Khat
Khat (Catha edulis) is a flowering shrub native to eastern Africa and the Arabian Peninsula, whose fresh leaves are chewed for their stimulant properties.1 The plant contains cathinone, a phenethylamine alkaloid that produces sociability, excitement, mild appetite suppression, and euphoria.1 Khat chewing holds thousands of years of cultural significance in East African and Yemeni communities, comparable to coca leaf use in South America.2 The WHO classifies it as a drug of abuse capable of producing psychological dependence.2
Contents
Dosage & Duration
Dosage
Chewed leaves release cathine and cathinone, which are absorbed through the oral mucous membranes and the stomach lining. Cathinone decomposes within about 48 hours of the leaves drying, leaving the milder cathine, so potency varies substantially with the freshness of the plant material.
Duration
Subjective Effects
Khat produces a mild, socially oriented stimulation that has been compared to the effects of strong coffee, arriving faster than orally administered amphetamine at roughly fifteen minutes after chewing begins. The state is characterized by euphoria, excitement, and a marked increase in talkativeness, and is traditionally sustained across long communal chewing sessions. Prolonged consumption is described as producing an uplifted mood and a sense of release from time and space, while heavier or more excessive use can shade into manic behaviour and hyperactivity resembling that of amphetamine.
Physical
The body effects are those of a mild sympathomimetic stimulant: wakefulness that readily extends into insomnia, raised heart rate and blood pressure, and prominently dilated pupils. Appetite is reliably suppressed, and constipation is a common accompaniment.
Cognitive
The headspace is bright and outward-facing, with elevated mood, confidence, alertness, and improved concentration, which is why the plant is used by drivers and students to sustain attention. Users become notably verbose and sociable, though excessive use can bring disinhibition, disordered thought, and in rare cases hypomanic or psychotic presentations.
Reagent Testing
Loading reagent data
Pharmacology
Pharmacodynamics
Khat's stimulant effects are primarily mediated by cathinone and cathine, two phenylpropanolamine alkaloids structurally related to amphetamine.3 Cathinone, the more potent constituent found in fresh leaves, demonstrates high affinity for serotonin receptors4 and inhibits the reuptake of epinephrine and norepinephrine,3 producing wakefulness and euphoria.5 Cathine acts upon adrenergic receptors to cause release of epinephrine and norepinephrine.6 Both compounds produce sympathomimetic effects including increased heart rate and blood pressure.5
Pharmacokinetics
When khat leaves are chewed, cathine and cathinone are absorbed through the oral mucosa and gastric lining.7 Cathinone is rapidly metabolized, with effects peaking after 15 to 30 minutes and nearly 98% of the substance converted to norephedrine by the liver.17 Cathine has a half-life of approximately three hours in humans.7 Cathinone is unstable and degrades to cathine and norephedrine within 48 hours when leaves dry.3
Tolerance
Stimulants, Cathinones, Amphetamines
Harm Potential
Addiction & Dependence
Toxicity
Psychosis Risk
Occasionally a psychotic episode can result, resembling a hypomanic state in presentation.6 Psychosis in extreme cases may occur in genetically predisposed individuals. The relationship between khat consumption and psychiatric disorders requires further research.6
History & Culture
Origins and Early Documentation
Khat (Catha edulis) is a flowering plant native to eastern and southeastern Africa, with a history of cultivation originating in the Harar area of present-day eastern Ethiopia.14 The plant likely originated in the Horn of Africa, specifically the Ethiopia-Somali…
Legality
By Country
References
Source Pages
Citations
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- (n.d.). Khat (Catha edulis Forsk.) Dependence Potential and Pattern of Use in Saudi Arabia. PMC / PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC4561295/12
- Wabe, Nasir Tajure. (2011). Chemistry, Pharmacology, and Toxicology of Khat (Catha Edulis Forsk): A Review. Addiction & Health, 3(3-4), 137-149. https://pmc.ncbi.nlm.nih.gov/articles/PMC3905534/123
- Glennon, R.A., & Liebowitz, S.M.. (1982). Serotonin receptor affinity of cathinone and related analogues. Journal of Medicinal Chemistry, 25(4), 393-397. https://doi.org/10.1021/jm00346a0121
- Brenneisen, R., Fisch, H.U., Koelbing, U., Geisshusler, S., & Kalix, P.. (1990). Amphetamine-like effects in humans of the khat alkaloid cathinone. British Journal of Clinical Pharmacology, 30(6), 825-828. https://pmc.ncbi.nlm.nih.gov/articles/PMC1368302/12
- Glenice Cox, & Hagen Rampes. (2003). Adverse effects of khat: A review. Advances in Psychiatric Treatment, 9(6), 456-463. https://doi.org/10.1192/apt.9.6.456123456
- Toennes, S.W., Harder, S., Schramm, M., Niess, C., & Kauert, G.F.. (2003). Pharmacokinetics of cathinone, cathine and norephedrine after the chewing of khat leaves. British Journal of Clinical Pharmacology, 56(1), 125-130. https://doi.org/10.1046/j.1365-2125.2003.01834.x1234
- (2018). Khat (Catha Edulis) as a Risk Factor for Cardiovascular Disorders: Systematic Review and Meta-Analysis. PLOS ONE. https://pmc.ncbi.nlm.nih.gov/articles/PMC5748832/1234
- (2013). Association Between Khat Chewing and Gastrointestinal Disorders: A Cross Sectional Study. https://pmc.ncbi.nlm.nih.gov/articles/PMC3742889/1
- (2022). Risks of khat chewing on the cardiovascular, nervous, gastrointestinal, and genitourinary systems: A narrative review. https://pmc.ncbi.nlm.nih.gov/articles/PMC8930170/1
- (2010). Oral manifestations of habitual khat chewing: a case-control study. https://pubmed.ncbi.nlm.nih.gov/20451834/1
- (2020). Qat Chewing and Risk of Potentially Malignant and Malignant Oral Disorders: A Systematic Review. https://pmc.ncbi.nlm.nih.gov/articles/PMC6977049/12
- (2023). The effects of khat use during pregnancy on perinatal and maternal outcomes: a meta-analysis. https://pubmed.ncbi.nlm.nih.gov/36689029/1
- A. S. Elmi. (1983). The chewing of khat in Somalia. Journal of Ethnopharmacology, 8(2), 163–176. https://doi.org/10.1016/0378-8741(83)90052-112
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Further Reading
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