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Ephedrine Neurotoxicity

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General fitness, health and nutrition
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1 November 2003
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1 November 2003
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Ian Goddard
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  1. Toxicology Letters, 2001 Dec 15;125(1-3):151-66:

    "Multiple doses of the dietary supplement L-ephedrine can cause severe hyperthermia and modest
    dopamine depletions in the rat brain. ... Extensive neurodegeneration in the parietal cortex after
    L-ephedrine treatment was as pronounced as that previously described for D-amphetamine treatment ...
    The results of this study, in conjunction with human clinical evaluation of ephedrine neurotoxicity,
    indicate that regionally specific damage may occur in the cortex of some humans exposed to ephedrine
    in the absence of stroke or hemorrhage." ncbi.nlm.nih.govquery.fcgi
    &db=PubMed&list_uids=11701234&dopt=Abstract

    Toxicological Sciences, 2000 May;55(1):133-42:

    "l-Ephedrine is an active ingredient in several herbal formulations ... levels of dopamine 7 days
    after dosing were reduced only 25% or less by ephedrine compared to the 75% reductions produced by
    amphetamine. ... l-Ephedrine may not be as neurotoxic to dopaminergic terminals as d-amphetamine..."
    But it's apparently still neurotoxic! ncbi.nlm.nih.govquery.fcgi
    =PubMed&list_uids=10788568&dopt=Abstract

    Toxicological Sciences, 2000 Aug;56(2):424-30:

    "The objective of this study is to investigate the relative toxicity of ma-huang extracted under
    different conditions. ... (1) The cytotoxicity of all ma-huang extracts could not be totally
    accounted for by their ephedrine contents, suggesting the presence of other toxins in the extracts.
    ... (3) The relatively high sensitivity of the Neuro-2a cell line to the toxicity of ma-huang
    extracts suggests that the toxic principles were acting on neuronal cells. ..." ncbi.nlm-ncbi.nlm-
    .nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10911002&dopt=Abstract

    iangoddard.netjournal.htm

    "To lengthen thy life, lessen thy meals." Ben Franklin

    Ongoing CR monkey study update: "In the monkeys...those on reduced feeding since the study started
    are dying at a rate that is about half that of the monkeys receiving a full food ration."
    Associated Press: Eating less may extend human life. August 1, 2002 :
    msnbc.com788746.asp

  2. Interesting...

    I does anyone know the mechanism of amphetamine neurotoxicity? Is it the same as the hypothesised
    MDMA-esque MAO-B degrading DA, releasing ROS?

  3. Quoted message said:

    Toxicology Letters, 2001 Dec 15;125(1-3):151-66: "Multiple doses of the dietary supplement
    L-ephedrine can cause severe hyperthermia and modest dopamine depletions in the rat brain. ...

    Ephidrine has been in use for centuries. Can it be dangerous, yes, as can caffiene or alcohol.
    Anyone that takes 1 gram of caffiene in a pill has the same risks as too much Ephidrine The real
    problem with Ephidrine is it causes a slight euphoria with the stimulation, so the government put an
    end to that.

  4. Very interesting. Thanks Ian.

    in article Ian Goddard at [email hidden] wrote on 5/25/03 11:22 PM:

    Quoted message said:
    Quoted message said:

    Can you site any studies showing neurotoxicity from amphetamines?

    IAN: In addition to those John cited, the following is significant since it found years-long
    possibly permanent brain damage from *low-dose* amphetamine use for 6 weeks. Here is the Yale
    press release followed by the abstract.

    yale.edu99 10 26 02.all.html

    YALE News Release

    Yale Study of Long-Term Learning Deficits Resulting From Repeated Amphetamine Exposure Could Help
    Drug Abusers

    New Haven, Conn. -- Repeated exposure to low-dose amphetamines can cause deficits in cognitive
    performance that last for several years after the exposure ends, offering insight into potential
    harmful effects of chronic substance abuse in humans, a Yale study has found.

