PMID- 26074741 OWN - NLM STAT- MEDLINE DCOM- 20160111 LR - 20181113 IS - 1570-159X (Print) IS - 1875-6190 (Electronic) IS - 1570-159X (Linking) VI - 13 IP - 1 DP - 2015 Jan TI - Cathinone neurotoxicity ("The "3Ms"). PG - 21-5 LID - 10.2174/1570159X13666141210225009 [doi] AB - Synthetic cathinones are designer drugs of the phenethylamine class, structurally and pharmacologically similar to amphetamine, 3,4-methylenedioxymethamphetamine (MDMA), cathinone and other related substances. New analogues, legal at least, until formally banned (a time consuming process), are introduced almost daily The United Nations estimates nearly 250 new drug analogues are produced per year. Various combinations of these drugs are sold under the name of "bath salts". They can be ingested by any route and some appear capable of causing great harm, mostly behavioral. One drug in particular, MDVP, appears to frequently cause symptoms indistinguishable from the classic findings in Excited Delirium Syndrome (ExDS). Little is known about the pathology or clinical toxicology of these drugs but their molecular mechanism of action seems to be identical with that of cocaine. This mini-review examines what little is known on the subject and explains the suspected mechanisms of excited delirium syndrome. FAU - Karch, Steven B AU - Karch SB AD - PO Box 5139, Berkeley, CA 94705-0139. LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Neuropharmacol JT - Current neuropharmacology JID - 101157239 RN - 0 (Alkaloids) RN - 0 (Designer Drugs) RN - 540EI4406J (cathinone) SB - IM MH - Alkaloids/*adverse effects/toxicity MH - Delirium/chemically induced/psychology MH - Designer Drugs/*adverse effects/toxicity MH - Humans MH - Neurotoxicity Syndromes/*physiopathology/*psychology PMC - PMC4462040 OTO - NOTNLM OT - MDMA OT - MDVP OT - cathinones OT - methedrone OT - methelone OT - "Bath salts" EDAT- 2015/06/16 06:00 MHDA- 2015/06/16 06:01 PMCR- 2015/07/01 CRDT- 2015/06/16 06:00 PHST- 2014/05/06 00:00 [received] PHST- 2014/06/21 00:00 [revised] PHST- 2014/10/25 00:00 [accepted] PHST- 2015/06/16 06:00 [entrez] PHST- 2015/06/16 06:00 [pubmed] PHST- 2015/06/16 06:01 [medline] PHST- 2015/07/01 00:00 [pmc-release] AID - CN-13-21 [pii] AID - 10.2174/1570159X13666141210225009 [doi] PST - ppublish SO - Curr Neuropharmacol. 2015 Jan;13(1):21-5. doi: 10.2174/1570159X13666141210225009.