DOI:
https://doi.org/10.38017/1657463X.686Palabras clave:
Catinona, Mefedrina, 4-metilmetcatinona, Farmacología, ToxicologíaResumen
En los últimos 25 años en Europa, han surgido nuevas drogas sintéticas derivadas de la planta de khat (Catha edulis), denominadas Catinonas, que es un alcaloide muy potente análogo a las anfetaminas. Entre los derivados de la catinona se encuentra la mefedrina (4-metilmetcatinona (4-MMC)), que tiene efectos farmacológicos equivalentes a los reportados por el éxtasis, las anfetaminas o la cocaína. El presente artículo presenta una revisión exhaustiva de la literatura referente a los principales métodos de detección de la 4-MMC conocida como mefedrona, además de presentar las propiedades fisicoquímicas, farmacológicas, toxicológicas y los principales efectos nocivos para la salud. Es de particular interés y preocupación que este medicamento derivado de la efedrina provenga de una planta y se considere legal en algunos países de Europa occidental. Ha sido ampliamente utilizado en los últimos años con fines recreativos en varios países de Europa, América del Norte y la mayoría de los países de América del Sur debido a su facilidad de compra y por ser una nueva alternativa al éxtasis y la cocaína. Los efectos de la 4-MMC están asociados con efectos estimulantes, como aumento de la concentración, estimulación psicomotora, reducción del apetito e insomnio. Estudios recientes han descrito que el uso compulsivo de mefedrona es principalmente un fenómeno juvenil y entre los efectos secundarios más peligrosos se encuentran la adicción intensa, los cambios bruscos de la temperatura corporal y la frecuencia cardíaca, las alucinaciones, la psicosis y la muerte por sobredosis. Con base en lo anterior, es esencial que las revisiones de la literatura se centren en la química, la farmacología, la toxicología y el análisis de riesgos para la mefedrona, para encontrar estrategias para la determinación rápida y mitigar sus efectos adversos en los adictos, así como evitar el consumo.
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