- Both MDMA and MDA, and their respective optical isomers, were assayed as to
their affinity at radio-labelled serotonin (5-HT1 and 5-HT2) and dopamine
(D2) binding sites. The "R" isomers of both drugs showed a moderate
affinity at the 5-HT2 receptor (labelled with 3H ketanserin), and the "S"
isomers were lower. Affinities for the 5-HT1 site were similar, but that
for D2 sites were very low. Since the "S" isomer of MDMA is the more potent
in man, it may not work primarily through a direct interaction at 5-HT
receptors.
- Nichols, D.E., Lloyd, D.H., Hoffman, A.J., Nichols, M.B. and Yim, G.K.W.
Effects of Certain Hallucinogenic Amphetamine Analogues on the Release of
[3H] Serotonin from Rat Brain Synaptosomes. J. Med. Chem. 25 530-535
(1982).
- The optically active isomers of MDMA (as well as those for MDA, PMA and the
corresponding phentermine analogs) have been evaluated as to their effect
on the release of serotonin from rat brain synaptosomes. The (+) isomer of
MDMA was the more effective (this is the active isomer in humans)
suggesting that serotonin release may play some role in the
psychopharmacological activity. The alpha-alpha dimethyl homologues were
inactive even at the highest concentrations studied.
- Rempel, N.L., Callaway, C.W. and Geyer, M.A. Serotonin-1B Receptor
Activation Mimics Behavioral Effects of Presynaptic Serotonin Release.
Neuropsychopharm. 8 201-11 (1993).
- The locomotor hyperactivity induced by MDMA in rats appears to be due to
the drug-induced release of presynaptic serotonin. It appers to act as
indirect serotonin agonist, acting probably at the 5-HT1B receptor.
- Ricaurte, G.A., Markowska, A.L., Wenk, G.L., Hatzidimitriou, G., Wlos, J.
and Olton, D.S. 3,4-Methylenedioxymethamphetamine, Serotonin, and Memory.
J. Pharmacol. Exptl. Therap. 266 1097-1105 (1993).
- A series of behavioral studies in the rat were conducted to assay the
effect of serotonin neuron lesions on memory. MDMA was used for selective
reduction of serotonin, and 5,7-dihydroxytryptamine for more extensive
nerve damage than can be achieved with MDMA. The MDMA treated rats had no
impairment of memory, but the more extensively damaged animals (involving
both serotonin and norepinephrine systems) showed a disruption of recently
aquired memory.
- Robinson, T.E., Castaneda, E. and Whishaw, I.Q. Effects of Cortical
Serotonin Depletion Induced by 3,4-Methylenedioxymethamphetamine (MDMA) on
Behavior, Before and After Additional Cholinergic Blockade.
Neuropsychopharmacology 8 77-85 (1993).
- Studies in rats describe the effects of MDMA on a number of behavioral
tests. The serotonergic denervation that resulted is not sufficient to
produce marked and lasting behavioral deficits.
- Romano, A.G. and Harvey, J.A. MDMA Enhances Associative and Nonassociative
Learning in the Rabbit. Pharmacol. Biochem. Behav. 47 289-93 (1994).
- Conditioned response studies in rabbits have shown that MDMA, like MDA,
enhances the learning process. The effects seen are not known for other
psychedelic drugs, and may be unique to this chemical class.
- Rudnick, G., Wall, S.C. The Molecular Mechanism of "Ecstasy"
[3,4-Methylenedioxymethamphetamine(MDMA)]: Serotonin Transporters are
Targets for MDMA-Induced Serotonin Release. Proc. Natl. Acad. Sci USA, 89
1817-1821 (1992)
- The mechanisms of MDMA action at serotonin transporters from plasma
membranes and secretory vesicles isolated from human platelets have been
studied and are reported.
- Rudnick, G., and Wall, S. Non-Neurotoxic Amphetamine Derivatives Release
Serotonin through Serotonin Transporters. Molecular Pharmacology, in press
(1992).
- MDMA was compared to MMA (3-methoxy-4-methylamphetamine) and MMAI ( both
non-neurotoxic analogues) as to their effects on several serotonin and
dopamine properties in in vitro studies.
- Schuldiner, S., Steiner-Mordoch, S., Yelin, R., Wall, S.C. and Rudnick, G.
Amphetamine Derivatives Interact with Both Plasma Membrane and Secretory
Vesicle Biogenic Amine Transporters. Mol. Pharmacol. 44 1227-31 (1993).
- The interaction of fenfluramine, MDMA and p-chloroamphetamine (PCA) with
brain transporter systems have been studied. The mechanisms of inhibition
are discussed.
- Steele, T.P., Nichols, D.E. and Yim, G.K.W. Stereoselective Effects of MDMA
on Inhibition of Monoamine Uptake. Fed. Proc. 45 1059 (# 5262) April 13-18
1986.
- In the investigation of the optical isomeric difference of activities seen
for amphetamine, MDMA, and DOM (the more potent isomers being the "S", "S"
and "R" resp.) their abilities to inhibit the uptake of radio-labelled
monoamines into synaptosomes were studied. The findings are discussed, and
it is concluded that MDMA exhibits stereoselective effects similar to those
of amphetamine on monoamine uptake inhibition, a parameter that is
unrelated to the mechanism of action of the hallucinogen DOM.
- Steele, T.D., Nichols, D.E. and Yim, G.K.W. Stereochemical Effects of
3,4-Methylenedioxymethamphetamine (MDMA) and Related Amphetamine
Derivatives on Inhibition of Uptake of [3H]Monoamines into Synaptosomes
from Different Regions of Rat Brain. Biochem. Pharmacol. 36 2297-2303
(1987).
- MDA, MDMA, and the alpha-ethyl homologue MBDB were found to inhibit
serotonin uptake in brain synaptosomes. The conclusions to a broad series
of studies were that MDMA and its homologues are more closely related to
amphetamine than to DOM in their biochemical actions.
- Wang, S.S., Ricaurte, G.A. and Peroutka, S.J. [3H]3,4
Methylenedioxymethamphetamine (MDMA) Interactions with Brain Membranes and
Glass Fiber Filter Paper. Europ. J. Pharmacol. 138 439-443 (1987).
- Tritiated MDMA appears to give a pharmacological "binding profile" in rat
brain homogionate studies, even in the absence of brain tissue. This
appears to result from an unexpected binding of the radioligand to glass
filter paper. Pretreatment with polyethylenimine eliminated this artifact.
Pharmacology
- Anderson III, G.M., Braun, G., Braun, U., Nichols, D.E. and Shulgin, A.T.
Absolute Configuration and Psychotomimetic Activity, NIDA Research
Monograph #22, pp 8-15 (1978).
- The "R" isomer of most chiral hallucinogenics is known to be the active
isomer. This generality includes LSD, DOB, DOM, DOET, and MDA. This
assignment has been demonstrated both in rabbit hyperthermia studies as
well as in clinical evaluations. With MDMA, however, this assignment is
reversed. In both rabbit and human studies, the more potent isomer of MDMA
is the "S" form, similar to that of amphetamine and methamphetamine. The
summed activity of the individual isomers did not satisfactorily reproduce
the activity of the racemic mixture. Also, the addition of an N-methyl to a
known hallucinogenic amphetamine routinely decreases the potency (as with
DOB, DOM, TMA and TMA-2). The exception again is with MDA, which produces
the equipotent MDMA. The relationship between the stimulants amphetamine
and methamphetamine is similar. The two drugs MDA and MDMA appear not to be
cross-tolerant in man. It is argued that the mechanisms of action of MDMA
must be different from that of MDA and related hallucinogenics.
- Beardsley, P.M., Balster, R.L. and Harris, L.S. Self-administration of
Methylenedioxymethamphetamine (MDMA) by Rhesus Monkeys. Drug and Alcohol
Dependence 18 149-157 (1986)
- In monkeys trained to self-administer cocaine intravenously MDMA was found,
in two out of four animals, to be an effective substitute.
- Beaton, J.M., Benington, F., Christian, S.T., Monti, J.A. and Morin, R.D.
Analgesic Effects of MDMA and Related Compounds. Pharmacologist 29 ABS 281
(1987).
- Analgesia of several compounds (including MDMA and several close
homologues) was measured by the tail-flick response in mice. All produced
analgesia, with the (+) (S) MDMA being the most potent.
- Bilsky, E.J. and Reid, L.D. MDL-72222, A Serotonin 5-HT3 Receptor
Antagonist, Blocks MDMA's Ability to Establish a Conditioned Place
Preference. Pharm. Biochem. Behav. 39 509-512 (1991).
- MDMA has been shown to establish conditioned place-preference in rats. An
experimental 5-HT3 antagonist MDL-72222 blocked the effect, suggesting that
such antagonists might be of use in the evaluation the pharmacology of
self-administer drugs.
- Bilsky, E.J., Hubbell, C.L., Delconte, J.D. and Reid, L.D. MDMA Produces a
Conditioned Place Preference and Elicits Ejaculation in Male Rats: A
Modulatory Role for the Endogenous Opioids. Pharm. Biochem. Behav. 40
443-447 (1991).
- The ability of rats to establish a conditioned place-preference was
studied. This was blocked by the pre-administration of Naltrexone. This
drug interaction was studied as to ejaculatory behaviour, urination,
defecation and body weight change.
- Bilsky, E.J., Hui, Y., Hubbell, C.L. and Reid, L.D.
Methylenedioxymethamphet-amine's Capacity to Establish Place Preferences
and Modify Intake of an Alcohol Beverage. Pharmacol. Biochem. Behav. 37
633-638 (1990).
- Employing behavioural studies with experimental rats, it was found that
MDMA led to a dose-dependent decrease of intake of sweetened ethanol.
Another study showed a positive, but not dose dependent, "conditioned
placement preference" test which, it is argued, provides further evidence
for the drug's abuse liability.
- Bird, M. and Kornetsky, C. Naloxone Antagonism of the Effects of MDMA
"Ecstasy" on Rewarding Brain Stimulation. The Pharmacologist 28 149 (1986).
- The lowering of the reward threshold (REBS, rewarding electrical brain
stimulation) by the s.c. administration of MDMA to rats (as determined by
implanted electrodes) was blocked by Naloxone. This suggests that MDMA
affects the same dopinergic and opioid substrates involved in cocaine and
d-amphetamine reward.
- Braun, U., Shulgin, A.T. and Braun, G. Prufung auf zentral Aktivitat und
Analgesie von N-substituierten Analogen des Amphetamin-Derivates
3,4-Methylenedioxyphenylisopropylamin. Arzneim.-Forsch. 30 825-830 (1980).
- MDMA, and a large collection of N-substituted homologues, were assayed in
mice for both analgesic potency and enhancement of motor activity. MDMA
proved to be the most potent analgesic (compared with some 15 homologues)
but was not particularly effective as a motor stimulant. The structure and
pharmacological relationships to known analgesics are discussed.
- Brodkin, J., Malyala, A. and Nash, J.F. Effect of Acute Monamine Depletion
on 3,4-Methylenedioxymethamphetamine-Induced Neurotoxicity. Pharmacol.
Biochem. Behav. 45 647-53 (1993).
- The depletion of serotonin and dopamine induced by treatment of rats with
acute exposure to high levels of MDMA has been explored. Several
pharmacological probes have suggested that dopamine can play a major role
in the neurotoxic effects of MDMA.
- Callahan, P.M. and Appel, J.B. Differences in the Stimulus Properties of
3,4-Methylenedioxyamphetamine (MDA) and
N-Methyl-3,4-methylenedioxmethamphetamine (MDMA) in Animals Trained to
Discriminate Hallucinogens from Saline. Soc. Neurosci. Abstr.13, Part 3, p.
1720 (1987) No. 476.2.
- The stimulant properties of MDA and MDMA (including the optical isomers)
were studied in rats that were trained to discriminate mescaline or
(separately) LSD, from saline. "R"-MDA appears similar to both
hallucinogens, but the other isomers gave no clear-cut accord to the
literature reports of behavioural activity.
- Callahan, P.M. and Appel, J.B. Differences in the Stimulus Properties of
3,4-Methylenedioxyamphetamine and 3,4- Methylenedioxmethamphetamine in
Animals Trained to Discriminate Hallucinogens from Saline. J. Pharmacol.
Exptl. Therap. 246 866-870 (1988).
- In animals trained to discriminate LSD from saline, DOM, mescaline,
psilocybin and (+) MDA and both (+) and (-) MDMA, responses followed the
LSD cue. With animals trained to mescaline (vs. saline), both isomers of
both MDA and MDMA produced mescaline-like responses, as did DOM, LSD and
psilocybin.
- Callaway, C.W., Wing, L.L. and Geyer, M.A. Serotonin Release Contributes to
the Locomotor Stimulant Effects of 3,4-Methylenedioxyamphetamine in Rats.
J. Pharm. Exptl. Therap. 254 456-464 (1990).
- The relative roles of dopamine and of serotonin have been evaluated,
employing the MDMA-induced locomotor hyperactivity in the rat. It has been
found that the observed activity calls upon mechanisms that depend upon the
release of central serotonin, as opposed to the mechanisms believed to
express amphetamine motor activity.
- Callaway, C.W. and Geyer, MA. Stimulant Effects of 3,
4-Methylenedioxymethamphetamine in the Nucleus Accumbens of Rat. Eur.
Journ. Pharm. 214 45-51 (1992)
- This study examined the behavioural effects in rats of intracerebral
administration of S-MDMA using an automated holeboard and open-field
apparatus. Administration of S-MDMA into the nucleus accumbens septi
produced locomotor hyperactivity.
- Callaway, C.W. and Geyer, M.A. Tolerance and Cross-Tolerance to the
Activating Effects of 3,4-Methylendioxymethamphetamine and a
5-Hydroxytryptamine1B Agonist. J. Pharmacol. Exptl. Therap. 263 318-326
(1992).
- Two experiments were carried out. Changes in the response of rats to MDMA
were studied following chronic pretreatment with serotonin agonists
responsive to different receptor subtypes. And, following chronic
pretreatment with MDMA, changes in responses to these separate receptor
agonists were studied. There was an acute reciprocal cross-tolerance
observed between MDMA and RU-24969, a 5-HT1B receptor agonist, in producing
activating effects in the rat. This supports the hypothesis that the
release of endogenous serotonin increases locomotor activity by the
stimulation of 5-HT1b receptors.
- Cho, A.K., Hiramatsu, M., Kumagal, Y. and Patel, N. Pharmacokinetic
Approaches to the Study of Drug Action and Toxicity. NIDA Research
Monograph #136, pp 213-225 (1993). Ed. Linda Erinoff.
- Using rats as an experimental animal, the time courses of plasma MDMA and
metabolite MDA were reported following the administration of (separately)
(+) and (-) MDMA. The dideutero-analogue was used as an internal standard,
and the analysis was performed on the trifluoroacetamides by selected ion
monitoring. Microsomal metabolic pathways were also reported.
- Elayan, I., Gibb, J.W., Hanson, G.R., Foltz, R.L., Lim, H.K. and Johnson,
M. Long-term Alteration in the Central Monoaminergic Systems of the Rat by
2,4,5-Trihydroxyamphetamine but not by
2-Hydroxy-4,5-Methylenedioxymethamphetamine or
2-Hydroxy-4,5-Methylenedioxyamphetamine. Eur. J. Pharmacol. 221 281-288
(1992).
- The effects of the i.c.v. administration of three metabolites of MDMA were
studied in the rat. With 2,4,5-trihydroxyamphetamine there was a long-term
decline in tryptophane hydroxylase and tyrosine hydroxylase activity, as
well as a decrease in serotonin, dopamine and norepinephrin levels. This
suggests that this metabolite may contribute to the neurotoxic action of
MDMA on the serotonergic system.
- Crisp, T., Stafinsky, J.L., Boja, J.W. and Schechter, M.D. The
Antinociceptive Effects of 3,4-Methylenedioxymethamphetamine (MDMA) in the
Rat. Pharmacol. Biochem. Behav. 34 497-501 (1989).
- MDMA was compared to morphine as an analgesic drug in the rat, in both the
tail-flick and the hot-plate tests. Both drugs were equipotent in the
latter tests, but only morphine was effective in the former test. The
effectiveness of MDMA was not attenuated by either the opiate antagonist
naltrexone nor the adrenoreceptor antagonist Phentolamine. However, the
serontin antagonist Methysergide did antagonise the MDMA effectiveness,
suggesting a serotonin involvement in this action.
- Davis, W.M. and Borne, R.F. Pharmacological Investigation of Compounds
Related to 3,4-Methylenedioxyamphetamine (MDA), Subs. Alc. Act/Mis. 5
105-110 (1984).
- MDA and MDMA, as well as the homologous 3-aminobutanes HMDA and HMDMA, were
studied toxicologically in both isolated and aggregated mouse groups. Both
MDA and MDMA were of similar lethality in isolated animals (ca. 100mg/Kg
i.p.) which was enhanced 3 or 4 fold by aggregation. The homologues HMDA
and HMDMA were approximately twice as toxic but showed no such enhancement.
The prelethal behaviour characteristics and the effects of potential
protective agents are described.
- Dimpfel, W., Spuler, M. and Nichols, D.E. Hallucinogenic and Stimulatory
Amphetamine Derivatives: Fingerprinting DOM, DOI, DOB, MDMA, and MBDB by
Spectral Analysis of Brain Field Potentials in the Freely Moving Rat
(Tele-Stereo-EEG). Psychopharmacology 98 297-303 (1989).
- Recording from several areas of the brain of freely moving rats were made
following the administration of several hallucinogens and other
structurally related entactogens and stimulants. The recorded results show
clear regional specificity of the various classes of drugs, and suggest
that serotonin receptors in the striatum might be involved with
hallucinogenic action.
- Dragunow, M., Logan, B. and Laverty, R. 3,4-Methylenedioxymeth-amphetamine
Induces Fos-like Proteins in Rat Basic Ganglia: Reversal with MK-801. Eur.
J. Pharmacol. 206 205 (1991).
- Administration of MDMA to rats leads to an accumulation of Fos proteins and
Fos-related antigens. The NMDA antagonist MK-801 inhibited this induction,
but Fluoxetine had no effect.
- Evans, S.M. and Johanson, C.E. Discriminative Stimulus Properties of
(+/-)-3,4-Methylenedioxymethamphetamine and
(+/-)-Methylenedioxyamphetamine in Pigeons. Drug and Alcohol Dependence 18
159-164 (1986).
- Pigeons were trained to discriminate (+) amphetamine from saline. Both MDA
and MDMA substituted for amphetamine, and both were less potent.
- Farfel, G.M., Vosmer, G.L. and Seiden, L.S. The N-Methyl-D-Aspartate
Antagonist MK-801 Protects Against Serotonin Depletions Induced by
Methamphetamine, 3,4-Methylenedioxymethamphetamine and p-Chloramphetamine.
Brain Res. 595 121-127 (1992).
- The NMDA receptor antagonist MK-801 attenuates the decrease in serotonin
concentration brought about by MDMA and two other amphetamine derivatives,
in rats. Changes in the serotonin metabolite 5-hydroxyindoleacetic acid
concentrations were similar to the serotonin in changes observed.
- Fellows, E.J. and Bernheim, F. The Effect of a Number of Aralkylamines on
the Oxidation of Tyramine by Amine Oxidase. J. Pharm. Exptl. Therap. 100
94-99 (1950).
- There were animal behavioural studies made on the chain homologue of MDMA,
vis., 1-(3,4-methylenedioxyphenyl)-3-methylaminobutane. This is the amine
that would result from the use of the "wrong" piperonylacetone in illicit
synthesis. In the dose range 10-25 mg/Kg, toxic effects such as tremors and
convulsions were seen.
- Finnegan, K.T., Calder, L., Clikeman, J., Wei, S. and Karler, R. Effects
of L-type Calcium Channel Antagonists on the Serotonin-depleting Actions of
MDMA in Rats. Brain Res. 603 134-138 (1993).
- Of several calcium channel blockers effective at increasing the convulsion
threshold induced by NMDA, only flunarizine blocked the long-term serotonin
depleting effects of MDMA. It is suggested that calcium channels are not
involved in the neurotoxicity of MDMA.
- Gazzara, R.A., Takeda, H., Cho, A.K. and Howard, S.G. Inhibition of
Dopamine Release by Methylenedioxymethamphetamine is Mediated by Serotonin,
Eur. J. Pharmacol. 168 209-217 (1989).
- The administration of MDMA to rats produces a long-lasting decrease in
extracellular dopamine in brain tissues. To determine if the known
increased release of serotonin might be the cause of this, experimental
animals were pretreated with PCA which effectively decreased the serotonin
content and inhibited the dopamine decrease following MDMA treatment. The
serotonin release by MDMA is argued as possibly being a mediating factor in
the observed dopamine release.
- Gibb, J.W., Johnson, M., Stone, D.M. and Hanson, G.R. Mechanisms Mediating
Biogenic Amine Deficits Induced by Amphetamine and its Congeners. NIDA
Research Monograph #136 226-241 (1993).
- A large number of amphetamine-like derivatives, including MDMA, have been
compared for their capacity for causing neurochemical deficits, in both the
serotonin and the dopamine systems. Neurotoxicity is inferred in most
cases as there is a long-term persistence of change.
- Glennon, R.A. and Misenheimer, B.R. Stimulus Effects of
N-Monoethyl-1-(3,4-Methylenedioxyphenyl)-2-aminopropane (MDE) and
N-Hydroxy-1-(3,4-Methylenedioxyphenyl)-2-aminopropane (N-OH MDA) in Rats
Trained to Discriminate MDMA from Saline. Pharmacol. Biochem. Behav. 33
909-912 (1989).
- Both MDE and MDOH generalized to MDMA in rats trained to discriminate MDMA
from saline. Amphetamine was less effective. Since MDMA substitutes for
amphetamine, whereas neither MDE nor MDOH do so, these latter drugs appear
to have less of an amphetamine-like component than MDMA.
- Glennon, R.A. and Young, R. Further Investigation of the Discriminative
Stimulus Properties of MDA. Pharmacol. Biochem. and Behaviour 20, 501-505
(1984).
- In rats trained to distinguish between racemic MDA (and separately,
"S"-amphetamine) and saline, MDMA (as well as either optical isomer of MDA)
was found to generalize to MDA. Similarly, with rats trained to distinguish
between dextro-amphetamine and saline, MDMA and "S"-MDA (but not "R"-MDA or
"S"-DOM) produced generalization responses.
- Glennon, R.A., Little, P.J., Rosecrans, J.A. and Yousif, M. The Effects of
MDMA ("Ecstasy") and its Optical Isomers on Schedule-Controlled Responding
in Mice. Pharmacol. Biochem. Behav. 26 425-426 (1987).
- The effectiveness of several analogs of MDMA were evaluated in mice trained
in a reinforcement procedure. Both (+) and racemic MDMA were 4x the potency
of the levo-isomer; all were less potent than amphetamine.
- Glennon, R.A., Young, R., Rosecrans, J.A. and Anderson, G.M. Discriminative
Stimulus Properties of MDA Analogs. Biol. Psychiat. 17 807-814 (1982).
- In rats trained to distinguish between the psychotomimetic DOM and saline,
several compounds were found to generalize to DOM (including racemic MDA,
its "R" isomer, and MMDA-2) Others did not generalize to DOM (including
MDMA, the "S" isomer of MDA, and homopiperylamine). These results are
consistent with the qualitative differences reported in man.
- Glennon, R.A., Yousif, M. and Patrick, G. Stimulus Properties of
1-(3,4-Methylenedioxy)-2-Aminopropane (MDA) analogs. Pharmacol. Biochem.
Behav. 29 443-449 (1988).
- Rats were trained to discriminate between saline and DOM or d-amphetamine.
They were challenged with "R" and "S" MDMA, with racemic, "R" and "S" MDE,
and with racemic MDOH (N-OH-MDA). The amphetamine-trained animals
generalized to "S" MDMA, but to neither "R" MDMA, any of the MDE isomers,
MDOH, nor to homopiperonylamine. N-substituted amphetamine derivatives
(N-ethyl and N-hydroxy) also gave the amphetamine response, but none of
these compounds generalized to DOM. This study supports the suggestion that
MDMA represents a class of compounds apart from the stimulant or the
hallucinogenic.
- Glennon, R.A. MDMA-Like Stimulus Effects of Alpha-Ethyltryptamine and the
Alpha-Ethyl Homolog of DOM. Pharmacol. Biochem. Behav. 46 459-462 (1993).
- The alpha-ethyl homologues of alpha-methyltryptamine and of DOM are a-ET
and Dimoxamine. Whereas rats trained to discriminate MDMA from saline
failed to generalize to DOM or alpha-methyltryptamine, they did to both of
these homologues.
- Glennon, R.A. and Higgs, R. Investigation of MDMA-Related Agents in Rats
Trained to Discriminate MDMA from Saline. Pharm. Biochem. and Behav. 43
759-63 (1992).
- A number of MDMA metabolites and related compounds were compared to MDMA in
discrimination studies in the rat. Several gave MDMA-appropriate
responses, but only 4-methoxymethamphetamine showed stimulus
generalization. The intact methylenedioxy ring appears unneccessary for
MDMA-like action
- Glennon, R.A., Higgs, R., Young, R. and Issa, H. Further Studies on
N-methyl-1-(3,4-methylenedioxyphenyl)-2-aminopropane as a Discriminative
Stimulus: Antagonism by 5-Hydroxytryptamine3 Antagonists. Pharmacol.
Biochem. Behavior 43 1099-106 (1992).
- Rats were trained to discriminate MDMA from saline, and this response was
evaluated with the study of antagonists of 5-HT1A (NAN-190), 5-HT2
(pirenperone), 5-HT3 (zacopride) and dopamine receptors (haloperidol). The
results can give rise to several mechanistic interpretations, but it is
concluded that MDMA produces it's stimulus effects via a complex mechanism
involving both dopaminergic and serotonergic components.
- Gold, L.H. and Koob, G.F. Methysegide Potentialtes the Hyperactivity
Produced by MDMA in Rats. Pharmacol. Biochem. Behav. 29 645-648 (1988).
- The hyperactivity that results from MDMA administration is significantly
increased by methysergide. This latter drug was itself without effect, nor
did it potentiate the hyperactivity induced by amphetamine administration.
- Gold, L.H. and Koob, G.F. MDMA Produces Stimulant-like Conditioned
Locomotor Activity, Psychopharmacology 99 352-356 (1989).
- The administration of MDMA to rats concurrently with exposure to specific
sensory clues (odours) produced a conditioned activity response to the
clues alone. In this property, MDMA resembles other psychostimulants such
as amphetamine and cocaine.
- Gold, L.H., Geyer, M.A. and Koob, G.F. Psychostimulant Properties of MDMA.
NIDA Monograph #95. Problems of Drug Dependence 345-346 (1989).
- The pharmacological stimulant properties of MDMA are compared with those of
amphetamine. But, as there are some hallucinogenic activity apparent as
well, the overall action may be considered as unique mixture of these two
properties.
- Gold, L.H., Geyer, M.A. and Koob, G.F. Neurochemical Mechanisms Involved in
Behavioural Effects of Amphetamines and Related Designer Drugs. NIDA
Monograph #94. Pharmacology and Toxicology of Amphetamines and Related
Designer Drugs, 101-126 (1989).
- The dopaminergic aspects of the stimulatory action of MDMA, MDE and
amphetamine in rats is discussed. This motor action has been evaluated in
conjunction with several areas of brain neuroactivation.
- Gold, L.H. , Hubner, C.B. and Koob, G.F. A Role for the Mesolimbic Dopamine
System in the Psychostimulant Actions of MDMA. Psychopharmacology 99 40-47
(1989).
- The stimulant action produced by MDMA in rats was studied with and without
the brain lesions produced by 6-hydroxydopamine. The attenuation of
responses was similar to that seen with amphetamine suggests that some
involvement of presynaptic release of dopamine may be involved in its
action.
- Gordon, C.J., Watkinson, W.P., O'Callaghan, J.P. and Miller, B.D. Effects
of 3,4-Methylenedioxymethamphetamine on Autonomic Thermoregulatory
Responses of the Rat. Pharm. Biochem. Behav. 38 339-344 (1991).
- The acute s.c. administration of 30 mg/Kg MDMA to rats led to a increase in
body temperature. It is concluded that MDMA stimulates the serotonin
pathways that control the metabolic rate and this, accompanied by
peripheral vasostriction, lead to the observed hyperthermia.
- Gough, B., Ali, S.F., Slikker, W. and Holson, R.R. Acute Effects of
3,4-Methylenedioxymethamphetamine (MDMA) on Monoamines in Rat Caudate.
Pharmacol. Biochem. Behav. 39 619-623 (1991).
- A number of neurotransmitter metabolites were assayed in the rat, following
the i.p. injection of MDMA. It was concluded that MDMA affects both the
dopaminergic as well as the serotoninergic systems.
- Griffiths, R.R., Lamb, R. and Brady, J.V. A Preliminary Report on the
Reinforcing Effects of Racemic 3,4-Methylenedioxymethamphetamine in the
Baboon. Document entered into evidence Re: MDMA Scheduling Docket No.
84-48, U.S. Department of Justice, Drug Enforcement Administration, October
16, 1985.
- In three baboons trained to respond to cocaine, MDMA maintained
self-administration at a somewhat lower level than cocaine, d-amphetamine,
and phencyclidine. There was the evocation of distinct behavioural signals,
which suggested that MDMA had a high abuse potential.
- Harris, L.S. Preliminary Report on the Dependence Liability and Abuse
Potential of Methylenedioxymethamphetamine (MDMA). Document entered into
evidence Re: MDMA Scheduling Docket No. 84- 48, U.S. Department of Justice,
Drug Enforcement Administration, October 16, 1985.
- MDMA and amphetamine were compared as to locomotor activity in mice, and in
reinforcing activity in monkeys as compared to cocaine. MDMA showed a
fraction (20-25%) of the stimulant activity of amphetamine, and was
substituted for cocaine in some of the test monkeys.
- Hashimoto, K. Effects of Benzylpiperazine Derivatives on the Acute Effects
of 3,4-Methylenedioxymethamphetamine in Rat Brain. Neurosci. Let. 152
17-20 (1993).
- The reduction of serotonin in rat brain following exposure to MDMA was
significantly attenuated with the co-administration of weak inhibitors
(several benzylpiperazines) of serotonin uptake into synaptosomes. The
co-administration of the more potent inhibitors (desipramine, imipramine)
did not attenuate this MDMA-induced reduction of serotonin, suggesting that
the effects of the piperazines may employ a different neurological pathway.
- Hashimoto, K., Maeda, H., Hirai, K. and Goromaru, T. Drug Effects on
Distribution of [3H]3,4-Methylenedioxymethamphetamine in Mice. Eur. J.
Pharmacol. - Environm. Tox. Pharmacol. Section 228 247-256 (1993).
- The effectiveness of a number of drugs and other compounds carrying the
methylenedioxyphenyl group on the distribution of radioactive MDMA in the
mouse brain was determined. It is suggested that there may exist a
specific mechanism for this group which rapidly alters the disposition and
metabolism of MDMA.
- Hegadoren, K.M., Baker, G.B. and Coutts, R.T. The Simultaneous Separation
and Quantitation of the Enantiomers of MDMA and MDA using Gas
Chromatography with Nitrogen-Phbosphorus Detection. Res. Commun. Subs.
Abuse 14 67-80 (1993).
- Following the administration of racemic MDMA to the rat, the levels of both
MDMA and its demethylated metabolite MDA were determined in areas of the
brain. Assays were made at 1,2,4 and 8 hrs., and with a chiral derivative
system that allowed the determination of the amounts of the optical isomers
resulting from selective chiral metabolism. For unmetabolized MDMA, the
concentrations of the (-) isomer were greater than for the (+) isomer. The
reverse was true for the demethylated metabolite MDA which, although
present at much lower levels, was largely the (+) isomer in all regions
studied.
- Hiramatsu, M., Nabeshima, T., Kameyama, T., Maeda, Y. and Cho, A.K. The
Effect of Optical Isomers of 3,4-Methylenedioxymethamphetamine (MDMA) on
Stereotyped Behaviour in Rats. Pharmacol. Biochem. Behaviour 33 343-347
(1989).
