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Sources
22
13 moderate · 9 weak

Studies and references cited across this article, graded by evidence strength.

Values approved
140/142 (99%)

Data points an editor reviewed and accepted for publication.

01

Value Provenance

Dosing

insufflatedtrace

FieldPublishedAI ProposedConfidence
Threshold5 mg5 mglow
Low5–20 mg5–20 mglow
Common20–40 mg20–40 mglow
Strong40–60 mg40–60 mglow
Heavy60+ mg60+ mglow
Editorial

Values from existing DB / community consensus for threshold through strong tiers. Heavy tier (60+ mg) proposed by analogy to oral heavy dose. No controlled human dose-finding study exists for any insufflated tier. All values are safety-critical and unverified.

Reasoning

Values from existing DB / community consensus for threshold through strong tiers. Heavy tier (60+ mg) proposed by analogy to oral heavy dose. No controlled human dose-finding study exists for any insufflated tier. All values are safety-critical and unverified.

Evidence basis: community_consensus_large

oraltrace

FieldPublishedAI ProposedConfidence
Threshold10 mg10 mglow
Low20–30 mg20–30 mglow
Common30–50 mg30–50 mglow
Strong50–60 mg50–60 mglow
Heavy60+ mg60+ mglow
Editorial

Values from existing DB / community consensus. No controlled human dose-finding study exists. Consistent with MPA being approximately 5× less potent than methamphetamine in rodent locomotor assays (Tuv et al. 2021). All dose values are safety-critical and unverified against published clinical sources.

Reasoning

Values from existing DB / community consensus. No controlled human dose-finding study exists. Consistent with MPA being approximately 5× less potent than methamphetamine in rodent locomotor assays (Tuv et al. 2021). All dose values are safety-critical and unverified against published clinical sources.

Evidence basis: community_consensus_large

Duration

oral

FieldPublishedAI ProposedConfidence
Onsettrace30–60 minutes30–60 minuteslow
Editorial

From existing DB / community consensus. No published controlled study.

Reasoning

From existing DB / community consensus. No published controlled study.

Evidence basis: community_consensus_large

Offsettrace2–3 hours2–3 hourslow
Editorial

From existing DB / community consensus. No published controlled study.

Reasoning

From existing DB / community consensus. No published controlled study.

Evidence basis: community_consensus_large

After effectstrace1–2 hours1–2 hourslow
Editorial

From existing DB / community consensus. No published controlled study.

Reasoning

From existing DB / community consensus. No published controlled study.

Evidence basis: community_consensus_large

Come uptrace30–60 minutes30–60 minuteslow
Editorial

Not in seed data. Proposed based on oral stimulant class norms and the 30-60 min onset suggesting a similar come_up window.

Reasoning

Not in seed data. Proposed based on oral stimulant class norms and the 30-60 min onset suggesting a similar come_up window.

Evidence basis: structural_analogy

Peaktrace2–4 hours2–4 hourslow
Editorial

From existing DB / community consensus. No published controlled study.

Reasoning

From existing DB / community consensus. No published controlled study.

Evidence basis: community_consensus_large

Totaltrace6–10 hours6–10 hourslow
Editorial

From existing DB / community consensus. No published controlled study.

Reasoning

From existing DB / community consensus. No published controlled study.

Evidence basis: community_consensus_large

insufflated

FieldPublishedAI ProposedConfidence
Onsettrace5–15 minutes5–15 minuteslow
Editorial

Proposed by analogy to insufflated stimulant class norms (methamphetamine, methylphenidate). No published insufflated duration data for MPA.

Reasoning

Proposed by analogy to insufflated stimulant class norms (methamphetamine, methylphenidate). No published insufflated duration data for MPA.

Evidence basis: structural_analogy

Peaktrace1–2 hours1–2 hourslow
Editorial

Proposed by analogy to insufflated stimulant class norms, adjusted for MPA's lower potency. No published data.

Reasoning

Proposed by analogy to insufflated stimulant class norms, adjusted for MPA's lower potency. No published data.

Evidence basis: structural_analogy

Offsettrace1–2 hours1–2 hourslow
Editorial

Proposed by analogy to insufflated stimulant class norms. No published data.

Reasoning

Proposed by analogy to insufflated stimulant class norms. No published data.

