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psx:substance/eth-cat/claim/d5f68933-f592-4428-8ea6-1ec68b885a61

claim2026-05-11recordsupported

derived from · upstream

feeds · downstream

Closure of psx:substance/eth-cat/claim/d5f68933-f592-4428-8ea6-1ec68b885a61: 70 upstream, 49 downstream.

psx:substance/eth-cat/claim/d5f68933-f592-4428-8ea6-1ec68b885a61
├─ used  src/doi:10.3389/fpsyt.2017.00156  Synthetic Cathinone and Cannabinoid Designer Drugs Pose a Major Risk for Public Health
  ├─ informed_by  claim/34886ea6-2625-4451-b9ca-55d378227404  Claim in safety — supported
  ├─ informed_by  claim/0808c311-ee08-4b89-97e4-66570d5d8aec  Claim in safety — inconclusive  working
  ├─ informed_by  claim/e4635c30-0806-4cfa-9110-1cb6f8cac43d  Claim in safety — inconclusive  working
  ├─ informed_by  claim/8181d563-e093-4903-b284-eb9e1ad7d12c  Claim in safety — supported
  ├─ informed_by  claim/6fcd79df-64d9-4afd-a0b3-7ed202bd71ea  Claim in safety — inconclusive  working
  ├─ informed_by  claim/38d166dd-7079-422f-855f-993cbcc9d26b  Claim in safety — supported
  ├─ informed_by  claim/60cb1514-7e86-4cf1-9d61-7849f927f1ce  Claim in safety — supported
  ├─ informed_by  claim/7da67039-6912-4f92-8912-32c1b4d0f18f  Claim in safety — supported
  ├─ informed_by  claim/e91496de-f2bf-42db-a74c-09094480987f  Claim in safety — supported
  ├─ informed_by  claim/2350bff1-0223-48a2-bc32-ab9fb8e589bb  Claim in safety — inconclusive  working
  ├─ informed_by  claim/ab7c3293-22b3-4b3f-a3cf-2661026550dc  Claim in safety — inconclusive  working
  ├─ informed_by  claim/dd456818-b79a-4af9-91ca-b39cee6eed44  Claim in safety — supported
  ├─ informed_by  claim/1a01ed45-e6c7-44d5-b4a2-23b6dc9552c3  Claim in safety — supported
  ├─ informed_by  claim/f66212b0-bcd3-4ae0-ac2f-cf94f3bb0c7b  Claim in safety — supported
  ├─ informed_by  claim/5f2c9162-6610-4ef8-b33b-f3bbd999a7b9  Claim in safety — supported
  ├─ informed_by  claim/bdb0ed9d-407c-4660-830f-eafb0b793479  Claim in safety — supported
  ├─ informed_by  claim/943a15a8-fb61-4687-997c-953b99e0ae8f  Claim in safety — inconclusive  working
  ├─ informed_by  claim/ee0ee16a-bad2-4cb0-b2a5-76358cfa168f  Claim in safety — supported
  ├─ informed_by  claim/5721db28-0394-49a6-9224-0f84ad01d7b5  Claim in safety — supported
  ├─ informed_by  claim/06cb9594-5b9c-4a1b-a09e-1657f6b806a8  Claim in safety — supported
  ├─ informed_by  claim/34f626ea-14e3-40ca-8152-07a4e28f44ff  Claim in safety — inconclusive  working
  ├─ informed_by  claim/cc6f3fcd-9240-4498-a170-7df58075a788  Claim in safety — supported
  ├─ informed_by  claim/66e17f95-4d21-494b-bed6-230495aeb7e9  Claim in safety — supported
    ├─ used  src/pmid:2886596  Re-evaluation of the metabolism and excretion of diethylpropion in non-sustained and sustained release formulations
    ├─ used  src/doi:10.3724/SP.J.1123.2023.03009
    ├─ used  src/doi:10.1016/j.forsciint.2009.12.048  Chemical analysis of four capsules containing the controlled substance analogues 4-methylmethcathinone, 2-fluoromethamphetamine, alpha-phthalimidopropiophenone and N-ethylcathinone
    ├─ used  src/doi:10.1021/acsptsci.4c00299  Structure-Activity Relationship of Synthetic Cathinones: An Updated Review
    ├─ used  src/doi:10.1007/s13181-011-0159-1  Seizures and hyponatremia related to ethcathinone and methylone poisoning
    ├─ used  src/pmid:3790180  Simultaneous determination of amfepramon and its two major metabolites in biological fluids by gas liquid chromatography
    ├─ used  src/url:299706d624b8b31c  Ethcathinone - Wikipedia/Boulanger-Gobeil case summary via web
    ├─ used  src/doi:10.1002/dta.1924  The prevalence of new psychoactive substances in biological material - a three-year review of casework in Poland.
    ├─ used  src/doi:10.1016/j.forsciint.2019.02.036  A multi-analyte LC-MS/MS method for screening and quantification of 16 synthetic cathinones in hair: Application to postmortem cases
    ├─ used  src/url:8d05bc3cb93459c0  Synthetic cathinones: an updated harms assessment (ACMD)
    ├─ used  src/doi:10.1016/j.envres.2023.117061  Screening for new psychoactive substances in wastewater from educational institutions
    ├─ used  src/doi:10.1016/j.puhip.2026.100770  Illicit substances in school-confiscated vapes: Lessons from a laboratory-driven public health pilot
    ├─ used  src/doi:10.1007/7854_2016_41  Structure-Activity Relationships of Synthetic Cathinones.