- The optical isomers of MDMA were compared as to their potencies in inducing
stereotyped behaviour in rats. The "S", or (+) isomer was the more potent,
which was consistent with this isomer's increased effectiveness in the
release of neurotransmitters.
- Hubner, C.B., Bird, M., Rassnick, S. and Lornetsky, C. The Threshold
Lowering Effects of MDMA (Ecstasy) on Brain-stimulating Reward.
Psychopharmacology 95 49-51 (1988).
MDMA produced a dose-related lowering of the reward threshold, as
- determined in rats with electrodes stereotaxically implanted in the medial
forebrain bundle-lateral hypothalamic area. This procedure has been used as
an animal model for drug-induced euphoria.
- Huang, X. and Nichols, D. 5-HT2 Receptor-Mediated Potentiation of Dopamine
Synthesis and Central Serotonergic Deficits. Eur. J. Pharm. 238 291-296
(1993).
- Employing receptor agonists, releasing agents and enzyme inhibitors in
rats, the hypothesis was tested that serotonin modulates the MDMA-induced
increase in dopamine synthesis. The results indicate that the induced
increases depend on both serotonin receptor stimulation and on dopamine
efflux.
- Jensen, K.F., Olin, J., Haykal-Coates, N., O'Callaghan, J., Miller, D.B.
and de Olmos, J.S. Mapping Toxicant-Induced Nervous System Damage With
Cupric Silver Stain: A Quantitative Analysis of Neural Degeneration
Induced by 3,4-Methylenedioxymethamphetamine. NIDA Research Monograph #136
133-154 (1993).
- An argument is made for the quantitative potential that could be realized
from the cupric silver staining of degenerating neurons. This technique
was applied to rats that had been treated with MDMA and a dose-response
curve of neural degeneration was obtained.
- Johnson, M., Bush, L.G., Gibb, J.W. and Hanson, G.R. Blockade of the
3,4-Methylenedioxymethamphetamine-induced Changes in Neurotensin and
Dynorphin A Systems. Eur. J. Pharmacol. 193 367-370 (1991).
- The increase in immunoreactivity in the neurotensin and dynorphin systems
following a single s.c. injection of MDMA in the rat has suggested that both
the dopaminergic and glutamatergic systems are involved.
- Johnson, M.P., Frescas, S.P., Oberlender, R. and Nichols, D.E. Synthesis
and Pharmacological Examination of
1-(3-Methoxy-4-methylphenyl)-2-aminopropane and
5-Methoxy-6-methyl-2-aminoindane: Similarities to
3,4-Methylenedioxymeth-amphetamine (MDMA). J. Med. Chem. 34 1662-1668
(1991).
- The two title compounds have been viewed as analogues of DOM (missing a
methoxyl group) or of alpha,4-dimethyltyramine (with O-methylation) and
have been synthesized. Both compounds appear to be pharmacologically
similar to MDMA, but are lacking any indications of neurotoxicity.
- Johnson, M., Bush, L.G., Midgley, L., Gibb, J.W. and Hanson, G.R. MK-801
Blocks the Changes in Neurotensin Concentrations Induced by
Methamphetamine, 3,4-Methylenedioxymethamphetamine, Cocaine, and GBR 12909.
Ann. N.Y. Acad. Sci. 668 350-352 (1992).
- A study of the neurotensin-like immunoreactivity in the rat has been shown
to increase following the administration of several compounds, including
MDMA. This can be blocked by the administration of a dopamine D1 receptor
antagonist (SCH 23390).
- Kamien, J.B., Johanson, C.E., Schuster, C.R. and Woolverton, W.L. The
Effects of (+/-)-Methylenedioxymethamphetamine in Monkeys Trained to
Discriminate (+)-Amphetamine from Saline. Drug and Alcohol Dependence 18
139-147 (1986).
- In monkeys trained to discriminate between amphetamine and saline, MDMA
substituted for amphetamine suggesting that there was an amphetamine-like
component to its action. This similarity suggested a dependence potential.
- Kasuya, Y. Chemicopharmacological Studies on Antispasmodic Action. XII.
Structure-Activity Relationship on Aralkylamines. Chem. Pharm. Bull. 6
147-154 (1958).
- In vitro studies on mouse intestinal segments were carried out for the
chain homologue of MDMA, vis.,
1-(3,4-methylenedioxyphenyl)-3-methylaminobutane. This is the amine that
would result from the use of the "wrong" piperonylacetone in illicit
synthesis. The compound shows weak atropine action.
- Kehne, J.H., McCloskey, T.C., Taylor, V.L., Black, C.K., Fadayel, G.M. and
Schmidt, C.J. Effects of the Serotonin Releasers
3,4-Methylenedioxymethamphetamine (MDMA), 4-Chloroamphetamine (PCA) and
Fenfluramine on Acoustic and Tactile Startle Reflexes in Rats. J. Pharm.
Exptl. Therap. 260 78-89 (1992).
- The three amphetamine derivatives, MDMA, PCA and Fenfluramine share a
common neurochemical action, of releasing central cerotonin, but the
behavioural effects they evoke are dissimilar. Use of serotonin blockers
was made to study the pharmacology of these compounds.
- Krebs, K.M. and Geyer, M.A. Behavioral Characterization of
Alpha-Ethyltryptamine, a Tryptamine Derivative with MDMA-like Properties in
Rats. Psychopharmacology 113 284-287 (1993).
- There have been a number of anecdotal comparisons between MDMA and
alpha-ethyl tryptamine (AET). These have supported the scheduling of the
latter compound in the United States. In rat studies, AET appears to
produce an MDMA-like profile of behavioral changes apparently related to
serotonin release.
- Kulmala, H.K., Boja, J.W. and Schechter, M.D. Behavioural Suppression
Following 3,4-Methylenedioxymethamphetamine. Life Sciences 41 1425-1429
(1987).
- Rotation in rats was employed as an assay of the central dopaminergic
activity of MDMA. At low doses it acts similarly to amphetamine, but at
higher doses it appears to stimulate the dopamine receptor directly.
- Lamb, R.J. and Griffiths, R.R. Self-injection of
dl-3,4-Methylenedioxymethamphetamine in the Baboon. Psychopharmacolgy 91
268-272 (1987).
- In monkeys conditioned to the self-administration of cocaine, MDMA produced
a similar but less potent response. A decrease in food intake was also
reported.
- LeSage, M., Clark, R. and Poling, A. MDMA and Memory: The Acute and
Chronic Effects of MDMA in Pigeons Performing under a
Delayed-matching-to-sample Procedure. Psychopharmacol. 110 327-332 (1993).
- The behavior-disruptive effectiveness of MDMA in the conditioned behavior
of pigeons was found to be dose-dependent. Tolerance to the drug was
observed, but there did not appear to be any long-lasting behavioral
impairment.
- Li, A., Marek, G., Vosmer, G. and Seiden, L. MDMA-induced Serotonin
Depletion Potentiates the Psychomotor Stimulant Effects of MDMA on Rats
Performing on the Differential-Reinforcement-of-Low-Rate (DRL) Schedule.
Society of Neurosciences Abstracts 12 169.7 (1986).
- This is a study of Serotonin depletion and motor response. The long term
depletion following both acute and chronic administration of MDMA to rats,
increased activity and decreased serotonin suggests some inhibitory action
of this neurotransmitter.
- Li, A.A., Marek, G.J., Vosmer, G. and Seiden, L.S. Long-Term Central 5-HT
Depletions Resulting from Repeated Administration of MDMA Enhances the
Effects of Single Administration of MDMA on Schedule-Controlled Behaviour
of Rats Pharmacol. Biochem. Behaviour 33 641-648 (1989).
- Experimental rats showed an increased response in schedule-controlled
behaviour studies to the effect of a single dose of MDMA if this dose was
preceded by a regimen of chronic exposure to MDMA. This sensitisation was
typical of amphetamine and other stimulants.
- Matthews, R.T., Champney, T.H. and Frye, G.D. Effects of
(+/-)-Methylenedioxymethamphetamine (MDMA) on Brain Dopaminergic Activity
in Rats. Pharmacol. Biochem. Behav. 33 741-747 (1989).
- High levels of MDMA in rats increased locomotor activity, and decreased
brain dopamine turnover rate as determined by dihydroxyphenylacertic acid
levels. There were some similarities to amphetamine exposure in the effects
seen on dopamine neurons.
- Mansbach, R.S., Braff, D.L. and Geyer, M.A. Prepulse Inhibition of the
Acoustic Startle Response is Disrupted by
N-Ethyl-3,4-methylenedioxyam-phetamine (MDEA) in the Rat. Eur. J.
Pharmacol. 167 49-55 (1989).
- Both the optical isomers and the racemate of MDE, as well as racemic MDMA,
were studied as to their effectiveness as prepulse inhibitors of the
acoustic startle response, a measure of sensitivity to psychoactive drugs.
The (+) isomer of MDE, and the racemate, and (less so) racemic MDMA were
effective inhibitors, suggesting a psychostimulant component in their
activities.
- McKenna, D.J., Guan, X.-M. and Shulgin, A.T. 3,4-Methylenedioxyamphetamine
(MDA) Analogues Exhibit Differential Effects on Synaptosomeal Release of
3H-Dopamine and 3H-5-Hydroxytryptamine. Pharm. Biochem. Behav. 38 505-512
(1991).
- The in vitro effectiveness of a number of MDA analogues on the release of
serotonin and dopamine from synaptosomes was determined.
- Nash, J. F. Ketanserin Pretreatment Attenuates MDMA-induced Dopamine
Release in the Striatum as Measured by in vivo Microdialysis. Life Sciences
47 2401-2408 (1990).
- The systemic administration of MDMA to freely moving rats produces a
dose-dependent extracellular concentration of dopamine in the striatum. The
effects of administering the serotonin antagonist, Ketanserin, are
reported.
- Nash, J.F. and Brodkin, J. Microdialysis Studies on
3,4-Methylenedioxymethamphetamine-induced Dopamine Release: Effect of
Dopamine Uptake Inhibitors. J. Pharm. Exptl. Therap. 259 820-825 (1991)
- The effects of both dopamine and serotonin uptake inhibitors on the MDMA
induced increase in dopamine efflux were studied by microdialysis
techniques. The dopaminergic effects are believed to be independent of
those resulting from serotonin release.
- Nash, J.F. and Nichols, D.E. Microdialysis Studies on
3,4-Methylenedioxyamphetamine and Structurally Related Analogues. Europ. J.
Pharmacol. 200 53-58 (1991).
- MDA and three analogues (MDMA, MDE and MBDB) were studied in the
free-moving rat by microdialysis. The effects on dopamine were observed,
and they did not correlate well with serotonin. Structural relationships
are discussed.
- Nash Jr., J.F., Meltzer, H.Y. and Gulesky, G.A. Elevation of Serum
Prolactin and Corticosterone Concentrations in the Rat after the
Administration of 3,4-Methylenedioxymethamphetamine. J. Pharmacol. Exptl.
Therap. 245 873-879 (1988).
- The effects of acute i.p. administrations of MDMA were seen as an elevation
of prolactin and corticosterone in rats. The effects of the serotonin
uptake inhibitor Fluoxetine and of p-chlorophenylalanine on MDMA-induced
neuroendocrine responses are similar to those induced by
p-chloroamphetamine.
- Nencini, P., Woolverton, W.L. and Seidin, L.S. Enhancement of
Morphine-induced Analgesia after Repeated Injections of
Methylenedioxymethamphetamine. Brain Research 457 136-142 (1988).
- Chronic administration of MDMA to rats led to an enhancement of the
analgesic effects of morphine administration. The changes in the serotonin
and 5-hydroxytryptamine levels were confirmed.
- Nichols, D.E., Hoffman, A.J., Oberlender, R.A., Jacob III, P. and Shulgin,
A.T. Derivatives of 1-(1,3-Benzodioxol-5-yl-2-butanamine: Representatives
of a Novel Therapeutic Class. J. Med. Chem. 29 2009-2015 (1986).
- Animal discrimination studies (LSD versus saline) of the alpha-ethyl
homologues of MDA and MDMA were performed. No generalization occurred with
the N-methyl analogs of either group (MDMA and MBDB), and the latter
compound was also found to be psychoactive but not hallucinogenic in man.
It was found to be less euphoric than MDMA, but with the same sense of
empathy and compassion. The term "entactogen" is proposed for the class of
drugs represented by MDMA and MBDB.
- Oberlender, R. and Nichols, D.E. Drug Discrimination Studies with MDMA and
Amphetamine. Psychopharmacology 95 71-76 (1988).
- Rats were trained to discriminate saline from either racemic MDMA or
dextroamphetamine. The MDMA cue generalized to MDA and to all isomers of
MDMA and MBDB, but not to LSD or DOM. The dextroamphetamine cue generalized
to methamphetamine, but to none of the forms of either MDMA or MBDB. The
"S" isomers of both MDMA and MBDB were the more potent.
- Oberlender, R. and Nichols, D.E.
(+)-N-methyl-1-(1,3-benzodioxol-5-yl)-2-butanamine as a Discriminative Stimulus in Studies of
3,4-methylenedioxymethamphetamine-Like Behavioural Activity. J. Pharm.
Exptl. Therap. Vol. 255 pp.1098-1106 (1990).
- A number of compounds (including the racemate and the optical isomers of
MBDB) were studied in rats trained to discriminate between (+)-MBDB and
saline. There was generalization to both MDMA and MDA, but not to DOM, LSD
or mescaline, nor for either amphetamine or methamphetamine. Several
aminoindanes were also assayed.
- Park, W.K. and Azmitia, E.C. 5-HT, MDMA (Ecstasy), and Nimodipine Effects
on 45Ca-Uptake into Rat Brain Synaptosomes. Ann. N.Y. Acad. Sci. 635
438-440 (1991).
- The uptake of calcium ion into the rat brain, both basal and K+ stimulated,
was increased by exposure to MDMA, a potent neuropathological drug of
abuse. Interestingly, this same increase was seen with both serotonin and
Fluoxetine.
- Paulus, M.P. and Geyer, M.A. The Effects of MDMA and Other
Methylenedioxy-substituted Phenylalkylamines on the Structure of Rat
Locomotor Activity. Neuropsychopharm. 7 15-31 (1992).
- The effects of acute s.c. injections of MDA, racemic, S(+) and R(-) MDMA,
racemic MBDB, racemic MDEA, DOI, and methamphetamine were studied in the
rat. Indirect 5-HT1 effects appear to contribute substantially to the
differential changes in the amount and structure of motor behaviour induced
by the phenylalkylamines. This conclusion may provide an encouraging
rationale to develop postsynaptically effective "entactogens", a potential
new drug category as adjunctive psychotherapeutics.
- Paulus, M.P., Geyer, M.A., Gold, L.H. and Mandell, A.J. Application of
Entropy Measurements Derived from the Ergodic Theory of Dynamical Systems
to Rat Locomotor Behaviour. Proc. Natl. Acad. 87 723-727 (1990).
- The observed activity of rats treated with MDMA followed paths with a
different geometric distribution, than control animals treated with
amphetamine.
- Rezvani, A.H., Garges, P.L., Miller, D.B. and Gordon, C.J. Attenuation of
Alcohol Consumption by MDMA (Ecstasy) in Two Strains of Alcohol-preferring
Rats. Pharm. Biochem. Behav. 43 103-110 (1992)
- The hypothesis that serotonin is involved in alcoholism has led to the
design and carrying out of an experiment evaluating the action of MDMA,
acutely and chronically, on the behaviour of alcohol-preferring rats. It
was found to have an inhibitory action on alcohol preference, perhaps by
the enhancement of serotonergic and/or dopaminergic systems in the CNS.
- Rosecrans, J.A. and Glennon, R.A. The Effect of MDA and MDMA ("Ecstasy")
Isomers in Combination with Pirenpirone on Operant Responding in Mice.
Pharmacol. Biochem. Behav. 28 39-42 (1987). See also: Soc. Neurosci. Abstr.
13, Part 3, p. 905 (1987) No. 251.10.
- The disruptive effects of the optical isomers of MDA and MDMA were studied
for mice trained in a reinforcement schedule, both with and without
pretreatment with Pirenpirone, a serotonin antagonist. Of the four isomers
evaluated, only "R"-MDA behaviour responses were attenuated by Pirenpirone.
- Scallet, A.C., Lipe, G.W., Ali, S.F., Holson, R.R., Frith, C.H. and Slikker
Jr., W. Neuropathological Evaluation by Combined Immunohistochemistry and
Degeneration-Specific Methods: Application to
Methylenedioxymethamphetamine. Neurotoxicol. 9 529-539 (1988).
- The combination of neurohistological and neurochemical evaluations suggests
that the changes in serotonin levels following MDMA exposure in the rat is
due to neural degeneration followed by axon loss, rather than a decrease in
serotonin synthesis.
- Scanzello, C.R., Hatzidimitriou, G., Martello, A.L., Katz, J.L. and
Ricaurte, G.A. Serotonergic Recovery after
(+/-)3,4-(Methylenedioxy)methamphetamine Injury: Observations in Rats. J.
Parmacol. Exptl. Therap. 264 1484-1491 (1993).
- In rats, as opposed to monkeys, the damage that is done by exposure to MDMA
appears to be reversable. This study explored the permanence of this
recovery, and in some cases it appears to be sustained for at least a year.
Some rats, however, appeared not to show this recovery.
- Schmidt, C.J., Sullivan, C.K. and Fadayel, G.M. Blockade of Striatal
5-Hydroxytryptamine(2) Receptors Reduces the Increase in Extracellular
Concentrations of Dopamine Produced by the Amphetamine Analogue
3,4-Methylenedioxymethamphetamine. J. Neurochem. 62 1382-89 (1994).
- MDMA stimulates the synthesis and release of dopamine, and serotonin
receptor antagonists interfere with this action. Studies have been made to
determine which receptors are responsible.
- Schechter, M.D. Discriminative Profile of MDMA. Pharmacol. Biochem. Behav.
24 1533-1537 (1986)
- Rats trained to discriminate several psychoactive drugs (against saline)
were challenged with MDMA. The findings show that MDMA may act both as a
dopamine and a serotonin agonist. This property is related to its abuse
potential.
- Schechter, M.D. MDMA as a Discriminative Stimulus: Isomeric Comparisons.
Pharmacol. Biochem. Behav. 27 41-44 (1987).
- Studies with rats trained to discriminate racemic MDMA from saline, showed
generalization with both optical isomers of MDMA, with the "S" isomer being
more potent. The chronological observations paralleled the reported human
responses.
- Schechter, M.D. Advantages and Disadvantages of a Rapid Method to Train
Drug Discrimination. Pharmacol. Biochem. Behav. 31 239-242 (1988).
- A exploration of training regimens was made for accelerating the
development of discrimination protocols, using MDMA as a trial drug. The
various findings are discussed.
- Schechter, M.D. Effect of MDMA Neurotoxicity Upon Its Conditioned Place
Preference and Discrimination. Pharmacol. Biochem. Behav. 38 539-544
(1991).
- Two behaviour patterns, conditioned place preference and discrimination,
were used as measures of the neurotoxicity induced by MDMA in rats.
Dose-dependent changes were observed. The possible involvement of both
serotonin and dopamine neurons is discussed.
- Schlemmer Jr., R.F., Montell, S.E. and Davis, J.M. Fed. Proc. 45 1059 (1986).
- The behavioural effects of MDMA have been studied in a primate colony,
following multiple acute exposures. There was a decrease in activity,
grooming, and food-searching, and an increase in staring. There was a
disruption of social behaviour, that differed from the effects of other
hallucinogens.
- Schmidt, C.J. and Taylor, V.L. Reversal of the Acute Effect of
3,4-Methylenedioxymethamphetamine by 5-HT Uptake Inhibitors. Europ. J.
Pharmacol. 181 133-136 (1990).
- Re-uptake inhibitors of serotonin were administered at intervals following
the administration of MDMA to rats. The inactivation of tryptophan
hydroxylase activity that follows MDMA administration can be rapidly
recovered by the early administration of such an inhibitor.
- Schmidt, C.J., Fadayel, G.M., Sullivan, C.K. and Taylor, V.L.
5-HT2-Receptors Exert a State-Dependent Regulation of Dopaminergic Function -
Studies with MDL-100,907 and the Amphetamine Analogue,
3,4-Methylenedioxymethamphetamine. Eur. J Pharmacol. 223 65-74 (1992).
- The role of serotonin in the stimulation of dopaminergic function as
produced by MDMA, was studied by the use of a selective serotonin receptor
antagonist. The interactions between these receptors and dopamine
activation are discussed.
- Sharkley, J., McBean, D.E. and Kelly, P.A.T. Alterations in Hippocampal
Function Following Repeated Exposure to the Amphetamine Derivative
Methylenedioxymethamphetamine ("Ecstasy"). Psychopharmacology 105 113-118
(1991).
- Studies with labelled deoxyglucose radiography techniques demonstrate that
the loss of serotonin innervation resulting from MDMA exposure in the rat
resulted in lasting change in hippocampus function.
- Spanos, L.J. and Yamamoto, B.K. Acute and Subchronic Effects of
Methylenedioxymethamphetamine [(+/-) MDMA] on Locomotion and Serotonin
Syndrome Behaviour in the Rat. Pharm. Biochem. Behav. 32 835 (1989).
- The behavioural effects of MDMA on rats were observed. There was a
"serotonin syndrome" (low body posture, forepaw treading, headweaving) as
well as autonomic signs (piloerection and salivation). These were
dose-dependent, and were augmented with sub-acute exposure implying
behavioural sensitisation.
- Sprouse, J.S., Bradberry, C.W., Roth, R.H. and Aghajanian, G.K. MDMA
3,4-Methylenedioxymeth-amphetamine Inhibits the Firing of Dorsal Raphe
Neurons in Brain Slices via Release of Serotonin. Eur. J. Pharmacol. 167
375-383 (1989).
- Both optical isomers of MDMA as well as p-chloroamphetamine led to a
reversible dose-dependant inhibition of serotonin cell firing. The (+)
isomer was the more potent, and these effects were blocked by Fluoxetine.
It was concluded that MDMA inhibits the raphe neurons through the release
of endogenous serotonin.
- Sprouse, J.S., Bradberry, C.W., Roth, R.H. and Aghajanian, G.K.
3,4-Methylenedioxymethamphetamine-induced Release of Serotonin and
Inhibition of Dorsal Raphe Cell Firing: Potentiation by L-Tryptophane. Eur.
J. Pharmacol. 178 313-320 (1990).
- The relationship between L-tryptophan and the psychotropic and neurotoxic
action of MDMA (in the rat) has been studied. A pretreatment with
tryptophane appeared to increase the potency of MDMA, with the apparent
release of serotonin.
- Steele, T.D., Nichols, D.E. and Yim, G.K. MDMA Transiently Alters Biogenic
Amines and Metabolites in Mouse Brain and Heart. Pharm. Biochem. Behav. 34
223-227 (1989)
- The administration of MDMA to the mouse elevated the brain serotonin levels
(rather than lowering them, as seen in the rat), but had little effect on
the dopamine levels. The highest level depleted norepinephrine in both
brain and heart. Mice appear to be resistant to the neurotoxic effects of
MDMA.
- Stone, D.M., Johnson, M., Hanson, G.R. and Gibb, J.W. Role of Endogenous
Dopamine in the Central Serotonergic Deficits Induced by
3,4-Methylenedioxymethamphetamine. J. Pharm. Exp. Therap. 247 79-87 (1988).
- The role of endogenous dopamine was examined in rats which had been
subjected to both acute and chronic MDMA exposure. Potential mechanisms of
dopamine-mediated toxicity are discussed.
- Thompson, D.M., Winsauer, P.J. and Mastropaolo, J. Effects of
Phencyclidine, Ketamine and MDMA on Complex Operant Behaviour in Monkeys.
Pharm. Biochem. Behav. 26 401-405 (1987).
- The loss of response to conditioned behaviour in monkeys was observed for
the title drugs. All were effective i.m., with phencyclidine being the most
potent, and MDMA being the least potent.
- Winslow, J.T. and Insel, T.R. Serotonergic Modulation of Rat Pup Ultrasonic
Vocal Development: Studies with 3,4-Methylenedioxymethamphetamine.J.
Pharm. Exp. Therap. 254 212-220 (1990).
- New-born rat pups voice a high frequency sound, an isolation call, when
separated from their mothers. These calls were decreased in a
dose-dependant manner following the administration of MDMA. Benzodiazepine
and opioid agonists also show this response. A number of pharmacological
challenges suggest that these effects may be related to serotonin changes.
- Yeh, S.Y. and Hsu, F-L. The Neurochemical and Stimulatory Effects of
Putative Metabolites of 3,4-Methylenedioxyamphetamine and
3,4-Methylenedioxymethamphetamine in Rats. Pharmacol. Biochem. Behav. 39
787-790 (1991).
- Both MDA and MDMA, as well as their metabolites, were injected s.q. into
rats. Brain analyses for serotonin and 5-hydroxyindoleacetic acid were
conducted. Both MDA and MDMA appeared to have a stimulative action of the
test animals.
- Zacny, J.P., Virus, R.M. and Woolverton, W.L. Tolerance and Cross-Tolerance
to 3,4-Methylenedioxymethamphetamine (MDMA), Methamphetamine and
Methylenedioxyamphetamine. Pharmacol. Biochem. Behav. 35 637-642 (1990).
- Using milk intake as a titrant of behaviour, rats were evaluated for their
behavioural responses to MDMA, methamphetamine (MA) and MDA. These animals
were then treated chronically with either MDMA or saline, and the degree of
tolerance determined by challenges with the three drugs. MDMA produced a
tolerance for MDMA, there was some tolerance for these animals to MDA,
depending on the schedule established, and there was no tolerance of these
animals to the administration of MA.
Neurochemistry
- Ali, S.F., Scallet, A.C., Holson, R.R., Newport, G.D. and Slikker Jr., W.
Acute Administration of MDMA (Ecstasy): Neurochemical Changes Persist up to
120 Days in Rat Brain. Soc. Neurosci. Abstr. 13 904 (1987).
- Rats were given 40 mg/Kg MDMA twice daily for 4 days. After 120 days, some
regions of the brain (frontal cortex, hippocampus) still had serotonin
depletion. There was fighting behaviour noted between rats during the
dosing and for up to two weeks following it.
- Ali, S.F., Scallet, A.C., Newport, G.D., Lipe, G.W., Holson, R.R. and
Slikker Jr., W. Persistent Neurochemical and Structural Changes in Rat
Brain after Oral Administration of MDMA. Res. Commun. Subst. Abuse 10
225-236 (1989).
- Rats were administered short-term intense levels of MDMA orally, and then
assayed for neurological changes after a period of four months. Changes
were seen in the levels of both serotonin and 5-hydroxyindoleacetic acid,
and neurohistological changes in the brain step were observed.
- Anon. Long-term Effects of "Ecstasy": Study Finds Brain Cell Destruction.
NIDA Notes 2 # 3. p. 7 (1987).
- A short distillation of the present state of MDMA research in relationship
to serotonin neurochemistry is presented.
- Battaglia, G. and De Souza, E.B. Pharmacologic Profile of Amphetamine
Derivatives at Various Brain Recognition Sites: Selective Effects on
Serotonergic Systems. NIDA Research Monograph Series #94 240-258 (1989).
- A review is presented of the affinities for a large number of substituted
amphetamine derivatives for several serotonin receptors. An addition, a
pharmacologic profile of binding affinities of MDMA at a number of
recognition sites is tabulated.
- Battaglia, G., Kuhar, M.J. and De Souza, E.B. MDA and MDMA (Ecstasy)
Interactions with Brain Serotonin Receptors and Uptake Sites: In vitro
Studies. Soc. Neurosciences Abs. 12 336.4 (1986).
- The receptor site uptake of the optical isomers, as well as the racemate,
of both MDA and MDMA were measured by separate, selective labelling with
appropriate radioligands. The relationships between the isomers depended on
whether uptake sites or receptors were involved, and differed at different
locations in the brain.
- Battaglia, G., Sharkey, J., Kuhar, M.J. and De Souza, E.B. Neuroanatomic
Specificity and Time Course of Alterations in Rat Brain Serotoninergic
Pathways Induced by MDMA (3,4- Methylenedioxymethamphetamine): Assessment
Using Quantitative Autoradiography. Synapse 8 249-260 (1991).
- A quantitative measure of the change in serotonin uptake sites as a
consequence of MDMA exposure in rats was determined by the use of radio
labelled Paroxetine. Changes as a function of time were noted in defined
areas of the brain.
- Battaglia, G., Yeh, S.Y. and De Souza, E.B. MDMA-Induced Neurotoxicity:
Parameters of Degeneration and Recovery of Brain Serotonin Neurons.
Pharmacol. Biochem. Behav. 29 269-274 (1988).
- A number of parameters were studied to define the nature of the neurotoxic
effect on serotonin axons and terminals. Both the size and frequency of
drug administration resulted in a dose-dependent response. Regeneration of
these neurons was also time dependent, returning to control levels in 12
months. Pretreatment with a serotonin uptake blocker (Citalopram) prevented
the neurodegenerative effects of MDMA. The rat and guinea-pig brains were
affected, whereas the mouse brain was not.
- Battaglia, G., Yeh, S.Y., O'Hearn, E., Molliver, M.E., Kuhar, M.J. and De
Souza, E.B. 3,4-Methylenedioxymethamphetamine and
3,4-Methylenedioxyamphetamine Destroy Serotonin Terminals in Rat Brain:
Quantification of Neurodegeneration by Measurements of [3H]
Paroxetine-Labelled Serotonin Uptake Sites. J. Pharm. Exptl. Therap. 242
911-916 (1987),
- The effects of repeated administration of MDMA and MDA on the levels of rat
brain monoamines and their metabolites are reported. Only the
serotonin-related systems were found to be affected.
- Battaglia, G., Zaczek, R. and De Souza, E. MDMA Effects in Brain:
Pharmacologic Profile and Evidence of Neurotoxicity from Neurochemical and
Autoradiographic Studies. The Clinical, Pharmacological and
Neurotoxicological Effects of the Drug MDMA. Kluwer, New York. (1990) Ed:
S.J. Peroutka.
- A series of in vitro and in vivo studies of MDMA in rats has allowed a
thorough mapping of the sites of MDMA-induced neurotoxicity.
- Bird, M.P., Svendsen, C.N., Knapp, C., Hrbek, C.C., Bird, E.D. and
Kornetsky, C. Evidence for Dopaminergic and Not Serotonergic Mediation of
the Threshold Lowering Effects of MDMA on Rewarding Brain Stimulation. Soc.
Neurosci. Abstr. 13, Part 3, p. 1323 (1987) No. 365.13.
- An effort was made to determine the rewarding aspect of MDMA by a
combination of brain electrodes and specific neurotransmitter inhibitors.
It is felt that MDMA reinforcing values may be mediated by the dopamine D2
receptor rather than the serotonin 5-HT2 receptor.
- Callaway, C.W., Nichols, D.E., Paulus, M.P. and Geyer, M.A. Serotonin
Release is Responsible for the Locomotor Hyperactivity in Rats Induced by
Derivatives of Amphetamine Related to MDMA. Serotonin: Molecular Biology,
Receptors and Functional Effects, Birkh=E4user Verlag, Basel. J.R. Fozard and
P.R. Saxena, Eds. (1991).
- In rats MDMA produces locomotor hyperactivity, but the spatial pattern of
locomotion differs qualitatively from the pattern of exploration produced
by other psychostimulants.
- Callaway, C.W., Rempel, N., Peng, R.Y. and Geyer, M.A. Serotonin 5-HT1-Like
Receptors Mediate Hyperactivity in Rats Induced by
3,4-Methylenedioxymethamphetamine. Neuropsychopharm. 7 113-127 (1992).
- This study was designed to evaluate the role of different serotonin (5-HT)
receptor subtypes in mediating the effects of MDMA on a rat's exploration
of a novel environment. This study indicates that S-MDMA produces a
characteristic form of locomotor hyperactivity in rats that depends upon
activation of 5-HT1-like receptors, possibly of the 5-HT1b subtype.
- Champney, T.H. and Matthews, R.T. Pineal Serotonin is Resistant to
Depletion by Serotonergic Neurotoxins in Rats. J. Pineal Res. 11 163-167
(1991).