Evidence basis: structural_analogy

Totaltrace3–6 hours3–6 hourslow
Editorial

Proposed by analogy to insufflated stimulant class norms and expected shorter duration vs. oral route. No published data. Reference compound: methamphetamine insufflated.

Reasoning

Proposed by analogy to insufflated stimulant class norms and expected shorter duration vs. oral route. No published data. Reference compound: methamphetamine insufflated.

Evidence basis: structural_analogy

After effectstrace1–2 hours1–2 hourslow
Editorial

Proposed by analogy to insufflated stimulant class norms. No published data.

Reasoning

Proposed by analogy to insufflated stimulant class norms. No published data.

Evidence basis: structural_analogy

Safety

Toxicity Profiletrace

FieldPublishedAI ProposedConfidence
Acutemoderatemoderatemedium
Chronichighhighmedium
Organs Affectedcardiovascular, renal, gastrointestinal, neurologicalcardiovascular, renal, gastrointestinal, neurologicalmedium
Editorial

Acute toxicity rated moderate based on documented organ effects in animal models and human case series (tachycardia, rhabdomyolysis) without established LD₅₀. Chronic toxicity rated high based on Foti et al. 2019 chronic mouse model showing 40% sudden death, myocardial ischemia, and renal/GI necrotic lesions, plus Nguyen et al. 2019 dopaminergic neurotoxicity cascade. Evidence primarily from animal studies with supporting human case series (White et al. 2019, 11 cases). Polydrug confounding in human data prevents definitive attribution.

Reasoning

Acute toxicity rated moderate based on documented organ effects in animal models and human case series (tachycardia, rhabdomyolysis) without established LD₅₀. Chronic toxicity rated high based on Foti et al. 2019 chronic mouse model showing 40% sudden death, myocardial ischemia, and renal/GI necrotic lesions, plus Nguyen et al. 2019 dopaminergic neurotoxicity cascade. Evidence primarily from animal studies with supporting human case series (White et al. 2019, 11 cases). Polydrug confounding in human data prevents definitive attribution.

Evidence basis: animal_study

Dependence Profiletrace

FieldPublishedAI ProposedConfidence
Physicallowlowmedium
Psychologicalmoderatemoderatemedium
Compulsive Redosinghighhighmedium
Dose Escalationmoderatemoderatemedium
Editorial

Physical dependence rated low (no physical withdrawal syndrome described in literature; psychological withdrawal only). Psychological dependence rated moderate based on locomotor sensitization in rats (Yoon et al. 2016), NAc spine remodeling (Cai et al. 2019), and user-reported compulsive redosing. WHO ECDD concluded abuse potential similar to Schedule II substances. Animal models strong but human dependence data limited to user reports.

Reasoning

Physical dependence rated low (no physical withdrawal syndrome described in literature; psychological withdrawal only). Psychological dependence rated moderate based on locomotor sensitization in rats (Yoon et al. 2016), NAc spine remodeling (Cai et al. 2019), and user-reported compulsive redosing. WHO ECDD concluded abuse potential similar to Schedule II substances. Animal models strong but human dependence data limited to user reports.

Evidence basis: animal_study

Withdrawal Profiletrace

FieldPublishedAI ProposedConfidence
Severitymildmildlow
Symptomsfatigue, anhedonia, low mood, irritabilityfatigue, anhedonia, low mood, irritabilitylow
FatalNoNolow
Medical SupervisionNot requiredNot requiredlow
Editorial

Psychological withdrawal only — no physical withdrawal syndrome described. Symptoms (fatigue, anhedonia, low mood, irritability) reported by users but not systematically studied. Duration of 1-3 days inferred from stimulant class norms; no MPA-specific data.

Reasoning

Psychological withdrawal only — no physical withdrawal syndrome described. Symptoms (fatigue, anhedonia, low mood, irritability) reported by users but not systematically studied. Duration of 1-3 days inferred from stimulant class norms; no MPA-specific data.

Evidence basis: animal_study

Tolerance Profiletrace

FieldPublishedAI ProposedConfidence
Buildupmoderatemoderatelow
Half-life5 days5 dayslow
Full Reset10.5 days10.5 dayslow
Cross-tolerancesamphetamine, methamphetamine, methylphenidateamphetamine, methamphetamine, methylphenidatelow
Editorial

Tolerance buildup rated moderate per seed data and community consensus. Half-life and reset values from community consensus only — no published human or animal tolerance study exists. Cross-tolerances inferred from shared NDRI mechanism with amphetamine, methamphetamine, and methylphenidate.

