Propylhexedrine Stats & Data
JCRIVQIOJSSCQD-UHFFFAOYSA-NPharmacology
DrugBankDescription
Propylhexedrine is an alpha-adrenergic agonist often used in nasal decongestant inhalers. It is used to give temporary relief for nasal congestion from colds, allergic rhinitis, or allergies.
Mechanism of Action
Propylhexidrine causes the norepinephrine, dopamine, and serotonin (5HT) transporters to reverse their direction of flow. This inversion leads to a release of these transmitters from the vesicles to the cytoplasm and from the cytoplasm to the synapse. It also antagonizes the action of VMAT2, causing the release of more neurotransmitters.
Pharmacodynamics
Like other monoamine releasing stimulants propylhexedrine is active as a norepinephrine and dopamine releaser in the central nervous system. The acute effects of the drug closely resemble the physiological and psychological effects of an epinephrine-provoked fight-or-flight response, including increased heart rate and blood pressure, vasoconstriction (constriction of the arterial walls), bronchodilation, and hyperglycemia (increased blood sugar).
Indication
It is used to provide temporary symptomatic relief of nasal congestion due to colds, allergies and allergic rhinitis.
Receptor Profile
Receptor Actions
Receptor Binding
The toxicity of recreational propylhexedrine use has not been studied as extensively as that of amphetamine or methamphetamine but it is reasonable to assume that most if not all of the same risks apply. It is strongly recommended that one use harm reduction practices when using this substance.
Toxicity (DrugBank)
The signs and symptoms that are produced after the acute overdosage of Propylhexidrine include Psychosis, Burning sensation.
Effect Profile
Curated + 62 ReportsModerate focus with strong anxiety/jitters, mild stimulation and euphoria
Tolerance & Pharmacokinetics
drugs.wikiTolerance Decay
Cross-Tolerances
Demographics
Gender Distribution
Age Distribution
Reports Over Time
Effect Analysis
Erowid + BluelightEffects aggregated from 62 experience reports (15 single-substance Erowid + 47 Bluelight)
Effect Sentiment Distribution
Confidence Distribution
Each bar is the share of reports mentioning the effect; its whisker, and the band on the rows below, is the 95% interval: where the share could plausibly be with other reports of the same kind.
Positive Effects 46
Adverse Effects 52
Show 31 more adverse effects
Show 19 neutral or unclassified mentions
Also reported in combinations. In the 16 Propylhexedrine reports where another drug was taken too, 0 mention hospital, emergency services or an overdose, 0 a seizure and 1 psychosis (too few reports for percentages). In the 15 single-substance reports: 2, 0 and 0. These are not in the figures above: they cannot be put down to Propylhexedrine alone, and a mention is not always something that happened to the writer.
Dosage Distribution
Dose distribution from experience reports, one dose per report (the first listed). Doses above Q3 + 3×IQR, far above what people typically take, are left out of the median and range and listed under each route: most are real heavy doses or overdoses, not mistakes.
1 report gave a dose above the typical range (1,000 mg), so it is not in the figures above. Listing a dose here does not mean it is safe.
Show the report
- 1,000 mg · another drug taken too
Real-World Dose Distribution
ErowidFrom 46 of 51 recorded dose entries: those that state a weight (mg, g or µg), in routes with at least five of them. Values above Q3 + 3×IQR, far above what people typically take, are left out; they can include real heavy doses and overdoses, not only mistakes.
Oral (n=45)
Common Combinations
Most co-occurring substances, as a share of all 31 reports filed under Propylhexedrine; whiskers are 95% intervals
Form / Preparation
Most common forms and preparations, as a share of the 8 reports that give one
Too few reports for bars: these forms come from 8 reports, and a bar is drawn only from 20 reports or more. With fewer, a percentage cannot tell a common effect from a rare one. Counts are shown instead. Why 20?
- Liquid 3 of 8
- Pill / Tablet 2 of 8
- Capsule 2 of 8
Body-Weight Dosing
Dose per kg of body weight, one dose per report (the first listed), from reports giving a weight of 30–250 kg. Doses above Q3 + 3×IQR, far above what people typically take, are left out of the median and range and listed under each route.
1 report gave a dose above the typical range (11.025 mg/kg), so it is not in the figures above. Listing a dose here does not mean it is safe.
Show the report
- 11.025 mg/kg · another drug taken too
Redose Patterns
Redosing behavior across 15 reports
Too few reports for a chart: redosing is known from 15 reports, and a split is drawn only from 20 reports or more. Counts are shown instead. Why 20?
- Single dose 9 of 15
- Redosed 6 of 15
Legal Status
| Country | Status | Notes |
|---|---|---|
| Australia | Propylhexedrine is an S4 substance in Australia. | |
| Brazil | Propylhexedrine is a Class B1 substance in Brazil. | |
| Canada | Propylhexedrine was long reported to be a Schedule V substance in Canada. | In 2022, this status changed and propylhexedrine has since been removed from control under the Controlled Drugs and Substances Act. |
| Germany | Propylhexedrine is regulated as a prescription medicine in Germany. | Initially, propylhexedrine products were available over-the-counter. However, this changed in the 1970s and propylhexedrine is now regulated as a prescription product in Germany. |
| Switzerland | Propylhexedrine is not controlled under Buchstabe A, B, C and D. | It is sporadically used medicinally. |
| United Kingdom | Propylhexedrine was formerly a Class C substance in the United Kingdom, but was deregulated in 1995. | Propylhexedrine was used recreationally during a brief period in the 1970s after increased government regulation on earlier decongestants. |
| United States | On the 4th of April 1988, propylhexedrine was designated a controlled substance (Schedule V) in the United States. | This was done to satisfy U.S. compliance with an international treaty. However, in 1991, this action was reversed and propylhexedrine was removed from control under the Controlled Substances Act. This was based on the opinion of the Drug Enforcement Administration that propylhexedrine did not warrant control. The substance has remained unregulated under the Controlled Substances Act in the United States ever since. Furthermore, pursuant to DEA regulations, certain Benzedrex inhalers are specifically exempt from the Controlled Substances Act. Propylhexedrine remains regulated under the laws of several U.S. states. These states include the states of Alaska, Arizona, Florida, Georgia, Idaho, Kansas, and Rhode Island. |