- A comparison between MDMA and p-chloroamphetamine (pCA) has been made in
the rat with a view to neurotoxicity. Both compounds reduced serotonin
levels in several brain areas, but neither affected the neurotransmitter
levels in the pineal. This gland does not appear to have the serotonin
re-uptake system that is thought to be necessary for MDMA or pCA induced
neurotoxicity.
- Champney, T.H., Golden, P.T. and Matthews, R.T. Reduction of Hypothalamic
Serotonin Levels after Acute MDMA Administration. Soc. Neurosciences Absts.
12 101.6 (1986).
- Cortical, hypothalamic, and pineal levels of catecholamines, serotonin and
5-HIAA were determined shortly following an acute exposure of rats to each
of several doses of MDMA. Dose-dependent decreases of serotonin and 5-HIAA
were noted in some but not other areas of the brain. The catecholamine
levels were unchanged.
- Commins, D.L., Vosmer, G., Virus, R.M., Woolverton, C.R., Schuster, C.R.
and Seiden, L.S. Biochemical and Histological Evidence that
Methylenedioxmethamphetamine (MDMA) is Toxic to Neurons in Rat Brain. J.
Pharm. Exptl. Therap. 241 338-345 (1987).
- MDMA was administered chronically to rats and guinea pigs , and the
neurotransmitter levels were assayed in several portions of the brain.
These levels were found to be related to dosage, and to the extent of
exposure. Anatomical morbidity is carefully described.
- Defrese, G.D.R. (+/-)-3,4-Methylenedioxymethamphetamine (MDMA): Extending
the Debate Regarding Clinical Implications of its Neurotoxicity.
Unpublished manuscript, Department of Pharmacology, U.C. Davis, (1990).
- An experimental approach is proposed, using experimental animals, to
evaluate the toxicological risks to man that might result from the
reintroduction of MDMA into clinical practice.
- De Souza, E.B. and Battaglia, G. Effects of MDMA and MDA on Brain Serotonin
Neurons: Evidence from Neurochemical and Autoradiographic Studies. NIDA
Research Monograph Series #94 196-222 (1989).
- A series of studies with both MDMA and MDA demonstrate dose-dependent
changes in the brain serotonin neurons, which can blocked by pretreatment
with a serotonin uptake blocker.
- DeSouza, E.B., Battaglia, G., Shu, Y.Y. and Kuhar, M.J. In Vitro and In
Vivo Effects of MDA and MDMA (Ecstasy) on Brain Receptors and Uptake Sites:
Evidence for Selective Neurotoxic Actions on Serotonin Terminals. Amer.
Coll. of Neuropsychopharm. p. 207 (Dec. 8-12, 1986).
- MDA and MDMA both showed a relatively high affinity for both 5-HT2
serotoninergic and alpha-2 adrenergic brain receptors, but low affinities
for 5-HT1, and for the alpha-1 and beta adrenergic receptors, as well as
for dopamine, muscarinic, and opiate receptors. Chronic administration of
either drug decreases the number of 5-HT2 receptors in various brain
locations.
- Dornan, W.A., Katz, J.L. and Ricaurte, G.A. The Effects of Repeated
Administration of MDMA on the Expression of Sexual Behaviour in the Male
Rat. Pharmacol. Biochem. Behav. 39 813-816 (1991).
- The repeated s.c administration of MDMA to rats produced a disruption of
copulatory behaviour. These effects disappeared within a week.
- Finnigan, K.T., Ricaurte, G.A., Ritchie, L.D., Irwin, I., Peroutka, S.J.
and Langston, J.W. Orally Administered MDMA Causes a Long-term Depletion of
Serotonin in Rat Brain. Brain Research 447 141-144 (1988).
- The oral and sub-cutaneous routes of MDMA toxicity to rat serotonergic
neurons are studied. Both routes lead to a dose dependent serotonin
depletion.
- Finnegan, K.T., Skratt, J.J., Irwin, I. and Langston, J.W. The
N-Methyl-D-aspartate (NMDA) Receptor Antagonist, Dextrorphan, Prevents the
Neurotoxic Effects of 3,4-Methylenedioxymethamphetamine (MDMA) in Rats.
Neuroscience Letters 105 300-306 (1990).
- In in vivo rat studies with various levels of MDMA and dextrorphan, the
latter drug, a NMDA antagonist, completely prevented the
serotonin-depleting action of MDMA.
- Gaylor, D.W. and Slikker Jr, W. Risk Assessment for Neurotoxic Effects.
Neurotoxicology 11 211-218 (1990).
- A mathematical basis is presented for the estimation of risk as a function
of dose, with drugs that are neurotoxic. An illustration is given for MDMA,
based on rat and monkey data.
- Gehlert, D.R. and Schmidt, C.J. Acute Administration of
Methylenedioxymethamphetamine (MDMA) Results in a Persistent and Selective
Increase in 5-HT1 Receptor Binding in Rat Brain. Pharmacologist 29 ABS-44
(1987).
- Acute administration of MDMA in the rat showed an increase in serotonin
binding in 24 hours. This occurred in several parts of the brain.
- Glennon, R.A., Titeler, M., Lyon, R.A. and Youssif, M. MDMA ("Ecstasy"):
Drug Discrimination and Brain Binding Properties. Soc. Neurosciences Abstrac
ts 12 250.11 (1986).
- In rats treated chronically with MDMA (trained to discriminate racemic MDMA
from saline), radioligand binding studies were conducted with both
serotonin and dopamine sites. The Ki values for both 5-HT1 and 5-HT2
receptors were highest for the "S" isomers of MDMA and MDA, with the
racemate lower, and the "R" isomer yet lower. There was no particular
affinity for the dopamine receptors studied.
- Gold, L.H., Hubner, C.B. and Koob, G.F. The Role of Mesolimbic Dopamine in
the Stimulant Action of MDMA. Soc. Neurosci. Abstr., Vol. 13, Part 3, p.
833 (1987) No. 234.13.
- The administration of MDMA to rats may involve (like amphetamine) the
release of dopamine. Test animals with lesions induced by 6-hydroxydopamine
showed less motor activity in response to MDMA than control animals.
- Gold, L.H., Hubner, C.B. and Koob, G.F. A Role for the Mesolimbic Dopamine
System in the Psychostimulant Actions of MDMA. Psychopharmacology 99 40-47
(1989).
- MDMA was evaluated in rats as a stimulant. Lesions induced with
6-hydroxydopamine modified the amphetamine-like responses seen, suggesting
that the drug's action may involve the presynaptic release of dopamine in
the region of the nucleus accumbens.
- Gollamudi, R., Ali, S.F., Lipe, G., Newport, G., Webb, P., Lopez, M.,
Leakey, J.E.A., Kolta, M. and Slikker Jr., W. Influence of Inducers and
Inhibitors on the Metabolism in vitro and Neurochemical Effects in vivo of
MDMA. Neurotox. 10 455-466 (1989).
- A number of experiments were conducted on rats, with the optical isomers of
MDMA. The metabolic formation of MDA by N-demethylation, in vitro, was
greater for the "S" isomer in the female than the male. This effect was
lost with prior phenobarbital induction, and may be related to P-450
isozymes. In in vivo studies, either isomer appeared to be equally
effective in depleting serotonin, but pretreatment studies suggest that an
active metabolite other than MDA is formed.
- Hanson, G.R., Sonsalla, P., Letter, A., Merchant, K.M., Johnson, M., Bush,
L. and Gibb, J.W. Effects of Amphetamine Analogs on Central Nervous System
Neuropeptide Systems. NIDA Research Monograph Series #94 259-269 (1989).
- The effects of a number of substituted amphetamines on polypeptides
associated with extrapyrimidal structures, have been observed. Both MDA and
MDMA are included, and a discussion is presented of their possible
contribution to both motor and mood changes related to drug-exposure.
- Hashimoto, K. and Goromaru, T. Reduction of [3H] 6-Nitroquipazine-labelled
5-Hydroxytrypatmine Uptake Sites in Rat Brain by
3,4-Methylenedioxymethamphetamine. Fund. Clin. Pharmacol. 4 635-641 (1990).
- The administration of the selective serotonin uptake inhibitor
6-nitroquipazine prevented the MDMA-induced reduction of serotonin and
5-hydroxyindoleacetic acid in rat brain. Tritiated 6-nitroquipazine was
used as a probe for determining the receptor sites that recognized by MDMA.
- Hashimoto, K. and Goromaru, T. Reduction of in vivo Binding of
[3H]Paroxetine in Mouse Brain by 3,4-Methylenedioxymeth-amphetamine.
Neuropharmacol. 29 633-639 (1990)
- Pretreatment of a mouse with MDMA significantly modifies the radioactivity
distribution of tritiated Paroxetine, a potent serotonin re-uptake
inhibitor. The relative decrease of binding to hypothallimus and to
cerebral cortex appears to be dose dependent.
- Hashimoto, K. and Goromaru, T. Study of
3,4-Methylenedioxymethamphetamine-Induced Neurotoxicity in Rat Brain Using
Specific In Vivo Binding of [3H] 6-Nitroquipazine. Res Comm. Subst. Abuse
13 191-201 (1992).
- MDMA-induced neurotoxicity in the rat was studied employing 6-nitoquipazine
binding. This radioligand appears to be well suited for studying
neuropathology and neurochemical changes associated with brain serotonin.
- Hashimoto, K., Maeda, H. and Goromaru, T. Antagonism of
3,4-Methylenedioxymethamphetamine-induced Neurotoxicity in Rat Brain by
1-Piperonylpiperazine. Eur. J. Pharmacol. - Envir. Toxicol. and Pharmacol.
Section, 228 171-174 (1992).
- Several serotonin uptake inhibitors were evaluated for their effects on
MDMA-induced neurotoxicity. 6-Nitroquipazine, Paroxetine and
1-piperonylpiperazine were effective, but the immediate homologue of MDMA
(N,alpha-dimethylpiperonylamine) was not.
- Hekmatpanah, C.R., McKenna, D.J. and Peroutka, S.J. Reserpine does not
Prevent 3,4-Methylenedioxyamphetamine-induced Neurotoxicity in the Rat.
Neuroscience Letters (in press) 1989.
- The administration of reserpine to rats, which reduces the brain monoamine
stores in rats, did not prevent the degeneration of serotoninergic nerve
terminals.
- Hiramatsu, M. and Cho, A.K. Enantiomeric Differences in the Effects of
3,4-Methylenedioxymethamphetamine on Extracellular Monoamines and
Metabolites in the Striatum of Freely-Moving Rats: An in vivo Microdialysis
Study, Neuropharm. 29 269-275 (1990).
- The effects of para-chloroamphetamine and of the optical isomers of MDMA on
the extracellular levels of the metabolites of dopamine and of serotonin
were determined by dialysis. The level of dopamine was increased, and that
of its metabolites decreased, with p-CPA, (+) MDMA and (-) MDMA showing
decreased potency. The serotonin metabolite 5-HIAA was also decreased, but
there was no difference between the two optical isomers of MDMA in the
production of this effect.
- Hoffman, B.J., Mezey, E. and Brownstein, M.J. Cloning of a Serotonin
Transporter Affected by Antidepressants. Science, 254 579-580 (1991).
- A DNA clone for a serotonin transporter has been isolated. The cell uptake
of the complimentary DNA resembles platelet serotonin uptake, and it is
sensitive to antidepressants, amphetamine derivatives and cocaine. MDMA has
an exceptionally high affinity.
- Insel, T.R., Battaglia, G., Johannessen, J.N., Marra, S. and De Souza, E.B.
3,4-Methylenedioxymethamphetamine ("Ecstasy") Selectively Destroys Brain
Serotonin Terminals in Rhesus Monkeys. J. Pharm. Exptl. Therap. 249 713-720
(1989).
- In rhesus monkeys, the subacute administration of MDMA decreased both
serotonin and 5-HIAA levels. At high levels there was also a decrease in
the number of serotonin uptake sites (implying serotonin terminal
destruction). There appears to be a considerable specificity as to brain
region where these effects are expressed.
- Johnson, M.P. and Nichols, D.E. Neurotoxin Effects of the Alpha-Ethyl
Homologue of MDMA Following Subacute Administration. Pharmacol. Biochem.
Behav. 33 105-108 (1989).
- MBDB, the alpha-ethyl homologue of MDMA, was compared with MDMA in rats, as
to potential neurotoxicity. There was a similar decrease in the number of
observed serotonin binding sites but, unlike MDMA, there were no
significant decreases in dopamine levels observed.
- Johnson, M.P., and Nichols, D.E. Combined Administration of a
Non-Neurotoxic 3,4-Methylenedioxymethamphetamine Analogue with Amphetamine
Produces Serotonin Neurotoxicity in Rats. Neuropharmacology 30 819-822
(1991).
- Two drugs have been studied in combination, in the rat. MMAI
(5-methoxy-6-methyl-2-aminoindan) and S-(+)-amphetamine by themselves do
not change any serotonin parameters in the rat. However, in combination,
there was a central serotonin neurotoxicity induced. It appears that
dopamine release plays a critical role in the serotonin neurotoxicity
expression of substituted amphetamine derivatives.
- Johnson, M.P., Conarty, P.F. and Nichols, D.E. [3H]Monoamine Releasing and
Uptake Inhibition Properties of 3,4-Methylenedioxymethamphetamine and
p-Chloroamphetamine Analogues. Eur. J. Pharmacol. 200 9-16 (1991).
- A number of analogues of MDMA and of PCA were studied to determine their
effectiveness in inhibiting the uptake of serotonin into synaptosomes, with
or without pretreatment with reserpine. A valid relationship between the
serotonin neurotoxic potential and the dopamine releasing ability of these
compounds was noted.
- Johnson, M.P., Hoffman, A.J. and Nichols, D.E. Effects of the Enantiomers
of MDA, MDMA, and Related Analogues on [3H]Serotonin and [3H]Dopamine
Release from Superfused Rat Brain Slices. Eur. J. Pharmacol. 132 269-276
(1986).
- The study of a series of MDA homologues (MDA, MDMA, MBDB) showed a dramatic
dependence between chain length and dopamine release. The longer the chain,
the less the release. It is concluded that dopamine release plays a minor
role in the human activity of these compounds.
- Johnson, M.P., Huang, X. and Nichols, D.E. Serotonin Neurotoxicity in Rats
After Combined Treatment with a Dopaminergic Agent Followed by a
Nonneurotoxic 3,4-Methylenedioxymethamphetamine (MDMA) Analogue. Pharm.
Biochem. Beh. 40 915-922 (1991).
- Further evidence has been found linking dopamine to the long-term
serotonergic neurotoxic effects of certain substituted amphetamines such as
MDMA. Studies were conducted with MDAI (5,6-methylenedioxy-2-aminoindan
(itself with a low neurotoxic liability) with several MAO inhibitors
(clorgyline and deprenyl), with a dopamine uptake inhibitor led to no long
term changes. Pretreatment with a dopamine releaser (S-amphetamine) did
produce changes, however.
- Johnson, M.P., Huang, X., Oberlender, R., Nash, J.F. and Nichols, D.E.
Behavioural, Biochemical and Neurotoxicological Actions of the alpha-Ethyl
Homologue of p-Chloroamphetamine. Eur. J. Pharmacol. 191 1-10 (1990).
- The alpha-ethyl homologue of PCA was studied. The relationship of this
compound (CAB) to PCA is that of the non-dopamine releasing MBDB
(N-methyl-1-(1,3-benzodioxol-5-yl)-2-butanamine) to MDMA. Although CAB
produces less disruption of the dopamine system, its effects on the
serotonin system is similar to that of PCA.
- Johnson, M., Elayan, I., Hanson, G.R., Foltz, R.L., Gibbs, J.W. and Lim,
H.K. Effects of 3,4-Dihydroxymethamphetamine and
2,4,5-Trihydroxymethamphetamine, Two Metabolites of
3,4-Methylenedioxymethamphetamine, on Central Serotonergic and Dopaminergic
Systems. J. Pharm. Exptl. Therap. 261 447-453 (1992).
- Two metabolites of MDMA have been evaluated as to their contribution to
neurotoxicity. The metabolite, 2,4,5- trihydroxymethamphetamine is toxic to
both serotonin and dopamine nerve terminals, although it does not appear to
explain the neurotoxic effects of MDMA.
- Johnson, M., Hanson, G.R. and Gibb, J.W. Effects of Dopaminergic and
Serotonergic Receptor Blockade on Neurochemical Changes Induced by Acute
Administration of Methamphetamine and 3,4-Methylenedioxymethamphetamine.
Neuropharm. 27 1089-1096 (1988).
- By the use of specific neurorecptor ligands, the mechanisms of acute and
long-term changes in the CNS from methamphetamine and MDMA exposure, have
been investigated.
- Johnson, M., Letter, A.A., Merchant, K., Hanson, G.R. and Gibb, J.W.
Effects of 3,4-Methylenedioxyamphetamine and
3,4-Methylenedioxymethamphetamine Isomers on Central Serotonergic,
Dopaminergic and Nigral Neurotensin Systems of the Rat. J. Pharm. Exptl.
Therap. 244 977-982 (1988).
- The difference of the isomers of MDA and MDMA in their ability to induce
neurotransmitter changes and neurotensin immunoreactivity are reported. In
general, the d-isomers of each were the more potent in affecting
neurochemical systems.
- Johnson, M., Stone, D.M., Bush, L.G., Hanson, G.R. and Gibb, J.W.
Glucocorticoid and 3,4-Methylenedioxymethamphetamine (MDMA)-induced
Neurotoxicity Eur. J. Pharmacol. 161 181 (1989).
- A series of studies of the role of the glucocorticoids in the serotonin
neurotoxicity of MDMA in rats has indicated some involvement in the
hippocampal area.
- Kalix, P. A Comparison of the Effects of Some Phenethylamines on the
Release of Radioactivity from Isolated Rat Caudate Nucleus Prelabelled with
3H-Dopamine. Arzneim. Forsch. 36 1019-1021 (1986).
- A number of phenethylamines were found to be able to release radioactive
dopamine from prelabelled caudate nuclei. MDMA was not spectacular. The
simplest unsubstituted amphetamine derivatives were the most effective.
- Kalix, P., Yousif, M.Y. and Glennon, R.A. Differential Effects of the
Enantiomers of Methylenedioxymeth-amphetamine (MDMA) on the Release of
Radioactivity from (3H)Dopamine-Prelabeled Rat Striatum. Res. Commun.
Subst. Abuse 9 45-52 (1988).
- The S-isomer of MDMA (the more effective stimulant) is more effective than
the R-isomer in releasing tritiated dopamine from rat striatum. It is about
one sixth the potency of S-methamphetamine.
- Kelland, M.D., Freeman,A.S. and Chiodo, L.A.
(+/-)-3,4-Methylenedioxymethamphetamine- induced Changes in the Basal
Activity and Pharmacological Responsiveness of Nigrostriatal Dopamine
Neurons. Europ. J. Pharmacol. 169 11-21 (1989).
- Studies of acute exposure of rats to MDMA showed an inhibition of the
firing of dopamine neurons, and this effect is diminished following the
depletion of either serotonin or dopamine. MDMA appears to exert direct
functional effects on the nigrostriatal dopamine system.
- Kleven, M.S., Woolverton, W.L. and Seiden, L.S. Evidence that both
Intragastric and Subcutaneous Administration of
Methylenedioxmethamphetamine (MDMA) Produce Serotonin Neurotoxicity in
Rhesus Monkeys. Brain Research 488 121-125 (1989).
- Subacute administration of MDMA to rhesus monkeys by both intragastric and
subcutaneous routes was found to lead to depletion of both serotonin and
5-HIAA in various brain regions. Serotonin uptake sites were depleted
following the oral route but not the subcutaneous route.
- Kopajtic, T., Battaglia, G. and De Souza, E.B. A Pharmacologic Profile of
MDA and MDMA on Brain Receptors and Uptake Sites. Soc. Neurosciences
Abstrts. 12 336.1 (1986).
- Both MDA and MDMA were studied at various brain recognition sites using
radioligand binding techniques. The findings suggest that these drugs may
express their effects at serotonin receptors or uptake sites and/or alpha-2
adrenergic receptors.
- Logan, B.J., Laverty, R., Sanderson, W.D. and Yee, Y.B. Differences Between
Rats and Mice in MDMA (Methylenedioxmethamphetamine) Neurotoxicity. Europ.
J. Pharmacol. 152 227-234 (1988).
- A single large administration of MDMA to the rat or the mouse caused only
transient changes in serotonin, norepinephrine and dopamine levels (and
those of their metabolites). Repeated administrations were required to
establish long-lasting changes in the rat; the mouse remained relatively
insensitive. It appears that the both the nature and the degree of
neurotoxicity with MDMA is species-specific.
- Lowe, M.T., Nash Jr., J.F. and Meltzer, H.Y. Selective Reduction of
Striatal Type-II Glucocorticoid Receptors in Rats by
3,4-Methylenedioxymethamphetamine (MDMA). Eur. J. Pharmacol. 163 157-161
(1989).
- A single large s.c. dose of MDMA to rats reduced, in addition to brain
serotonin and 5-HIAA levels, the glucocorticoid levels in the striatum. No
differences in the corticosterone levels were noted, however, suggesting
that it may not play a role in the receptor reduction.
- Lyon, R.A., Glennon, R.A. and Titeler, M. 3,4-Methylenedioxymethamphetamine
(MDMA): Stereoselective Interactions at Brain 5-HT1 and 5-HT2 Receptors.
Psychopharmacology 88 525-526 (1986).
- The assay of the optical isomers of MDA and MDMA with isolated receptors of
rat brains, suggested that MDMA does not work primarily through direct
interaction with serotonin receptors.
- Millan, M.J. and Colpaert, F.C. Methylenedioxymethamphetamine Induces
Spontaneous Tail-flicks in the Rat via 5-HT1a Receptors. Eur. J. Pharmacol.
193 145-152 (1991).
- MDMA, but not amphetamine, induced dose-dependent tail-flicks in restrained
rats. These effects were blocked by serotonin uptake inhibitors,
implicating these receptors in this response.
- Mokler, D.J., Robinson, S.E. and Rosecrans, J.A. Differential Depletion of
Brain 5-Hydroxytryptamine (5-HT) by (+/-) 3,4-Methylenedioxymethamphetamine
(MDMA). Pharmacologist 29 ABS-273 (1987).
- The sensitivity of specific brain areas for the 5-HT depleting effects of
MDMA may relate to the metabolic activity of 5-HT neurones in that region.
- Mokler, D.J., Robinson, S.E. and Rosecrans, J.A. (+/-)
3,4-Methylenedioxymethamphetamine (MDMA) Produces Long-term Reductions in Brain
5-Hydroxytryptamine in Rats. Eur. J. Pharmacol. 138 265-268 (1987).
- Following chronic administration of MDMA to rats, both serotonin and 5-HIAA
became depleted in the brain. It is suggested that MDMA can function as a
neurotoxin.
- Mokler, D.J., Robinson, S.E. and Rosecrans, J.A. A Comparison of the
Effects of Repeated Doses of MDMA ("Ecstasy") on Biogenic Amine Levels in
Adult and Neonate Rats. Soc. Neurosci. Abstr. 13No. 251.9 p.905 (1987).
- MDMA was given to both adult and neonate rats in 10-40 mg/Kg doses over
several days. The serotonin levels were decreased and the dopamine levels
were significantly increased.
- Molliver, M.E. Serotonergic Neural Systems: What Their Anatomic
Organization Tells Us about Function. J. Clinical Psychopharm. 7 3S-23S
(1987).
- A review of the organization of the serotonin nervous system is presented.
The findings associated with the neurotoxic effects of MDMA are used as
instructive tools, and speculation is extended as to the role of these
neurons in the generation of the affective state.
- Molliver, M.E., Mamounas, L.A. and Wilson, M.A. Effects of Neurotoxic
Amphetamines on Serotonergic Neurons: Immunocytochemical Studies. NIDA
Research Monograph Series #94 270-305 (1989).
- A highly detailed cytological mapping of the serotonin related structures
in the rat brain, is presented. An immunocytological study, with
anto-serotonin antibodies, has been made with several substituted
amphetamines, including MDA and MDMA. The axon bodies are severely damaged,
but the raphe cell bodies are spared. Some primate studies are discussed.
- Molliver, M.E., O'Hearn, E., Battaglia, G. and De Souza, E.B. Direct
Intracerebral Administration of MDA and MDMA Does Not Produce Serotonin
Neurotoxicity. Soc. Neurosciences Abstrts. 12 336.3 (1986).
- The microinjection of either MDA or MDMA directly in to the cerebral cortex
resulted in no detectable cytotoxicity. This suggests that the
neurotoxicity of both compounds may be due to some metabolite formed
peripherally.
- Monti, J.A., Beaton, J.M., Benington, F., Morin, R.D. and Christian, S.T.
MDMA and MBDB Potentiate Phorbol Ester-Stimulated Catecholamine Release
from PC-12 Cells. Soc. Neuroscience Abstrt. November 13-18, 1988.
- The "S" isomer of both MDMA and MBDB are potent in stimulating catechol
release from PC-12 cells. The norepinephrin and dopamine release was
increased in the presence of phorbol dibenzoate. It is suggested that this
release may be mediated by protein kinase-C.
- Nader, M.A., Hoffmann, S.M. and Barrett, J.E. Behavioural Effects of (+/-)
3,4-Methylenedioxyamphetamine (MDA) and (+/-)
3,4-Methylenedioxymethamphetamine (MDMA) in the Pigeon: Interactions with
Noradrenergic and Serotoninergic Systems. Psychopharmacology 98 183-188
(1989).
- MDA, MDMA and MDE. were studied in a conditioned behaviour involving
pigeons. MDA was the most potent of the three drugs. The use of serotonin
and dopamine antagonists suggested that the actions of MDA and MDMA are
mediated by different neurotransmitter systems.
- Nash, J.F. and Yamamoto, B.K. Methamphetamine Neurotoxicity and Striatal
Glutamate Release: Comparison to 3,4-Methylenedioxymethamphet- amine. Brain
Research 581 237-243 (1992).
- The neurotoxicity of methamphetamine and MDMA were compared by measuring
the extracellular concentrations of several compounds by microdialysis in
freely moving rats. The long term dopamine neurotoxicity from repeated
methamphetamine administration is mediated, in part, by a delayed increase
in extracellular glutamate. Repeated MDMA administration, at a dose that
produced a long-term depletion of serotonin, had no effect on glutamate
release.
- Nash, J.F., Meltzer, H.Y. and Gudelsky, G.A. Effect of
3,4-Methylenedioxymethamphetamine on 3,4-Dihydroxyphenylalanine
Accumulation in the Striatum and Nucleus Accumbers, J. Neurochem. 34
1062-1067 (1990).
- The effect of MDMA on dopamine synthesis in rat brain was estimated by
measuring DOPA accumulation following pretreatment with a decarboxylase
inhibitor. It is suggested that dopamine plays a role in the serotonin
depletion produced by MDMA.
- Nash, J.F., Meltzer, H.Y. and Lowy, M.T. The Effect of Adrenalectomy on
MDMA-Induced Dopamine Release in the Striatum as Measured by in vivo
Microdialysis and Depletion of Serotonin. Res. Commun. Subst. Abuse 13
177-190 (1992).
- The interaction of MDMA and corticosterone in neurotransmitter depletion
was studied in adrenalectomized rats. There does not seem to be any
significant role for corticosterone in the MDMA-induced depletionof
serotonin and 5-hydroxyindoleacetic acid.
- Nichols, D.E., Brewster, W.K., Johnson, M.P., Oberlender, R. and Riggs,
R.M. Nonneurotoxic Tetralin and Indan Analogues of
3,4-Methylenedioxyamphetamine (MDA). J. Med. Chem. 33 703-710 (1990).
- Four cyclic analogues of MDA were synthesized and evaluated
pharmacologically. Two indanes and two tetralins were explored through
discrimination studies relative to MDMA or LSD. They appear not to have
serotonin neurotoxicity.
- O'Hearn, E., Battaglia, G., De Souza, E.B., Kuhar, K.J. and Molliver, M.E.
Systemic MDA and MDMA, Psychotropic Substituted Amphetamines, Produce
Serotonin Neurotoxicity. Soc. Neurosciences Abstrts. 12 336.2 (1986).
- Rats exposed chronically to either MDA or MDMA were found, on sacrifice, to
have a reduced number of serotonin axon terminals. This was most evident in
cerebral cortex, thalamus, olfactory bulb and striatum, but also occurred
in other areas. This may be due to the binding of these drugs to the uptake
sites. The serotonin cell bodies and the preterminal axons are spared.
- O'Hearn, E., Battaglia, G., De Souza, E.B., Kuhar, M.J. and Molliver, M.E.
Methylenedioxyamphetamine (MDA) and Methylenedioxymethamphetamine (MDMA)
Cause Selective Ablation of the Serotoninergic Axon Terminals in Forebrain:
Immunocytochemical Evidence for Neurotoxicity. J. Neuroscience 8 2788
(1988).
- Following chronic administration of MDMA (or separately, MDA) to rats,
there is observed a profound loss of serotoninergic neuron axons throughout
the forebrain. Various regions of the brain are compared as to extent of
damage. The catacholamine counterparts are not affected.
- Pan, H.S. and Wang, R.Y. MDMA: Further Evidence that its Action in the
Medial Prefrontal Cortex is Mediated by the Serotoninergic System. Brain
Res. 539 332-336 (1991).
- The administration of MDMA was found to suppress the firing rates of
certain brain neurons in anaesthetized rats. The (+) isomer, but not the
(-) isomer, mimics the racemate. These effects are blocked by the
pretreatment with a serotonin uptake inhibitor.
- Pan, H.S. and Wang, R.Y. The Action of (+/-)-MDMA on Medial Prefrontal
Cortical Neurons is Mediated Through the Serotoninergic System. Brain
Research 543 56-60 (1991).
- Rats anaesthetized with chloral hydrate were given varying amounts of MDMA
intravenously. Electrodes located in the brain showed decreased neuron
excitement. Studies were extended to include pretreatment with
para-chlorophenylalanine and alpha-methyl-paratyrosine. The action of MDMA
apparently involves some endogenous serotonin release.
- Paris, J.M. and Cunningham, K.A. Lack of Serotonin Neurotoxicity after
Intraraphe Microinjection of (+) 3,4-Methylenedioxymethamphetamine (MDMA).
Brain Res. Bull. 28 115-119 (1991).
- Direct injection of MDMA into the dorsal and the median Raphe nuclei was
followed, in two weeks, by assay for serotonin and catecholamine changes.
No apparent neurotoxicity was found.
- Peroutka, S.J. Relative Insensitivity of Mice to
3,4-Methylenedioxymethamphetamine (MDMA) Neurotoxocity. Res. Commun. Subst.
Abuse 9 193-206 (1988).
- The effects of MDMA were determined in mouse brain serotonin uptake sites
using paroxetine binding as a measure. In distinction with rats, there were
no effects that could be observed at dosages of up to 30 mg/Kg,
administered chronically. These findings confirm that in the mouse, MDMA is
not a neurotoxic agent.
- Pierce, P.A. and Peroutka, S.J. Ring-substituted Amphetamine Interactions
with Neurotransmitter Receptor Binding Sites in Human Cortex. Neuroscience
Lett. 95 208-212 (1988).
- Three psychotropic drugs, MDA, MDMA and MDE, were evaluated as to their
affinities for the DOB binding site, as determined by the displacement of
77Br DOB as the labelled radioligand.
- Piercey, M.F., Lum, J.T. and Palmer, J.R. Effects of MDMA ("ecstasy") on
Firing Rates of Seroronergic, Dopaminergic, and Noradrenergic Neurons in
the Rat. Brain Research 526 203-206 (1990).
- MDMA is effective in the depression of serotonin neurons in the dorsal and
median raphe. Noradrenalin neurons in the locus coeruleus were also
depressed at moderate dosages, but dopamine neurons were unaffected.
- Ricaurte G.A. and McCann, U.D. Neurotoxic Amphetamine Analogues: Effects in
Monkeys and Implications for Humans. Ann. N. Y. Acad. Sci. 648 371-82
(1992)
- A review is presented of the relationships between several
amphetamine-related compounds (such as amphetamine, methamphetamine and
MDMA) and changes in the neurotransmitter area. The changes seen in rodents
are compared to those observed in non-human primates, and speculation is
made concerning further extrapolation to humans. Research with these
compounds should enhance our understanding of central monoaminergic systems
in normal brain function, and their role in the pathophysiology of
neuropsychiatric disorders
- Ricaurte, G.A., Bryan, G., Strauss, L., Seiden, L. and Schuster, C.
