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Methylone

3,4-methylenedioxy-N-methylcathinone

1Provenance card

the boundary, as counts

Sources

3527 with DOI

3 strong · 24 moderate · 8 weak

Compilations

12026-04-24T17:11:10.284Z

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

Decisions

57last ruled 2026-06-04

0 awaiting a ruling

Issued documents

42026-10-19T20:32:57.828Z

notice · info card · emergency

Searches

182 with no results

queries and counts on the build

Claims checked

11473 supported

73 supported · 41 not

Correspondence

0received

consent field ships in Phase 4

Edges

329

derivations recorded for this entity

Complete over 35 sources, 1 compilation, and 57 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/methylone/archive

2Build

one panel per compilation run

generation run 2026-04-24

91 min completedmodel pipeline-v5plan not recordedrun/fd86d819…

Selection

results seen345
selected by the model46
consumed as sources35

Verification

claims checked114
supported71
partially supported2
not supported2
inconclusive39
  • record
  • seen / partial
  • working

The model's own caveats

none raised on this run

Reproduce

inputs
35 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
18 searches — query, source, results, what was kept and why
18 searches for this run
#sourcequeryseenkeptrationale
1PubMedmethylone cathinone monoamine transporter serotonin dopamine1210All directly relevant to methylone mechanism of action and pharmacology
2PubMedmethylone self-administration reinforcing abuse potential rats21Direct methylone self-administration data relevant to abuse liability
3ClinicalTrials.gov · absencemethylone cathinone00No trials to select; confirms absence of human clinical trial data
4PubChemmethylone11Primary chemical identity verification
5PubMedmethylone bath salts forensic analysis detection65Forensic/toxicology data supporting safety section
6PubMedmethylone toxicity overdose death case report11Key fatal case report with postmortem methylone concentrations
7OpenAlexmethylone cathinone pharmacology neurotoxicity2605Selected top-cited works directly relevant to methylone pharmacology and mechanism of action
8PubMedPMID 41706459, 4084953922Primary clinical trial data and mechanistic data published in high-impact journals
9PubChemCID 4578964711Chemical identity verification; SMILES not returned by API tool
10ClinicalTrials.govmethylone PTSD Transcend Therapeutics55All trials directly relevant; Phase 3 EMPOWER-1 currently recruiting is most critical finding
11WebTranscend Therapeutics methylone TSND-201 PTSD Phase 2 results breakthrough therapy FDA103Critical clinical development data; FDA designation and Phase 2 results directly document methylone's current therapeutic status
12Webmethylone DEA Schedule I scheduling date UK Misuse of Drugs Act103Primary legal sources for scheduling history by jurisdiction
13OpenAlexmethylone neuropharmacology locomotion hyperthermia body temperature rat82Pharmacokinetics paper is direct methylone-specific PK data; systematic review covers neurotoxicity comprehensively
14OpenAlexmethylone Jacob Shulgin patent 1996 history first synthesis antidepressant62Reviews providing pharmacological context for methylone; history data confirmed through web sources
15Webmethylone Australia TGA Schedule 9 controlled substance91Primary regulatory source for Australian scheduling status
16Multiple · absencemethylone tramadol lethal interaction mechanism00No primary sources found; flagged as unverified claim from seed data requiring editorial review
17Webmethylone SMILES CAS 186028-79-5 chemical properties102Chemical identity verification from multiple sources
18PubMedmethylenedioxymethcathinone methylone stereoisomer enantiomer pharmacology22Directly relevant to stereochemistry section; first published data on methylone enantiomer-specific effects
114 claims by section — every cited sentence, checked against its source
safety42 · 27 ok
  • Liver: Microvascular steatosis documented in fatal casessupported

    Microvascular steatosis of liver and striated heart muscle damage observed. oh.2012.29310

  • Heart: Sudden cardiac death, arrhythmias, myocardial infarctionsupported

    Fatal methylone case in a 16-year-old with cardiac malformation... striated heart muscle damage observed. oh.2012.29310

  • Multiple forensic analyses confirm that blood methylone concentration does not reliably predict lethality.supported

    Blood concentration does not predict outcome for fatalities or impairment. bks136

  • Multiple forensic analyses confirm that blood methylone concentration does not reliably predict lethality.supported

    Lethal concentrations cannot be established. 1556-4029.13316

  • A 16-year-old male with pre-existing cardiac malformation and asthma experienced sudden cardiac arrest after methylone ingestion at a party (blood methylone: 272 ng/mL; liver: 387 ng/g). Histopathology revealed microvascular steatosis of the liver and striated heart muscle damage; the authors concluded that pre-existing conditions were predisposing factors for fatal outcome at a relatively low concentration.supported

    Fatal methylone case in a 16-year-old with cardiac malformation. Blood methylone 272 ng/mL, liver 387 ng/g. Microvascular steatosis of liver and striated heart muscle damage observed. oh.2012.29310

  • The first reported sudden cardiac death attributed to methylone in a previously healthy 19-year-old (postmortem blood: 0.7 mg/L), prompting the authors to state that methylone toxicity had been "greatly underestimated".supported

