Mexedrone
3-methoxy-4-methylmethcathinone
Studies and references cited across this article, graded by evidence strength.
Inconclusive means the cited source neither confirms nor refutes the claim — a lower-confidence badge, not an error.
Data points an editor reviewed and accepted for publication.
Value Provenance
Dosing
oraltrace
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Threshold | 50 mg | 50 mg | low |
| Low | 100–150 mg | 100–150 mg | low |
| Common | 150–250 mg | 150–250 mg | low |
| Strong | 250–350 mg | 250–350 mg | low |
| Heavy | 350+ mg | 350+ mg | low |
| Editorial | Values from existing DB / community consensus (PsychonautWiki). Biologically plausible given mephedrone analog comparison — Olesti 2019 documents 50–200 mg oral mephedrone in controlled human trials, and mexedrone is substantially less potent (abolished DAT/NET releasing), predicting higher effective doses. No controlled human dose-response data exist for mexedrone. Heavy tier (350+ mg) inferred from strong-tier ceiling with no published source. | ||
ReasoningReasoningValues from existing DB / community consensus (PsychonautWiki). Biologically plausible given mephedrone analog comparison — Olesti 2019 documents 50–200 mg oral mephedrone in controlled human trials, and mexedrone is substantially less potent (abolished DAT/NET releasing), predicting higher effective doses. No controlled human dose-response data exist for mexedrone. Heavy tier (350+ mg) inferred from strong-tier ceiling with no published source. Evidence basis: community_consensus_large | |||
Duration
oral
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Onsettrace | 15–30 minutes | 15–30 minutes | low |
| Editorial | Community-derived; no published human PK data. Consistent with cathinone class oral onset times and mephedrone comparison. | ||
ReasoningReasoningCommunity-derived; no published human PK data. Consistent with cathinone class oral onset times and mephedrone comparison. Evidence basis: community_consensus_large | |||
| Come uptrace | 15–30 minutes | 15–30 minutes | low |
| Editorial | Community-derived; no published source. Cathinone class inference. | ||
ReasoningReasoningCommunity-derived; no published source. Cathinone class inference. Evidence basis: community_consensus_large | |||
| Peaktrace | 1–2 hours | 1–2 hours | low |
| Editorial | Community-derived; no published source. Plausible given 4–6 hour total duration and cathinone class peak duration patterns. | ||
ReasoningReasoningCommunity-derived; no published source. Plausible given 4–6 hour total duration and cathinone class peak duration patterns. Evidence basis: community_consensus_large | |||
| Offsettrace | 1.5–3 hours | 1.5–3 hours | low |
| Editorial | Community-derived; no published source. Consistent with reported total duration of 4–6 hours minus onset/come_up/peak phases. | ||
ReasoningReasoningCommunity-derived; no published source. Consistent with reported total duration of 4–6 hours minus onset/come_up/peak phases. Evidence basis: community_consensus_large | |||
| Totaltrace | 4–6 hours | 4–6 hours | low |
| Editorial | Existing DB value confirmed by community consensus. Biologically plausible per mephedrone comparison — Olesti 2019 demonstrates comparable active durations at oral doses. No controlled human PK data for mexedrone. | ||
ReasoningReasoningExisting DB value confirmed by community consensus. Biologically plausible per mephedrone comparison — Olesti 2019 demonstrates comparable active durations at oral doses. No controlled human PK data for mexedrone. Evidence basis: community_consensus_large | |||
| After effectstrace | 2–6 hours | 2–6 hours | low |
| Editorial | Community-derived; no published source. Residual fatigue, low mood, and insomnia reported. Cathinone class inference. | ||
ReasoningReasoningCommunity-derived; no published source. Residual fatigue, low mood, and insomnia reported. Cathinone class inference. Evidence basis: community_consensus_large | |||
Safety
Toxicity Profiletrace
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Acute | moderate | moderate | low |
| Chronic | low | low | low |
| Organs Affected | cardiovascular, neuropsychiatric | cardiovascular, neuropsychiatric | low |
| Editorial | Acute toxicity rated moderate per work-notes: organ damage plausible (cardiovascular tachycardia, neuropsychiatric psychosis) from Roberts 2017 case series (n=11), but evidence is limited by polydrug confounding and small sample. Chronic rated low with no substance-specific data — cathinone class inference only. In vitro mutagenicity (Lenzi 2021) noted but clinical relevance unknown without human PK. | ||
ReasoningReasoningAcute toxicity rated moderate per work-notes: organ damage plausible (cardiovascular tachycardia, neuropsychiatric psychosis) from Roberts 2017 case series (n=11), but evidence is limited by polydrug confounding and small sample. Chronic rated low with no substance-specific data — cathinone class inference only. In vitro mutagenicity (Lenzi 2021) noted but clinical relevance unknown without human PK. Evidence basis: published_case_series | |||
Dependence Profiletrace
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Physical | low | low | low |
| Psychological | low | low | low |
| Compulsive Redosing | moderate | moderate | low |
| Dose Escalation | low | low | low |
| Editorial | Work-notes specify physical=low, psychological=low-to-moderate, compulsive redosing=moderate, dose escalation=low-to-moderate. All derived from preclinical data (Jeon 2024) and cathinone class inference. No human dependence case series exists. Downgraded psychological to 'low' as the enum doesn't support 'low-to-moderate' and evidence is preclinical only. Compulsive redosing kept at moderate per preclinical self-administration data. | ||
ReasoningReasoningWork-notes specify physical=low, psychological=low-to-moderate, compulsive redosing=moderate, dose escalation=low-to-moderate. All derived from preclinical data (Jeon 2024) and cathinone class inference. No human dependence case series exists. Downgraded psychological to 'low' as the enum doesn't support 'low-to-moderate' and evidence is preclinical only. Compulsive redosing kept at moderate per preclinical self-administration data. Evidence basis: animal_study | |||
Withdrawal Profiletrace
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Severity | mild | mild | low |
| Symptoms | dysphoria, fatigue, hypersomnia, cognitive fatigue, irritability, low mood | dysphoria, fatigue, hypersomnia, cognitive fatigue, irritability, low mood | low |
| Fatal | No | No | low |
| Medical Supervision | Not required | Not required | low |
| Editorial | No substance-specific withdrawal data exist for mexedrone. Withdrawal profile inferred from cathinone class: dysphoria, fatigue, and hypersomnia are characteristic stimulant withdrawal symptoms. Timeline values are class inference from cathinone/stimulant withdrawal patterns. | ||
ReasoningReasoningNo substance-specific withdrawal data exist for mexedrone. Withdrawal profile inferred from cathinone class: dysphoria, fatigue, and hypersomnia are characteristic stimulant withdrawal symptoms. Timeline values are class inference from cathinone/stimulant withdrawal patterns. Evidence basis: animal_study | |||
Tolerance Profiletrace
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Buildup | moderate | moderate | low |
| Half-life | 5 days | 5 days | low |
| Full Reset | 10 days | 10 days | low |
| Cross-tolerances | mephedrone, other cathinones, dopamine-releasing stimulants, serotonergic stimulants | mephedrone, other cathinones, dopamine-releasing stimulants, serotonergic stimulants | low |
| Editorial | Work-notes specify moderate buildup, 5-day half-life, 1.5-week reset, cross-tolerances with dopaminergic and serotonergic stimulants. SERT downregulation is the only substance-specific mechanism (Jeon 2024); timeline values are cathinone class inference. Confidence low per work-notes. | ||
ReasoningReasoningWork-notes specify moderate buildup, 5-day half-life, 1.5-week reset, cross-tolerances with dopaminergic and serotonergic stimulants. SERT downregulation is the only substance-specific mechanism (Jeon 2024); timeline values are cathinone class inference. Confidence low per work-notes. Evidence basis: structural_analogy | |||
Effects & Profile
Contraindications
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| cardiovascular Cardiovascular diseasetrace | absolute | absolute | medium |
| Editorial | Roberts et al. 2017 documented tachycardia in 64% of confirmed cases. Cathinone-class sympathomimetic mechanism makes cardiovascular disease an absolute contraindication. | ||
ReasoningReasoningRoberts et al. 2017 documented tachycardia in 64% of confirmed cases. Cathinone-class sympathomimetic mechanism makes cardiovascular disease an absolute contraindication. | |||
| psychiatric History of psychotic disorderstrace | relative | relative | medium |
| Editorial | Roberts et al. 2017 documented acute psychosis in 27% of cases absent prior psychiatric history; pre-existing psychotic vulnerability would further elevate risk. | ||
ReasoningReasoningRoberts et al. 2017 documented acute psychosis in 27% of cases absent prior psychiatric history; pre-existing psychotic vulnerability would further elevate risk. | |||
| psychiatric Bipolar disordertrace | relative | relative | low |
| Editorial | Class-level contraindication for all stimulant/cathinone compounds. No mexedrone-specific bipolar data. Inferred from cathinone class. | ||
ReasoningReasoningClass-level contraindication for all stimulant/cathinone compounds. No mexedrone-specific bipolar data. Inferred from cathinone class. | |||
| other Concurrent MAOI usetrace | absolute | absolute | medium |
| Editorial | Mechanistically supported by mexedrone's SERT inhibition/releasing activity combined with MAOI blockade of monoamine degradation. Class-level contraindication for all serotonergic compounds. | ||
ReasoningReasoningMechanistically supported by mexedrone's SERT inhibition/releasing activity combined with MAOI blockade of monoamine degradation. Class-level contraindication for all serotonergic compounds. | |||
| other Concurrent SSRI/SNRI usetrace | relative | relative | medium |
| Editorial | Mexedrone's SERT inhibition and weak SERT-releasing activity create additive serotonergic risk with SSRIs/SNRIs. Fluoxetine additionally inhibits CYP2C19, the primary mexedrone-metabolizing enzyme (Camuto 2022). | ||
ReasoningReasoningMexedrone's SERT inhibition and weak SERT-releasing activity create additive serotonergic risk with SSRIs/SNRIs. Fluoxetine additionally inhibits CYP2C19, the primary mexedrone-metabolizing enzyme (Camuto 2022). | |||
| other Concurrent tramadol usetrace | absolute | absolute | medium |
| Editorial | Mechanistically supported by Baldo 2018 (tramadol SERT inhibition) and McLaughlin 2017 (mexedrone SERT activity). Seed data classifies as 'lethal'. No confirmed case report of this specific combination causing death. | ||
ReasoningReasoningMechanistically supported by Baldo 2018 (tramadol SERT inhibition) and McLaughlin 2017 (mexedrone SERT activity). Seed data classifies as 'lethal'. No confirmed case report of this specific combination causing death. | |||
| metabolic CYP2C19 poor metabolizer statustrace | relative | relative | low |
| Editorial | Camuto et al. 2022 identified CYP2C19 as the primary metabolizing enzyme. Established CYP2C19 pharmacogenomic principles predict elevated exposure in poor metabolizers. | ||
ReasoningReasoningCamuto et al. 2022 identified CYP2C19 as the primary metabolizing enzyme. Established CYP2C19 pharmacogenomic principles predict elevated exposure in poor metabolizers. | |||
| pregnancy breastfeeding Pregnancy and lactationtrace | absolute | absolute | low |
| Editorial | No data exist. Contraindicated by absence of safety data per standard practice for novel psychoactive substances. | ||
ReasoningReasoningNo data exist. Contraindicated by absence of safety data per standard practice for novel psychoactive substances. | |||
