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Saving copy of the {{drugbox}} taken from revid 461521712 of page Para-Methoxyamphetamine for the Chem/Drugbox validation project (updated: 'CAS_number').
 
 
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{{Short description|Chemical compound}}
{{ambox | text = This page contains a copy of the infobox ({{tl|drugbox}}) taken from revid [{{fullurl:Para-Methoxyamphetamine|oldid=461521712}} 461521712] of page [[Para-Methoxyamphetamine]] with values updated to verified values.}}
{{distinguish|4-methylamphetamine|4-MA steroid}}
{{Drugbox
{{DISPLAYTITLE:''para''-Methoxyamphetamine}}
{{Infobox drug
| Verifiedfields = changed
| verifiedrevid = 461747299
| IUPAC_name = 1-(4-methoxyphenyl)propan-2-amine
| IUPAC_name = 1-(4-methoxyphenyl)propan-2-amine
| image = PMA.svg
| image = PMA.svg
| width = 150px
| image2 = 4-Methoxyamphetamine_molecule_ball.png
| width2 = 150px
| drug_name = ''para''-Methoxyamphetamine
| drug_name = ''para''-Methoxyamphetamine


<!--Clinical data-->
<!--Clinical data-->
| tradename =
| tradename = Dr.Death
| pregnancy_category =
| pregnancy_category =
| legal_AU = S9
| legal_status = Schedule I ([[United Nations|UN]])
| legal_BR = F2
| legal_BR_comment = <ref>{{Cite web |author=Anvisa |author-link=Brazilian Health Regulatory Agency |date=2023-07-24 |title=RDC Nº 804 - Listas de Substâncias Entorpecentes, Psicotrópicas, Precursoras e Outras sob Controle Especial |trans-title=Collegiate Board Resolution No. 804 - Lists of Narcotic, Psychotropic, Precursor, and Other Substances under Special Control|url=https://www.in.gov.br/en/web/dou/-/resolucao-rdc-n-804-de-24-de-julho-de-2023-498447451 |url-status=live |archive-url=https://web.archive.org/web/20230827163149/https://www.in.gov.br/en/web/dou/-/resolucao-rdc-n-804-de-24-de-julho-de-2023-498447451 |archive-date=2023-08-27 |access-date=2023-08-27 |publisher=[[Diário Oficial da União]] |language=pt-BR |publication-date=2023-07-25}}</ref>
| legal_CA = Schedule I
| legal_DE = Anlage I
| legal_UK = Class A
| legal_US = Schedule I
| legal_UN = P I
| legal_status = In general illegal unless that was for medical, therapeutic or scientific use.
| routes_of_administration = [[Mouth|Oral]]
| routes_of_administration = [[Mouth|Oral]]


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| metabolism =
| metabolism =
| elimination_half-life =
| elimination_half-life =
| excretion =
| excretion =


<!--Identifiers-->
<!--Identifiers-->
| CAS_number_Ref = {{cascite|correct|CAS}}
| CAS_number = <!-- blanked - oldvalue: 64-13-1 -->
| CAS_number = 64-13-1
| UNII_Ref = {{fdacite|correct|FDA}}
| UNII = OVB8F8P39Q
| ATC_prefix = none
| ATC_prefix = none
| ATC_suffix =
| ATC_suffix =
| DrugBank_Ref = {{drugbankcite|correct|drugbank}}
| DrugBank = DB01472
| DrugBank = DB01472
| ChEMBL_Ref = {{ebicite|correct|EBI}}
| ChEMBL = 278663
| ChEMBL = 278663
| KEGG_Ref = {{keggcite|correct|kegg}}
| KEGG = C22811
| StdInChI_Ref = {{stdinchicite|correct|chemspider}}
| StdInChI = 1S/C10H15NO/c1-8(11)7-9-3-5-10(12-2)6-4-9/h3-6,8H,7,11H2,1-2H3
| StdInChI = 1S/C10H15NO/c1-8(11)7-9-3-5-10(12-2)6-4-9/h3-6,8H,7,11H2,1-2H3
| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}}
| StdInChIKey = NEGYEDYHPHMHGK-UHFFFAOYSA-N
| StdInChIKey = NEGYEDYHPHMHGK-UHFFFAOYSA-N
| PubChem = 31721
| PubChem = 31721
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| ChemSpiderID = 29417
| ChemSpiderID = 29417


<!--Chemical data-->
<!--Chemical data-->
| C=10 | H=15 | N=1 | O=1
| C=10 | H=15 | N=1 | O=1
| molecular_weight = 165.232 g/mol
| smiles = C1=CC(=CC=C1CC(C)N)OC
| smiles = C1=CC(=CC=C1CC(C)N)OC
}}
}}
{{commons category}}