    ├─ used  src/doi:10.1007/s11419-016-0345-6  Spectroscopic characterization and crystal structures of two cathinone derivatives: N-ethyl-2-amino-1-phenylpropan-1-one (ethcathinone) hydrochloride and N-ethyl-2-amino-1-(4-chlorophenyl)propan-1-one (4-CEC) hydrochloride
    ├─ used  src/url:0e247b2b640045a5  Ethcathinone - HandWiki / Wikipedia
    ├─ used  src/doi:10.1093/jat/bkv099  Thermal Degradation of Synthetic Cathinones: Implications for Forensic Toxicology
    ├─ used  src/doi:10.1111/j.1476-5381.2012.02145.x  Pharmacological characterization of designer cathinones in vitro
    ├─ used  src/pmid:3663274  Bioavailability of amfepramone hydrochloride sustained release pellets formulation in healthy subjects
    ├─ used  src/doi:10.1038/s41598-019-54436-z  Pharmacogenetics of amfepramone in healthy Mexican subjects reveals potential markers for tailoring pharmacotherapy of obesity
    ├─ used  src/doi:10.1093/ijnp/pyu014  Effects of α-Pyrrolidinopentiophenone and 4-Methyl-N-Ethylcathinone on Intracranial Self-Stimulation Thresholds in Rats
    ├─ used  src/doi:10.1007/164_2018_178  Neuropharmacology of Synthetic Cathinones
    ├─ used  src/doi:10.3390/ijms24076230  Synthetic Cathinones and Neurotoxicity Risks: A Systematic Review
    ├─ used  src/doi:10.2147/sar.s37257  Emerging drugs of abuse: current perspectives on substituted cathinones
    ├─ used  src/doi:10.1021/acschemneuro.8b00147  DARK Classics in Chemical Neuroscience: Cathinone-Derived Psychostimulants
    ├─ used  src/pmid:11111800  Lethal combination of tramadol and multiple drugs affecting serotonin
    ├─ used  src/doi:10.1016/j.expneurol.2021.113638  New psychoactive substances (NPS) and serotonin syndrome onset: A systematic review.
    ├─ used  src/doi:10.1007/s00204-020-02693-7  Designer drugs: mechanism of action and adverse effects
    ├─ derived_from  gen/29bbebdd-c975-4ab6-b111-bc07df79fec5  Generation — pipeline-v5
    ├─ generated_by  pub/0ece4083-7e91-4798-a682-89c07eba8e7d  Publication — backfill
      ├─ used  search/cc5c4c71-374f-4c63-9fff-cd78c4a6c204  Searched PubChem for "ethcathinone"
      ├─ used  search/640834d3-3faa-47e6-9c18-02753ec7dea8  Searched PubMed for "ethcathinone ETH-CAT cathinone pharmacology"
      ├─ used  search/a0a073dd-ca9a-48bc-8eda-d0ddde234e09  Searched PubMed for "ethcathinone 2-ethylamino-1-phenylpropan-1-one"
      ├─ used  search/97757094-dd99-4b03-94ff-06180ea8836e  Searched OpenAlex for "ethcathinone stimulant cathinone"
      ├─ used  search/4013cd89-9bd4-4b52-8737-77449416f003  Searched PubMed for "synthetic cathinone monoamine transporter structure-activity DAT NET SERT"
      ├─ used  search/83cc41cb-8210-4d44-9dc3-b1f0bfc2cbfb  Searched ClinicalTrials.gov for "ethcathinone cathinone stimulant"
      ├─ used  search/607517bd-7853-4842-aa3b-ec7c1deb369d  Searched HandWiki for "ethcathinone"
      ├─ used  search/1aaf9deb-ebdf-4d83-8f2c-0ed8519c4f53  Searched WebSearch for "ethcathinone Australia Canada legal status controlled substance"
      ├─ used  search/72cca239-cb3c-4070-b63f-346255d21559  Searched PubMed for "diethylpropion amfepramone metabolism pharmacokinetics human"
      ├─ used  search/72ac9079-a7fe-4905-9728-19a0849a9a7e  Searched PubMed for "new psychoactive substances NPS serotonin syndrome systematic review"
      ├─ used  search/6198d073-c0f6-416e-aa99-10c756cc1644  Searched WebSearch for "ethcathinone party pills sold ecstasy Cairns Australia mephedrone"
      ├─ used  search/94ab5a82-7a73-4c95-954c-5c1a8b8f2ab9  Searched PubMed for "synthetic cathinone NPS serotonin syndrome systematic review; cathinone neurotoxicity"
      ├─ used  search/ea048051-062e-4b56-a1e6-24cfd40bc6c1  Searched WebSearch for "ethcathinone hyponatremia seizures clinical case report"
      ├─ used  search/643b45df-41c9-4b62-8a33-290576916915  Searched PubMed for "diethylpropion amfepramone metabolism pharmacokinetics human"
      ├─ used  search/8fb7f770-86eb-45db-acb3-43f9e7b9d036  Searched WebFetch
      ├─ used  search/65f5a5a0-cca3-4e74-afde-2a6cae27b24f  Searched WebSearch for "ethcathinone pharmacology NET DAT EC50 Ki binding affinity"
      └─ used  search/94944f27-39e7-4b66-a2c2-8b3a1cee32f3  Searched PubMed for "ethcathinone party pills capsule identification forensic"
├─ informed_by  section/safety.full@1
  ├─ used  version/1  Revision 1