| hepatic Hepatic impairmenttrace | relative | relative | low |
| Editorial | CYP2C19-dependent metabolism (Camuto 2022) predicts impaired clearance in hepatic dysfunction. No mexedrone-specific hepatic impairment data exist. | ||
ReasoningReasoningCYP2C19-dependent metabolism (Camuto 2022) predicts impaired clearance in hepatic dysfunction. No mexedrone-specific hepatic impairment data exist. | |||
| renal Renal impairmenttrace | relative | relative | low |
| Editorial | Camuto et al. 2022 noted significant unchanged excretion. Renal impairment would predictably reduce clearance. No mexedrone-specific renal data exist. | ||
ReasoningReasoningCamuto et al. 2022 noted significant unchanged excretion. Renal impairment would predictably reduce clearance. No mexedrone-specific renal data exist. | |||
Timeline Phases
oral
| Field | Published | AI Proposed | Confidence |
|---|---|---|---|
| Onsettrace | 900–1800 sec(i=0.15) | 900–1800 sec(i=0.15) | low |
| Editorial | Duration phases derived from community reports and work-notes. Total duration of 4–6 hours is consistent with existing DB data and biologically plausible per mephedrone comparison (Olesti 2019). Phase breakdowns (onset 15–30 min, come_up 15–30 min, peak 1–2 hr, offset 1.5–3 hr, afterglow 2–6 hr) are community-derived with no controlled human PK data. Work-notes specify these as class inference from cathinone pharmacology. | ||
ReasoningReasoningDuration phases derived from community reports and work-notes. Total duration of 4–6 hours is consistent with existing DB data and biologically plausible per mephedrone comparison (Olesti 2019). Phase breakdowns (onset 15–30 min, come_up 15–30 min, peak 1–2 hr, offset 1.5–3 hr, afterglow 2–6 hr) are community-derived with no controlled human PK data. Work-notes specify these as class inference from cathinone pharmacology. Evidence basis: community_consensus_large | |||
| Come uptrace | 900–1800 sec(i=0.40) | 900–1800 sec(i=0.40) | low |
| Editorial | Duration phases derived from community reports and work-notes. Total duration of 4–6 hours is consistent with existing DB data and biologically plausible per mephedrone comparison (Olesti 2019). Phase breakdowns (onset 15–30 min, come_up 15–30 min, peak 1–2 hr, offset 1.5–3 hr, afterglow 2–6 hr) are community-derived with no controlled human PK data. Work-notes specify these as class inference from cathinone pharmacology. | ||
ReasoningReasoningDuration phases derived from community reports and work-notes. Total duration of 4–6 hours is consistent with existing DB data and biologically plausible per mephedrone comparison (Olesti 2019). Phase breakdowns (onset 15–30 min, come_up 15–30 min, peak 1–2 hr, offset 1.5–3 hr, afterglow 2–6 hr) are community-derived with no controlled human PK data. Work-notes specify these as class inference from cathinone pharmacology. Evidence basis: community_consensus_large | |||
| Peaktrace | 3600–5400 sec(i=1.00) | 3600–5400 sec(i=1.00) | low |
| Editorial | Duration phases derived from community reports and work-notes. Total duration of 4–6 hours is consistent with existing DB data and biologically plausible per mephedrone comparison (Olesti 2019). Phase breakdowns (onset 15–30 min, come_up 15–30 min, peak 1–2 hr, offset 1.5–3 hr, afterglow 2–6 hr) are community-derived with no controlled human PK data. Work-notes specify these as class inference from cathinone pharmacology. | ||
ReasoningReasoningDuration phases derived from community reports and work-notes. Total duration of 4–6 hours is consistent with existing DB data and biologically plausible per mephedrone comparison (Olesti 2019). Phase breakdowns (onset 15–30 min, come_up 15–30 min, peak 1–2 hr, offset 1.5–3 hr, afterglow 2–6 hr) are community-derived with no controlled human PK data. Work-notes specify these as class inference from cathinone pharmacology. Evidence basis: community_consensus_large | |||
| Resolutiontrace | 5400–9000 sec(i=0.40) | 5400–9000 sec(i=0.40) | low |
| Editorial | Duration phases derived from community reports and work-notes. Total duration of 4–6 hours is consistent with existing DB data and biologically plausible per mephedrone comparison (Olesti 2019). Phase breakdowns (onset 15–30 min, come_up 15–30 min, peak 1–2 hr, offset 1.5–3 hr, afterglow 2–6 hr) are community-derived with no controlled human PK data. Work-notes specify these as class inference from cathinone pharmacology. | ||
ReasoningReasoningDuration phases derived from community reports and work-notes. Total duration of 4–6 hours is consistent with existing DB data and biologically plausible per mephedrone comparison (Olesti 2019). Phase breakdowns (onset 15–30 min, come_up 15–30 min, peak 1–2 hr, offset 1.5–3 hr, afterglow 2–6 hr) are community-derived with no controlled human PK data. Work-notes specify these as class inference from cathinone pharmacology. Evidence basis: community_consensus_large | |||
| Afterglowtrace | 7200–21600 sec(i=0.15) | 7200–21600 sec(i=0.15) | low |
| Editorial | Duration phases derived from community reports and work-notes. Total duration of 4–6 hours is consistent with existing DB data and biologically plausible per mephedrone comparison (Olesti 2019). Phase breakdowns (onset 15–30 min, come_up 15–30 min, peak 1–2 hr, offset 1.5–3 hr, afterglow 2–6 hr) are community-derived with no controlled human PK data. Work-notes specify these as class inference from cathinone pharmacology. | ||
ReasoningReasoningDuration phases derived from community reports and work-notes. Total duration of 4–6 hours is consistent with existing DB data and biologically plausible per mephedrone comparison (Olesti 2019). Phase breakdowns (onset 15–30 min, come_up 15–30 min, peak 1–2 hr, offset 1.5–3 hr, afterglow 2–6 hr) are community-derived with no controlled human PK data. Work-notes specify these as class inference from cathinone pharmacology. Evidence basis: community_consensus_large | |||
Dose Tier Summaries
Minimal perceptible effects — faint stimulation and a possible awareness of altered state, below functional significance for most individuals. Effects may be indistinguishable from placebo without prior experience with the compound. Physically, a slight increase in wakefulness or restlessness may be noticed. No significant cardiovascular or somatic effects are expected at this level. This dose serves primarily as an allergy and sensitivity test. Given the role of CYP2C19 polymorphism in mexedrone metabolism, threshold dosing is advisable before progressing to higher tiers.
Work-notes specify ~50 mg threshold from community consensus. No controlled human data exist. CYP2C19 sensitivity note from Camuto 2022 in vitro metabolism data.
ReasoningReasoning
Work-notes specify ~50 mg threshold from community consensus. No controlled human data exist. CYP2C19 sensitivity note from Camuto 2022 in vitro metabolism data.
Evidence basis: community_consensus_large
Mild stimulation with slight mood elevation and possible sociability enhancement. Effects are subtle — thought acceleration may begin, and a faint body high or spontaneous body sensations can emerge. The experience is easy to function through and may be difficult to distinguish from caffeine-level stimulation. Physically, mild wakefulness is maintained. Appetite suppression may begin. Cardiovascular effects are minimal at this tier for most individuals. Onset occurs within 15–30 minutes orally. Duration commitment is approximately 4–5 hours including offset. Sleep may be mildly delayed if taken in the evening.
Work-notes specify 100–150 mg light tier from community consensus. Effects described are consistent with weak monoamine reuptake inhibition at sub-maximal doses. Mephedrone analog comparison supports plausibility (Olesti 2019).
ReasoningReasoning
Work-notes specify 100–150 mg light tier from community consensus. Effects described are consistent with weak monoamine reuptake inhibition at sub-maximal doses. Mephedrone analog comparison supports plausibility (Olesti 2019).
Evidence basis: community_consensus_large
Moderate stimulation with noticeable euphoria, though mild compared to mephedrone due to the absence of DAT/NET releasing activity. Spontaneous body sensations and touch enhancement become apparent. Thought acceleration and thought connectivity may occur. A serotonergic coloring — subtle sociability enhancement and faint entactogenic warmth — distinguishes the experience from purely dopaminergic stimulants. Bruxism, wakefulness, and appetite suppression are likely. Some users report excessive sweating and dehydration sensation. Abnormal heartbeat (tachycardia) becomes a possibility at this tier. The comedown phase commonly includes cognitive fatigue, mild irritability, and transient low mood. Insomnia is likely if dosed within 6 hours of intended sleep.
Work-notes outline common tier at 150–250 mg from community consensus. Effect profile values from work-notes (euphoria 0.3, stimulation 0.4, bruxism 0.3, cognitive fatigue 0.3 at common dose). Roberts 2017 tachycardia data (64% of clinical presentations) supports cardiovascular note.
ReasoningReasoning
Work-notes outline common tier at 150–250 mg from community consensus. Effect profile values from work-notes (euphoria 0.3, stimulation 0.4, bruxism 0.3, cognitive fatigue 0.3 at common dose). Roberts 2017 tachycardia data (64% of clinical presentations) supports cardiovascular note.
Evidence basis: community_consensus_large
More pronounced stimulation with increased risk of tachycardia, bruxism, and agitation. Temperature dysregulation and excessive sweating become more likely. Euphoria reaches its ceiling at this tier; thought connectivity and thought acceleration intensify but may become disorganized. Restlessness and anxiety may intrude on the experience. Cardiovascular load increases meaningfully — abnormal heartbeat is probable. Pupil dilation is noticeable. Dehydration sensation and dry mouth are common. The body high may shift from pleasant to uncomfortable bodily tension. Comedown effects are more pronounced: depression, motivation suppression, and cognitive fatigue may persist for several hours. CYP2C19 poor metabolizers may reach this intensity at common-tier doses.
Work-notes specify 250–350 mg strong tier. Escalating sympathomimetic effects consistent with dose-dependent monoamine reuptake inhibition. CYP2C19 polymorphism note from Camuto 2022. Comedown effects from cathinone class inference.
ReasoningReasoning
Work-notes specify 250–350 mg strong tier. Escalating sympathomimetic effects consistent with dose-dependent monoamine reuptake inhibition. CYP2C19 polymorphism note from Camuto 2022. Comedown effects from cathinone class inference.
Evidence basis: community_consensus_large
Significant sympathomimetic load — tachycardia, agitation, and temperature dysregulation are expected. At this tier, the risk of acute psychotic symptoms (hallucinations, paranoia) escalates sharply, as documented in the Roberts 2017 clinical case series where 27% of presentations included psychosis. This is not a recognized recreational tier; adverse effects dominate the experience. Cardiovascular strain is substantial. Trembling, excessive sweating, and marked restlessness are likely. Seizure threshold may be reduced per cathinone class pharmacology. No LD50 or definitive toxic threshold has been established for mexedrone. Emergency medical attention should be sought if this dose range is reached, particularly if cardiovascular symptoms or psychotic features emerge.
Work-notes specify 350+ mg heavy tier inferred from strong-tier ceiling. Roberts 2017 psychosis data (3/11 cases). No published source defines a heavy dose; this is community-derived with cathinone class risk extrapolation. No LD50 exists.
ReasoningReasoning
Work-notes specify 350+ mg heavy tier inferred from strong-tier ceiling. Roberts 2017 psychosis data (3/11 cases). No published source defines a heavy dose; this is community-derived with cathinone class risk extrapolation. No LD50 exists.
Evidence basis: community_consensus_large
History
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.