    First reported case of sudden cardiac death associated with methylone in a previously healthy 19-year-old. Postmortem methylone 0.07 mg/dL. paf.0b013e31827ab5da

  • A 3-year retrospective of 30 cathinone cases at the New York City Medical Examiner's office identified two deaths attributed solely to cathinones (one with blood methylone 0.71 mg/L), while the highest incidental methylone concentration (4.8 mg/L) was found in a surviving individual — underscoring the absence of a reliable lethal threshold.supported

    Two deaths attributed solely to cathinone: one with blood methylone 0.71 mg/L. Highest incidental methylone was 4.8 mg/L. Lethal concentrations cannot be established. 1556-4029.13316

  • Claim in safety — inconclusiveinconclusiveworking →

  • In rats, 40 mg/kg subcutaneous was surprisingly lethal to some animals, indicating a narrow margin between pharmacologically active and lethal doses at the high end.supported

    40 mg/kg s.c. lethal to some animals. Short duration of action. fpsyt.2017.00232

  • Cardiac toxicity: Tachycardia, hypertension, arrhythmias, myocardial infarction, and sudden cardiac death result from direct sympathomimetic effects of catecholamine release. Pre-existing cardiac conditions substantially increase risk.supported

    Sympathomimetic toxidrome from synthetic cathinones: tachycardia, hypertension, hyperthermia, myocardial infarction, death. Via direct and indirect activation of sympathetic nervous system. j.jemermed.2013.11.104

  • Hyperthermia: Dose-dependent and significantly worsened in crowded or socially active environments. Hyperthermia is a precursor to multi-organ failure.supported

    Methylone dose-dependently increased locomotion and induced hyperthermia (more pronounced in group-housed conditions). fpsyt.2017.00232

  • Serotonin syndrome: Risk increases with high doses or co-administration with other serotonergic agents.supported

    DA/SERT ratio determines psychotropic vs toxic effects; serotonergic drugs cause serotonin syndrome, hyperthermia, seizures, hyponatremia. smw.2015.14043

  • Serotonin syndrome: Risk increases with high doses or co-administration with other serotonergic agents.supported

    Comprehensive review of designer drug mechanisms including methylone. Serotonergic drugs associated with serotonin syndrome, hyperthermia, seizures, hyponatremia. s00204-020-02693-7

  • Claim in safety — inconclusiveinconclusiveworking →

  • Excited delirium: Agitated delirium with psychosis, hyperthermia, and risk of death from trauma or cardiovascular collapse has been documented with synthetic cathinones.supported

    Adverse effects include encephalopathy, coma, convulsions, sympathomimetic and hallucinogenic toxidromes, excited delirium syndrome, and serotonin syndrome. ijms24076230

  • Unlike MDMA, repeated methylone dosing (3.0 and 10.0 mg/kg s.c.) in rats does not produce long-term depletion of cortical or striatal serotonin, suggesting reduced serotonergic neurotoxicitysupported

    Repeated dosing causes hyperthermia but no long-term 5-HT depletion unlike MDMA. npp.2011.304

  • Unlike MDMA, repeated methylone dosing (3.0 and 10.0 mg/kg s.c.) in rats does not produce long-term depletion of cortical or striatal serotonin, suggesting reduced serotonergic neurotoxicitysupported

    Methylone does not cause long-term 5-HT depletion unlike MDMA despite hyperthermia. 7854_2016_21

  • However, prolonged high-concentration exposure partially inhibits neuronal activity in a non-reversible manner in vitro.supported

    Irreversible neuronal activity inhibition at high concentrations. hDAT and hNET are primary targets. fnins.2020.00009

  • R-(+)-methylone is the more oxidative and cytotoxic enantiomer in dopaminergic SH-SY5Y cells, with oxidative stress identified as the primary mechanism of cytotoxicity.supported

    R-(+)-methylone is the most oxidative and cytotoxic enantiomer in SH-SY5Y dopaminergic cells. Cytotoxicity mediated by oxidative stress. j.taap.2021.115442

  • Heart: Sudden cardiac death, arrhythmias, myocardial infarctionsupported

    First reported case of sudden cardiac death associated with methylone in a previously healthy 19-year-old. paf.0b013e31827ab5da

  • Claim in safety — inconclusiveinconclusiveworking →

  • Brain: Encephalopathy, seizures, psychosis, agitated deliriumsupported

    Adverse effects include encephalopathy, coma, convulsions, sympathomimetic and hallucinogenic toxidromes, excited delirium syndrome, and serotonin syndrome. ijms24076230

  • Claim in safety — inconclusiveinconclusiveworking →

  • Acute psychological adverse effects reported in clinical and review literature include anxiety, paranoia, agitation, psychosis, and excited deliriumsupported

    Adverse effects include encephalopathy, coma, convulsions, sympathomimetic and hallucinogenic toxidromes, excited delirium syndrome, and serotonin syndrome. ijms24076230

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Methylone functions as a dose-dependent reinforcer in rat self-administration paradigms (0.05–0.5 mg/kg/infusion IV), with short-access sessions (2 hr/day) producing robust responding exceeding that seen in previous MDMA studiessupported