  ├─ used  claim/ed13a887-1350-44f1-9acf-bbc8a7e863e0  Claim in safety — partially_supported
  ├─ used  claim/874e772f-1b10-438a-acc9-2898c120d5be  Claim in safety — supported
    ├─ derived_from  issue/notice@dc91d6955c9b  Issued notice
    ├─ derived_from  issue/info_card@8fa86a97ea5e  Issued info_card
    ├─ derived_from  issue/emergency@58d3299a8754  Issued emergency
    ├─ derived_from  issue/info_card@38ef9e0e990f  Issued info_card
      ├─ used  claim/fbc99861-9c20-43b7-9185-51ab1e7eebb5  Claim in summary — supported
      ├─ used  claim/d730814e-f76f-4878-a75e-6fd61315ceb4  Claim in pharmacology — supported
      ├─ used  claim/b109883a-14bd-46ab-bc5c-a0dbf0f5fed4  Claim in history — supported
      ├─ used  claim/3892c4c9-0006-4ab4-97ed-87529c3f93dc  Claim in chemistry — supported
      ├─ used  claim/d27c5cc6-c0f0-46f5-b429-af42c71ea214  Claim in pharmacokinetic-detail — supported
      ├─ used  claim/0a441ad6-4325-480d-86db-c5098f4d6850  Claim in summary — supported
      ├─ used  claim/1dd4b59c-8815-4047-8130-6d0ec677f58f  Claim in history — supported
      ├─ used  claim/87768625-82b7-4ff7-8294-ad73cdca633a  Claim in summary — supported
      ├─ used  claim/8bff57ae-7b35-4bf2-9cb6-699526a787d3  Claim in history — supported
      ├─ used  claim/7c78b314-f9e1-42ec-9082-ecff5b9c72f6  Claim in summary — inconclusive  working
      ├─ used  claim/367972f6-2813-4c9c-a305-2f1925c9c93c  Claim in pharmacology — supported
      ├─ used  claim/47b74301-52e7-4818-bfbb-ed6b1229d86e  Claim in receptor-pharmacology — supported
      ├─ used  claim/e6f6f316-ef9c-43fc-8a61-9fb3b3978a44  Claim in receptor-pharmacology — supported
      ├─ used  claim/8a925932-0ef1-4cc4-8928-fc2cf7228742  Claim in receptor-pharmacology — supported
      ├─ used  claim/c8b9a158-ca38-41f1-a0f4-823f6164ad1d  Claim in comparative-pharmacology — supported
      ├─ used  claim/482258f1-de1a-4692-9927-20fdb6b5e6e6  Claim in neuroscience — supported
      ├─ used  claim/79cb555c-091d-4667-9e43-a8ecf85a6ef1  Claim in summary — supported
      ├─ used  claim/fd5ecd70-460c-4dd3-aa8b-eb796c8b356d  Claim in clinical-evidence — supported
      ├─ used  claim/59056665-c955-40d6-8b97-f7013498107b  Claim in neuroscience — supported
      ├─ used  claim/6dbdb8e2-2f42-4fcc-a95a-29f5491bc256  Claim in pharmacology — supported
      ├─ used  claim/54fc3282-a917-4e87-a3dd-3abb860fc870  Claim in history — supported
      ├─ used  claim/7003dfa4-4b6e-4375-a2be-a6f3ba5e1c3f  Claim in pharmacokinetic-detail — supported
      ├─ used  claim/52d89dce-d533-470a-ad02-321c37d4931e  Claim in history — supported
      ├─ used  claim/7ab74f5d-7768-42a0-96b2-480df684d955  Claim in history — inconclusive  working
      ├─ used  claim/952d9a11-2183-4b80-a31f-e0a80ede0cdd  Claim in history — supported
      ├─ used  claim/3a42516e-fdb4-4406-86fd-2d1a5eadc200  Claim in history — inconclusive  working
      ├─ used  claim/64ad3454-97fc-4167-a35d-a928a6071848  Claim in pharmacology — inconclusive  working
      ├─ used  claim/89f86121-9007-465b-9c4f-2d9da428a1b2  Claim in chemistry — inconclusive  working
      ├─ used  claim/440fd8d6-2a76-454c-ad9d-666b5522d7fd  Claim in comparative-pharmacology — inconclusive  working
      ├─ used  claim/93891a31-9042-4f64-8d02-0fbc5feb98c9  Claim in chemistry — supported
      ├─ used  claim/5b70dae6-d5bc-4d76-b50e-8ad22004158c  Claim in chemistry — supported
      ├─ used  claim/fe1373ac-ce14-44d9-b0ff-2e0dc131140e  Claim in chemistry — supported
      ├─ used  claim/e23dcde8-1c39-4c10-9584-3bf0c7223baf  Claim in pharmacology — supported
      ├─ used  claim/54f82382-b1b8-4b12-8b45-04ef2e442373  Claim in comparative-pharmacology — supported
      ├─ used  claim/b6c0f772-1d49-4731-a526-720add2e2ccf  Claim in comparative-pharmacology — supported
      ├─ used  claim/19363f04-d620-49e9-b922-362adc2fd04e  Claim in neuroscience — supported
      ├─ used  claim/a3c4dd64-324d-4be2-824f-c5de881063a4  Claim in pharmacology — supported
      ├─ used  claim/4b9ad125-de0b-455d-9852-5346007c8e79  Claim in pharmacokinetic-detail — supported
      ├─ used  claim/6bf88260-a0d6-41d6-8dc9-78451bb0766e  Claim in pharmacology — supported
      ├─ used  claim/f25084f3-d260-493d-b696-3a88d1d954e2  Claim in neuroscience — supported
      └─ used  claim/ab1eca0c-17f7-4e85-987a-fca5d121842a  Claim in neuroscience — inconclusive  working
… closure truncated at 200 nodes