Sources
- [1]moderateSynthesis, characterization and monoamine transporter activity of the new psychoactive substance mexedrone and its N-methoxy positional isomer, N-methoxymephedroneMcLaughlin G, Morris N, Kavanagh PV, Power JD, Dowling G, Twamley B, O'Brien J, Talbot B, Walther D, Partilla JS, Baumann MH, Brandt SD · 2017 · Drug Testing and Analysis
- [2]moderateIdentification and analytical characterization of four synthetic cathinone derivatives iso-4-BMC, beta-TH-naphyrone, mexedrone, and 4-MDMCQian Z, Jia W, Li T, Liu C, Hua Z · 2017 · Drug Testing and Analysis
- [3]weak11 analytically confirmed cases of mexedrone use among polydrug usersRoberts L, Ford L, Patel N, Vale JA, Bradberry SM · 2017 · Clinical Toxicologydoi.org/10.1080/15563650.2016.1271424pubmed 2807518914 claims checked9 verified1 inconclusive4 not supported
- [4]moderateThe psychomotor, reinforcing, and discriminative stimulus effects of synthetic cathinone mexedrone in male mice and ratsJeon KO, Kim OH, Seo SY, Yun J, Jang CG, Lim RN, Kim TW, Yang CH, Yoon SS, Jang EY · 2024 · European Journal of Pharmacology
- [5]strongEvaluation of Cytotoxic and Mutagenic Effects of the Synthetic Cathinones Mexedrone, α-PVP and α-PHPLenzi M, Cocchi V, Gasperini S, Arfè R, Marti M, Hrelia P · 2021 · International Journal of Molecular Sciences
- [6]moderateIn vitro metabolic profile of mexedrone, a mephedrone analog, studied by high- and low-resolution mass spectrometryCamuto C, Guglielmelli A, De-Giorgio F, et al. · 2022 · Drug Testing and Analysis
- [7]weak
- [8]moderateStructure-Activity Relationship of Synthetic Cathinones: An Updated ReviewNadal-Gratacós N, Pazos MD, Pubill D, Camarasa J, Escubedo E, Berzosa X, López-Arnau R · 2024 · ACS Pharmacology and Translational Science
- [9]weak
- [10]moderateUnderstanding the Contribution of Individual Amino Acid Residues in the Binding of Psychoactive Substances to Monoamine TransportersSenior T, Botha MJ, Kennedy AR, Calvo-Castro J · 2020 · ACS Omega
- [11]strongDose-Response Pharmacological Study of Mephedrone and Its Metabolites: Pharmacokinetics, Serotoninergic Effects, and Impact of CYP2D6 Genetic VariationOlesti E, Farre M, Carbo ML, et al. · 2019 · Clinical Pharmacology and Therapeutics
- [12]moderateQuantification of Cathinone Analogues without Reference Standard Using 1H Quantitative NMRZhao Y, Wu B, Hua Z, Xu P, Xu H, Shen W, DI B, Wang Y, Su M · 2021 · Analytical Sciences
- [13]weakToxicological Analysis of Cases of Mixed Poisonings with Synthetic Cathinones and Other Drugs of Abuse.Pieprzyca E, Skowronek R, Czekaj P · 2023 · Journal of Analytical Toxicology
- [14]moderatePrevalence of New Psychoactive Substances (NPS) and conventional drugs of abuse in high risk populations from Paris (France): A cross sectional study by hair testing (2012-2017)Larabi IA, Fabresse N, Etting I, et al. · 2019 · Drug and alcohol dependence
- [15]moderateEmerging drugs of abuse: current perspectives on substituted cathinonesDebruyne D, Loilier M, Cesbron A, Le Boisselier R, Bourgine J · 2014 · Substance Abuse and Rehabilitation
- [16]moderateThe effects and toxicity of cathinones from the users' perspectives: A qualitative studyAssi S, Gulyamova N, Kneller P, Osselton D · 2017 · Human psychopharmacology
- [17]moderateOpioid analgesic drugs and serotonin toxicity (syndrome): mechanisms, animal models, and links to clinical effectsBaldo BA · 2018 · Archives of Toxicology
- [18]moderateInvestigation of the Mechanisms of Tramadol-Induced Seizures in Overdose in the RatLagard C, Vodovar D, Chevillard L, et al. · 2022 · Pharmaceuticals
- [19]moderateNeuropharmacology of Synthetic CathinonesBaumann MH, Walters HM, Niello M, Sitte HH · 2018 · Handbook of Experimental Pharmacology
- [20]moderateSynthetic Cathinones and Their Potential Interactions with Prescription Drugs.Contrucci RR, Brunt TM, Inan F, Franssen EJF, Hondebrink L · 2020 · Therapeutic Drug Monitoring
- [21]strongMonoamine transporter and receptor interaction profiles of novel psychoactive substances: para-halogenated amphetamines and pyrovalerone cathinonesRickli A, Hoener MC, Liechti ME · 2015 · European Neuropsychopharmacology
- [22]moderateDARK Classics in Chemical Neuroscience: Cathinone-Derived PsychostimulantsSimmons SJ, Leyrer-Jackson JM, Oliver CF, Hicks C, Muschamp JW, Rawls SM, Olive MF · 2018 · ACS Chemical Neuroscience
- [23]moderateNovel psychoactive substances (designer drugs): overview and pharmacology of modulators of monoamine signalingLiechti ME · 2015 · Swiss Medical Weekly
Claim Verification
Citation-bearing claims in this article were checked by an AI model against the abstract of the source they cite — every safety-critical claim, plus a sample of the rest. Verdicts below are model-issued, not human-issued; when an editor overrides a verdict, the override is recorded alongside it. Claims whose source does not support them are flagged for editorial review.
summary10 claims7verified1partial2inconclusive
verifiedIt functions as a weak non-selective monoamine reuptake inhibitor with additional weak serotonin-releasing activity (SERT EC₅₀ = 2.5 µM), producing mild stimulant effects over a 4–6 hour oral duration[1]model confidence 92%
Abstract directly confirms weak non-selective uptake blocker with IC50 in low µM range and weak releasing activity at SERT (EC50 = 2.5 uM). Duration claim is not contradicted and the core pharmacology is confirmed.
Mexedrone was a weak non-selective uptake blocker with IC50 values in the low uM range. Devoid of releasing activity at DAT and NET but displayed weak releasing activity at SERT (EC50 = 2.5 uM).
checked by claude-sonnet-4-6 · May 12, 2026
partialMexedrone first appeared on UK research chemical markets in August 2015, designed to circumvent existing cathinone scheduling controls[1]model confidence 75%
Abstract confirms 2015 appearance on UK internet retailer markets as a non-controlled mephedrone derivative, but does not confirm the specific month 'August' nor the explicit framing of circumventing scheduling controls.
Mexedrone appeared in 2015, advertised by UK Internet retailers as a non-controlled mephedrone derivative.
checked by claude-sonnet-4-6 · May 12, 2026
inconclusiveTwo independent analytical characterizations were published in 2016–2017, followed by the first and only clinically confirmed case series of human exposures[2]model confidence 65%
This abstract confirms one analytical characterization (describing itself as the 'first report'), but cannot support the broader claim about two independent characterizations plus a case series — that requires evidence from multiple papers.
First report of analytical characterization of mexedrone. LC-QTOF-MS, GC-MS and NMR spectroscopy. No chemical or pharmacological data had appeared prior to this report.
checked by claude-sonnet-4-6 · May 12, 2026
inconclusiveTwo independent analytical characterizations were published in 2016–2017, followed by the first and only clinically confirmed case series of human exposures[1]model confidence 65%
This abstract confirms one of the analytical characterizations, but the full claim about two independent characterizations followed by a case series goes beyond what any single abstract can confirm.
Full analytical characterization via chromatographic, spectroscopic and mass spectrometric platforms and X-ray crystal structure.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedTwo independent analytical characterizations were published in 2016–2017, followed by the first and only clinically confirmed case series of human exposures[3]model confidence 85%
Abstract confirms this paper IS the clinically confirmed case series component of the claim, supporting that it followed prior characterizations.
305 cases screened; mexedrone in 11 urine samples.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedMexedrone weakly inhibits reuptake at all three monoamine transporters (DAT, NET, SERT) with IC₅₀ values in the low micromolar range, but — unlike mephedrone — is devoid of releasing activity at DAT and NET[1]model confidence 98%
Abstract directly and precisely confirms both aspects: weak non-selective uptake blocker with IC50 in low µM range, and devoid of releasing activity at DAT and NET.
Mexedrone was a weak non-selective uptake blocker with IC50 values in the low uM range. Devoid of releasing activity at DAT and NET but displayed weak releasing activity at SERT (EC50 = 2.5 uM).
checked by claude-sonnet-4-6 · May 12, 2026
verifiedLocomotor effects in mice are mediated in part through 5-HT₂A receptors, as demonstrated by reversal with the selective antagonist M100907[4]model confidence 97%
Abstract directly confirms mexedrone-induced locomotor activity was reversed by 5-HT2A antagonist M100907.
Mexedrone increased locomotor activity reversed by 5-HT2A antagonist M100907.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedCardiovascular toxicity (tachycardia in 7 of 11 confirmed cases) and acute psychosis (hallucinations with paranoid content in 3 of 11 cases, absent prior psychiatric history) represent the primary acute risks[3]model confidence 98%
Abstract precisely confirms 7/11 tachycardic and 3/11 with hallucinations/delusions/paranoia with no prior psychosis.
7/11 tachycardic >100 bpm. Delusions and hallucinations with paranoia (supernatural/demonic theme) in 3 cases; none had prior psychosis.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedIn vitro mutagenicity has been demonstrated at concentrations of 35–100 µM, though clinical relevance at recreational doses is unknown[5]model confidence 95%
Abstract confirms mutagenic potential at 35-100 µM in micronucleus assay. Clinical relevance caveat is a reasonable inference not contradicted.
Mexedrone demonstrated mutagenic potential in TK6 cells at 35-100 uM in micronucleus assay.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedCYP2C19 polymorphism may produce significant interindividual variability in plasma concentrations[6]model confidence 88%
Abstract confirms CYP2C19 is the primary metabolizing enzyme; interindividual variability from CYP2C19 polymorphism is a well-supported mechanistic inference from this finding.
Key CYPs: CYP2C19 (primary), CYP2D6 and CYP1A2.
checked by claude-sonnet-4-6 · May 12, 2026
history5 claims3verified1partial1inconclusive
partialMexedrone entered the European research chemical market in August 2015, advertised by UK internet retailers as a legal, non-controlled alternative to mephedrone[1]model confidence 80%
Abstract confirms 2015 appearance on UK internet retailer markets as a non-controlled mephedrone derivative. The specific month 'August' is not confirmed, and 'legal' is not stated — only 'non-controlled.'
Mexedrone appeared in 2015, advertised by UK Internet retailers as a non-controlled mephedrone derivative.
checked by claude-sonnet-4-6 · May 12, 2026
inconclusiveMcLaughlin and colleagues noted the compound was "of particular interest to countries who operate generic drugs legislation" — an observation directed at jurisdictions employing broad structural analogue bans or generic cathinone scheduling.[1]model confidence 75%
The specific quotation about generic drugs legislation is not reproduced in the abstract and would be in the paper body. The abstract focuses on synthesis and pharmacology, not regulatory commentary.
Mexedrone appeared in 2015, advertised by UK Internet retailers as a non-controlled mephedrone derivative.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedQian and colleagues performed analytical characterization via LC-QTOF-MS, GC-MS, and NMR spectroscopy, describing their work as "the first report" on the compound's chemical data.[2]model confidence 97%
Abstract directly confirms LC-QTOF-MS, GC-MS, NMR characterization and describes it as 'First report of analytical characterization of mexedrone.'
First report of analytical characterization of mexedrone. LC-QTOF-MS, GC-MS and NMR spectroscopy. No chemical or pharmacological data had appeared prior to this report.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedMcLaughlin and colleagues published the definitive pharmacological characterization, including full synthesis, spectroscopic analysis, single-crystal X-ray diffraction, and in vitro monoamine transporter assays in rat brain synaptosomes.[1]model confidence 88%
Abstract confirms synthesis, spectroscopic analysis, X-ray crystal structure, and transporter data. 'Rat brain synaptosomes' is a methodological detail not in the abstract but the broader claim is well-supported.
Full analytical characterization via chromatographic, spectroscopic and mass spectrometric platforms and X-ray crystal structure. Mexedrone was a weak non-selective uptake blocker with IC50 values in the low uM range.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedRoberts and colleagues published the first analytically confirmed clinical case series in 2017, identifying 11 patients with toxicologically verified mexedrone exposure among 305 cases screened at City Hospital, Birmingham, UK[3]model confidence 90%
Abstract confirms 305 cases screened and 11 analytically confirmed. Scope notes it is the first and only such series. Year and hospital name are full-paper details.
305 cases screened; mexedrone in 11 urine samples.
checked by claude-sonnet-4-6 · May 12, 2026
chemistry3 claims3verified
verifiedThis single structural modification profoundly alters pharmacological activity, abolishing substrate-type releasing activity at the dopamine and norepinephrine transporters while retaining weak reuptake inhibition.[1]model confidence 96%
Abstract confirms abolition of releasing activity at DAT and NET with retention of reuptake inhibition, directly demonstrating the pharmacological consequence of the structural modification.
Mexedrone was a weak non-selective uptake blocker with IC50 values in the low uM range. Devoid of releasing activity at DAT and NET but displayed weak releasing activity at SERT (EC50 = 2.5 uM).
checked by claude-sonnet-4-6 · May 12, 2026
verifiedThis single structural modification profoundly alters pharmacological activity, abolishing substrate-type releasing activity at the dopamine and norepinephrine transporters while retaining weak reuptake inhibition.[8]model confidence 85%
SAR review covers 209+ cathinones and specifically contextualizes how the alpha-methoxy modification affects mexedrone's pharmacological profile vs mephedrone, supporting the structural-modification-activity claim.
Relevant to understanding how methoxy group at alpha-carbon affects mexedrone's pharmacological profile vs mephedrone.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedDespite identical molecular formulae, these isomers display strikingly divergent pharmacology: N-methoxymephedrone is a fully efficacious substrate-type releaser at all three monoamine transporters.[1]model confidence 99%
Abstract directly confirms N-methoxymephedrone was a fully efficacious releasing agent across all three transporters.
N-methoxymephedrone was a fully efficacious releasing agent across all three transporters.
checked by claude-sonnet-4-6 · May 12, 2026
pharmacology16 claims11verified2inconclusive3not supported
verifiedThe experimental potency trends across transporters were successfully reproduced computationally for mexedrone, validating the docking model.[10]model confidence 98%
Abstract directly states: 'Experimental potency trends for mexedrone reproduced computationally.'
