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PMMA
PMMA is a synthetic substituted amphetamine1 with stimulant and entactogenic effects that can be mistaken for those of MDMA. It is closely related to PMA2 and has a lower tendency to cause severe hyperthermia at low doses, but shares similar risks at higher doses. Even moderate doses can cause hyperthermia and serotonin syndrome, potentially leading to hospitalization or death. In the early 2010s, deaths were linked to PMMA tablets and capsules misrepresented as MDMA.
Dosage & Duration
Dosage
Doses are population estimates that vary widely between individuals.
Subjective Effects
Pharmacology
Pharmacodynamics
PMMA releases serotonin and norepinephrine, with weaker effects on dopamine. In a rat study using in vivo microdialysis, PMMA markedly increased extracellular serotonin levels and slightly increased extracellular dopamine levels.3 PMMA additionally acts as a potent, reversible inhibitor of monoamine oxidase A (MAO-A). It shows weak binding to the tested serotonin receptors and higher affinity for trace amine-associated receptor 1 (TAAR1) in mice and rats.
Pharmacokinetics
In fatal and non-fatal cases in Norway, PMA likely represented a PMMA metabolite.4
Interactions
An unlisted combination is an unknown one, not a safe one. Check a dedicated combination chart before mixing.
Tolerance
Harm Potential
Toxicity
Higher PMMA doses can cause fatal hyperthermia, and serious hyperthermia or serotonin syndrome can lead to death or hospitalization even at moderate doses. PMMA-related deaths included 12 in Norway over six months4 reported in January 2011, four in Limburg since November 2010 reported in March 2011, 21 deaths among approximately 45 exposures in Canada in 2011 linked to overdoses, two overdose-linked deaths in County Cork and one attributed death in Queensland in September 2012, and one related death in 's-Hertogenbosch in June 2013. Possible or suspected PMMA-related deaths occurred in Iceland in April 2011, Sliedrecht in August 2013, and Dublin in May 2015; PMMA was detected in the bodies of five people who died at a Buenos Aires rave in April 2016, where five additional people were hospitalized.
PMMA ingestion has been associated with severe tachycardia.
PMMA ingestion has been associated with dehydration and hyperthermia5, and moderate doses can cause severe hyperthermia or serotonin syndrome requiring hospitalization or resulting in death.
Seizure Risk
PMMA ingestion has been associated with seizures, which are described as substantially more common with PMMA than with almost any other substance.
History & Culture
Alexander Shulgin described the synthesis and effects of PMMA in PiHKAL under the name "methyl-MA".7…
Legality
By Country
References
Source Pages
Citations
Further Reading
Article Status
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