Hallucinogenic Amphetamine Selectively Destroys Brain Serotonin Nerve
Terminals. Science 229 986-988 (1985).
- MDA was studied and found to produce long lasting reductions in the level
of serotonin, the number of serotonin uptake sites, and the concentration
of 5-HIAA in the rat brain. It was suggested that these deficits were due
to serotonin nerve terminal degeneration. This was the research report that
had been submitted for publication at the time of the MDMA hearings, and
that played a focal role in the emergency scheduling of MDMA.
- Ricaurte, G.A., DeLanney, L.E., Irwin, I. and Langston, J.W. Toxic Effects
of MDMA on Central Serotonergic Neurons in the Primate: Importance of Route
and Frequency of Drug Application. Brain Research 446 165-169 (1988).
- The toxicity of MDMA was studied in primates both by the oral and the
subcutaneous routes, and in single and multiple doses. Multiple doses are
more effective that single doses in depleting serotonin, and the s.c route
is more effective than the oral route. However, a single, oral
administration of MDMA still produces a long-lived depletion
- Ricaurte, G.A., DeLanney, L.E., Wiener, S.G., Irwin, I. and Langston, J.W.
5-Hydroxyindoleacetic acid in Cerebrospinal Fluid Reflects Serotonergic
Damage Induced by 3,4-Methylenedioxymethamphetamine in CNS of Non-human
Primates. Brain Research 474 359-363 (1988).
- The usefulness of 5-hydroxyindoleacetic acid in CSF as a marker for
serotonergic damage induced by MDMA was evaluated in the monkey. Following
toxic doses of MDMA, there was removal of CSF for the assay of this
serotonin metabolite, followed by sacrifice of the animal for direct brain
measurement. The resulting positive correlation supports this technique for
the eventual search for MDMA-induced damage in humans.
- Ricaurte, G.A., Finnegan, K.F., Nichols, D.E., DeLanney, L.E., Irwin, I.
and Langston, J.W. 3,4-Methylenedioxymeth-amphetamine (MDE), a Novel
Analogue of MDMA, Produces Long-lasting Depletion of Serotonin in the Rat
Brain. Eur. J. Pharmacol. 137 265-268 (1987).
- MDE was qualitatively similar to MDMA in the depletion of serotonin in rat
brain, but was only one fourth as potent.
- Ricaurte, G.A., Forno, L.S., Wilson, M.A., DeLanney, L.E., Irwin, I.,
Molliver, M.E. and Langston, J.W. (+/-) Methylenedioxymethamphetamine
(MDMA) Exerts Toxic Effects on Central Serotonergic Neurons in Primates.
Soc. Neurosci. Abstr. 13 No. 251.8 p. 905 (1987).
- MDMA was given s.q. twice daily for four days to monkeys, at 2.5, 3.75 and
5 mg/Kg. Post-mortem brain analyses showed serotonin reduction (90%) and
axon damage. Some was described as "striking" and involved morphological
changes.
- Ricaurte, G.A., Forno, L.S., Wilson, M.A., DeLanney, L.E., Irwin, I.,
Moliver, M.E. and Langston, J.W. (+/-) 3,4-Methylenedioxymethamphetamine
Selectively Damages Central Serotonergic Neurons in Nonhuman Primates. J.
Am. Med. Assn. 260 51-55 (1988).
- The parenteral administration (subcutaneous, twice daily for four days) of
MDMA to monkeys of three species produced both brain serotonin depletion
and accompanying neuron damage upon autopsy following a two-week waiting
period. Considerable microscopic detail is given. The evidence presented
could imply, but does not established, that there may be actual neuron cell
death. The humanpattern of use is oral rather than parenteral, but a
warning for prudence is advanced for the human use of either MDMA or (the
neurotoxicologically similar drug) Fenfluramine.
- Ricaurte, G.A., Marletto, A.L., Katz, J.L. and Marletto, M.B. Lasting
Effects of (+/-)-3,4-Methylenedioxymethamphetamine (MDMA) on Ventral
Serotonergic Neurons in Nonhuman Primates: Neurochemical Observations. J.
Pharm. Exptl. Therap. 261 616-622 (1992).
- A study was made of the duration of the neurotoxic effects of MDMA on
squirrel monkeys (5 mg/day, twice daily, for 4 days) as a function of time,
from 2 weeks to a year and a half. A control blank was used. Serotonin
deficits persisted, suggesting that MDMA produces lasting effects.
- Scallet, A.C., Ali, S.F., Holson, R.R., Lipe, G.W. and Slikker Jr., W.
Neurohistological Effects 120 Days after Oral Ecstasy (MDMA): Multiple
Antigen Immunohistochemistry and Silver Degeneration Staining. Soc.
Neurosci. Abstr. 13, Part 3 No. 251.6, p. 904 (1987).
- Both silver degeneration procedures (Fink-Heimer) and immunohistochemical
techniques have been applied to MDMA-treated rats long after dosing. There
are indications of regional differences in recovery, and that some changes
may be irreversible.
- Scheffel, U. and Ricaurte, G.A., Paroxetine as an in vivo Indicator of
3,4-Methylenedioxymethamphetamine Neurotoxicity: A Presynaptic Serotonergic
Positron Emission Tomography Ligand? Brain Research 527 89-95 (1990).
- The value of Paroxetine as an indicator of serotonergic nerve axon damage
was demonstrated by the effectiveness of 5,7-dihydroxytryptamine in
decreasing specific binding. MDMA treatment of rats gave similar reduction
in labelled Paroxetine binding.
- Scheffel, U., Lever, J.R., Stathis, M., Ricaurte, G.A. Repeated
Administration of MDMA Causes Transient Down-regulation of Serotonin 5-HT2
Receptors. Neuropharm. 31 881-893 (1992).
- The repeated administration of MDMA to rats causes a down regulation of
serotonin receptors ion the brain of the rat. N-methyl-2-iodolysergic acid
diethylamide is a suitable ligand for the labelling of these receptors in
vitro and in vivo..
- Schlechter, M.D. Serotonergic-Dopaminergic Mediation of
3,4-Methylenedioxymethamphetamine (MDMA, "Ecstasy"). Pharmacol. Biochem.
and Behav. 31 817-824 (1989).
- The discriminative stimuli properties of MDMA in rats, were studied to
explore the serotinergic, as contrasted to the dopaminergic, nature of the
drug's action. In the early part of the behavioural responses, the effects
appear to be exclusively serotinergic, but in the latter period, there are
some believable dominergic actions.
- Schmidt, C.J. Acute Administration of Methylenedioxymethamphetamine:
Comparison with the Neurochemical Effects of its N-Desmethyl and N-Ethyl
Analogs. Eur. J. Pharmacol. 136 81-88 (1987).
- MDMA (and its two immediate homologues, MDMA and MDE) were studied in the
serotoninergic systems in the rat brain. There was depletion of cortical
serotonin which in the case of MDMA appeared to persist after at least a
week.
- Schmidt, C.J. Neurotoxicity of the Psychedelic Amphetamine,
Methylenedioxymethamphetamine. J. Pharm. Exptl. Therap. 240 1-7 (1987).
- Evidence is presented that MDMA has a complex effect on rat serotonergic
neurons, that results in a neurotoxic change at the nerve terminals. A
parallel is drawn to the neurotoxin para-chloroamphetamine.
- Schmidt, C.J., Acute and Long-term Neurochemical Effects of
Methylenedioxmethamphetamine in the Rat. NIDA Research Monograph Series #94
179-195 (1989).
- An analysis of short and long-term brain serotonin-related changes was
made, and interpreted. Comparisons were made to PCA, methamphetamine and
Fenfluramine.
- Schmidt, C.J. and Kehne, J.H. Neurotoxicity of MDMA: Neurochemical Effects.
Ann. N. Y. Acad. Sci. 600 665-681 (1990).
- A review of the experimental findings involving both serotonin and dopamine
in the neurotoxic action of MDMA. The actual mechanism of action remains
unknown.
- Schmidt, C.J. and Lovenberg, W. (+/-)Methylenedioxymethamphetamine (MDMA):
A Potentially Neurotoxic Amphetamine Analogue. Fed. Proc. 45 1059 (#5264)
April 13-18, (1986). Note paper below, Schmidt et al., with this same
title.
- Rats were administered MDMA s.c. at various doses and sacrificed at three
hours. Brain concentrations of dopamine and serotonin, and their major
metabolites were determined. The serotonin concentrations were reduced in a
dose-dependent manner. Co-administration of a serotonin uptake inhibitor,
Citalopram, blocked the MDMA-induced decline in striatal serotonin
concentrations suggesting a mechanism similar to that of the known
serotonergic neurotoxin p-chloroamphetamine.
- Schmidt, C.J. and Lovenberg, W. Further Studies on the Neurochemical
Effects of 4,5-Methylenedioxymethamphetamine and Related Analogues. Soc.
Neurosciences Abstrts. 12 169.5 (1986).
- The racemate and optical isomers of MDMA produced depletion of cortical and
striatal serotonin. The (+) isomer was the more effective material. MDA was
similar to MDMA, but effects produced by the N-ethyl homologue (MDE) were
reversed in a week. Whereas all three drugs caused an acute decrease in
serotonin concentration, only MDA and MDMA reduced the uptake of tritiated
serotonin at the dosages studied (20 mg/Kg).
- Schmidt, C.J. and Taylor, V.L. Direct Central Effects of Acute
Methylenedioxymethamphetamine on Serotonergic Neurons. Eur. J. Pharmacol.
156 121-131 (1988).
- The optical isomers of MDMA were studied separately in the rat as to their
effects on loss of brain tryptophan hydroxylase. This appeared to precede
the drop of serotonin concentration in the same areas. Injections of MDMA
directly into the brain had no effect on either measure.
- Schmidt, C.J. and Taylor, V.L. Neurochemical Effects of
Methylenedioxymethamphetamine in the Rat: Acute versus Long-term Changes.
The Clinical, Pharmacological and Neurotoxicological Effects of the Drug
MDMA. Kluwer, New York. (1990) Ed: S.J. Peroutka
- A study is presented describing the changes in the brains of rats which had
been administered MDMA. It is felt that the release of dopamine is a
prerequisite for the neurotoxic effects seen.
- Schmidt, C.J., Abbate, G.M., Black, C.K. and Taylor, V.L. Selective
5-Hydroxytryptamine-2 Receptor Antagonists Protect against the
Neurotoxicity of Methylendioxymethamphetamine in Rats. J. Pharm. Exptl.
Therap. 255 478-483 (1990).
- The characteristic serotonin deficits produced in rats by MDMA were
prevented by the simultaneous administration of serotonin antagonists such
as Ritanserin. The action of such drugs may involve dopamine.
- Schmidt, C.J., Black, C.K., Abbate, G.M. and Taylor, V.L.
Methylenedioxymethamphetamine-induced Hyperthermia and Neurotoxicity are
Independently Mediated by 5-HT2 Receptors. Brain Research 529 85-90 (1990).
- In rats, MDMA produces a hyperthermia which can be partially antagonised,
as can the induced neurotoxicity, by the administration of a serotonin
antagonist.
- Schmidt, C.J., Black, C.K., Abbate, G.M. and Taylor, V.L Chloral Hydrate
Anesthesia Antagonizes the Neurotoxicity of
3,4-Methylenedioxymethamphetamine. Eur. J. Pharmacol. 191 213-216 (1990).
- When chloral anesthesia is administered to rats that have been administered
MDMA, there is an interference with the induced neurotoxicity. This may be
due to some role played by dopamine release.
- Schmidt, C.J., Black, C.K. and Taylor, V.L. Antagonism of the Neurotoxicity
due to a Single Administration of Methylenedioxyamphetamine. Eur. J.
Pharmacol. 181 59-70 (1990).
- A complex series of experiments in the rat investigating MDMA has suggested
that the release of both dopamine and serotonin are implicated in the
observed neurotoxicity of MDMA.
- Schmidt, C.J., Black, C.K. and Taylor, V.L. L-DOPA Potentiation of the
Serotoninergic Deficits Due to a Single Administration of
3,4-Methylenedioxymethamphetamine, p-Chloroamphetamine or Methamphetamine
to Rats. Eur. J. Pharmacol. 203 41-49 (1991).
- The role of dopamine in the serotoninergic neurotoxicity of MDMA, PCA,
methamphetamine, MDE, and Fenfluramine was assessed by their
co-administration with L-DOPA. The findings reported support a role for
dopamine release in the toxicity of the first three of these drugs.
- Schmidt,C.J., Levin, J.A. and Loverberg, W. In Vitro and In Vivo
Neurochemical Effects of Methylenedioxymethamphetamine on Striatal
Monoaminergic Systems in the Rat Brain, Biochem. Pharmacol. 36 747-755
(1987).
- This study compares the effects of MDMA and MDA on neurotransmitter release
in vitro and the (+) isomer is the more effective. The (+) isomer is also
the more effective in vivo.
- Schmidt, C.J., Vicki, L., Taylor, G.M. and Nieduzak, T.R. 5-HT-2 Antagonist
Stereoselectivly Prevents the Neurotoxicity of
3,4-Methylenedioxymethamphetamine by Blocking the Acute Stimulation of
Dopamine Synthesis: Reversal by L-DOPA. J. Pharm. Exptl. Therap. 256
230-235 (1991).
- The effects of the optical isomers of a serotonin antagonist (one active,
the other inactive) on the interaction of MDMA with both the dopaminergic
and the serotoninergic systems of the male rat were studied. The protective
effects against forebrain serotonin deficit that was observed, was reversed
by the administration of L-DOPA.
- Schmidt, C.J., Wu, L. and Lovenberg, W. Methylenedioxymethamphetet-amine: A
Potentially Neurotoxic Amphetamine Analogue. Eur. J. Pharmacol. 124 175-178
(1986).
- Acute administration of MDMA to rats provide selective and long lasting
serotonin and 5-HIAA depletion, similar to that produced by
p-chlorophenylalanine. There was an elevation of neostriatal dopamine as
well as it primary metabolite homovanillic acid. A typewritten draft of
this paper was presented to the DEA in conjunction with the legal hearings
held concerning the scheduling of MDMA.
- Seiden, L.S. Report of Preliminary Results on MDMA. Document entered into
evidence Re: MDMA Scheduling Docket No. 84-48, U.S. Department of Justice,
Drug Enforcement Administration, October 16, 1985.
- Rats were treated both acutely and chronically with MDMA, and the study of
the decrease of serotonin receptors and the interpretation of neurological
staining indicated a neurotoxicity similar to, but less dramatic than, that
seen with MDA.
- Slikker, Jr., W. and Gaylor, D.W. Biologically-Based Dose-Response Model
for Neurotoxicity Risk Assessment. Korean J. Toxicol. 6 205-213 (1990).
- A discussion of a model of risk assessment of neurotoxicity is presented,
illustrated by published experimental details from MDMA in experimental
rats.
- Slikker Jr., W., Ali, S.F., Scallet, A.C. and Frith, C.H.
Methylenedioxymethamphetamine (MDMA) Produces Long Lasting Alterations in
the Serotonergic System of Rat Brain. Soc. Neurosciences Abstrts. 12 101.7
(1986).
- The chronic treatment of rats with MDMA (orally) produced decreased levels
of serotonin and 5-HIAA. At high dose levels there was a temporary decrease
in homovanillic acid (HVA) but no change in dopamine levels.
- Slikker Jr., W., Ali, S.F., Scallet, A.C., Firth, C.H., Newport, G.D. and
Bailey, J.R. Neurochemical and Neurohistological Alterations in the Rat and
Monkey Produced by Orally Administered Methylenedioxmethamphetamine (MDMA).
Toxicol Appl. Pharmacol. 94 448-457 (1988).
- A complete neurohistochemical study of chronically administered MDMA,
orally, to either rats of monkeys, showed extensive indications of
serotonin neuron involvement, but no changes in with either dopamine or its
primary metabolites.
- Slikker Jr., W., Holson, R.R., Ali, S.F., Kolta, M.G., Paule, M.G.,
Scallet, A.C., McMillan, D.E., Bailey, J.R., Hong, J.S. and Scalzo, F.M.
Behavioural and Neurochemical Effects of Orally Administered MDMA in the
Rodent and Nonhuman Primate. Neurotox. 10 529-542 (1989).
- MDMA was compared to p-chloroamphetamine (PCA) in rats following short-term
chronic oral administration. Observations were made on behavioural effects
and on neurochemical changes. Both compounds showed the "serotonin motor
syndrome" but these markers were not persistent, although the brain
serotonin level decreases were maintained with time. Similar decreases were
seen in monkeys, but there was no behavioural modification evident.
- Spanos, L.J. and Yamamoto, B.K. Methylenedioxymethamphetamine
(MDMA)-induced Efflux of Dopamine and Serotonin in Rat Nucleus Accumbens.
Soc. of Neurosciences Abstr. 12 p. 609 (#169.6) (1986).
- Following MDMA administration to rats, the efflux of dopamine was decreased
but then it quickly recovered. Serotonin depletion does not recover even
after 2 hours, thus MDMA may be neurotoxic.
- Steele, T.D., Brewster, W.K., Johnson, M.P., Nichols, D.E. and Yim, G.K.W.
Assessment of the Role of alpha-Methylepinine in the Neurotoxicity of MDMA.
Pharm. Biochem. Behav. 38 345-351 (1991).
- The catachol metabolite of MDMA, alpha-methylepinine, was evaluated as a
potential contributor to the neurotoxicity of MDMA. It was formed
metabolicially, and also assayed directly. No relationship to biogenic
amines was observed, and it appears not to be responsible for the observed
MDMA effects.
- Stone, D.M., Hanson, G.R. and Gibb, J.W. Does Dopamine Play a Role in the
Serotonergic "Neurotoxicity" Induced by 3,4-Methylenedioxymethamphetamine
(MDMA)? Soc. Neurosciences Abstrt. 12 169.4 (1986).
- The possibility that the negative serotonin effects of MDMA might be
mediated by dopamine was investigated. Studies involving dopamine synthesis
inhibitors and antagonists suggest less involvement of dopamine than is
seen with methamphetamine.
- Stone, D.M., Hanson, G.R. and Gibb, J.W. Differences in the Central
Serotonergic Effects of Methylenedioxymethamphetamine (MDMA) in Mice and
Rats. Neuropharm. 26 1657-1661 (1987).
- A number of studies as to the brain serotonin responses to MDMA (in rats)
suggest that the duration of exposure might be an important factor in the
estimation of toxic effects. Mice are shown to be less susceptible to MDMA,
neurotoxicologically, than rats.
- Stone, D.M., Merchant, K.M., Hanson, G.R. and Gibb, J.W. Immediate and Long
Term Effects of 3,4-Methylenedioxymethamphetamine on Serotonin Pathways in
Brain of Rat. Neuropharmacology 26 1677-1683 (1987).
- The time course for the decrease of markers of central serotonin function
in the rat is reported. Changes were observed at 15 minutes following a 10
mg/Kg s.c. injection, and much recovery was observed at the 2 week point.
Following multiple dose administration of MDMA, significant serotonin
changes were still evident after 110 days.
- Stone, D.M., Stahl, D.C., Hanson, G.R. and Gibb, J.W. The Effects of
3,4-Methylenedioxymethamphetamine (MDMA) and 3,4-Methylenedioxyamphetamine
(MDA) on Monoaminergic Systems in the Rat Brain. Eur. J. Pharmacol. 128
41-48 (1986).
- Single or multiple doses of either MDMA or MDA caused marked reduction in
both serotonin and 5-HIAA, as well as in the associated enzyme tryptophane
hydroxylase (TPH). Single injections elevated striatal dopamine
concentrations, although after repeated injections, these values became
normal. Striatal tyrosine hydroxylase (TH) was not changed.
- St. Omer, V.E.V., Ali, S.F., Holson, R.R., Duhart, H.M., Scalzo, F.M. and
Slikker, W. Behavioural and Neurochemical Effects of Prenatal
Methylenedioxymethamphetamine (MDMA) Exposure in Rats. Neurotox. Teratol.
13 13-20 (1991).
- Pregnant rats were treated repeatedly with MDMA. The progeny were
completely normal as to litter size, birth weight, physical appearance,
maturation parameters, and other measures of behaviour. No neurological
deficit could be observed, although the mother showed some decrease in
weight gain, and decreases in brain levels of serotonin at selected
locations.
- Takeda, H., Gazzara, R.A., Howard, S.G. and Cho, A.K. Effects of
Methylenedioxymethamphetamine (MDMA) on Dopamine (DA) and Serotonin (5-HT)
Efflux in the Rat Neostriatum. Fed. Proc. 45 1059 (#5266) April 13-18,
1986.
- Employing electrodes implanted in the neostriatum of anaesthetized rats,
the MDMA-induced efflux of dopamine and serotonin was measured. The
serotonin efflux was significantly increased by MDMA, and had returned to
normal by three hours. The dopamine efflux increased slightly, and then
dropped below normal. MDA decreased the dopamine efflux.
- Trulson, T.J. and Trulson, M.E. 3,4-Methylenedioxymethamphetamine (MDMA)
Suppresses Serotonergic Dorsal Raphe Neuronal Activity in Freely Moving
Cats and in Midbrain Slices in vitro. Soc. Neurosci. Abstr. Vol. 13, Part
3, p. 905 (1987) No. 251.7.
- A study of the decrease of brain serotonin levels in cats given 0.25-5.0
mg/Kg MDMA is reported. Pretreatment with p-chloroamphetamine greatly
attenuated the suppressant action of MDMA, and it is suggested that the
action of the two drugs is similar.
- Wagner, J. and Peroutka, S.J., Neurochemistry and Neurotoxicity of
Substituted Amphetamines, Neuropsychopharm. 3 219-220 (1990).
- MDMA was compared with Fenfluramine as a depletor of serotonergic nerve
terminals, as determined by the reduction of the density of paroxetine
binding sites in rat's brains. Single dosages of 30 mg/Kg and 10 mg/Kg were
required of the two drugs, respectively, to achieve significant changes.
- Whitaker-Azmitia, P.M. and Azmitia, E.C. A Tissue Culture Model of MDMA
Toxicity. The Clinical, Pharmacological and Neurotoxicological Effects of
the Drug MDMA. Kluwer, New York. (1990) Ed: S.J. Peroutka
- A procedure is described for studying MDMA toxicity employing tissue
cultures prepared from fetal rat brains. The similarities and the
differences observed between this technique and the more common in vivo
techniques, are discussed.
- Wilson, M.A., Ricaurte, G.A. and Molliver, M.E. The Psychotropic Drug
3,4-Methylenedioxymethamphetamine (MDMA) Destroys Serotonergic Axons in
Primate Forebrain: Regional and Laminar Differences in Vulnerability. Soc.
Neurosci. Abstr., Vol. 13, Part 3, No. 251.8 p. 905 (1987).
- The monkey shows a striking brain loss of serotonin terminals following
exposure to MDMA twice daily for 4 days at 5 mg/Kg. The distribution and
extent of this damage is reported.
- Wilson, M.A., Ricaurte, G.A. and Molliver, M.E. Distinct Morphologic
Classes of Serotoninergic Axons in Primates Exhibit Differential
Vulnerability to the Psychotropic Drug 3,4-Methylenedioxymethamphetamine.
Neuroscience 28 121 (1989).
- An exacting study is presented describing the morphological changes seen in
the serotoninergic axons in the monkey's brain following MDMA exposure.
- Woolverton, W.L., Virus, R.M., Kamien, J.B., Nencini, P., Johanson, C.E.,
Seiden, L.S. and Schuster, C.R. Behavioural and Neurotoxic Effects of MDMA
and MDA. Amer. Coll. Neuropsychopharm. Abstrts. p. 173 (1985).
- In behavioural studies in rats and monkeys trained to distinguish
amphetamine from saline, MDMA mimicked amphetamine. With chronic
administration, MDMA caused a degeneration of serotonin uptake sites, but
no change in affinity of the undamaged sites. These results were similar
to, but greater than, those seen with MDA.
- Yamamoto, B.K. and Spanos, L.J. The Acute Effects of
Methylenedioxymethamphetamine on Dopamine Release in the Awake-behaving
Rat. Eur. J. Pharmacol. 148 195-204 (1988).
- The effects of MDMA on the caudate and nucleus accumbens dopamine release
and metabolism were studied by in vivo voltammetry and HPLC with
electrochemical detection. There was a dose-dependent dopamine release
observed in both regions by both measures.
- Yeh, S.Y. Lack of Protective Effect of Chlorpromazine on
3,4-Methylenedioxymethamphetamine Induced Neurotoxicity on Brain Serotonin
Neurons in Rats. Res. Commun. Subst. Abuse 11 167-174 (1990).
- Studies involving the administration of MDMA with or without chlorpromazine
suggests have suggested that chlorpromazine does not protect MDMA-induced
depletion of serotonin in rats.
- Yeh, S.Y. and Hsu, F-L Neurotoxicity of Metabolites of MDA and MDMA
(Ecstasy) in the Rat. Soc. Neurosci. Abstr., Vol. 13, Part 3, p. 906 (1987)
No. 251.11.
- MDA, MDMA, and a number of potential metabolites (4-OH-3-OMe- amphetamine,
alpha-methyldopamine, alpha-methylnorepinephrine) were studied in the rat,
and the serotonin decreases measured. These metabolites have a lower
neurotoxicity than the parent compound.
- Zaczek, R., Culp, S. and De Souza, E.B. Intrasynaptosomal Sequestration of
[3H]Amphetamine and [3H]Methylenedioxyamphetamine: Characterization
Suggests the Presence of a Factor Responsible for Maintaining
Sequestration. J. Neurochem. 54 195-204 (1990).
- The incorporation of tritiated amphetamine, MDA and MDMA into rat brain
synaptosomes was studied. The observed dynamics is discussed in relationship
to the mechanism of action of amphetamine-induced monoamine release.
- Zaczek, R., Hurt, S., Culp, S. and DeSouza, E.B. Characterization of Brain
Interactions with Methylenedioxyamphetamine and
Methylenedioxymethamphetamine. NIDA Research Monograph Series #94 223-239
(1989).
- Brain recognition sites have been described for labelled MDA and MDMA, and
similarities between these and the corresponding amphetamine sites are
noted.
- Zhao, Z., Castagnoli Jr., N, Ricaurte, G.A., Steele, T. and Martello, M.
Synthesis and Neurotoxicological Evaluation of Putative Metabolites of the
Serotoninergic Neurotoxin
2-(Methylamino)-1-[3,4-(methylenedioxy)phenyl]propane
[(Methylenedioxy)methamphetamine]. Chem. Res. Toxicol. 5 89-94 (1992).
- A number of potential toxic metabolites of MDMA were synthesized and
assayed as neurotoxins. One of these, 2,4,5-trihydroxymethamphetamine, was
found to deplete both dopamine and serotonin.
Clinical studies
- Beck, J. The Public Health Implications of MDMA Use. The Clinical,
Pharmacological and Neurotoxicological Effects of the Drug MDMA. Kluwer,
New York. (1990) Ed: S.J. Peroutka.
- This sociological paper brings together the street acceptance of, and the
public health rejection of, MDMA as a tool for therapy and a vehicle of
simple intoxication. The part that this drug has played in each of these
roles is carefully defined.
- Beck, J., Harlow, D., McDonnell, D., Morgan, P.A., Rosenbaum, M. and
Watson, L. Exploring Ecstasy: A Description of MDMA Users. Report to NIDA,
September 15, 1989. Grantee: Institute for Scientific Analysis, San
Francisco, CA.
- This is a 253 page report of a research project that conducted a broad and
thorough analysis, through interview, of over 100 MDMA users. A fascinating
picture emerges of the pros and cons of MDMA usage. This is the only
analysis of this depth and candidness that has ever been done, and it is an
essential reference volume for all social researchers in this area.
- Buffum, J. and Moser, C. MDMA and Human Sexual Function. J. Psychoactive
Drugs 18 355-359 (1986).
- A survey of some 300 MDMA users produced a response of 25%. An analysis of
the presented data is offered, organized as to types of activity and
performance. There was a significant increase in intimacy, and a decrease
(especially for males) in performance.
- Downing, J. The Psychological and Physiological Effects of MDMA on Normal
Volunteers. J. Psychoactive Drugs 18 335-340.
- This is certainly the most complete clinical study on the effects of MDMA
on the normal human subject. A total of 21 normal volunteers were
administered known amounts of MDMA, orally. The entire group had analyses
of blood chemistry, timed and frequent physiological measures, including
pulse and blood pressure (for all) and as well as neurological and
electrocardiographic tests (for some). The neurological and
electrocardiogram evaluations were continued for 24 hours.
Physiologically, all subjects experienced an elevation in blood pressure
and pulse rate, with a peaking on the average at about one hour. At the
sixth hour, most subjects were at or below their pre-dose levels, and at 24
hours all were within their normal ranges. Eye dilation was seen in all
subjects, more than half had jaw clench and an increased jaw reflex, which
persisted in one subject to the 24 hour point. Some neurological reflexes
were enhanced (deep tendon) or equivocal (planter reflex), and there were
signs of incoordination (finger-nose testing, gait) in some subjects,
giving a strong warning against motor vehicle operation. One subject was
nauseous, with vomiting, but there were no difficulties with either
urination or defecation, and there were neither headaches nor insomnia.
Appetite was suppressed in all subjects to varying degrees.
At the psychological level, all subjects reported a heightened sensual
awareness, and three reported sexual arousal. It is concluded that MDMA
produces remarkably consistent psychological effects that are transient,
and is free of clinically apparent major toxicity.
- Greer, G. MDMA: A New Psychotropic Compound and its Effects in Humans.
Privately Published, 333 Rosario Hill, Sante Fe, NM 87501. Copyright 1983.
15 pages.
- The most complete study of the effects of MDMA published as of this date,
describing the results of administration of MDMA to 29 human subjects (none
with serious psychiatric problems) in a therapeutic setting. It is
concluded that the best uses of MDMA are: facilitation of communication and
intimacy between people involved in emotional relationships; as an adjunct
to insight-oriented psychotherapy; and in the treatment of alcohol and drug
abuse. It is explained why MDMA does not lend itself to over-use, since its
most desirable effects diminish with frequency of use.
- Greer, G. Recommended Protocol for MDMA Sessions. Privately Published. 333
Rosario Hill, Sante Fe, NM 87501. Copyright 1985. 6 pages.
- This is a generalized protocol designed to cover the clinical use of MDMA.
It reviews the issues of law, of safety, and of efficacy.
- Greer, G. Using MDMA in Psychotherapy. Advances, 2 57-57 (1985).
- A conference was held at Esalen March 10-15 1985, to discuss the potential
of MDMA for therapy, and to evaluate its differences from earlier
therapeutic tools such as LSD. A total of 13 subjects, with the supervision
of several experienced psychiatrists, participated in a experiment designed
to familiarize the potential clinician with the actions of MDMA. Most of
the attendees had already known of the drug in a therapeutic context, and
their collected comments are presented and discussed.
- Greer, G. Ecstasy and the Dance of Death. British Med. J. 305 775 (1992).
- A defence of MDMA is presented, in answer to published conclusions that no
clinical benefits have been observed. There is a tallying of the benefits
seen amongst the author's patients, in earlier clinical studies.
- Greer, G. and Tolbert, R. Subjective Reports of the Effects of MDMA in a
Clinical Setting. J. Psychoactive Drugs 18 319-327 (1986).
- This article summarizes and gives additional detail on the collection of 29
therapeutic trials discussed earlier. The protocol of drug administration,
a review of both the benefits and the undesirable effects, and an outlining
of the changes seen in the patients, are presented. There is a considerable
body of retrospective evaluation.
- Greer, G. and Tolbert, R. The Therapeutic Use of MDMA. The Clinical,
Pharmacological and Neurotoxicological Effects of the Drug MDMA. Kluwer,
New York. (1990) Ed: S.J. Peroutka.
- A structure is provided in detail for the clinical use of MDMA in a
therapeutic setting. A number of the preferred procedured are illustrated
with specific case examples.
- Grob, C., Bravo, G., McQuade, J. and Doblin, R. Analgesic Efficacy of
3,4-Methylenedioxymethamphetamine (MDMA) in Modification of Pain and
Distress of End-stage Cancer. Proposal submitted to the FDA for clinical
approval, August 4, 1991.