'''''para''-Methoxyamphetamine''' ('''PMA'''), also known as '''4-methoxyamphetamine''' ('''4-MA'''), is a [[designer drug]] of the [[substituted amphetamine|amphetamine]] class with [[Serotonin|serotonergic]] effects.<ref>[[Drug Enforcement Administration]] October 2000. [http://www.erowid.org/chemicals/pma/pma_dea_intellbrief.pdf The Hallucinogen PMA: Dancing With Death] {{Webarchive|url=https://web.archive.org/web/20071204021053/http://erowid.org/chemicals/pma/pma_dea_intellbrief.pdf |date=2007-12-04 }}</ref><ref name="Alexander & Ann Shulgin, PiHKAL #97">{{cite book |vauthors=Shulgin AT, Shulgin A |title=Pihkal: A Chemical Love Story |date=1991 |publisher=Transform Press |isbn=978-0-9630096-0-9 |chapter-url=http://www.erowid.org/library/books_online/pihkal/pihkal097.shtml |chapter=#97 4-MA |access-date=2005-12-11 |archive-date=2007-04-08 |archive-url=https://web.archive.org/web/20070408002536/http://www.erowid.org/library/books_online/pihkal/pihkal097.shtml |url-status=live }}</ref><ref name="salna">{{cite news|vauthors= Karlis S|title= Warning of possible shift to killer drug|url= http://news.smh.com.au/national/warning-of-possible-shift-to-killer-drug-20080407-2482.html|work= Sydney Morning Herald|publisher= Fairfax|date= 7 April 2008|access-date= 2008-06-29|archive-date= 2008-07-02|archive-url= https://web.archive.org/web/20080702035335/http://news.smh.com.au/national/warning-of-possible-shift-to-killer-drug-20080407-2482.html|url-status= live}}</ref> Unlike other similar drugs of this family, PMA does not produce [[stimulant]], [[euphoriant]], or [[entactogen]] effects,<ref name="pmid1539067">{{cite journal | vauthors = Corrigall WA, Robertson JM, Coen KM, Lodge BA | title = The reinforcing and discriminative stimulus properties of para-ethoxy- and para-methoxyamphetamine | journal = Pharmacology, Biochemistry, and Behavior | volume = 41 | issue = 1 | pages = 165–169 | date = January 1992 | pmid = 1539067 | doi = 10.1016/0091-3057(92)90077-S | s2cid = 30080516 | citeseerx = 10.1.1.670.6929 }}</ref> and behaves more like an [[antidepressant]] in comparison,<ref>{{cite journal | vauthors = Preve M, Suardi NE, Godio M, Traber R, Colombo RA |title=Paramethoxymethamphetamine (Mitsubishi turbo) abuse: Case report and literature review |journal=European Psychiatry |date=April 2017 |volume=41 |issue=S1 |pages=s875 |doi=10.1016/j.eurpsy.2017.01.1762 |s2cid=148876431 }}</ref> though it does have some [[psychedelic drug|psychedelic]] properties.<ref name="pmid7617822">{{cite journal | vauthors = Hegadoren KM, Martin-Iverson MT, Baker GB | title = Comparative behavioural and neurochemical studies with a psychomotor stimulant, an hallucinogen and 3,4-methylenedioxy analogues of amphetamine | journal = Psychopharmacology | volume = 118 | issue = 3 | pages = 295–304 | date = April 1995 | pmid = 7617822 | doi = 10.1007/BF02245958 | s2cid = 30756295 }}</ref><ref name="pmid6546992">{{cite journal | vauthors = Winter JC | title = The stimulus properties of para-methoxyamphetamine: a nonessential serotonergic component | journal = Pharmacology, Biochemistry, and Behavior | volume = 20 | issue = 2 | pages = 201–203 | date = February 1984 | pmid = 6546992 | doi = 10.1016/0091-3057(84)90242-9 | s2cid = 9673028 }}</ref>