indented by distance from this node, not by parentage

1Provenance card

the boundary, as counts

Sources

2821 with DOI

3 strong · 20 moderate · 5 weak

Compilations

12026-05-11T21:10:58.495Z

pipeline-v5 · prompt hash not recorded — run predates 2026-09

Decisions

42last ruled 2026-06-04

0 awaiting a ruling

Issued documents

42026-10-19T20:31:50.848Z

notice · info card · emergency

Searches

172 with no results

queries and counts on the build

Claims checked

7153 supported

53 supported · 18 not

Correspondence

0received

consent field ships in Phase 4

Edges

242

derivations recorded for this entity

Complete over 28 sources, 1 compilation, and 42 decisions.Not here: the private journal (never).Working material — drafts, discards, unsupported claims — is listed below and readable on the working page.Cite: psychedex.org/substances/eth-cat/archive

2Build

one panel per compilation run

generation run 2026-05-11

61 min completedmodel pipeline-v5plan not recordedrun/409d3f84…

Selection

results seen190
selected by the model38
consumed as sources28

Verification

claims checked71
supported52
partially supported1
not supported0
inconclusive18
  • record
  • seen / partial
  • working

The model's own caveats

  • sparse_evidence
  • structural_inference

Reproduce

inputs
28 source keys (listed under Sources)
plan
not recorded — template version, prompt hash and git SHA are written from 2026-09 onward
model
pipeline-v5
streams
none — agent transcripts are persisted from 2026-09 onward
17 searches — query, source, results, what was kept and why
17 searches for this run
#sourcequeryseenkeptrationale
1PubMedsynthetic cathinone monoamine transporter structure-activity DAT NET SERT22Key pharmacology references for cathinone class mechanism
2PubMed · absenceethcathinone ETH-CAT cathinone pharmacology0—No specific pharmacology papers found under this query
3ClinicalTrials.gov · absenceethcathinone cathinone stimulant0—No clinical trials registered
4OpenAlexethcathinone stimulant cathinone1094High-citation review articles providing context on synthetic cathinone pharmacology
5PubMedethcathinone 2-ethylamino-1-phenylpropan-1-one159Selected papers with direct mention of ethcathinone for forensic, detection, and pharmacology relevance
6PubChemethcathinone11Primary chemical identity data
7WebSearchethcathinone Australia Canada legal status controlled substance102Legal status verification
8HandWikiethcathinone13Rich chemical and legal data not fully available via API tools
9WebSearchethcathinone party pills sold ecstasy Cairns Australia mephedrone101Historical market appearance and use context
10PubMednew psychoactive substances NPS serotonin syndrome systematic review22Relevant to safety, toxicology, and drug interaction sections
11PubMeddiethylpropion amfepramone metabolism pharmacokinetics human83Pharmacokinetic data showing ethcathinone as active metabolite of licensed drug diethylpropion
12PubMeddiethylpropion amfepramone metabolism pharmacokinetics human83Pharmacokinetic pathway for ethcathinone from licensed drug
13WebSearchethcathinone pharmacology NET DAT EC50 Ki binding affinity102Primary pharmacological mechanism data
14WebFetch—12Government harm assessment provides detection epidemiology and legal status confirmation
15PubMedethcathinone party pills capsule identification forensic11Historical market appearance documentation for ethcathinone
16PubMedsynthetic cathinone NPS serotonin syndrome systematic review; cathinone neurotoxicity22Safety, toxicology and drug interaction context
17WebSearchethcathinone hyponatremia seizures clinical case report101CRITICAL: first and primary clinical toxicology case report involving ethcathinone
71 claims by section — every cited sentence, checked against its source
safety26 · 19 ok
  • Wastewater screening in Slovenian educational institutions confirmed ongoing use in 2023supported

    Ethcathinone unequivocally identified by LC-IMS-HRMS in wastewater from educational institutions in Slovenia. j.envres.2023.117061

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • The sole published clinical case report of ethcathinone-associated toxicity involved a 22-year-old woman who ingested a product containing both ethcathinone and methylone alongside three alcoholic beveragessupported

    First reported case of ethcathinone and methylone poisoning in medical toxicology literature. 22-year-old woman, recurrent tonic-clonic seizures, severe hyponatremia (120 mmol/L), rhabdomyolysis (CK 34,537 U/L). s13181-011-0159-1

  • Claim in safety — inconclusiveinconclusiveworking →

  • The rhabdomyolysis documented in the Boulanger-Gobeil case (CK = 34,537 U/L) aligns with this class pattern.supported

    rhabdomyolysis (CK 34,537 U/L) s13181-011-0159-1

  • Polish forensic data (2012–2014) identified it in 5 of 112 NPS-positive cases, typically alongside other substancessupported

    Ethcathinone found in 5 of 112 NPS cases in Poland 2012-2014. dta.1924

  • Acute psychiatric effects: Agitation, confusion, psychosis, paranoid ideation, hallucinations, and delirium.partially supported

    Chronic use induces acute psychosis, hypomania, paranoid ideation, delusions. fpsyt.2017.00156

  • Neurological emergencies: A systematic review of synthetic cathinone neurotoxicity documents encephalopathy, coma, convulsions, excited delirium syndrome, and serotonin syndrome.supported

    Adverse effects include encephalopathy, coma, convulsions, sympathomimetic toxidrome, excited delirium syndrome, serotonin syndrome. ijms24076230

  • Chronic use effects: Weinstein et al. report that chronic synthetic cathinone use "can have major effects on the central nervous system and can induce acute psychosis, hypomania, paranoid ideation, and delusions".supported

    Chronic use induces acute psychosis, hypomania, paranoid ideation, delusions. fpsyt.2017.00156

  • The seizure observed in the clinical case report was attributed to acute hyponatremia rather than direct ethcathinone neurotoxicity, but the possibility of direct seizure threshold reduction at high doses — a class-level cathinone risk — cannot be excluded.supported

    22-year-old woman, recurrent tonic-clonic seizures, severe hyponatremia (120 mmol/L). s13181-011-0159-1

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • ICSS threshold studies with the close analog 4-methylethcathinone (4-MEC) show brain reward circuit activation in rats at lower potency than methamphetamine or α-PVP, consistent with a moderate rather than high reinforcement signal.supported

    4-MEC (4-methylethcathinone, closely related to ethcathinone) reduces ICSS thresholds in rats. Potency: methamphetamine ≈ alpha-PVP > 4-MEC. pyu014

  • Ethcathinone's NET-preferential profile with weak DAT activity predicts lower abuse liability than DAT-preferential cathinones, as reinforcing properties of stimulants correlate primarily with dopamine efflux magnitudesupported

    Three pharmacological groups identified based on DAT/SERT selectivity. j.1476-5381.2012.02145.x

  • Ripple et al. documented the first tramadol-related death via serotonin-mediated seizures in combination with other serotonergic drugssupported

    First reported tramadol-related death via serotonin-mediated seizures. Tramadol combined with venlafaxine, trazodone, quetiapine led to fatal outcome. pmid:11111800

  • Both compounds release serotonin, creating additive risk for serotonin syndrome, hyperthermia, hyponatremia (particularly if excessive fluid intake occurs, as documented in the clinical case report), and cardiovascular overloadsupported

    Systematic review: NPS including synthetic cathinones linked to serotonin syndrome. Classic triad: altered mental status, neuromuscular effects, autonomic hyperactivity. j.expneurol.2021.113638