    "While previous studies show that acute amphetamine injections can impair cognition, our report is
    the first to demonstrate long lasting-over two years-and possibly permanent cognitive deficits
    induced by a brief period of intermittent low-dose amphetamine exposure," said Stacy Castner, a
    researcher on the study. "This research could also lead to potential treatment of deficits in
    former drug abusers as well as potential drug deterrents in adolescents and young adults."

    To mimic the "binge/crash" pattern of drug abuse in humans, Castner gave primates twice-daily
    injections of chronic amphetamine (AMPH), five days per week for six weeks. The AMPH dose ranged
    from 0.1 mg/kg to 1.0 mg/kg and was increased by 0.1 mg/kg every three drug days.

    The investigation assessed changes in behavior and videotaped the primates to record behavioral
    responses to each dose of AMPH. At six months into the amphetamine exposure, the primates were
    tested on an array of cognitive tasks ranging from recognition memory, visual discrimination and
    spatial working memory. Primates previously exposed to amphetamines failed to successfully perform
    the tasks even with continued testing, for up to one and a half years.

    "The results show the presence of profound cognitive deficits in the amphetamine-treated
    animals," said Castner, associate research scientist in Neurobiology. "This finding could also
    lead to further understanding of other diseases involving dysregulation of the brain's dopamine
    neurons." (more)

    The study, which will be highlighted at the Society for Neuroscience annual meeting in Miami,
    Florida from October 23-28, is consistent with data from human research where commonly abused
    drugs such as cocaine and ecstasy have been found to produce long-lasting and possibly permanent
    cognitive deficits.

    "It may be the case that even a brief period of low-dose amphetamine abuse in early adolescence or
    early adulthood can produce profound cognitive deficits that may persist for a couple of years or
    more after amphetamine use has ended," said Castner.

    The investigators' ongoing research includes experiments involving neurotransmitters that will
    help explain the long-lasting cognitive deficits in primates. They are also conducting experiments
    to reverse the AMPH-induced cognitive deficits in the same group of primates and they plan to
    investigate the biochemical and structural changes in the primate brain that could account for the
    behavioral deficits.

    This study was supported by the Center for Neuroscience in Mental Disorders from the National
    Institutes of Health. Patricia S. Goldman-Rakic, professor of neurobiology at Yale was principal
    investigator.

    ###

    Neuropsychopharmacology 2000 Jan;22(1):4-13

    Behavioral changes and [123I]IBZM equilibrium SPECT measurement of amphetamine-induced dopamine
    release in rhesus monkeys exposed to subchronic amphetamine.

    Castner SA, al-Tikriti MS, Baldwin RM, Seibyl JP, Innis RB, Goldman-Rakic PS.

    Section of Neurobiology, Yale University School of Medicine, New Haven, CT 06510, USA.

    Previously we have shown that twelve weeks of repeated low-dose d-amphetamine (AMPH) exposure in
    rhesus monkeys induces a long-lasting enhancement of behavioral responses to acute low-dose
    challenge. The present study was designed to investigate the behavioral and neurochemical
    consequences of a six-week regimen of low-dose AMPH exposure (0.1-1.0 mg/kg, i.m., b.i.d.) in
    rhesus monkeys. SPECT imaging of AMPH's (0.4 mg/kg) ability to displace [123I]IBZM bound to D2
    dopamine receptors in the striatum of saline control and AMPH-treated animals prior to and
    following chronic treatment was accomplished using a bolus/constant infusion paradigm. Following
    chronic AMPH treatment, all monkeys showed an enhanced behavioral response to acute AMPH challenge
    and a significant decrease in the percent of AMPH-induced displacement of [123I]IBZM in striatum
    compared to their pretreatment scans. These findings suggest that relatively small changes in
    presynaptic dopamine function may be reflected in significant alterations in the behavioral
    response to acute AMPH challenge.

