Clinical Chemistry
October 1, 2001
Mèonica Navarro, Simona Pichini, Magí Farré et al.
135 citations
After a single 100-mg dose of MDMA, concentrations in saliva ranged from 1728.9 to 6510.6 μg/L, peaking at 1.5 hours, then declining to a mean of 126.2 μg/L at 24 hours. The saliva-to-plasma ratio varied from 32.3 to 1.2, with a peak of 18.1 at 1.5 hours. Salivary pH decreased by 0.6 units after drug administration, from a predose mean of 7.4 to 6.9 at 1.5 hours and 6.8 at 4 hours. Measuring MDMA in saliva offers a noninvasive alternative to plasma testing for clinical and toxicologic studies.
Journal of psychopharmacology (Oxford, England)
July 1, 2012
Fernando Caudevilla-Gálligo, Jordi Riba, Mireia Ventura et al.
99 citations
The psychoactive drug 2C-B, an analogue of mescaline, is increasingly used as a rave and club drug. Analysis of drug samples in Spain showed that the percentage containing 2C-B doubled between 2006 and 2009, shifting from powder to tablet form with low falsification rates. Recreational users typically took about 20 mg orally. Subjective effects included perceptual changes similar to those from ayahuasca and Salvia divinorum, but not from amphetamine or MDMA. Pleasure and sociability were comparable to MDMA, while incapacitation was lower than with the other psychedelics studied. The findings indicate 2C-B is consistently present in Spain's illicit market, producing psychedelic-like perceptual effects but with lower impairment and higher pleasurable effects akin to entactogens.
International Journal of Culture and Mental Health
December 1, 2009
Fabrizio Schifano, Ornella Corazza, Paolo Deluca et al.
79 citations
An 8-language qualitative assessment of about 200 web pages found that Spice, an herbal smoking blend sold as a legal cannabis substitute, is popular online because of its legal status, undetectability in drug tests, easy online access, and cannabis-like effects. Users discussed unusual drug combinations not found in medical literature. Product descriptions rarely mentioned the synthetic THC receptor agonists responsible for the psychoactive effects. The web serves as a resource for both information on and purchase of Spice products, which health professionals should be aware of.
Journal of pharmaceutical and biomedical analysis
June 9, 2008
Simona Pichini, Mitona Pujadas, Emilia Marchei et al.
59 citations
A liquid chromatography-mass spectrometry (LC-MS) method was developed to measure ten designer drugs—including MDMA, several 2C-series phenethylamines, m-CPP, and tryptamines—in urine samples from 32 consumers. Solid-phase extraction at pH 6 was applied to both non-hydrolyzed and enzymatically hydrolyzed urine, with 3,4-methylendioxypropylamphetamine (MDPA) as an internal standard. Chromatographic separation used a C18 column with a gradient of ammonium bicarbonate and acetonitrile, and detection was performed in single ion monitoring mode with electrospray ionization. Limits of quantification ranged from 20 to 60 ng/mL, calibration curves were linear to 2000 ng/mL, and mean recoveries were 55.4–95.6%. Higher analyte concentrations in hydrolyzed samples indicated the presence of conjugated compounds.
Rapid communications in mass spectrometry : RCM
January 1, 2005
Simona Pichini, Sergio Abanades, Magí Farré et al.
58 citations
A gas chromatography–mass spectrometry method was developed and validated to measure Salvinorin A, the main active compound in the hallucinogenic plant Salvia divinorum, in plasma, urine, saliva, and sweat. The method uses 17-alpha-methyltestosterone as an internal standard and extracts the compound with a chloroform/isopropanol mixture. It was validated over a concentration range of 0.015–5 microg/mL for plasma, urine, and saliva, and 0.01–5 microg/patch for sweat, with mean recoveries of 77.1–92.7% and precision and accuracy better than 15%. When applied to two consumers after smoking 75 mg of plant leaves, Salvinorin A was detected in urine (2.4 and 10.9 ng/mL) and saliva (11.1 and 25.0 ng/mL), but not in sweat patches.
Human psychopharmacology
July 1, 2013
Débora González, Mireia Ventura, Fernando Caudevilla et al.
39 citations
A survey of 230 research chemical users in Spain found that hallucinogenic phenethylamines like 2C-B and 2C-I, along with cathinones such as methylone and mephedrone, were the most commonly used substances. Cannabis was the most frequent drug combined with research chemicals, followed by 2C-B with MDMA. Users who consulted online forums used more research chemicals, obtained them via the Internet, and more often employed risk-reduction strategies. In this forum-consulting group, all sought information before use, 72.3% used precision scales for dosing, and 68.8% analyzed contents before consumption. The findings indicate a distinct user profile characterized by extensive knowledge and proactive risk-reduction behaviors.
Frontiers in Pharmacology
January 28, 2020
Esther Papaseit, Clara Pérez-mañá, Elizabeth B. de Sousa Fernandes Perna et al.
27 citations
Combining mephedrone with alcohol amplifies cardiovascular effects and intensifies euphoria and well-being compared to either drug alone, while mephedrone reduces the sedative effects of alcohol. In a double-blind, placebo-controlled trial with 11 male volunteers, the combination increased blood pressure, heart rate, and subjective feelings of euphoria. Mephedrone alone and alcohol alone were also tested. The results suggest that the abuse liability of mephedrone is greater when taken with alcohol, similar to other psychostimulants like amphetamines and MDMA.
