PMID- 29946859 OWN - NLM STAT- MEDLINE DCOM- 20181106 LR - 20240331 IS - 1432-2072 (Electronic) IS - 0033-3158 (Print) IS - 0033-3158 (Linking) VI - 235 IP - 9 DP - 2018 Sep TI - An observational study on the sub-acute effects of mephedrone on mood, cognition, sleep and physical problems in regular mephedrone users. PG - 2609-2618 LID - 10.1007/s00213-018-4953-1 [doi] AB - RATIONALE: Mephedrone (4-methylmethcathinone; 4-MMC) is a novel recreational drug similar to methylenedioxymethamphetamine (MDMA) and amphetamine. Several adverse effects have been reported, but little is known about its sub-acute effects. OBJECTIVES: To study sub-acute effects of mephedrone over a period of 9 days. METHODS: Recreational mephedrone users were recruited and followed over a time period of 9 days. It was recorded whether participants consumed mephedrone or not within the period of testing; those who did were compared to those who did not. Forty-six regular mephedrone users (22 males, 24 females) participated, 21 participants voluntarily opted to consume mephedrone 1-3 days after baseline and 25 opted to abstain. Participants were assessed at baseline on a multitude of measures and provided daily reports on cognition, sleep, mood, physical problems, mephedrone cravings and substance use on each subsequent day of the study. The study controlled for psychopathology, sleep, past and current substance use, impulsivity and demographics. RESULTS: Those who consumed mephedrone reported persistent negative mood, physical problems and fatigue, compared to those who did not-after controlling for baseline group differences in sleep and subsequent alcohol and cannabis use. CONCLUSIONS: The results provide the first prospective evidence of the duration and extent of specific undesirable sub-acute effects of mephedrone in regular recreational users and indicate sub-acute effects of mephedrone on mood, fatigue and physical symptoms. FAU - Homman, Lina AU - Homman L AUID- ORCID: 0000-0002-5927-7050 AD - Department of Psychology, University of Sussex, Brighton, BN1 9RH, UK. lina.homman@liu.se. AD - Center for Social and Affective Neuroscience, Linkoping University, 581 83, Linkoping, Sweden. lina.homman@liu.se. FAU - Seglert, Jessica AU - Seglert J AD - Department of Psychology, University of Sussex, Brighton, BN1 9RH, UK. FAU - Morgan, Michael J AU - Morgan MJ AD - Department of Psychology, University of Sussex, Brighton, BN1 9RH, UK. AD - Norwegian Center for Addiction Research, University of Oslo, 0315, Oslo, Norway. LA - eng PT - Journal Article PT - Observational Study DEP - 20180626 PL - Germany TA - Psychopharmacology (Berl) JT - Psychopharmacology JID - 7608025 RN - 0 (Illicit Drugs) RN - 44RAL3456C (Methamphetamine) RN - 8BA8T27317 (mephedrone) SB - IM MH - Adult MH - Affect/drug effects/physiology MH - Cognition/*drug effects/physiology MH - Drug Users/*psychology MH - Fatigue/*chemically induced/diagnosis/psychology MH - Female MH - Humans MH - Illicit Drugs/*adverse effects MH - Male MH - Methamphetamine/administration & dosage/adverse effects/*analogs & derivatives MH - Mood Disorders/*chemically induced/diagnosis/psychology MH - Prospective Studies MH - Sleep/drug effects/physiology MH - Substance-Related Disorders/psychology PMC - PMC6132682 OTO - NOTNLM OT - Cathinone OT - Cognition OT - Mephedrone OT - Mood OT - Physical problems OT - Sleep OT - Sub-acute effects COIS- The authors declare that they have no conflict of interest. EDAT- 2018/06/28 06:00 MHDA- 2018/11/07 06:00 PMCR- 2018/06/26 CRDT- 2018/06/28 06:00 PHST- 2018/04/10 00:00 [received] PHST- 2018/06/18 00:00 [accepted] PHST- 2018/06/28 06:00 [pubmed] PHST- 2018/11/07 06:00 [medline] PHST- 2018/06/28 06:00 [entrez] PHST- 2018/06/26 00:00 [pmc-release] AID - 10.1007/s00213-018-4953-1 [pii] AID - 4953 [pii] AID - 10.1007/s00213-018-4953-1 [doi] PST - ppublish SO - Psychopharmacology (Berl). 2018 Sep;235(9):2609-2618. doi: 10.1007/s00213-018-4953-1. Epub 2018 Jun 26.