  • Both compounds release serotonin, creating additive risk for serotonin syndrome, hyperthermia, hyponatremia (particularly if excessive fluid intake occurs, as documented in the clinical case report), and cardiovascular overloadsupported

    severe hyponatremia (120 mmol/L), rhabdomyolysis (CK 34,537 U/L) s13181-011-0159-1

  • Claim in safety — inconclusiveinconclusiveworking →

  • This is a class-level contraindication for all monoamine-releasing stimulantssupported

    Intoxication reports note concurrent use risk. s00204-020-02693-7

  • Co-ingestion of multiple novel psychoactive substances — the most common real-world pattern among synthetic cathinone users — represents the highest-risk interaction scenariosupported

    Reviews designer drugs including synthetic cathinones. Intoxication reports note concurrent use risk. s00204-020-02693-7

  • Forensic casework consistently identifies ethcathinone alongside other cathinones and conventional drugs of abuse.supported

    Ethcathinone found in 5 of 112 NPS cases in Poland 2012-2014. NPS prevalence ~15-17%, cathinones 88% of NPS cases. dta.1924

  • Claim in safety — inconclusiveinconclusiveworking →

  • Seizure disorder (absolute): The clinical case report documents seizures in the context of ethcathinone ingestion. While attributed to hyponatremia, direct seizure threshold reduction is a class-level cathinone risk and cannot be excluded.supported

    22-year-old woman, recurrent tonic-clonic seizures, severe hyponatremia (120 mmol/L). s13181-011-0159-1

  • Hepatic impairment (relative): CYP3A4 involvement in ethcathinone metabolism implies impaired clearance in patients with hepatic dysfunction, potentially prolonging and intensifying effects.supported

    CYP3A4 and ABCB1 polymorphisms affect AFP metabolism. Four metabolizer phenotypes identified. s41598-019-54436-z

  • Psychiatric history — psychosis, mania, severe anxiety (relative): Chronic cathinone use induces psychosis, hypomania, paranoid ideation, and delusions. Pre-existing psychiatric vulnerability increases risk.supported

    Chronic use induces acute psychosis, hypomania, paranoid ideation, delusions. fpsyt.2017.00156

history8 · 6 ok
  • Ethcathinone's presence in khat was confirmed by Shi et al. using HPLC-Q-TOF-MS, identifying it alongside cathinone, methcathinone, norpseudoephedrine, and norephedrine as a psychoactive constituent of dried khat materialsupported

    Methcathinone and ethcathinone identified as psychoactive components in khat (Catha edulis), alongside cathinone, norpseudoephedrine, norephedrine. sp.j.1123.2023.03009

  • Dangor et al. developed a gas-liquid chromatographic method in 1986 specifically to quantify "ethylaminopropiophenone" (ethcathinone) alongside unchanged diethylpropion in human plasma, saliva, and urine, establishing it as a major circulating metabolitesupported

    Identifies ethylaminopropiophenone (ethcathinone) as major metabolite of amfepramone in human plasma, saliva and urine. GLC method for simultaneous determination. pmid:3790180

  • The following year, Beckett and Stanojčić published a quantitative re-evaluation of diethylpropion metabolism demonstrating that mono-N-de-ethylation — the pathway producing ethcathinone — accounts for approximately 35% of the administered dose, with only 3–4% of diethylpropion remaining unchanged after oral administrationsupported

    mono-N-de-ethylation is main pathway (~35% of dose) producing ethcathinone. Only 3-4% unchanged drug excreted. pmid:2886596

  • Chemical analysis by Camilleri et al. confirmed the presence of N-ethylcathinone alongside 4-methylmethcathinone (mephedrone), representing one of the earliest published identifications of either compound in quasi-legal consumer products.supported

    Components included mephedrone, 2-fluoromethamphetamine, alpha-phthalimidopropiophenone, and N-ethylcathinone (ethcathinone). All unlisted in South Australian controlled substance regulations at time. j.forsciint.2009.12.048

  • Polish forensic data from 2012–2014 identified ethcathinone in 5 of 112 new psychoactive substance (NPS) cases (4.5%)supported

    Ethcathinone found in 5 of 112 NPS cases in Poland 2012-2014. dta.1924

  • Claim in history — inconclusiveinconclusiveworking →

  • In 2023, ethcathinone was unequivocally identified in wastewater from educational institutions in Slovenia, confirming ongoing use in younger populationssupported

    Ethcathinone unequivocally identified by LC-IMS-HRMS in wastewater from educational institutions in Slovenia. j.envres.2023.117061

  • Claim in history — inconclusiveinconclusiveworking →

pharmacology8 · 6 ok
  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • Rat synaptosome release assays further demonstrate that ethcathinone releases norepinephrine and serotonin but does not release dopamine — it blocks DAT uptake without triggering vesicular dopamine effluxsupported

    Ethcathinone (NEC) characterized as hybrid DAT blocker and 5-HT releaser. acsptsci.4c00299

  • Synthetic cathinones are broadly divided into three groups based on DAT/SERT selectivity: (1) DAT-preferential releasers such as cathinone and methcathinone (amphetamine-like), (2) non-selective uptake inhibitors such as mephedrone and methylone (MDMA-like), and (3) highly selective DAT/NET blockers such as MDPV and pyrovaleronesupported

    Cathinone, methcathinone, and flephedrone act as preferential DA and NA uptake inhibitors and induce DA release. Three pharmacological groups identified based on DAT/SERT selectivity. j.1476-5381.2012.02145.x

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • Only 3–4% of diethylpropion remains unchanged after oral administrationsupported

    Only 3-4% unchanged drug excreted. pmid:2886596

  • Dangor et al. developed a specific GLC method to quantify ethcathinone ("ethylaminopropiophenone") in human plasma, saliva, and urine alongside unchanged diethylpropionsupported

    Identifies ethylaminopropiophenone (ethcathinone) as major metabolite of amfepramone in human plasma, saliva and urine. GLC method for simultaneous determination. pmid:3790180

  • Sustained-release formulations of diethylpropion produce plateau plasma levels of the active metabolite over 6–8 hours.supported