PMA has been found in [[Tablet (pharmacy)|tablets]] touted as [[MDMA]] (ecstasy)<ref name="ecstasydata">{{cite web|url=https://www.ecstasydata.org/results.php?start=0&search_field=all&s=pma|title=EcstasyData.org: Results : Lab Test Results for Recreational Drugs|website=www.ecstasydata.org|access-date=2015-02-15|archive-date=2015-02-15|archive-url=https://web.archive.org/web/20150215150551/https://www.ecstasydata.org/results.php?start=0&search_field=all&s=pma|url-status=live}}</ref><ref name="fake-ecstasy-warning-die-scotland">{{cite news|vauthors=Davies C|title=Warning over fake ecstasy tablets after seven people die in Scotland|url=https://www.theguardian.com/society/2013/jul/10/fake-ecstasy-warning-die-scotland|access-date=10 July 2013|newspaper=The Guardian|date=10 July 2013|archive-date=2 February 2020|archive-url=https://web.archive.org/web/20200202193438/https://www.theguardian.com/society/2013/jul/10/fake-ecstasy-warning-die-scotland|url-status=live}}</ref><ref name=Barrell2015>{{cite news |vauthors=Barrell R |title=Four Dead Amid Fears Of Dodgy Batch Of 'Superman' Ecstasy Hitting The UK |url=https://www.huffingtonpost.co.uk/2015/01/02/pmma-pma-bad-batch-mdma_n_6405956.html |work=HuffPost UK |date=2 January 2015 |access-date=12 June 2022 |archive-date=21 April 2022 |archive-url=https://web.archive.org/web/20220421194300/https://www.huffingtonpost.co.uk/2015/01/02/pmma-pma-bad-batch-mdma_n_6405956.html |url-status=live }}</ref><ref name="pmid9760094">{{cite journal | vauthors = Byard RW, Gilbert J, James R, Lokan RJ | title = Amphetamine derivative fatalities in South Australia--is "Ecstasy" the culprit? | journal = The American Journal of Forensic Medicine and Pathology | volume = 19 | issue = 3 | pages = 261–265 | date = September 1998 | pmid = 9760094 | doi = 10.1097/00000433-199809000-00013 }}</ref> although its effects are markedly different compared to those of MDMA. The consequences of such deception have often included hospitalization and death for unwitting users. PMA is commonly synthesized from [[anethole]], the flavor compound of [[anise]] and [[fennel]], mainly because the starting material for MDMA, [[safrole]], has become less available due to law enforcement action, causing illicit drug manufacturers to use anethole as an alternative.<ref>{{cite journal | vauthors = Waumans D, Bruneel N, Tytgat J | title = Anise oil as para-methoxyamphetamine (PMA) precursor | journal = Forensic Science International | volume = 133 | issue = 1–2 | pages = 159–170 | date = April 2003 | pmid = 12742705 | doi = 10.1016/S0379-0738(03)00063-X }}</ref>

== Adverse effects ==

PMA has been associated with numerous adverse reactions including death.<ref>{{cite journal | vauthors = Martin TL | title = Three cases of fatal paramethoxyamphetamine overdose | journal = Journal of Analytical Toxicology | volume = 25 | issue = 7 | pages = 649–651 | date = October 2001 | pmid = 11599618 | doi = 10.1093/jat/25.7.649 | doi-access = free }}</ref><ref>{{cite journal | vauthors = Becker J, Neis P, Röhrich J, Zörntlein S | title = A fatal paramethoxymethamphetamine intoxication | journal = Legal Medicine | volume = 5 | issue = Suppl 1 | pages = S138–S141 | date = March 2003 | pmid = 12935573 | doi = 10.1016/s1344-6223(02)00096-2 }}</ref> Effects of PMA ingestion include many effects of the hallucinogenic amphetamines including [[tachycardia|accelerated]] and [[arrythmia|irregular]] heartbeat, blurred vision, and a strong feeling of intoxication that is often unpleasant. At high doses unpleasant effects such as [[nausea]] and [[vomiting]], severe [[hyperthermia]] and [[hallucinations]] may occur. The effects of PMA also seem to be much more unpredictable and variable between individuals than those of MDMA, and sensitive individuals may die from a dose of PMA by which a less susceptible person might only be mildly affected.<ref>{{cite journal | vauthors = Smets G, Bronselaer K, De Munnynck K, De Feyter K, Van de Voorde W, Sabbe M | title = Amphetamine toxicity in the emergency department | journal = European Journal of Emergency Medicine | volume = 12 | issue = 4 | pages = 193–197 | date = August 2005 | pmid = 16034267 | doi = 10.1097/00063110-200508000-00010 | s2cid = 40206693 }}</ref> While PMA alone may cause significant toxicity, the combination of PMA with MDMA has a synergistic effect that seems to be particularly hazardous.<ref>{{cite journal | vauthors = Lora-Tamayo C, Tena T, Rodríguez A, Moreno D, Sancho JR, Enseñat P, Muela F | title = The designer drug situation in Ibiza | journal = Forensic Science International | volume = 140 | issue = 2–3 | pages = 195–206 | date = March 2004 | pmid = 15036441 | doi = 10.1016/j.forsciint.2003.11.021 }}</ref> Since PMA has a slow onset of effects, several deaths have occurred where individuals have taken a pill containing PMA, followed by a pill containing MDMA some time afterwards due to thinking that the first pill was not active.<ref>{{cite journal | vauthors = Dams R, De Letter EA, Mortier KA, Cordonnier JA, Lambert WE, Piette MH, Van Calenbergh S, De Leenheer AP | display-authors = 6 | title = Fatality due to combined use of the designer drugs MDMA and PMA: a distribution study | journal = Journal of Analytical Toxicology | volume = 27 | issue = 5 | pages = 318–322 | date = 1 July 2003 | pmid = 12908947 | doi = 10.1093/jat/27.5.318 | doi-access = free }}</ref>