- A proposal has been submitted to the FDA for the evaluation of MDMA as an
analgesic against clinical pain in advanced cancer patients.
- Grob, C., Bravo, G., and Walsh, R., Second Thoughts on
3,4-Methylenedioxymethamphetamine (MDMA) Neurotoxicity. Arch. Gen.
Psychiatry 47 288 (1990).
- A letter to the editor presents a critique of studies done on alleged MDMA
users in search for evidence of serotonin nerve damage (Price et al., Arch.
Gen. Psychiatry 46 20-22 (1989). The fact that all nerve toxicity is based
on animal studies, and that the long-used drug Fenfluramine is considerably
more potent a neurotoxin than MDMA, might argue that studies into the
potential therapy use should be encouraged.
- Grob, C.S., Bravo, G.L., Walsh, R.N. and Liester, M.B. Commentary: The
MDMA-Neurotoxicity Controversy: Implications for Clinical Research with
Novel Psychoactive Drugs. J. Nerv. Ment. Dis. 180 355-356 (1992).
- The points raised by Kosten and Price, in criticism to the retrospective
interview paper, are answered.
- Hastings, A. Some Observations on MDMA Experiences Induced Through
Posthypnotic Suggestion. J. Psycho. Drugs 26 77-83 (1994).
- A study is reported with subjects who were familiar with MDMA action. The
techniques of hypnosis were employed toreinstitute MDMA-like effects, and
the potential for post-hypnotic suggestion in therapy is explored.
- Kosten, T.R. and Price, L.H. Commentary: Phenomenology and Sequelae of
3,4-Methylenedioxymethamphetamine Use. J. Nerv. Ment. Dis. 180 353-354
(1992).
- The retrospective interview by Liester et al. is critically analysed, and
found to be faulted both methodologically and as to the conclusions
reached.
- Liester, M.B., Grob, C.S., Bravo, G.L. and Walsh, R.N. A Study of MDMA Use
Among Psychiatrists. Poster #NR-62, New Research Poster Session, American
Psychiatric Association, San Francisco, CA May 8, 1989.
- A survey was conducted among 20 psychiatrists who had previously taken
MDMA, and a tally of the various responses made. There was a discussion of
both the methodological problems and the ethical considerations of this
type of study.
- Liester, M.B., Grob, C.S., Bravo, G.L. and Walsh, R.N. Phenomenology and
Sequelae of 3,4-Methylenedioxymethamphetamine Use. J. Nerv. Ment. Dis. 180
345-352 (1992).
- Twenty psychiatrists experienced with MDMA were retrospectively interviewed
as to side effects, insight gained, pleasure experienced, and intensity of
effects.
- McCann, U.D. and Ricaurte, G.A. MDMA ("Ecstasy") and Panic Disorder:
Induction by a Single Dose. Biol. Psychiatry 32 950-953 (1992).
- A patient is described with a lasting panic disorder syndrome that started
during the course of an alledged MDMA experience. Alprazolam improved his
condition, but it was reprecipitated by OTC cold remedies, suggesting that
some catecholamine function had been disturbed.in the patient.
- McCann, U.D. and Ricaurte, G.A. Reinforcing Subjective Effects of (+/-)
3,4-Methylenedioxymethamphetamine ("Ecstasy") May Be Separable from its
Neurotoxic Actions: Clinical Evidence. J. Clin. Psychopharmacol. 13
214-217 (1993).
- Four subjects who had voluntarily, and anecdotaly, exposed themselves to
MDMA, report that pretreatment with Fluoxetine found some increased somatic
distress, but no attenuation of the expected responses to the drug,
including enhanced awareness and ease of communication. It is implied
that a pretreatment with a serotonin uptake inhibitor attenuates the
neurotoxic effects of the drug MDMA, but the thrust of the report might
well be to suggest that there is a neurotoxic effect in man that can indeed
be attenuated.
- McCann, U.D., Ridenour, A., Shaham, Y. and Ricaurte, G.A. Serotonin
Neurotoxicity After (+/-)3,4-Methylenedioxymethamphetamine (MDMA;
"Ecstasy"): A Controlled Study in Humans. Neuropsychopharmacology 10
129-138 (1994).
- A group of 30 MDMA users and 28 matched controls with no history of MDMA
use were studied. The MDMA subjects had lower levels of
5-hydroxyindoleacetic acid in their cerebrospinal fluid, indicating some
serotonin depletion. At the psychological level, the MDMA users showed a
decreased impulsivity and hostility, and increased harm avoidance and
constraint.
- Moody, C.P. Facsimile letter to C.S. Grob concerning FDA approval of human
Phase I study application. November 4, 1992.
- This is an official statement from the Pilot Drug Evaluation Section of the
Food and Drug Administration, that the Phase I study submitted by Dr. Grob,
has been approved.
- Peroutka, S.J. Recreational Use of MDMA, Ecstasy: The Clinical,
Pharmacological and Neurotoxicological Effects of the Drug MDMA. Kluwer,
New York. (1990) Ed: S.J. Peroutka.
- There is a distillation from some 300 users of MDMA as to their experiences
on the drug, both as to subjective mental effects, and as to physical
difficulties. Although the reports are largely favourable, there is a
mention of both panic attacks and of a lethal event, and several popular
myths are itemized. It is concluded that recreational use should be
avoided.
- Peroutka, S.J., Newman, H. and Harris, H. Subjective Effects of
3,4-Methylenedioxymethamphetamine in Recreational Users.
Neuropsychopharmacol. 1 273-277 (1988).
- A survey has been made of about a hundred admitted MDMA users and has been
organized into reports of subjective feelings such as "closeness" (the most
often reported) to "blurred vision" (the least often reported). A brief
review of the toxicological history is presented, and no unequivocal
evidence of human toxicity could be concluded from this study.
- Price, L.H., Krystal, J.H., Heninger, G.R. and Ricaurte, G.A., In Reply.
Arch. Gen. Psychiatry 47 289 (1990).
- The critique of Grob et al. is responded to. The self-claimed MDMA users
had been assayed by urine EMIT screening for recent drug use prior to the
experiments reported (Price et al., Arch. Gen. Psychiatry 46 20-22 (1989).
The justification for continued Fenfluramine use was that it had no record
of abuse (as contrasted to MDMA use), and that the claims for drugs serving
as psychotherapeutic adjuncts have been made for many compound for many
years, and have not bourn fruit. The recommendation is strongly made that
clinical studies are inappropriate at this time.
- Shulgin, A.T. and Nichols, D.E. Characterization of Three New
Psychotomimetics, The Psychopharmacology of Hallucinogens, Eds. R.C.
Stillman and R.E. Willette, Pergamon Press, New York. (1978).
- The psychopharmacological properties of MDMA are presented, in company with
two new compounds, para-DOT (2,5-dimethoxy-4-methylthioamphetamine) and
alpha,O-DMS (5-methoxy-alpha-methyltryptamine). It is described as evoking
an easily controlled altered state of consciousness with emotional and
sensual overtones. It appears to be with little hallucinatory component.
This is the first clinical report of the effects of MDMA in man.
- Siegel, R.K. MDMA: Nonmedical Use and Intoxication. J. Psychoactive Drugs
18 349-354 (1986).
- From a group of 415 acknowledged MDMA users, a sub-group of 44 were chosen
for examinations and tests. They were interviewed, physically examined, and
tested by several of a large battery of psychological evaluation
procedures. From this, patterns of use and the nature of the intoxicating
effects were deduced.
The author has concluded that the visual effects of MDMA intoxication were
typical of the intoxications from the classical hallucinogens such as
mescaline with imagery characteristic of drug-induced hallucinations, as
well as those induced by isolation and stress. These are mollified when
attention is directed towards external events. There were, nonetheless, no
abnormal profiles on the psychological tests. It is felt that the MDMA
intoxication is neither uniformly controllable nor uniformly predictable.
- Tatar, A. and Naranjo, C. MDMA in der Gruppenpsychotherapie. Symposion
"Uber den derzeitigen Stand der Forschung auf dem Gebiet der psychoaktiven
Substanzen." Nov. 29 - Dec. 12, 1985, in Hirschhorn/Neckar, Germany.
- Two independent reports of clinical utility are presented. Both
investigators report MDMA use in group settings. The groups consisted
mainly of psychosomatic patients involving problems such as allergies,
eczema, sexual dysfunction, troublesome urination, cardiac irregularities,
and cancer. There were some positive changes reported, and in some cases
there were no improvements. No details are presented.
- Watson, L. and Beck, J. New Age Seekers: MDMA Use as an Adjunct to
Spiritual Pursuit. J. Psychoactive Drugs 23 261-270 (1991).
- In an analysis of a sociological investigation into the lay use of MDMA,
the quality of MDMA experiences with a sub-set of "New Age" oriented users.
As there appears to be a wide variety of motivations for MDMA use, care
must be paid to the social context in evaluating drug-using behaviour.
- Widmer, S. Ins Herz der Dinge Lauschen, vom Erwachen der Liebe.
Nachtschatten Verlag, Solothurn, Switzerland, 1989.
- This reference book of just over 300 pages, is a thorough collection of
ideas, comments, and illustrations, of the use of MDMA and/or LSD in
psychotherapy. It is in German.
- Wolfson, P.E. Meetings at the Edge with Adam: A Man for All Seasons. J.
Psychoactive Drugs 18 329-333 (1986).
- An extensive discussion is presented listing the potential virtues and
hazards of MDMA use in the psychotherapeutic setting. The roles of drugs
currently used, and those of MDMA-like action that might some day be
available, are reviewed. A case report of the use of MDMA in a family
problem situation is presented in considerable detail.
Animal toxicology
- Allen, R.P., McCann, U.D. and Ricaurte, G.A. Persistant Effects of
(+/-)3,4-Methylenedioxymethamphetamine (MDMA, "Ecstasy") on Human Sleep.
Sleep, 16 560-564 (1993).
- A number of MDMA users were studied as to sleep performance. They showed a
significant decrease in sleep time (19 minutes) and non-REM sleep (23.2
minutes). The authors conclude that the recreational use of MDMA may
induce lasting CNS serotonergic damage.
- Ames, D. and Wirshing, W.C. Ecstasy, the Serotonin Syndrome, and
Neuroleptic Malignant Syndrome - A Possible Link. J. Am. Med. Assoc. 269
869 (1993).
- A short review of both the "serotonin syndrome" and the "neuroleptic
malignant syndrome" are presented, and compared to the portrait presented
with MDMA overdose. A path of medical intervention is suggested based on
the neurotransmitter disturbances associated with these syndromes.
- Barrett, P.J. 'Ecstasy' misuse - Overdose or Normal Dose? Anaesthesia 48
83 (1993).
- The personal experiences of this physician is that there is no
straightforward relationship the dose of 'ecstasy' used, and the
complications that might follow this exposure. Dehydration is common, but
this follows the energy expenditure in the drug use scene. Supportive
therapy should be continued, but its efficacy must be continuously
evaluated.
- Campkin, N.T.A. and Davies, U.M. Treatment of 'Ecstasy' Overdose with
Dandrolene. Anaesthesia, 48 82-83 (1993).
- An exploration is presented for the first reported use of Dandrolene in the
treatment of MDMA overdose. Its value in treatment is discussed, and
remains uncertain. Nonetheless the recreational use of MDMA appears to
remain a potentially lethal pastime.
- Cregg, M.T. and Tracey, J.A. Ecstasy Abuse in Ireland, Irish Med. J. 86
118-20 (1993).
- An epidemiological study of MDMA use in Ireland is presented, based upon
reports to the National Poisons Information Centre in Dublin. Most of
those described were male (80%) and largely in the 16-20 year old group.
The symptoms presented are described as being relatively mild.
- Davis, W.M. and Borne, R.F. Pharmacologic Investigation of Compounds
Related to 3,4-Methylenedioxyamphetamine (MDA). Substance and Alcohol
Actions/Misuse, 5 105-110 (1984).
- Acute toxicity studies on MDMA and several homologues, in mice, showed
LD-50's of about 100 mg/Kg (i.p.) (for MDMA). In aggregate, the lethality
was increased several-fold.
- de Man, R.A., Wilson, J.H. and Tjen, H.S. Acute Liver Failure Caused by
Methylenedioxymethamphetamine ("Ecstasy"). Nederlands Tijdschrift voor
Geneeskunde. 137 727-9 (1993).
- An eighteen year old female who had regularly taken 1-2 tablets of MDMA
every weekend, developed acute liver failure. She recovered following two
months of hospitalization. It is claimed that this is the 10th published
case of hepatotoxicity following MDMA use.
- Friedman, R. Ecstasy, the Serotonin Syndrome, and Neuroleptic Malignant
Syndrome - A Possible Link. Reply. J. Am. Med. Assoc. 269 869-870
(1993).
- A plan for the treatment of MDMA toxicity is presented, based on the
similarity of its symptoms with the "serotonin syndrome."
- Frith, C.H. 28-Day Oral Toxicity of Methylenedioxymethamphetamine
Hydrochloride (MDMA) in Rats. Project Report, Toxicology Pathology
Associates, Little Rock, Arkansas (1986)
- A controlled toxicological study on some 100 rats with chronically
administered MDMA (dosages up to 100 mg/Kg) showed several behavioural
signs (hyperactivity, excitability, piloerection. exophthalmus, and
salivation). Neither gross nor microscopic pathology was evident at
necropsy.
- Frith, C.H., 28-Day Oral Toxicity of Methylenedioxymethamphetamine
Hydrochloride (MDMA) in Dogs. Project Report, Toxicology Pathology
Associates, Little Rock, Arkansas (1986)
- A controlled toxicological study of some 24 dogs with chronically
administered MDMA (dosages up to 15 mg/Kg) showed several behavioural signs
including circling, depression, dilated pupils, hyperactivity, rapid
breathing, and salivation. On necropsy, there were examples of reduced
testicular size, including microscopically noted atrophy. Prostatic
hyperplasia was present in two high dose males.
- Frith, C.H., Chang, L.W., Lattin, D.L., Walls, R.C., Hamm, J. and Doblin,
R. Toxicity of Methylenedioxy-methamphetamine (MDMA) in the Dog and the
Rat. Fundamental and Applied Tox. 9 110-119 (1987).
- Toxicity studies were performed on dogs and rats and signs are described.
No histopathological lesions within the CNS were observed in either
species, although unusual clinical observations were recorded.
- Goad, P.T. Acute and Subacute Oral Toxicity Study of
Methylenedioxymeth-amphetamine in Rats. Project Report, Intox Laboratories,
Redfield, Arkansas, (1985).
- Subacute toxicity studies on rats in graded doses (25 mg/Kg/day in 25 mg
increments to 300 mg) were conducted. In acute studies, the LD-50 is given
as 325 mg/Kg, some six times the reported i.p. LD-50. No histological
evidence of brain damage was observed.
- Gledhill, J.A., Moore, D.F., Bell, D. and Henry, J.A. Subarachnoid
Haemorrage Associated with MDMA Abuse. J. Neurol. Neurosur. Psychiat. 56
1036-1037 (1993).
- Shortly following the consumption of MDMA, a 25 year old woman presented
with severe headache and vomiting. A CT scan showed subarachnoid
haemorrhaging which was successfully controlled. There had apparently been
a preexisting "berry" aneurysm which may have ruptured with the surge of
blood pressure from the drug. She had been a regular MDMA user for two or
three years before this incident.
- Hardman, H.F., Haavik, C.O. and Seevers, M.H. Relationship of the Structure
of Mescaline and Seven Analogs to Toxicity and Behaviour in Five Species of
Laboratory Animals. Tox. and Appl. Pharmacology 25 299-309 (1973).
- This report describes several studies supported by the Army Chemical Centre
during the period 1953-1954, and declassified in 1969. MDMA was one of
eight compounds (including also mescaline, DMPEA, MDPEA, MDA, DMA, TMA and
alpha-ethyl-MDPEA) studied in five animals (mouse, rat, guinea pig, dog,
and monkey).
The toxicology study showed MDMA to be one of the more toxic of the drugs
studied, in most animals second only to MDA. The average LD-50's given were
97, 49 and 98 mg/Kg (for the mouse, rat and guinea pig, resp. - following
i.p. administration), and 16 and 26 mg/Kg (for the dog and monkey, i.v.
administration).
Behavioural studies in dog and monkey were made over the dosage ranges of
5-50 and 10-75 mg/Kg respectively. These levels evoked a broad range of
motor activity, autonomic activity and CNS activity in both animals (the
dog more than the monkey) but the ranges studied included the lethal dose
levels. Interestingly the monkey showed behaviour interpreted as
hallucinations for MDMA, whereas mescaline (an acknowledged hallucinogenic
compound) produced no such behaviour at doses more than two times higher
(200 mg/Kg i.v.). Structure-activity relationships are discussed.
Human toxicology
- Anon: Analog, Australian Forensic Drug Analysis Bulletin 12 14 (1990).
- Two deaths associated with a plane crash, were analysed. There was MDMA
present (blood, 1.4 and 1.7 mg/L; liver, 1.5 and 6.9 mg/kg; stomach, 0.24
and 0.55 mg; urine, 48 amd 44 mg/L). And also present was ethanol (blood,
0.165 and 0.145 g/100 mL) as well as the qualitative presence of
cannabinoids (in both).
- Barrett, P.J. Ecstasy and Dandrolene. British Med. J. 305 1225 (1992).
- An argument is made against the administration of Dandrolene in instances
of hyperthermia following ecstasy intoxication. This is a muscle relaxant
which may reduce thermogenesis associated with muscular activity.
Rehydration seems the wiser course and supportive measures may be
sufficient treatment.
- Benazzi, F., and Mazzoli, M. Psychiatric Illness Associated with "Ecstasy".
Lancet 338 1520 (1991).
- A case of severe depression following MDMA exposure is reported. The
syndrome included loss of energy, weight, and interest in all activities,
decreased appetite, psychomotor retardation, hypersomnia, diminished
ability to concentrate, and suicidal ideation.
- Brown, C.R., McKinney, H., Osterloh, J.D., Shulgin, A.T., Jacob III P. and
Olson, K.R. Severe Adverse Reaction to 3,4-Methylenedioxymethamphetamine
(MDMA). Vet. Hum. Toxicol. 28 490 (1986).
- A 32 year old female presumably ingested a "standard" dose, and became
comatose, but survived. Serum level was reported to be 7 micrograms/mL.
- Brown, C. and Osterloh, J. Multiple Severe Complications from Recreational
Ingestion of MDMA (Ecstasy). J. Am. Med. Soc. 258 780-781 (1987).
- A considerable body of clinical detail and selected laboratory finding is
present in an apparent MDMA toxicity situation involving a 32 year old
female. Serum levels of 7 mg/mL and urine levels of 410 and 816 mg/mL were
reported (the latter upon admission and on the second day). An immunoenzyme
assay for MDMA (using a system designed for amphetamine) reacted with MDMA
at 25 mg/mL at the amphetamine cut-off point of 300 nanograms/mL. The
observed complications were similar to those observed in amphetamine
overdoses, and might possibly be due to an idiosyncratic reaction, an
allergic reaction, or to malignant hyperthermia.
- Campkin, N.T.A. and Davies, U.M. Another Death from Ecstasy. J. Royal Soc.
of Med. 85 61 (1992).
- A young male was admitted both unconscious and convulsing following the
consumption of three ecstasy tablets. Despite heroic treatment, he died
some five hours later. Serum MDMA levels were measured (1.26 mg/L) although
no MDA was detected. The diagnosis included disseminated intravascular
coagulation with prolonged clotting times, hypofibrinogenaemia, elevated
fibrin degradation products and thrombocytopaenia.
- Chadwick, I.S., Linsley, A., Freemont, A.J. and Doran, B. Ecstasy,
3,4-Methylenedioxymethamphetamine (MDMA), a Fatality Associated With
Agulopathy and Hyperthermia. J. Royal Soc. Med. 84 371 (1991).
- A fatality associated with MDMA is reported. Blood and gut levels are
given. Extensive morbid post mortem details are also outlined.
- Davis, W.M., Hatoum, H.T. and Waters, I.W. Toxicity of MDA
(3,4-Methylenedioxyamphetamine) Considered for Relevancy to Hazards of MDMA
(Ecstasy) Abuse. Alcohol and Drug Abuse, 7 123-134 (1987).
- The toxicological literature is reviewed, and it is suggested that the
toxicological data obtained from MDA be extrapolated to MDMA. A comparison
of these two drug is presented.
- de Silva, R.N. and Harries, D.P. Misuse of Ecstasy. British Med. J. 305 309
(1992).
- This is the reinstatement of four observed cases of intracerebral
haemorrhage following exposure to ecstasy or amphetamine. The original
article appeared in the Scottish Med. Journal, authored by Harries and de
Silva..
- Dowling, G.P. Human Deaths and Toxic Reactions Attributed to MDMA and MDEA.
The Clinical, Pharmacological and Neurotoxicological Effects of the Drug
MDMA. Kluwer, New York. (1990) Ed: S.J. Peroutka.
- A thorough review is presented of the case records of the reported deaths
associated with MDMA use. It was concluded that such deaths are exceedingly
rare, especially when considering the widespread use of this drug.
- Dowling, G.P., McDonough III, E.T. and Bost, R.O. 'Eve' and 'Ecstasy' A
Report of Five Deaths Associated with the Use of MDEA and MDMA. J. Am. Med.
Assoc. 257 1615-1617 (1987)
- Five deaths occurred in the Dallas area which have involved either MDMA or
MDE. One death was stated to be due to MDMA. Two of the others had had
preexisting heart conditions, one had asthma, and one was electrocuted,
apparently from having climbed and fallen from a power pole. In these
latter cases, MDMA was not felt to have been the primary cause of death. It
is suggested that a preexisting cardiac disease may predispose an
individual to sudden death with MDMA. It was only with the asthma death
that there was given a body level (blood) of MDMA, and it was 1.1 mg/mL.
- Ellis, P. and Schimmel, P. Ecstasy Abuse. New Zealand Medical Journal 102
358 (1989).
- A severely disturbed young woman was seen as a patient. She made frequent
references to "Ecstasy." A urine analysis showed no evidence for the
presence of MDMA, although there was observed a high level of
phenothiazines. She was admitted to the psychiatric word and started on
antipsychotic medication. After three days there, she committed suicide.
The authors conclude, "We are concerned that clinicians should be aware of
the potentially serious medical and psychiatric consequences of the use of
[MDMA] in sensitive individuals or in overdose."
- Ellis, S.J. Complications of "Ecstasy" Misuse. Lancet 340 726 (1992).
- A criticism is levelled at the medical letters published, and especially
the media coverage, concerning the association of ecstasy use and human
trauma. The terms used, are judgmental and scaremongering. The danger
associated with MDMA use is clouded by the reports being out of context. In
the absence of correlary information such as alcohol consumption, or even
an estimate of MDMA use.
- Fahal, I.H., Sallomi, D.F., Yaqoob, M. and Bell, G.M. Acute Renal Failure
after Ecstasy. British Med. J. 305 29 (1992).
- A nearly lethal case of acute renal failure is reported six hours following
the alleged ingestion of three "ecstasy" tablets at a rave. It is felt that
the use of the drug may have contributed to the trauma.
- Gorard, D.A., Davies, S.E. and Clark, M.L. Misuse of Ecstasy. British Med.
J. 305 309 (1992).
- A case of jaundice is reported in a young student who had been using
ecstasy recreationally over a period of several months. The symptoms
cleared and there were no complications.
- Harries, D.P. and de Silva, R.N. 'Ecstasy' and Intracerebral Haemorrhage.
Scottish Med J. 37; 150-152 (1992).
- Four cases of intracerebral haemorrhage are reported, following exposure to
amphetamine ecstasy, or mixtures thereof.
- Hayner, G.N. and McKinney, H. MDMA The Dark Side of Ecstasy. J.
Psychoactive Drugs 18 341-347 (1986).
- The emergency treatment of two toxic episodes involving MDMA are described.
One case, a 34 year old male, had a complex drug history involving mainly
opiates, but the timing of the crisis suggested that MDMA injection was
responsible. The other case, involving a 33 year old female, has been
discussed in detail (see Brown et al., above). A listing of the
side-effects that may be experienced in cases of MDMA toxicity is also
presented.
- Henry, J. A. Ecstasy and the Dance of Death. British. Med. J. 305 5-6 (1992).
- The positives and negatives of the drug Ecstasy (MDMA) are weighed. On the
positive side, the psychotherapeutic potentials in fields as divergent and
marriage guidance, alcoholism, and enhancement of perception in elderly
people, have been explored, although they have been found to be without
benefit. On the negative side, the adverse effects can include convulsions,
collapse, hyperpyrexia, disseminated intravascular coagulation,
rhabdomyolysis, acute renal failure, weight loss, exhaustion jaundice,
"flashbacks,", irritability, paranoia, depression, or psychosis. The long
term effects will take time to document in detail.
- Henry, J.A., Jeffreys, K.J. and Dawling, S. Toxicity and Deaths from
3,4-Methylenedioxymethamphetamine ("Ecstasy"). Lancet 340 384-387 (1992).
- A report of the seven or so deaths within the United Kingdom, associated
with the use of MDMA, is presented. The clinical data in these deaths, as
well as in other, non-fatal, legal situations, are brought together, and
discussed. Most of the lethal events involved hyperthermia, whether from
the effects of the drug itself, or from circumstances associated with its
use.
- Hughes, J.C., McCabe, M. and Evans, R.J. Intracranial Haemorrhage
Associated with Ingestion of 'Ecstasy.' Arch. Emerg. Med. 10 372-374
(1993).
- The summary of this report emphasizes the importance of a drug analysis in
emergency medicine. The drug in this case was found to be amphetamine, not
MDMA. Some mention should have been made also about the importance of not
constructing a totally misleading title. Ecstasy was not involved.
- Keenan, E., Gervin, M., Dorman, A. and O'Connor, J.J. Psychosis and
Recreational Use of MDMA ("Ecstasy"). Irish J. Psychological Med. 10
162-163 (1993).
- A patient presented with bizarre behavior, paranoid delusions and
intermittant auditory hallucinations. He gave a history of taking MDMA
weekly for a period of some five months. During his recovery period (with
chlorpromazine) over the following few months, he has stopped the use of
MDMA, and finds that the occasional use of cannabis does not worsen his
symptoms.
- Krystal, J.H., Price, L.H., Opsahl, C., Ricaurte, G.A. and Heninger, G.R.
Chronic 3,4-Methylenedioxymethamphetamine (MDMA) Use: Effects on Mood and
Neuropsychological Function? Am. J. Drug Alcohol Abuse 18 331-341 (1992).
- A group of self-acknowledged past MDMA users, participants in a tryptophan
challenge test, were evaluated for a number of possible neuropsychological
deficits in a battery of tests. There were no indications of deficit,
although some mild memory impairment was suggested. This was felt to be
inconsequential (the volunteers that just recently flown some distances to
participate in the tests, and the only documented drug common to all
subjects was the intentionally administered tryptophan. The conclusions,
nonetheless, are framed to raise concerns about the possible detrimental
effects of MDMA use.
- Larner, A.J. Complications of "Ecstasy" Misuse. Lancet 340 726 (1992).
- An extensive discussion is presented on the mechanism of thermogenesis
caused by the use of MDMA. There may indeed be a genetic predisposition to
such forms of hyperthermia. Intervention with Dandrolene, although it
itself is not centrally active, may be justified.
- Lee, J.W.Y. Catatonic Stupor After Ecstasy. Brit. Med. J. 308 717-18 (1994).
- The author has re-evaluated the diagnosis of two patients reported to have
suffered catatonia as a consequence of having taken MDMA (Maxwell et al.,
Brit. Med. J. 307 1399 (1993). He feels from the symptoms presented, that
one was stuporous and suffered mutism, and the other, who also did not
speak, had simply presented with a "wild-eyed" look. The text-book
criteria for a catonia diagnosis are reviewed.
- McCann, U.D. and Ricaurte, G.A. Lasting Neuropsychiatric Sequelae of (+/-)
Methylenedioxymethamphetamine ("Ecstasy") in Recreational Users. J. Clin.
Psychopharm. 11 302-305 (1991).
- The prolonged responses of two patients, who had allegedly ingested large
quantities of MDMA, are described. It is suggested that there may be
lasting adverse functional consequences in vulnerable persons following
large dose exposure.
- McGuire, P. and Fahy, T. Chronic Paranoid Psychosis after Misuse of MDMA
("Ecstasy"). British Med. J. 302 697 (1991).
- Two cases are reported of chronic paranoid psychosis that followed alleged
long-term self-administration of large quantities of MDMA. Other drugs had
also been involved, and no toxicological evidence could confirm the drug
history. Intervention treatment (Haloperidol, Sulpiride) resulted in some
improvement.
- O'Neill, D. and Dart, J.K. Methylenedioxyamphetamine (Ecstasy) Associated
Keratopathy. Eye 7 805-806 (1993).
- Three instances of othrwise unexplained corneal epitheliopath are described
following the alledged taking of "Ecstasy." Although no documetation of
drug exposure is mentioned, the drug has been assumed to be
methylenedioxymethamphetamine (MDMA), rather than the
methylenedioxyamphetamine (MDA) mentioned in the title and the text.
- Pallanti, S., and Mazzi, D. MDMA (Ecstasy) Precipitation of Panic Disorder.
Biol. Psychiatry 32 91-95 (1992).
- The authors describe three patients whose panic disorder began during
recreational use of MDMA (Ecstasy) and was subsequently complicated by
agoraphobic avoidance that continued autonomously after cessation of the
drug. Their panic disorder responded well to serotoninergic antidepressant
drugs, although there was no psychotherapy done to work through the cause
of the panic.
- Peroutka, S.J., Pascoe, N. and Faull, K.F. Monoamine Metabolites in the
Cerebrospinal Fluid of Recreational Users of
3,4-Methylenedioxymethamphetamine (MDMA, "Ecstasy"). Res. Commun. Subst.
Abuse 8 125-138 (1987).
- Lumbar punctures from five MDMA users with various histories were assayed
(some weeks following the last exposure) for the levels of metabolites from
the three major neurotransmitters serotonin, dopamine, and norepinephrine.
All assays fell within normal limits.
- Price, L.H., Ricaurte, G.A., Krystal, J.H. and Heninger, G.R.
Neuroendocrine and Mood Responses to Intravenous L-Tryptophan in
3,4-Methylenedioxymethamphetamine (MDMA) Users. Arch. Gen. Psychiat. 46,
20-22 (1989).
- Nine self-acknowledged MDMA users were used as test subjects for the
determination of the ability of tryptophan to increase the serum prolactin
level. This response can be used as a measure of serotonin integrity There
was a statistically insignificant lessening of PRL concentrations in the
MDMA users.
- Reynolds, P.C., Personal Communication, 1986.
- A 35-years old male, who claimed to have taken MDMA, Valium, and LSD (and
who died shortly after admission) had the following body levels (in mg/mL):
Blood Urine Bile Gastric (total)
MDMA 1.46 13.7 1.98 414 mg.
MDA .03 (present)
Neither diazepam nor nordiazepam were found.
- Ricaurte, G.A. Studies of MDMA-Induced Neurotoxicity in Nonhuman Primates:
A Basis for Evaluating Long-Term Effects in Humans. NIDA Research Monograph
Series #94 306-322 (1989).
- Dose-related serotonin depletion in experimental animals is tabulated. A
comparison of primate results to those reported from rats, has allowed an
extrapolation to the human MDMA-user. The conclusion drawn that, as there
have been no clear indicators of problems with MDMA users, if there is
damage in man it may be very subtle in nature, possibly lying outside of
our present techniques for detecting it, and possibly being very slow in
onset, as compared to the rapid consequences seen from the MPTP trauma in
the dopaminergic system.
- Rittoo, D.B. and Rittoo, D. Complications of "Ecstasy" Misuse. Lancet 340
725 (1992).
- A cautionary note is sounded about the misinterpretation of the origins of
hyperthermia as a complication in the course of anesthesia, when in fact it
might be the result of prior MDMA ingestion. A serum level for MDMA is
suggested as a protective manoeuvre.
- Rittoo, D., Rittoo, D.B. and Rittoo, D. Misuse of Ecstasy. British Med. J.
305 309-310 (1992).
