Here is a quick, down and dirty breakdown between the two
Amphetamines are central nervous system stimulants that come in different isomeric forms, with the most common being racemic amphetamine, dextroamphetamine, and levoamphetamine.
Racemic Amphetamine (DL-Amphetamine)**
- **Composition**: Racemic amphetamine is a 1:1 mixture of two enantiomers: dextroamphetamine (D-amphetamine) and levoamphetamine (L-amphetamine).
- **Pharmacological Effects**: This mixture exhibits both the effects of dextroamphetamine and levoamphetamine, although the D-isomer is more potent in its CNS effects. The L-isomer has relatively more peripheral activity (e.g., effects on the cardiovascular system).
- **Uses**: Racemic amphetamine is used in medications like Adderall, which is commonly prescribed for Attention Deficit Hyperactivity Disorder (ADHD) and narcolepsy.
Dextroamphetamine (D-Amphetamine)**
- **Composition**: Dextroamphetamine is the dextrorotatory isomer of amphetamine. It is the more potent of the two isomers in terms of its effect on the central nervous system.
- **Pharmacological Effects**: Dextroamphetamine primarily increases the release of neurotransmitters like dopamine and norepinephrine in the brain, leading to heightened alertness, focus, and energy. It has a stronger effect on cognitive enhancement and less on peripheral effects compared to the racemic mixture.
- **Uses**: Dextroamphetamine is used in medications like Dexedrine and is prescribed for ADHD and narcolepsy.
Levoamphetamine (L-Amphetamine)**
- **Composition**: Levoamphetamine is the levorotatory isomer of amphetamine.
- **Pharmacological Effects**: Levoamphetamine has a weaker central nervous system stimulant effect compared to dextroamphetamine but has stronger peripheral effects (e.g., increasing blood pressure and heart rate).
- **Uses**: It is less commonly used alone but is part of the racemic amphetamine mixture found in some medications.
Summary of Differences
- **Potency**: Dextroamphetamine is more potent in its central nervous system effects compared to levoamphetamine.
- **Peripheral vs. CNS Effects**: Levoamphetamine has more pronounced peripheral effects (cardiovascular) than dextroamphetamine.
- **Usage**: Racemic amphetamine combines the effects of both isomers, making it useful in a broader range of therapeutic applications.
Sources for more information found in this post
- Stahl, S. M. (2013). *Stahl's Essential Psychopharmacology: Neuroscientific Basis and Practical Applications*. Cambridge University Press.
- Fleckenstein, A. E., Volz, T. J., Riddle, E. L., Gibb, J. W., & Hanson, G. R. (2007). New insights into the mechanism of action of amphetamines. *Annual Review of Pharmacology and Toxicology, 47*(1), 681-698.
- Heal, D. J., Smith, S. L., Gosden, J., & Nutt, D. J. (2013). Amphetamine, past and present–a pharmacological and clinical perspective. *Journal of Psychopharmacology, 27*(6), 479-496.