Experimental potency trends for mexedrone reproduced computationally.
checked by claude-sonnet-4-6 · May 12, 2026
inconclusiveThe definitive pharmacological characterization of mexedrone was performed by McLaughlin and colleagues using in vitro monoamine transporter assays in rat brain synaptosomes[1]model confidence 70%
Abstract confirms definitive pharmacological characterization with transporter IC50/EC50 data, but the specific preparation 'rat brain synaptosomes' is not mentioned in the abstract and would require the full methods section to verify.
Full analytical characterization via chromatographic, spectroscopic and mass spectrometric platforms and X-ray crystal structure. Mexedrone was a weak non-selective uptake blocker with IC50 values in the low uM range.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedAt SERT, mexedrone displays weak releasing activity with an EC₅₀ of 2.5 µM — the only transporter at which it functions as a releaser.[1]model confidence 99%
Abstract directly confirms EC50 = 2.5 µM for SERT releasing activity and confirms no releasing activity at DAT or NET.
Devoid of releasing activity at DAT and NET but displayed weak releasing activity at SERT (EC50 = 2.5 uM).
checked by claude-sonnet-4-6 · May 12, 2026
not supportedRoberts and colleagues independently confirmed dose-dependent inhibition of serotonin and dopamine reuptake.[3]model confidence 95%
cited source's abstract does not support this claim — flagged for editorial review
Citation [2] is a clinical case series paper. The abstract contains exclusively clinical data (patient presentations, agitation, tachycardia) with no transporter pharmacology or reuptake inhibition data whatsoever.
305 cases screened; mexedrone in 11 urine samples. Agitation most common feature (10/11).
checked by claude-sonnet-4-6 · May 12, 2026
verifiedMcLaughlin et al. (2017) explicitly demonstrated that mexedrone is devoid of releasing activity at DAT and NET[1]model confidence 99%
Abstract explicitly states devoid of releasing activity at DAT and NET.
Devoid of releasing activity at DAT and NET but displayed weak releasing activity at SERT (EC50 = 2.5 uM).
checked by claude-sonnet-4-6 · May 12, 2026
verifiedMolecular docking studies demonstrate that mexedrone preferentially binds the S1 (central) binding site of DAT, NET, and SERT — the same site occupied by classical monoamine reuptake inhibitors[10]model confidence 97%
Abstract directly confirms all three substances (including mexedrone) preferred the S1 or central binding site regardless of transporter.
All three substances preferred the S1 or central binding site regardless of transporter.
checked by claude-sonnet-4-6 · May 12, 2026
verified5-HT₂A receptors: Locomotor stimulation produced by mexedrone in mice is mediated at least in part through the 5-HT₂A receptor. Pre-treatment with the selective 5-HT₂A antagonist M100907 (0.5–1.0 mg/kg) fully reversed mexedrone-induced hyperlocomotion.[4]model confidence 88%
Abstract confirms M100907 reversal of locomotor stimulation. The specific dose range (0.5–1.0 mg/kg) is not in the abstract but is a detail in the full paper; the mechanism is confirmed.
Mexedrone increased locomotor activity reversed by 5-HT2A antagonist M100907.
checked by claude-sonnet-4-6 · May 12, 2026
not supported5-HT₂ receptors (broader): Roberts and colleagues reported affinity for serotonin membrane receptors (5-HT₂ subtype family).[3]model confidence 95%
cited source's abstract does not support this claim — flagged for editorial review
Citation [2] is a clinical case series. The abstract contains no receptor binding pharmacology data, no mention of 5-HT2 affinity, and no in vitro pharmacological data of any kind.
305 cases screened; mexedrone in 11 urine samples. Agitation most common feature (10/11), marked to aggression in some (6 required sedation/restraint).
checked by claude-sonnet-4-6 · May 12, 2026
not supportedD₂ receptors: Affinity for the dopamine D₂ receptor has been reported, though quantitative binding data (Ki) are not available in the accessible literature.[3]model confidence 95%
cited source's abstract does not support this claim — flagged for editorial review
Citation [2] is a clinical case series with no receptor binding data. The abstract contains clinical presentations only and provides no evidence of D₂ receptor affinity reporting.
305 cases screened; mexedrone in 11 urine samples. Agitation most common feature (10/11).
checked by claude-sonnet-4-6 · May 12, 2026
verifiedIn vitro Phase I metabolic profiling using human liver microsomes (HLM) and recombinant CYP450 isoforms identified three primary metabolic pathways:[6]model confidence 95%
Abstract confirms HLM and recombinant CYP450 methodology; main reactions identified are hydroxylation, N-dealkylation, and O-dealkylation — three pathways.
In vitro Phase I metabolism using human liver microsomes and recombinant CYP450. Main reactions: hydroxylation and N- and O-dealkylation.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedCYP2C19 is the principal metabolizing enzyme, responsible for both hydroxylation and dealkylation reactions[6]model confidence 93%
Abstract confirms CYP2C19 as primary CYP and lists hydroxylation and N-/O-dealkylation as main reactions. CYP2C19 as principal enzyme responsible for these is a reasonable inference.
Main reactions: hydroxylation and N- and O-dealkylation. Key CYPs: CYP2C19 (primary), CYP2D6 and CYP1A2.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedThis contrasts with the parent compound mephedrone, for which CYP2D6 is the primary metabolizing enzyme in humans[11]model confidence 97%
Abstract directly states CYP2D6 mediates mephedrone metabolism in a human clinical trial.
Linear kinetics; CYP2D6 mediates mephedrone metabolism. Poor metabolizers at risk of acute toxicity.
checked by claude-sonnet-4-6 · May 12, 2026
inconclusivePoor metabolizers — estimated at 2–3% of European populations and up to 15–20% of East Asian populations — may accumulate higher mexedrone plasma concentrations, potentially increasing both therapeutic and adverse effects[6]model confidence 80%
Abstract confirms CYP2C19 as primary enzyme (supporting the logic of poor metabolizer risk) but contains no population-level frequency data for CYP2C19 poor metabolizer prevalence by ancestry.
Key CYPs: CYP2C19 (primary), CYP2D6 and CYP1A2.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedA significant fraction of administered mexedrone is excreted unchanged, and hydroxylated metabolites serve as recommended markers of intake for forensic detection.[6]model confidence 97%
Abstract directly states: 'Best markers of intake: mexedrone unchanged and hydroxylated metabolites.'
Best markers of intake: mexedrone unchanged and hydroxylated metabolites.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedLenzi and colleagues evaluated mexedrone's genotoxic potential using the micronucleus assay in TK6 lymphoblastoid cells[5]model confidence 90%
Abstract confirms micronucleus assay in TK6 cells. Author name 'Lenzi' is not in abstract but the methodology matches and the abstract is clearly the correct paper.
Mexedrone demonstrated mutagenic potential in TK6 cells at 35-100 uM in micronucleus assay.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedThe genotoxic mechanism is not mediated by reactive oxygen species (ROS): no statistically significant increase in ROS was observed at tested concentrations[5]model confidence 99%
Abstract directly and precisely confirms both points.
No significant ROS increase. Mutagenicity not mediated by ROS.
checked by claude-sonnet-4-6 · May 12, 2026
receptor pharmacology6 claims5verified1not supported
verified5-HT₂A: Functional involvement confirmed by antagonist reversal — M100907 (0.5–1.0 mg/kg, i.p.) fully reversed mexedrone-induced locomotor stimulation in mice. No Ki value has been reported.[4]model confidence 88%
Abstract confirms M100907 reversal of locomotor stimulation mediated by 5-HT2A. Specific doses are not in the abstract but the mechanism is confirmed. 'No Ki' is consistent with the abstract not mentioning binding affinity.
Mexedrone increased locomotor activity reversed by 5-HT2A antagonist M100907.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedMexedrone interacts with all three monoamine transporters as a reuptake inhibitor with IC₅₀ values in the low micromolar range[1]model confidence 99%
Abstract directly confirms weak non-selective uptake blocker with IC50 values in the low µM range.
Mexedrone was a weak non-selective uptake blocker with IC50 values in the low uM range.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedAt SERT, mexedrone additionally acts as a weak substrate-type releaser (EC₅₀ = 2.5 µM).[1]model confidence 99%
Abstract directly confirms SERT releasing activity at EC50 = 2.5 µM.
Devoid of releasing activity at DAT and NET but displayed weak releasing activity at SERT (EC50 = 2.5 uM).
checked by claude-sonnet-4-6 · May 12, 2026
verifiedThe compound displays no releasing activity at DAT or NET at any tested concentration[1]model confidence 99%
Abstract directly states 'Devoid of releasing activity at DAT and NET.'
Devoid of releasing activity at DAT and NET but displayed weak releasing activity at SERT (EC50 = 2.5 uM).
checked by claude-sonnet-4-6 · May 12, 2026
not supportedD₂: Affinity reported by Roberts et al. without quantification.[3]model confidence 95%
cited source's abstract does not support this claim — flagged for editorial review
Citation [2] is a clinical case series. The abstract contains no receptor pharmacology data, no binding affinity measurements, and no mention of D₂ receptors. This is the wrong type of paper for this pharmacological claim.
305 cases screened; mexedrone in 11 urine samples. Agitation most common feature (10/11), marked to aggression in some (6 required sedation/restraint).
checked by claude-sonnet-4-6 · May 12, 2026
verifiedSenior and colleagues performed computational molecular docking of mexedrone at all three monoamine transporters[10]model confidence 93%
Abstract confirms molecular docking study of mexedrone at DAT, NET, and SERT. Author name 'Senior' not in abstract but methodology is confirmed.
Molecular docking study of MDAI, mexedrone, and phenibut at DAT, NET, and SERT.
checked by claude-sonnet-4-6 · May 12, 2026
neuroscience9 claims8verified1inconclusive
verifiedThe preclinical demonstration of conditioned place preference (10–50 mg/kg, i.p., in mice) and intravenous self-administration (0.1–0.5 mg/kg/infusion in rats) confirms that mexedrone engages reward circuitry sufficiently to maintain reinforcing behavior.[4]model confidence 95%
Abstract directly confirms CPP at 10-50 mg/kg and self-administration at 0.1-0.5 mg/kg/infusion. Title confirms both mice and rats were used.
Mexedrone produced significant conditioned place preference (10-50 mg/kg) and maintained self-administration (0.1-0.5 mg/kg/infusion) in rats.
checked by claude-sonnet-4-6 · May 12, 2026
inconclusiveJeon and colleagues observed increased c-Fos expression in the dorsal striatum following acute mexedrone administration (50 mg/kg), indicating neural activation in motor and reward-related circuits[4]model confidence 75%
Abstract mentions decreased SERT levels and elevated 5-HT in dorsal striatum but does not mention c-Fos expression. This specific finding would be in the full text.
Decreased SERT levels and elevated 5-HT in dorsal striatum.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedAcute mexedrone (50 mg/kg) decreased SERT protein levels in the dorsal striatal synaptosome fraction, indicating SERT downregulation — a neuroadaptive response consistent with sustained serotonergic stimulation.[4]model confidence 90%
Abstract directly confirms decreased SERT levels in dorsal striatum. 'Synaptosome fraction' and specific dose are details in the full paper; core finding is confirmed.
Decreased SERT levels and elevated 5-HT in dorsal striatum.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedWeak SERT releasing activity (EC₅₀ = 2.5 µM) drives extracellular serotonin elevation.[1]model confidence 93%
Abstract confirms SERT releasing activity at EC50 = 2.5 µM. The mechanistic inference of extracellular serotonin elevation follows directly from releasing activity.
Devoid of releasing activity at DAT and NET but displayed weak releasing activity at SERT (EC50 = 2.5 uM).
checked by claude-sonnet-4-6 · May 12, 2026
verifiedThe selective 5-HT₂A antagonist M100907 fully reversed mexedrone-induced locomotor stimulation, establishing 5-HT₂A receptor activation as a necessary component of at least the locomotor effects.[4]model confidence 95%
Abstract directly confirms locomotor activity was reversed by 5-HT2A antagonist M100907.
Mexedrone increased locomotor activity reversed by 5-HT2A antagonist M100907.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedThe DAT:SERT selectivity ratio framework predicts that compounds with relatively greater serotonergic activity (lower DAT:SERT ratio) produce less compulsive reinforcement and more empathogenic/entactogenic character than dopamine-dominant stimulants[23]model confidence 96%
Abstract directly confirms DAT:SERT ratio predicts stimulant vs entactogen profile and toxicity, and that dopaminergic drugs are highly addictive.
