Phenmetrazine

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Phenmetrazine
ATC code
  • none
Legal status
Legal status
Renal
Identifiers
  • 3-methyl-2-phenylmorpholine
JSmol)
  • CC1C(C2=CC=CC=C2)OCCN1
  • InChI=1S/C11H15NO/c1-9-11(13-8-7-12-9)10-5-3-2-4-6-10/h2-6,9,11-12H,7-8H2,1H3 checkY
  • Key:OOBHFESNSZDWIU-UHFFFAOYSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Phenmetrazine (

addiction. Chemically, phenmetrazine is a substituted amphetamine containing a morpholine
ring.

History

Phenmetrazine was first patented in

Boehringer-Ingelheim,[2][3] with some pharmacological data published in 1954.[4] It was the result of a search by Thomä and Wick for an anorectic drug without the side-effects of amphetamine.[5] Phenmetrazine was introduced into clinical use in 1954 in Europe.[6]

Medical use

In clinical use, phenmetrazine produces less

side effects, one study found it well tolerated in children.[5] In a study of the effectiveness on weight loss between phenmetrazine and dextroamphetamine, phenmetrazine was found to be slightly more effective.[8]

Pharmacology

Phenmetrazine acts as a

releasing agent of norepinephrine and dopamine with EC50 values of 50.4 ± 5.4 nM and 131 ± 11 nM, respectively.[9] It has negligible efficacy as a releaser of serotonin, with an EC50 value of only 7,765 ± 610 nM.[9]

After an oral dose, about 70% of the drug is excreted from the body within 24 hours. About 19% of that is excreted as the unmetabolised drug and the rest as various metabolites.[10]

In trials performed on rats, it has been found that after

levo isomer is more effective. In terms of central stimulation however, the dextro isomer is about 4 times as effective in both methods of administration.[11]

The salt which has been used for immediate-release formulations is phenmetrazine hydrochloride (Preludin). Sustained-release formulations were available as resin-bound, rather than soluble, salts. Both of these dosage forms share a similar bioavailability as well as time to peak onset, however, sustained-release formulations offer improved pharmacokinetics with a steady release of active ingredient which results in a lower peak concentration in blood plasma.

Synthesis

Phenmetrazine can be synthesized in three steps from 2-bromopropiophenone and ethanolamine. The intermediate alcohol 3-methyl-2-phenylmorpholin-2-ol (1) is converted to a fumarate salt (2) with fumaric acid, then reduced with sodium borohydride to give phenmetrazine free base (3). The free base can be converted to the fumarate salt (4) by reaction with fumaric acid.[12]

Chemistry

Its structure incorporates the backbone of amphetamine, the prototypical CNS stimulant which, like phenmetrazine, is a releasing agent of dopamine and norepinephrine. The molecule also loosely resembles ethcathinone, the active metabolite of popular anorectic amfepramone (diethylpropion). Unlike phenmetrazine, ethcathinone (and therefore amfepramone as well) are mostly selective as noradrenaline releasing agents.

Recreational use

Phenmetrazine has been used recreationally in many countries, including Sweden. When stimulant use first became prevalent in Sweden in the 1950s, phenmetrazine was preferred to amphetamine and methamphetamine by users.[13] In the autobiographical novel Rush by Kim Wozencraft, intravenous phenmetrazine is described as the most euphoric and pro-sexual of the stimulants the author used.

Phenmetrazine was classified as a narcotic in Sweden in 1959, and was taken completely off the market in 1965. At first the illegal demand was satisfied by smuggling from Germany, and later Spain and Italy. At first, Preludin tablets were smuggled, but soon the smugglers started bringing in raw phenmetrazine powder. Eventually amphetamine became the dominant stimulant of abuse because of its greater availability.

Phenmetrazine was taken by the Beatles early in their career. Paul McCartney was one known user. McCartney's introduction to drugs started in Hamburg, Germany. The Beatles had to play for hours, and they were often given the drug (referred to as Prellies) by the maid who cleaned their housing arrangements, German customers, or by Astrid Kirchherr (whose mother bought them). McCartney would usually take one, but John Lennon would often take four or five.[14] Hunter Davies asserted, in his 1968 biography of the band,[15] that their use of such stimulants then was in response to their need to stay awake and keep working, rather than a simple desire for kicks.

Jack Ruby said he was on phenmetrazine at the time he killed Lee Harvey Oswald.[16]

Preludin was also used recreationally in the US throughout the 1960s and 1970s. It could be crushed up in water, heated and injected. The street name for the drug in Washington, DC was "Bam".[17] Phenmetrazine continues to be used and abused around the world, in countries including South Korea.[18]

See also

References

  1. ^ Anvisa (2023-03-31). "RDC Nº 784 - Listas de Substâncias Entorpecentes, Psicotrópicas, Precursoras e Outras sob Controle Especial" [Collegiate Board Resolution No. 784 - Lists of Narcotic, Psychotropic, Precursor, and Other Substances under Special Control] (in Brazilian Portuguese). Diário Oficial da União (published 2023-04-04). Archived from the original on 2023-08-03. Retrieved 2023-08-16.
  2. ^ GB 773780, Boehringer A, Boehringer E, "Improvements in or relating to the preparation of substituted morpholines" 
  3. ^ US patent 2835669, Thomä O, "Process for the Production of Substituted Morpholines", issued May 20, 1958, assigned to C. H. Boehringer Sohn 
  4. S2CID 25143525
    .
  5. ^ .
  6. .
  7. .
  8. .
  9. ^
    PMID 17017961. Archived from the original
    on 2017-03-26. Retrieved 2020-05-05.
  10. .
  11. .
  12. ^ WO 2011146850, Blough BE, Rothman R, Landavazo A, Page KM, Decker AM, "Phenylmorpholines and analogues thereof", assigned to Research Triangle Institute,  pages 51,54–55
  13. ^ Brecher EM. "The Swedish Experience". Retrieved 2009-10-31.
  14. .
  15. .
  16. ^ Ruby J (1964). Testimony of Jack Ruby. Vol. 5. Washington: US Government Printing Office. pp. 198–99.
  17. ^ Dash L (1996). Rosa Lee. HarperCollins. p. 109.
  18. PMID 21377815
    .