- Three teenagers were observed with chest pains following the use of ecstasy
and alcohol, and several hours of dancing. All electrocardiograms and
radiographs were normal, and there were no complications.
- Rohrig, T.P. and Prouty, R.W. Tissue Distribution of
Methylenedioxymethamphetamine. J. Anal. Tox. 16 52-53 (1992).
- Two cases of death involving methylenedioxymethamphetamine (MDMA) are
reported; one case is a fatal acute overdose and the other is a
drug-related death. The tissue distribution of MDMA is reported in both
cases.
- Russell, B., Schwartz, R.H. and Dawling, S. Accidental Ingestion of
'Ecstasy' (3,4-Methylenedioxymethylamphetamine). Archiv. Dis. Childhood 67
1114-1115 (1992).
- A case is reported of a 13 month old boy who ingested one capsule of
Ecstasy. Neurological and cardiovascular side effects predominated, which
responded well to treatment with a Chlormethiazole infusion.
- Sawyer, J. and Stephens, W.P. Misuse of Ecstasy. British Med. J. 305 310
(1992).
- Two cases of "fits" are reported in young patients who had consumed
Ecstasy. There were no complications or sequelae.
- Schifano, F. Chronic Atypical Psychosis Associated with MDMA ("Ecstasy")
Abuse. Lancet 338 1335 (1991).
- A psychotic state is described in a patient who had been using MDMA on
occasion over the course of four years. Other drugs (cannabis, alcohol,
benzodiazepines, cocaine) were also used, sporadically. Neuroleptic therapy
did not appear to improve his mental state.
- Screaton, G.R., Cairns, H.S., Sarner, M., Singer, M., Thrasher, A. and
Cohen, S.L. Hyperpyrexia and Rhabdomyolysis after MDMA ("Ecstasy") Abuse.
Lancet 339 677-678 (1992).
- Three cases are described that alledgedly involved the use of MDMA and came
to medical attention because of extreme hyperthermia. Disseminated
intravascular coagulation (DIC) apparently followed as a consequence of the
hyperpyrexia. Rapid cooling of the patient is recommended in such cases.
- Shearman, J.D., Chapman, R.W.G., Satsangi, J., Ryley, N.G. and Weatherhead,
S. Misuse of Ecstasy. British Med. J. 305 309 (1992).
- A woman experienced acute jaundice on two occasions, in from one to two
weeks following the use of ecstasy, suggesting an idiosyncratic response to
the drug.
- Shulgin, A.T. and Jacob III, P. 1-(3,4-Methylenedioxyphenyl)-3-aminobutane:
A Potential Toxicological Problem. J. Toxicol. - Clin. Tox. 19 109-110
(1982).
- An alert is written for the toxicological community that through the
ambiguity of the term "piperonylacetone," two different chemical precursors
for both MDA and MDMA have been publicly advertised and made available.
Efforts to synthesize MDMA might, through misrepresentation, yield a
largely unexplored homologue.
- Smilkstein, M.J., Smolinske, S.C., Kulig, K.W. and Rumack, B.H. MAO
Inhibitor/MDMA Interaction: Agony after Ecstasy. Vet. Hum. Toxicol. 28 490
(1986).
- An abstract of a report of a 50 year old male who injected alleged MDMA
while on a fixed regimen of the monoamine oxidase inhibitor phenelzine. He
developed severe hypertension, diaphoresis, an altered mental status, and
marked hypertonicity. With supportive care he recovered fully in some 6
hours. Caution is expressed in possible interrelations between MDMA and MAO
inhibitors.
- Smilkstein, M.J., Smolinske, S.C. and Rumack, B.H. A Case of MAO
Inhibitor/MDMA Interaction: Agony after Ecstasy. Clin. Toxicol. 25 149-159
(1987).
- This is the actual published paper that appeared as an abstract under
similar authorship and similar title above. There are considerable clinical
details concerning the emergency room intervention.
- Stone, R.J. Response to the paper of Singarah and Laviec. Anaesthesia 48
83 (1993).
- Tests are suggested that might assay the hyperthermia aspects of MDMA
intoxication. Perhaps those who succumb to acute toxicity may be
expressing responses that are genetic mediated.
- Suarez, R.V. and Riemersma, R. "Esctasy" and Sudden Cardiac Death. Amer. J.
Forensic Med. Pathol. 9 339-341 (1988).
- An apparently natural death involving cardiac problems has been found to be
related to MDMA use. The drug levels are given for blood and urine, but
none of the metabolite MDA was identified as being present.
- Tehan, B. Ecstasy and Dantrolene. Brit. Med. J. 306 146 (1993).
- An argument is advanced supporting the clinical intervention with
Dantrolene in MDMA toxicity cases. This is supported by the successful
outcome of a problem associated with MDE where body temperature responded
quickly to the use of this agent.
- Verebey, K., Alrazi, J. and Jaffe, J.H. The Complications of "Ecstasy"
(MDMA). J. Am. Med. Assoc. 259 1649-1650 (1988). Osterloh, J. and Brown,
C., In Reply. ibid. 259 1650 (1988).
- The body levels of MDMA and MDA following a single human trial of 50 mg are
given. The peak plasma level seen (105.6 ng/Ml at 2 hrs.) decreased to 5.1
ng/Ml at 24 hrs. MDA occurred in plasma at lower levels, and both compounds
appeared in urine. This suggests that the toxic incident reported by Brown
and Osterloh may have followed a considerable overdose.
- Whitaker-Azmitia, P.M. and Aronson, T.A. "Ecstasy" (MDMA)-Induced Panic.
Am. J. Psychiat. 146 119 (1989).
- Three cases are reported of transient panic attacks in individuals
following the ingestion of alleged MDMA.
- Williams, H., Meagher, D. and Galligan, P. M.D.M.A. ("Ecstasy"); a Case of
Possible Drug-induced Psychosis. Irish J. Med. Sci. 162 43-44 (1993).
- A disturbed and aggressive patient was seen at the time of a police arrest,
some 48 hours following the consumption of a half-tab of alledged MDMA His
medical history included a skull fracture two months earlier, and his
mother had a history of psychotic depression and paranoid delusions. His
urine analysis showed only cannabis and benzodiazepines, the latter
medically administered. His bizarre behavior and mental disorientation was
treated with Haloperidol, Diazepam, Carbamazepine, and finally with a total
of 600 mg Clopenthixol which allowed an eventual resolution of his
psychosis and disorientation.
- Winstock, A.R. Chronic Paranoid Psychosis after Misuse of MDMA. British
Med. J. 302 1150-1151 (1991).
- A brief survey of the frequency and nature of use of MDMA is presented. A
check list of reported symptoms is given, and the suggestion is offered
that as it might induce psychosis more research is needed.
- Wodarz, N. and B=F6ning, J. "Ecstasy" - Induziertes Psychotisches
Depersonalisationssyndrom. Nervenarzt 64 478-80 (1993).
- Following the consumption of two tablets of MDMA, a 21-year old patient
exhibited a psychotic depersonalisation disorder with suicidal tendencies.
With medication, the symtoms disappered over the course of six months.
"Flash-backs" occurred repeatedly.
- Woods, J.D. and Henry, J.A. Hyperpyrexia Induced by
3,4-Methylenedioxyamphetamine ("Eve") Lancet 340 305 (1992).
- A 30 year old man was admitted in convulsions, two hours after having taken
six tablets of ecstasy. He recovered and was dismissed 72 hours later.
Serum analysis showed the presence of 1.51 mg/L MDA and 0.2 g/L ethanol.
The urine level of MDA was 48.6 mg/l but an analysis for MDMA showed only
0.5 mg/l as being present. Errors in synthesis were suspected. The original
ingestion of MDMA is unlikely as MDA is only a minor metabolite of it.
Chemistry
- Anon: Verfahren zur Darstellung von Alkyloxyaryl-, Dialkyloxyaryl- und
Alkylendioxyarylaminopropanen bzw. deren am Stickstoff monoalkylierten
Derivaten. German Patent, 274,350; Filed December 24, 1912, issued May 16,
1914. Assigned to E. Merck in Darmstadt.
- A chemical process is described for the conversion of several allyl- and
propenyl-aromatic compounds to the corresponding beta-or
alpha-bromopropanes. These, in turn, react with ammonia or primary amines
to produce the corresponding primary or secondary propylamines.
Specifically, safrole was reacted with aqueous HBr, and the impure reaction
product reacted with alcoholic methylamine to produce MDMA in an unstated
yield. Also described and characterized are MDA and DMA, as well as the
corresponding 1-phenyl-1-aminopropanes. No pharmacology is mentioned.
- Anon: Formyl Derivatives of Secondary Bases. German Patent 334,555,
assigned to E. Merck. 1920. CA 17:1804a (1923).
- A chemical conversion of MDMA to its formyl derivative, and the properties
of the latter, are described. No pharmacology is mentioned.
- Biniecki, S. and Krajewski, E. Preparation of
DL-1-(3,4-Methylenedioxy)-2-(methylamino)propane and
DL-1-(3,4-dimethoxyphenyl)- 2-(methylamino)propane. Acta Polon. Pharm. 17
421-425 (1960). CA 55:14350e (1961).
- A chemical procedure is given for the conversion of safrole to the
beta-bromopropane with HBr, and its subsequent conversion with alcoholic
methylamine to MDMA. 4-Allylveratrole was similarly converted to
3,4-dimethoxy-N-methyl- amphetamine.
- Bohn, M., Bohn, G. and Blaschke, G. Synthesis Markers in Illegally
Manufactured 3,4-Methylenedioxyamphetamine and
3,4-Methylenedioxymethamphetamine. Int. J. Legal Med. 106 19-23 (1993).
- Some twelve impurities have been described and identified in samples of
illicitly prepared MDMA and MDA. Their role as markers for the synthetic
routes used, or for connercting different lots of the drugs, is discussed.
- Braun, U., Shulgin, A.T. and Braun, G. Centrally Active N- Substituted
Analogs of 3,4-Methylenedioxyphenylisopropylamine
(3,4-Methylenedioxyamphetamine), J. Pharm. Sci. 69 192-195 (1980).
- Twenty two homologues and analogs of MDA were synthesized and their
physical properties presented. Twelve of them were assayed in man as
psychotomimetic agents. Three of them were found to be active: MDMA with a
human potency of between 100 and 160 mg orally; MDE somewhat less potent
with a dosage requirement of 140-200 mg orally; and MDOH, which was similar
to MDMA in potency. Some animal pharmacology is reviewed, and a comparison
between MDMA and MDA (toxicology, CNS pharmacology, and human
effectiveness) is tabulated.
- Cerveny, L., Kozel, J. and Marhoul, A. Synthesis of Heliotropin. Perfumer
and Flavorist 14 13-18 (1989).
- Piperonal is a most desirable precursor to piperony methyl ketone (PMK)
which can, in turn, be converted directly to either MDA or MDMA. This is a
synthetic procedure for the preparation of piperonal (heliotropin) from the
precursor catechol (pyrocatechol).
- Fujisawa, T. and Deguchi, Y. Concerning the Commercial Utilization of
Safrole. J. Pharm. Soc. Japan 74 975 (1954). CA 49:10958i (1955).
- The conversion of safrole to piperonylacetone is described, using formic
acid and hydrogen peroxide, in acetone. The yield is satisfactory, and this
is probably the most direct and efficient conversion of a natural product
to an immediate precursor to MDMA.
- Hashimoto, K., Hirai, K. and Goromaru, T. Synthesis of Racemic, S(+)- and
R(-)-N-[methyl-3H] 3,4-Methylenedioxymethamphetamine. J. Labelled Cpds. and
Radiopharmaceut. 28 465-469 (1990).
- Tritium-labelled MDMA was synthesized from MDA by reaction with radioactive
methyl iodide in a 60% yield. The optical isomers were separated on a
chiral HPLC column.
- Janesko, J.L. and Dal Cason, T.A. Seizure of a Clandestine Laboratory: The
N-Alkyl MDA Analogs. Paper presented at the 39th Annual Meeting of the
American Academy of Forensic Sciences, San Diego, CA Feb. 16-21 (1987). See
Microgram 20 52 (1987).
- Several clandestine laboratories have been seized, revealing the illicit
preparation of not only MDMA, but the N-ethyl (MDE), the N-propyl (MDPR),
the N-isopropyl (MDIP) and the N,N-dimethyl (MDDM) homologues. These were
all synthesized by the NaCNBH3 reduction method from the appropriate amine
salt and piperonylacetone. Also, the N-ethyl-N-methyl, and the N,N-diethyl
homologues were found, prepared by catalytic hydrogenation.
- Nakai, M. and Enomiya, T. Process for Producing Phenylacetones. U.S.
Patent #4,638,094, dated January 20, 1987.
- A high yield procedure is described, for the conversion of an allylbenzene
to the corresponding phenylacetone. Specifically, the MDMA precursor
3,4-methylenedioxyphenylacetone is prepared in a 95% yield from safrole and
butyl nitrite, in the presence of palladium bromide.
- Nichols, D.E. Synthesis of 3,4-Methylenedioxymethamphetamine Hydrochloride.
FDA Master File on MDMA. 1986.
- A detailed synthesis of MDMA from piperonylacetone is presented, including
all the spectroscopic and physical detail, bibliographies and CVs as
required to define a drug product for medical needs.
- Shulgin, A.T. and Jacob III, P. Potential Misrepresentation of
3,4-Methylenedioxyamphetamine (MDA). A Toxicological Warning. J. Anal. Tox.
6 71-75 (1982).
- The commercial availability and overt misrepresentation of
3,4-methylenedioxybenzylacetone as 3,4-methylenedioxyphenylacetone might
well suggest that an unsuspecting attempt to synthesize MDMA may yield a
new and unexplored base,
1-(3,4-methylenedioxyphenyl)-3-(methylamino)butane. This compound was
synthesized, and characterized in comparison to MDMA. The analogous
relationship between MDA and its comparable homologue,
1-(3,4-methylenedioxyphenyl)-3-aminobutane, was also explored.
- Yourspigs, U.P. The Complete Book of Ecstasy. Synthesis Books,
Birmingham, Alabama. 1992.
- This is an underground press book describing, quite adequately, the
equipment and the synthetic prosesses needed for the synthesis of MDMA,
starting with safrole or Oil of Sassafras. The preparation of MDEA (EVE)
is also offered.
Analytical methods
- Anon: Analytical Profiles of Substituted 3,4-Methylenedioxyamphetamines:
Designer Drugs Related to MDA. Published by CND Analytical, Auburn,
Alabama. 109 p. (1988).
- An atlas of spectra, chromatographic behaviour, outlines of chemical
preparations, and a brief history of MDA, and over a score of its
homologues, is presented. Spectra of the usual synthetic precursors are
also given. MDMA is represented with its UV, IR (both salt and base), MS,
and HPLC characteristics.
- Andrey, R.E. and Moffat, A.C. Gas-Liquid Chromatographic Retention Indices
of 1318 Substances of Toxicological Interest on SE-30 or OV-1 Stationary
Phase. J. Chromatog. 220 195-252 (1981).
- The GC characteristics of many abuse drugs are presented in a review
format. MDMA is included without experimental detail.
- Bailey, K., By, A.W., Legault, D. and Verner, D. Identification of the
N-Methylated Analogs of the Hallucinogenic Amphetamines and Some Isomers.
J.A.O.A.C. 58 62-69 (1975).
- MDMA and four analogous methamphetamine derivatives (corresponding to 2-,
3-, and 4-methoxyamphetamine (MA) and
3-methoxy-4,5-methylenedioxyamphetamine (MMDA)) were synthesized and
spectroscopically characterized. The synthesis was from the corresponding
phenylacetone through the Leuckart reaction with N-methylformamide. The
reported m.p. (of the hydrochloride salt) is 147-8 degrees C. The U.V., NMR, IR
and mass spectral data are presented. Rf values (five systems) and GC
retention times (four systems) are also given.
- Churchill, K.T. Identification of 3,4-Methylenedioxymethamphetamine.
Microgram 18 123-132 (1985).
- An analytical profile, through spectrographic tools such as UV, TLC, GC,
NMR, MS, is presented for a sample of MDMA seized in Georgia. Comparisons
with MDA are presented.
- Clark, C.R., Noggle, F.T. and De Ruiter, J. Liquid Chromatographic and Mass
Spectal Analysis of N,N-disubstituted 3,4-Methylenedioxyamphetamines. J.
Liq. Chrom. 13 263- 274 (1990).
- The preparation of the N-methyl-N-ethyl, the N-methyl-N-propyl, and the
N-methyl-N-isopropyl homologues of MDMA is described, but no physical
properties are given. The route involves the reductive methylation of the
appropriate preformed N-alkyl MDA homologues. Chromatographic properties,
and some mass spectroscopic data, are presented.
- Clark, C.R., DeRuiter, J. and Noggle, F.T. GC-MS Identification of
Amine-Solvent Condensation Products Formed During Analysis of Drugs of
Abuse. J. Chrom. Sci. 30 399-404 (1992).
- It is reported that during the GC-MS analysis of methanol solutions of
primary amines such as MDA, amphetamine and phenethylamine, there is the
formation of a small amount of the Schiff base product between the amine
and formaldehyde. This product co-elutes, and is not the
tetrahydroisoquinoline. Methanol solutions of MDMA result in detectable
methylation, with the formation of N,N-dimethyl-MDA.
- Clark, C.R., Valaer, A.K., DeRuiter, J. and Noggle, F.T. Synthesis,
Stability and Analytical Profiles of 3,4-Methylenedioxyamphetamines:
Derivatives of "Ecstasy"(MDMA). J. Alabama Acad. Sci. 64 34-48 (1993).
- A number of the known homologues of MDMA were prepared to study their
properties for eventual analytical purposes. The tools used were GCMS and
HPLC using a reversed phase system.
- Cody, J.T and Schwartzhoff, R. Fluorescence Polarizatrion Immunoassay
Detection of Amphetamine, Methamphetamine, and Illicit Amphetamine
Analogues. J. Anal. Toxicol. 17 26-30 (1993).
- The Abbott Diagnostic Amphetamine/Methamphetamine II and Amphetamine Class
Reagents were evaluated on the Abbott TDx for cross-reactivity to
amphetamine and methamphetamine sterioisomers, several of their
metabolites, and various illicit drugs. MDA, MDMA, MDE, as well as
4-hydroxymethamphetamine showed a cross-reactivity that would allow this
procedure to be used as a screening tool.
- Cody, J.T. Cross-Reactivity of Amphetamine Analogues with Roche Abuscreen
Radioimmunoassay Reagents, J. Anal. Tox. 14 50-53 (1990).
- Some 15 variously substituted amphetamine and phenethylamine derivatives,
with and without N-substituents, were screened at various concentrations
using the Roche Abuscreen Radioimmunoassay for amphetamines. Using
amphetamine as a standard, only MDA was found to cross-react. All other
compounds were negative, even at the highest concentrations. These included
MDMA, MDE, MDOH, N,N-dimethyl-MDA, 2-MA, 4-hydroxyamphetamine, 2,5-DMA,
TMA, methamphetamine, DOM, DOET, DOB, 2C-B and mescaline.
- Cody, J.T. Detection of D,L-Amphetamine, D,L-Methamphetamine, and Illicit
Amphetamine Analogs Using Diagnostic Products Corporation's Amphetamine and
Methamphetamine Radioimmunoassay. J. Anal. Tox. 14 321-324 (1990).
- The commercial radioimmune assay procedures for amphetamine and
methamphetamine were evaluated for a number of illicit drugs with the
amphetamine backbone. MDA and MDMA gave substantial cross reactivity with
both kits, but most of the others (DOM, mescaline, DOET. 2C-B, DOB, TMA)
did not.
- Dal Cason, T. The Characterization of Some
3,4-Methylenedioxyphenylisopropylamine (MDA) Analogs. J. Forensic Sci. 34
28-961 (1989).
- The synthesis and complete spectroscopic identification of several
N-alkylated homologues of MDA are presented. The compounds include MDA (and
its acetyl derivative), MDMA, MDE, MDPR, MDIP, MDOH (and its acetyl
derivative), MDDM, and the acetyl derivative of the oxime of MDP-2-P.
Included are melting points, as well as GCMS, NMR, IR and HPLC details.
- DeRuiter, J., Clark, C.R. and Noggle Jr., F.T. Liquid Chromatographic and
Mass Spectral Analysis of 1-(3,4-Methylenedioxyphenyl)-1-propanamines:
Regioisomers of the 3,4- Methylenedioxyamphetamines. J. Chrom. Sci., 28
129-132 (1990).
- The chromatographic and spectroscopic properties, but not the synthetic
details, are given for a series of alpha-ethyl benzylamines isomeric with
MDA. The N-H, methyl, dimethyl, ethyl, propyl and isopropyl homologues are
discussed.
- Eichmeier, L.S. and Caplis, M.E. The Forensic Chemist; An "Analytic
Detective." Anal. Chem. 47 841A-844A (1975).
- An analytical anecdote is presented showing the logical procedure used to
distinguish MDMA from closely related drugs such as MDA in a seized sample.
MDMA was acknowledged to be similar to MDA but, whereas MDA is a controlled
substance, MDMA is exempt (sic) from Federal control.
- Fitzgerald, R.L., Blamke, R.V., Glennon, R.A., Yousif, M.Y., Rosecrans,
J.A. and Poklis, A. Determination of 3,4-Methylenedioxyamphetamine and
3,4-Methylenedioxymethamphetamine Enantiomers in Whole Blood. J. Chrom. 490
59-69 (1989).
- Extracts of whole blood containing added MDA or MDMA were derivatized with
N-trifluoroacetyl-L-prolyl chloride. The resulting diastereoisomers were
separated by GC, allowing a sensitivity of analysis in the nanogram range.
- Gan, B.K., Baugh, D., Liu, R.H. and Walia, A.S. Simultaneous Analysis of
Amphetamine, Methamphetamine, and 3,4-Methylenedioxymethamphetamine (MDMA)
in Urine Samples by Solid-phase Extraction, Derivatization, and Gas
Chromatography/Mass Spectrometry. J. For. Sci. 36 1331 (1991).
- A method is described in which the extracts of urine are derivatized with
trifluoroacetic anhydride. Deuterated amphetamine and methamphetamine were
used as internal standards.
- Gough, T.A. and Baker, P.B. Identifiction of Major Drugs of Abuse Using
Chromatography. J. Chromatog. Sci. 20 289-329 (1982).
- An extensive review of the analytical identification of many abuse drugs is
abstracted. MDMA is mentioned as one of these. There is no new experimental
information presented.
- Gupta, R.C. and Lundberg, G.D. Application of Gas Chromatography to Street
Drug Analysis. Clin. Tox. 11 437-442 (1977).
- A gas chromatography screening procedure is described, in which the
retention times of over 100 drugs are compared to those of methapyriline or
codeine. MDMA is amongst them.
- Hansson, R.C. Clandestine Laboratories. Production of MDMA
3,4-Methylenedioxymethamphetamine. Analog. 9 1-10 (1987).
- A compilation of forensic information pertaining to MDMA is presented,
including spectra (UV, MS, IR), synthetic approaches, and observations from
clandestine laboratory operations (seen in Australia).
- Hearn, W.L., Hime, G. and Andollo, W. Recognizing Ecstasy: Adam and Eve,
the MDA Derivatives - Analytical Profiles. Abstracts of the CAT/SOFT
Meetings, Oct. 29 - Nov. 1, 1986, Reno/Lake Tahoe, Nevada, USA.
- A study is reported comparing MDA, MDMA and MDE in the EMIT
immunoanalytical assay system that is designed for amphetamine. Even though
they are all of decreased reactivity, there is cross-reactivity and they
may be picked up as positives. Using the bottom limit cut-off of 300
nanograms/mL for amphetamine there would be a response from as little as
10-15 mg/mL of MDMA. This is a value that might be encountered in the early
stages of MDMA use.
- Helmlin, H., and Brenneisen, R. Determination of Psychotropic
Phenylalkylamine Derivatives in Biological Matrices by High-Performance
Liquid Chromatography with Photodiode-Array Detection. J. Chromatog. 593
87-94 (1992)
- An HPCL analysis procedure was described for the analysis of MDMA and MDA
in human urine. Six hours following the administration of a 1.7 mg/kg
dosage to several patients, urine concentrations ranged from 1.48 to 5.05
ug/ml. The major metabolite, MDA, showed concentrations ranging from 0.07
to 0.90 ug/ml. A separate study of the cactus Trichocereus patchanol showed
a mescaline content of from 1.09 to 23.75 ug/ml
- Helmlin, H-J. and Brenneisen, R. Determination of Psychotropic
Phenylalkylamine Derivatives in Biological Matrices by High-performance
Liquid Chromatography with Photodiode-array Detection. J. Chrom. 593 87-94
(1992).
- An HPLC analytical scheme has been developed for the characterization and
potential quantitative measurement of some fifteen phenethylamine drugs of
forensic interest. Of specific clinical interest was the urine analyses of
several patients following the administration of 1.7 mg/Kg of MDMA. These
values, from samples collected about six hours following drug
administration, showed a range of 1.48 - 5.05 ug/mL for MDMA, and 0.07 -
0.90 ug/mL for the metabolite, MDA.
- Helmlin, H. -J., Bracher, K., Salamone, S.J. and Brenneisen, R., Analysis
of 3,4-Methylenedioxymethamphetamine (MDMA) and its Metabolites in Human
Plasma and Urine by HPLC-DAD, GC-MS and Abuscreen-Online. Abstracts from
CAT/SOFT Joint Meeting, October 10-16, 1993, Phoenix, Arizona.
- Urine and plasma samples were taken from a number of patients being
administered 1.5 mg/Kg MDMA for psychotherapy research purposes. Maximum
plasma levels (300 ng/mL) were seen at 140 minutes. The main urinary
metabolites were 4-hydroxy-3-methoxymethamphetamine and
3,4-dihydroxymethamphetamine, both excreted in conjugated form. The two
N-demethylated homologues of these compounds were present as minor
metabolites. The cross-reactivity of the Abuscreen immunoassay for both
the metabolites (including MDA, another metabolite) and the parent drug
were determined.
- Holsten, D.W. and Schieser, D.W. Controls over the Manufacture of MDMA. J.
Psychoactive Drugs 18 371-2 (1986).
- A strong argument is made for attending to the quality of manufacture, and
the basic concepts of ethical principles in the exploring of drugs that
have not been evaluated against the usual pharmaceutical standards.
Government interference in such studies becomes necessary, to safeguard the
public.
- Julian, E.A. Microcrystalline Identification of Drugs of Abuse: The
Psychedelic Amphetamine. J. Forensic Sciences 35 821-830 (1990).
- The diliturate salts (5-nitrobarbituric acid salts) of several psychedelic
amphetamines have been made and observed. The amines were PA, MDA MMDA (1,
not 2 as implied), DOM, DOB, TMA, Mescaline, MDMA and MDEA. Photographs of
the crystals are shown.
- Kunsman, G.W., Manno, J.E., Cockerham, K.R. and Manno, B.R. Application of
the Syva EMIT and Abbott TDx Amphetamine Immuniassays to the Detection of
3,4-Methylenedioxmethamphetamine (MDMA) and
3,4-Methylenedioxyethamphetamine (MDEA) in Urine. J. Anal. Tox. 14 149-153
(1990).
- Two popular immunological drug assays, designed for the determination of
amphetamine, have been applied to urines that had been spiked with varying
amounts of MDMA and MDE. The EMIT assay was insensitive except at the
highest level, but there was considerable cross-reactivity with the
fluorescent polarization assay.
- Lim, H.K., Su, Z. and Foltz, R.L. Stereoselective Disposition:
Enantioselective Quantitation of 3,4-(Methylenedioxy)Methamphetamine and
Three of its Metabolites by Gas Chromatography/Electron Capture Negative
Ion Chemical Ionization Mass Spectrometry. Biol. Mass Spect. 22 403-11
(1993).
- A sensitive assay for MDMA and three of its metabolites has been developed.
It recognizes the optical activity of the chiral centers, and has been
used to determine the degree of asymmetric metabolism of racemic MDMA in
both rats and mice.
- Lim, H.K., Zeng, S., Chei, D.M. and Flotz, R.L. Comparitive Investigation
of Disposition of 3,4-(Methylenedioxy)methamphetamine (MDMA) in the Rat and
the Mouse by a Capillary Gas Chromatography-Mass Spectrometry Assay Based
on Perfluorotributylamine-enhanced Ammonia Positive Ion Chemical Ionization
. J. Pharmaceut. Biomed. Anal. 10 657-665 (1992).
An assay is described that allows a quantitative measure of MDMA and three
- of its primary metabolites, methylenedioxamphetamine,
4-hydroxy-3-methoxymethamphetamine and 4-hydroxy-3-methoxyamphetamine. The
latter two metabolites were excreted mainly as the glucuronide and sulfate
conjugates. The metabolic patterns of the rat and the mouse are compared.
- Michel, R.E., Rege, A.B. and George, W.J. High-Pressure Liquid
Chromatography / Electrochemical Detection Method for Monitoring MDA and
MDMA in Whole Blood and Other Biological Tissues. J. Neurosci. Methods 50
61-66 (1993).
- An method is described for the analysis of MDMA and MDA in biological
samples. It claims a high sensitivity and a short turn-around time. MDE
is used as an internal standard. Spiked blood samples, rather than actual
clinical specimens, were used.
- Noggle, F.T., Clark, C.R. and DeRuiter, J. Liquid Chromatographic and
Spectral Methods for the Differentiation of
3,4-Methylenedioxymethamphetamine (MDMA) from Regioisomeric
Phenethylamines. J. Liq. Chromatog. 14 913-1928 (1991).
- Three isomers of MDMA, with the changes restricted to the alpha-carbon and
the nitrogen substituents, have been synthesized. These are the two
phenethylamines N-ethyl and N,N-dimethyl-3,4-methylenedioxyphenethylamine,
and 1-(3,4-methylenedioxyphenyl-2-aminobutane (BDB). Although their mass
spectra are quite similar, they can be distinguished from one-another by
HPLC.
- Noggle, F.T., Clark, C.R. and DeRuiter, J. Liquid Chromatorgraphic and Mass
Spectral Analysis of 1-(3,4-Methylenedioxyphenyl)-3-Butanamines, Homologues
of 3,4-Methylenedioxyamphetamines. J. Chrom. Sci. 27 240-243 (1989).
- The HPLC and GC properties of several homologues of MDA and MDMA are
reported employing the homologous ketone
3,4-methylenedioxyphenyl-3-butanone are studied. These include the primary
amine, and the N-methyl, ethyl, dimethyl, (n)-propyl and (i)-propyl
homologues. The N-hydroxy was made, but its possible thermal instability
was not discussed.
- Noggle Jr., F.T., Clark, C.R. and DeRuiter, J. Identification of Safrole
and Bromosafrole in Samples from the Clandestine Synthesis of MDMA from
Sassafras Oil. Microgram 24 7-13 (1991).
- An analysis of seized samples from an illicit MDMA laboratory showed one to
be sassafras oil that contained safrole by GCMS. The other appeared to be
the result of the addition of hydrobromic acid to safrole to produce two
"bromosafroles." Addition of methylamine to this material produced some
MDMA.
- Noggle Jr., F.T., Clark, C.R. and DeRuiter, J. Gas Chromatographic and Mass
Spectrometric Analysis of Samples from a Clandestine Laboratory Involved in
the Synthesis of Ecstasy from Sassafras Oil. J. Chrom. Sci. 29 168-173
(1991).
- Samples from a clandestine laboratory gave, on GC-MS analysis, evidence for
the intended synthesis of MDMA from the oil of sassafras. The natural
component safrole gave, with the addition of HBr, the 2-bromopropane
intermediate which, on treatment with methylamine, gave MDMA.
- Noggle Jr., F.T., DeRuiter, J. and Long, M.J. Spectrophotometric and Liquid
Chromatographic Identification of 3,4-Methylenedioxyphenylisopropylamine
and its N-Methyl and N-Ethyl Homologues are presented. J. A. O. A. C. 69
681-686 (1986).
- A synthesis of MDEA (the N-ethyl homolog of MDA) is reported, and the
infra-red spectra of the free bases, the hydrochloride salts, and the
phenylisothiocyanate adducts are recorded, as is the HPLC retention
behaviour for both the bases and these derivatives.
