Phenibut
Phenibut is a depressant and anxiolytic of the gabapentinoid class, structurally derived from the neurotransmitter GABA. Developed in the Soviet Union during the 1960s under Professor V. V. Perekalin, it remains a prescribed pharmaceutical in Russia for conditions including anxiety, insomnia, depression, and PTSD. Outside Russia, it is unapproved for clinical use and typically sold as a nutritional supplement.12 At common doses, it is noted for producing less drowsiness than other GABAergic substances such as benzodiazepines.
Contents
Dosage & Duration
Dosage
The onset of effects is considerably slower than most other central nervous system depressants. To reduce the risk of accidental overdose, a minimum interval of two to three hours should be observed before considering any additional dose.
Duration
Subjective Effects
In comparison to other commonly used GABAgenic depressants such as alcohol or benzodiazepines, this compound is significantly longer lasting, more euphoric and more recreational.
Physical
Cognitive
Reagent Testing
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Pharmacology
Pharmacodynamics
Phenibut acts as a full agonist of the GABA-B receptor and as a blocker of α2δ subunit-containing voltage-dependent calcium channels (VDCCs), the latter mechanism being shared with gabapentinoids such as gabapentin and pregabalin.3 Phenibut's affinity for α2δ-containing VDCCs is higher than for the GABA-B receptor, and in rodent models, analgesic effects appear mediated by VDCC blockade rather than GABA-B agonism.3 Only (R)-phenibut has meaningful activity at GABA-B, while both enantiomers block VDCCs with similar potency.43 At higher doses, phenibut loses its GABA-B selectivity and gains additional activity as a GABA-A receptor agonist.5 Phenibut has also been reported to increase calcium-dependent spontaneous release of GABA in vitro, and its effects on dopamine remain unclear, with conflicting reports regarding whether it meaningfully raises dopamine levels.65
Pharmacokinetics
Phenibut is not significantly metabolized and is largely excreted unchanged in the urine, with approximately 63-65% of the dose recovered renally.7 Following a single 250 mg oral dose in healthy volunteers, the elimination half-life was approximately 5.3 hours.7
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.
Tolerance
GABAergic depressants (benzodiazepines, alcohol, GHB), Other GABA-B agonists (baclofen)
Harm Potential
Addiction & Dependence
Psychological
ModeratePhenibut is moderately psychologically addictive, particularly with heavy or frequent use.8 The extended onset period can lead to compulsive redosing when users mistakenly believe the substance is not working, and rebound anxiety commonly drives continued use.9
Physical
ModeratePhysical dependence develops with daily or near-daily use, sometimes within weeks of regular dosing.1011 Withdrawal symptoms can be severe and include anxiety, insomnia, tremors, agitation, rapid heartbeat, nausea, vomiting, irritability, and fatigue.101 Baclofen has been used successfully to treat phenibut dependence.112
Toxicity
Prolonged use at high doses may cause fatty liver disease; doses above 7 grams have been associated with fatty liver degeneration in overdose cases.13
Renal impairment has been reported in overdose cases; this is not a typical concern at standard doses.10
Phenibut hydrochloride is highly caustic and may cause intestinal discomfort, diarrhea, and potentially lower digestive tract bleeding in sensitive users.
Eosinophilia has been reported with prolonged high-dose use and in overdose cases.10
Psychosis Risk
Acute psychosis and visual/auditory hallucinations have been reported primarily as withdrawal symptoms in recreational users discontinuing heavy use, rather than during intoxication.14 Withdrawal-associated psychosis appears to occur in cases of abrupt cessation following prolonged high-dose use.101
Seizure Risk
Tonic-clonic seizures have been reported in recreational users who have overdosed.15 Seizures are not a typical occurrence at standard doses and appear to be associated with significant overdose.10
History & Culture
Development and Soviet Adoption
Phenibut was synthesized during the 1960s at the Department of Organic Chemistry at the Al Gertsen Leningrad Pedagogical Institute under the supervision of Professor V. V. Perekalin.5 Following its development, the compound was researched for potential…
