![]() | |
![]() | |
Clinical data | |
---|---|
Other names | MDA; Tenamfetamine; Amphedoxamine; Sally; Sassafras; Sass-a-frass; Sass; Mellow Drug of America; Hug drug; Love; 3,4-Methylenedioxy-α-methylphenethylamine; 5-(2-Aminopropyl)-1,3-benzodioxole; EA-1298; NSC-9978; NSC-27106; SKF-5 |
Routes of administration | By mouth, sublingual, insufflation, intravenous |
Drug class | Serotonin–norepinephrine–dopamine releasing agent; Serotonin 5-HT2 receptor agonist; Entactogen; Empathogen; Serotonergic psychedelic; Hallucinogen; Stimulant |
ATC code |
|
Legal status | |
Legal status |
|
Pharmacokinetic data | |
Metabolism | Hepatic (CYP extensively involved) |
Elimination half-life | 10.9 hours [2] |
Duration of action | 5–8 hours [3] [2] |
Excretion | Renal |
Identifiers | |
| |
CAS Number | |
PubChem CID | |
DrugBank | |
ChemSpider | |
UNII | |
KEGG | |
ChEBI | |
ChEMBL | |
CompTox Dashboard (EPA) | |
ECHA InfoCard | 100.230.706 |
Chemical and physical data | |
Formula | C10H13NO2 |
Molar mass | 179.219 g·mol−1 |
3D model (JSmol) | |
| |
| |
(verify) |
3,4-Methylenedioxyamphetamine (MDA) is an entactogen, stimulant, and psychedelic drug of the amphetamine and MDxx families that is encountered mainly as a recreational drug. [3] [4] [5] It is usually taken orally. [3] [5]
In terms of its pharmacology, MDA is a serotonin–norepinephrine–dopamine releasing agent (SNDRA) and a serotonin 5-HT2 receptor agonist, including of the serotonin 5-HT2A receptor. [3] It has a duration of 5 to 8 hours. [3] [2]
MDA has a long history of psychotherapeutic and recreational use that predates that of MDMA, dating back to at least the mid-1960s. [3] [6] [4] It has been described as the first entactogen. [2] MDA has also been described as probably the most popular analogue of MDMA. [6] In most countries, the drug is a controlled substance and its possession and sale are illegal.
MDA is bought, sold, and used as a recreational drug due to its enhancement of mood and empathy. [7] It produces MDMA-like effects, including entactogenic and stimulant effects, as well as mild psychedelic effects. [2] [8] [9]
The dose range of MDA given in Alexander Shulgin's book PiHKAL (Phenethylamines I Have Known and Loved) and other sources is 80 to 160 mg. [5] [3] A wider recreational dose range for MDA of 20 to 200 mg or more, with a typical dose estimate of 90 mg, has also been reported. [10] The dose range of MDA is very similar to that of MDMA. [5] [3] [10] [2]
The effects of MDA include euphoria, empathy, emotional amplification, relaxation, feeling at peace with the world, increased introspection, self-awareness, and acceptance, authenticity, clarity of thought, a desire to communicate with others and relate personal issues, and emotional bonding with others. [3] [11] [12] These effects led to MDA being called the "love drug" or "hug drug". [11] [5] MDA also produces mild psychedelic effects, including brightened colors, closed-eye visuals or complex mental imagery, synaesthesia, and rarely mild hallucinations. [3] [2] It does not produce profound sensory disruption or overt hallucinations. [11] [12] In any case, the drug has still been found to produce mystical or spiritual experiences. [8] [2]
MDA shares most of MDMA's qualitative and emotional effects, including entactogenic and stimulant effects. [3] [12] [2] However, it has been said to be slightly less stimulating than MDMA. [3] [2] In addition, MDA's hallucinogenic effects are much greater than those of MDMA, although still less than those of classical psychedelics like psilocybin. [3] [11] [2] Another difference between the two drugs is that MDA appears to produce a more introverted and emotionally intense prosocial state, while MDMA encourages a more extroverted and gregarious prosocial state. [2]