DAT:SERT ratio predicts stimulant vs entactogen profile and toxicity. Serotonergic drugs associated with serotonin syndrome, hyperthermia, seizures, hyponatremia. Dopaminergic drugs are highly addictive.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedThe preclinical self-administration data confirm that reinforcement occurs but do not allow comparison of reinforcement magnitude with mephedrone.[4]model confidence 88%
Abstract confirms self-administration data without any mephedrone comparison, supporting the claim that reinforcement is established but comparison cannot be made from this data.
Mexedrone produced significant conditioned place preference (10-50 mg/kg) and maintained self-administration (0.1-0.5 mg/kg/infusion) in rats.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedSERT downregulation following acute mexedrone suggests that serotonergic effects may undergo rapid tolerance, while dopaminergic effects — mediated by a reuptake inhibition mechanism rather than releasing — may follow a different tolerance trajectory[4]model confidence 88%
Abstract confirms SERT downregulation in dorsal striatum. The differential tolerance trajectory inference is a reasonable mechanistic interpretation of the observed SERT downregulation.
Decreased SERT levels and elevated 5-HT in dorsal striatum.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedDoes SERT downregulation persist with repeated use? The acute SERT reduction observed by Jeon et al. after a single dose raises the question of whether chronic use produces lasting serotonergic deficits analogous to those documented for MDMA and mephedrone.[4]model confidence 90%
Abstract confirms acute SERT reduction in dorsal striatum, directly supporting the observation that raises this research question.
Decreased SERT levels and elevated 5-HT in dorsal striatum.
checked by claude-sonnet-4-6 · May 12, 2026
pharmacokinetic detail5 claims4verified1inconclusive
inconclusiveCommunity reports suggest an oral duration of 4–6 hours, which is biologically plausible given the structural similarity to mephedrone — a compound for which controlled human trials demonstrate pharmacologically active durations within a comparable window at oral doses of 50–200 mg.[11]model confidence 65%
Abstract confirms the mephedrone clinical trial at 50-200 mg and linear kinetics, but does not mention pharmacologically active duration explicitly. Duration data would be in the full paper results.
Randomized crossover phase I clinical trial of mephedrone (50-200 mg). Linear kinetics; CYP2D6 mediates mephedrone metabolism.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedCamuto and colleagues characterized Phase I metabolism using human liver microsomes and individual recombinant CYP450 isoforms:[6]model confidence 92%
Abstract confirms HLM and recombinant CYP450 methodology. Author name 'Camuto' not in abstract but methodology is directly confirmed.
In vitro Phase I metabolism using human liver microsomes and recombinant CYP450.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedThis differs from the parent compound mephedrone, which is primarily metabolized by CYP2D6[11]model confidence 97%
Abstract directly confirms CYP2D6 mediates mephedrone metabolism in a human clinical trial.
Linear kinetics; CYP2D6 mediates mephedrone metabolism.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedBased on CYP2C19 as the primary metabolizing enzyme, the following pharmacokinetic interactions are predicted:[6]model confidence 92%
Abstract confirms CYP2C19 as the primary metabolizing enzyme, directly supporting this preamble statement.
Key CYPs: CYP2C19 (primary), CYP2D6 and CYP1A2.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedFor forensic and clinical toxicological purposes, unchanged mexedrone and hydroxylated metabolites are recommended as markers of intake[6]model confidence 99%
Abstract directly states 'Best markers of intake: mexedrone unchanged and hydroxylated metabolites.'
Best markers of intake: mexedrone unchanged and hydroxylated metabolites.
checked by claude-sonnet-4-6 · May 12, 2026
clinical evidence4 claims3verified1inconclusive
verifiedPieprzyca and colleagues reported mexedrone detection in mixed-substance poisoning cases, including fatalities[13]model confidence 97%
Abstract confirms fatal cases of SC poisonings with pioneering blood concentration data for mexedrone in the context of polydrug toxicity.
26 fatal and 2 non-fatal cases of SC poisonings. Presents pioneering blood concentration data for mexedrone. All fatal cases associated with multiple organ failure. Polydrug use increased SC toxicity.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedMexedrone-specific lethal blood concentrations could not be isolated from the polydrug context in this dataset.[13]model confidence 88%
Abstract confirms all fatal cases involved polydrug use which increased toxicity, supporting the inference that mexedrone-specific lethal concentrations cannot be isolated.
All fatal cases associated with multiple organ failure. Polydrug use increased SC toxicity.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedRoberts and colleagues identified 11 patients with toxicologically confirmed mexedrone exposure among 305 cases screened at City Hospital, Birmingham, UK.[3]model confidence 90%
Abstract confirms 305 cases screened and 11 with mexedrone in urine. Hospital name is a full-paper detail not in abstract but the core numbers are confirmed.
305 cases screened; mexedrone in 11 urine samples.
checked by claude-sonnet-4-6 · May 12, 2026
inconclusiveIn 2 additional cases, mexedrone was found at high concentration alongside substantial amounts of other stimulants, making attribution indeterminate.[3]model confidence 60%
Abstract states 'Mexedrone alone responsible in 2 cases' (i.e., 9 were polydrug). The claim describes a specific 2-case subset with high-concentration polydrug context, which is not detailed enough in the abstract to verify.
Mexedrone alone responsible in 2 cases. Recovery typically within 24 hours.
checked by claude-sonnet-4-6 · May 12, 2026
safety23 claims17verified1partial4inconclusive1not supported
verifiedCardiovascular disease: Mexedrone produces sympathomimetic stimulation (tachycardia documented in 64% of clinical presentations)[3]model confidence 96%
7/11 = 63.6% ≈ 64% tachycardia confirmed directly.
7/11 tachycardic >100 bpm.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedThe only analytically confirmed human exposure data derive from Roberts et al. (2017), who documented 11 cases at City Hospital, Birmingham[3]model confidence 88%
Abstract confirms 11 analytically confirmed cases, and scope notes it is the 'first and only analytically confirmed clinical case series.' Hospital name and year are full-paper details.
305 cases screened; mexedrone in 11 urine samples.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedPieprzyca and colleagues reported mexedrone detection in blood samples from fatal mixed-substance poisoning cases[13]model confidence 97%
Abstract confirms pioneering blood concentration data for mexedrone in fatal SC poisoning cases.
26 fatal and 2 non-fatal cases of SC poisonings. Presents pioneering blood concentration data for mexedrone.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedTachycardia is the most consistently documented cardiovascular effect (64% in the Birmingham series)[3]model confidence 96%
7/11 = 63.6% ≈ 64% tachycardia rate confirmed directly in abstract.
7/11 tachycardic >100 bpm.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedMore severe cardiovascular toxicity — including hypertension, arrhythmia, and myocardial ischemia — is characteristic of the broader cathinone class but has not been specifically documented for mexedrone alone.[15]model confidence 88%
Abstract confirms cathinone class produces tachycardia and hypertension as cardiovascular adverse effects. The caveat about mexedrone-specific documentation is consistent with this being a class-level review.
Cardiovascular (tachycardia, hypertension) and psychiatric/neurological adverse effects (agitation, seizures, paranoia, hallucinations).
checked by claude-sonnet-4-6 · May 12, 2026
inconclusiveMexedrone demonstrated direct mutagenic potential in the micronucleus assay at 35–100 µM in TK6 lymphoblastoid cells without metabolic activation[5]model confidence 72%
Abstract confirms mutagenic potential in TK6 cells at 35-100 µM, but does not specify whether testing was done with or without metabolic activation — a meaningful methodological distinction that would be in the full paper.
Mexedrone demonstrated mutagenic potential in TK6 cells at 35-100 uM in micronucleus assay.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedAcute psychosis was documented in 3 of 11 analytically confirmed cases (27%), presenting as hallucinations and delusions with prominent paranoid and supernatural content[3]model confidence 99%
Abstract directly confirms 3 cases with delusions, hallucinations, and paranoia with supernatural/demonic theme. 3/11 = 27.3%.
Delusions and hallucinations with paranoia (supernatural/demonic theme) in 3 cases; none had prior psychosis.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedAnxiety, nervousness, and paranoia are reported across the cathinone class in qualitative user-perspective research[16]model confidence 98%
Abstract directly lists anxiety, nervousness, and paranoia as adverse effects reported in qualitative analysis of user forum threads.
Adverse effects: anxiety, hallucinations, nervousness, paranoia (nervous system).
checked by claude-sonnet-4-6 · May 12, 2026
verifiedJeon and colleagues showed dose-dependent conditioned place preference in mice (10–50 mg/kg, i.p.), dose-dependent self-administration in rats (0.1–0.5 mg/kg/infusion, i.v.), and full substitution for cocaine in drug discrimination paradigms.[4]model confidence 96%
Abstract confirms CPP at 10-50 mg/kg, self-administration at 0.1-0.5 mg/kg/infusion, and full cocaine substitution.
Mexedrone produced significant conditioned place preference (10-50 mg/kg) and maintained self-administration (0.1-0.5 mg/kg/infusion) in rats. Fully substituted for cocaine discriminative stimulus.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedAcute administration produced SERT downregulation in the dorsal striatum, suggesting neuroadaptive changes that may underlie tolerance to serotonergic effects[4]model confidence 93%
Abstract confirms decreased SERT levels in dorsal striatum. The tolerance inference is a reasonable mechanistic interpretation.
Decreased SERT levels and elevated 5-HT in dorsal striatum.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedThe moderate physical and psychological dependence potential attributed to the compound in existing databases is consistent with preclinical evidence and general cathinone-class data but has not been independently validated in human studies.[4]model confidence 88%
Abstract confirms preclinical evidence of reinforcement (CPP, self-administration, cocaine substitution), consistent with dependence potential. The lack of human validation is consistent with the exclusively preclinical nature of the study.
Mexedrone produced significant conditioned place preference (10-50 mg/kg) and maintained self-administration (0.1-0.5 mg/kg/infusion) in rats.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedTramadol: Tramadol inhibits serotonin reuptake via SERT and additionally produces seizure risk through serotonergic mechanisms. Combined with mexedrone's SERT inhibition and weak releasing activity, the serotonergic burden creates risk of severe serotonin syndrome and potentially death. No published case report specifically documenting a mexedrone–tramadol fatality has been identified, but the mechanistic basis is well-established.[17]model confidence 88%
Abstract confirms tramadol inhibits SERT and can precipitate serotonin syndrome when combined with serotonergic drugs. The serotonin syndrome risk from the combination is directly supported.
Tramadol inhibits SERT in human HEK293 cells. Combined with serotonergic drugs (MAOIs, SSRIs, serotonin-releasing agents), tramadol can precipitate serotonin syndrome.
checked by claude-sonnet-4-6 · May 12, 2026
partialTramadol: Tramadol inhibits serotonin reuptake via SERT and additionally produces seizure risk through serotonergic mechanisms. Combined with mexedrone's SERT inhibition and weak releasing activity, the serotonergic burden creates risk of severe serotonin syndrome and potentially death. No published case report specifically documenting a mexedrone–tramadol fatality has been identified, but the mechanistic basis is well-established.[18]model confidence 88%
Abstract confirms tramadol increases brain serotonin, supporting serotonin syndrome risk. However, the claim that seizure risk is 'through serotonergic mechanisms' is directly contradicted: the abstract states tramadol-induced seizures are 'mainly related to GABAergic pathway, not serotonergic.'
Tramadol-induced seizures are mainly related to GABAergic pathway, not serotonergic. Tramadol still increases brain serotonin and norepinephrine.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedTramadol: Tramadol inhibits serotonin reuptake via SERT and additionally produces seizure risk through serotonergic mechanisms. Combined with mexedrone's SERT inhibition and weak releasing activity, the serotonergic burden creates risk of severe serotonin syndrome and potentially death. No published case report specifically documenting a mexedrone–tramadol fatality has been identified, but the mechanistic basis is well-established.[17]model confidence 88%
Duplicate of Pair 44 — same citation, same claim. Abstract confirms tramadol SERT inhibition and serotonin syndrome risk with serotonergic drug combinations.
Tramadol inhibits SERT in human HEK293 cells. Combined with serotonergic drugs (MAOIs, SSRIs, serotonin-releasing agents), tramadol can precipitate serotonin syndrome.
checked by claude-sonnet-4-6 · May 12, 2026
inconclusiveMDMA: As a potent multi-transporter releasing agent with massive serotonin release capacity, mdma combined with mexedrone produces additive serotonergic toxicity risk and potentiated hyperthermia.[19]model confidence 65%
Abstract covers cathinone class neuropharmacology and releasing/blocking mechanisms but does not specifically address MDMA or a mexedrone-MDMA combination. The general framework is relevant but MDMA is not mentioned.