    Sustained release provides plateau levels 6-8h post-dose. pmid:3663274

  • A pharmacogenetic study in 36 healthy Mexican volunteers demonstrated that CYP3A4 (polymorphism rs2242480) and ABCB1 (polymorphism rs1045642) significantly affect amfepramone pharmacokinetics (p < 0.05), with four distinct metabolizer phenotypes identified (slow, normal, intermediate, fast)supported

    Amfepramone pharmacokinetics in 36 healthy Mexicans. CYP3A4 and ABCB1 polymorphisms affect AFP metabolism. Four metabolizer phenotypes identified. s41598-019-54436-z

neuroscience6 · 4 ok
  • Claim in neuroscience — inconclusiveinconclusiveworking →

  • The DAT/NET selectivity ratio suggests that ethcathinone produces less mesolimbic reward activation than methcathinone, mephedrone, or MDPV — compounds with stronger DAT releasing or blocking activitysupported

    Three pharmacological groups identified based on DAT/SERT selectivity. j.1476-5381.2012.02145.x

  • However, ICSS threshold data from the close analog 4-MEC demonstrates measurable reward circuit activation in rats, indicating that ethcathinone's reward potential, while lower than that of more dopaminergic cathinones, is not negligible.supported

    4-MEC (4-methylethcathinone, closely related to ethcathinone) reduces ICSS thresholds in rats. Potency: methamphetamine ≈ alpha-PVP > 4-MEC. pyu014

  • Ethcathinone releases serotonin from synaptosomes, suggesting activation of central serotonergic projections from the dorsal raphe nucleussupported

    Ethcathinone (NEC) characterized as hybrid DAT blocker and 5-HT releaser. acsptsci.4c00299

  • If significant, serotonergic activation could contribute to mood elevation, mild entactogenic quality, and the hyponatremia risk documented in the clinical case report (via serotonin-mediated SIADH).supported

    severe hyponatremia (120 mmol/L) s13181-011-0159-1

  • Claim in neuroscience — inconclusiveinconclusiveworking →

summary6 · 4 ok
  • Claim in summary — inconclusiveinconclusiveworking →

  • Ethcathinone occupies a singular pharmacological position: it is the primary active metabolite of diethylpropion (amfepramone), a licensed appetite suppressant marketed since the 1950ssupported

    Diethylpropion is rapidly and extensively metabolized in humans; mono-N-de-ethylation is main pathway (~35% of dose) producing ethcathinone. pmid:2886596

  • Ethcathinone also occurs naturally in Catha edulis (khat)supported

    Methcathinone and ethcathinone identified as psychoactive components in khat (Catha edulis), alongside cathinone, norpseudoephedrine, norephedrine. sp.j.1123.2023.03009

  • It first appeared on recreational markets in 2007 in party pill capsules identified in Australiasupported

    Four capsules from Neorganics (Israel), delivered anonymously to Royal Adelaide Hospital in August 2007. Components included...N-ethylcathinone (ethcathinone). All unlisted in South Australian controlled substance regulations at time. j.forsciint.2009.12.048

  • Claim in summary — inconclusiveinconclusiveworking →

  • The sole published clinical case report involved co-ingestion of ethcathinone with methylone and alcohol, producing seizures, severe hyponatremia (Na⁺ = 120 mmol/L), and rhabdomyolysis (CK = 34,537 U/L) — causal attribution to ethcathinone alone is not possiblesupported

    22-year-old woman, recurrent tonic-clonic seizures, severe hyponatremia (120 mmol/L), rhabdomyolysis (CK 34,537 U/L), required intubation. s13181-011-0159-1

chemistry5 · 4 ok
  • Claim in chemistry — inconclusiveinconclusiveworking →

  • Hepatic mono-N-de-ethylation converts diethylpropion to ethcathinone.supported

    mono-N-de-ethylation is main pathway (~35% of dose) producing ethcathinone. pmid:2886596

  • X-ray crystallographic analysis of the hydrochloride salt confirmed the racemic nature of commercially encountered ethcathinonesupported

    X-ray confirmed both compounds as racemic mixtures. s11419-016-0345-6

  • Published spectroscopic characterization includes NMR, infrared, and mass spectrometric fingerprint datasupported

    Comprehensive chemical characterization for ethcathinone HCl and 4-CEC HCl using NMR, IR, GC-MS, LC-MS, and X-ray crystallography. s11419-016-0345-6

  • Thermal degradation during gas chromatography–mass spectrometry analysis produces characteristic iminium ions 2 Da lower than the parent compound, an artifact that can complicate forensic identification and requires lower injection temperatures to minimize.supported

    Thermal degradation products identified for 18 cathinones including ethcathinone during GC-MS analysis. Iminium ions as degradation products. bkv099

comparative-pharmacology4 · 3 ok
  • The three-group classification proposed by Simmler et al. — DAT-preferential releasers, non-selective uptake inhibitors, and selective DAT/NET blockers — does not accommodate ethcathinone's hybrid mechanism (NET releaser, SERT releaser, DAT blocker without release).supported

    Three pharmacological groups identified based on DAT/SERT selectivity. j.1476-5381.2012.02145.x

  • The three-group classification proposed by Simmler et al. — DAT-preferential releasers, non-selective uptake inhibitors, and selective DAT/NET blockers — does not accommodate ethcathinone's hybrid mechanism (NET releaser, SERT releaser, DAT blocker without release).supported

    Ethcathinone (NEC) characterized as hybrid DAT blocker and 5-HT releaser. acsptsci.4c00299

  • Claim in comparative-pharmacology — inconclusiveinconclusiveworking →

  • The reduced DAT release potency is consistent with a lower abuse liability prediction for ethcathinone, as reinforcing properties of stimulants correlate with DAT-mediated dopamine efflux.supported

    Three pharmacological groups identified based on DAT/SERT selectivity. j.1476-5381.2012.02145.x

receptor-pharmacology4 · 3 ok
  • Claim in receptor-pharmacology — inconclusiveinconclusiveworking →

  • Critically, functional release assays demonstrate that ethcathinone releases norepinephrine and serotonin from rat synaptosomes but does not release dopamine — it acts as a DAT blocker (reuptake inhibitor) rather than a DAT substrate (releaser).supported