    PMID: 10633485 [PubMed - indexed for MEDLINE]

    ncbi.nlm.nih.govquery.fcgi
    =10633485&dopt=Abstract

    iangoddard.netjournal.htm

    "To lengthen thy life, lessen thy meals." Ben Franklin

    Ongoing CR monkey study update: "In the monkeys...those on reduced feeding since the study started
    are dying at a rate that is about half that of the monkeys receiving a full food ration."
    Associated Press: Eating less may extend human life. August 1, 2002 :
    msnbc.com788746.asp

  5. A 2mg/kg dose in a baboon or human would be 200mg for a 100kg individual.

    You are right, when Methaphetamine is prescribed, 30mg per day is probably a reasonable dose.

    I wonder if the FDA would allow children to receive neurotoxic doses of a drug over many years if
    there was evidence for it.

    in article [email hidden], BilZ0r at [email hidden]
    wrote on 5/25/03 10:25 PM:

    Quoted message said:

    anon <[email hidden]> wrote in :"]news:[email hidden]:

    Quoted message said:


    Does this neurotoxicity occur at doses used to treat ADHD?

    Possibly (Probably in my opinion though). Neurotoxicity can be seen at
    2mg/kg in babbons, so thats the equivalant of a 70mg dose in a human male.

    The average does (I believe, Im not a pharmacist) for ADHD is around 30mg of methamphetamine. So I
    don't know whether a 30mg dose can creat neurotoxicity. They didn't try giving the babbons
    anything lower than
    2mg/kg but im guessing they would have found much smaller doses to be neurotoxic.

    Whether this neurotoxicity has any behaviour consequence is another story. The babbon study showed
    a ~40% reduction in dopamine transport protein after the 2mg/kg dose, but what is it, you have to
    have a 75% reduction in dopaminergic cell bodys before the symptomes of parkinson are visable...

  6. anon said:

    A 2mg/kg dose in a baboon or human would be 200mg for a 100kg individual.

    You are right, when Methaphetamine is prescribed, 30mg per day is probably a reasonable dose.

    Methamphthetamine is not used in teh treatment of ADHD.

    Quoted message said:

    I wonder if the FDA would allow children to receive neurotoxic doses of a drug over many years if
    there was evidence for it.

    in article [email hidden], BilZ0r at [email hidden]
    wrote on 5/25/03 10:25 PM:

    Quoted message said:

    anon <[email hidden]> wrote in :"]news:[email hidden]:

    Quoted message said:

    Does this neurotoxicity occur at doses used to treat ADHD?

    Possibly (Probably in my opinion though). Neurotoxicity can be seen at
    2mg/kg in babbons, so thats the equivalant of a 70mg dose in a human male.

    The average does (I believe, Im not a pharmacist) for ADHD is around 30mg of methamphetamine. So I
    don't know whether a 30mg dose can creat neurotoxicity. They didn't try giving the babbons
    anything lower than
    2mg/kg but im guessing they would have found much smaller doses to be neurotoxic.

    Whether this neurotoxicity has any behaviour consequence is another story. The babbon study showed
    a ~40% reduction in dopamine transport protein after the 2mg/kg dose, but what is it, you have to
    have a 75% reduction in dopaminergic cell bodys before the symptomes of parkinson are visable...

  7. Occasionally it is. The brand name is Desoxyn.

    You can read a little about it here: rxlist.commethamphetamine ids.htm

    And you thought only drug addicts used it. Nope.

    in article Mark Probert at [email hidden] wrote on 5/26/03
    7:29 AM:

    Quoted message said:

    Methamphthetamine is not used in teh treatment of ADHD.

  8. anon said:

    Occasionally it is. The brand name is Desoxyn.

    You can read a little about it here: rxlist.commethamphetamine ids.htm

    And you thought only drug addicts used it. Nope.

    in article Mark Probert at [email hidden] wrote on 5/26/03
    7:29 AM:

    Quoted message said:

    Methamphthetamine is not used in teh treatment of ADHD.


    Well, I am glad that I got my annual error out of the way.

    Thanks for the correction.

    It is not the first treatment, though.

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