Besides its psychoactive effects, MDA produces sympathomimetic effects such as increased heart rate and blood pressure, among other physiological effects. [6] [12] [2]
In terms of the individual enantiomers of MDA, (R)-MDA produces psychedelic effects and some entactogenic effects, while (S)-MDA is non-hallucinogenic, produces similar entactogenic effects as the racemate, and has considerable stimulant effects. [11] [12] [5] High doses of enantiopure (R)-MDA, in the range of 120 to 200 mg, are described as closely resembling the effects of LSD, for instance doses of 200 to 400 μg. [12] [13] Enantiopure (R)-MDA at high doses produces more robust psychedelic effects than typical doses of racemic MDA. [12] [13] [5]
The duration of MDA is about 5 to 8 hours and is about 2 hours longer than that of MDMA (3–6 hours). [3] [2] Shulgin originally gave a duration of MDA of 8 to 12 hours in PiHKAL, but he later revised this down to only 3 to 6 hours. [5] A modern clinical study gave a duration of 6 to 8 hours. [2]
Side effects of MDA include sympathomimetic effects like increased heart rate and blood pressure as well as increased cortisol and prolactin levels. [2] [9]
Symptoms of acute toxicity may include agitation, sweating, increased blood pressure and heart rate, dramatic increase in body temperature, convulsions, and death. Death is usually caused by cardiac effects and subsequent hemorrhaging in the brain (stroke). [14] [ medical citation needed ]
Target | Affinity (Ki, nM) |
---|---|
SERT | 5,600–>10,000 (Ki) 478–4,900 (IC50 ) 160–162 (EC50 ) (rat) |
NET | 13,000 (Ki) 150–420 (IC50) 47–108 (EC50) (rat) |
DAT | >26,000 (Ki) 890–20,500 (IC50) 106–190 (EC50) (rat) |
5-HT1A | 3,762–>10,000 |
5-HT1B | >10,000 |
5-HT1D | >10,000 |
5-HT1E | >10,000 |
5-HT1F | ND |
5-HT2A | 3,200–>10,000 (Ki) 630–1,767 (EC50) 57–99% (Emax ) |
5-HT2B | 91–100 (Ki) 190–850 (EC50) 51–80% (Emax) |
5-HT2C | 3,000–6,418 (Ki) 98–4,800 (EC50) 79–118% (Emax) |
5-HT3 | >10,000 |
5-HT4 | ND |
5-HT5A | >10,000 |
5-HT6 | >10,000 |
5-HT7 | 3,548 |
α1A | 8,700–>10,000 |
α1B | >10,000 |
α1D | ND |
α2A | 1,100–2,600 |
α2B | 690 |
α2C | 229 |
β1, β2 | >10,000 |
D1–D5 | >10,000–>20,000 |
H1–H4 | >10,000–>13,000 |
M1–M5 | ND |
nACh | ND |
TAAR1 | 220–250 (Ki) (rat) 740 (EC50) (rat) 86% (Emax) (rat) 160–180 (Ki) (mouse) 580 (EC50) (mouse) 102% (Emax) (rat) 3,600 (EC50) (human) 11% (Emax) (human) |
I1 | >10,000 |
σ1, σ2 | ND |
Notes: The smaller the value, the more avidly the drug binds to the site. Proteins are human unless otherwise specified. Refs: [15] [16] [17] [18] [19] [20] [21] [22] [23] [24] [25] |
MDA is a substrate of the serotonin, norepinephrine, dopamine, and vesicular monoamine transporters, and in relation to this, acts as a reuptake inhibitor and releasing agent of serotonin, norepinephrine, and dopamine (that is, it is an SNDRA ). [3] [26] It is also an agonist of the serotonin 5-HT2A, [27] 5-HT2B, [28] and 5-HT2C receptors [29] and shows affinity for the α2A-, α2B-, and α2C-adrenergic receptors and serotonin 5-HT1A and 5-HT7 receptors. [30]
In addition to its actions as a monoamine releasing agent, MDA is a potent high-efficacy partial agonist or full agonist of the rodent TAAR1. [24] [25] Conversely, MDA is much weaker in terms of potency as an agonist of the human TAAR1. [24] [25] [31] Moreover, MDA acts as a very weak partial agonist or antagonist of the human TAAR1 rather than as an efficacious agonist. [24] [25] TAAR1 activation is thought to auto-inhibit and constrain the effects of amphetamines that act as TAAR1 agonists, for instance MDMA in rodents. [32] [33] [34] [35]