Reasoning

Tolerance buildup rated moderate per seed data and community consensus. Half-life and reset values from community consensus only — no published human or animal tolerance study exists. Cross-tolerances inferred from shared NDRI mechanism with amphetamine, methamphetamine, and methylphenidate.

Evidence basis: community_consensus_large

Effects & Profile

Contraindications

FieldPublishedAI ProposedConfidence
cardiovascular Pre-existing cardiovascular diseasetraceabsoluteabsolutemedium
Editorial

Documented in both animal chronic model (40% sudden death, myocardial ischemia) and human case series (91% tachycardia). Multiple independent sources.

Reasoning

Documented in both animal chronic model (40% sudden death, myocardial ischemia) and human case series (91% tachycardia). Multiple independent sources.

other Concurrent MAOI usetraceabsoluteabsolutemedium
Editorial

Class-level contraindication inferred from MPA's NDRI mechanism. Standard for all catecholaminergic stimulants. No MPA-specific data.

Reasoning

Class-level contraindication inferred from MPA's NDRI mechanism. Standard for all catecholaminergic stimulants. No MPA-specific data.

neurological Seizure disorderstracerelativerelativelow
Editorial

Inferred from stimulant class mechanism. No MPA-specific seizure data. Reference compounds: methamphetamine, amphetamine.

Reasoning

Inferred from stimulant class mechanism. No MPA-specific seizure data. Reference compounds: methamphetamine, amphetamine.

psychiatric Psychotic disorders or bipolar disordertracerelativerelativemedium
Editorial

Documented acute psychosis in human case series (45% hallucinations, 64% confusion in IONA cases) and individual case report. Medium confidence due to polydrug confounding in most cases.

Reasoning

Documented acute psychosis in human case series (45% hallucinations, 64% confusion in IONA cases) and individual case report. Medium confidence due to polydrug confounding in most cases.

renal Renal impairmenttracerelativerelativemedium
Editorial

Supported by human case series (CK elevation in 64%) and chronic animal model (renal necrotic lesions). Polydrug confounding limits attribution certainty.

Reasoning

Supported by human case series (CK elevation in 64%) and chronic animal model (renal necrotic lesions). Polydrug confounding limits attribution certainty.

pregnancy breastfeeding Pregnancy and lactationtracerelativerelativelow
Editorial

Class-level inference from catecholaminergic stimulant mechanism. No MPA-specific reproductive data. Reference compounds: methamphetamine, amphetamine.

Reasoning

Class-level inference from catecholaminergic stimulant mechanism. No MPA-specific reproductive data. Reference compounds: methamphetamine, amphetamine.

other Concurrent serotonergic medicationtracerelativerelativemedium
Editorial

MPA has weak but non-zero SERT inhibition. Harm reduction organizations warn of serotonin toxicity in serotonergic combinations. No peer-reviewed case report of this specific interaction found.

Reasoning

MPA has weak but non-zero SERT inhibition. Harm reduction organizations warn of serotonin toxicity in serotonergic combinations. No peer-reviewed case report of this specific interaction found.

Timeline Phases

oral

FieldPublishedAI ProposedConfidence
Onsettrace0–3600 sec(i=0.15)0–3600 sec(i=0.15)low
Editorial

Oral timeline derived from existing DB / community consensus duration data (onset 30-60 min, peak 2-4 h, offset 2-3 h, total 6-10 h, aftereffects 1-2 h). No published controlled study. Come_up phase interpolated from onset-to-peak transition. Plateau phase inferred from the 6-10 h total duration minus onset/peak/offset phases. Intensity weights from work-notes.

Reasoning

Oral timeline derived from existing DB / community consensus duration data (onset 30-60 min, peak 2-4 h, offset 2-3 h, total 6-10 h, aftereffects 1-2 h). No published controlled study. Come_up phase interpolated from onset-to-peak transition. Plateau phase inferred from the 6-10 h total duration minus onset/peak/offset phases. Intensity weights from work-notes.

