Evidence map›Paper›PMID 42289025›Full record

ReviewForensic toxicology2026

Reinventing quaaludes: a comprehensive review of designer methaqualone analogs.

Olga Wachełko, Kaja Tusiewicz, Marcin Zawadzki, Paweł Szpot

Abstract readReview
PubMed Publisher
In one paragraph

Review in Forensic toxicology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Olga WachełkoInstitute of Toxicology Research, Marii Curie-Sklodowskiej 55/61, Wroclaw, 50369, Poland. olga.wachelko@iet.wroc.pl.ORCID http://orcid.org/0000-0003-4068-2475
Kaja TusiewiczInstitute of Toxicology Research, Marii Curie-Sklodowskiej 55/61, Wroclaw, 50369, Poland.
Marcin ZawadzkiFaculty of Medicine, Department of Social Sciences and Infectious Diseases, Wroclaw University of Science and Technology, 27 Wybrzeże Wyspiańskiego, Wrocław, 50370, Poland.
Paweł SzpotDepartment of Forensic Medicine, Wroclaw Medical University, 4 J. Mikulicza-Radeckiego Street, Wroclaw, 50345, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe continuous emergence of NPS has posed a persistent challenge to forensic toxicology for more than a decade. Each year, previously unrecognized compounds appear on the illicit drug market, complicating analytical identification and increasing the risk of severe intoxications. The purpose of this study was to identify designer methaqualone analogs emerging in recent years and summarize available toxicological data in a comprehensive narrative mini review.

methodsOnline databases including PubMed, Google Scholar and early warning systems were systematically searched for reports on newly emerging designer methaqualone analogs. In addition, online forums were reviewed to collect information from recreational drug-users on psychoactive effects, effective doses, and routes of administration.

resultsThe review summarizes metabolism of designer analogs and all reported intoxication cases, including concentrations found. Analytical aspects relevant to forensic practice are highlighted i.a. mass spectrometric characteristics (GC-EI-MS and LC-MS/MS with QqQ and QTOF instruments), differentiation of isomers, and stability in biological fluids and DBS cards over 365 days. Five newly emerging compounds, mephenoqualone, PPQ, PPTQ, Cl-PPQ, and MCPPQ, were identified on the illicit market. These substances have 100-fold higher potency than methaqualone and were described on online forums in late 2025.

conclusionsNewly developed analogs are readily available online and represent serious and underrecognized threat due to their high potency and very low effective doses. Continued development of early warning systems and analytical methodologies is essential. Forensic toxicologists worldwide should be aware that these compounds may soon be encountered in seized materials and biological samples from intoxication cases.

Indexed as

Mass spectrometry analysisMethaqualonesNew psychoactive substancesQuaaludeSedative drugs

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.