== Overdose ==

PMA overdose can be a serious medical emergency that may occur at only slightly above the usual recreational dose range, especially if PMA is mixed with other stimulant drugs such as cocaine or MDMA. Characteristic symptoms are pronounced [[hyperthermia]], [[tachycardia]], and [[hypertension]], along with agitation, confusion, and [[convulsion]]s. PMA overdose also tends to cause [[hypoglycaemia]] and [[hyperkalaemia]], which can help to distinguish it from MDMA overdose. Complications can sometimes include more serious symptoms such as [[rhabdomyolysis]] and [[cerebral hemorrhage]], requiring emergency surgery. There is no specific antidote, so treatment is symptomatic, and usually includes both external cooling, and internal cooling via IV infusion of cooled saline. [[Benzodiazepine]]s are used initially to control convulsions, with stronger anticonvulsants such as [[phenytoin]] or [[thiopental]] used if convulsions continue. Blood pressure can be lowered either with a combination of [[alpha blocker]]s and [[beta blocker]]s (or a mixed alpha/beta blocker), or with other drugs such as [[nifedipine]] or [[nitroprusside]]. [[Serotonin antagonist]]s and [[dantrolene]] may be used as required. Despite the seriousness of the condition, the majority of patients survive if treatment is given in time, however, patients with a core body temperature over 40&nbsp;°C at presentation tend to have a poor prognosis.<ref name="pmid12733852">{{cite journal | vauthors = Caldicott DG, Edwards NA, Kruys A, Kirkbride KP, Sims DN, Byard RW, Prior M, Irvine RJ | display-authors = 6 | title = Dancing with "death": p-methoxyamphetamine overdose and its acute management | journal = Journal of Toxicology. Clinical Toxicology | volume = 41 | issue = 2 | pages = 143–154 | year = 2003 | pmid = 12733852 | doi = 10.1081/CLT-120019130 | s2cid = 39578828 }}</ref>

== Pharmacology ==

PMA acts as a [[selective serotonin releasing agent]] (SSRA) with weak effects on dopamine and norepinephrine transporters.<ref name="pmid946817">{{cite journal | vauthors = Menon MK, Tseng LF, Loh HH | title = Pharmacological evidence for the central serotonergic effects of monomethoxyamphetamines | journal = The Journal of Pharmacology and Experimental Therapeutics | volume = 197 | issue = 2 | pages = 272–279 | date = May 1976 | pmid = 946817 | url = http://jpet.aspetjournals.org/cgi/pmidlookup?view=long&pmid=946817 | author-link3 = Horace Loh }}</ref><ref name="pmid5132700">{{cite journal | vauthors = Hitzemann RJ, Loh HH, Domino EF | title = Effect of para-methoxyamphetamine on catecholamine metabolism in the mouse brain | journal = Life Sciences | volume = 10 | issue = 19 Pt. 1| pages = 1087–1095 | date = October 1971 | pmid = 5132700 | doi = 10.1016/0024-3205(71)90227-x }}</ref><ref name="pmid1271280">{{cite journal | vauthors = Tseng LF, Menon MK, Loh HH | title = Comparative actions of monomethoxyamphetamines on the release and uptake of biogenic amines in brain tissue | journal = The Journal of Pharmacology and Experimental Therapeutics | volume = 197 | issue = 2 | pages = 263–271 | date = May 1976 | pmid = 1271280 | url = http://jpet.aspetjournals.org/cgi/pmidlookup?view=long&pmid=1271280 }}</ref> However, relative to [[MDMA]], it is considerably less effective as a releaser of serotonin with properties more akin to a [[reuptake inhibitor]] in comparison.<ref name="pmid11041537">{{cite journal | vauthors = Daws LC, Irvine RJ, Callaghan PD, Toop NP, White JM, Bochner F | title = Differential behavioural and neurochemical effects of para-methoxyamphetamine and 3,4-methylenedioxymethamphetamine in the rat | journal = Progress in Neuro-Psychopharmacology & Biological Psychiatry | volume = 24 | issue = 6 | pages = 955–977 | date = August 2000 | pmid = 11041537 | doi = 10.1016/S0278-5846(00)00113-5 | s2cid = 24347904 }}</ref> It evokes robust [[hyperthermia]] in rodents while producing only modest [[hyperactivity]] and [[Serotonin|serotonergic]] [[neurotoxicity]], substantially lower than that caused by MDMA, and only at very high doses.<ref name="pmid5132700"/><ref name="pmid1271280"/><ref name="pmid11041537"/> Accordingly, it is not [[self-administration|self-administered]] by rodents unlike [[amphetamine]] and MDMA,<ref name="pmid1539067"/> and anecdotal reports by humans suggest it is not particularly [[euphoriant|euphoric]] at all, perhaps even [[dysphoric]] in contrast.{{Citation needed|date=April 2010}} PMA has also been shown to act as a potent, [[Reversible inhibition|reversible]] [[enzyme inhibitor|inhibitor]] of the [[enzyme]] [[MAO-A]] with no significant effects on [[MAO-B]],<ref name="pmid6103055">{{cite journal | vauthors = Green AL, El Hait MA | title = p-Methoxyamphetamine, a potent reversible inhibitor of type-A monoamine oxidase in vitro and in vivo | journal = The Journal of Pharmacy and Pharmacology | volume = 32 | issue = 4 | pages = 262–266 | date = April 1980 | pmid = 6103055 | doi = 10.1111/j.2042-7158.1980.tb12909.x | s2cid = 42213032 }}</ref><ref name="pmid6646243">{{cite journal | vauthors = Ask AL, Fagervall I, Ross SB | title = Selective inhibition of monoamine oxidase in monoaminergic neurons in the rat brain | journal = Naunyn-Schmiedeberg's Archives of Pharmacology | volume = 324 | issue = 2 | pages = 79–87 | date = September 1983 | pmid = 6646243 | doi = 10.1007/BF00497011 | s2cid = 403633 }}</ref> and the combination of this property and serotonin release is likely responsible for its high [[lethality]] potential.<ref name="pmid11041537"/>

