PMID- 12820749 OWN - NLM STAT- MEDLINE DCOM- 20040308 LR - 20190513 IS - 0146-4760 (Print) IS - 0146-4760 (Linking) VI - 27 IP - 4 DP - 2003 May-Jun TI - Three fatal cases of PMA and PMMA poisoning in Denmark. PG - 253-6 AB - Paramethoxyamphetamine (PMA) and paramethoxymetamphetamine (PMMA) are methoxylated phenylethylamine derivatives with effects similar to methylenedioxymetamphetamine (MDMA) and sold as such. However, PMA and PMMA are more potent than MDMA, but have a slower onset of action, which encourages users to take more. Three fatal cases involving PMA and PMMA in Denmark in year 2000 are investigated including history, pathological, and toxicological findings. The methods used for extraction, identification, and quantitation of PMA and PMMA are described. In two of the cases, lethal postmortem blood concentrations of PMA and PMMA were determined at 3.4 and 3.3 mg/kg (case 1) and 0.78 and 0.68 mg/kg (case 3), respectively. In addition, other drugs such as MDMA, tetrahydrocannabinol, cocaine, and alcohol were involved in these cases. In the third case, death occurred four days after the ingestion of tablets containing PMA and PMMA, and therefore only low postmortem concentrations of PMA and amphetamine were detected. However, in a serum sample taken at admission to the hospital, PMA and PMMA were found, but not quantitated. It is believed that the cause of death in case 2, multiple-organ failure, was caused by overdoses of PMA and PMMA. FAU - Johansen, Sys Stybe AU - Johansen SS AD - Institute of Forensic Medicine, Frederik V's vej 11, University of Copenhagen, DK-2100 Copenhagen OE, Denmark. Sys.Stybe@forensic.ku.dk FAU - Hansen, A Carsten AU - Hansen AC FAU - Muller, Irene Breum AU - Muller IB FAU - Lundemose, Jytte Banner AU - Lundemose JB FAU - Franzmann, Maria-B AU - Franzmann MB LA - eng PT - Case Reports PT - Journal Article PL - England TA - J Anal Toxicol JT - Journal of analytical toxicology JID - 7705085 RN - 0 (Amphetamines) RN - 0 (Central Nervous System Stimulants) RN - 0 (paramethoxymethamphetamine) RN - 44RAL3456C (Methamphetamine) RN - CK833KGX7E (Amphetamine) RN - OVB8F8P39Q (4-methoxyamphetamine) SB - IM MH - Adult MH - Amphetamine/blood/*poisoning/urine MH - Amphetamines MH - Autopsy MH - Central Nervous System Stimulants/blood/*poisoning/urine MH - Chromatography, Gas MH - Drug Overdose MH - Fatal Outcome MH - Humans MH - Male MH - Methamphetamine/*analogs & derivatives/blood/*poisoning/urine MH - Poisoning/blood/urine EDAT- 2003/06/25 05:00 MHDA- 2004/03/09 05:00 CRDT- 2003/06/25 05:00 PHST- 2003/06/25 05:00 [pubmed] PHST- 2004/03/09 05:00 [medline] PHST- 2003/06/25 05:00 [entrez] AID - 10.1093/jat/27.4.253 [doi] PST - ppublish SO - J Anal Toxicol. 2003 May-Jun;27(4):253-6. doi: 10.1093/jat/27.4.253.