    Methylone functions as dose-dependent IV reinforcer in rats. Short access sessions robust; long access did not lead to escalated intake unlike cocaine. Abuse potential similar to or greater than MDMA. pmid:24244886

  • However, long-access sessions (6 hr/day) do not produce escalated intake or increased reinforcer efficacy — a pattern that contrasts with cocaine and methamphetamine and suggests lower compulsive use potential.supported

    Long access did not lead to escalated intake unlike cocaine. Abuse potential similar to or greater than MDMA but lower compulsive use potential than prototypical stimulants. pmid:24244886

  • Claim in safety — inconclusiveinconclusiveworking →

  • The primary pharmacological concern with methylone combinations is serotonin syndrome: as a non-selective serotonin releasing agent, methylone combined with any drug that increases serotonergic neurotransmission creates additive or synergistic risk of serotonin toxicity.supported

    DA/SERT ratio determines psychotropic vs toxic effects; serotonergic drugs cause serotonin syndrome, hyperthermia, seizures, hyponatremia. smw.2015.14043

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Claim in safety — inconclusiveinconclusiveworking →

  • Confirmatory identification requires LC-MS/MS methodology.supported

    Validated LC-MS/MS method for 30 cathinones in postmortem blood. Methylone detected in cases from 2015. LOQ 1 ng/mL. bkaa071

  • Claim in safety — inconclusiveinconclusiveworking →

  • Published fatal case data demonstrate that congenital cardiac malformation, arrhythmia, and structural heart disease substantially increase the risk of sudden cardiac death, even at relatively low methylone concentrations.supported

    Fatal methylone case in a 16-year-old with cardiac malformation. Blood methylone 272 ng/mL, liver 387 ng/g. oh.2012.29310

  • Published fatal case data demonstrate that congenital cardiac malformation, arrhythmia, and structural heart disease substantially increase the risk of sudden cardiac death, even at relatively low methylone concentrations.supported

    First reported case of sudden cardiac death associated with methylone in a previously healthy 19-year-old. paf.0b013e31827ab5da

  • Claim in safety — inconclusiveinconclusiveworking →

  • MAOI co-administration is an absolute contraindication due to the risk of fatal serotonin syndrome.supported

    DA/SERT ratio determines psychotropic vs toxic effects; serotonergic drugs cause serotonin syndrome, hyperthermia, seizures, hyponatremia. smw.2015.14043

pharmacology24 · 13 ok
  • Two primary metabolic pathways have been identified:supported

    N-demethylation or opening of the 3,4-methylenedioxy ring via O-demethylenation gives rise to pharmacologically active metabolites of methylone. 0269881119844185

  • Methylone is a non-selective monoamine transporter substrate (releaser) that simultaneously functions as an uptake inhibitor — classified pharmacologically as a "cocaine-MDMA mixed cathinone"supported

    Methylone, mephedrone, ethylone, butylone act as non-selective monoamine uptake inhibitors similar to cocaine. Mephedrone, methylone, ethylone and butylone also induced 5-HT release similar to MDMA. j.1476-5381.2012.02145.x

  • Methylone is a non-selective monoamine transporter substrate (releaser) that simultaneously functions as an uptake inhibitor — classified pharmacologically as a "cocaine-MDMA mixed cathinone"supported

    Methylone and mephedrone are nonselective substrates for plasma membrane monoamine transporters, similar to MDMA in potency and selectivity. npp.2011.304

  • Methylone is a non-selective monoamine transporter substrate (releaser) that simultaneously functions as an uptake inhibitor — classified pharmacologically as a "cocaine-MDMA mixed cathinone"supported

    MDPV is a potent uptake blocker at DAT and NET while methylone is a non-selective releaser at transporters for dopamine, norepinephrine, and serotonin (5-HT). s00213-015-4057-0

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • In vitro, methylone inhibits monoamine uptake at human DAT and NET at low micromolar concentrations, with higher concentrations required to inhibit SERTsupported

    Methylone at low micromolar concentrations inhibits monoamine uptake via hDAT and hNET; higher concentrations needed for hSERT inhibition. fnins.2020.00009

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • Methylone increases locomotor activity dose-dependently, though less potently than methamphetamine, with locomotion enhanced via 5-HT₂A receptor activation and increased extracellular dopamine.supported

    Methylone was the most potent 5-HT and dopamine uptake inhibitor; induced hyperlocomotion through 5-HT2A receptors and increased extracellular dopamine. j.1476-5381.2012.01998.x

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • Recent preclinical and clinical research has recharacterized methylone as a "highly selective, rapid-acting neuroplastogen"supported

    Described as highly selective rapid-acting neuroplastogen releasing 5-HT, NE, DA without 5-HT2A activity. jamapsychiatry.2025.4625

  • In cultured cortical neurons, methylone stimulates neurite outgrowth — specifically increasing the number of neuritic branches (an effect blocked by monoamine transporter inhibitors) and the length of the longest neurite (mediated by trkB receptor and mTOR signaling pathways)supported