Ring-substituted cathinones like mephedrone are transporter substrates (releasers)... All increase extracellular monoamines.
checked by claude-sonnet-4-6 · May 12, 2026
inconclusiveMAOIs: Monoamine oxidase inhibitors prevent monoamine breakdown; combined with mexedrone's SERT activity, this could produce hypertensive crisis and severe serotonin syndrome.[15]model confidence 65%
Abstract covers cathinone class adverse effects including serotonin toxicity but does not specifically discuss MAOI interactions or hypertensive crisis from MAOI combinations.
Serotonin toxicity signs: hyperthermia, metabolic acidosis, rhabdomyolysis. No specific antidote; treatment extrapolated from cocaine/amphetamines.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedSSRIs/SNRIs: Additive serotonergic activity creates dose-dependent serotonin syndrome risk.[20]model confidence 93%
Abstract directly confirms serotonergic interactions between cathinone NPS and SSRIs/MAOIs.
Serotonergic interactions with SSRIs/MAOIs.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedPharmacokinetic interactions: CYP2C19 inhibitors (omeprazole, fluoxetine, fluvoxamine) may substantially increase mexedrone plasma concentrations by impairing metabolic clearance[6]model confidence 88%
Abstract confirms CYP2C19 as primary metabolizing enzyme; CYP2C19 inhibitors increasing mexedrone concentrations follows directly from this. Specific inhibitor names are a reasonable elaboration not contradicted.
Key CYPs: CYP2C19 (primary), CYP2D6 and CYP1A2.
checked by claude-sonnet-4-6 · May 12, 2026
not supportedStimulant-alcohol combination: Stimulant-alcohol co-use masks signs of alcohol intoxication, increases cardiac strain, and promotes dehydration[20]model confidence 92%
cited source's abstract does not support this claim — flagged for editorial review
Citation [21] is specifically about cathinone NPS interactions with prescription drugs. Alcohol is not a prescription drug and is not mentioned in the abstract. The abstract does not address stimulant-alcohol co-use at all.
Pharmacokinetic and pharmacodynamic interactions between cathinone NPS and prescription drugs identified. Serotonergic interactions with SSRIs/MAOIs.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedPre-existing cardiac conditions — hypertension, arrhythmia, coronary artery disease, structural heart defects — represent absolute contraindications given the absence of controlled safety data and the sympathomimetic mechanism of all cathinone-class compounds.[15]model confidence 85%
Abstract confirms cardiovascular adverse effects (tachycardia, hypertension) for cathinone class. Contraindication inference from sympathomimetic mechanism and lack of safety data is supported by the class-level risk profile.
Cardiovascular (tachycardia, hypertension) and psychiatric/neurological adverse effects (agitation, seizures, paranoia, hallucinations).
checked by claude-sonnet-4-6 · May 12, 2026
verifiedPsychiatric vulnerability: Acute psychosis occurred in 27% of confirmed cases, in patients without prior psychiatric history[3]model confidence 99%
3/11 = 27.3% with hallucinations/delusions/paranoia in patients with no prior psychosis — directly confirmed.
Delusions and hallucinations with paranoia (supernatural/demonic theme) in 3 cases; none had prior psychosis.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedThis is an absolute contraindication for MAOI users and a strong relative contraindication for SSRI/SNRI users.[20]model confidence 83%
Abstract confirms serotonergic interactions with SSRIs/MAOIs for cathinone NPS. The strength framing (absolute/relative contraindication) is a clinical interpretation consistent with the confirmed interactions.
Serotonergic interactions with SSRIs/MAOIs. Monoamine-based interactions relevant to mexedrone drug interaction profile.
checked by claude-sonnet-4-6 · May 12, 2026
inconclusiveCYP2C19 poor metabolizer status: Individuals known to be CYP2C19 poor metabolizers (2–3% of European ancestry, up to 15–23% of East Asian ancestry) are predicted to experience elevated plasma concentrations and increased adverse effect risk at standard doses.[6]model confidence 80%
Abstract confirms CYP2C19 as primary enzyme (supporting poor metabolizer risk logic) but provides no population genetics data on CYP2C19 poor metabolizer frequency by ancestry group.
Key CYPs: CYP2C19 (primary), CYP2D6 and CYP1A2.
checked by claude-sonnet-4-6 · May 12, 2026
comparative pharmacology5 claims5verified
verifiedMephedrone is a potent substrate-type releasing agent at all three monoamine transporters (DAT, NET, SERT), acting as a true amphetamine-like releaser that drives vesicular monoamine efflux[21]model confidence 93%
Abstract confirms 4-methylmethcathinone (mephedrone) releases NE, DA, and 5-HT, consistent with substrate-type releasing action at DAT, NET, and SERT.
4-methylmethcathinone releases NE, DA, and 5-HT.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedMephedrone is a potent substrate-type releasing agent at all three monoamine transporters (DAT, NET, SERT), acting as a true amphetamine-like releaser that drives vesicular monoamine efflux[19]model confidence 95%
Abstract directly states ring-substituted cathinones like mephedrone are transporter substrates (releasers) that increase extracellular monoamines.
Ring-substituted cathinones like mephedrone are transporter substrates (releasers)... All increase extracellular monoamines.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedMetabolically, the compounds also diverge: mephedrone is primarily metabolized by CYP2D6, while mexedrone shifts to CYP2C19 as the principal enzyme[11]model confidence 97%
Abstract directly confirms CYP2D6 mediates mephedrone metabolism, supporting the mephedrone half of this comparative claim.
Linear kinetics; CYP2D6 mediates mephedrone metabolism.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedMetabolically, the compounds also diverge: mephedrone is primarily metabolized by CYP2D6, while mexedrone shifts to CYP2C19 as the principal enzyme[6]model confidence 97%
Abstract directly confirms CYP2C19 as primary enzyme for mexedrone, supporting the mexedrone half of this comparative claim.
Key CYPs: CYP2C19 (primary), CYP2D6 and CYP1A2.
checked by claude-sonnet-4-6 · May 12, 2026
verifiedNadal-Gratacós and colleagues reviewed structure-activity relationships across the synthetic cathinone class, contextualizing mexedrone's alpha-methoxy modification within the broader SAR landscape[8]model confidence 88%
Abstract confirms comprehensive SAR review of 209+ cathinones specifically addressing how the alpha-methoxy modification affects mexedrone's pharmacological profile vs mephedrone.
Comprehensive updated SAR review covering 209+ synthetic cathinones reported to UNODC. Relevant to understanding how methoxy group at alpha-carbon affects mexedrone's pharmacological profile vs mephedrone.
checked by claude-sonnet-4-6 · May 12, 2026
Coverage & Gaps
Research Trail
substance-article pipeline-v5 May 12, 2026
| Step | Source | Query | Results |
|---|---|---|---|
| 1database lookup | PubChem | mexedrone | 1 result, 1 selected |
selection rationaleselection rationalePrimary chemical identity verification for mexedrone | |||
| 2literature search | PubMed | mexedrone pharmacology | 5 results, 5 selected |
selection rationaleselection rationaleAll directly relevant to mexedrone pharmacology and clinical data | |||
| 3literature search | PubMed | mexedrone cathinone | 9 results, 4 selected |
selection rationaleselection rationaleDirectly relevant to mexedrone chemistry, metabolism, and forensic toxicology | |||
| 4literature search | OpenAlex | mexedrone synthetic cathinone | 10 results, 5 selected |
selection rationaleselection rationaleSelected highest-cited papers directly covering mexedrone or broadly relevant cathinone pharmacology | |||
| 5literature search | PubMed | mephedrone mexedrone new psychoactive substance | 1 result, 0 selected |
selection rationaleselection rationaleDuplicate results; no new unique papers added | |||
| 6literature search | PubMed | mephedrone pharmacokinetics human metabolism | 8 results, 4 selected |
selection rationaleselection rationaleMephedrone is the structural analog of mexedrone; its pharmacokinetics inform inference about mexedrone. Cathinone review and drug interaction paper relevant to harm reduction sections. | |||
| 7clinical trial search | ClinicalTrials.gov | mexedrone | 0 results, 0 selected |
selection rationaleselection rationaleNo trials found | |||
| 8literature search | PubMed | mephedrone pharmacokinetics human metabolism | 8 results, 5 selected |
selection rationaleselection rationaleMephedrone pharmacokinetics and cathinone reviews relevant as structural analog inference | |||
| 9document retrieval | PubMed (PMID:28075189) | Roberts 2017 mexedrone clinical cases - full abstract via OpenAlex | 1 result, 1 selected |
selection rationaleselection rationaleFull clinical data; key safety and subjective effects information | |||
| 10legal status search | WebSearch | mexedrone legal status UK US EU Sweden Japan | 10 results, 2 selected |
selection rationaleselection rationaleLegal status information not available via PubMed | |||
| 11literature search | OpenAlex | mexedrone monoamine transporter dopamine serotonin | 8 results, 3 selected |
selection rationaleselection rationaleSAR review and molecular docking paper directly address mexedrone pharmacology; user perspectives provides subjective effects context | |||
| 12document retrieval | WebFetch - reagent-tests.uk | — | 1 result, 1 selected |
selection rationaleselection rationaleHarm reduction identification data for mexedrone | |||
| 13literature search | PubMed | Baumann synthetic cathinone neuropharmacology NIDA | 6 results, 2 selected |
selection rationaleselection rationaleAuthoritative cathinone pharmacology from NIDA group; SAR context for mexedrone | |||
| 14cross reference | PubChem + McLaughlin 2017 + Camuto 2022 | mexedrone chemical identity and metabolism cross-reference | 3 results, 1 selected |
selection rationaleselection rationaleChemical identity verification | |||
| 15database lookup | Crossref (verify_doi) | DOI verification McLaughlin 2017 and Roberts 2017 | 2 results, 2 selected |
selection rationaleselection rationaleDOI verification for primary mexedrone sources | |||
| 16literature search | PubMed | tramadol serotonin syndrome monoamine interaction | 6 results, 2 selected |
selection rationaleselection rationaleCritical for explaining mexedrone-tramadol lethal interaction mechanism | |||
| 17literature search | PubMed | cathinone stimulant MDMA serotonergic interaction | 3 results, 2 selected |
selection rationaleselection rationalePharmacological framework for understanding mexedrone's DAT:SERT ratio and serotonergic toxicity risk | |||
| 18legal status search | WebSearch | mexedrone DEA scheduling United States | 10 results, 0 selected |
selection rationaleselection rationaleLegal status gap identified - US status unconfirmed | |||
| 19cross reference | McLaughlin 2017 vs seed data pharmacological class | mexedrone pharmacological class verification | 1 result, 1 selected |
selection rationaleselection rationaleSafety-critical pharmacological classification error in seed data | |||
Research document (raw, unedited pipeline output)
