MDPV
MDPV is a synthetic stimulant of the cathinone and pyrrolidine classes,1 first developed in the 1960s by Boehringer Ingelheim as a potential amphetamine alternative.1 It acts primarily as a norepinephrine-dopamine reuptake inhibitor1 and is considered one of the most potent stimulants available.1 MDPV gained notoriety after 2004 when it appeared in products marketed as 'bath salts' sold in convenience stores. It is known for producing strong euphoria with mild empathogenic qualities, though it carries significant risk of compulsive redosing.
Contents
Dosage & Duration
Dosage
Dose figures are tentative and apply to individuals without long-term or short-term tolerance. Compulsive redosing is commonly reported and markedly increases total exposure.
Duration
Subjective Effects
MDPV produces a potent, primarily stimulant experience with only mild entactogenic character, often compared to amphetamine, cocaine, or methylphenidate. The main psychological effects last roughly three to four hours, followed by six to eight hours of residual stimulation and tachycardia during which sleep is difficult. The comedown is frequently described as harsh, and the drug is strongly associated with irresistible cravings to redose beyond what was planned. Higher doses or repeated use shift the experience toward paranoia, confusion, hallucinations, and psychotic behavior.
Physical
Physical effects centre on energetic stimulation with elevated heart rate and blood pressure, jaw tension and tooth grinding, muscle tension and soreness, and involuntary twitching. Some reports describe the body load as concentrated in the head rather than the body, and one account noted a couchlocking quality despite the stimulation.
Cognitive
The headspace is described as clear, motivated, and productive, with euphoria, talkativeness, empathy, and enhanced creativity, though scrambled thinking, confusion, anxiety, and paranoia become prominent as dose rises or use is repeated. A residual depressed mood commonly follows.
Emotional
Enhancements
Visual
Visual input can trigger inappropriate alerting; hallucinatory content is reported at high doses or with repeated use.
Auditory
An increased frequency of auditory-triggered vigilance responses is characteristic, with ordinary perceptual noise prompting inappropriate alerting.
Reagent Testing
Loading reagent data
Pharmacology
Pharmacodynamics
MDPV acts as a potent norepinephrine-dopamine reuptake inhibitor (NDRI), with especially pronounced activity at the dopamine transporter. Its IC50 values for dopamine reuptake inhibition are 4.1 nM in rat brain synaptosomes and 10 nM in HEK293 cells, placing it among the most potent dopamine reuptake inhibitors characterized to date. Activity at the dopamine transporter is approximately six to eight times stronger than at the norepinephrine transporter, while the compound is virtually inactive at the serotonin transporter.2 MDPV additionally displays weak partial norepinephrine and dopamine releasing activity, with Emax values of 24% for both catecholamines in rat brain synaptosomes, though no releasing activity was observed in HEK293 cells. The (S)-enantiomer is the pharmacologically active form.2
Pharmacokinetics
MDPV is metabolized hepatically via CYP2D6, CYP2C19, CYP1A2, and catechol-O-methyltransferase (COMT). The metabolic pathway proceeds through demethylenation, methylation of the aromatic ring, hydroxylation of both the aromatic ring and side chain, and oxidation of the pyrrolidine ring to a lactam, followed by ring opening to a carboxylic acid. Phase II glucuronidation then enables renal excretion, with only a small fraction eliminated in the feces. In vitro studies have found MDPV to have greater blood-brain barrier permeability than amphetamine, methamphetamine, methcathinone, and mephedrone.
Dangerous
Highest riskThese combinations are considered extremely harmful and should always be avoided. Reactions to these drugs taken in combination are highly unpredictable and have a potential to cause death.
Tolerance
Cocaine and other dopaminergic stimulants
Harm Potential
Addiction & Dependence
Psychological
Extremely HighMDPV is considered highly addictive with a high potential for abuse and readily causes psychological dependence. It is strongly associated with compulsive redosing ('fiending') and irresistible cravings to re-administer, with robust reinforcing effects demonstrated in both human case reports and animal self-administration studies.3
Physical
ModerateWhen addiction develops, cravings and withdrawal effects may occur if usage is suddenly stopped. The drug causes highly unpleasant comedown symptoms including residual depressed mood, cramping, muscle soreness, and prolonged stimulation making sleep difficult.
Toxicity
Acute cardiovascular strain including very elevated heart rate and tachycardia occurs during intoxication and may persist into the comedown period; overdose cases may present with hypertensive emergency requiring emergency treatment.
Psychosis Risk
MDPV may cause psychosis and mania at a significantly higher rate than other stimulants. Chronic abuse or single exposure overdose can lead to psychosis more readily than the vast majority of stimulants. Symptoms include hearing voices, visual hallucinations, urges to harm oneself, severe anxiety, mania, grandiosity, paranoid delusions, confusion, increased aggression, and irritability. High doses cause intense prolonged panic attacks, and sleep deprivation from extended use compounds psychotic risk. Electroconvulsive therapy has been used to treat persistent psychotic symptoms from repeated use.4
Seizure Risk
Seizures can occur in overdose situations and are treated with large doses of lorazepam in emergency settings.