Evidence basis: community_consensus_large

Come uptrace1800–3600 sec(i=0.40)1800–3600 sec(i=0.40)low
Editorial

Oral timeline derived from existing DB / community consensus duration data (onset 30-60 min, peak 2-4 h, offset 2-3 h, total 6-10 h, aftereffects 1-2 h). No published controlled study. Come_up phase interpolated from onset-to-peak transition. Plateau phase inferred from the 6-10 h total duration minus onset/peak/offset phases. Intensity weights from work-notes.

Reasoning

Oral timeline derived from existing DB / community consensus duration data (onset 30-60 min, peak 2-4 h, offset 2-3 h, total 6-10 h, aftereffects 1-2 h). No published controlled study. Come_up phase interpolated from onset-to-peak transition. Plateau phase inferred from the 6-10 h total duration minus onset/peak/offset phases. Intensity weights from work-notes.

Evidence basis: community_consensus_large

Peaktrace5400–10800 sec(i=1.00)5400–10800 sec(i=1.00)low
Editorial

Oral timeline derived from existing DB / community consensus duration data (onset 30-60 min, peak 2-4 h, offset 2-3 h, total 6-10 h, aftereffects 1-2 h). No published controlled study. Come_up phase interpolated from onset-to-peak transition. Plateau phase inferred from the 6-10 h total duration minus onset/peak/offset phases. Intensity weights from work-notes.

Reasoning

Oral timeline derived from existing DB / community consensus duration data (onset 30-60 min, peak 2-4 h, offset 2-3 h, total 6-10 h, aftereffects 1-2 h). No published controlled study. Come_up phase interpolated from onset-to-peak transition. Plateau phase inferred from the 6-10 h total duration minus onset/peak/offset phases. Intensity weights from work-notes.

Evidence basis: community_consensus_large

Plateautrace3600–7200 sec(i=0.50)3600–7200 sec(i=0.50)low
Editorial

Oral timeline derived from existing DB / community consensus duration data (onset 30-60 min, peak 2-4 h, offset 2-3 h, total 6-10 h, aftereffects 1-2 h). No published controlled study. Come_up phase interpolated from onset-to-peak transition. Plateau phase inferred from the 6-10 h total duration minus onset/peak/offset phases. Intensity weights from work-notes.

Reasoning

Oral timeline derived from existing DB / community consensus duration data (onset 30-60 min, peak 2-4 h, offset 2-3 h, total 6-10 h, aftereffects 1-2 h). No published controlled study. Come_up phase interpolated from onset-to-peak transition. Plateau phase inferred from the 6-10 h total duration minus onset/peak/offset phases. Intensity weights from work-notes.

Evidence basis: community_consensus_large

Resolutiontrace3600–7200 sec(i=0.25)3600–7200 sec(i=0.25)low
Editorial

Oral timeline derived from existing DB / community consensus duration data (onset 30-60 min, peak 2-4 h, offset 2-3 h, total 6-10 h, aftereffects 1-2 h). No published controlled study. Come_up phase interpolated from onset-to-peak transition. Plateau phase inferred from the 6-10 h total duration minus onset/peak/offset phases. Intensity weights from work-notes.

Reasoning

Oral timeline derived from existing DB / community consensus duration data (onset 30-60 min, peak 2-4 h, offset 2-3 h, total 6-10 h, aftereffects 1-2 h). No published controlled study. Come_up phase interpolated from onset-to-peak transition. Plateau phase inferred from the 6-10 h total duration minus onset/peak/offset phases. Intensity weights from work-notes.

Evidence basis: community_consensus_large

Afterglowtrace3600–7200 sec(i=0.10)3600–7200 sec(i=0.10)low
Editorial

Oral timeline derived from existing DB / community consensus duration data (onset 30-60 min, peak 2-4 h, offset 2-3 h, total 6-10 h, aftereffects 1-2 h). No published controlled study. Come_up phase interpolated from onset-to-peak transition. Plateau phase inferred from the 6-10 h total duration minus onset/peak/offset phases. Intensity weights from work-notes.

Reasoning

Oral timeline derived from existing DB / community consensus duration data (onset 30-60 min, peak 2-4 h, offset 2-3 h, total 6-10 h, aftereffects 1-2 h). No published controlled study. Come_up phase interpolated from onset-to-peak transition. Plateau phase inferred from the 6-10 h total duration minus onset/peak/offset phases. Intensity weights from work-notes.