# Research Output: Mexedrone ## Chemical Identity **Confirmed via PubChem CID 129318262** [Ref 1 — database lookup]: - **Molecular formula:** C₁₂H₁₇NO₂ - **Molecular weight:** 207.27 g/mol - **IUPAC name:** 3-methoxy-2-(methylamino)-1-(4-methylphenyl)propan-1-one - **InChIKey:** JHGDCSPZKQLBOP-UHFFFAOYSA-N - **PubChem CID:** 129318262 - **Systematic name:** Consistent with brief seed data - **SMILES:** Not returned by PubChem API; see brief note in Gaps & Flags - **CAS number:** Not retrieved via API **Physical form:** White to colorless crystalline powder (Reagent Tests UK observation [Ref 20]) **Crystal structure:** Full X-ray crystal structure analysis obtained and reported by McLaughlin et al. (2017 [Ref 1]), enabling definitive structural confirmation and differentiation from the positional isomer N-methoxymephedrone. **Structural relationship:** Mexedrone is the alpha-methoxy derivative of mephedrone (4-methylmethcathinone, 4-MMC). The methoxy group is introduced at the alpha position (beta-keto side chain), rendering it structurally distinct from the beta-methoxy position of mephedrone and from N-methoxymephedrone (its N-methoxy positional isomer). McLaughlin et al. (2017 [Ref 1]) confirmed that the alpha-chloromethylmephedrone is produced as a synthesis by-product. **Stereochemistry:** Mexedrone possesses a chiral center at C-2 (the alpha-carbon). Published data do not specify the racemic versus enantiopure form sold on the research chemical market, and no published enantiomer-specific pharmacology has been identified. The InChIKey (JHGDCSPZKQLBOP-UHFFFAOYSA-N) is the standard (non-stereochemical) form, confirming it is typically characterized as the racemate. **Seed data discrepancies:** PubChem CID, molecular formula, molecular weight, and InChIKey were all absent from the seed data and are now confirmed. These should be populated in the database. --- ## Pharmacology ### Monoamine Transporter Activity The primary pharmacological characterization of mexedrone was published by McLaughlin et al. (2017 [Ref 1]) using in vitro monoamine transporter assays in rat brain synaptosomes. Key findings: - **DAT (Dopamine Transporter):** Mexedrone is a weak uptake blocker (inhibitor) with IC₅₀ in the low micromolar range. It is **devoid of releasing activity at DAT**. This makes it a reuptake inhibitor, not a dopamine releaser. - **NET (Norepinephrine Transporter):** Weak non-selective uptake blocker at low μM IC₅₀. **Devoid of releasing activity at NET**. Not a norepinephrine releaser. - **SERT (Serotonin Transporter):** Weak uptake blocker at low μM IC₅₀. **Weak releasing activity at SERT** (EC₅₀ = 2.5 μM) — the only transporter at which mexedrone acts as a substrate-type releaser. **Overall mechanism:** Mexedrone is best classified as a **weak non-selective monoamine reuptake inhibitor with additional weak SERT-releasing activity**. Roberts et al. (2017 [Ref 2]) describe it as inhibiting "the re-uptake of serotonin and dopamine in a dose-dependent manner," consistent with McLaughlin's findings. ⚠️ **CRITICAL FLAG — Pharmacological Class Discrepancy:** The seed data classifies mexedrone as "Dopamine releasing agent, Norepinephrine releasing agent, Serotonin releasing agent." This is **incorrect** per McLaughlin et al. (2017 [Ref 1]). Mexedrone is explicitly devoid of releasing activity at DAT and NET. Only at SERT does it display weak releasing activity. The correct pharmacological classification should be: **Weak monoamine reuptake inhibitor (DAT, NET, SERT) / weak SERT-preferring releaser.** This misclassification has downstream safety implications. Flag for editorial correction. ### Receptor Binding - **5-HT₂ receptors:** Roberts et al. (2017 [Ref 2]) report affinity for serotonin membrane receptors (5-HT₂). Jeon et al. (2024 [Ref 3]) confirmed via pharmacological antagonism studies that locomotor effects in mice are mediated at least in part by the **5-HT₂A receptor**: pre-treatment with the selective 5-HT₂A antagonist M100907 (0.5 or 1.0 mg/kg) reversed mexedrone-induced hyperlocomotion. - **D2 receptors:** Roberts et al. (2017 [Ref 2]) report affinity for the D2 dopamine receptor. - **DAT binding mode:** Molecular docking studies by Senior et al. (2020 [Ref 14]) showed mexedrone preferentially binds the **S1/central site** of DAT, NET, and SERT — the same binding site as classical monoamine reuptake inhibitors. Key intermolecular interactions involve tyrosine and aspartic acid residues at DAT. Notably, the experimental potency trends across transporters were only reproduced computationally in the case of mexedrone (not MDAI or phenibut), validating the docking model. ### Comparison to Mephedrone The alpha-methoxy substitution markedly reduces mexedrone's activity compared to its parent compound mephedrone. Baumann et al. (2018 [Ref 17/24]) and Rickli et al. (2015 [Ref 23]) document that mephedrone (the parent) is a potent multi-transporter substrate-type releaser (i.e., a true releasing agent at DAT, NET, and SERT), which explains mephedrone's stronger entactogenic and euphoriant profile. Mexedrone's alpha-methoxy group abolishes releasing activity at DAT and NET and weakens SERT releasing activity compared to mephedrone, resulting in a notably weaker and different pharmacological profile (Nadal-Gratacós et al. 2024 [Ref 15]; McLaughlin et al. 2017 [Ref 1]). The positional isomer N-methoxymephedrone differs significantly: it is a fully efficacious substrate-type releasing agent across all three transporters with EC₅₀ values in the low micromolar range (McLaughlin et al. 2017 [Ref 1]). ### In Vivo Pharmacology (Preclinical) Jeon et al. (2024 [Ref 3]) characterized mexedrone's abuse potential using multiple behavioral paradigms in mice and rats: - **Conditioned Place Preference (CPP):** Mexedrone (10–50 mg/kg, i.p.) produced dose-dependent significant CPP in male mice. - **Self-Administration:** Mexedrone (0.1–0.5 mg/kg/infusion, i.v.) maintained dose-dependent self-administration behavior in male rats. - **Drug Discrimination:** Mexedrone (5.6–32 mg/kg) fully substituted for the discriminative stimulus effects of cocaine in rats trained to discriminate cocaine from saline. - **Locomotor Activity:** Mexedrone increased locomotor activity in mice; reversed by 5-HT₂A antagonist M100907, implicating serotonergic mechanisms. - **Neurochemical:** Acute mexedrone (50 mg/kg) increased c-Fos expression in the dorsal striatum, decreased SERT protein levels in the dorsal striatal synaptosome fraction, and elevated extracellular 5-HT. This indicates SERT downregulation with repeated stimulation. All preclinical data are from rodent models (mice and rats). No controlled human pharmacological trials of mexedrone have been published. ### Metabolism and CYP Involvement Camuto et al. (2022 [Ref 4]) conducted a comprehensive in vitro Phase I metabolic profiling of mexedrone using human liver microsomes (HLM) and single recombinant CYP450 isoforms: - **Primary metabolic reactions:** Hydroxylation, N-dealkylation, O-dealkylation - **Principal CYP enzymes:** - **CYP2C19** — primary enzyme responsible for both hydroxylation and dealkylation reactions - **CYP2D6** — involved in hydroxylation only - **CYP1A2** — involved in hydroxylation only - **Recommended markers of intake:** Unchanged mexedrone (significant fraction detected unchanged) and hydroxylated metabolites - **Study limitation:** In vitro HLM study only; no published in vivo human pharmacokinetic data For comparison, its structural analog mephedrone is metabolized primarily by CYP2D6 in humans (Olesti et al. 2019 [Ref 11]). The shift to CYP2C19 as primary enzyme for mexedrone reflects the steric influence of the alpha-methoxy group. CYP2C19 is a highly polymorphic enzyme; poor metabolizers (estimated 2–3% of Europeans) may accumulate higher mexedrone plasma concentrations, potentially increasing adverse effects. ### Mutagenicity and Cytotoxicity Lenzi et al. (2021 [Ref 5]) evaluated genotoxicity using the micronucleus (MN) assay in TK6 lymphoblastoid cells: - Mexedrone at 35–100 μM demonstrated **direct mutagenic potential** in TK6 cells without metabolic activation - No statistically significant increase in reactive oxygen species (ROS) at tested concentrations — the mechanism of genotoxicity is not ROS-mediated - Alpha-PVP and alpha-PHP, by contrast, were not directly mutagenic (only metabolites showed mutagenicity with metabolic activation) - The concentration range (35–100 μM) is high relative to expected therapeutic/recreational plasma levels, so clinical relevance of in vitro mutagenicity requires contextual interpretation (flagged for editorial review) --- ## History ### Discovery and Market Appearance Mexedrone was first identified on the illicit research chemical market in **August 2015**, when it was advertised and sold by UK internet retailers as a legal, non-controlled alternative to mephedrone (McLaughlin et al. 2017 [Ref 1]). Its design exploited the legal gap in UK drug law at the time: by introducing the alpha-methoxy group to mephedrone's structure, the compound avoided the existing cathinone-specific scheduling controls under the UK Misuse of Drugs Act 1971 while retaining some psychoactive activity. The compound was of "particular interest to countries who operate generic drugs legislation" (McLaughlin et al. 2017 [Ref 1]) — a reference to nations employing broad cathinone class scheduling or structural similarity bans. ### First Scientific Characterization Two simultaneous reports in 2016 were among the first to characterize mexedrone scientifically: 1. **Qian et al. (2016/2017 [Ref 6])** — analytical characterization via LC-QTOF-MS, GC-MS, and NMR spectroscopy; described as "the first report" on the compound's chemical data 2. **McLaughlin et al. (2016/2017 [Ref 1])** — full synthesis, spectroscopic characterization, X-ray crystal structure, and monoamine transporter pharmacology; the definitive pharmacological characterization ### First Clinical Cases Roberts et al. (2017 [Ref 2]) published the first analytically confirmed clinical case series — 11 patients identified among 305 screened cases in Birmingham, UK. This represented the first documentation of real-world human exposure with toxicological confirmation. ### Regulatory History - **Sweden:** Controlled substance since January 26, 2016 [Ref 28] - **Japan:** Controlled since August 24, 2016 [Ref 28] - **United Kingdom:** Banned under the Psychoactive Substances Act 2016, which came into force May 26, 2016. This blanket ban on all psychoactive substances not specifically exempted effectively prohibited mexedrone regardless of its specific structural characteristics. - **United States:** No specific DEA scheduling identified. Mexedrone may fall under the Federal Analogue Act (Controlled Substances Analogue Enforcement Act of 1986) as a structural analog of the Schedule I substance mephedrone, but no explicit legal determination has been identified in the literature searched. - **EU (other):** No specific EMCDDA formal risk assessment for mexedrone identified. Individual EU member state scheduling may vary. The 2016 EMCDDA annual report covered NPS notifications but no formal mexedrone risk assessment was retrieved. --- ## Subjective Effects ### Analytically Confirmed Clinical Data (Roberts et al. 2017 [Ref 2]) The only published clinically confirmed data on mexedrone's subjective and physiological effects comes from 11 cases identified at City Hospital, Birmingham. Key clinical features: - **Agitation:** Most common presenting feature, observed in 10 of 11 patients. In some cases the agitation was "marked to the extent of aggression," with 6 patients requiring sedation and/or physical restraint - **Tachycardia (>100 bpm):** 7 of 11 patients - **Delusions and hallucinations with paranoia:** 3 patients, with a "prominent supernatural/demonic theme." None of these individuals had a prior psychiatric history of psychosis - **Clinical course:** Median length of stay was 20 hours (range 2–77 hours; IQR 4–33). Patients typically recovered fully within 24 hours unless requiring sedation - **Attribution caution:** Mexedrone alone was likely responsible for the clinical features in only 2 of the 11 cases. In 7 cases, other stimulants detected were more likely responsible. In 2 other cases, mexedrone was found in high concentration alongside substantial amounts of other stimulants, with contributing effects ### Duration and Dose Correlation No published controlled human pharmacokinetic or dose-escalation studies exist for mexedrone. The seed data dose table (Threshold 50 mg / Light 100–150 mg / Common 150–250 mg / Strong 250–350 mg, oral; total duration 4–6 hours) is derived from community reports. This is consistent with PsychonautWiki documentation and is biologically plausible given mexedrone's structural similarity to mephedrone, for which controlled trials demonstrate 50–200 mg oral doses with duration consistent with a 4–6 hour window (Olesti et al. 2019 [Ref 11]). No published source contradicts these community-derived dose figures. ### Effect Profile from Cathinone Class Literature From user-perspective qualitative research on cathinone class (Assi et al. 2017 [Ref 16]): - Desired effects reported by cathinone users: increased energy, euphoria, empathogenic effects - Adverse effects: anxiety, hallucinations, nervousness, paranoia (CNS); angina, myocardial infarction, tachycardia (cardiovascular); renal difficulty These class-level effects are consistent with mexedrone's pharmacological profile and the Roberts 2017 clinical cases. Mexedrone's weaker pharmacological profile relative to mephedrone (due to alpha-methoxy substitution) suggests less potent euphoriant and entactogenic effects than mephedrone, though direct comparative human data do not exist. --- ## Safety & Toxicity ### Acute Toxicity (Clinical Cases) Roberts et al. (2017 [Ref 2]): - Dominant clinical features: agitation, tachycardia, and (in a minority) psychotic symptoms - All 11 cases recovered; no deaths attributable to mexedrone in this series - Polydrug use was highly prevalent (mexedrone rarely used alone) ### Fatality Data Pieprzyca et al. (2023 [Ref 7]): - "Pioneering data on concentrations and effects" of mexedrone detected in mixed-substance poisoning cases - Publication reports blood concentration data in fatality context, though mexedrone was one of multiple substances - All fatal cases in this series involved multiple organ failure - Polydrug use (multiple cathinones and/or other psychoactive substances simultaneously) was identified as a significant contributor to increased SC toxicity - Mexedrone-specific lethal blood concentrations not isolable from polydrug context in this dataset ### Mutagenicity Mexedrone demonstrated direct mutagenic potential in TK6 lymphoblastoid cells at 35–100 μM (Lenzi et al. 2021 [Ref 5]). The mechanism does not involve ROS. Clinical relevance at recreational concentrations is unknown and requires in vivo corroboration. ### Cardiovascular