It appears that PMA elevates body temperatures dramatically; the cause of this property is suspected to be related to its ability to inhibit MAO-A and at the same time releasing large amounts of serotonin, effectively causing [[serotonin syndrome]].<ref name="pmid11041537"/><ref name="pmid6646243"/> Amphetamines, especially serotonergic analogues such as MDMA, are strongly [[contraindication|contraindicated]] to take with [[MAOI]]s. Many amphetamines and adrenergic compounds raise body temperatures, whereas some tend to produce more euphoric activity or peripheral vasoconstriction, and may tend to favor one effect over another. It appears that PMA activates the [[hypothalamus]] much more strongly than MDMA and other drugs like ephedrine, thereby causing rapid increases in body temperature (which is the major cause of death in PMA mortalities).<ref>{{cite journal | vauthors = Jaehne EJ, Salem A, Irvine RJ | title = Effects of 3,4-methylenedioxymethamphetamine and related amphetamines on autonomic and behavioral thermoregulation | journal = Pharmacology, Biochemistry, and Behavior | volume = 81 | issue = 3 | pages = 485–496 | date = July 2005 | pmid = 15904952 | doi = 10.1016/j.pbb.2005.04.005 | s2cid = 9680452 }}</ref><ref>{{cite journal | vauthors = Callaghan PD, Irvine RJ, Daws LC | title = Differences in the in vivo dynamics of neurotransmitter release and serotonin uptake after acute para-methoxyamphetamine and 3,4-methylenedioxymethamphetamine revealed by chronoamperometry | journal = Neurochemistry International | volume = 47 | issue = 5 | pages = 350–361 | date = October 2005 | pmid = 15979209 | doi = 10.1016/j.neuint.2005.04.026 | s2cid = 23372945 }}</ref><ref>{{cite journal | vauthors = Jaehne EJ, Salem A, Irvine RJ | title = Pharmacological and behavioral determinants of cocaine, methamphetamine, 3,4-methylenedioxymethamphetamine, and para-methoxyamphetamine-induced hyperthermia | journal = Psychopharmacology | volume = 194 | issue = 1 | pages = 41–52 | date = September 2007 | pmid = 17530474 | doi = 10.1007/s00213-007-0825-9 | s2cid = 25420902 }}</ref> Many people taking PMA try to get rid of the heat by taking off their clothes, taking cold showers or wrapping themselves in wet towels, and even sometimes by shaving off their hair.<ref>{{cite journal | vauthors = Refstad S | title = Paramethoxyamphetamine (PMA) poisoning; a 'party drug' with lethal effects | journal = Acta Anaesthesiologica Scandinavica | volume = 47 | issue = 10 | pages = 1298–1299 | date = November 2003 | pmid = 14616331 | doi = 10.1046/j.1399-6576.2003.00245.x | s2cid = 28006785 | doi-access = free }}</ref>

== History ==
PMA first came into circulation in the early 1970s, where it was used intentionally as a substitute for the hallucinogenic properties of [[LSD]].<ref name="Alexander & Ann Shulgin, PiHKAL #97"/> It went by the street names of "Chicken Powder" and "Chicken Yellow" and was found to be the cause of a number of drug overdose deaths (the dosages taken being in the range of hundreds of milligrams) in the United States and Canada from that time.<ref>{{cite web |url = http://www.erowid.org/chemicals/pma/pma_dea_intellbrief.pdf |title = The Hallucinogen PMA: Dancing With Death |access-date = 2008-06-29 |author = DEA |archive-date = 2008-06-23 |archive-url = https://web.archive.org/web/20080623010031/http://www.erowid.org/chemicals/pma/pma_dea_intellbrief.pdf |url-status = live }}</ref> Between 1974 and the mid-1990s, there appear to have been no known fatalities from PMA.<ref>{{cite journal | vauthors = Felgate HE, Felgate PD, James RA, Sims DN, Vozzo DC | title = Recent paramethoxyamphetamine deaths | journal = Journal of Analytical Toxicology | volume = 22 | issue = 2 | pages = 169–172 | date = 1 March 1998 | pmid = 9547415 | doi = 10.1093/jat/22.2.169 | doi-access = free }}</ref>