    Methylone stimulates neurite outgrowth via monoamine transporter activity and trkB/mTOR signaling. s41386-025-02206-z

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • Behaviorally, methylone produces rapid and long-lasting improvements in fear extinction recall in rodent models — an effect requiring NET activity, as demonstrated by blockade with the selective NET inhibitor reboxetinesupported

    Long-lasting effects on fear extinction learning and memory observed. NET activity required for behavioral effect (blocked by reboxetine). s41386-025-02206-z

  • Methylone does not directly activate 5-HT₂A receptors, distinguishing its mechanism from classical psychedelics used in psychedelic-assisted therapy.supported

    Described as highly selective rapid-acting neuroplastogen releasing 5-HT, NE, DA without 5-HT2A activity. jamapsychiatry.2025.4625

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • In rats (subcutaneous administration), peak serum and brain concentrations occur at 30 minutes, with maximum behavioral effects corresponding to peak brain levelssupported

    Serum and brain levels of methylone and nor-methylone peaked at 30 min after s.c. administration. fpsyt.2017.00232

  • Brain penetration is highly preferential, with a serum:brain ratio of 1:7.97supported

    Both drugs readily penetrated brain with serum:brain ratio 1:7.97. fpsyt.2017.00232

  • Claim in pharmacology — not_supportednot supportedworking →

  • Claim in pharmacology — inconclusiveinconclusiveworking →

  • The ring-opened metabolites interact differentially with human monoaminergic systemssupported

    N-demethylation or opening of the 3,4-methylenedioxy ring via O-demethylenation gives rise to pharmacologically active metabolites of methylone. 0269881119844185

summary15 · 12 ok
  • Unlike MDMA, repeated dosing in rats does not produce long-term serotonergic neurotoxicitysupported

    Repeated dosing causes hyperthermia but no long-term 5-HT depletion unlike MDMA. npp.2011.304

  • Unlike MDMA, repeated dosing in rats does not produce long-term serotonergic neurotoxicitysupported

    Methylone does not cause long-term 5-HT depletion unlike MDMA despite hyperthermia. 7854_2016_21

  • Claim in summary — inconclusiveinconclusiveworking →

  • Following permanent DEA Schedule I classification in 2013, the compound underwent therapeutic rediscovery: a Phase 2 randomized controlled trial (IMPACT-1) demonstrated a placebo-adjusted CAPS-5 improvement of −9.64 points for PTSD, leading to FDA Breakthrough Therapy Designation in July 2025 and a Priority Review Voucher in April 2026.partially supported

    Primary endpoint met: CAPS-5 improvement -9.64 points on Day 64. jamapsychiatry.2025.4625

  • Methylone functions as a substrate (releaser) at the dopamine, norepinephrine, and serotonin transporters while simultaneously inhibiting monoamine reuptakesupported

    Methylone, mephedrone, ethylone, butylone act as non-selective monoamine uptake inhibitors similar to cocaine. Mephedrone, methylone, ethylone and butylone also induced 5-HT release similar to MDMA. j.1476-5381.2012.02145.x

  • Methylone functions as a substrate (releaser) at the dopamine, norepinephrine, and serotonin transporters while simultaneously inhibiting monoamine reuptakesupported

    Methylone and mephedrone are nonselective substrates for plasma membrane monoamine transporters, similar to MDMA in potency and selectivity. npp.2011.304

  • Claim in summary — inconclusiveinconclusiveworking →

  • Claim in summary — not_supportednot supportedworking →

  • The β-keto group abolishes TAAR1 activity present in MDMA and reduces lipophilicity, while preserving high blood-brain barrier permeability (serum:brain ratio 1:7.97 in rats).partially supported

    Both drugs readily penetrated brain with serum:brain ratio 1:7.97. fpsyt.2017.00232

  • The experiential profile — reported in review literature rather than controlled human studies — includes empathogenic warmth, psychomotor stimulation, euphoria, and enhanced sociability, resembling MDMA but shorter in duration and reportedly lower in intensitysupported

    Desired effects: increased energy, empathy, libido. Cardiovascular/psychiatric adverse effects. sar.s37257

  • Cardiovascular toxicity is the primary acute safety concern: sudden cardiac death has been documented in both predisposed and previously healthy individuals, and blood methylone concentration does not reliably predict lethalitysupported

    First reported case of sudden cardiac death associated with methylone in a previously healthy 19-year-old. paf.0b013e31827ab5da

  • Cardiovascular toxicity is the primary acute safety concern: sudden cardiac death has been documented in both predisposed and previously healthy individuals, and blood methylone concentration does not reliably predict lethalitysupported

    Fatal methylone case in a 16-year-old with cardiac malformation. oh.2012.29310

  • Cardiovascular toxicity is the primary acute safety concern: sudden cardiac death has been documented in both predisposed and previously healthy individuals, and blood methylone concentration does not reliably predict lethalitysupported

    Lethal concentrations cannot be established. 1556-4029.13316

  • Hyperthermia risk increases markedly in crowded environmentssupported

    Methylone dose-dependently increased locomotion and induced hyperthermia (more pronounced in group-housed conditions). fpsyt.2017.00232

