Study objective: Methcathinone, a designer drug, has high abuse liabil
ity. In this study we characterized acute methcathinone toxicity in ra
ts, attempting to determine whether the excitatory amino acid receptor
antagonist dextrorphan can antagonize methcathinone intoxication. Met
hods: Intoxication was produced with IV methcathinone infusion (5 mg/k
g/minute; 100 mg/mL) in conscious rats. We studied pretreatment, in wh
ich dextrorphan or vehicle was injected 30 minutes before methcathinon
e infusion. In a second protocol, dextrorphan or saline solution was g
iven immediately after the onset of convulsions. Results: Methcathinon
e caused tachycardia (maximal increase, 131 +/- 10 beats/minute), hype
rthermia (+2.3 degrees C), convulsions, and cardiorespiratory collapse
in vehicle-pretreated rats (n = 9). Death occurred after 32.0 +/- 1.1
minutes of infusion. Dextrorphan pretreatment (25 mg/kg; n = 7) signi
ficantly reduced hyperthermia (+.1 degrees +/- .3 degrees C) and tachy
cardia and increased the convulsive (dextrorphan, 134 +/- 9 mg/kg; veh
icle, 67 +/- 4 mg/kg) and lethal doses (dextrorphan, 204 +/- 9 mg/kg;
vehicle, 160 +/- 5 mg/kg). Dextrorphan, given immediately after the in
itial methcathinone convulsion, reduced hyperthermic and tachycardic r
esponses but not the lethality of methcathinone. Conclusion: Blockade
of excitatory amino acid receptors by dextrorphan minimizes acute meth
cathinone intoxication.