MDA fully substitutes for MDMA in rodent drug discrimination tests. [3] However, its prosocial effects in rodents are said to not fully resemble those of MDMA. [6] [36] MDA also substitutes for stimulants like dextroamphetamine and cocaine in drug discrimination tests. [3] [6] [11] The (S)-optical isomer of MDA is more potent than the (R)-optical isomer as a psychostimulant, possessing greater activity at the monoamine transporters. [3] [11] MDA and (R)-MDA but not (S)-MDA fully substitute for serotonergic psychedelics including DOM, LSD, and mescaline. [3] [37] [6] Similarly, MDA and (R)-MDA produce the head-twitch response, a behavioral proxy of psychedelic effects, in rodents. [37] However, the head-twitch response they produce is very weak in magnitude compared to other related psychedelics such as the DOx drugs. [37] On the other hand, the response is more similar in magnitude to that of Ariadne. [37]
In terms of the subjective and behavioral effects of MDA, it is thought that serotonin release is required for its entactogenic effects, dopamine release is required for its euphoriant (rewarding and addictive) effects, dopamine and norepinephrine release are required for its psychostimulant effects, and direct agonism of the serotonin 5-HT2A receptor is required for its mild psychedelic effects. [3] The entactogenic effects of drugs like MDA are thought to dependent on a precise balance of serotonin and dopamine release as well as serotonin receptor agonism. [38] [39] [40] [41] [2] The longer duration of MDA compared to MDMA appears to be related to pharmacodynamics as opposed to pharmacokinetics, for instance the effects of MDA depending relatively more on serotonin 5-HT2A receptor agonism than on serotonin release. [2]
MDA can produce serotonergic neurotoxic effects in rodents. [3] [42] [43] This might in part be due to metabolism of MDA. [44] In addition, MDA activates a response of the neuroglia, though this subsides after use. [42]
Compound | Monoamine release (EC50 , nM) | ||
---|---|---|---|
Serotonin | Norepinephrine | Dopamine | |
Amphetamine | ND | ND | ND |
(S)-Amphetamine (d) | 698–1,765 | 6.6–7.2 | 5.8–24.8 |
(R)-Amphetamine (l) | ND | 9.5 | 27.7 |
Methamphetamine | ND | ND | ND |
(S)-Methamphetamine (d) | 736–1,292 | 12.3–13.8 | 8.5–24.5 |
(R)-Methamphetamine (l) | 4,640 | 28.5 | 416 |
MDA | 160 | 108 | 190 |
(S)-MDA (d) | 100 | 50 | 98 |
(R)-MDA (l) | 310 | 290 | 900 |
MDMA | 49.6–72 | 54.1–110 | 51.2–278 |
(S)-MDMA (d) | 74 | 136 | 142 |
(R)-MDMA (l) | 340 | 560 | 3,700 |
MDEA | 47 | 2,608 | 622 |
MBDB | 540 | 3,300 | >100,000 |
MDAI | 114 | 117 | 1,334 |
Notes: The smaller the value, the more strongly the compound produces the effect. Refs: [45] [21] [46] [47] [48] [49] [50] [22] |
Compound | 5-HT2A | 5-HT2B | 5-HT2C | |||
---|---|---|---|---|---|---|
EC50 (nM) | Emax | EC50 (nM) | Emax | EC50 (nM) | Emax | |
Serotonin | 53 | 92% | 1.0 | 100% | 22 | 91% |
MDA | 1,700 | 57% | 190 | 80% | ND | ND |
(S)-MDA (d) | 18,200 | 89% | 100 | 81% | 7,400 | 73% |
(R)-MDA (l) | 5,600 | 95% | 150 | 76% | 7,400 | 76% |
MDMA | 6,100 | 55% | 2,000–>20,000 | 32% | ND | ND |
(S)-MDMA (d) | 10,300 | 9% | 6,000 | 38% | 2,600 | 53% |
(R)-MDMA (l) | 3,100 | 21% | 900 | 27% | 5,400 | 27% |
Notes: The smaller the Kact or EC50 value, the more strongly the compound produces the effect. Refs: [51] [21] [19] |
The pharmacokinetics of MDA have been studied. [2] [52] Its duration of action has been reported to be about 6 to 8 hours. [8] The duration of MDA is longer than that of MDMA, about 8 hours for MDA versus 6 hours for MDMA. [2] [52] The elimination half-life of MDA is 10.9 hours. [2] Differences in the duration of MDA versus MDMA may be due pharmacodynamics rather than pharmacokinetics. [2] [52]
MDA is a substituted methylenedioxylated phenethylamine and amphetamine derivative. In relation to other phenethylamines and amphetamines, it is the 3,4-methylenedioxy, α-methyl derivative of β-phenylethylamine, the 3,4-methylenedioxy derivative of amphetamine, and the N-desmethyl derivative of MDMA.