Evidence basis: community_consensus_large

insufflated

FieldPublishedAI ProposedConfidence
Onsettrace0–900 sec(i=0.30)0–900 sec(i=0.30)low
Editorial

Insufflated timeline entirely inferred from structural analogy to insufflated methamphetamine and stimulant class norms, adjusted for MPA's lower potency. No published insufflated duration data for MPA. Onset 5-15 min, peak 1-2 h, total 3-6 h per work-notes. Intensity weights from work-notes.

Reasoning

Insufflated timeline entirely inferred from structural analogy to insufflated methamphetamine and stimulant class norms, adjusted for MPA's lower potency. No published insufflated duration data for MPA. Onset 5-15 min, peak 1-2 h, total 3-6 h per work-notes. Intensity weights from work-notes.

Evidence basis: structural_analogy

Come uptrace300–1800 sec(i=0.60)300–1800 sec(i=0.60)low
Editorial

Insufflated timeline entirely inferred from structural analogy to insufflated methamphetamine and stimulant class norms, adjusted for MPA's lower potency. No published insufflated duration data for MPA. Onset 5-15 min, peak 1-2 h, total 3-6 h per work-notes. Intensity weights from work-notes.

Reasoning

Insufflated timeline entirely inferred from structural analogy to insufflated methamphetamine and stimulant class norms, adjusted for MPA's lower potency. No published insufflated duration data for MPA. Onset 5-15 min, peak 1-2 h, total 3-6 h per work-notes. Intensity weights from work-notes.

Evidence basis: structural_analogy

Peaktrace1800–7200 sec(i=1.00)1800–7200 sec(i=1.00)low
Editorial

Insufflated timeline entirely inferred from structural analogy to insufflated methamphetamine and stimulant class norms, adjusted for MPA's lower potency. No published insufflated duration data for MPA. Onset 5-15 min, peak 1-2 h, total 3-6 h per work-notes. Intensity weights from work-notes.

Reasoning

Insufflated timeline entirely inferred from structural analogy to insufflated methamphetamine and stimulant class norms, adjusted for MPA's lower potency. No published insufflated duration data for MPA. Onset 5-15 min, peak 1-2 h, total 3-6 h per work-notes. Intensity weights from work-notes.

Evidence basis: structural_analogy

Resolutiontrace3600–7200 sec(i=0.35)3600–7200 sec(i=0.35)low
Editorial

Insufflated timeline entirely inferred from structural analogy to insufflated methamphetamine and stimulant class norms, adjusted for MPA's lower potency. No published insufflated duration data for MPA. Onset 5-15 min, peak 1-2 h, total 3-6 h per work-notes. Intensity weights from work-notes.

Reasoning

Insufflated timeline entirely inferred from structural analogy to insufflated methamphetamine and stimulant class norms, adjusted for MPA's lower potency. No published insufflated duration data for MPA. Onset 5-15 min, peak 1-2 h, total 3-6 h per work-notes. Intensity weights from work-notes.

Evidence basis: structural_analogy

Afterglowtrace3600–7200 sec(i=0.15)3600–7200 sec(i=0.15)low
Editorial

Insufflated timeline entirely inferred from structural analogy to insufflated methamphetamine and stimulant class norms, adjusted for MPA's lower potency. No published insufflated duration data for MPA. Onset 5-15 min, peak 1-2 h, total 3-6 h per work-notes. Intensity weights from work-notes.

Reasoning

Insufflated timeline entirely inferred from structural analogy to insufflated methamphetamine and stimulant class norms, adjusted for MPA's lower potency. No published insufflated duration data for MPA. Onset 5-15 min, peak 1-2 h, total 3-6 h per work-notes. Intensity weights from work-notes.

Evidence basis: structural_analogy

Dose Tier Summaries

thresholdtrace
low

Minimal perceptible stimulation emerges as a slight increase in alertness and wakefulness without overt euphoria or noticeable mood elevation. Cognitive effects are subtle — a faint sense of thought acceleration and marginally improved focus that may be difficult to distinguish from placebo. Physical effects are negligible at this tier. Heart rate may increase slightly but remains within normal resting range. Appetite suppression is absent or barely perceptible. No significant temperature dysregulation, sweating, or bruxism expected. Oral onset may take 30–60 minutes, making premature redosing a risk. Duration commitment is modest. Sleep disruption is unlikely unless taken late in the day.

