(Psedo)ephedrine FAQ v1.0
(Pseudo)ephedrine FAQ v1.0
Names
ephedrine,
phenylpropanolamine,
pseudoephedrine,
ephedrine sulfate,
pseudoephedrine hydrochloride.
The above are referred to as (pseudo)ephedrine for the rest of this document.
Effects
(Pseudo)ephedrine is classed as a sympathomimetic (adrenergic), meaning that its effects on the central nervous system are similar to adrenaline (
epinephrine). Adrenaline is a hormone naturally produced by your body when in danger, in order to generate 'fight or flight' reactions. Since
ephedrine's isolation from
Ephedra sinica, (pseudo)ephedrine has been used widely in the west for relief from colds, asthma symptoms & low blood pressure, as well as for weight loss and body building.
Ephedra sinica (Chinese name 'ma huang'; literally "yellow trouble") has a 5000 year history of use in traditional Chinese medicine. Some of the related
Ephedra plants, such as species native to North America, contain
pseudoephedrine instead of
ephedrine.
Pseudoephedrine is said to have less undesirable effects than
ephedrine, though they remain very similar:
- Moderately increases heart rate and blood pressure.
- Affects blood flow, notably decreasing blood flow to the kidneys.
- Clears and relaxes the breathing passages ('bronchodilator')
- Causes the release of the hormone norepinephrine (noradrenaline).
- Increases glycogenolysis (the conversion of glycogen to glucose) in the liver.
- Increases lipolysis (the conversion of fats to fatty acids) in adipose (fat) tissue.
- Increases metabolic rate.
- Increases oxygen consumption.
- Suppression of appetite.
Comparisons with other drugs
Compared to adrenaline, (pseudo)ephedrine is approximately 250 times less potent, however it has longer-lasting effects. Additionally, it is more fat-soluble. (Pseudo)ephedrine is not metabolised, and is excreted unchanged.
Compared to amphetamines, with which (pseudo)ephedrine is closely related in chemical structure, (pseudo)ephedrine is less potent in its effects on the central nervous system and is longer acting.
Dosage
Standard daily dosage for legal use is around 30-60mg, taken orally, three to four times per day. When used clinically on adults, ephedrine is administered intravenously or intramuscularly in doses of up to 50mg, usually with an initial dose of 5mg.
Tablets containing (pseudo)ephedrine typically contain around 25-30mg per tablet, and will be labelled appropriately.
I mostly take 30mg, though once 60mg, and always feel energised. I have read reports of people taking 110-150mg at once. The 150mg report was labelled 'too much' and the 110mg did not sound as positive as my exprience. Choose your own dosage - start small. (Personally I would not take over 100mg.) See also:
Warning, below.
Duration & Administration
(Pseudo)ephedrine's duration will mostly depend upon method of administration and the individual. (Pseudo)ephedrine is rapidly and completely absorbed orally, and pharmacologic effects should be evident
within one hour. Duration is another matter. As some ephedrine-containing pills sold over the counter are especially designed for 'slow release', their employment will affect duration significantly. Additionally, individual considerations can effect duration (see
Dietary considerations below). In standard cases, without slow release pills, symptoms usually disappear
within six hours.
Legality
Due to the use of (pseudo)ephedrine as an ingredient for the production of methamphetamine, many countries have laws prohibiting the procurement or possession of large quantities of over the counter products containing the drug.
Tolerance
Tolerance develops for (pseudo)ephedrine's main effects, but sensitivity can be restored by abstaining from administration for some time. One theory is that tolerance to (pseudo)ephedrine's effects on heart rate and blood pressure is caused by depletion of
norepinephrine (
noradrenalin) stores. However, this is not the cause of tolerance to (pseudo)ephedrine's breathing related effects.
Dietary considerations
Foods that acidify the urine (eggs, peanuts, meat, chicken, vitamin C (greater than 5 grams per day), wheat-containing foods, etc.) may increase the elimination of ephedrine from the body, potentially reducing the action of the drug.
Foods that alkalinize the urine (dairy products, nuts, vegetables (except corn and lentils), most fruits, etc.) may slow the elimination of ephedrine from the body, potentially increasing the actions and side effects of the drug.
Tannin-containing herbs such as green tea, black tea, uva ursi, black walnut, red raspberry, oak, and witch hazel reduce (pseudo)ephedrine absorption.
Combinations with other drugs
Combinations with any other stimulant (
caffeine,
cocaine,
methamphetamines, etc.) is likely to be dangerous.
Warnings
High doses of (pseudo)ephedrine carry risk of hemorrhage, rapid and irregular pulse, anxiety, dizziness, insomnia, tremor, respiratory difficulties, confusion, hallucinations, delerium, and infrequently can lead to convulsion or psychosis. Death is also possible, particularly in eldery people, due to increased blood pressure.
At least one case of hypersensitivity to other drugs has been reported after using pseudoephedrine, however such reactions are very rare.
References
To do list
- Add index of common OTC names and combinations.
- Get someone with a proper medical background to read the FAQ over.
- Find more pure (pseudo)ephedrine reports with feedback on dosage.
- More research on combination warnings.