    Ethcathinone (NEC) characterized as hybrid DAT blocker and 5-HT releaser. acsptsci.4c00299

  • The classification of ethcathinone as a 5-HT releaser is based on functional synaptosome release assays reported in the 2024 SAR review rather than a specific binding constant.supported

    Updated SAR review of 209+ synthetic cathinones. Ethcathinone (NEC) characterized as hybrid DAT blocker and 5-HT releaser. acsptsci.4c00299

  • The 2024 ACS SAR review classifies ethcathinone as a "hybrid compound" — a DAT blocker that also acts as a 5-HT releaser, an unusual combination within the cathinone family.supported

    Ethcathinone (NEC) characterized as hybrid DAT blocker and 5-HT releaser. acsptsci.4c00299

pharmacokinetic-detail3 · 3 ok
  • Diethylpropion undergoes rapid and extensive first-pass hepatic metabolism, with only 3–4% of the parent drug remaining unchangedsupported

    Diethylpropion is rapidly and extensively metabolized in humans...Only 3-4% unchanged drug excreted. pmid:2886596

  • Dangor et al. developed and validated a GLC method for simultaneous quantification of diethylpropion and ethcathinone in plasma, saliva, and urinesupported

    GLC method for simultaneous determination. pmid:3790180

  • Sustained-release formulations of diethylpropion produce plateau ethcathinone plasma levels over 6–8 hours, reflecting the controlled release of the prodrug.supported

    Sustained release provides plateau levels 6-8h post-dose. pmid:3663274

clinical-evidence1 · 1 ok
  • The sole published clinical case report of ethcathinone-associated toxicity was reported by Boulanger-Gobeil et al. in 2012, described by the authors as "to our knowledge the first case reported in the medical toxicology literature".supported

    First reported case of ethcathinone and methylone poisoning in medical toxicology literature. s13181-011-0159-1

3Sources

28 consumed · sorted by year · feeds = sections resting on it

Sources
yearsourcetierstatusfeeds
2026Illicit substances in school-confiscated vapes: Lessons from a laboratory-driven public health pilotSharrod-Cole H, Danks J, Holdcroft C, Patel R, Starbrook L · Public Health in Practicedoi:10.1016/j.puhip.2026.100770moderateconsumed2 sections
2025Synthetic cathinones: an updated harms assessment (ACMD)Advisory Council on the Misuse of Drugs (ACMD)url:8d05bc3cb93459c0weakconsumedcited only
2024Ethcathinone - Wikipedia/Boulanger-Gobeil case summary via webVariousurl:299706d624b8b31cweakconsumedcited only
2024Structure-Activity Relationship of Synthetic Cathinones: An Updated ReviewNadal-Gratacós N, Pazos MD, Pubill D, Camarasa J, Escubedo E, Berzosa X, López-Arnau R · ACS Pharmacology and Translational Sciencedoi:10.1021/acsptsci.4c00299moderateconsumed5 sections
2023Ethcathinone - HandWiki / WikipediaHandWiki contributorsurl:0e247b2b640045a5weakconsumedcited only
2023Rapid extraction and detection of five alkaloids in dried khat by solvent extraction-HPLC-Q-TOF-MSShi HF, Xu BP, Xu CX, Zhou XQ, Xu HF · Se Pu (Chinese Journal of Chromatography)doi:10.3724/sp.j.1123.2023.03009moderateconsumedcited only
2023Screening for new psychoactive substances in wastewater from educational institutionsVerovšek T, Celma A, Heath D, Heath E, Hernández F, Bijlsma L · Environmental Researchdoi:10.1016/j.envres.2023.117061moderateconsumed2 sections
2023Synthetic Cathinones and Neurotoxicity Risks: A Systematic ReviewDaziani G, Lo Faro AF, Montana V, Goteri G, Pesaresi M, Bambagiotti G, Montanari E, Giorgetti R, Montana A · International Journal of Molecular Sciencesdoi:10.3390/ijms24076230strongconsumed1 section
2021New psychoactive substances (NPS) and serotonin syndrome onset: A systematic review.Schifano F, Chiappini S, Miuli A, Corkery JM, Scherbaum N, Napoletano F, Arillotta D, Zangani C, Catalani V, Vento A, Pettorruso M, Martinotti G, Massimo DG, Guirguis A · Experimental neurologydoi:10.1016/j.expneurol.2021.113638strongconsumed1 section
2020Designer drugs: mechanism of action and adverse effectsLuethi D, Liechti ME · Archives of Toxicologydoi:10.1007/s00204-020-02693-7strongconsumed1 section
2019A multi-analyte LC-MS/MS method for screening and quantification of 16 synthetic cathinones in hair: Application to postmortem casesFreni F, Bianco S, Vignali C, Groppi A, Moretti M, Osculati AMM, Morini L · Forensic Science Internationaldoi:10.1016/j.forsciint.2019.02.036moderateconsumed2 sections
2019Pharmacogenetics of amfepramone in healthy Mexican subjects reveals potential markers for tailoring pharmacotherapy of obesityGómez-Silva M, Piñeyro-Garza E, Vargas-Zapata R, et al. · Scientific Reportsdoi:10.1038/s41598-019-54436-zmoderateconsumed2 sections
2018DARK Classics in Chemical Neuroscience: Cathinone-Derived PsychostimulantsSimmons SJ, Leyrer-Jackson JM, Oliver CF, Hicks C, Muschamp JW, Rawls SM, Olive MF · ACS Chemical Neurosciencedoi:10.1021/acschemneuro.8b00147moderateconsumed1 section
2018Neuropharmacology of Synthetic CathinonesBaumann MH, Walters HM, Niello M, Sitte HH · Handbook of Experimental Pharmacologydoi:10.1007/164_2018_178moderateconsumed2 sections
2017Spectroscopic characterization and crystal structures of two cathinone derivatives: N-ethyl-2-amino-1-phenylpropan-1-one (ethcathinone) hydrochloride and N-ethyl-2-amino-1-(4-chlorophenyl)propan-1-one (4-CEC) hydrochlorideKuś P, Kusz J, Książek M, Pieprzyca E, Rojkiewicz M · Forensic Toxicologydoi:10.1007/s11419-016-0345-6moderateconsumed1 section
2017Structure-Activity Relationships of Synthetic Cathinones.Glennon RA, Dukat M · Current topics in behavioral neurosciencesdoi:10.1007/7854_2016_41moderateconsumed3 sections
2017Synthetic Cathinone and Cannabinoid Designer Drugs Pose a Major Risk for Public HealthWeinstein A, Rosca P, Fattore L, London ED · Frontiers in Psychiatrydoi:10.3389/fpsyt.2017.00156moderateconsumed1 section
2016The prevalence of new psychoactive substances in biological material - a three-year review of casework in Poland.Adamowicz P, Gieroń J, Gil D, Lechowicz W, Skulska A, Tokarczyk B · Drug Testing and Analysisdoi:10.1002/dta.1924moderateconsumed2 sections
2016Thermal Degradation of Synthetic Cathinones: Implications for Forensic ToxicologyKerrigan S, Savage M, Cavazos C, Bella P · Journal of Analytical Toxicologydoi:10.1093/jat/bkv099moderateconsumed1 section
2014Effects of α-Pyrrolidinopentiophenone and 4-Methyl-N-Ethylcathinone on Intracranial Self-Stimulation Thresholds in RatsWatterson LR, Burrows B, Hernandez RD, Moore K, Grabenauer M · International Journal of Neuropsychopharmacologydoi:10.1093/ijnp/pyu014moderateconsumed2 sections
2014Emerging drugs of abuse: current perspectives on substituted cathinonesDebruyne D, Loilier M, Cesbron A, Le Boisselier R, Bourgine J · Substance Abuse and Rehabilitationdoi:10.2147/sar.s37257moderateconsumed1 section
2012Pharmacological characterization of designer cathinones in vitroSimmler LD, Buser TA, Donzelli M, et al. · British Journal of Pharmacologydoi:10.1111/j.1476-5381.2012.02145.xmoderateconsumed4 sections
2012Seizures and hyponatremia related to ethcathinone and methylone poisoningBoulanger-Gobeil C, St-Onge M, Laliberté M, Auger PL · Journal of Medical Toxicologydoi:10.1007/s13181-011-0159-1weakconsumed4 sections
2010Chemical analysis of four capsules containing the controlled substance analogues 4-methylmethcathinone, 2-fluoromethamphetamine, alpha-phthalimidopropiophenone and N-ethylcathinoneCamilleri A, Johnston MR, Brennan M, Davis S, Caldicott DG · Forensic Science Internationaldoi:10.1016/j.forsciint.2009.12.048moderateconsumed2 sections
2000Lethal combination of tramadol and multiple drugs affecting serotoninRipple MG, Pestaner JP, Levine BS, Smialek JE · American Journal of Forensic Medicine and Pathologypmid:11111800weakconsumed1 section
1987Bioavailability of amfepramone hydrochloride sustained release pellets formulation in healthy subjectsDangor CM, Beckett AH, Veltman AM · Arzneimittel-Forschungpmid:3663274moderateconsumed2 sections
1987Re-evaluation of the metabolism and excretion of diethylpropion in non-sustained and sustained release formulationsBeckett AH, Stanojcić M · Journal of Pharmacy and Pharmacologypmid:2886596moderateconsumed5 sections
1986Simultaneous determination of amfepramon and its two major metabolites in biological fluids by gas liquid chromatographyDangor CM, Beckett AH, Veltman AM · Arzneimittel-Forschungpmid:3790180moderateconsumed3 sections
—Searched ClinicalTrials.gov for "ethcathinone cathinone stimulant" — no resultsabsenceno results—
—Searched PubMed for "ethcathinone ETH-CAT cathinone pharmacology" — no resultsabsenceno results—

