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A First-in-Man Study with 4-Fluoroamphetamine Demonstrates it Produces a Mild Psychedelic State

Kim P. C. Kuypers, E. B. de Sousa Fernandes Perna, Eef L. Theunissen, Stefan W. Toennes, Natasha L. Mason, Nadia R. P. W. Hutten, Johannes G. Ramaekers

Journal of Psychoactive Drugs January 24, 2019 DOI: 10.1080/02791072.2019.1569286 via OpenAlex

Summary

4-Fluoroamphetamine (4-FA), a novel psychoactive substance with a chemical structure similar to amphetamine and MDMA, induces a mild psychedelic state. In a placebo-controlled crossover study of 12 healthy poly-drug users, the psychedelic state peaked one hour after administration, coinciding with highest serum concentrations, and declined over time as concentrations fell. No change in creative (flexible) thinking occurred. The intensity of the 4-FA-induced psychedelic state falls between that produced by amphetamine and MDMA, consistent with user reports. More research is needed to determine whether 4-FA can alter creative thinking.

Study at a glance

Characteristics Placebo-controlled two-way crossover study Peer reviewed
Sample size 12
Population Healthy poly-drug users
Intervention 4-fluoroamphetamine (4-FA)
Duration 12 hours post-administration
Topics MDMA Psilocybin
Keywords Amphetamine Psychology Hallucinogen Placebo
Citations 13
Key finding 4-FA induces a mild psychedelic state that peaks at one hour post-administration and correlates with serum concentrations, with no effect on creative thinking.

Abstract

The phenethylamine 4-fluoroamphetamine (4-FA) is a so-called novel psychoactive substance with a chemical structure resembling that of amphetamine and MDMA. Since 4-FA users report their subjective experience ranges between the effects induced by amphetamine and MDMA, and it is known that both substances can produce an altered state of consciousness, this study tests whether 4-FA induces a psychedelic state. A placebo-controlled two-way crossover study in 12 healthy poly-drug users was conducted to test subjective and behavioral effects of 4-FA. 4-FA concentrations were determined in serum up to 12 hours after administration and a series of questionnaires and the picture concept test were administered between one hour and 11 hours post-administration. Findings showed that 4-FA induced a psychedelic state which was highest one hour after 4-FA administration, at peak 4-FA serum concentrations. The 4-FA-induced psychedelic state decreased over time and was in general associated with the decreasing 4-FA serum concentrations. There was no 4-FA-induced change in creative (flexible) thinking. It is concluded that while the 4-FA-induced psychedelic state is mild in intensity and in between that produced by amphetamine and MDMA as hypothesized, more research is needed to indicate whether 4-FA can change creative thinking.

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