Propylhexedrine
Also called Benzedrex, Hydromethamphetamine, Propilhexedrina, Propylhexadrine
Dosage
Oral bands as drawn from PsychonautWiki's ranges below. The table is the source of truth.
Oral
| Source | Threshold | Light | Common | Strong | Heavy |
|---|---|---|---|---|---|
| PsychonautWiki | 10 mg PW | 30–60 mg PW | 60–120 mg PW | 120–180 mg PW | 180 mg+ PW |
Insufflated
Insufflated(pure)
Oral(benzedrex)
Oral(pure)
Note: Be aware of potency difference between pure HCl substance and cottons. TS
TripSit dose text
TripSit's factsheet also states its doses as text.
Oral(Pure) Light: 10-20mg Common: 20-50mg Strong: 50mg+ | Insufflated(Pure) Light: 5-15mg Common: 15-30mg Strong: 30-50mg+ | Oral(Benzedrex) Light: 20-60mg Common: 60-125mg Strong: 125-250mg Heavy: 250mg+ | Insufflated (Benzedrex) Light: 10-30mg's Common: 30-75mg's Strong: 75-100mg+ | Note: Be aware of potency difference between pure HCl substance and cottons. TS
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Duration
Oral, drawn at the midpoint of each PsychonautWiki range.
| Route · source | Onset | Come-up | Peak | Offset | Total | After-effects |
|---|---|---|---|---|---|---|
| Oral · PsychonautWiki | 10–30 minutes PW | 15–90 minutes PW | 2–5 hours PW | 1–3 hours PW | 4–10 hours PW | 2–12 hours PW |
TripSit factsheet
Mixing
For best safety practice, don't mix this drug with other stimulants.
Why: vasoconstriction, heart rate and blood pressure. PsychonautWiki says:
- “... may be dangerous to combine with other stimulants ... as they can increase one's heart rate and blood pressure to dangerous levels.” (PsychonautWiki, dangerous interactions table, "Stimulants" row, revision 148925)
- “Vasoconstriction can be described as a narrowing of the veins and blood vessels which results from a contraction of their muscular wall.” (PsychonautWiki, Vasoconstriction, revision 170337)
- “... it can also occur under the influence of traditional stimulants such as methamphetamine, caffeine, and MDMA.” (PsychonautWiki, Vasoconstriction, revision 170337)
- “Increased blood pressure is most commonly induced under the influence of heavy dosages of vasoconstricting compounds, such as traditional stimulants and stimulating psychedelics.” (PsychonautWiki, Increased blood pressure, revision 152273)
Quotes from PsychonautWiki, CC BY-SA 4.0.
Acute combinations: what happens when these are taken close together. Entries backed by a medical journal or agency are listed first.
Backed by medical journals
- Tricyclic antidepressants - Propylhexedrine may increase the effects of tricyclic antidepressants to dangerous levels.[5] PW⚠ PsychonautWiki lists this combination without a danger rating.
Other documented combinations
- Cocaine - This combination may increase strain on the heart to dangerous levels. PW⚠ PsychonautWiki lists this combination without a danger rating.
PsychonautWiki also lists dangerous combinations shared across a whole group (MAOIs, stimulants) in a table this page does not copy. Read that list on PsychonautWiki.
TripSit combination chart
TripSit rates each pairing. Only pairings with a number carry a citation from TripSit. See the whole chart; TripSit's own notes are on combo.tripsit.me.