  • Rodent self-administration demonstrates reinforcing effects comparable to MDMA but without the dose escalation seen with cocaine or methamphetamine, suggesting moderate abuse liabilitysupported

    Long access did not lead to escalated intake unlike cocaine. Abuse potential similar to or greater than MDMA but lower compulsive use potential than prototypical stimulants. pmid:24244886

pharmacokinetic-detail7 · 6 ok
  • In rodent studies, a dose of 40 mg/kg s.c. proved surprisingly lethal to some animals, indicating a steep dose-response curve at high doses.supported

    40 mg/kg s.c. lethal to some animals. Short duration of action. fpsyt.2017.00232

  • The most comprehensive pharmacokinetic characterization of methylone derives from rat studies following subcutaneous administration:supported

    Serum and brain levels of methylone and nor-methylone peaked at 30 min after s.c. administration. Both drugs readily penetrated brain with serum:brain ratio 1:7.97. fpsyt.2017.00232

  • The 1:7.97 serum:brain ratio indicates highly preferential CNS accumulation, and the coincidence of peak brain concentration with maximum behavioral effects confirms rapid central distributionsupported

    Both drugs readily penetrated brain with serum:brain ratio 1:7.97. Methylone dose-dependently increased locomotion and induced hyperthermia. fpsyt.2017.00232

  • Methylone's two enantiomers exhibit distinct pharmacokinetic and toxicological profiles. S-(−)-methylone demonstrates greater absorption across Caco-2 intestinal cell monolayers, suggesting enantioselective oral bioavailability favoring this enantiomersupported

    S-(-)-methylone is the most absorbed enantiomer in Caco-2 intestinal cell model. Enantioselectivity in intestinal permeability first demonstrated for this cathinone class. j.taap.2020.114970

  • Two primary metabolic pathways are characterized:supported

    N-demethylation or opening of the 3,4-methylenedioxy ring via O-demethylenation gives rise to pharmacologically active metabolites of methylone. 0269881119844185

  • Claim in pharmacokinetic-detail — inconclusiveinconclusiveworking →

  • The Phase 2 PTSD trial (IMPACT-1) employed four oral doses separated by one week, suggesting the acute effect duration is manageable within a single clinical session.supported

    65 patients with severe PTSD, 4 oral doses separated by one week. jamapsychiatry.2025.4625

comparative-pharmacology6 · 4 ok
  • The key therapeutic distinction is neurotoxicity: repeated methylone dosing (3.0 and 10.0 mg/kg s.c.) in rats does not produce the long-term depletion of cortical or striatal serotonin that characterizes MDMA neurotoxicitysupported

    Repeated dosing causes hyperthermia but no long-term 5-HT depletion unlike MDMA. npp.2011.304

  • The key therapeutic distinction is neurotoxicity: repeated methylone dosing (3.0 and 10.0 mg/kg s.c.) in rats does not produce the long-term depletion of cortical or striatal serotonin that characterizes MDMA neurotoxicitysupported

    Methylone does not cause long-term 5-HT depletion unlike MDMA despite hyperthermia. 7854_2016_21

  • Claim in comparative-pharmacology — inconclusiveinconclusiveworking →

  • Claim in comparative-pharmacology — inconclusiveinconclusiveworking →

  • Compared to mephedrone (4-methylmethcathinone), methylone shares the "cocaine-MDMA mixed" profile — both are transporter substrates rather than pure uptake blockerssupported

    Methylone, mephedrone, ethylone, butylone act as non-selective monoamine uptake inhibitors similar to cocaine. Mephedrone, methylone, ethylone and butylone also induced 5-HT release similar to MDMA. j.1476-5381.2012.02145.x

  • Structure-activity relationship analysis indicates that the methylenedioxy substitution on the cathinone scaffold is the primary determinant of entactogenic character: it shifts selectivity toward serotonergic activity relative to unsubstituted cathinones.supported

    Updated SAR review of 209+ synthetic cathinones... Methylone's 3,4-methylenedioxy ring substitution confers MDMA-like entactogen profile. acsptsci.4c00299

neuroscience6 · 4 ok
  • Claim in neuroscience — inconclusiveinconclusiveworking →

  • DAT substrate activity drives dopamine efflux in the nucleus accumbens, producing the stimulant and euphoric components of the methylone experience. In vivo microdialysis confirms dose-dependent extracellular dopamine elevation, though the magnitude is less than that produced by methamphetamine — consistent with methylone's intermediate position between pure stimulants and pure entactogens.supported

    IV administration increases extracellular DA and 5-HT in rat nucleus accumbens. npp.2011.304

  • The behavioral evidence supports this: methylone produces rapid and durable improvements in fear extinction recall, with NET activity (not SERT) identified as the critical mediator for this behavioral effect.supported

    Long-lasting effects on fear extinction learning and memory observed. NET activity required for behavioral effect (blocked by reboxetine). s41386-025-02206-z

