PMID- 34396557 OWN - NLM STAT- MEDLINE DCOM- 20220127 LR - 20220127 IS - 1552-4604 (Electronic) IS - 0091-2700 (Linking) VI - 61 Suppl 2 DP - 2021 Aug TI - Pharmacology of Drugs Used as Stimulants. PG - S53-S69 LID - 10.1002/jcph.1918 [doi] AB - Psychostimulant, cardiovascular, and temperature actions of stimulants involve adrenergic (norepinephrine), dopaminergic (dopamine), and serotonergic (serotonin) pathways. Stimulants such as amphetamine, 3,4-methylenedioxymethamphetamine (MDMA), or mephedrone can act on the neuronal membrane monoamine transporters NET, DAT, and SERT and/or the vesicular monoamine transporter 2 to inhibit reuptake of neurotransmitter or cause release by reverse transport. Stimulants may have additional effects involving pre- and postsynaptic/junctional receptors for norepinephrine, dopamine, and serotonin and other receptors. As a result, stimulants may have a wide range of possible actions. Agents with cocaine or MDMA-like actions can induce serious and potentially fatal adverse events via thermodysregulatory, cardiovascular, or other mechanisms. MDMA-like stimulants may cause hyperthermia that can be life threathening. Recreational users of stimulants should be aware of the dangers of hyperthermia in a rave/club environment. CI - (c) 2021 The Authors. The Journal of Clinical Pharmacology published by Wiley Periodicals LLC on behalf of American College of Clinical Pharmacology. FAU - Docherty, James R AU - Docherty JR AD - Department of Physiology, RCSI, Dublin, Ireland. FAU - Alsufyani, Hadeel A AU - Alsufyani HA AD - Department of Physiology, King Abdulaziz University, Jeddah, Saudi Arabia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - J Clin Pharmacol JT - Journal of clinical pharmacology JID - 0366372 RN - 0 (Central Nervous System Stimulants) RN - 0 (Neurotransmitter Transport Proteins) RN - 333DO1RDJY (Serotonin) RN - VTD58H1Z2X (Dopamine) RN - X4W3ENH1CV (Norepinephrine) SB - IM MH - Central Nervous System Stimulants/*pharmacology MH - Dopamine/metabolism MH - Humans MH - Neurotransmitter Transport Proteins/metabolism MH - Norepinephrine/metabolism MH - Serotonin/metabolism MH - Substance-Related Disorders/epidemiology/pathology EDAT- 2021/08/17 06:00 MHDA- 2022/01/28 06:00 CRDT- 2021/08/16 06:20 PHST- 2021/02/24 00:00 [received] PHST- 2021/05/22 00:00 [accepted] PHST- 2021/08/16 06:20 [entrez] PHST- 2021/08/17 06:00 [pubmed] PHST- 2022/01/28 06:00 [medline] AID - 10.1002/jcph.1918 [doi] PST - ppublish SO - J Clin Pharmacol. 2021 Aug;61 Suppl 2:S53-S69. doi: 10.1002/jcph.1918.