Several deaths reported as MDMA-induced in [[Australia]] in the mid-1990s are now considered to have been caused by PMA, the users unaware that they were ingesting PMA and not MDMA as they had intended.<ref name="pmid9760094" /> There have been a number of PMA-induced deaths around the world since then.<ref name="pmid15274949">{{cite journal | vauthors = Galloway JH, Forrest AR | title = Caveat Emptor: Death involving the use of 4-methoxyamphetamine | journal = Journal of Clinical Forensic Medicine | volume = 9 | issue = 3 | pages = 160 | date = September 2002 | pmid = 15274949 | doi = 10.1016/S1353-1131(02)00043-3 }}</ref><ref name="pmid18393753">{{cite journal | vauthors = Lamberth PG, Ding GK, Nurmi LA | title = Fatal paramethoxy-amphetamine (PMA) poisoning in the Australian Capital Territory | journal = The Medical Journal of Australia | volume = 188 | issue = 7 | pages = 426 | date = April 2008 | pmid = 18393753 | doi = 10.5694/j.1326-5377.2008.tb01695.x | s2cid = 11987961 }}</ref>

In July 2013, seven deaths in Scotland were linked to tablets containing PMA that had been mis-sold as ecstasy and which had the [[Rolex]] crown logo on them.<ref name="fake-ecstasy-warning-die-scotland" /> Several deaths in Northern Ireland, Particularly East Belfast were also linked to "Green Rolex" pills during that month.<ref>{{cite news|url=https://www.bbc.com/news/uk-northern-ireland-23440537|title=Renewed warning over 'Rolex' pills|date=24 July 2013|work=BBC News|access-date=10 September 2018|archive-date=11 September 2018|archive-url=https://web.archive.org/web/20180911053120/https://www.bbc.com/news/uk-northern-ireland-23440537|url-status=live}}</ref>

In 2014, 2015 and early 2016, PMA sold as ecstasy was the cause of more deaths in the United States, United Kingdom, [[Netherlands]], and Argentina. The pills containing the drug were reported to be red triangular tablets with a "Superman" logo.<ref name=Barrell2015/><ref>{{cite web|url=http://www.deephouseamsterdam.com/watch-out-for-dangerous-superman-pill/|title=WATCH OUT FOR DANGEROUS SUPERMAN PILL - News - Deep House Amsterdam|date=30 January 2014|website=deephouseamsterdam.com|access-date=2 January 2015|archive-date=2 January 2015|archive-url=https://web.archive.org/web/20150102182954/http://www.deephouseamsterdam.com/watch-out-for-dangerous-superman-pill/|url-status=live}}</ref><ref>{{cite web | url = http://www.elpais.com.uy/mundo/superman-droga-que-mezcla-metanfetamina-extasis.html | title = ¿Qué es Superman, la droga que ya ha cobrado varias vidas en el mundo? | trans-title = What is Superman, the drug that has already claimed several lives in the world? | language = Spanish | work = ElPais | date = 18 April 2016 | trans-work = The Country | access-date = 19 April 2016 | archive-date = 19 April 2016 | archive-url = https://web.archive.org/web/20160419162910/http://www.elpais.com.uy/mundo/superman-droga-que-mezcla-metanfetamina-extasis.html | url-status = live }}</ref><ref>{{cite news|url=http://www.lanacion.com.ar/1890180-las-claves-para-entender-que-paso|title=Las claves para entender qué pasó|date=2016-04-17|newspaper=La Nación|access-date=2016-04-19|archive-date=2016-04-18|archive-url=https://web.archive.org/web/20160418210708/http://www.lanacion.com.ar/1890180-las-claves-para-entender-que-paso|url-status=live}}</ref>

The Red Ferarri pills are a new press of the ''Superman'' logo tablets that were reported to be found in Germany and Norway from 2016 to 2017.<ref>{{cite web|url=https://www.reagent-tests.uk/blog/category/drug-warning/|title=Drug Warning – Reagent Tests UK|website=www.reagent-tests.uk|access-date=2017-07-05|archive-date=2018-09-11|archive-url=https://web.archive.org/web/20180911045132/https://www.reagent-tests.uk/blog/category/drug-warning/|url-status=live}}</ref>

== Society and culture ==

===Legal status===
====International====
PMA is a Schedule I drug under the [[Convention on Psychotropic Substances]].<ref>{{cite web |url = http://www.incb.org/pdf/e/list/green.pdf |title = Annual Estimates Of Requirements Of Narcotic Drugs, Manufacture Of Synthetic Drugs, Opium Production And Cultivation Of The… |access-date = 2008-06-15 |archive-date = 2012-08-31 |archive-url = https://web.archive.org/web/20120831222336/http://www.incb.org/pdf/e/list/green.pdf |url-status = dead }}</ref>

