估计每日毫克口服安非他胺相当于非法甲胺使用量
medRxiv : the preprint server for health sciences
|May 19, 2025
概括
经常使用甲基胺的人摄入的剂量远高于临床建议,这可能解释了治疗耐药性和严重的健康问题. 这项研究量化了MOAE (甲基胺适当的等效剂量) 中的甲基胺使用,以帮助临床暴露评估.
科学领域:
- 成研究研究成研究
- 法医毒理学 法医毒理学
- 公共卫生 公共卫生
背景情况:
- 非法甲基胺使用量上升,增加了相关的健康风险,如过量服用和精神病.
- 量化甲基胺消费对于临床理解至关重要,但由于市场的波动,这一直是个挑战.
研究的目的:
- 以适当的甲胺等效剂量 (MOAE) 来估计常规使用者消耗的甲胺每日剂量.
- 为了比较估计的消费者剂量与临床推的兴奋剂剂量.
主要方法:
- 从2024年8月到2025年4月 (n=68) 评估自报告的每日甲胺消费量和分析样本纯度 (n=112).
- 使用了文学数据来确定通过给药途径的生物可用性和安非他胺-甲胺等价性.
- 采用了一个模拟模型与引导来计算MOAE.
主要成果:
- 平均每日消耗量为0.96g,平均纯度为71.6%.
- 估计平均每日摄入量为1,549.0 MOAE,中位数为516.6 MOAE.
- 计算的剂量因服用途径而有显著差异.
结论:
- 平均每日甲胺消费量 (超过500个MOAE) 远远超过典型的临床兴奋剂剂量 (60mg),这可能解释了治疗挑战.
- 高剂量消费可能会导致甲基胺相关的健康问题增加,包括精神病和心血管事件.
- 药物检查计划可以帮助临床医生近似量化非法物质的暴露量.
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