  • Claim in neuroscience — inconclusiveinconclusiveworking →

  • The characterization of methylone as a neuroplastogen aligns with the broader psychoplastogen hypothesis — the proposal that rapid-acting psychiatric treatments (including ketamine, MDMA, and classical psychedelics) share a common downstream mechanism of structural and functional neural plasticity, mediated through BDNF-trkB-mTOR signaling cascadessupported

    Described as highly selective rapid-acting neuroplastogen releasing 5-HT, NE, DA without 5-HT2A activity. jamapsychiatry.2025.4625

  • Methylone's enhancement of fear extinction recall is directly relevant to reconsolidation-based models of PTSD therapysupported

    Long-lasting effects on fear extinction learning and memory observed... Supports mechanism as rapid-acting neuroplastogen for PTSD. s41386-025-02206-z

receptor-pharmacology5 · 4 ok
  • Specific IC₅₀ values for uptake inhibition and EC₅₀ values for substrate-induced release have been reported in full-text publications, though numerical values available from abstracts are limitedsupported

    Designer beta-keto amphetamines pharmacology characterized. Methylone, mephedrone, ethylone, butylone act as non-selective monoamine uptake inhibitors similar to cocaine. j.1476-5381.2012.02145.x

  • Specific IC₅₀ values for uptake inhibition and EC₅₀ values for substrate-induced release have been reported in full-text publications, though numerical values available from abstracts are limitedsupported

    Methylone had higher inhibitory potency at uptake than binding and induced release of neurotransmitter from hDAT, hSERT and hNET. j.bcp.2013.04.004

  • The compound's classification as a "cocaine-MDMA mixed" cathinone reflects its dual action: it inhibits DA and 5-HT uptake with approximately equal potency (similar to cocaine) while also triggering carrier-mediated 5-HT release (similar to MDMA).supported

    Methylone, mephedrone, ethylone, butylone act as non-selective monoamine uptake inhibitors similar to cocaine. Mephedrone, methylone, ethylone and butylone also induced 5-HT release similar to MDMA. j.1476-5381.2012.02145.x

  • Claim in receptor-pharmacology — inconclusiveinconclusiveworking →

  • Methylone's roughly equipotent DAT and SERT inhibition, combined with preferential serotonin release, produces an intermediate profilesupported

    Methylone classified as MDMA-like cathinone. DA/SERT ratio determines psychotropic vs toxic effects. smw.2015.14043

effects-overview3 · 1 ok
  • The experience is notably sensitive to ambient temperature and social context: crowded, warm environments amplify both the empathogenic warmth and the physiological risks (particularly hyperthermia), while solitary use tends to foreground the stimulant componentsupported

    Methylone dose-dependently increased locomotion and induced hyperthermia (more pronounced in group-housed conditions). fpsyt.2017.00232

  • Claim in effects-overview — inconclusiveinconclusiveworking →

  • Claim in effects-overview — inconclusiveinconclusiveworking →

history3 · 0 ok
  • Claim in history — inconclusiveinconclusiveworking →

  • Claim in history — inconclusiveinconclusiveworking →

  • Claim in history — inconclusiveinconclusiveworking →

clinical-evidence2 · 1 ok
  • NCT05741710 — Safety and efficacy of methylone in PTSD. Status: completed. Results contributed to the Phase 2 development program and were referenced in the JAMA Psychiatry Phase 2 publication.supported

    Phase 2 RCT of TSND-201 (methylone) for PTSD. [Scope: NCT05741710 and NCT06215261] jamapsychiatry.2025.4625

  • Claim in clinical-evidence — inconclusiveinconclusiveworking →

chemistry1 · 1 ok
  • The enantiomers differ in both pharmacokinetic and toxicological properties: S-(−)-methylone exhibits greater intestinal absorption across Caco-2 cell models, suggesting enantioselective oral bioavailability, while R-(+)-methylone is the more oxidative and cytotoxic enantiomer in dopaminergic SH-SY5Y neuronal cells.supported

    S-(-)-methylone is the most absorbed enantiomer in Caco-2 intestinal cell model. Enantioselectivity in intestinal permeability first demonstrated for this cathinone class. j.taap.2020.114970

