A synthetic substance. Normally seen as a white powder, it acts as a stimulant of the central nervous system (CNS). It is believed that amphetamine was first manufactured in the 1880s by the German chemist Leuckart, although evidence for this is lacking. It appears that, as in the case of methamphetamine, systematic studies of its chemistry did not come about until the early twentieth century. Amphetamine has some limited therapeutic use, but most is manufactured in clandestine laboratories in Europe. It is under international control and closely related to methamphetamine.
Amphetamine (CAS-300-62-9) is a member of the phenethylamine family, which includes a range of substances that may be stimulants, entactogens or hallucinogens. Thus, amphetamine is N,α-methylphenethylamine.
According to IUPAC, the fully systematic name is N,α-methylbenzeneethanamine. The asymmetric α-carbon atom gives rise to two enantiomers. These two forms were previously called the [–]- or l-stereoisomer and the [+]- or d-stereoisomer, but in modern usage are defined as the R- and S-stereoisomers.
Molecular formula: C9H13N
Molecular weight: 135.2
Amphetamine base is a colourless volatile oil insoluble in water. The most common salt is the sulfate (CAS-60-13-9): a white or off-white powder soluble in water. Illicit products mostly consist of powders. Tablets containing amphetamine may carry logos similar to those seen on MDMA and other ecstasy tablets.
Amphetamine is a CNS stimulant that causes hypertension and tachycardia with feelings of increased confidence, sociability and energy. It suppresses appetite and fatigue and leads to insomnia. Following oral use, the effects usually start within 30 minutes and last for many hours. Later, users may feel irritable, restless, anxious, depressed and lethargic. It increases the activity of the noradrenaline and dopamine neurotransmitter systems. Amphetamine is less potent than methamphetamine, but in uncontrolled situations the effects are almost indistinguishable. The S-isomer has greater activity than the R-isomer. It is rapidly absorbed after oral administration. After a single oral dose of 10 mg, maximum plasma levels are around 0.02 mg/L. The plasma half-life varies from 4 to 12 hours and is dependent on the urinary pH: alkaline urine decreases the rate of elimination. A major metabolite is 1-phenyl-2-propanone, with smaller amounts of 4-hydroxyamphetamine. Analysis of amphetamine in urine is confounded because it is a metabolite of methamphetamine and certain medicinal products. Acute intoxication causes serious cardiovascular disturbances as well as behavioural problems that include agitation, confusion, paranoia, impulsivity and violence. Chronic use of amphetamine causes neurochemical and neuroanatomical changes. Dependence — as shown by increased tolerance — results in deficits in memory and in decision-making and verbal reasoning. Some of the symptoms resemble those of paranoid schizophrenia. These effects may outlast drug use, although often they resolve eventually. Injection of amphetamine carries the same viral infection hazards (e.g. HIV and hepatitis) as are found with other injectable drugs such as heroin. Fatalities directly attributed to amphetamine are rare. The estimated minimum lethal dose in non-addicted adults is 200 mg.
The most common route of synthesis is by the Leuckart method.This uses (P2P, BMK, phenylacetone) and reagents such as formic acid, ammonium formate or formamide to yield a racemic mixture of the R- and S-enantiomers. A much less common, but stereoselective, method is by reduction of the appropriate diastereoisomers of norephedrine or norpseudoephedrine. These precursors (1-phenyl-2-propanone, norephedrine and norpseudoephedrine) are listed in Table I of the United Nations 1988 Convention Against Illicit Traffic in Narcotic Drugs and Psychotropic Substances. The corresponding EU legislation is set out in Council Regulation (EEC) No 3677/90 (as later amended), which governs trade between the EU and third countries.
Amphetamine may be ingested, snorted and, less commonly, injected. Unlike the hydrochloride salt of methamphetamine, amphetamine sulfate is insufficiently volatile to be smoked. When ingested, a dose may vary from several tens to several hundreds of milligrams depending on the purity.
The term amfetamine (the International Non-Proprietary Name: INN) refers to a racemic mixture of the two enantiomers. Amfetamine is also the name required by Directives 65/65/EEC and 92/27/EEC for the labelling of medicinal products within the EU. Dexamfetamine is the INN for the (S)-N,α-methyl-benzeneethanamine enantiomer also known as (+)-N,α-methylphenethylamine. Levamfetamine is the (R)-N,-α-methylbenzeneethanamine enantiomer also known as (–)-N,α-methylphenethylamine. Other commonly used chemical names include 1-phenyl-2-aminopropane and phenyliospropylamine. Amphetamine is sometimes included with methamphetamine and other less common substances (e.g. benzphetamine) under the generic heading of ‘amphetamines’. Hundreds of other synonyms and proprietary names exist (see, for example, http://www.chemindustry.com/chemicals/105322.html). ‘Street’ terms include speed, base and whizz.
