PMID- 29633178 OWN - NLM STAT- MEDLINE DCOM- 20190613 LR - 20190613 IS - 0171-2004 (Print) IS - 0171-2004 (Linking) VI - 252 DP - 2018 TI - Pharmacology of MDMA- and Amphetamine-Like New Psychoactive Substances. PG - 143-164 LID - 10.1007/164_2018_113 [doi] AB - New psychoactive substances (NPS) with amphetamine-, aminoindan-, and benzofuran basic chemical structures have recently emerged for recreational drug use. Detailed information about their psychotropic effects and health risks is often limited. At the same time, it emerged that the pharmacological profiles of these NPS resemble those of amphetamine or 3,4-methylenedioxymethamphetamine (MDMA). Amphetamine-like NPS induce psychostimulation and euphoria mediated predominantly by norepinephrine (NE) and dopamine (DA) transporter (NET and DAT) inhibition and transporter-mediated release of NE and DA, thus showing a more catecholamine-selective profile. MDMA-like NPS frequently induce well-being, empathy, and prosocial effects and have only moderate psychostimulant properties. These MDMA-like substances primarily act by inhibiting the serotonin (5-HT) transporter (SERT) and NET, also inducing 5-HT and NE release. Monoamine receptor interactions vary considerably among amphetamine- and MDMA-like NPS. Clinically, amphetamine- and MDMA-like NPS can induce sympathomimetic toxicity. The aim of this chapter is to review the state of knowledge regarding these substances with a focus on the description of the in vitro pharmacology of selected amphetamine- and MDMA-like NPS. In addition, it is aimed to provide links between pharmacological profiles and in vivo effects and toxicity, which leads to the conclusion that abuse liability for amphetamine-like NPS may be higher than for MDMA-like NPS, but that the risk for developing the life-threatening serotonin syndrome may be increased for MDMA-like NPS. FAU - Simmler, Linda D AU - Simmler LD AD - Department of Basic Neurosciences, University of Geneva, Geneva, Switzerland. linda.simmler@unige.ch. FAU - Liechti, Matthias E AU - Liechti ME AD - Division of Clinical Pharmacology and Toxicology, University Hospital Basel, Basel, Switzerland. matthias.liechti@usb.ch. LA - eng PT - Journal Article PT - Review PL - Germany TA - Handb Exp Pharmacol JT - Handbook of experimental pharmacology JID - 7902231 RN - 0 (Central Nervous System Stimulants) RN - 0 (Dopamine Plasma Membrane Transport Proteins) RN - 0 (Norepinephrine Plasma Membrane Transport Proteins) RN - 0 (Psychotropic Drugs) RN - 0 (Serotonin Antagonists) RN - CK833KGX7E (Amphetamine) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Amphetamine MH - Central Nervous System Stimulants/*pharmacology MH - Dopamine Plasma Membrane Transport Proteins/antagonists & inhibitors MH - Humans MH - N-Methyl-3,4-methylenedioxyamphetamine MH - Norepinephrine Plasma Membrane Transport Proteins/antagonists & inhibitors MH - Psychotropic Drugs/*pharmacology MH - Serotonin Antagonists OTO - NOTNLM OT - 4-FA OT - 4-Fluoroamphetamine OT - 5-IT OT - Aminoindans OT - Amphetamine OT - Benzofurans OT - DAT OT - Dopamine OT - MDMA OT - Monoamines OT - NET OT - NPS OT - Noradrenaline OT - Release OT - SERT OT - Serotonin OT - Uptake EDAT- 2018/04/11 06:00 MHDA- 2019/06/14 06:00 CRDT- 2018/04/11 06:00 PHST- 2018/04/11 06:00 [pubmed] PHST- 2019/06/14 06:00 [medline] PHST- 2018/04/11 06:00 [entrez] AID - 10.1007/164_2018_113 [doi] PST - ppublish SO - Handb Exp Pharmacol. 2018;252:143-164. doi: 10.1007/164_2018_113.