Journal of pharmaceutical and biomedical analysis
January 20, 2024
Alfredo Fabrizio Lo Faro, Giorgia Sprega, Diletta Beradinelli et al.
14 citations
Enantioselective high-performance liquid chromatography-tandem mass spectrometry methods were developed to quantify MDMA and its phase-1 metabolites HMA, HMMA, and MDA in human plasma, sweat, oral fluid, and urine. Two polysaccharide-based chiral columns achieved baseline separation of most enantiomer pairs: the Lux AMP column separated MDMA, HMA, and HMMA enantiomers but not MDA; the Lux i-Amylose-3 column separated MDMA, HMMA, and MDA enantiomers but not HMA. Analysis took under 4 minutes with one column and under 6 minutes with the other. Both methods were validated and applied to biological fluids, confirming enantioselective metabolism of MDMA.
Frontiers in pharmacology
January 1, 2025
Georgina De la Rosa, Esther Papaseit, Olga Hladun et al.
7 citations
Alpha-pyrrolidinopentiophenone (α-PVP), a synthetic cathinone similar to MDPV and cocaine, produces rapid-onset psychostimulant and empathogenic effects after a single intranasal dose. In nine participants with prior psychostimulant use, 10 mg or 20 mg of α-PVP caused an acute increase in blood pressure and heart rate that peaked 40 minutes after administration. Subjective effects appeared quickly and resolved within 3 to 5 hours. The drug's psychostimulant properties resembled those of cocaine, and its empathogenic effects were similar to those of MDMA and other cathinones like methylone.
Frontiers in psychiatry
January 1, 2024
Pablo Sabucedo, Óscar Andión, Robert A Neimeyer et al.
4 citations
A protocol describes a clinical trial testing whether ayahuasca-assisted Meaning Reconstruction therapy reduces prolonged grief symptoms more than therapy alone or no treatment. At least 69 people who lost a first-degree relative within the prior year and scored 40 or higher on the Texas Revised Inventory of Grief will be assigned to one of three groups: ayahuasca-assisted therapy, therapy alone, or no treatment. The therapy involves nine online sessions; the ayahuasca group also attends two group sessions with the substance. Grief severity, quality of life, post-traumatic growth, and other measures will be assessed at baseline, after treatment, and at three months. This is the first trial to empirically examine psychedelic-assisted psychotherapy for grief.
Scientific reports
September 1, 2025
Oscar Soto-Angona, Óscar Andión, Pablo Sabucedo et al.
3 citations
A three-arm, open-label study compared ayahuasca-assisted meaning reconstruction therapy (A-MR) with meaning reconstruction therapy alone (MR) and a no-treatment control (NT) for 84 adults who had experienced severe grief within 12 months of losing a first-degree relative. All groups showed significant reductions in grief severity, with the largest effect in A-MR (d = 2.44), followed by MR (d = 1.84) and NT (d = 0.74). A-MR led to greater reductions than MR (d = 0.86) and NT (d = 1.07), and also improved prolonged grief symptoms, post-traumatic growth, and quality of life with medium-to-large effects. Ayahuasca was well tolerated with no serious adverse events. Replication in larger randomized trials is needed.
Psychedelics
April 20, 2026
José Carlos Bouso, Óscar Andión, Jordi Cantillo et al.
A 12-month study of 264 Western participants who attended Shipibo-led ayahuasca retreats in the Peruvian Amazon found lasting psychological improvements. Neuroticism and Openness to Experience decreased, while Extraversion increased. Quality of life improved across all measured domains, and decentering capacities increased with moderate to high effect sizes. Most participants (91.7%) reported long-term benefits, primarily in spiritual well-being, mental health, and personal growth. Adverse effects were minimal (2.3%). Higher baseline psychological distress was associated with higher Neuroticism and lower decentering, suggesting that enhancing decentering may serve as a resilience factor. The findings support ethical, non-extractive integration of traditional Amazonian practices into global mental health frameworks.
Frontiers in psychiatry
January 1, 2025
Pablo Sabucedo, Óscar Andión, Robert A Neimeyer et al.
correction
A three-arm, non-randomized controlled trial protocol compares Ayahuasca-assisted Meaning Reconstruction therapy (A-MR) with Meaning Reconstruction therapy alone and a no-treatment control for people who lost a first-degree relative within the prior 12 months. The authors hypothesize that A-MR will produce greater reductions in normal and pathological grief symptoms, and greater improvements in quality of life and posttraumatic growth, than either control condition. The rationale draws on neurobiological evidence that ayahuasca stimulates neuroplasticity and on psychological evidence that psychedelic experiences can facilitate meaning reconstruction and cognitive reappraisal. No controlled studies have tested psychedelic-assisted therapy for prolonged grief disorder.
Handbook of Substance Misuse and Addictions
January 1, 2022
Esther Papaseit, Magí Farré, Clara Pérez-mañá
Public health efforts must balance preventing illicit drug use with ensuring access to medicines that have abuse potential. Drug interactions for drugs of abuse, unlike those for medicines, are largely underexplored and not part of clinical routine. MDMA (ecstasy, molly) exemplifies this: it is a popular recreational psychostimulant and is being evaluated for treating post-traumatic stress disorder. Understanding inter- and intraindividual factors, modulation factors, and potential interactions is crucial to assess intoxication risk for both recreational users and patients in future MDMA-assisted therapy.