N-ethyldeschloroketamine (2-Oxo-PCE): One fatal case reported by Theofel et al. (2019), with femoral blood concentration of 375 µg/L. The decedent had co-administered venlafaxine (SNRI).supported
Fatal case of N-ethyldeschloroketamine (2-Oxo-PCE, a direct structural analog of MXiPr) combined with venlafaxine. Concentrations: femoral blood 375 µg/L. bky063
2-Fluorodeschloroketamine (2-FDCK): Two fatal cases reported by Riess et al. (2024), with blood concentrations of 758 and 5,885 µg/L.partially supported
Forensic case series: 2 deaths and 1 self-mutilation involving 2-FDCK; blood concentrations 457-5885 µg/L. bkae021
2F-DCK and 3-MeO-PCE combination: One fatal intoxication reported by Gicquel et al. (2021).supported
Fatal intoxication involving 2F-DCK and 3-MeO-PCE, both arylcyclohexylamine NPS. j.forsciint.2021.110852
Claim in safety — inconclusiveinconclusiveworking →
No case reports in published literature confirm this for MXiPr specifically, though NMDA antagonists as a class can affect seizure threshold.supported
Comprehensive review of designer drug mechanisms and adverse effects. Covers NMDA antagonists, dissociative NPS, cardiovascular effects, psychological risks. s00204-020-02693-7
Acute psychological distress: Anxiety, paranoia, and confusion during the acute phase, particularly at higher doses or in unfamiliar settings.supported
Comprehensive review of designer drug mechanisms and adverse effects. Covers NMDA antagonists, dissociative NPS, cardiovascular effects, psychological risks. s00204-020-02693-7
Claim in safety — inconclusiveinconclusiveworking →
Self-medication risk: The antidepressant-like properties observed for ketamine and MXE may attract self-medication use, creating patterns of escalating frequency.supported
Comprehensive review of ketamine pharmacology at NMDA, opioid, sigma, and other receptors. Covers antidepressant mechanisms, metabolites, stereochemistry. pr.117.015198
Claim in safety — inconclusiveinconclusiveworking →
The fatal case of N-ethyldeschloroketamine reported by Theofel et al. (2019) involved co-presence of morphine, oxycodone, and other compounds, illustrating the danger of polydrug use in this class.partially supported
Fatal case of N-ethyldeschloroketamine (2-Oxo-PCE) combined with venlafaxine. Concentrations: femoral blood 375 µg/L, liver 6137 ng/g. DCK also detected in urine. bky063
Serotonergic agent combinations carry potential risk if MXiPr shares the SERT affinity demonstrated for MXEsupported
MXE and PCP analogues showed appreciable affinities for serotonin transporter. journal.pone.0059334
The fatal case reported by Theofel et al. (2019) involved co-administration with venlafaxine (SNRI), though the specific contribution of serotonergic interaction to the fatality was not established.supported
Fatal case of N-ethyldeschloroketamine (2-Oxo-PCE, a direct structural analog of MXiPr) combined with venlafaxine. bky063
Hepatic impairment: MXiPr undergoes extensive hepatic metabolism. Impaired hepatic function may prolong drug exposure and increase toxicity risk.supported
Phase I/II metabolism of 5 DCK derivatives including deschloro-N-isopropyl-ketamine (MXiPr) in rats and pooled human liver microsomes. Main pathways: N-dealkylation, hydroxylation, multiple oxidations, glucuronidation, N-acetylation. metabo14050270
Seizure disorders: User reports of seizures at high doses and the class-level seizure threshold effects of NMDA antagonists indicate increased risk for individuals with epilepsy or lowered seizure threshold.supported
Comprehensive review of designer drug mechanisms and adverse effects. Covers NMDA antagonists, dissociative NPS, cardiovascular effects, psychological risks. s00204-020-02693-7