Unsafe
Caution
Risks and toxicity
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. PW
It is strongly recommended that one use harm reduction practices when using this substance. PW
Tolerance and addiction potential
As with other stimulants, the chronic use of propylhexedrine can be considered highly addictive, and is capable of causing psychological and physiological dependence among certain users. When addiction has developed, cravings and withdrawal effects may occur if a person suddenly stops or drastically decreases their usage. PW
Tolerance to the effects of this compound likely occurs in the same general fashion as with amphetamine rapidly develops with prolonged and repeated use. This results in users having to administer increasingly large doses to achieve the same effects. After that, it takes about 3 - 7 days for the tolerance to be reduced to half and 1 - 2 weeks to be back at baseline (in the absence of further consumption). Propylhexedrine presents cross-tolerance with all dopaminergic stimulants, meaning that after the consumption of propylhexedrine all stimulants will have a reduced effect.[9]
Like with amphetamine and methamphetamine the evidence on effective treatments for dependence and abuse is limited. In light of this, fluoxetine and imipramine appear to have some limited benefits in treating abuse and addiction[11] PW
In highly dependent amphetamine and methamphetamine abusers, "when chronic heavy users abruptly discontinue methamphetamine use, many report a time-limited withdrawal syndrome that occurs within 24 hours of their last dose". Withdrawal symptoms in chronic, high-dose users are frequent, occurring in up to 87.6% of cases, and persist for three to four weeks with a marked "crash" phase occurring during the first week. Methamphetamine withdrawal symptoms can include anxiety, drug craving, dysphoric mood, fatigue, increased appetite, increased movement or decreased movement, lack of motivation, sleeplessness or sleepiness, and vivid or lucid dreams. Withdrawal symptoms are associated with the degree of dependence (i.e., the extent of abuse). The mental depression associated with methamphetamine withdrawal lasts longer and is more severe than that of cocaine withdrawal. It is likely that propylhexedrine abuse is subject to these same outcomes.[12]
Psychosis
Like with the abuse of methamphetamine, propylhexedrine abuse can result in a stimulant-induced psychotic state that may present with a variety of symptoms (e.g., paranoia, hallucinations, delusions), though likely to a lesser degree. A review on treatment for amphetamine, dextroamphetamine, and methamphetamine abuse-induced psychosis states that about 5–15% of users fail to recover completely. The same review asserts that, based upon at least one trial, antipsychotic medications effectively resolve the symptoms of acute amphetamine psychosis.[14]
TripSit factsheet
Testing
Effects
Overview
Propylhexedrine (also known as Benzedrex and Obesin) is a stimulant substance of the cycloalkylamine class. It is a structural analog of methamphetamine. Propylhexedrine is widely used medicinally as a nasal decongestant (for relief of congestion due to colds, allergies and allergic rhinitis) and sometimes used recreationally as an over-the-counter "legal high". PW
A relatively common CNS stimulant sold over the counter in benzedrex inhalers.[1] TS
Propylhexedrine, sold under the brand name Benzedrex among others, is an alkylamine primarily utilized as a topical decongestant. Its main indications are relief of congestion due to colds, allergies, and allergic rhinitis. Propylhexedrine was first used medically in 1949, with the release of Benzedrex by Smith, Kline & French, and it has been used, mainly within the United States, since then.[2]
History
History
Propylhexedrine's medical use as a decongestant evolved from desires to find safer alternatives to previous agents. After searching for such an agent, Dr. Glenn E. Ullyot patented propylhexedrine as a decongestant in 1948. This patent was issued for benefit of Smith, Kline & French. Before it was sold nationally in the United States, propylhexedrine underwent market trials in California. These market trials began on July 15, 1949. Propylhexedrine (under the brand name Benzedrex) was first introduced into commerce on August 4, 1949.[4]
Approval for use in the United Kingdom soon followed in 1956. Later, approval for use in Canada was granted in 1998. In 2023, B. F. Ascher & Co. decreased the amount of propylhexedrine in the Benzedrex inhaler from its historic 250 milligrams down to 175 milligrams.[20]
Barbexaclone, an anticonvulsant containing propylhexedrine, was used in Turkey until its withdrawal from the market in 2009. Barbexaclone's former niche in Turkish medicine is now largely occupied by levetiracetam.[23] WP
Legal status
- Canada: Propylhexedrine is not controlled under the schedules to the Controlled Drugs And Substances Act. PW⚠ PsychonautWiki itself has flagged this text: citation needed.
- Germany: Propylhexedrine is a prescription only medicine, according to Anlage 1 AMVV (Medicine Prescribing Regulation, Schedule 1).[24] PW
- Switzerland: Propylhexedrine is not controlled under Buchstabe A, B, C and D. It is sporadically used medicinally.[25] PW
- United States: Propylhexedrine is a legal OTC drug. It is designed not to be recreationally used unless the user decides to bypass the manufacturer's intended design with which it was granted approval to market as a nasal decongestant. The simple consumption of this substance is not technically considered illegal. PW⚠ PsychonautWiki itself has flagged this text: citation needed.