The Marquis field test produces an orange/brown coloration. The Simon test produces a red coloration that will distinguish amphetamine (a primary amine) from secondary amines such as methamphetamine (blue coloration). The mass spectrum shows little structure with a major ion at m/z = 44. Identification by gas chromatography–mass spectrometry can be improved by N-derivatisation, e.g. using carbon disulfide to form the isothiocyanate. Using gas chromatography, the limit of detection in urine is <10 μg/L.
The purity of powders varies considerably across Europe. The mean retail purity of amphetamine in 2011 ranged from 5 % (Slovenia) to 28 % (the Netherlands) (Table PPP-8, part (i)). Tablets may contain up to 40 mg of the active drug. Over the period 2006–11 the purity of amphetamine has fallen in 17 countries and increased in 4 (Italy, Portugal, Slovakia and Hungary) amongst those providing sufficient information for trend analysis. In Europe, the most common cutting agents are caffeine, glucose and other sugars, less commonly ephedrine or ketamine.
The R- and S-enantiomers (levamfetamine and dexamfetamine respectively) as well as the racemate (a 50:50 mixture of the R- and S-stereoisomers) are listed in Schedule II of the United Nations 1971 Convention on Psychotropic Substances.
Among young adults (15- to 34-year-olds), lifetime prevalence of amphetamines use varies considerably between countries, from 0.1 % to 12.4 %, with a weighted European average of 5.5 % (Table GPS-1, part (iii)). Last year use of amphetamines in this age group ranges from 0 % to 3.9 %, with most countries reporting prevalence levels of 0.5–2.0 %. It is estimated that about 1.7 million (1.3 %) young Europeans have used amphetamines during the last year. (Table GPS-2, part (ii)).
Among 15- to 16-year-old school students, lifetime prevalence of amphetamines use ranged from 1 % to 7 % in the 24 EU Member States and Norway with ESPAD surveys in 2011. Only Belgium, Bulgaria and Hungary reported prevalence levels of more than 4 % (Table EYE-20 part (i)).
Routine monitoring of amphetamine use among the general population in Europe does not distinguish amphetamine from methamphetamine, use of which has historically been restricted to the Czech Republic and, more recently, Slovakia.
In 2011, mean price of amphetamine at consumer level ranged between EUR 8 (Belgium) to 21 (Sweden) per gram in EMCDDA reporting countries reporting information (Table PPP-4, part (i)). Mean retail prices of amphetamines fell (15 %) over the period 2006–11 in EU countries reporting sufficient data for trend analysis (Figure PPP-1).
Amphetamine has occasional therapeutic use in the treatment of narcolepsy and attention deficit hyperactivity disorder (ADHD).
Iversen, L. (2006), Speed, Ecstasy, Ritalin: the Science of Amphetamines, Oxford University Press, Oxford.
King, L. A. and McDermott, S. (2004), ‘Drugs of abuse’, in: Moffat, A. C., Osselton, M. D. and Widdop, B. (eds.) Clarke's Analysis of Drugs and Poisons, 3rd edn, Vol. 1, pp. 37–52, Pharmaceutical Press, London.
Moffat, A. C., Osselton, M. D. and Widdop, B, (eds.) (2004), Clarke's Analysis of Drugs and Poisons, 3rd edn, Vol. 2, Pharmaceutical Press, London.
United Nations (2006), Multilingual Dictionary of Narcotic Drugs and Psychotropic Substances under International Control, United Nations, New York.
United Nations (2006), Recommended Methods for the Identification and Analysis of Amphetamine, Methamphetamine and their Ring-Substituted Analogues in Seized Materials (revised and updated), Manual for Use by National Drug Testing Laboratories, United Nations, New York.
United Nations Office on Drugs and Crime (2003), Ecstasy and Amphetamines Global Survey 2003, United Nations Office on Drugs and Crime, Vienna (http://www.unodc.org/pdf/publications/report_ats_2003-09-23_1.pdf).
United Nations Office on Drugs and Crime (2004), World Drug Report 2004, Vol. 1: Analysis, United Nations Office on Drugs and Crime, Vienna (http://www.unodc.org/pdf/WDR_2004/volume_1.pdf).
The following publications have been proposed for further reading by Reitox national focal points. They represent a shortlist of key publications on the drug in each Member State*.
Shulgin, A. T. and Shulgin, A. (1997), Tihkal: the continuation, Transform Press, Berkeley.
Shulgin, A. T. and Shulgin, A. (1995), Pihkal: a chemical love story, Transform Press, Berkeley.
* Please note that not all national focal points have provided references so the list above cannot be considered exhaustive. Moreover, inclusion in this list does not imply that the EMCDDA endorses these publications. The views expressed in these publications are those of the authors and do not necessarily reflect those of the EMCDDA.