3Sources

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

Sources 1 to 30
yearsourcetierstatusfeeds
2026Efficacy and Safety of the Neuroplastogen TSND-201 for the Treatment of PTSD: A Randomized Clinical TrialJones A, Warner-Schmidt J, Kwak H, Stogniew M, Mandell B, Ching THW, Stein MB, Kelmendi B · JAMA Psychiatrydoi:10.1001/jamapsychiatry.2025.4625strongconsumed6 sections
2026FDA Accelerates Action on Treatments for Serious Mental Illness Following Executive OrderU.S. Food and Drug Administrationurl:1574e033bb8f9210weakconsumedcited only
2025Methylone promotes neurite outgrowth and has long-lasting effects on fear extinction learningWarner-Schmidt J, Stogniew M, Mandell B, Kelmendi B · Neuropsychopharmacologydoi:10.1038/s41386-025-02206-zmoderateconsumed2 sections
2025Transcend Therapeutics Receives Breakthrough Therapy Designation for TSND-201 (methylone) for the Treatment of PTSDTranscend Therapeuticsurl:cc56a81436ae7959weakconsumedcited 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.4c00299moderateconsumed1 section
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
2021S-(+)-Pentedrone and R-(+)-methylone as the most oxidative and cytotoxic enantiomers to dopaminergic SH-SY5Y cells: Role of MRP1 and P-gp in cathinones enantioselectivitySilva B, Palmeira A, Silva R, Fernandes C, Guedes de Pinho P, Remiao F · Toxicology and Applied Pharmacologydoi:10.1016/j.taap.2021.115442moderateconsumed1 section
2020Designer drugs: mechanism of action and adverse effectsLuethi D, Liechti ME · Archives of Toxicologydoi:10.1007/s00204-020-02693-7strongconsumed1 section
2020Determination of 30 Synthetic Cathinones in Postmortem Blood Using LC-MS-MSLau T, Concheiro M, Cooper G · Journal of Analytical Toxicologydoi:10.1093/jat/bkaa071moderateconsumed1 section
2020Enantioselectivity on the absorption of methylone and pentedrone using Caco-2 cell lineSilva B, Silva R, Fernandes C, Guedes de Pinho P, Remiao F · Toxicology and Applied Pharmacologydoi:10.1016/j.taap.2020.114970moderateconsumed2 sections
2020Hazard Characterization of Synthetic Cathinones Using Viability, Monoamine Reuptake, and Neuronal Activity AssaysZwartsen A, Olijhoek ME, Westerink RHS, Hondebrink L · Frontiers in Neurosciencedoi:10.3389/fnins.2020.00009moderateconsumed2 sections
2019Metabolites of the ring-substituted stimulants MDMA, methylone and MDPV differentially affect human monoaminergic systemsLuethi D, Kolaczynska KE, Walter M, Suzuki M, Rice KC, Blough BE, Hoener MC, Baumann MH, Liechti ME · Journal of Psychopharmacologydoi:10.1177/0269881119844185moderateconsumed2 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.8b00147moderateconsumed4 sections
2018Synthetic cathinones related fatalities: an updateZaami S, Giorgetti R, Pichini S, et al. · European Review for Medical and Pharmacological Sciencesdoi:10.26355/eurrev_201801_14129moderateconsumed1 section
2018TGA Final Decision: alpha-PVP and related substances methylone and synthetic cathinones (Australia Schedule 9)Therapeutic Goods Administrationurl:8cbc23895127bc07weakconsumedcited only
2017Bath Salts the New York City Medical Examiner Experience: A 3-Year Retrospective ReviewdeRoux SJ, Dunn WA · Journal of Forensic Sciencesdoi:10.1111/1556-4029.13316moderateconsumed2 sections
2017Neurotoxicology of Synthetic Cathinone AnalogsAngoa-Perez M, Anneken JH, Kuhn DM · Current Topics in Behavioral Neurosciencesdoi:10.1007/7854_2016_21moderateconsumed3 sections
2017Pharmacokinetic, Ambulatory, and Hyperthermic Effects of 3,4-Methylenedioxy-N-Methylcathinone (Methylone) in RatsStefkova K, Zidkova M, Horsley RR, Pinterova N, Sichova K, Uttl L, Balikova M, Danda H, Kuchar M, Palenicek T · Frontiers in Psychiatrydoi:10.3389/fpsyt.2017.00232moderateconsumed6 sections
2016Reinforcing and neurochemical effects of the bath salts constituents 3,4-methylenedioxypyrovalerone (MDPV) and 3,4-methylenedioxy-N-methylcathinone (methylone) in male ratsSchindler CW, Thorndike EB, Goldberg SR, Lehner KR, Cozzi NV, Brandt SD, Baumann MH · Psychopharmacologydoi:10.1007/s00213-015-4057-0moderateconsumed1 section
2015Novel psychoactive substances (designer drugs): overview and pharmacology of modulators of monoamine signalingLiechti ME · Swiss Medical Weeklydoi:10.4414/smw.2015.14043moderateconsumed2 sections
2014Designer psychostimulants: pharmacology and differencesIversen L, White M, Treble R · Neuropharmacologydoi:10.1016/j.neuropharm.2014.01.015moderateconsumedcited only
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.s37257moderateconsumed3 sections
2014Synthetic cathinones (bath salts)Banks ML, Worst TJ, Rusyniak DE, Sprague JE · Journal of Emergency Medicinedoi:10.1016/j.jemermed.2013.11.104moderateconsumed1 section
2013Analysis of synthetic cathinones commonly found in bath salts in human performance and postmortem toxicologyMarinetti LJ, Antonides HM · Journal of Analytical Toxicologydoi:10.1093/jat/bks136moderateconsumed1 section
2013Federal Register: Schedules of Controlled Substances: Placement of Methylone Into Schedule IDEAurl:890b2edb3fff9deeweakconsumedcited only
2013Methylone chemistry and history (Discovery by Jacob and Shulgin, patent 1996)Multiple sourcesurl:99a065d81cd646b4weakconsumedcited only
2013Methylone Legal Status by Jurisdiction (Erowid)Erowidurl:6a474cf5d2ae6203weakconsumedcited only
2013Substituted methcathinones differ in transporter and receptor interactionsEshleman AJ, Wolfrum KM, Hatfield MG, Johnson RA, Murphy KV, Janowsky A · Biochemical Pharmacologydoi:10.1016/j.bcp.2013.04.004moderateconsumed2 sections
2013Sudden cardiac death associated with methylone useCarbone PN, Carbone DL, Carstairs SD, Luzi SA · American Journal of Forensic Medicine and Pathologydoi:10.1097/paf.0b013e31827ab5daweakconsumedcited only
2012A new designer drug: methylone related deathKovacs K, Toth AR, Kereszty EM · Orvosi Hetilapdoi:10.1556/oh.2012.29310weakconsumedcited only
Show all 37 sources — 7 more
Sources 31 to 37
yearsourcetierstatusfeeds
2012Comparative neuropharmacology of three psychostimulant cathinone derivatives: butylone, mephedrone and methyloneLopez-Arnau R, Martinez-Clemente J, Pubill D, Escubedo E, Camarasa J · British Journal of Pharmacologydoi:10.1111/j.1476-5381.2012.01998.xmoderateconsumed1 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.xmoderateconsumed5 sections
2012Schedules of controlled substances: extension of temporary placement of methylone into schedule I of the Controlled Substances Act. Final order.DEA · Federal Registerpmid:23077760moderateconsumedcited only
2012The designer methcathinone analogs, mephedrone and methylone, are substrates for monoamine transporters in brain tissueBaumann MH, Ayestas MA, Partilla JS, et al. · Neuropsychopharmacologydoi:10.1038/npp.2011.304moderateconsumed5 sections
2012The Reinforcing and Rewarding Effects of Methylone, a Synthetic Cathinone Commonly Found in Bath SaltsWatterson LR, Hood L, Sewalia K, Tomek SE, Yahn S, Johnson CT, Wegner S, Blough BE, Marusich JA, Olive MF · Journal of Addiction Research and Therapypmid:24244886moderateconsumed3 sections
—Searched ClinicalTrials.gov for "methylone cathinone" — no resultsabsenceno results—
—Searched Multiple for "methylone tramadol lethal interaction mechanism" — no resultsabsenceno results—