====Australia====
PMA is considered a Schedule 9 prohibited substance in Australia under the [[Standard for the Uniform Scheduling of Medicines and Poisons|Poisons Standard]] (October 2015).<ref name="Poisons Standard">Poisons Standard October 2015 https://www.comlaw.gov.au/Details/F2015L01534 {{Webarchive|url=https://web.archive.org/web/20160119074606/https://www.comlaw.gov.au/Details/F2015L01534/ |date=2016-01-19 }}</ref> A Schedule 9 substance is a substance which may be abused or misused, the manufacture, possession, sale or use of which should be prohibited by law except when required for medical or scientific research, or for analytical, teaching or training purposes with approval of Commonwealth and/or State or Territory Health Authorities.<ref name="Poisons Standard" />

====Finland====
Substance is scheduled in decree of the government on amending the government decree on substances, preparations and plants considered to be narcotic drugs.<ref>{{cite web | title = Valtioneuvoston asetus huumausaineina pidettävistä aineista, valmisteista ja kasveista annetun valtioneuvoston asetuksen muuttamisesta | trans-title = Decree of the Government on amending the government decree on substances, preparations and plants considered to be narcotic drugs | work = Finlex | publisher = Finland's Ministry of Justice | location = Helsinki | date = 25 October 2018 | language = Finnish | url = https://www.finlex.fi/fi/laki/alkup/2018/20180839 | access-date = 8 April 2023 | archive-date = 26 March 2023 | archive-url = https://web.archive.org/web/20230326140527/https://www.finlex.fi/fi/laki/alkup/2018/20180839 | url-status = live }}</ref><ref>{{cite web | title = Valtioneuvoston asetus huumausaineina pidettävistä aineista, valmisteista ja kasveista annetun valtioneuvoston asetuksen muuttamisesta | trans-title = Decree of the Government on amending the government decree on substances, preparations and plants considered to be narcotic drugs | work = Finlex | publisher = Finland's Ministry of Justice | location = Helsinki | date = 13 January 2022 | language = Finnish | url = https://www.finlex.fi/fi/laki/alkup/2022/20220013 | access-date = 8 April 2023 | archive-date = 24 March 2023 | archive-url = https://web.archive.org/web/20230324040740/https://www.finlex.fi/fi/laki/alkup/2022/20220013 | url-status = dead }}</ref>

====Germany====
PMA is part of the Appendix 1 of the [[Betäubungsmittelgesetz]]. Therefore, owning and distribution of PMA is illegal.

====Netherlands====
On 13 June 2012 [[Edith Schippers]], Dutch Minister of Health, Welfare and Sport, revoked the legality of PMA in the [[Netherlands]] after five deaths were reported in that year.<ref>{{cite web |url=http://nos.nl/artikel/383346-schippers-verbiedt-dodelijk-4ma.html |title=Doden na gebruik speed met 4-MA |trans-title=Deaths after using speed 4-MA |date=13 June 2012 |language=nl |access-date=13 June 2012 |archive-date=16 June 2012 |archive-url=https://web.archive.org/web/20120616014616/http://nos.nl/artikel/383346-schippers-verbiedt-dodelijk-4ma.html |url-status=live }}</ref>

====United Kingdom====
PMA is a Class A drug in the UK.<ref>{{Cite web |date=2013-08-13 |title=List of Controlled Drugs |url=https://www.release.org.uk/law/list-controlled-drugs |access-date=2024-04-29 |website=[[Release (agency)]] |language=en |archive-date=2024-04-29 |archive-url=https://web.archive.org/web/20240429141724/https://www.release.org.uk/law/list-controlled-drugs |url-status=live }}</ref>

====United States====
PMA is classified as a [[Controlled Substances Act#Schedule I controlled substances|Schedule I]] [[Psychedelics, dissociatives and deliriants|hallucinogen]] under the [[Controlled Substances Act]] in the [[United States]].<ref>[[Title 21 of the Code of Federal Regulations|21 CFR]] [http://www.deadiversion.usdoj.gov/21cfr/cfr/1308/1308_11.htm 1308.11] {{Webarchive|url=https://web.archive.org/web/20090827043725/http://www.deadiversion.usdoj.gov/21cfr/cfr/1308/1308_11.htm |date=2009-08-27 }}</ref>