Risk Based on mechanism (monoamine reuptake inhibition) and clinical data, mexedrone produces sympathomimetic effects including tachycardia. More severe cardiovascular toxicity (hypertension, arrhythmia) is characteristic of the broader cathinone class (Paillet-Loilier et al. 2014 [Ref 18]; Baumann et al. 2014). ### Psychotomimetic Risk Roberts et al. (2017 [Ref 2]) documented psychotic symptoms (hallucinations, delusions with paranoid content) in 3 of 11 cases, in patients without prior psychiatric history, suggesting mexedrone (or polydrug combinations) can precipitate acute psychosis. This is consistent with cathinone class effects more broadly (Weinstein et al. 2017). ### Unknown Toxic Dose ⚠️ **FLAG:** No published human LD50 or definitive toxic threshold for mexedrone. The seed data states "exact toxic dosage is unknown," which is confirmed. No preclinical LD50 has been published for mexedrone specifically. --- ## Harm Reduction ### Identification Mexedrone can be identified using the following reagent tests (Reagent Tests UK [Ref 20]): - **Marquis reagent:** No color change; fizzing observed - **Froehde reagent:** No color change - **Liebermann reagent:** Orange/yellow color change The absence of color change with both Marquis and Froehde, combined with a positive Liebermann result, distinguishes mexedrone from many other cathinones and amphetamines. Testing with multiple reagents is recommended. ### No Specific Antidote No antidote exists for mexedrone overdose. Management must be extrapolated from cocaine and amphetamine toxicity protocols (Paillet-Loilier et al. 2014 [Ref 18]). Treatment is symptomatic and supportive: benzodiazepines for agitation and seizures; cooling for hyperthermia; cardiac monitoring. ### Dose Caution Community-derived dose guidance (Threshold 50 mg oral; Heavy 350+ mg) has not been validated in controlled trials. Individual variability in CYP2C19 metabolism is expected to affect plasma concentrations significantly. Poor metabolizers at CYP2C19 (approximately 2–5% of individuals depending on ancestry) may be at higher risk of adverse effects. ### Contraindications ⚠️ The following interactions are either documented or strongly predicted to be dangerous: 1. **Tramadol:** Listed as lethal in the seed data. Mechanism: Tramadol is a SERT inhibitor (Baldo 2018 [Ref 22]) with additional serotonergic and GABAergic activities. Combined with mexedrone's SERT inhibition and weak SERT-releasing activity, the combination creates additive serotonergic overload with risk of serotonin syndrome, hyperthermia, and death. 2. **MDMA:** Listed as dangerous in the seed data. Mechanism: MDMA is a potent multi-transporter releasing agent (especially SERT) producing massive serotonin release. Combined with mexedrone's SERT-inhibiting and weak releasing properties, combined serotonin toxicity risk is very high. MDMA also produces hyperthermia which the cathinone component may potentiate. 3. **MAO inhibitors:** Not listed in seed data but strongly contraindicated on pharmacological grounds. MAOIs prevent monoamine breakdown; combined with mexedrone's SERT inhibition/releasing activity, this could produce hypertensive crisis and severe serotonin syndrome. 4. **Alcohol:** Listed as "unknown" interaction in seed data. Per cathinone class literature (Contrucci et al. 2020 [Ref 21]), stimulant-alcohol combinations mask signs of intoxication, increase cardiac strain, and promote dehydration. Neither confirmed nor refuted as specifically dangerous. ### Polydrug Use Hazard Roberts et al. (2017 [Ref 2]) and Pieprzyca et al. (2023 [Ref 7]) both document that mexedrone is typically used alongside other psychoactive substances. Clinical outcomes appear substantially worse in polydrug contexts. Users should be warned that mexedrone is rarely the sole substance in clinical presentations. --- ## Tolerance & Dependence ### Abuse Potential (Preclinical) Jeon et al. (2024 [Ref 3]) demonstrated in multiple preclinical paradigms that mexedrone has significant abuse potential: - Conditioned place preference: positive in mice (10–50 mg/kg) - Self-administration: positive in rats (0.1–0.5 mg/kg/infusion) - Cocaine-like discriminative stimulus: full substitution in rats These findings indicate mexedrone has meaningful reinforcing properties. The serotonergic mechanism (5-HT₂A involvement in locomotor effects, SERT downregulation after acute dose) suggests a complex neuroadaptive profile. ### Tolerance and Dependence Data The seed data states: - Tolerance buildup: "develops with prolonged and repeated use" - Tolerance half-life: 5 days - Full reset: 1.5 weeks - Cross-tolerances: dopamine, stimulant No published human data or mexedrone-specific preclinical tolerance studies were identified to confirm or refute these values. These appear to be inferred from the cathinone class (likely mephedrone literature) rather than substance-specific research. They are biologically plausible given mexedrone's monoaminergic mechanism and the known tolerance patterns of cathinone stimulants, but should be flagged as class inference. **Dependence:** The seed data classifies mexedrone as having "moderate" physical and psychological dependence potential with "moderately addictive" formation. This is consistent with preclinical evidence from Jeon et al. (2024 [Ref 3]) and with the cathinone class generally. No published human dependence case series for mexedrone specifically was identified. --- ## Interactions ### Documented or Strongly Predicted Dangerous Interactions | Interaction | Severity (Seed) | Mechanism | Evidence Source | |---|---|---|---| | MDMA | Dangerous | Additive serotonergic toxicity; 5-HT excess → syndrome, hyperthermia | Class pharmacology [Refs 17, 22] | | Tramadol | Lethal | Tramadol inhibits SERT + mexedrone SERT inhibition/releasing = severe serotonin syndrome | Baldo 2018 [Ref 22]; Lagard 2022 [Ref 25] | | Alcohol | Unknown | No specific mexedrone-alcohol interaction data | Not found in literature | | MAOIs | Not listed | Prevent monoamine breakdown; hypertensive crisis + serotonin syndrome risk | Class inference [Ref 18, 26] | | SSRIs/SNRIs | Not listed | Additive serotonergic activity; serotonin syndrome risk | Contrucci et al. 2020 [Ref 21]; Baldo 2018 [Ref 22] | ### Tramadol Interaction — Mechanism Detail Tramadol inhibits serotonin reuptake via human SERT (confirmed in HEK293 cell studies; Baldo 2018 [Ref 22]). When combined with mexedrone — itself a SERT inhibitor with weak SERT-releasing properties — the combined serotonergic burden creates risk of serotonin syndrome characterized by hyperthermia, autonomic instability, neuromuscular hyperactivity, and potentially death. The seed data classification of this interaction as "lethal" is pharmacologically consistent with published mechanisms, though no published case report specifically documenting a mexedrone–tramadol fatality was identified. This should be flagged as supported by mechanism rather than a confirmed published fatality. ### CYP Interaction Potential Mexedrone is primarily metabolized by CYP2C19 (Camuto et al. 2022 [Ref 4]). Drugs that inhibit CYP2C19 (e.g., omeprazole, fluoxetine, fluvoxamine) may increase mexedrone plasma concentrations significantly. Inducers of CYP2C19 (e.g., rifampicin, carbamazepine) may reduce efficacy. CYP2C19 drug interactions have not been studied for mexedrone specifically but are expected from the metabolic data. --- ## Legal Status | Jurisdiction | Status | Date | Notes | |---|---|---|---| | United Kingdom | **Illegal** | May 26, 2016 | Psychoactive Substances Act 2016; blanket ban on all psychoactive substances not specifically exempted | | Sweden | **Controlled** | January 26, 2016 | [Ref 28] | | Japan | **Controlled** | August 24, 2016 | [Ref 28] | | United States | **Unconfirmed** | — | Not explicitly DEA-scheduled; Federal Analogue Act may apply as structural analog of Schedule I mephedrone, but no confirmed legal determination found | | European Union | **Varies by member state** | — | No formal EMCDDA risk assessment for mexedrone found; national scheduling varies; not EU-wide scheduled | | Australia | **Unknown** | — | No published data found on Australian scheduling status | | Canada | **Unknown** | — | No published data found | **Prior to May 2016:** Mexedrone was legal in the UK and explicitly marketed online as a non-controlled research chemical, exploiting the absence of specific structural scheduling for alpha-methoxy cathinones. --- ## Clinical Trials No clinical trials involving mexedrone are registered in ClinicalTrials.gov (search performed May 2026). No published controlled human trials exist. This is consistent with mexedrone's status as a recently emerged designer substance with no therapeutic applications. --- ## Community Feedback Analysis No community feedback was submitted in Part A2 of the brief. --- ## Gaps & Flags ### ⚠️ Safety-Critical: Pharmacological Class Misclassification **FLAG — Requires editorial correction before publication.** The seed data classifies mexedrone as a "Dopamine releasing agent, Norepinephrine releasing agent, Serotonin releasing agent." This is directly contradicted by the primary pharmacological characterization (McLaughlin et al. 2017 [Ref 1]): > "Mexedrone was a weak non-selective uptake blocker with IC₅₀ values in the low μM range. It was also **devoid of releasing activity at DAT and NET** but displayed weak releasing activity at SERT (EC₅₀ = 2.5 μM)." Correct classification: **Weak non-selective monoamine reuptake inhibitor (DAT, NET, SERT), with weak SERT-releasing activity.** This is a reuptake inhibitor, not a releasing agent, for dopamine and norepinephrine. This distinction matters for understanding the drug's clinical effects and interaction profile. ### ⚠️ Safety-Critical: Lethal Dose Unknown No published LD50 or confirmed toxic threshold for mexedrone in humans or confirmed laboratory animals exists. All fatality data involves polydrug use (Pieprzyca et al. 2023 [Ref 7]). The stated "exact toxic dosage is unknown" in the seed data is confirmed accurate. ### ⚠️ Safety-Critical: Tramadol Interaction — Mechanism Not Fatality-Confirmed The seed data labels tramadol as a "lethal" interaction. The pharmacological mechanism is scientifically supported (additive SERT inhibition + serotonin toxicity risk; Baldo 2018 [Ref 22]). However, no published case report specifically documenting a mexedrone–tramadol fatality was identified. The severity label is plausible but rests on mechanistic inference rather than a confirmed published fatality specific to this drug pair. Generation agent should label interaction severity accurately. ### Missing Chemical Data - **SMILES string** not returned by PubChem API call; can be retrieved directly from the PubChem CID 129318262 page. The SMILES is: `COC[C@@H](NC)C(=O)c1ccc(C)cc1` (racemate: `COCC(NC)C(=O)c1ccc(C)cc1`) — note: this is inferential based on structure; generation agent should verify from PubChem directly. - **Melting point, solubility, partition coefficient (logP):** Not retrieved from PubMed or PubChem API. McLaughlin et al. (2017 [Ref 1]) obtained the crystal structure (which may include melting point data in the full text, not accessible via API). ### Missing Pharmacokinetic Data No published human pharmacokinetic data for mexedrone: Tmax, Cmax, bioavailability, plasma half-life, volume of distribution, urinary excretion are all unknown. The tolerance half-life (5 days) and reset (1.5 weeks) in the seed data are class inferences, not mexedrone-specific measurements. Flagged as requiring editorial note in the article. ### Quantitative IC₅₀ Values McLaughlin et al. (2017 [Ref 1]) report IC₅₀ values only as "low μM range" in the abstract. Specific numerical IC₅₀ values for DAT, NET, and SERT (and comparison to mephedrone) require full-text access, not available via API. Generation agent should note values as "low micromolar" rather than providing specific numbers without full-text verification. ### Stereochemistry Mexedrone possesses a chiral center at C-2. No published data on individual enantiomer pharmacology was found. Mephedrone studies have found enantiomers differ in transporter affinity (Michal et al. 2025 review). Whether this applies to mexedrone is unknown. ### US Legal Status No explicit DEA scheduling determination found. The Federal Analogue Act may apply, but no case law, DEA emergency scheduling, or published legal analysis for mexedrone was identified. ### Australian and Canadian Legal Status Not found in any retrieved literature. Should be verified via government scheduling databases before publication. ### Mutagenicity Clinical Relevance The mutagenic potential found by Lenzi et al. (2021 [Ref 5]) was at 35–100 μM in cell culture. Whether recreational-use plasma concentrations reach this range is unknown without human PK data. Article should note this limitation. ### No Controlled Human Trials All human-relevant data derives from a single case series (Roberts et al. 2017, n=11) in which mexedrone was rarely the sole substance. All other pharmacology is from in vitro or animal studies. Generation agent should clearly label evidence levels throughout.