4Docket

one filing per activity — decisions, correspondence, reports

  1. 0012026-04-24revisionRevision 1

    Initial LLM generation (v5 pipeline, wiki)

    psx:substance/methylone/version/1
  2. 0022026-04-24proposaldose_tier · threshold
  3. 0032026-04-24proposaldose_tier · light
  4. 0042026-04-24proposaldose_tier · common
  5. 0052026-04-24proposaldose_tier · strong
  6. 0062026-04-24proposaldose_tier · heavy
  7. 0072026-04-24proposaltimeline · oral · onset
  8. 0082026-04-24proposaltimeline · oral · come_up
  9. 0092026-04-24proposaltimeline · oral · peak
  10. 0102026-04-24proposaltimeline · oral · plateau
  11. 0112026-04-24proposaltimeline · oral · resolution
  12. 0122026-04-24proposaltimeline · oral · afterglow
  13. 0132026-04-24proposaltoxicity
  14. 0142026-04-24proposaldependence · full
  15. 0152026-04-24proposalwithdrawal
  16. 0162026-04-24proposaltolerance
  17. 0172026-04-24proposaldosage · oral
  18. 0182026-04-24proposalduration · oral · onset
  19. 0192026-04-24proposalduration · oral · come_up
  20. 0202026-04-24proposalduration · oral · peak
  21. 0212026-04-24proposalduration · oral · offset
  22. 0222026-04-24proposalduration · oral · total
  23. 0232026-04-24proposalduration · oral · aftereffects
  24. 0242026-06-04proposal33 value proposals approved together

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

    33 items in this filing

    • contraindication · cardiovascular
    • contraindication · cardiovascular
    • contraindication · respiratory
    • contraindication · psychiatric
    • contraindication · hepatic
    • contraindication · pregnancy_breastfeeding
    • contraindication · other
    • 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 · plateau
    • timeline · oral · resolution
    • timeline · oral · afterglow
    • toxicity
    • dependence · full
    • withdrawal
    • tolerance
    • dosage · oral
    • duration · oral · onset
    • duration · oral · come_up
    • duration · oral · peak
    • duration · oral · offset
    • duration · oral · total
    • duration · oral · aftereffects
    • contraindication · cardiovascular
    • contraindication · other
    • contraindication · pregnancy_breastfeeding
    psx:substance/methylone/proposal/contraindication/63a267cb-6130-49e5-87eb-296c795261df
  25. 0252026-06-04publicationPublication — backfill

5Issued documents

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

Issued documents
documentcontent hashissuedfrom versionsuperseded
info_card03e36415b64fc640d517c66f…2026-10-19 20:32Revision 1current
emergency47cf1475db8db7f236c6a01a…2026-09-04 04:31Revision 1current
info_cardba8cff6bd595662556c2230c…2026-09-04 04:31Revision 1superseded2026-10-19
noticed4c98a76a188443ee2fa49bd…2026-09-04 04:31Revision 1current