International control
Propylhexedrine was placed under international control by the Convention on Psychotropic Substances in 1985. This action was reversed in 1991.[26] WP
Australia
Propylhexedrine is an S4 substance in Australia.[27] WP
Brazil
Propylhexedrine is a Class B1 substance in Brazil.[28] WP
Canada
Propylhexedrine was formerly 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.[29]
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.[24]
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.[32]
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.[34–44] WP
Economics
Propylhexedrine, under the brand name Benzedrex, is sold online by retailers such as Amazon, eBay, and Walmart. Propylhexedrine has been sold in some countries as an anorectic or as part of an anticonvulsant preparation; however, such products are not sold freely to consumers and require a physician's prescription.[45] WP
Benzedrex inhaler
Propylhexedrine, as a nasal decongestant, is currently marketed under the brand name Benzedrex. The name was initially trademarked by Smith, Kline & French in 1944. The brand was passed onto Menley James Laboratories (through a subsidiary, NuMark Laboratories) in 1990, and was finally acquired by B. F. Ascher & Co. in 1998.[46]
Dristan inhaler
Propylhexedrine was also sold in inhaler form by Whitehall Laboratories (Wyeth) under the Dristan brand name as an inhaler. In January 1966, propylhexedrine replaced mephentermine as the active ingredient in the product. The Dristan inhaler has since been discontinued. Furthermore, Wyeth was acquired by Pfizer in 2009. All products currently sold under the Dristan brand are manufactured by Foundation Consumer Brands; Foundation Consumer Brands acquired the Dristan brand in 2020. Foundation Consumer Brands is itself owned by Kelso & Company.[49]
Obesin
Propylhexedrine has also seen use in Europe as an appetite suppressant, under the brand name Obesin. Obesin has been referenced in literature dating back to the 1950s. Obesin was manufactured by Fahlberg-List in East Germany from 1958 to around 1976. The discontinuation of Obesin was the result of increased regulatory restrictions on over-the-counter anorectics. These restrictions began to be imposed in 1974. Fahlberg-List itself dissolved in 1995.[18]
Maliasin
Propylhexedrine (in the form of levopropylhexedrine) is a component in the anticonvulsant preparation barbexaclone. It is included for the purpose of offsetting the barbiturate-induced sedation from phenobarbital. Barbexaclone has been known under the brand name of Maliasin, manufactured by Abbott Laboratories, as early as 1965. Maliasin has also been manufactured by Knoll Pharmaceuticals; Knoll is a company acquired by Abbott Laboratories. In 2010, Abbott discontinued sale of its barbexaclone preparation in many countries.[18]
Eventin
Levopropylhexedrine has been used as an appetite suppressant under the brand name Eventin. Eventin's use has been documented as early as 1958.[57] WP
Pharmacology
Mechanism of action
Propylhexedrine works mainly as an adrenergic agonist, when used at therapeutic doses in an inhaler dosage form. This restricts the blood vessels in the nose and reduces swelling; thereby, it relieves nasal congestion. At higher doses, propylhexedrine affects the central nervous system as a norepinephrine–dopamine releasing agent (NDRA). Propylhexedrine likely exerts such effects in a manner similar to related alkylamines such as cyclopentamine, methylhexanamine, and tuaminoheptane. Propylhexedrine also exhibits antihypotensive effects.[58–64] WP
Pharmacokinetics
Propylhexedrine undergoes metabolism via N-demethylation, C-oxidation, N-oxidation, dehydrogenation, and hydrolysis to form various metabolites such as norpropylhexedrine, cyclohexylacetoxime, cyclohexylacetone, and 4-hydroxypropylhexedrine.[65] WP
Chemistry
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References
- Journal / agency A drug toxicity death involving propylhexedrine and mitragynine
- Journal / agency Cold, Cough, Allergy, Bronchodilator, and Antiasthmatic Drug Products for Over-the-Counter Human Use. June 7, 2023
