Cathinones

From WikiMD's Wellness Encyclopedia

Cathinones[edit | edit source]

Cathinones are a class of chemical compounds that are structurally related to amphetamines and are known for their stimulant effects. They are naturally found in the khat plant (Catha edulis), which is native to the Horn of Africa and the Arabian Peninsula. Synthetic cathinones, often referred to as "bath salts," have gained notoriety for their use as recreational drugs.

Chemical Structure[edit | edit source]

Cathinones are beta-keto amphetamines, meaning they have a ketone group at the beta carbon of the amphetamine backbone. This structural feature distinguishes them from other amphetamines and contributes to their unique pharmacological properties.

Pharmacology[edit | edit source]

Cathinones act primarily as central nervous system stimulants. They increase the levels of neurotransmitters such as dopamine, norepinephrine, and serotonin in the brain by inhibiting their reuptake or promoting their release. This action results in increased alertness, euphoria, and energy, but can also lead to adverse effects such as anxiety, paranoia, and hallucinations.

Natural vs. Synthetic Cathinones[edit | edit source]

Natural Cathinones[edit | edit source]

The primary natural cathinone is cathinone itself, which is found in the leaves of the khat plant. Chewing khat leaves is a traditional practice in some cultures for its mild stimulant effects.

Synthetic Cathinones[edit | edit source]

Synthetic cathinones are chemically manufactured and often sold under misleading names such as "bath salts" or "plant food." Common synthetic cathinones include mephedrone, methylone, and methylenedioxypyrovalerone (MDPV). These substances have been associated with severe health risks and unpredictable effects.

Legal Status[edit | edit source]

The legal status of cathinones varies by country. Many synthetic cathinones are classified as controlled substances due to their potential for abuse and harm. For example, in the United States, several synthetic cathinones are listed as Schedule I substances under the Controlled Substances Act.

Health Risks[edit | edit source]

The use of synthetic cathinones can lead to a range of adverse health effects, including:

  • Cardiovascular problems such as increased heart rate and blood pressure
  • Neurological issues like seizures and tremors
  • Psychological effects including anxiety, paranoia, and hallucinations
  • Risk of addiction and withdrawal symptoms

Treatment and Management[edit | edit source]

Management of cathinone intoxication involves supportive care and symptomatic treatment. In cases of severe agitation or psychosis, benzodiazepines may be administered. Long-term treatment may require behavioral therapy and support for substance use disorders.

See Also[edit | edit source]

References[edit | edit source]

  • "Cathinones: A Review of Their Chemistry, Pharmacology, and Toxicology." Journal of Medical Toxicology.
  • "Synthetic Cathinones: Chemistry, Pharmacology, and Toxicology of a New Class of Designer Drugs of Abuse Marketed as 'Bath Salts'." Journal of Addiction Medicine.

External Links[edit | edit source]

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Contributors: Prab R. Tumpati, MD