Legality
By Country
References
Source Pages
Citations
- Ahuja T, Mgbako O, Katzman C, & Grossman A. (2018). Phenibut (β-Phenyl-γ-aminobutyric Acid) Dependence and Management of Withdrawal: Emerging Nootropics of Abuse. Case Reports in Psychiatry. https://doi.org/10.1155/2018/98642851234
- (5 April 2024). Phenibut — an Illegal Food Supplement With Psychotropic Effects and Health Risks. Deutsches Ärzteblatt International, 121(7), 222–7. https://doi.org/10.3238/arztebl.m2024.00031
- (October 2015). R-phenibut binds to the α2-δ subunit of voltage-dependent calcium channels and exerts gabapentin-like anti-nociceptive effects. Pharmacology, Biochemistry, and Behavior, 137, 23–9. https://doi.org/10.1016/j.pbb.2015.07.0141234
- (March 2008). Comparative pharmacological activity of optical isomers of phenibut. European Journal of Pharmacology, 583(1), 128–134. https://doi.org/10.1016/j.ejphar.2008.01.01512
- (2001). Phenibut (beta-phenyl-GABA): a tranquilizer and nootropic drug. CNS Drug Reviews, 7(4), 471–81. https://doi.org/10.1111/j.1527-3458.2001.tb00211.x123456
- Kovalev GI, Prikhozhan AV, & Raevskiĭ KS. (1982). Presynaptic component in the mechanism of fenibut action. Biull Eksp Biol Med. https://pubmed.ncbi.nlm.nih.gov/7150741/1
- (2024). Phenibutan—an Illegal Food Supplement With Psychotropic Effects and Health Risks. PMC. https://pmc.ncbi.nlm.nih.gov/articles/PMC11539871/123
- (2013). Phenibut dependence. https://pmc.ncbi.nlm.nih.gov/articles/PMC3604470/1
- (n.d.). Phenibut Dependence and Withdrawal. https://www.psychiatrist.com/pcc/phenibut-dependence-and-withdrawal/1
- World Health Organization Expert Committee on Drug Dependence. (2021). Pre-Review Report: Phenibut. World Health Organization. https://cdn.who.int/media/docs/default-source/essential-medicines/unedited--advance-copy-44th-ecdd-critical-review-report_phenibut.pdf123456
- Stewart C, & Simonsen H. (2024). A Systematic Review of Phenibut Withdrawals. https://pmc.ncbi.nlm.nih.gov/articles/PMC11456982/1
- (2024). A Case of Phenibut Withdrawal Management and Detoxification Using Baclofen in the Outpatient Setting. https://pmc.ncbi.nlm.nih.gov/articles/PMC11239229/1
- Arndt C, & Gray TR. (2021). Phenibut, a GABAB Agonist, Detected in a Fatality. Journal of Analytical Toxicology. https://doi.org/10.1093/jat/bkab0991
- (2021). Psychomotor Agitation Non-responsive to Treatment: A Case Report of Phenibut Withdrawal Syndrome. Frontiers in Psychiatry. https://pmc.ncbi.nlm.nih.gov/articles/PMC8273510/1
- (2022). An Unusual Presentation of an Uncommon Drug: A Case Report on Phenibut Overdose. Cureus. https://pmc.ncbi.nlm.nih.gov/articles/PMC9078085/1
- Neumyvakin IP, Krupina TN, Polevoĭ LG, & Semeĭkina LA. (1978). Principles for making up pharmaceutical kits to supply cosmonauts with drug packs. Kosm Biol Aviakosm Med, 12(3), 27-31. https://pubmed.ncbi.nlm.nih.gov/661205/1
- (September 2020). Notes from the Field: Phenibut Exposures Reported to Poison Centers - United States, 2009–2019. MMWR. Morbidity and Mortality Weekly Report, 69(35), 1227–1228. https://doi.org/10.15585/mmwr.mm6935a512
- (2017). Final decisions and reasons for decisions by delegates of the Secretary to the Department of Health, October 2017 – Phenibut. Therapeutic Goods Administration, Australian Government Department of Health. https://www.tga.gov.au/sites/default/files/final-decision-and-reasons-for-decision-by-delegate-october-2017.pdf1
- (11 August 2020). Gazzetta Ufficiale 11/08/20. Lorenzo Arbolino. https://www.gazzettaufficiale.it/eli/id/2020/08/21/20A04540/SG1
- (2023). https://dati.zva.gov.lv/zalu-registrs/?iss=1&q=Phenibutum. https://dati.zva.gov.lv/zalu-registrs/?iss=1&q=Phenibutum1
- (2016). Psychoactive Substances Act 2016. UK Parliament. https://www.legislation.gov.uk/ukpga/2016/2/contents1
- (2023-03-06). Phenibut in Dietary Supplements. FDA. https://www.fda.gov/food/dietary-supplement-ingredient-directory/phenibut-dietary-supplements1
- (2021). Alabama Code § 20-2-25 – Schedule II Listing of Controlled Substances. Alabama Legislature. https://law.justia.com/codes/alabama/title-20/chapter-2/article-2/section-20-2-25/1
Further Reading
Automated synthesisInformation aggregated and synthesized using an autonomous workflow built by Josie Kins.
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