- Journal / agency BENZEDREX 09-19-2014- propylhexedrine inhalant
- Other Schwarez J. Sniffing Benzedrine Inhalers
- Journal / agency Adderall Prescription info
- Journal / agency Kelly J. Clemens, Iain S. McGregor, Glenn E. Hunt, Jennifer L. Cornish. MDMA, methamphetamine and their combination: possible lessons for party drug users from recent preclinical research
- Journal / agency Kelly J. Clemens, Iain S. McGregor, Glenn E. Hunt, Jennifer L. Cornish. Repeated weekly exposure to MDMA, methamphetamine or their combination: long-term behavioural and neurochemical effects in rats
- Journal / agency P. Leon Brown, Eugene A. Kiyatkin. Brain hyperthermia induced by MDMA (‘ecstasy’): modulation by environmental conditions
- Journal / agency Pérez-Mañá, C., Castells, X., Torrens, M., Capellà, D., Farre, M. Efficacy of psychostimulant drugs for amphetamine abuse or dependence. The Cochrane Database of Systematic Reviews. 2 September 2013. doi:10.1002/14651858.CD009695.pub2
- Other Amphetamines, By Patrick G. O’Connor, MD, MPH, Yale University School of Medicine
- Journal / agency Srisurapanont, M., Jarusuraisin, N., Kittirattanapaiboon, P. Treatment for amphetamine dependence and abuse. The Cochrane Database of Systematic Reviews. 2001. doi:10.1002/14651858.CD003022
- Journal / agency Shoptaw, S. J., Kao, U., Heinzerling, K., Ling, W. Treatment for amphetamine withdrawal. The Cochrane Database of Systematic Reviews. 15 April 2009. doi:10.1002/14651858.CD003021.pub2
- Journal / agency Winslow, B. T., Voorhees, K. I., Pehl, K. A. Methamphetamine abuse. American Family Physician. 15 October 2007
- Journal / agency National Institute on Drug Abuse. Emerging Trends
- Journal / agency Shoptaw, S. J., Kao, U., Ling, W. W. Treatment for amphetamine psychosis. 8 October 2008. doi:10.1002/14651858.CD003026.pub2
- Other Hofmann, F. G. A handbook on drug and alcohol abuse: the biomedical aspects. 1983
- Other Cyclohexylalkylamines
- Journal / agency Wesson DR. Propylhexdrine. Drug and Alcohol Dependence. June 1986. doi:10.1016/0376-8716(86)90013-X · PMID 2874970
- Other Grant G. Extension of remarks by representative Grant on H.R. 2969 - Bezedrine Inhalers. August 4, 1949
- Journal / agency Smith DE, Wesson DR, Sees KL, Morgan JP. An epidemiological and clinical analysis of propylhexedrine abuse in the United States. Journal of Psychoactive Drugs. 1988-10-01. doi:10.1080/02791072.1988.10472514 · PMID 2907528
- Other Propylhexedrine - NAPRA
- Journal / agency Benzedrex- propylhexedrine inhalant (06/23/2023)
- Journal / agency Bolukbasi F, Delil S, Bulus E, Senturk A, Yeni N, Karaagac N. End of the barbexaclone era: an experience of treatment withdrawal. Epileptic Disorders. September 2013. doi:10.1684/epd.2013.0605 · PMID 23981808
- Other Anlage 1 AMVV
- Other Verordnung des EDI über die Verzeichnisse der Betäubungsmittel, psychotropen Stoffe, Vorläuferstoffe und Hilfschemikalien
- Journal / agency Expert Committee on Drug Dependence's Twenty-Seventh Report. September 28, 1990
- Other Therapeutic Goods (Poisons Standard—June 2024)
- Other Anvisa. RDC Nº 784 - Listas de Substâncias Entorpecentes, Psicotrópicas, Precursoras e Outras sob Controle Especial. 2023-03-31
- Harm reduction site Erowid Propylhexedrine (Benzedrex) Vault: Law
- Other Government of Canada, Public Works and Government Services Canada. Canada Gazette, Part 2, Volume 156, Number 18: Order Amending Schedule V to the Controlled Drugs and Substances Act (Novel Fentanyl Precursors). 2022-08-31
- Journal / agency Winter E. Bemerkungen zu Drogenmißbrauch und -abhängigkeit vom Amphetamin- Typ unter besonderer Berücksichtigung des Amphetaminils (Aponeuron (R)). Psychiatrie, Neurologie und medizinische Psychologie. 1976
- Other The Misuse of Drugs Act 1971 (Modification) Order 1995
- Other Wilson A. The blanket drugs ban is necessary, but won't solve the bigger problem – as I know from personal experience. 2016-03-23
- Harm reduction site Lawn J. Schedules of Controlled Substances: Placement of Propylhexedrine and Pyrovalerone into Schedule V. April 4, 1988