History & Culture
Development and Early History
MDPV was first developed in the 1960s by a research team at Boehringer Ingelheim, a German pharmaceutical company. The compound was investigated as a potential alternative to racemic amphetamine and reportedly demonstrated some desirable qualities, including reduced toxicity compared to
Legality
International
UN Single Convention on Narcotic Drugs 1961: not internationally scheduled under the 1961 Convention
UN Convention on Psychotropic Substances 1971: scheduled7
UN Convention against Illicit Traffic 1988: not internationally scheduled under the 1988 Convention
By Country
References
Source Pages
Citations
- Richard A. Glennon, & Richard Young. (2016). Neurobiology of 3,4-Methylenedioxypyrovalerone (MDPV) and α-Pyrrolidinovalerophenone (α-PVP). Brain Research Bulletin, 126, 111-126. https://doi.org/10.1016/j.brainresbull.2016.04.0111234
- Michael H. Baumann, Muhammad O. Bukhari, Katherine R. Lehner, Sabina Anizan, Kenner C. Rice, Marta Concheiro, & Marilyn A. Huestis. (2017). Neuropharmacology of 3,4-Methylenedioxypyrovalerone (MDPV), Its Metabolites, and Related Analogs. Neuropharmacology of New Psychoactive Substances (NPS), 93–117. https://doi.org/10.1007/7854_2016_53123456
- Watterson LR, Kufahl PR, Nemirovsky NE, Sewalia K, Grabenauer M, Thomas BF, Marusich JA, Wegner S, & Olive MF. (2014). Potent rewarding and reinforcing effects of the synthetic cathinone 3,4-methylenedioxypyrovalerone (MDPV). Addiction Biology, 19(2), 165-174. https://doi.org/10.1111/j.1369-1600.2012.00474.x1
- Penders TM, Lang MC, Pagano JJ, & Gooding ZS. (2013). Electroconvulsive therapy improves persistent psychosis after repeated use of methylenedioxypyrovalerone ("bath salts").. The Journal of ECT, 29(4), e59-e60. https://doi.org/10.1097/yct.0b013e3182887bc21
- European Monitoring Centre for Drugs and Drug Addiction, & Europol. (2014). EMCDDA–Europol Joint Report on a new psychoactive substance: MDPV (3,4-methylenedioxypyrovalerone). Publications Office of the European Union. https://www.drugsandalcohol.ie/21301/1/EMCDDA-Europol_Joint_Report_MDPV.pdf1
- Benzie F, Hekman K, Cameron L, Wade DR, Miller C, Smolinske S, & Warrick B. (2011). Emergency Department Visits After Use of a Drug Sold as “Bath Salts” — Michigan, November 13, 2010–March 31, 2011. Morbidity and Mortality Weekly Report, 60(19), 624–627. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019a6.htm1
- United Nations Office on Drugs and Crime. (n.d.). Substance Details: 3,4-Methylenedioxypyrovalerone. UNODC Legal Status and Scheduling. https://www.unodc.org/LSS/Substance/Details/6a35fe21-2cdd-46ff-a343-cd977fa28ff61
- (n.d.). Controlled Drugs and Substances Act (S.C. 1996, c. 19). laws-lois.justice.gc.ca. https://laws-lois.justice.gc.ca/eng/acts/C-38.8/section-sched95314.html?txthl=s&wbdisable=false1
- Drug Enforcement Administration. (2013-01-04). Establishment of Drug Codes for 26 Substances. Federal Register, 78(3), Article 2012-31698. https://www.govinfo.gov/content/pkg/FR-2013-01-04/html/2012-31698.htm1
Further Reading
Anodyne substance page – MDPV
Anodyne Wiki: 3,4 Methylenedioxy Α Pyrrolidinopentiophenone
Baumann et al. 2013 - Powerful Cocaine-Like Actions of MDPV
Baumann et al. 2017 - Neuropharmacology of MDPV and Related Analogs
Behavioural, Pharmacokinetic, Metabolic and Hyperthermic Profile of MDPV (Frontiers in Psychiatry, 2018)
Coppola & Mondola 2012 - MDPV Chemistry and Pharmacology
Drugs-Forum: MDPV Drug Info Discussion
EMCDDA: 2014 - MDPV Risk Assessment Report
Fantegrossi et al. 2013 - In Vivo Effects of MDPV in Mice
Froberg et al. 2015 - Acute MDPV Toxicity (ToxIC Registry)
Horsley et al. 2018 - Behavioural and Hyperthermic Profile of MDPV
Hyperthermia and multiorgan failure after bath-salts injection (Case Report, 2012)
Intoxications involving MDPV in Sweden 2010-2014
Marinetti & Antonides 2013 - Hyperthermia and Multiorgan Failure After Bath Salts
Marusich et al. 2014 - Pharmacology of MDPV-Related Synthetic Stimulants
Powerful cocaine-like actions of MDPV (Neuropsychopharmacology, 2013)
Saha et al. 2024 - Cardiotoxicity After Synthetic Cathinone Use
Simmler et al. 2017 - Stereoselective Actions of MDPV at Monoamine Transporters
Stereoselective actions of MDPV at monoamine transporters (ACS Chem Neurosci, 2017)
Winstock et al. 2015 - Intoxications Involving MDPV in Sweden 2010-2014
Automated synthesisInformation aggregated and synthesized using an autonomous workflow built by Josie Kins.
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