It is a common adulterant of illicitly produced MDMA. [53] [54]
In addition to 3,4-methylenedioxyamphetamine, MDA is also known by other chemical synonyms such as the following:
MDA is typically synthesized from essential oils such as safrole or piperonal. Common approaches from these precursors include:
MDA may be quantitated in blood, plasma or urine to monitor for use, confirm a diagnosis of poisoning or assist in the forensic investigation of a traffic or other criminal violation or a sudden death. Some drug abuse screening programs rely on hair, saliva, or sweat as specimens. Most commercial amphetamine immunoassay screening tests cross-react significantly with MDA and major metabolites of MDMA, but chromatographic techniques can easily distinguish and separately measure each of these substances. The concentrations of MDA in the blood or urine of a person who has taken only MDMA are, in general, less than 10% those of the parent drug. [64] [65] [66]
Analogues of MDA include its positional isomer 2,3-methylenedioxyamphetamine (2,3-MDA) and others.
MDA constitutes part of the core structure of the β-adrenergic receptor agonist protokylol.
MDA was first synthesized by Carl Mannich and W. Jacobsohn in 1910. [58] It was first taken in July 1930 by Gordon Alles at a total dose of 126 mg, who experienced hallucinogenic effects, well-being and euphoria, and peripheral effects. [67] [68] [69] However, he did not subsequently describe these effects until 1959. [70] [67] [68] Alles later licensed the drug to Smith, Kline & French. [69] MDA was first used in animal tests in 1939, and human trials began in 1941 in the exploration of possible therapies for Parkinson's disease. [12] However, it was found to be detrimental in people with Parkinson's disease. [12] The drug was described as having analeptic (psychostimulant) effects in humans in 1953. [12] From 1949 to 1957, more than five hundred human subjects were given MDA in an investigation of its potential use as an antidepressant or appetite suppressant by Smith, Kline & French. [12]
The United States Army also experimented with the drug, code named EA-1298, while working to develop a truth drug or incapacitating agent. Harold Blauer died in January 1953 after being intravenously injected, without his knowledge or consent, with 450 mg of the drug as part of Project MKUltra. [71] MDA was patented as an ataractic by Smith, Kline & French in 1960, and as an anorectic under the trade name "Amphedoxamine" in 1961. MDA began to appear on the recreational drug scene around 1963 to 1964. It was then inexpensive and readily available as a research chemical from several scientific supply houses. Several researchers, including Claudio Naranjo and Richard Yensen, have explored MDA in the field of psychotherapy. [72] [73]
The International Nonproprietary Name (INN) tenamfetamine was recommended by the World Health Organization (WHO) in 1986. [74] It was recommended in the same published list in which the INN of 2,5-dimethoxy-4-bromoamphetamine (DOB), brolamfetamine, was recommended. [74] These events suggest that MDA and DOB were under development as potential pharmaceutical drugs at the time. [74] The Multidisciplinary Association for Psychedelic Studies (MAPS) was also founded in 1986. [75]
Matthew J. Baggott and colleagues conducted some of the first modern clinical studies of MDA in humans and published their findings in the 2010s. [2] [8] [9]
When MDA was under development as a potential pharmaceutical drug, it was given the International Nonproprietary Name (INN) of tenamfetamine. [76]
MDA is schedule 9 prohibited substance under the Poisons Standards. [77] A schedule 9 substance is listed as a "Substances which may be abused or misused, the manufacture, possession, sale or use of which should be prohibited by law except when required for medical or scientific research, or for analytical, teaching or training purposes with approval of Commonwealth and/or State or Territory Health Authorities." [77]
MDA is a Schedule I controlled substance in the US.
