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Ephedrine

Ephedrine molecule structureEphedrine molecule structure
(1R,2S)-2-Methylamino-1-phenylpropan-1-ol
Ma huang, Isofedrol
Ephedra sinica
Psychoactive Class

Ephedrine is a naturally occurring stimulant alkaloid found in plants of the Ephedra genus, with a long history of use in traditional Chinese medicine.citation needed First isolated in 1885,1 it is a substituted amphetamine that acts as a sympathomimetic agent.citation needed Ephedrine is used clinically as a decongestant, bronchodilator, and to treat hypotension during anesthesia, and is listed on the WHO's List of Essential Medicines.2 Though structurally related to methamphetamine, its central nervous system effects are considerably less potent.3

Dosage & Duration

Dosage

Doses are population estimates that vary widely between individuals.

Threshold~5 mg
Light5-20 mg
Moderate20-30 mg
Strong30-50 mg
Heavy50+ mg
Bioavailability
88%

Duration

Onset15-90 minutes
After Effects2-4 hours
Total2-5 hours
Half-life
~6 hours

Subjective Effects

Legacy content. A statistically backed ontology from Mindstate Design Labs is coming soon.

Ephedrine produces a physically driven central nervous system stimulation with little to no perceptual or psychedelic character. The core experience is one of heightened cardiovascular and metabolic arousal - increased drive and performance, suppressed appetite, and a warming, thermogenic energy - accompanied at most by a mild euphoria. Adverse and overdose states shift the profile toward restlessness, confusion, and paranoia, with hallucinations reported only rarely and largely confined to those with pre-existing psychiatric conditions.

Physical

The body load is dominated by sympathomimetic arousal: elevated heart rate and blood pressure, palpitations, bronchodilation, and a rise in body heat from increased metabolism. Dizziness, headache, tremor, dry mouth, sweating, nausea, and appetite suppression are also common, while urinary urgency or retention reflects its action on smooth muscle.

Stimulation

Uncomfortable

NauseaDizzinessHeadacheTremors

Cognitive

The headspace is generally clear and goal-oriented, marked by increased motivation and mild euphoria, though anxiety, restlessness, and insomnia are common even at low doses. At higher doses or in overdose, confusion and paranoia can emerge, and continuous use is associated with irritability, nervousness, and impaired memory and concentration.

Disorienting

Primarily associated with higher doses and overdose.

Emotional

Stimulation

Reagent Testing

Expected colorimetric results for common reagent tests. Colors show reaction change over 1–2 minutes.

Mandelin(MD)
yellow2 → orange2 → red2 → brown2 → yellow2
Liebermann(LB)
white → yellow2 → orange2 → red2
Froe(FR)
white → brown2
Marquis(MQ)
No reaction
No reaction
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Pharmacology

Pharmacodynamics

Ephedrine is a sympathomimetic amine that acts through both direct and indirect mechanisms.4 Its principal action involves the release of norepinephrine from sympathetic neurons and inhibition of norepinephrine reuptake, thereby increasing norepinephrine signaling at postsynaptic alpha- and beta-adrenergic receptors.5 Ephedrine also directly activates beta-1 and beta-2 adrenergic receptors, though the degree of direct alpha-adrenergic agonism remains controversial.citation needed It crosses the blood-brain barrier and releases both norepinephrine and dopamine centrally, functioning as a norepinephrine-dopamine releasing agent.

Pharmacokinetics

Ephedrine has an oral bioavailability of approximately 88%5 and low plasma protein binding of roughly 24 to 29%.citation needed It is largely unmetabolized, with approximately 60% of an oral dose excreted unchanged in urine.6 The metabolized fraction primarily undergoes N-demethylation to form norephedrine (phenylpropanolamine), with smaller amounts oxidatively deaminated to benzoic acid or converted to 1,2-dihydroxy-1-phenylpropane.citation needed The oral elimination half-life is approximately 6 hours, with considerable inter-individual variability, and elimination is dependent on urinary pH.

Interactions

Caution

Use caution

These 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.

AcebutololAceclofenacAcemetacinAcetazolamideAcetyldigitoxin
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Tolerance

Tolerance timelines are rules of thumb, not exact schedules, and vary widely between individuals and use patterns.

Full Tolerance
Tolerance to the effects of ephedrine develops quickly with repeated and frequent usage. Tachyphylaxis (rapid tolerance development) is a recognized clinical concern with sympathomimetic amines like ephedrine.
Cross Tolerance

Dopaminergic stimulants

Harm Potential

Addiction & Dependence

Psychological

Moderate

With chronic use, ephedrine may be moderately addictive and can produce psychological dependence in some users.citation needed Regular use can lead to tolerance and dependence, with psychological symptoms being particularly prominent.

Physical

Low

Physical dependence is not well-characterized for ephedrine; dependence that develops with regular use appears to be predominantly psychological in nature.citation needed

Toxicity

Cardiovascular

Ephedrine has particularly strong effects on the cardiovascular system compared to other stimulants; chronic or high-dose use has been associated with heart attacks, strokes, and cardiac arrhythmias,citation needed with serious events more likely in those with pre-existing cardiovascular conditions.