=== Economics ===

====Distribution====
Because PMA is given out through the same venues and distribution channels that MDMA tablets are, the risk of being severely injured, hospitalized or even dying from use of ecstasy increases significantly when a batch of ecstasy pills containing PMA starts to be sold in a particular area.<ref>{{cite journal | vauthors = Galloway JH, Forrest AR | title = Caveat Emptor: Death involving the use of 4-methoxyamphetamine | journal = Journal of Clinical Forensic Medicine | volume = 9 | issue = 3 | pages = 160 | date = September 2002 | pmid = 15274949 | doi = 10.1016/s1353-1131(02)00043-3 }}</ref> PMA pills could be a variety of colours or imprints, and there is no way of knowing just from the appearance of a pill what drug(s) it might contain.<ref>{{cite web|url = http://dancesafe.org/documents/druginfo/pma_faq.php |title = Drug Info |access-date = 2008-06-15 |archive-url = https://web.archive.org/web/20080529024316/http://www.dancesafe.org/documents/druginfo/pma_faq.php <!-- Bot retrieved archive --> |archive-date = 2008-05-29}}</ref><ref>{{cite web |url = http://ecstasy.org/testing/pma.html |title = Warning: pills sold as ecstasy found to contain PMA |access-date = 2008-06-15 |archive-date = 2008-06-22 |archive-url = https://web.archive.org/web/20080622205340/http://ecstasy.org/testing/pma.html |url-status = live }}</ref> Notable batches of pills containing PMA have included Louis Vuitton,<ref>Chamberlin T, Murray D. NET Syndicated QLD News [http://www.news.com.au/national/louis-vuitton-designer-death-drug-hits-the-streets/story-fndo4ckr-1226463080805 'Louis Vuitton' designer death drug hits the streets] {{Webarchive|url=https://web.archive.org/web/20120928235358/http://www.news.com.au/national/louis-vuitton-designer-death-drug-hits-the-streets/story-fndo4ckr-1226463080805 |date=2012-09-28 }}</ref> Mitsubishi Turbo, Blue Transformers, Red/Blue Mitsubishi and Yellow Euro pills. Also PMA has been found in powder form.<ref>{{cite journal | vauthors = Kraner JC, McCoy DJ, Evans MA, Evans LE, Sweeney BJ | title = Fatalities caused by the MDMA-related drug paramethoxyamphetamine (PMA) | journal = Journal of Analytical Toxicology | volume = 25 | issue = 7 | pages = 645–648 | date = October 2001 | pmid = 11599617 | doi = 10.1093/jat/25.7.645 | doi-access = free }}</ref>

==== Analogues ====

Four analogues of PMA have been reported to be sold on the black market, including [[paramethoxymethamphetamine|PMMA]], [[paramethoxyethylamphetamine|PMEA]],<ref>{{cite journal | vauthors = Casale JF, Hays PA, Spratley TK, Smith PR |title=The Characterization of 4-Methoxy-N-ethylamphetamine Hydrochloride |journal=Microgram Journal |year=2006 |volume=4 |issue=1–4 |pages=42–46 }}</ref> [[4-Ethoxyamphetamine|4-ETA]] and [[4-Methylthioamphetamine|4-MTA]]. These are the N-methyl, N-ethyl, 4-ethoxy and 4-methylthio analogues of PMA, respectively. PMMA and PMEA are anecdotally weaker, more "ecstasy-like" and somewhat less dangerous than PMA itself, but can still produce nausea and hyperthermia similar to that produced by PMA, albeit at slightly higher doses. [[4-EtOA]] was briefly sold in Canada in the 1970s, but little is known about it.<ref name="Alexander & Ann Shulgin, PiHKAL #97"/> 4-MTA, however, is even more dangerous than PMA and produces strong serotonergic effects and intense hyperthermia, but with little to no euphoria, and was implicated in several deaths in the late 1990s.

== See also ==

* [[1-Aminomethyl-5-methoxyindane]] (AMMI)
* [[2-Methoxyamphetamine]] (OMA)
* [[3-Methoxyamphetamine]] (MMA)
* [[4-Methylamphetamine]] (4-MA)
* [[4-Ethoxyamphetamine]] (4-ETA)
* [[4-Methylthioamphetamine]] (4-MTA)
* [[4-Methoxyethylamphetamine|4-Methoxy-''N''-ethylamphetamine]] (PMEA)
* [[4-Methoxymethylamphetamine|4-Methoxy-''N''-methylamphetamine]] (PMMA)
* [[pholedrine|4-Hydroxy-''N''-methylamphetamine]] (pholedrine)
*[[Anisomycin]]

== References ==
{{reflist|colwidth=30em}}

== External links ==
* [https://www.erowid.org/chemicals/pma/pma.shtml Erowid.org - PMA]
* [https://www.erowid.org/library/books_online/pihkal/pihkal097.shtml PiHKAL PMA entry]
* [https://isomerdesign.com/PiHKAL/read.php?domain=pk&id=97 PMA entry in PiHKAL • info]
* ''[https://web.archive.org/web/20070224105837/http://news.ninemsn.com.au/article.aspx?id=228808 Death drug may become health crisis]'', news.ninemsn.com.au article, Issued 22 February 2007.

{{Hallucinogens}}
{{Monoamine releasing agents}}
{{Serotonin receptor modulators}}
{{Monoamine metabolism modulators}}
{{Phenethylamines}}

{{DEFAULTSORT:Methoxyamphetamine, Para-}}
[[Category:Substituted amphetamines]]
[[Category:Monoamine oxidase inhibitors]]
[[Category:Phenol ethers]]
[[Category:Designer drugs]]
[[Category:Serotonin releasing agents]]
[[Category:Serotonin receptor agonists]]
[[Category:Methoxy compounds]]