Editorial

Based on community consensus dose ranges (oral threshold ~10 mg). No controlled human study at threshold. Effects extrapolated from the substance's NDRI mechanism and user reports describing MPA as mild/caffeine-like at low doses.

Reasoning

Based on community consensus dose ranges (oral threshold ~10 mg). No controlled human study at threshold. Effects extrapolated from the substance's NDRI mechanism and user reports describing MPA as mild/caffeine-like at low doses.

Evidence basis: community_consensus_large

lighttrace
low

Noticeable wakefulness and mild focus enhancement become apparent. Thought acceleration is gentle — a sense of mental alertness comparable to moderate caffeine. Cognitive euphoria is minimal or absent. Motivation enhancement may be subtly present, manifesting as increased willingness to engage with routine tasks. Appetite suppression emerges at a low level. Heart rate may be slightly elevated, and some users notice increased heart rate perception. Stimulation is functional rather than forceful — body high is largely absent. Spontaneous body sensations are minimal. Functional impairment is unlikely at this tier. Oral duration extends to 6–8 hours. The mild character of effects at this range may encourage dose escalation — note that MPA has a steep dose-response curve.

Editorial

Based on community consensus dose ranges (oral 20-30 mg, insufflated 5-20 mg). User reports consistently describe MPA as methylphenidate-like at lower doses (DrugWise). No controlled study.

Reasoning

Based on community consensus dose ranges (oral 20-30 mg, insufflated 5-20 mg). User reports consistently describe MPA as methylphenidate-like at lower doses (DrugWise). No controlled study.

Evidence basis: community_consensus_large

commontrace
low

Clear stimulant effects establish themselves: sustained wakefulness, focus enhancement, and mild cognitive euphoria. Thought acceleration and thought organization improve task engagement. Analysis enhancement is noticeable. Motivation enhancement supports sustained productivity. Music enhancement may be subtly present. Appetite suppression is moderate and reliable. Stimulation is clearly perceptible — increased energy and physical alertness without the intensity of amphetamine. Heart rate elevation is common. Spontaneous body sensations and mild temperature dysregulation may emerge. Bruxism and excessive sweating are possible but typically mild. Compulsive redosing urge may emerge at this tier — users frequently describe wanting to sustain the functional stimulation. Oral duration is 6–10 hours. Insomnia is likely if taken in the afternoon or evening. Comedown involves mild fatigue, irritability, and low mood.

Editorial

Based on community consensus dose ranges (oral 30-50 mg, insufflated 20-40 mg). Effects profile drawn from user reports (DrugWise) and work-notes effects data. Compulsive redosing emphasized per work-notes.

Reasoning

Based on community consensus dose ranges (oral 30-50 mg, insufflated 20-40 mg). Effects profile drawn from user reports (DrugWise) and work-notes effects data. Compulsive redosing emphasized per work-notes.

Evidence basis: community_consensus_large

strongtrace
low

Pronounced stimulation dominates the experience. Wakefulness is intense and persistent. Focus enhancement may shift from productive to scattered as overstimulation narrows cognitive flexibility. Thought acceleration intensifies. Cognitive euphoria is more apparent but still moderate compared to classical stimulants. Irritability and anxiety may emerge alongside stimulation. Cardiovascular effects become significant: tachycardia, vasoconstriction, and abnormal heartbeat are likely. Bruxism intensifies. Excessive sweating and temperature dysregulation are common. Appetite suppression is strong. Restlessness replaces productive stimulation. Pupil dilation is probable. Compulsive redosing urge intensifies markedly at this tier. The steep dose-response curve means the transition from common to strong effects may feel abrupt. Sleep is impossible for an extended period. Comedown is more pronounced — depression, cognitive fatigue, and motivation suppression are expected.

Editorial

Based on community consensus dose ranges (oral 50-60 mg, insufflated 40-60 mg). Cardiovascular effects supported by animal models showing steep dose-response curve (Tuv et al. 2021) and human case series (91% tachycardia at intoxicating doses, White et al. 2019).

