PMID- 25808511 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20191210 IS - 1360-0443 (Electronic) IS - 0965-2140 (Linking) VI - 110 IP - 7 DP - 2015 Jul TI - 4-Fluoroamphetamine in the Netherlands: more than a one-night stand. PG - 1138-43 LID - 10.1111/add.12932 [doi] AB - AIMS: To investigate the temporal pattern of appearance of a new psychoactive substance (4-fluoroamphetamine) on the Dutch drug market, as well as its patterns of use and effects. DESIGN: Data from the Drug Information and Monitoring System (DIMS) was used to investigate the emergence of 4-fluoroamphetamine on the Dutch drug market. An on-line questionnaire was used to study its patterns of use and effects. SETTING: Dutch drug-related websites and social media. PARTICIPANTS: A convenience sample of 249 life-time 4-fluoroamphetamine users was recruited through the internet. MEASUREMENTS: Samples containing 4-fluoroamphetamine were extracted from the DIMS database for further investigation. Patterns of use, settings of use and the subjective effects of 4-fluoroamphetamine, amphetamine and 3,4-methylenedioxymethamphetamine (MDMA) were investigated with the on-line questionnaire. FINDINGS: 4-Fluoroamphetamine was first encountered on the Dutch drug market, sold mainly as amphetamine or ecstasy (MDMA), between 2007 and 2009. These misrepresented drug samples declined when the MDMA and amphetamine markets recovered after a period of shortage, whereas purposefully bought 4-fluoroamphetamine samples showed an increase. Survey results showed that 4-fluoroamphetamine is used predominantly [77.1%, 95% confidence interval (CI) = 72.0-82.3] for its specific effects, rather than its legal status (17.7%, 95% CI = 10.7-22.1). The subjective effects of 4-fluoroamphetamine were compared with those of amphetamine and MDMA. Subjective effect scores of 4-fluoroamphetamine ranged between those of amphetamine and MDMA. CONCLUSIONS: The stimulant 4-fluoroamphetamine is increasingly popular in the Netherlands, which might be due to its subjective effects profile, which lies intermediate between amphetamine and MDMA. CI - (c) 2015 Society for the Study of Addiction. FAU - Linsen, Felix AU - Linsen F AD - Netherlands Institute of Mental Health and Addiction (Trimbos Institute), Drug Information and Monitoring System, Department of Drug Monitoring, Utrecht, the Netherlands. FAU - Koning, Raoul P J AU - Koning RP AD - Netherlands Institute of Mental Health and Addiction (Trimbos Institute), Drug Information and Monitoring System, Department of Drug Monitoring, Utrecht, the Netherlands. FAU - van Laar, Margriet AU - van Laar M AD - Netherlands Institute of Mental Health and Addiction (Trimbos Institute), Drug Information and Monitoring System, Department of Drug Monitoring, Utrecht, the Netherlands. FAU - Niesink, Raymond J M AU - Niesink RJ AD - Netherlands Institute of Mental Health and Addiction (Trimbos Institute), Drug Information and Monitoring System, Department of Drug Monitoring, Utrecht, the Netherlands. FAU - Koeter, Maarten W AU - Koeter MW AD - Department of Psychiatry, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands. FAU - Brunt, Tibor M AU - Brunt TM AD - Netherlands Institute of Mental Health and Addiction (Trimbos Institute), Drug Information and Monitoring System, Department of Drug Monitoring, Utrecht, the Netherlands. AD - Department of Psychiatry, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150519 PL - England TA - Addiction JT - Addiction (Abingdon, England) JID - 9304118 RN - 0 (Amphetamines) RN - 0 (Illicit Drugs) RN - 0 (Psychotropic Drugs) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) RN - S5744XYR1Z (4-fluoroamphetamine) SB - IM MH - Adolescent MH - Adult MH - Amphetamine-Related Disorders/*epidemiology MH - Amphetamines/adverse effects/*supply & distribution MH - Drug Users/*psychology MH - Female MH - Humans MH - Illicit Drugs/adverse effects/*supply & distribution MH - Male MH - N-Methyl-3,4-methylenedioxyamphetamine/adverse effects/*supply & distribution MH - Netherlands MH - Psychotropic Drugs/adverse effects/*supply & distribution MH - Social Media MH - Surveys and Questionnaires MH - Young Adult OTO - NOTNLM OT - 4-fluoroamphetamine OT - Amphetamine OT - MDMA OT - new psychoactive substance OT - questionnaire OT - reported effects EDAT- 2015/03/27 06:00 MHDA- 2016/12/15 06:00 CRDT- 2015/03/27 06:00 PHST- 2014/09/04 00:00 [received] PHST- 2014/12/05 00:00 [revised] PHST- 2015/03/17 00:00 [accepted] PHST- 2015/03/27 06:00 [entrez] PHST- 2015/03/27 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - 10.1111/add.12932 [doi] PST - ppublish SO - Addiction. 2015 Jul;110(7):1138-43. doi: 10.1111/add.12932. Epub 2015 May 19.