- Noggle Jr., F.T., Clark, C.R., Andurkar, S. and DeRuiter, J. Methods for
the Analysis of 1-(3,4-Methylenedioxyphenyl)-2-Butanamine and
N-Methyl-1-(3,4-Methylenedioxyphenyl)-2- Propanamine (MDMA). J. Chrom. Sci.
29 103-106 (1991).
- The infra-red and mass spectra, and the GC and HPLC retention times, of
these two known compounds, are given.
- Noggle Jr., F.T., Clark, C.R., Bouhadir, K.H. and DeRuiter, J. Liquid
Chromatographic and Mass Spectral Analysis of
1-(3,4-Methylenedioxyphenyl)-3-propanamines: Regioisomers of MDMA. J.
Chrom. Sci. 29 78-82 (1991).
- A series of N-substituted homologues of
methylenedioxyphenyl-(n)-propylamine was prepared, and described by
chromatographic and spectroscopic means. No melting points or other
synthetic analytical detail was given.
- Noggle, F.T., Clark, C.R., Pitts-Monk, P. and De Ruiter, J. Liquid
Chromatographic and Mass Spectral Analysis of
1-(3,4-Dimethoxyphenyl)-2-propanamines: Analogs of MDMA. J. Chrom. Sci. 29
253-257 (1991).
- A number of 3,4-dimethoxy counterparts of MDMA and its homologues have been
prepared and analysed by HPLC. Described are 3,4-dimethoxyamphetamine, the
N-methyl, the N- ethyl, and the N,N-dimethyl homologues.
- Noggle Jr., R.T., Clark, C.R., Valaer, A.K. and DeRuiter, J. Liquid
Chromatographic and Mass Spectral Analysis of N-Substituted Analogues of
3,4-Methylenedioxyamphetamine. J. Chromatog. Sci. 26 410 (1988).
- Several spectral properties, and the HPLC separation characteristics of
MDMA and several of its homologues and analogues (MDE, MDPR, DMMA and MDOH)
are described.
- Noggle Jr., F.T., DeRuiter, J., McMillian, C.L. and Clark, C.R. Liquid
Chromatographic Analysis of some N-Alkyl-3,4-Methylenedioxyamphetamines. J.
Liq. Chromatog. 10 2497-2504 (1987).
- The HPLC separation characteristics of MDA, MDMA, MDE and MDDM
(N,N-dimethyl-MDA) are reported on a reversed phase column.
- Noggle Jr., F.T., Clark, C. R. and DeRuiter, J. Gas Chromatographic and
Mass Spectrometric Analysis of N-Methyl-1-aryl-2-propanamines Synthesized
from the Substituted Allylbenzenes Present in Sassafras Oil. J. Chrom.
Sci. 20 267-271 (1991).
- The several allylaromatic essential oils in Sassafras have been studied in
the regeospecific addition of HBr to form the beta-bromopropane. The
bromine atom was subsequently displace with methylamine to form the
corresponding methamphetamine. Safrole gives rise to MDMA.
- O'Brian, B.A., Bonicamp, J.M. and Jones, D.W., Differentiation of
Amphetamine and its Major Hallucinogen Derivatives using Thinlayer
Chromatography. J. Anal. Tox. 6 143-147 (1982).
- Two thin-layer chromatographic systems, and several procedures for
detection, are described for MDMA and 18 analogues. The retention times and
the visualization colour changes are compared and described. Detection
limits in urine were determined from artificially spiked samples. The
reference sample of MDMA was synthesized from MDA by methylation with
methyl iodide, and separation from the co-generated dimethyl and
trimethylammonium homologues by liquid- liquid extraction and preparative
TLC.
- Poklis, A., Fitzgerald, R.L., Hall, K.V. and Saady, J.J. Emit-d.a.u.
Monoclonal Amphetamine / Methamphetamine Assay. II. Detection of
Methylenedioxyamphetamine (MDA) and Methylenedioxymethamphetamine (MDMA).
For. Sci. Intern. 59 63-70 (1993)
- MDA and MDMA have been found to be cross-reactive in both the monoclonal
and the polyclonal immunological EMIT assay. The former was much more
sensitive, presumably sufficiently so for the detection of these drugs in
urine following clinical intoxication.
- Ramos, J.M., Johnson, S. and Poklis, A. MDMA and MDA Cross Reactivity
Observed with Abbott TDx Amphetamine/Methamphetamine Reagents. Clin. Chem.
34 991 (1988).
- A study of the cross-reactivity of MDMA and MDA with the Abbott TDx
fluorescent polarization immuno assay showed that these two drugs gave
positive tests for amphetamine and methamphetamine at levels that were
clinically relevant. This expands the utility of this screening procedure,
but also demands additional care in the interpretation of positive results
that are obtained clinically.
- Renton, R.J., Cowie, J.S. and Oon, M.C. A Study of the Precursors,
Intermediates and Reaction By-Products on the Synthesis of
3,4-Methylenedioxymethylamphetamine and its Application to Forensic Drug
Analysis. Foren. Sci. Intern. 60 189-202 (1993).
- MDMA was prepared by three separate synthetic routes, and the trace
byproducts and impurities were identified and presented in a way that
probable synthetic method could be deduced for legal purposes.
- Ruangyuttikarn, W. and Moody, D.E. Comparison of Three Commercial
Amphetamine Immunoassays for Detection of Methamphetamine,
Methylenedioxyamphetamine, Methylenedioxymethamphetmaine, and
Methylenedioxyethylamphetamine. J. Anal. Toxicol. 12 229-233 (1988).
- Three commercial immunoassays for the detection of amphetamine in urine
(Abuscreen, a radioimmune assay, RIA; EMIT, a homogeneous enzyme immuno
assay procedure; and TDx, a fluorescent polarization immuno assay, FPIA)
have been assayed for their responses to methamphetamine, MDA, MDMA, and
MDE. Some cross-reactivity to amphetamine is seen with all compounds, but
the response is extremely variable depending upon the assay employed.
- Ruybal, R. Microcrystalline Test for MDMA. Microgram 19 79-80 (1986).
- MDMA gives a sensitive microcrystalline test with gold chloride. The
crystal form is similar to that of methamphetamine.
- Shaw, M.A. and Peel, H.W. Thin-layer Chromatography of
3,4-methylenedioxyamphetamine, 3,4-Methylenedioxymethamphetamine and other
Phenethylamine Derivatives. J. Chromatog. 104 201-204 (1975).
- A broad study is presented on the TLC analyses of many phenethylamines. The
compound specifically named in the title, 3,4-methylenedioxymethamphetamine
(MDMA), was a misprint that was subsequently corrected to the intended
compound, MMDA. MDMA was not a part of this study.
- Simpson, B.J., Simpson, T.P. and Lui, R.H. Microcrystalline Differentiation
of 3,4-Methylenedioxyamphetamine and Related Compounds. J. Forensic
Sciences 36 908 (1991).
- Crystal gold salts can distinguish between MDA, mescaline, and DOET,
whereas MDMA and MDE form crystals similar to one another and are not
easily distinguished. DOM and N-hydroxy-MDA compounds were soluble in the
gold chloride reagents and formed no crystals.
- Sutherland, G.J. 3,4-Methylenedioxymethamphetamine (MDMA) A Basis for
Quantitation by UV Spectrophotometry. Analog 10 1-3 (1988).
- Due to the absence of reference samples of MDMA (in Australia) a seized
sample has been evaluated and provides a basis for quantitation employing
UV.
- Tedeschi, L., Frison, G., Castagna, F., Giorgetti, R. and Ferrara, S.D.
Simultaneous Identification of Amphetamine and its Derivatives in Urine
Using HPLC-UV. Intern. J. Legal Med. 105 265-9 (1993).
- Four compounds are rapidly extracted from urine, derivatized with sodium
1,2-naphthaquinone-4-sulfonate, and separated from one-another by HPLC on
an ion-pair reversed phase system, using a detector at 480 nm. The
compounds were amphetamine, methamphetamine, 3,4-methylenedioxyamphetamine
(MDA) and 3,4-methylenedioxymethamphetamine (MDMA).
- Verweij, A. Clandestine Manufacture of 3,4-Methylenedioxymethylamphetamine
(MDMA) by low pressure Reductive Amination. A Mass Sectrometric Study of
some Reaction Mixtures. Forensic Science International, 45 91-96 (1990)
- An analysis by GCMD has been made of the contaminants present in illicitly
synthesized MDMA. Most of them are ascribed to impurities in the starting
piperonyl acetone (piperonal, safrole, isosafrole) or in the starting
methylamine (ammonia, dimethylamine, methylethylamine).
- Verweij, A.M. Contamination of Illegal Amphetamine. Hydrastatinine as a
Contaminant in 3,4-(Methylenedioxy)methylamphetamine. Arch. Krim. 188 54-7
(1991).
The presence of hydrastatinine has been reported in the analysis of
- illicitly prepared MDMA. This extraordinary chemistry might involve the
generation of a phenylacetaldehyde as an intermediate in the oxidation
processes involving the conversion of the starting material, safrole.
Structural identification depended on the comparisons of mass spectra.
- Verweij, A.M.A. and Sprong, A.G.A. A Note About some Impurities in
Commercially Available Piperonylmethylketone. Microgram 26 209-213 (1993).
- An extensive collection of compounds, structures and IR spectra of
impurities in commercial piperonylmethylketone (a precursor to MDMA) is
carefully reproduced, to allow a determination to be made of the method of
synthesis. The actual source of the precursor ketone that was studied
here, however, was apparently not known, so no immediate application of
this origin fingerprinting is obvious.
- Yamauchi, T. The Analysis of Stimulant-analogue Compounds
(3,4-Methylenedioxymethamphetamine Hydrochloride). Kagaku Keisatsu
Kenkyusho Hokoku, Hokagaku Hen. 39 23 (1986).
- People from abroad have provided samples of drugs that had been heretofore
unidentified in Japan. An analytical profile of one such drug, MDMA, is
provided employing most modern spectroscopic tools.
Reviews and social commentary
including a sampling of magazine, newspaper and radio commentary
- Abbott, A. and Concar, D. A Trip into the Unknown. New Scientist, August
29, 1992, pp. 30-34.
- An overview is presented on the history of MDMA and the difficulty in
determining if there is human risk paralleling the known neurotoxic effects
in experimental primates. A picture is given of its extensive use in the
popular party structure known popularly as "raves," and it has become the
third most widest used drug in England, surpassed only by marijuana and
amphetamine.
- Abramson, D.M. Ecstasy: The New Drug Underground. New Age, October, 1985,
pp 35-40.
- This article addresses the questions that are raised by the conflict of
governmental banning of drugs that are of potential value in psychotherapy,
and the therapist's determination to continue exploring their use.
- Adamson, S. "Through the Gateway of the Heart: Accounts of Experiences with
MDMA and other Empathogenic Substances." Four Trees Publications, San
Francisco. Foreword by R. Metzner. 1985.
- This book is a collection of some fifty personal accounts, largely
involving MDMA. Some are from the notes of therapists, involving clinical
usage, and others are personal accounts from self-exploration.
- Adelaars, A. Ecstasy: De opkomst van een Bewustzijnsveranderend Middel.
Published by In De Knipscheer, Amsterdam, 1991. ISBN 90 6265 342 1. 136 pp
(Dutch).
- This small paperback volume presents a brief history of psychedelic drugs,
then the history of MDMA both in Holland and in the broader scene. The
topics range from therapy to popular use.
- Adler, J. Getting High on 'Ecstasy.' Newsweek, April 15, 1985, p. 96.
- This is a short, apparently factual, overview of both the chemical and the
"street" use of MDMA. It is generally sympathetic to its medical potential.
- Anon: Several reports from the Brain/Mind Bulletin:
- (1) MDMA: Compound raises medical and legal issues. Brain/Mind Bulletin,
10, #8, April 15, 1985.
- The title article is presented, and nearly the entire issue is given over
to a thorough coverage of the medical and scientific aspects of MDMA.
- (2) Psychiatrists, drug-abuse specialists testify in L.A. at first MDMA
hearing. Brain/Mind Bulletin, 10, #12 July 8, 1985.
- A news report on the first round of hearings in Los Angeles, concerning the
scheduling of MDMA. An overview of the testimony is presented.
- (3) Judge proposes more lenient schedule for MDMA. Brain/Mind Bulletin, 11,
#11 June 16, 1986.
- Administrative Law Judge Francis Young recommended, at the conclusions of
the MDMA hearings, that the DEA put the drug into Schedule III, partly to
ease research with the compound, and partly due to the absence of
demonstrated abuse of the drug.
- (4) MDMA: Federal court decides that DEA used improper criteria. Brain/Mind
Bulletin, 13, #2 November, 1987.
- A report is given as to the First Court of Appeals in Boston, ruling that
the DEA had not sufficiently considered the arguments concerning the
current medical use of MDMA.
- Anon: DEA Proposal to Ban New Psychedelic Protested. Substance Abuse
Report, December, 1984. pp 4-5.
- The several letters that were addressed to the DEA in response to its
announcement in the Federal Register to consider the scheduling of MDMA,
are here abstracted and commented upon.
- Anon: Ecstasy: 21st Century Entheogen. Private Tract, 28 pages.
- This is an elaborate thesis that is directed totally to the promotion of
the use of MDMA. There is a presumed question and answer section, that is
designed for the cautiously curious.
- Anon: MDMA. NIDA Capsules. Issued by the Press Office of the National
Institute on Drug Abuse, Rockville, Maryland. July 1985.
- A two-page precis describing the health problems encountered with MDMA use,
its relationship to the neurotransmitters, and the moves being made at the
Justice Department to combat "designer drugs" such as MDMA in the future.
- Anon: Designer Drugs: A New Concern for the Drug Abuse Community. NIDA
Notes, December, 1985, pp. 2-3.
- A discussion of "designer drugs" is arranged in four groups: variations on
fentanyl, on meperidine, on PCP, and on amphetamine and methamphetamine.
MDMA fits this last group. The research directions of NIDA are discussed.
- Anon. Esctasy of the Eighties. Frontline, August 24-September 6, 1985 (page
83-85).
- A review article on the emergence of MDMA, published in one of India's
major national magazines. No new information, and no suggestion that there
is any use in India.
- Anon. The Hyping of Ecstasy. The Illustrated London News, October, 1988 pp.
29-32.
- A developing fad is described in London, called "Acid House" which involves
loud rock music, violent dancing, and the use of MDMA. It is being largely
ignored by the authorities.
- Anon: Mind-bending Drug Could Leave Brains Permanently Warped. New
Scientist, 21 January (1989) p. 30.
- A short summary of the AAAS meeting in San Francisco. Peroutka is quoted as
saying the consumers of MDMA should abandon its use altogether. If they
continue, he said, they risk damage to their nervous systems that may take
decades to manifest itself. It could emerge initially as depression or
disturbance to sleep. This is the first hint as to the specific form of the
down-the-road damage that is being promoted as a cost of using MDMA.
- Anon: "Ice" and "Ecstasy" Two Dangerous Psychotropic Drugs. International
Criminal Police Review. 45 1-24 (1990).
- A brief review of the dangers and health hazards of two designer drugs is
presented; vis., methamphetamine and MDMA. International controls of the
easily available chemical precursors should be instituted. The author is
the ICPO-Interpol General Secretariat.
- Anon: Deal mit Cadillac (September 4, 1989); Ecstasy und Cadillac (November
12, 1989). Der Spiegel.
- Two of several news articles appearing in Germany, presenting the scandal
surrounding the chemical firm Imhausen-Chemie. It had been producing, and
selling, large quantities of a precursor to MDMA (piperonylacetone, which
they called PMK) as well of literally millions of tablets of the final
product itself (which they called "Ecstasy," "XTC," "Adam" or "Cadillac.").
The magnitude of operation was tons of drug, and millions of tablets. And,
of course, the money volume was many millions of Deutsche Marks.
- Bakalar, J.B. and Grinspoon, L. Testing Psychotherapies and Drug Therapies:
The Case of Psychedelic Drugs. The Clinical, Pharmacological and
Neurotoxicological Effects of the Drug MDMA. Kluwer, New York. (1990) Ed:
S.J. Peroutka.
- The problems associated with the social and medical acceptance of drugs as
a valid component of the psychotherapeutic process are outlined and
discussed. MDMA is used as a specific point of illustration.
- Barbour, J. Cracking Down: What You Must Know About Dangerous Drugs. The
Associated Press. 1986.
- This is a 63 page illustrated essay, aimed at stopping drug use and abuse
by scaring the reader. Unfortunately, the information is not completely
accurate. MDMA is spun together with other designer drugs as things that
destroy the brain.
- Barendregt, C. Dutch Conference on MDMA. The International Journal on Drug
Policy 1 Issue #6 (1990?).
- This is a summation of the January 23, 1990 conference in Amsterdam,
sponsored by the Dutch Institute on Alcohol and Drugs. With the passing of
legislation against MDMA in November 1988, the criminal aspect of the use
of this drug has quite logically increased. Dutch drug law (of 1976)
distinguishes two categories of drug; those with an unacceptable risk
(Group 1, containing such drugs as cocaine and heroin) and those with less
risk (Group 2, containing only marijuana and hash). Newly marketed, and
illegalized, drugs such as MDMA can only be defined as Group 1 as Group 2
is closed to any new substances. It was concluded that the risks of MDMA
use are to be found in its legal status, rather than in its pharmacological
properties.
- Barnes, D.M. New Data Intensifies the Agony over Ecstasy. Science 239
864-866 (1988).
- A review and commentary is presented of the Winter Conference on Brain
Research, 23-30 January, 1988, in which there was a section on MDMA. A
distillation of the comments made yields the feeling that more clinical
work is needed to define the value, and that there would not likely be any
further clinical work done. There are extensive quotations from some of the
authors of recent animal studies on serotonin toxicity.
- Barnett, R. DEA: RSVP re MDMA. Editorial from KCBS, July 29, 1985.
- With the possibility of therapeutic value seen in some psychiatric cases,
KCBS felt that the action of the DEA (making MDMA illegal) short-circuited
the hearings process, and was premature. A request is made to allow
research on the effects and potentials of this drug to continue.
- Baum, R.M. New Variety of Street Drugs Poses Growing Problem. Chemical and
Engineering News, September 9, 1985. pp. 7-16.
- A completely professional article discussing the challenges presented to
law enforcement officials, legislators and scientists, by the invention of
analogues of illegal drugs by underground chemists. MDMA is held out as
being quite apart from the fentanyl and meperidine examples, and is
analysed at some length.
- Beck, J. MDMA: The Popularization and Resulting Implications of a Recently
Controlled Psychoactive Substance. Contemporary Drug Problems Spring, 1986.
pp 23-63.
- A historical analysis is made of the relationship between drug
illegalization and social issues. MDMA is used as a specific example, and a
considerable body of first hand observations of its use is also presented.
- Beck, J. and Morgan, P.A. Designer Drug Confusion: A Focus on MDMA. J. Drug
Education 16 267-282 (1986).
- This article discusses the competing definitions and issues surrounding the
various designer drugs, but is primarily devoted to an examination of MDMA.
A rationale is offered as to why interest in MDMA will continue to grow.
- Beck, J. and Rosenbaum, M. "Pursuit of Ecstasy: The MDMA Experience."
State University of New York Press, New York. 239 pp. (1994).
- This book is the first complete analysis of the clinical value of MDMA, and
it brings together into one place the previously scattered reports of the
drug's use in therapy. The information that is compiled here, was
originally the raw material for a report to the National Institute of Drug
Abuse (NIDA), as the presentation of a summary of a contract awarded the
authors to study MDMA. The final report was never published by NIDA, and
so this book serves as a supurb vehicle for making these findings available
as public information.
- Beebe D.K. and Walley, E. Update on Street Drugs in Mississippi. Journal of
the Mississippi State Medical Association, 1989 Dec,
- Drug abuse is on the rise in Mississippi. Treatment centers across the
state report significant increases in substance abuse cases. Consequently,
family physicians must have the most current, accurate information
available and the skills with which to treat either an acute crisis or the
chronic problems related to drug abuse. The authors present an overview of
the clinical presentations and management of some of the most widely used
designer drugs: crack, ecstasy and PCP.
- Beebe, D.K. and Walley, E. Update on Street Drugs in Mississippi. Journ.
Miss. State Med Ass. 30 387-390 (1989).
- A discussion of the drug abuse problem in Mississppi is presented. MDMA is
listed with a check list of the medical compilation that can follow use.
- Beebe, D.K. and Walley, E. Substance Abuse: The Designer Drugs. AFP May
1991, p. 1689.
- A brief overview of the "Designer Drug" is presented, using mescaline, the
synthetic opiods, the aryehexylamines, and methaquelone as prototypes.
- Bost, R.O. 3,4-Methylenedioxymethamphetamine (MDMA) and Other Amphetamine
Derivatives. J. Forensic Sci. 33 576-587 (1988).
- A series of amphetamine derivatives are discussed as "Designer Drugs" with
structures slightly modified from explicitly named illegal drugs. A number
of emergency cases are presented, which are documented with MDA, MDMA and
MDE involvement. A number of analytical procedures are demonstrated.
- Buchanan, J. Ecstasy in the Emergency Department. Clinical Toxicology
Update, 7 1-4 (1985).
- A review of the history and the pharmacology of the psychoactive
amphetamines is given. The overall recommendation for the emergency room is
to expect an overdosed patient to present with signs similar to those with
an amphetamine overdose, and to expect to treat primarily signs of anxiety
and hypertension. The attending physician can expect the patient to be
unaware of the actual toxin he has taken, and careful laboratory work will
be needed to identify the chemical in body fluids and drug samples.
- Callaway, E. The Biology of Information Processing. J. Psychoactive Drugs
18 315-318 (1986).
- A review is presented of the difficulties that are classically part of the
communication of information, and the roles of the many psychologists and
physicians who have addressed the problem. The study of neurotransmitters,
and thus drugs that involve these brain chemicals, is part of the eventual
understanding. The role of non-classic "unsleepy drugs" (stimulants) such
as MDMA are speculated upon as potential tools in this study.
- Chaudhuri, A. Cause and E-ffect. Time Out, August 5-12 (1992).
- A review of the background of MDMA and the increasing medical concern in
England regarding its popularity in the rave scene. Arguments are advanced
for its removal from Category A of English law, allowing its potential in
therapy to be explored.
- Chesher, G., Some Views on Ecstasy. Modern Medicine of Australia April 1990
pp. 76-85.
- A brief and quite accurate review is given as to the background,
therapeutic interest, legal history, and neurotoxicity of MDMA.
- Climko, R.P., Roehrich, H., Sweeney, D.R. and Al-Razi, J. Ecstasy: A Review
of MDMA and MDA. Int'l Journal of Psychiatry in Medicine. 16 359-372
(1986-87).
- A review of the pharmacology and toxicity of MDA is presented, with some
additional data for MDMA. A balanced presentation with 75 references.
- Cohen, S. They Call It Ecstasy. Drug Abuse & Alcoholism Newsletter, Vista
Hill Foundation. 14 # 6. September, 1985.
- A basically negative overview of the prospects of MDMA in therapy. There is
wistful note with the "we've been through all this before" feeling. LSD had
hope, LSD failed, and this too shall fail.
- Conner, M. and Sherlock, K. Attitudes and Ecstasy Use. Paper presented at
the European Association of Experimental Social Psychology, 15-20
September, 1993, Lisbon.
- An anonymous questionaire was distributed amongst young people (in England)
who had varying degrees of experience with MDMA. Over half the sample had
tried the drug, and a substantial minority used it regularly. The results
are discussed in terms of the design of literature that could be directed
at changing this use pattern.
- Corliss, J. Agonizing over Ecstasy. Santa Cruz Sentinel, Friday March 24, 1989.
- An update on the controversy surrounding the use of MDMA, geared for
popular consumption. Emphasis is on serotonin and damage, if not now, maybe
somewhere down the road.
- Deluca, N. Closed Doors/Closed Minds. KCBS Editorial. July 10, 1986.
- An opinion is expressed, that the easy answer to MDMA given by the federal
government, illegalization by placement into Schedule I, was the wrong
answer. It appears that MDMA warrants a closer look by therapists, and the
DEA should not simply lock the drug away where it cannot be investigated.
- Doblin, R. Murmurs in the Heart of the Beast: MDMA and the DEA, HHS, NIDA,
NIMH, ADAMHA, FBI and the WHO. Privately printed. August 8, 1984.
- This is a collection of many of the letters exchanged between the DEA and
the FDA, that led to the decision to place MDMA in the listings of
scheduled drugs. Also included are the DAWN (medical emergency) reports,
and letters written in response to the proposed scheduling.
- Doblin, R. The Media Does MDMA. Privately printed, August 5, 1985 -July 2,
1987.
- This is a collection of articles, newspaper accounts, writings from many
sources, that touch upon MDMA. It is arranged as a collage.
- Doblin, R. A Proposal for Orphan Pharmaceuticals, Inc. A Division of
Neurobiological Technologies, Inc. August 4, 1987.
- A review of the history of MDMA and the arguments for its legitimate
commercial consideration are presented. The NTI Board of Directors did not
accept this proposal.
- Doblin, R. Risk Assessment: The FDA and MDMA Research. PM&E (Psychedelic
Monographs and Essays) 4 98 (1989).
- A brief review of the current status of the neurological toxicity studies,
and an analysis of their extrapolation to human subjects.
- Doblin, R. (1) MDMA: Risk Assessment and the FDA. April 14, 1989. (2)
Regulation or Prohibition? MDMA Research in Switzerland and the United
States. May 26, 1989. (3) Multidisciplinary Association for Psychedelic
Studies, Summer, 1989.
- These are three privately published tracts. The first reviews the present
research status of MDMA, and presents an overview of the clinical
experiments under way in Switzerland. The second essay lists the names and
addresses of the Swiss researchers. The third entry is a continuing
newsletter publication with articles and announcements concerning
developments in the area of psychedelic research. News on MDMA is of the
highest priority.
- Dowling, C.G. The Trouble with Ecstasy. Life Magazine, August, 1985, pp.
88-94.
- A pictorial article timed to coincide with the first of the hearings
concerning the eventual fate of MDMA, and with the effective placement of
it under emergency legal control.
- Edwards, G. Blasted with Ennui. British Med. J. 298 136 (1989).
- A highly critical opinion is shared with the readers concerning yet another
drugs being promoted as an adjunct to psychotherapy, given a appealing
name, and as has happened before, eventually discovered to be highly
damaging.
- Ehrlich, B. Understanding Ecstasy: The MDM Story. Privately Printed Book
Manuscript. About 70 pages. 1986.
- This is a partial draft of a book, privately printed and circulated,
covering the history and paramedical use of MDMA.
- Ehrnstein, L.B., Reflections on Drug Enforcement and Drug Use. Psychedelic
Monographs and Essays, 2 17-24 (1987).
- An instructive and favorable review of the history and the possible
usefulness of MDMA is presented. There are suggestions offered as to how
the inexperienced subject might approach MDMA for personal development.
- Eisner, B. ECSTASY, The MDMA Story. Ronin Press, Berkeley 1989. 228 pages.
- This book is a complete review of much of the background and history of the
origin and entry of MDMA into the culture. It was in this book that an
earlier edition of this bibliographic summary appeared
- Farrell, M. Ecstasy and the Oxygen of Publicity. Brit. J. Addiction 84 943
(1989).
- A short and appropriate review of how the furious and righteous publicity
given the use of MDMA in Britain, fuelled its popularity.
- Fitzgerald, J. MDMA and Harm. Intern. J. Drug Policy 2 #4 Jan-Feb. (1991).
- An overview of the history of MDMA use is presented, to allow the formation
of opinion as to the properness of its legalization. It is concluded that
no change in the legal status is warranted.
- Fitzgerald, J. MDMA and Harm. Intern. J. Drug Policy 2 22-24 (1993)
- An analysis of the MDMA problem, vis-a-vis Australian law, is presented.
There balance of the literature presentation of harm regarding the drug
leans towards its being relatively safe. However, there is no evidence
that the community is harmed or suffering in any way by its being
maintained in an illegal status. Thus it should remain illegal.
- Gallagher, W. The Looming Menace of Designer Drugs. Discover 7 24 (1986).
- A long and gloomy article on the growing problems of uncontrolled analogues
of heroin. There is a heavy emphasis on the medical professional's use and
involvement in drug abuse. A one page side-box gives a view of MDMA, with
balance between therapeutic potential and the risks of using unevaluated
and unapproved new drugs.
- Garfinkel, S.L. The Price of Ecstasy. New Age Journal, May 1989, p. 22.
- This is a brief review of the current legal/clinical status of MDMA, with a
note-worthy quote from the FDA spokeswoman Susan Cruzan. "It is irrelevant
to talk about clinical trials of a drug that has no legitimate medical
use."
- Gertz, K.R. "HugDrug" Alert: The Agony of Ecstasy. Harper's Bazaar, November
1985, p. 48.
- A popular article is offered, with a balanced discussion of the case for,
and the case against, the use of MDMA.
- Gibb, J.W., Johnson, M. and Hanson, G.R. Neurochemical Basis of
Neurotoxicity, NeuroToxicity 11 317-322 (1990).
- The properties of 6-hydroxydopamine and 5,7-dihydroxytryptamine are
reviewed, in a presentation of the dopaminergic and serotonergic systems.
The principle drugs of discussion are methamphetamine and MDMA.
- Gibb, J.W., Johnson, M., Stone, D. and Hanson. G.R. MDMA: Historical
Perspectives. Ann. N.Y. Acad. Sci. 600 601-612 (1990).
- A review of a number of neurotoxicological aspects of MDMA is presented.
- Gibb, J.W., Stone, D., Johnson, M. and Hanson, G.R. Neurochemical Effects
of MDMA. The Clinical, Pharmacological and Neurotoxicological Effects of
the Drug MDMA. Kluwer, New York. (1990) Ed: S.J. Peroutka.
- An extensive review of the neurotoxicological properties of MDMA is
presented. The data suggest that although MDMA perturbs both the
dopaminergic and serotoninergic systems of experimental animals, it is only
the serotoninergic system that is persistently altered.
- Glennon, R. A. Discriminative Stimulus Properties of Phenylisopropylamine
Derivatives. Drug and Alcohol Dependence 17 119-134 (1986).
- A broad review of many substituted phenylisopropylamines and their
responses in discriminative studies in animals trained to discriminate
amphetamine (or, separately, DOM) from saline. MDMA produced no
DOM-appropriate response (DOM is an hallucinogen) but did cross react with
amphetamine (a stimulant).
- Gold, M.S. Ecstasy, Etc. Alcoholism and Addiction Sept-Oct. 1985. p. 11.
- Criticism of the popular use of untested drugs such as MDMA is presented.
It is argued that all new "wonder euphorogenics" should be considered
extremely dangerous until proven safe and effective for a specific
condition by the FDA and the medical research community.
- Goldstein, R. The Facts about 'Ecstasy' A Talk with Andrew Weil. The
Village Voice, February 7, 1989, p. 31.
- This is an overview of the present status of MDMA, followed by a careful
and balanced interview with Andrew Weil on its clinical use and hazards.
- Grant, A. and Wagner, J. Case Book: The Batman. Ecstasy. Detective Comics
No. 594, published by DC Comics, Inc. 1988.
- A magnificently lurid illustrated story of how the use of Ecstasy drove a
sound business man and currency trader to total madness, voices in the
head, urge to blow up the principals in the New York drug trade. He was the
final victim. Drugs kill.
- Grinspoon, L. and Bakalar, J.B. What is MDMA? Harvard Medical School Mental
Health Letter 2 8 (1985).
- A brief presentation of the cogent facts that define MDMA.
- Grinspoon, L. and Bakalar, J.B. A Potential Psychotherapeutic Drug? The
Psychiatric Times, January, 1986. pp 4-5, 18.
- A review of the development of the use of drugs in psychotherapy, and a
discussion of the role that a drug like MDMA might play in this medical
area.
- Grinspoon, L. and Bakalar, J.B. Can Drugs be Used to Enhance the
Psychotherapeutic Process? Amer. J. Psychotherap. 40 393-404 (1986).
- There is evidence that the psychotherapeutic process can be enhanced by the
use of drugs that invite self-disclosure and self-exploration. Such drugs
might help to fortify the therapeutic alliance and in other ways. One drug
that may prove promising for this purpose is the psychedelic amphetamine
MDMA.
