3-MMC
Synthetic cathinone stimulant with empathogenic effects, closely related to mephedrone (4-MMC), associated with rising harm and dependence.
3-MMC emerged as a replacement for mephedrone (4-MMC) and has become widespread, particularly among young nightlife users in Europe. A first-in-human controlled trial (25-100mg oral) found dose-dependent increases in heart rate, blood pressure, and subjective high, with enhancement of neurocognitive performance and transient ratings of liking and wanting. However, retrospective poisoning data from the Netherlands show increasing cases of moderate to severe toxicity including tachycardia, hypertension, agitation, and one nonfatal cardiac arrest. Treatment-seeking for problematic 3-MMC use rose tenfold in the Netherlands between 2021 and 2023. Evidence on long-term harms remains limited, with most toxicological data derived from case reports and user surveys rather than controlled studies.