Reasoning

Based on community consensus dose ranges (oral 50-60 mg, insufflated 40-60 mg). Cardiovascular effects supported by animal models showing steep dose-response curve (Tuv et al. 2021) and human case series (91% tachycardia at intoxicating doses, White et al. 2019).

Evidence basis: community_consensus_large

heavytrace
low

Risk of cardiovascular toxicity is significantly elevated at this tier. The narrow margin between strong and heavy doses — a steep dose-response curve documented in rodent models — means effects may escalate rapidly. Tachycardia, vasoconstriction, and abnormal heartbeat are expected. Rhabdomyolysis (muscle breakdown) is a documented risk at intoxicating doses. Psychological effects may become destabilizing: confusion, agitation, hallucinations, and paranoid delusions are documented in clinical cases at high doses. Cognitive impairment replaces cognitive enhancement. Delirium is possible. Aggressive behavior has been demonstrated at higher doses in animal models. Sleep is impossible for an extended period. Compulsive redosing urge remains high. Comedown is severe — prolonged fatigue, depression, irritability, and cognitive fatigue. Seek emergency medical attention if chest pain, severe confusion, or hallucinations develop.

Editorial

Based on community consensus dose ranges (oral 60+ mg, insufflated 60+ mg). Cardiovascular and psychological toxicity documented in IONA case series (White et al. 2019) — 91% tachycardia, 64% confusion, 45% hallucinations. Animal model steep dose-response curve (Tuv et al. 2021).

Reasoning

Based on community consensus dose ranges (oral 60+ mg, insufflated 60+ mg). Cardiovascular and psychological toxicity documented in IONA case series (White et al. 2019) — 91% tachycardia, 64% confusion, 45% hallucinations. Animal model steep dose-response curve (Tuv et al. 2021).

Evidence basis: community_consensus_large

02

History

current version
published Oct 2, 2026system—
versions
2 total · since previous: +1 / −1 citations

+ Methiopropamine (MPA) - DrugWise (2020)

− Methiopropamine - MPA - DrugWise harm reduction information (2023)

publication ledger

publish Oct 2, 2026 · by agent-psx

backfill Jun 4, 2026

Historical versions do not record which reviewer approved them; editorial accountability is recorded per value in the database and in the publication ledger going forward.

03

Sources

13 moderate · 9 weak
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    moderate
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    Methiopropamine (MPA) - DrugWise
    DrugWise · 2020
    linkno claims checked
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    linkno claims checked
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    Cai WT, Yoon HS, Lee S, Kim JH · 2019 · Neurochemistry International
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    moderate
    Phenotypic effects of chronic and acute use of methiopropamine in a mouse model
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    Archer JR, Dargan PI, Hudson S, Wood DM · 2013 · QJM
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    linkno claims checked
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    pubmed 27474360no claims checked
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    Wikipedia contributors · 2024
    linkno claims checked
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    Erowid · 2023
    linkno claims checked
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    moderate
    Methiopropamine and its acute behavioral effects in mice: is there a gray zone in new psychoactive substances users?
    De-Giorgio F, Bilel S, Tirri M, Arfè R, Trapella C, Camuto C, Foti F, Frisoni P, Neri M, Botré F, Marti M · 2020 · International Journal of Legal Medicine
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    The expression of methiopropamine-induced locomotor sensitization requires dopamine D2, but not D1, receptor activation in the rat
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    moderate
    Methiopropamine, a methamphetamine analogue, produces neurotoxicity via dopamine receptors
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    moderate
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    Organ distribution of diclazepam, pyrazolam and 3-fluorophenmetrazine
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    Staphylococcus aureus bacteraemia associated with injected new psychoactive substances
    Griffith DJ, Mackintosh CL, Inverarity D · 2015 · Epidemiology and Infection
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    Low-normal doses of methiopropamine induce aggressive behaviour in mice
    Foti F, Bilel S, Tirri M, Arfè R, Boccuto F, Bernardi T, Serpelloni G, De-Giorgio F, Marti M · 2021 · Psychopharmacology
04

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Coverage & Gaps

effect links
102 links · 100 approved · 20 audited0/102 with evidence basis
interactions
3 approved pairs0/3 graded