Journal of Analytical Toxicology Article Abstracts

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Published: Journal of Analytical Toxicology, Volume 24, Number 2, March, pp.85-89

Fatal Poisoning With a New Phenylethylamine: 4-Methylthioamphetamine (4-MTA)
Simon P. Elliott
Regional Laboratory for Toxicology, City Hospital N.H.S. Teaching Trust, Dudley Road, Birmingham B18 7QH, United Kingdom

There has been much publicity in the United Kingdom regarding a new phenylethylamine-based compound called 4-methylthioamphetamine (4-MTA), also known as para-methylthioamphetamine (p-MTA), MTA or “Flatliner”. Chemically, 4-MTA is an amphetamine derivative and is a non-neurotoxic potent serotonin-releasing agent and reversible inhibitor of rat monoamine oxidase-A. Analysis of postmortem blood and urine specimens in a case implicating 3,4- methylenedioxymethamphetamine revealed the presence of 4-MTA at a concentration of 4.6 mg/L in femoral blood and 87.2 mg/L in the urine. The concentration of 4-MTA in perimortem blood was measured at 4.2 mg/L. This is the first reported case of death involving 4-MTA in the United Kingdom and the first case known to involve 4-MTA only.

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