- Hagerty, C. "Designer Drug" Enforcement Act Seeks to Attack Problem at
Source. American Pharmacy NS25 10-11(1985).
- An extensive argument is presented for the passage of the "Designer Drug"
Enforcement Act, to effectively attack the sources of new drugs.
- Harris, L. S. The Stimulants and Hallucinogens under Consideration: A Brief
Overview of their Chemistry and Pharmacology. Drug and Alcohol Dependence,
17 107-118 (1986).
- A literature review is made of a number of drugs that are under
consideration for international control. MDMA is briefly mentioned, and
described as being in man more of a stimulant than a hallucinogen.
- Hershkovits, D. Esctasy: The Truth About MDMA. High Times November, 1985. p.
33.
- An interview was held with Richard Seymour, author of the book MDMA. Many
good and reasonable questions, answered directly and accurately.
- Hollister, L.E. Clinical Aspects of Use of Phenylalkylamine and
Indolealkylamine Hallucinogens. Psychopharmacology Bulletin 22 977-979
(1986).
- A generally negative evaluation of the use of hallucinogens (such as MDA,
MDMA, LSD) based largely on the potential of neurotoxicity and the absence
of clinical verification of value. Most of the value must be gleaned from
studies of twenty years ago, and the absence of recent research is ascribed
to unusually high toxicity or to the lack of interest. The legal
difficulties are not addressed.
- Johnson, T. Trafic d'Extase. Actuel #137. November (1990) p. 107 et seq.
- This is an in-depth but reasonably current overview of the drug ecstasy and
its role in the drug scene in Amsterdam, where it is apparently being
synthesized for the entire continent. Comments from the as well detractors
as the promoters are gathered together, with a final word on its potential
legalization.
- Jones, R. Why the Thought Police Banned Ecstasy. Simply Living, 2 #10. p.
91-95.
- A review of the United States controversy concerning MDMA as seen through
Australian eyes. There are implications of considerable use in Australia.
- Kirsch, M.M. "Designer Drugs" CompCare Publications, Minneapolis. 1986.
- This book is organized into chapters that treat each of some half-dozen
drugs that have been created or modified so as to circumvent explicit legal
restrictions, or have recently emerged into popularity. One chapter,
entitled "Ecstasy", spins together the popular lore concerning MDMA with
quotations from various writers and lecturers and several anonymous users.
- Klein, J. The New Drug They Call 'Ecstasy', New York (magazine), May 20,
1985, pp 38-43.
- This is a popular article that brings together quotations that express the
broad range of attitudes held by both the proponents and the opponents of
the current clinical employment of MDMA. Some historical background is
presented, as well as an articulate description of the effect the drug
produces.
- Korf, D., Blanken, P. and Nabben, T. Een Nieuwe Wonderpil? Verspreiding,
effecten en risico's van ecstasygebruik in Amsterdam. A book in Dutch of
over 150 pages. (1991)
- The origins, distribution, availability, and use of Ecstasy in The
Netherlands is discussed. Since 1988, MDMA has been covered under the Opium
Act, but there is little active police intervention. There appears to be
extensive misrepresentation of this drug with frequent substitution of some
amphetamine-like substitute. The street price remains very high.
- Laverty, R. and Logan, B.J. Ecstasy Abuse. New Zealand Med. J. 102 451 (1989).
- A request is extended to practitioners for information concerning possible
MDMA exposure with their patients. If possible, a sample of the drug
involved in any referral could be given for analysis, which would allow an
accurate estimate to be made of the magnitude of this particular drug
problem in New Zealand.
- Leavy, J. Ecstasy: The Lure and the Peril. The Washington Post June 1,
1985. Zagoria, S. More "Peril" than "Lure." ibid. July 3, 1985,
- A well researched and careful article reviewing all aspects of the MDMA
palavar. The reply by Mr. Zagoria expressed the thought that Ms. Leavy's
presentation was too enticing, with lure outweighing peril.
- Leverant, R. MDMA Reconsidered. J. Psychoactive Drugs 18 373-379 (1986).
- A summation of thoughts and impressions gathered at the Oakland, California
Conference on MDMA (May, 1986). The theme presented is the need of
open-mindedness in the area of personal and well as clinical freedom of
research, and MDMA was used as a focal point.
- Lyttle, T. and Montagne, M. Drugs, Music, and Ideology: A Social
Pharmacological Interpretation of the Acid House Movement. Intern. J.
Addict. 27 1159-1177 (1992).
- The development of the "Acid House" phenomenon from it's origin in 1988 in
England, is reviewed with particular emphasis placed on the role played by
music and drugs in the changing of statesof consciousness.
- Mandi, J. Ecstasy. The Face #38, November, 1991. Three page article.
- A rather balanced and reasonable article about some reasons for, and some
difficulties associated with, the excessive use of MDMA.
- McConnell,H. MDMA. The Journal. July 1, 1986 pp. 11-12.
- A thorough review of the Oakland, California MDMA conference is presented,
in considerable detail and with excellent balance.
- McDonnell, E. One World, One Party. S.F. Weekly, January 29, 1992 pp 12-13.
- A view of the rave scene in San Francisco, with the emphasis on MDMA (but
with LSD and mushrooms also contributing) and smart drinks (vitamins,
minerals, and little alcohol). and lights and music and colour. All is very
expensive, and very much in style. Psychedelic drug use is taken for
granted.
- McGuire, P. and Fahy, T. Flashbacks following MDMA. Brit. J. Psychiatry.
160 276 (1992).
- A retrospective analysis of an earlier report concerning MDMA use has
uncovered the fact that flashbacks had occurred. An apology is extended for
the polypharmacy that was implied in that report; cannabis was present but
there was no evidence for the presence of MDMA. Apparently an analysis for
MDMA use was not asked for and so it was not reported as being present.
More frequent urine screenings should help to implicate MDMA with medical
problems, in light of the current widespread use of the drug.
- McKenna, D.J. and Peroutka, S.J. The Neurochemistry and Neurotoxicity of
3,4-Methylenedioxymethamphetamine (MDMA, "Ecstasy"), J. Neurochem. 54 14-22
(1990).
- A thoroughly documented review of the present state of knowledge of the
effects of MDMA on animal systems.
- McKenna, D.J. and Peroutka, S.J. Serotonin Neurotoxins: Focus on MDMA
(3,4-Methylenedioxymethamphetamine, "Ecstasy"). In: Serotonin Receptor
Subtypes: Basic and Clinical Aspects, Editor, Peroutka, Wiley-Liss, New
York. pp.125-146 (1991).
- In a volume on serotonin receptors (part of a receptor biochemistry and
methodology series) the "halogenated amphetamine" receptor subtype is
characterized in an extensive review essay of MDMA and the neurotoxicity
that is ascribed to it.
- McNeil, L. A Woodstock of Their Own. Details, Decemeber 1991 pp. 26-38.
- This is a candid expose of one explicit rave weekend in Los Angeles. The
picture shows that the entire structure is build about the drug MDMA which
is an essential component of the event.
- Molliver, M.E., Berger, U.V., Mamounas, L.A., Molliver, D.C., O'Hearn, E.
and Wilson, M.A. Neurotoxocity of MDMA and Related Compounds: Anatomical
Studies. Ann. N. Y. Acad. Sci 600 640-664 (1990).
- A review and discussion is presented from a recent symposium of serotonin
neuropharmacology. Comparisons of MDMA, MDA, p-chloroamphetamine and
fenfluramine are made.
- Nasmyth, P. The Agony and the Ecstasy. The Face, October, 1986 p. 52.
- A popularized article from England on the properties and the uses of MDMA.
It strongly suggests that the drug is already deeply instilled in British
culture.
- Nasmyth, P. Laing on Ecstasy. International J.Drug Policy. 1 14-15 (1989).
- A brief profile of the late controversial psychiatrist R.D.Laing, and his
views of the potential of the drug MDMA in a therapy role.
- Newmeyer, J.A. Some Considerations on the Prevalence of MDMA Use. J.
Psychoactive Drugs 18 361-362 (1986).
- An epidemiology survey of MDMA use (as of 1986) from the usual information
sources (Drug Abuse Warning Network, DAWN; the Community Epidemiology Work
Group, CEWG; police department reports, medical examiner or coroner's
office reports) gives little indications that there is a medical problem
associated with its use. Epidemiologically, it can not be considered at the
present time a problem. It may well be that the material currently enjoys
controlled, careful use by a number of cognoscenti (as did LSD in the early
1960's) and perhaps in future years a larger number of less sophisticated
individuals will be drawn into its usage, and will find ways to evince
adverse reactions, police involvement, and other unpleasant consequences.
- Newmeyer, J.A. X at the Crossroads. J. Psycho. Drugs 25 341-342 (1993).
- A short essay addresses the question of the eventual responses of the
public to MDMA. Arguments are presented that support its gaining de facto
tolerance (achieving a status akin to that of marijuana) but other
observations that could lead to a hostile LSD-like rejection. He believes
that the next two years will be decisive.
- Nichols, D.E. MDMA Represents a New Type of Pharmacologic Agent and Cannot
be Considered to be either a Hallucinogenic Agent or an Amphetamine-type
Stimulant.
- This is an unpublished essay submitted both to the DEA and to the WHO
group, through the offices of Richard Cotton. It presents a point by point
analysis from both in vitro and in vivo studies of the pharmacological
properties of MDMA and its isomers, with MDA (a structurally related
hallucinogenic compound) and other amphetamines. He concludes that its
actions represent a new classification of pharmacology, and clinical
research with it in psychotherapy would argue against placing it in
Schedule I.
- Nichols, D.E. Differences Between the Mechanism of Action of MDMA, MBDB,
and the Classic Hallucinogens. Identification of a New Therapeutic Class:
Entactogens. J. Psychoactive Drugs 18 305-313 (1986).
- This article presents a review of the extensive neurological and
pharmacological evidence that supports the stand that MDMA and MBDB should
be classified neither as hallucinogens (psychedelic drugs) nor as simple
stimulants. An argument is made for a novel classification, entactogens.
- Nichols, D.E. and Oberlender, R. Structure-Activity Relationships of MDMA
and Related Compounds: A New Class of Psychoactive Drugs. Ann. N. Y. Acad.
Sci. 600 613-625 (1990).
- A review of the pharmacological and behavioral properties of MDMA and MBDB
suggests that they represent members of a new class of
psychopharmacological agents. A extensive discussion is also included.
- Nichols, D.E. and Oberlender, R. Structure-Activity Relationships of
MDMA-Like Substances, NIDA Research Monograph Series #94 pp. 1-29 (1989).
- A critical review of the structures and activities of compounds related to
MDMA is presented, with particular attention directed to a somewhat less
neurotoxic homolog MBDB. A considerable discussion is attached, with
questions, comments, and answers, from the actual conference.
- Nichols, D.E. and Oberlender, R. Structure-Activity Relationships of MDMA
and Related Compounds: A New Class of Psychoactive Agents? The Clinical,
Pharmacological and Neurotoxicological Effects of the Drug MDMA. Kluwer,
New York. (1990) Ed: S.J. Peroutka.
- An extensive analysis has be made of the structures of drugs that resemble
MDMA, and the nature of their action. An argument is presented for the
acceptance of a pharmacological classification of Entactogens as being
distinct from the Hallucinogens, or psychedelic drugs.
- O'Rourke, P.J. Tune In. Turn On. Go To The Office Late on Monday. Rolling
Stone, December 19, 1985 p. 109.
- The MDMA popularity craze is presented in a humorous retrospective of the
drug attitudes of the 1960's.
- Peroutka, S.J. Incidence of Recreational Use of
3,4-Methylenedioxymethamphetamine (MDMA, "Ecstasy") on an Undergraduate
Campus. New England J. Med. 317 1542-1543 (1987).
- A random, and anonymous, poll of undergraduates at Stanford University
(California) showed that some 39% of all students were experienced with
MDMA (mean number of uses was 5.4, and dosage range was 60-250 mg). To
date, he finds no evidence to suggest that MDMA is neurotoxic in humans.
- Peroutka, S.J. 'Ecstasy': A Human Neurotoxin? Arch. Gen. Psychiat. 46 191
(1989).
- A letter to the editor presents three anecdotal observations in connection
with the recreational use of MDMA. (1) Frequent use decreases the favorable
responses. (2) Chronic use changes the nature of the response, and (3) the
material appears not to be addictive. It has been concluded that there may
well be a long-term and potentially irreversible effect of MDMA on the
human brain. Recreational use should be avoided.
- Randall, T. Ecstasy-Fuelled 'Rave" Parties Become Dances of Death for
English Youths. J. Am. Med. Soc. 268 1505-1506 (1992).
- A news report and medical perspective on the problems being reported as
associated with the use of ecstasy (MDMA) in the British rave scene. A
brief history of ecstasy is provided.
- Randall, T. 'Rave' Scene, Ecstasy Use, Leap Atlantic. J. Am. Med. Soc. 268
1506 (1992).
- A brief history of the 'rave' scene in Britain is presented. The recent
appearance of the phenomenon in the United States, and elsewhere around the
world, is discussed.
- Rattray, M. Ecstasy: Towards an Understanding of the Biochemical Basis of
the Action of MDMA. Essays in Biochemistry 26 77-87 (1991).
- A review of the history, pharmacoloy and neurochemistry of MDMA is
presented. Much of the presented information is factual, some of it is
speculative, and several points are simply wrong.
- Riedlinger, T.J. and Riedlinger, J.E. Psychedelic and Entactogenic Drugs
in the Treatment of Depression. J. Psycho. Drugs 26 41-55 (1994).
- Both the virtues of, and the problems associated with, the incorporation of
psychedelic drugs into psychotherapy are discussed.
- Renfroe, C.L. MDMA on the Street: Analysis Anonymous. J. Psychoactive Drugs
18 363-369 (1986).
- In the twelve years (up to 1983) that PharmChem conducted its Analysis
Anonymous service, they evaluated over 20,000 samples of street drugs. MDMA
and MDA had been classified together (in some 610 examples) and of these 72
had been alleged to be MDMA. In the years 1984-1985, a cooperating
reference laboratory (S.P., Miami, Florida) reported an additional 29
alleged MDMA samples. Of these 101 samples, over half proved to be, indeed,
MDMA, and half of the remaining contained MDMA. This is considered a
remarkably high validity rate. The origins, descriptions, and costs are
discussed.
- Riedlinger, J.E. The Scheduling of MDMA: A Pharmacist's Perspective. J.
Psychoactive Drugs 17 167-171 (1985).
- A critical viewpoint is taken of the scheduling procedures employed with
MDMA. This paper is adapted from the original letter of protest sent to the
DEA, and from the written testimony presented at the hearings.
- Riedlinger, T. and Riedlinger, J. The 'Seven Deadly Sins' of Media Hype in
Light of the MDMA Controversy. PM&E (Psychedelic Monographs and Essays). 4
22 (1989).
- This is a carefully written criticism of the uneven ways in which the
popular press weighs and presents controversial issues such as the story
concerning MDMA.
- Rippchen, R. MDMA Die Neue Sympathiedroge. Der Grune Zweig 103,
Medieneexperimente D-6941 Luhrbach, West Germany (1986).
- A book of some 47 pages, giving an immense body of information on MDMA (in
German) including translations of articles by Greer. Also included is
information on other drugs such as MDE and 2C-B.
- Roberts, M. Drug Abuse. MDMA: "Madness, not Ecstasy" Crosstalk section,
Psychology Today. June, 1986.
- An update of an earlier article (Psychology Today, May, 1985) which
emphasizes the neurological findings, and the concept of unregulated drug
synthesis. Congressional action prohibiting the manufacture and
distribution of similar drugs is urged.
- Roberts, T.B. The MDMA Question. Section on Social Concerns. AHP
Perspective. May, 1986. p. 12.
- This is a soul-searching review asking the questions as to where we must
acknowledge the line between the need of drug use in therapy, and
tolerating drug use in society. Provisions must be made, of course, for
both.
- Robins, C. The Ecstatic Cybernetic Amino Acid Test. San Francisco Examiner
Image, February 16, 1992 p. 6 et seq.
- A trip with the author is made through an evening, of a San Francisco rave.
The noise, the excessive focus on drugs, smart drinks, energy, dance,
music, cyberpunk this and virtual reality that; all make a statement of
rebellion. It may all die out, but the concept is truly international in
scope, and might soon require the older generation to take it seriously.
- Rosenbaum, M. and Doblin, R. Why MDMA Should Not Have Been Made Illegal,
Unpublished Essay, 1990.
- A brief history and analysis of the illegalization of MDMA is presented.
- Saunders, N. "E for Ecstasy" Saunders, London (1993) 318 pp.
- A thorough review of the medical, social and legal history of MDMA is
presented, in a well documented analysis of this highly controversial drug,
at the height of its popularity. The rave scene is described, as is the
beginning acceptance of MDMA as a valuble therapeutic tool. An annotated
bibliography, by Alexander Shulgin, is attached.
- Saunders, N. MDMA - The View from England. MAPS 4 22-24 (1993).
- A review is presented of the present position of MDMA in England. A
critical discussion of the medical reports, the legal status, and the
problems of misrepresentation which are inevitable when the streets are the
only source for purchase. Speculations as to future developments are
encouraging.
- Schuckit, M.A. MDMA (Ecstasy): An Old Drug with New Tricks. Drug Abuse
and Alcoholism Newsletter 23 #2 April, 1994.
- A review is presented of the history, social use and dangers of MDMA use.
The intended audience is the practicing physician.
- Sawyer, M. Ecstasy. Select, July 1992 pp 56-61.
- A strongly written review covering all sides of the rave scene in England,
and the damage that is being done by the strenuous laws against ecstasy.
Emphasis is placed on the fraud that is rampant in the misrepresentation of
the identities of the drugs that are being sold as MDMA.
- Schulman, R. The Losing War Against "Designer Drugs." Business Week, June
24, 1985 pp. 101-104.
- An overview of the MDMA controversy. A preview is presented, of the
pharmaceutical industry's response (OK to ban it, but not with the haste
that might have a chilling effect on the development of new
pharmaceuticals) and local law enforcement enthusiasm (Florida has granted
the State Attorney General the power to place a drug on the Controlled Drug
List in as little as 24 hours).
- Sedgwick, B., Lo, P. and Yee, M. Screening and Confirmation of
3,4-Methylenedioxymethamphetamine (MDMA) in Urine: Evaluation of 1000
Specimens. Abstracts of the CAT/SOFT Meetings, Oct. 29 -Nov. 1, 1986,
Reno/Lake Tahoe, Nevada.
- A sequence of 1000 "at risk" samples were screened for the presence of
methamphetamine (MA) and/or MDMA (not distinguishable in the initial
analysis). Of 133 presumptive positive tests, none proved to be positive
for MDMA.
- Seymour, R.B. "MDMA" Haight-Ashbury Publications, San Francisco. 1986
- This is a volume devoted entirely to the single drug MDMA. Nine chapters
discuss its origins, facts that apply to it, its bright side and dark side,
in a carefully balanced presentation. It was made available for the
Oakland, California symposium, MDMA: A Multidisciplinary Conference, May
17-18, 1986.
- Seymour, R.B. Ecstasy on Trial. High Times, November, 1986. p. 33.
- A retrospective review article of the controversies stirred up by the
publicity that followed the government hearings and the illegalization of
MDMA.
- Seymour, R.B., Wesson, D.R. and Smith, D.E. Editor's Introduction. J.
Psychoactive Drugs. 18 287 (1986).
- An introduction is made to an entire issue of the Journal dedicated to the
several papers presented at a two-day conference on the topic of MDMA. This
was held May 17-18, 1986, at the Health Education Centre of the Merritt
- Peralta Medical Centre, in Oakland, California.
Shafer, J. MDMA: Psychedelic Drug Faces Regulation. Psychology Today, May,
1985. pp. 68-69.
- This is a short overview presenting the clinical and legal views of a
number of psychiatrists, administrators and researchers.
- Shulgin, A.T. Twenty Years on an Ever-changing Quest, Psychedelic
Reflections, Eds. L. Grinspoon and J.B. Bakalar, Human Science Press, New
York (1983). pp. 205-212.
- This is an essay on the philosophy of research associated with psychedelic
drugs. MDMA is described briefly, with some of its history, pharmacology,
and therapeutic potential.
- Shulgin, A.T. What is MDMA? PharmChem Newsletter 14 3-11 (1985).
- A hypothetical interview is presented, distilling the questions fielded
from many reporters, and the substance of the answers given to these
questions.
- Shulgin, A.T. The Background and Chemistry of MDMA. J. Psychoactive Drugs
18 291-304 (1986).
- This review gathers together the physical properties of MDMA, and the
published information as to toxicity and pharmacology, as of the date of
the Oakland, California conference (May, 1986).
- Shulgin, A.T. History of MDMA, The Clinical, Pharmacological and
Neurotoxicological Effects of the Drug MDMA. Kluwer, New York. (1990) Ed:
S.J. Peroutka.
- A review, with 158 references, is presented that outlines the current
(mid-1989) literature on then published literature on MDMA.
- Siegel, R.K. Chemical Ecstasies. Omni, August 1985. p. 29.
- This short essay advises caution in the immediate acceptance of drugs that
are enthusiastically promoted but which have not been thoroughly
researched.
- Smith, D.E. and Seymour, R.B. Abuse Folio: MDMA. High Times, May, 1986. p. 30.
- There is a continuing series of drug information sheets, one being
published in each issue of High Times. This contribution is a neutral,
factual presentation of the nature and use, and of the hazards and
liabilities associated with the drug MDMA.
- Smith, D.E., Wesson, D.R. and Buffum, J. MDMA: "Ecstasy" as an Adjunct to
Psychotherapy and a Street Drug of Abuse. California Society for the
Treatment of Alcoholism and Other Drug Dependencies News 12 (September)
1985 pp 1-3. A letter to the Editors in response: Holsten, D.W. and
Schieser, D.W. Controls over the Manufacture of MDMA. The original authors'
reply: ibid. 12 (December) 1985 pp 14-15.
- A brief review of the therapeutic virtues and abuse risks that are
associated with MDMA, and the chilling effect that illegalization of drugs
has had on medical research. The authors were reminded in rebuttal (Holsten
and Schieser) that the exploratory use of new drugs outside of the controls
that apply to the pharmaceutical industry carry real risks as to safety and
quality of product.
- Solowij, N. and Lee, N. Survey of Ecstasy [MDMA] Users in Sydney. Drug and
Alcohol Directorate NSW Health Department, 1991 (Sydney). CEIDA, PMB No. 6,
P.O. Rozelle NSW 2039 (Australia).
- An extensive survey is presented of many Ecstasy users in Sydney. It has
been found that the principle use of the drug has been directed towards
fun, at social gatherings, and the primary effects have been the expression
of a positive mood state. A secondary effect has been that of stimulation
with an expression of energy and activation. Reports describe the
properties of insight and of perceptual/sensual enhancement.
- Solowij, N., Hall, W. and Lee, N. Recreational MDMA Use in Sydney: A
Profile of "Ecstasy" Users and their Experiences with the Drug. Brit. J.
Addictions 87 1161-1172 (1992).
- An anonymous survey of MDMA users involved with the social "rave" scene
showed a consensus of the users' having experienced positive mood states,
and feelings of closeness with others. The stimulant effects were
secondary. The usual statements of caution are attached.
- Sternbach, G.L. and Varon, J. Designer Drugs. Postgraduate Medicine 91
169-176 (1992).
- A review is presented of several synthetic variations of known illegal
drugs. The major emphasis is on the opiates (modification of demerol, i.e.,
MPPP and MPTP) and on the mescaline-methamphetamine analogues (namely, MDA,
MDMA and MDEA).
- Straus, H. From Crack to Ecstasy; Basement Chemists can Duplicate almost
any Over-the-border Drug. American Health, June, 1987 pp. 50-54.
- A brief review of the concept of special formulations or syntheses of drugs
for the extra-medical market. MDMA is brought in as a minor example.
- Szabo, P. MDMA Restrictions too Hasty? The Journal, July/August 1989, p. 4.
- A brief news report describes a study reported to the American Psychiatric
Association meeting (San Francisco, 1989) involving some 20 psychiatrists
who were familiar with MDMA. The opinion of Dr. Liester (University of
California at Irvine) sums up the consensus. There is a need for clinical
research with this promising drug, and this is not likely in view of the
Government's current restrictions.
- Taylor, J.M. MDMA Frequently Asked Questions List. Internet (Usenet)
Newsgroup alt.drugs, January 5, 1994
- This is a review of the known facts relating to MDMA. It is balanced and
fair, but it maintains the chemical errors from the ChemicalAbstracts in
its synthetic portion, that hydrogen peroxide is used in place of water in
the final hydrolysis. Considering its very wide public distribution, this
distillation of facts is of excellent quality and must be respected as a
fine public service.
- Toufexis, A. A Crackdown on Ecstasy. Time Magazine. June 10, 1985. p. 64.
- A news report on the placing of MDMA into emergency Schedule I status. The
complement to Newsweek's positive article of about the same time.
- Turkington, C. Brain Damage Found with Designer Drugs. Amer. Psychological
Assn. Monitor March, 1986.
- A negative review of the neurotransmitter research. This is probably the
source of the oft-quoted "fact" that these drugs are the first
demonstration of a neurotransmitter being modified to a neurotoxin.
- von Hoyer, E. The Agony of Ecstasy; A Consumer's Guide. Dated April 20,
1988, and identified with "WRT 404 / S. Hubbard"
- The is a short essay covering the use of, the action of, and the history of
MDMA. It is replete with incorrect information, and has little other value.
- Weigle, C. and Rippchen, R., MDMA: Die Psychoaktive Substanz fur Therapie,
Ritual und Rekreation. Der Grune Zweig 103, Germany. Printed in Austria
about 1991. 88 pages.
- A collection of essays on MDMA, some originally in German, some translated,
covering the entire spectrum of clinical and social aspects of the drug.
- Whitaker-Azmitia, P.M. Depression to Ecstasy. The New Biologist, 1 145-148
(1989).
- This is a review of a conference on the neuropharmacology of serotonin,
sponsored by the New York Academy of Sciences, on July 10-13, 1989. The
final session was devoted to MDMA and, involving its potential
neurotoxicity, was one of the more controversial ones. It is stated that
dramatic evidence was presented at the conference that a serious level of
damage had occurred to the serotonin neurons of human MDMA users.
- Wolfson, P.E. Letter to Richard Cotton, Dewey, Ballantine, Bushby, Palmer &
Wood, Washington, D.C.
- A report is made of the effective use of MDMA in conjunction with
psychotherapy, in the treatment of both depressed and schizophrenic
patients. The apparent anti-manic and anti-paranoia action of MDMA allowed
the opening of discourse and allowed intervention with more conventional
therapy. It is suggested that there is a promising potential for its use in
certain psychotic situations, and a telling argument is made against its
legal classification in Schedules I or II.
- Woolverton, W.L. A Review of the Effects of Repeated Administration of
Selected Phenethylamines. Drug and Alcohol Dependence 17 143-150 (1986)
- A review from the literature of the chronic toxicological findings
regarding a number of compounds that are being proposed for international
control. One reference to MDMA is cited, the Fed. Proc. note (Virus, et al.
45 1066 (1986) which has been published (see Commins, et al., 1987, section
8 above).
- Wright, W.R. XTC, Analyte of the Month, 10 3 (1989). Published by the
American Association for Clinical Chemistry.
- A brief and factual review of MDMA, with a little history and some comments
on the validity of immunological assays for MDMA using amphetamine assays.
- Zizzo, P. MDMA - Aspects of it's Psychopharmacology. Unpublished essay
written for Psych. 119, University of California at Davis, Spring 1989.
- This 10 page essay briefly reviews the background and history of the
therapeutic work done with MDMA.
Quotations from reviews
- Burger, A. "Drugs and People" University Press of Virginia,
Charlottesville, 1986. p. 65. This quotation, from the chapter on
neurohormones, will be the sole example given of the irresponsible
misinformation that can be published by experts in the field.
- [in reference to designer drugs] "Others are synthetic compounds tried out
by addicts in the hope that they might give them a new mental high. The
most dangerous of these materials are 3-methylfentanyl and MDMA, a relative
of methamphetamine. Both produce dangerous damage to the general health of
the users and cause heroin-like addiction at unbelievably low doses."
- Glennon, R.A., Rosecrans, J.A. and Young, R. Drug-induced Discrimination: A
Description of the Paradigm and a Review of its Specific Application to the
Study of Hallucinogenic Agents. Medical Research Reviews 3 289-340 (1983).
- "Racemic - MDA produces (conditioned response) effects similar to those of
DOM, however, administration of its N-methyl derivative, racemic MDMA, to
the DOM-trained animals, resulted in disruption of behaviour."
- Nichols, D.E. and Glennon, R.A. Medicinal Chemistry and Structure-Activity
Relationships of Hallucinogens, in Hallucinogens: Neurochemical,
Behavioral, and Clinical Perspectives Ed. B.L. Jacobs, Raven Press, New
York. (1984)
- "N-Alkylation of the phenethylamines abolishes or greatly attenuates
biological activity. Two noteworthy exceptions are the (N-methyl and
N-ethyl) 3,4-methylenedioxy substituted compounds. These retain potency
nearly comparable to the parent MDA, but present a different qualitative
picture. Their duration of action is reduced to about 1-1/2 to 2 hours and
they produce only minor disruption of normal sensory processing. They
apparently amplify empathy and would seem to be ideal candidates as
adjuncts to psychotherapy."
- Shulgin, A.T. Psychotomimetic Drugs: Structure-Activity Relationships.
Handbook of Psychopharmacology Volume 11; Stimulants, Eds. L.L.Iversen,
S.D. Iversen and S.H. Snyder, Plenum Press, New York. p. 292. (1978)
- "MDMA has a higher threshold level than does MDA but otherwise it is very
similar in potency. Within the effective dose range (100-150 mg orally) the
effects are first noted very quickly, usually within one-half hour
following administration. With most subjects the plateau of effects is
reported to occur within another one-half hour to one hour. The
intoxication symptoms are largely dissipated in an additional two hours,
except for a mild residual sympathomimetic stimulation, which can persist
for several additional hours. There are few physical indicators of
intoxication, and psychological sequelae are virtually nonexistent.
Qualitatively, the drug appears to evoke an easily controlled altered state
of consciousness with emotional and sensual overtones very reminiscent of
low levels of MDA."
- Shulgin, A.T. Hallucinogens. Burger's Medicinal Chemistry, 4th Edition,
Part III, Ed. M.E. Wolff, Wiley and Son, New York. p 1120. (1981)
- "This affective interaction (a state of sensory amplification and
enhancement without appreciable sympathomimetic stimulation, an easy
communication between subject and observer) is even more clearly evident in
the N-methyl homolog of MDA (i.e., MDMA) which is substantially free of
perceptual distortion at effective dosages (75-150 mg)."
- Shulgin, A.T., Chemistry of Psychotomimetics, Psychotropic Agents Part III,
Alcohol and Psychotomimetics; Psychotropic Effects of Central Acting Drugs,
Eds. F. Hoffmeister and G. Stille, Springer-Verlag, Berlin. p 14. (1982)
- "Several of these substituted amphetamine analogs have been studied as
their N-methyl homologues (in analogy with the relationship between
amphetamine and methamphetamine). Although most show a striking drop in
potency, MDMA (the N-methyl homologue of MDA) retains full activity."
- Stafford, P. Psychedelics Encyclopedia, Revised Edition, J.P. Tarcher,
Inc., Los Angeles, CA p 289. (1983)
- "Synthesis of MDMA, active in the doses of the 75-100 mg range and shorter
and milder in its effects than MDA, was not reported in the scientific
literature until 1960. It has since been established that MDMA was one of
the "Experimental Agents" tested at Edgewood Chemical Warfare Service,
where it was labelled EA-1475. (MDA was labelled EA-1299)."
- Weil, A. and Rosen, W. Chocolate to Morphine; Understanding Mind-active
Drugs, Houghton Mifflin Company, Boston, 1983. p 108
- "A newer drug, MDM (methylenedioxymethylamphetamine, also known as MDMA,
Adam, and "XTC"), gives the same general effect (as MDA) but lasts four to
six hours instead of ten to twelve. Because of the shorter duration of
action, it seems gentler on the body with less day-after fatigue."
[Contents] [Appendix 3][Appendix 5]
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