在药物促进的性侵犯(DFSA)中使用3,4-亚甲二氧基甲基苯丙胺(MDMA)并不少见。的确,与使用该物质相关的作用可能导致抑制。几种合成卡西酮,如甲氧麻黄酮或甲基酮,还具有明显的内生特性。该手稿旨在(i)报告涉及新型卡西酮衍生物的DFSA案件,即N-乙基-戊酮(NEPD)和(ii)审查先前报告的DFSA涉及合成卡西酮的病例。使用液相色谱-高分辨率质谱(LC-HRMS),在一名36岁男性的血浆和尿液中检测到NEPD,该男性是DFSA的受害者。此外,一个详尽的,我们使用几个不同的电子数据库进行非特定时期的英语文献检索,以确定涉及合成卡西诺酮的DFSA病例.总的来说,五种合成卡西酮与DFSA有关:亚甲基二氧戊烯酮,4-甲基乙卡西酮,α-吡咯烷二苯甲酮,甲氧麻黄酮,α-吡咯烷酮,和甲基酮,这似乎是最常见的报道。甲酮是MDMA的β-酮类似物,它在药理学上有很大的相似之处。的确,甲酮的药理作用与MDMA相似。相比之下,人们对NEPD在人类中的药理作用知之甚少。根据主观报告,NEPD可以对人类产生积极和消极的影响。与甲基酮或甲氧麻黄酮的报道不同,只有一小部分NEPD用户报告了轻微的内吞基因效应。从理论上讲,这些特性使NEPD更适合在化学性别背景下使用,而不是在DFSA背景下使用;即使,这两种特定形式的性用药之间的界限有时会显得脆弱。
The use of 3,4-methylenedioxymethamphetamine (MDMA) in drug-facilitated sexual assault (DFSA) is not uncommon. Indeed, the effects associated with the use of this substance may lead to disinhibition. Several synthetic cathinones, such as mephedrone or methylone, also possess marked entactogenic properties. This manuscript aims to (i) report a DFSA case involving a novel cathinone derivative, namely N-ethyl-pentedrone (NEPD) and (ii)
review previously reported DFSA cases involving synthetic cathinones. Using liquid chromatography-high-resolution mass spectrometry (LC-HRMS), NEPD was detected in both plasma and urine collected from a 36-year-old male who had been victim of DFSA. Furthermore, an exhaustive, non-period-specific English-language literature search was performed using several different electronic databases to identify DFSA cases involving synthetic cathinones. Overall, five synthetic cathinones have been associated with DFSA:methylenedioxypyrovalerone, 4-methylethcathinone, α -pyrrolidinopentiophenone, mephedrone, α -pyrrolidinohexiophenone, and methylone, which appears to be the most frequently reported. Methylone is the β-keto analog of MDMA, with which it shares substantial pharmacological similarities. Indeed, the pharmacological effects of methylone are similar to those associated with MDMA. By contrast, little is known regarding NEPD\'s pharmacological effects in humans. Based on subjective reports, NEPD can produce both positive and negative effects in human. Unlike what is reported in the case of methylone or mephedrone, only a small minority of NEPD users report slightly entactogenics effects. Such properties theoretically make NEPD more suitable for use in a chemsex context than in DFSA context; even though, the boundary between these two specific forms of sexualized drug use can sometimes appear tenuous.