MDA has been studied in entactogen-assisted psychotherapy. [3] [6]
In a placebo-controlled, double-blind, within-subjects study, 12 individuals received a single 98 mg/70 kg bw dose of MDA. This is the molar equivalent of 105 mg/ 70 kg bw MDMA, a well-studied dose. [...] MDA increased cortisol by 16.39 ug/dL (95%CI: 13.03-19.74, P < 1e-3) and prolactin by 18.37 ng/mL (95%CI: 7.39-29.35, P < 1e-3). These hormonal changes are comparable to those seen after MDMA. Heart rate increased by 9.05 bpm (95%CI: 6.10-11.99, P < 1e-5) and blood pressure increased by 18.98 / 12.73 mm Hg (Systolic 95%CI: 16.47 - 21.49, P < 1e-7; Diastolic 95%CI: 10.82 - 14.63, P < 1e-4). [...] There were robust self-report VAS changes in both MDMA-like (e.g., "closeness to others") and hallucinogen-like (e.g., "familiar things seem unfamiliar", time distortions, closed-eye visuals) effects that were generally similar to those seen after MDMA. [...] MDA is a psychoactive sympathomimetic phenethylamine with effects similar to MDMA. Although differences may exist in the magnitude of physiological effects, the overall profiles appear remarkably similar.
Supplementary Table S1. Dose estimates and data sources for stimulants. [...]
Interestingly, the concentrations of amphetamine found to be necessary to activate TAAR1 are in line with what was found in drug abusers [3, 51, 52]. Thus, it is likely that some of the effects produced by amphetamines could be mediated by TAAR1. Indeed, in a study in mice, MDMA effects were found to be mediated in part by TAAR1, in a sense that MDMA auto-inhibits its neurochemical and functional actions [46]. Based on this and other studies (see other section), it has been suggested that TAAR1 could play a role in reward mechanisms and that amphetamine activity on TAAR1 counteracts their known behavioral and neurochemical effects mediated via dopamine neurotransmission.
Another feature that distinguishes [synthetic cathinones (SCs)] from amphetamines is their negligible interaction with the trace amine associated receptor 1 (TAAR1). Activation of this receptor reduces the activity of dopaminergic neurones, thereby reducing psychostimulatory effects and addictive potential (Miller, 2011; Simmler et al., 2016). Amphetamines are potent agonists of this receptor, making them likely to self‐inhibit their stimulating effects. In contrast, SCs show negligible activity towards TAAR1 (Kolaczynska et al., 2021; Rickli et al., 2015; Simmler et al., 2014, 2016). [...] It is worth noting, however, that for TAAR1 there is considerable species variability in its interaction with ligands, and it is possible that the in vitro activity of [rodent TAAR1 agonists] may not translate into activity in the human body (Simmler et al., 2016). The lack of self‐regulation by TAAR1 may partly explain the higher addictive potential of SCs compared to amphetamines (Miller, 2011; Simmler et al., 2013).
β-Keto-analogue cathinones also exhibited approximately 10-fold lower affinity for the TA1 receptor compared with their respective non-β-keto amphetamines. [...] Activation of TA1 receptors negatively modulates dopaminergic neurotransmission. Importantly, methamphetamine decreased DAT surface expression via a TA1 receptor-mediated mechanism and thereby reduced the presence of its own pharmacological target (Xie and Miller, 2009). MDMA and amphetamine have been shown to produce enhanced DA and 5-HT release and locomotor activity in TA1 receptor knockout mice compared with wild-type mice (Lindemann et al., 2008; Di Cara et al., 2011). Because methamphetamine and MDMA auto-inhibit their neurochemical and functional effects via TA1 receptors, low affinity for these receptors may result in stronger effects on monoamine systems by cathinones compared with the classic amphetamines.
Knowledge of MDA and HMA kinetics in humans is limited to data from MDMA administration studies where minimal formation of these compounds likely leads to inaccurate parameter estimation. We administered a single [98 mg/70 kg body weight] oral dose of MDA to participants in a controlled setting to characterize plasma MDA pharmacokinetics for the first time. [...] Cmax and AUC0-∞ for MDA were 229 ± 39 ng/mL (mean ± SD) and 3636 ± 958 for MDA and 92 ± 61 ng/mL and 1544 ± 741 for the metabolite HMA. Total MDA clearance was 30267 ± 8214 mL/min. There was considerable between-subject variation in metabolite exposure: HMA Cmax and AUC varied over 7-fold and 4-fold, respectively, between the highest and lowest individuals. [...] Pharmacokinetics of MDA resemble those of an iso-molar dose of MDMA, suggesting differences in duration of acute effects between MDA and MDMA are not due to kinetic differences.
{{cite book}}
: ISBN / Date incompatibility (help)