Hepatic

Liver damage has been reported as a potential consequence of continuous ephedrine use, though detailed characterization is limited.citation needed

Renal

Kidney damage has been reported with continuous use; acute effects include decreased urination due to vasoconstriction of renal arteries.citation needed

Central Nervous System

Continuous use may result in impaired memory and concentration, irritability, and nervousness; these cognitive effects appear associated with chronic heavy use patterns.citation needed

Psychosis Risk

Hallucinations, delusions, paranoia, and mania are possible but rare, occurring primarily in individuals with pre-existing psychiatric conditions or in cases of overdose.citation needed Confusion and paranoia may occur at high doses.

History & Culture

Traditional Medicine

Ephedrine's botanical source, the plant Ephedra sinica known as má huáng in Chinese, has been employed in traditional Chinese medicine for over two millennia.citation needed Documentation of its use as an anti-asthmatic and stimulant dates back to the Han dynasty (206 BC – 220 AD). Multiple

Legality

International

1961 Single Convention on Narcotic Drugs: ephedrine is not individually scheduled.

1971 Convention on Psychotropic Substances: ephedrine is not individually scheduled.

1988 United Nations Convention against Illicit Traffic in Narcotic Drugs and Psychotropic Substances: ephedrine is listed in Table I.

By Country

Controlled / restricted33
United States flagUnited StatesControlled precursor
Australia flagAustraliaControlled precursor
Austria flagAustriaControlled precursor
Belgium flagBelgiumControlled precursor
Brazil flagBrazilControlled precursor
Canada flagCanadaControlled precursor
China flagChinaControlled precursor
Colombia flagColombiaControlled precursor
Croatia flagCroatiaControlled precursor
Czech Republic flagCzech RepublicControlled precursor
Denmark flagDenmarkControlled precursor
Finland flagFinlandControlled precursor
France flagFranceControlled precursor
Germany flagGermanyControlled precursor
India flagIndiaControlled precursor
Indonesia flagIndonesiaControlled precursor
Ireland flagIrelandControlled precursor
Italy flagItalyControlled precursor
Japan flagJapanControlled precursor
Mexico flagMexicoControlled precursor
Netherlands flagNetherlandsControlled precursor
New Zealand flagNew ZealandRestricted
Norway flagNorwayControlled precursor
Philippines flagPhilippinesControlled precursor
Poland flagPolandControlled precursor
Portugal flagPortugalControlled precursor
Russia flagRussiaControlled precursor
South Korea flagSouth KoreaControlled precursor
Spain flagSpainControlled precursor
Switzerland flagSwitzerlandControlled precursor
Thailand flagThailandRestricted
Ukraine flagUkraineControlled precursor
United Arab Emirates flagUnited Arab EmiratesControlled precursor
Prescription1
Sweden flagSwedenPrescription only
Legal / decriminalized2
Singapore flagSingaporeLegal (regulated)
United Kingdom flagUnited KingdomLegal (regulated)

References

Source Pages

  1. Drug Users Bible by Dominic Milton Trott
  2. DrugBank
  3. Erowid
  4. Erowid: Ephedrine Vault
  5. Isomer Design (TiHKAL/PiHKAL)
  6. PsychonautWiki
  7. Saferparty: Ephedrin
  8. TripSit Factsheets
  9. TripSit Wiki: Ephedrine
  10. TripSit: Ephedrine
  11. Wikipedia

Citations

  1. MR Lee. (2011). The history of Ephedra (ma-huang). Journal of the Royal College of Physicians of Edinburgh, 41(1), 78-84. https://doi.org/10.4997/jrcpe.2011.11612
  2. World Health Organization. (2023). Ephedrine — WHO Model List of Essential Medicines (electronic EML). https://list.essentialmeds.org/medicines/91
  3. Central nervous system stimulants and sport practice. British Journal of Sports Medicine (2009). https://pmc.ncbi.nlm.nih.gov/articles/PMC2657493/1
  4. Akovaz- ephedrine sulfate injection. DailyMed (16 April 2020). https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=25828db2-4942-4f7c-a0d5-dc66f82cfb711
  5. National Library of Medicine. (2023). Ephedrine – StatPearls. NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK547661/12
  6. Sever PS, Dring LG, & Williams RT. (1975). The metabolism of (−)-ephedrine in man. European Journal of Clinical Pharmacology, 9(2-3), 193-198. https://pubmed.ncbi.nlm.nih.gov/786688/1
  7. Criminal Code Regulations 2019, section 13 table (Compilation No. 6, F2025C01260). legislation.gov.au (n.d.). https://www.legislation.gov.au/F2019L00561/latest/text1
  8. Regulation (EC) No 273/2004 on drug precursors. eur-lex.europa.eu (n.d.). https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:32004R02731234567
  9. Portaria SVS/MS nº 344/1998. bvsms.saude.gov.br (n.d.). https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/1998/prt0344_12_05_1998_rep.html1
  10. Controlled Drugs and Substances Act, Schedule VI, Part 1; Precursor Control Regulations, ss. 6 and 91.1–91.3. laws-lois.justice.gc.ca (n.d.). https://laws-lois.justice.gc.ca/eng/acts/C-38.8/page-14.html1

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