- Harm reduction site Bonner R. Schedules of Controlled Substances: Removal of Propylhexedrine From Control. December 3, 1991
- Journal / agency Sec. 1308.22 Excluded substances
- Other Haislip G. Excluded Non-narcotic Over-the-counter Substances. January 11, 1989
- Other AK Stat § 11.71.180 (2025)
- Other AZ Rev Stat § 13-3401 (2025)
- Other FL Stat § 893.03 (2011)
- Other GA Code § 16-13-29.1 (2022)
- Other ID Code § 37-2713 (2010)
- Other KS Stat § 65-4113 (2021)
- Other RI Gen L § 21-28-2.08 (2021)
- Other Benzedrex Inhaler
- Other Benzedrex Trademark of B.F. Ascher & Company Inc - Registration Number 0896775 - Serial Number 72340742
- Other Robertson V. Prince v. B.F. Ascher Company, Inc., 90 P.3d 1020 (Okla. Civ. App. 2004). February 17, 2004
- Other B.F. Ascher marks 50th year. March 1, 1999
- Journal / agency Action in Respect of International Conventions on Narcotic Drugs and Psychotropic Substances. November 24, 1989
- Journal / agency Angrist BM, Schweitzer JW, Gershon S, Friedhoff AJ. Mephentermine psychosis: misuse of the Wyamine inhaler. The American Journal of Psychiatry. March 1970. doi:10.1176/ajp.126.9.1315 · PMID 5413209
- Other Foundation Consumer Healthcare to Add Seven Over-the-Counter Brands to Expanding Portfolio of Healthcare Products. October 1, 2020
- Journal / agency Polster H. Über eine Vergiftung mit dem Appetitzügler Propylhexedrin "Obesin", bei einem 3 Ährigen Kinde. Archiv für Toxikologie. February 1965. doi:10.1007/BF00577551 · PMID 14272412
- Journal / agency Rose W. Arzneimittelsucht durch Mißbrauch von sogenannten Appetitzüglern (Obesin). Archiv für Toxikologie. September 1959. doi:10.1007/BF00577633
- Journal / agency Krueger HJ, Schwarz H. Clinical Communication on the Therapy of Epilepsy With Maliasin. Die Medizinische Welt. April 1965. PMID 14276849
- Other MALIASIN Trademark - Registration Number 0797076 - Serial Number 72213021
- Other Serracchiani D. Parliamentary question | Maliasin | P-001035/2011 | European Parliament. January 31, 2011
- Journal / agency Hofer R, Locker A. Therapeutic experiences with the appetite depressant eventin. Wiener Medizinische Wochenschrift. April 1958. PMID 13558159
- Harm reduction site Propylhexedrine
- Other Decongestants. 2017-10-18
- Journal / agency Teja N, Dodge CP, Stanciu CN. Abuse, Toxicology and the Resurgence of Propylhexedrine: A Case Report and Review of Literature. Cureus. October 2020. doi:10.7759/cureus.10868 · PMID 33178521 · PMC7652022
- Journal / agency Small C, Cheng MH, Belay SS, Bulloch SL, Zimmerman B, Sorkin A, Block ER. The Alkylamine Stimulant 1,3-Dimethylamylamine Exhibits Substrate-Like Regulation of Dopamine Transporter Function and Localization. The Journal of Pharmacology and Experimental Therapeutics. August 2023. doi:10.1124/jpet.122.001573 · PMID 37348963 · PMC10353075
- Journal / agency Schmidt JL, Fleming WW. A Nonsympathomimetic Effect of Cyclopentamine and Beta-Mercaptoethylamine in the Rabbit Ileum. The Journal of Pharmacology and Experimental Therapeutics. July 1964. doi:10.1016/S0022-3565(25)26827-6 · PMID 14209515
- Journal / agency Delicado EG, Fideu MD, Miras-Portugal MT, Pourrias B, Aunis D. Effect of tuamine, heptaminol and two analogues on uptake and release of catecholamines in cultured chromaffin cells. Biochemical Pharmacology. August 1990. doi:10.1016/0006-2952(90)90322-c · PMID 2386550
- Journal / agency Lands AM, Nash VL. The pharmacologic activity of N-methyl-beta-cyclohexyl-isopropylamine hydrochloride. The Journal of Pharmacology and Experimental Therapeutics. April 1947. doi:10.1016/S0022-3565(25)05868-9 · PMID 20295519
- Journal / agency Midha KK, Beckett AH, Saunders A. Identification of the major metabolites of propylhexedrine in vivo (in man) and in vitro (in guinea pig and rabbit). Xenobiotica; the Fate of Foreign Compounds in Biological Systems. October 1974. doi:10.1080/00498257409169765 · PMID 4428789
Text and values on this page are quoted from PsychonautWiki (CC BY-SA 4.0), Wikipedia (CC BY-SA 4.0), TripSit factsheets, PubChem (public domain). Each value links to the exact revision it came from.