Amphetamine
Amphetamine is a central nervous system stimulant1 of the substituted phenethylamine class, first discovered in 1887 by Lazăr Edeleanu. It exists as two enantiomers—levoamphetamine and dextroamphetamine1—and serves as the parent compound of its own structural class, which includes substances such as methamphetamine and MDMA. Prescribed clinically for ADHD and narcolepsy1, it is also used recreationally for its euphoriant1 and wakefulness-promoting properties.
Contents
Dosage & Duration
Dosage
Duration
Subjective Effects
Effects vary widely by individual, dose, and context.
Physical
The physical effects of amphetamine can be broken down into several components which progressively intensify proportional to dosage.
Cognitive
The cognitive effects of amphetamine can be broken down into several components which progressively intensify proportional to dosage. The general head space of amphetamine is described by many as one of extreme mental stimulation, increased focus, and powerful euphoria. It contains a large number of typical stimulant cognitive effects. Although negative side effects are usually mild at low to moderate dosages, they become increasingly likely to manifest themselves with higher amounts or extended usage. This particularly holds true during the offset of the experience.
Reagent Testing
Loading reagent data
Pharmacology
Pharmacodynamics
Amphetamine exerts its primary pharmacological effects by promoting the release of dopamine and norepinephrine from presynaptic nerve terminals.2 It enters neurons via monoamine transporters (DAT, NET, and to a lesser extent SERT), where it acts as a competitive substrate that inhibits monoamine reuptake. Once inside the terminal, amphetamine displaces monoamines from vesicular storage by interacting with VMAT2, collapsing the vesicular pH gradient and expanding the cytosolic monoamine pool available for reverse transport.3 Amphetamine is also a potent full agonist at trace amine-associated receptor 1 (TAAR1),4 activation of which triggers intracellular kinase cascades (PKA, PKC, CaMKIIα) that phosphorylate monoamine transporters, further promoting neurotransmitter efflux into the synapse.56 At very high doses, amphetamine weakly inhibits monoamine oxidase.7 It also inhibits the neuronal glutamate transporter EAAT3 (SLC1A1), reducing glutamate clearance and potentiating excitatory neurotransmission.8 The only known post-synaptic receptor at which amphetamine binds in humans is the 5-HT1A receptor, where it acts as an agonist with low micromolar affinity.
Pharmacokinetics
Amphetamine is well absorbed from the gastrointestinal tract, with oral bioavailability typically around 90%.9 Absorption is favored in more basic intestinal environments, where the drug exists in a more lipid-soluble form. Peak plasma concentrations are reached approximately 1 to 3 hours after oral administration.10 Roughly 20% of circulating amphetamine is bound to plasma proteins,9 and the drug distributes readily into most tissues including brain and cerebrospinal fluid. Amphetamine is metabolized hepatically, primarily by CYP2D6,10 along with dopamine β-hydroxylase (DBH), flavin-containing monooxygenase 3 (FMO3), butyrate-CoA ligase (XM-ligase), and glycine N-acyltransferase (GLYAT). The major metabolic pathways include aromatic hydroxylation, aliphatic hydroxylation, and N-dealkylation, though a significant portion of the drug is excreted unchanged. Elimination half-life varies by enantiomer and is strongly influenced by urinary pH: at normal urine pH, the d-enantiomer has a half-life of approximately 9 to 11 hours and the l-enantiomer 11 to 14 hours,10 with highly acidic urine reducing these to around 7 hours and highly alkaline urine extending them up to 34 hours.10 Approximately 90% of an ingested dose is eliminated within 3 days.
Dangerous
Highest riskThese combinations are considered extremely harmful and should always be avoided. Reactions to these drugs taken in combination are highly unpredictable and have a potential to cause death.
Unsafe
AvoidThere is considerable risk of physical harm when taking these combinations, they should be avoided where possible.
Caution
Use cautionThese combinations are not usually physically harmful, but may produce undesirable effects, such as physical discomfort or overstimulation. Extreme use may cause physical health issues. Synergistic effects may be unpredictable. Care should be taken when choosing to use this combination.
Tolerance
Dopaminergic stimulants
Harm Potential
Addiction & Dependence
Psychological
HighAmphetamine has high abuse potential and can cause psychological dependence with chronic use. Addiction is a serious risk with heavy recreational use but is unlikely to arise from typical medical use at therapeutic doses. Cravings and withdrawal effects occur if use is suddenly discontinued.11
Physical
ModerateTolerance develops rapidly with recreational use, requiring increasingly larger doses. Withdrawal symptoms occur in roughly 88% of chronic high-dose users, persisting for 3-4 weeks with a marked crash phase during the first week.11 Symptoms include fatigue, depression, anxiety, irritability, intense hunger, disturbed sleep, and drug craving.11
Toxicity
Cardiovascular effects including hypertension, tachycardia, and arrhythmias occur during intoxication; severe hypertensive crises, heart attacks, and circulatory collapse are primarily associated with high doses or pre-existing cardiovascular conditions.12
No evidence of direct neurotoxicity in humans at typical doses; however, high-dose exposure may cause indirect neurotoxicity, particularly when hyperpyrexia occurs. Prolonged heavy use can lead to speech and thought disturbances.
Kidney damage is primarily associated with rhabdomyolysis from high-dose use, particularly when hyperthermia occurs; acute renal failure has been reported in overdose and fatality cases.12
Hepatic injury has been reported in overdose contexts; liver damage and failure are possible with chronic high-dose use.15
Long-term use is associated with dental caries, tooth loss, and gingivitis; jaw tension causes bruxism leading to permanent tooth wear and cracking.16
Psychosis Risk
Stimulant psychosis can occur with severe overdose or chronic heavy use, presenting with paranoia, hallucinations, delusions, and bizarre or violent behavior.1718 Symptoms usually disappear within weeks after cessation, but approximately 5-15% of users fail to recover completely.17 Psychosis rarely arises from therapeutic use. Risk increases with multi-day use, sleep deprivation, and high doses.
Seizure Risk
Amphetamine reduces seizure threshold and convulsions can occur at high doses.12 Fatal poisoning is usually preceded by convulsions and coma.19 Seizures are rare at typical doses but represent a serious risk in overdose situations.
History & Culture
Discovery and Early Synthesis
Amphetamine was first synthesized in 1887 by Romanian chemist Lazăr Edeleanu while working in Germany. Edeleanu originally named the compound phenylisopropylamine, though its central nervous system effects remained entirely unknown for the next four decades. The substance's stimulant properties…
Legality
International
UN Convention on Psychotropic Substances 1971: scheduled
By Country
References
Source Pages
Citations
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Further Reading
Automated synthesisInformation aggregated and synthesized using an autonomous workflow built by Josie Kins.
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