3,4-Methylenedioxymethamphetamine

Alternative names
MDMA
Year(s) and type of review / ECDD meetings
Drug Class

Recommendation (from TRS)

ECDD Technical summary
In mice, 3,4-methylenedioxymethamphetamine (MDMA) increases locomotor activity and produces analgesia. In dogs and monkeys the substance has a pharmacological profile similar to that of other substances already. controlled under the Convention on Psychotropic Substances. There are contradictory reports of the hallucinogenic activity of this substance in man. The substance is a potent serotonin-releaser in rat whole-brain synaptosomes. Its toxicological properties have been studied extensively in animals. The acute toxicity of this substance is about twice that of mescaline. No pharmacokinetic data are available. 3,4-Methylenedioxymethamphetamine has discriminative stimulus effects in common with amphetamine but not with 2,5-dimethoxy-a4-dimethylbenzeneethanamine (DOM). No data are available concerning its clinical abuse liability, nature and magnitude of associated public health or social problems, or epidemiology of its use and abuse. The substance is under national control in Canada and the United Kingdom and its control has been proposed in the USA.

The substance has no well defined therapeutic use; but a number of clinicians in the USA have claimed that it is potentially valuable as a psychotherapeutic agent. No data are available concerning its lawful production. Evidence of some illicit trafficking in the substance has been reported from Canada and there have been extensive seizures of the drug in the USA.

On the basis of the data outlined above, it was the consensus of the Expert Committee that 3,4-methylenedioxymethamphetamine met the criteria of article 2, paragraph 4, for control under the Convention on Psychotropic Substances. Since there is insufficient evidence to indicate that the substance has therapeutic usefulness, the Expert Committee recommended that it be placed in Schedule I of the Convention. It should be noted that the Expert Committee held extensive discussions concerning the reported therapeutic usefulness of 3,4-methylenedioxymethamphetamine. While the Expert Committee found the reports intriguing, it felt that the studies lacked the appropriate methodological design necessary to ascertain the reliability of the observations. There was, however, sufficient interest expressed to recommend that investigations be encouraged to follow up these preliminary findings. To that end, the Expert Committee urged countries to use the provisions of article 7 of the Convention on Psychotropic Substances to facilitate research on this interesting substance.

ECDD Recommendation

Inclusion in Schedule I of the 1971 Convention on Psychotropic Substances