4Docket

one filing per activity — decisions, correspondence, reports

  1. 0012026-05-11revisionRevision 1

    Initial LLM generation (v5 pipeline, wiki, prose phase)

    psx:substance/eth-cat/version/1
  2. 0022026-06-04proposal40 value proposals approved together

    one review action inferred from a shared reviewer and instant — the graph records one activity per proposal

    40 items in this filing

    • contraindication · neurological
    • contraindication · other
    • contraindication · other
    • contraindication · hepatic
    • contraindication · pregnancy_breastfeeding
    • contraindication · psychiatric
    • dose_tier · threshold
    • dose_tier · light
    • dose_tier · common
    • dose_tier · strong
    • dose_tier · heavy
    • timeline · oral · onset
    • timeline · oral · come_up
    • timeline · oral · peak
    • timeline · oral · resolution
    • timeline · oral · afterglow
    • timeline · insufflated · onset
    • timeline · insufflated · come_up
    • timeline · insufflated · peak
    • timeline · insufflated · resolution
    • timeline · insufflated · afterglow
    • toxicity
    • dependence · full
    • withdrawal
    • tolerance
    • dosage · oral
    • dosage · insufflated
    • duration · oral · onset
    • duration · oral · come_up
    • duration · oral · peak
    • duration · oral · offset
    • duration · oral · total
    • duration · oral · aftereffects
    • duration · insufflated · onset
    • duration · insufflated · come_up
    • duration · insufflated · peak
    • duration · insufflated · offset
    • duration · insufflated · total
    • duration · insufflated · aftereffects
    psx:substance/eth-cat/proposal/contraindication/2b9ddd3f-2961-49fa-8c8f-7f8af306a555
  3. 0032026-06-04publicationPublication — backfill

5Issued documents

what the notice, info card and emergency page said, by hash

Issued documents
documentcontent hashissuedfrom versionsuperseded
info_card38ef9e0e990fb47984032ad9…2026-10-19 20:31Revision 1current
emergency58d3299a8754d788e3d74c0e…2026-09-04 04:29Revision 1current
info_card8fa86a97ea5e82d88b5707db…2026-09-04 04:29Revision 1superseded2026-10-19
noticedc91d6955c9b7fec24bc7863…2026-09-04 04:29Revision 1current