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Collated from PsychonautWiki, TripSit, Pharmacology, DrugCentral. Where sources differ (e.g. dosing), Compare shows them side by side.

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Also known as Methamphetamine, Meth, Crystal, Desoxyn, Speed, Ma, Ice, Glass, Shard, Tina, T, Tweak, Crank, Shabu, Yaba, tikPW

A fairly common and very strong CNS stimulant. It is sometimes prescribed in the form of desoxyn for ADHD and severe obesity. In low doses, methamphetamine can elevate mood, increase alertness, concentration, energy and reduces appetite. At higher doses, it can induce mania, psychosis and muscle degeneration among other issues. Tolerant users may report much higher doses than new users.TS

Addiction potentialPW
extremely addictive with a high potential for abuse
TolerancePW
full tolerance rapidly develops with prolonged and repeated use; half after 3 - 7 days; baseline after 1 - 2 weeks
Cross-tolerancePW
dopamine, stimulants

Insufflated

Route dataPsychonautWiki

ThresholdLightCommonStrongHeavy
5 mg5–10 mg10–30 mg30–60 mg60 mg+
075 mg
LightCommonStrongHeavy
Onset3–5 minutes
Come-up3–5 minutes
Peak1.5–3 hours
Offset2–4 hours
Total4–7 hours
After-effects6–24 hours
OnsetCome-upPeakOffset

Intravenous

Route dataPsychonautWiki

ThresholdLightCommonStrongHeavy
5 mg5–10 mg10–30 mg30–40 mg40 mg+
050 mg
LightCommonStrongHeavy
Onset15–30 seconds
Come-up1–2 minutes
Peak1–3 hours
Offset3–4 hours
Total4–8 hours
After-effects12–24 Hours
OnsetCome-upPeakOffset

Oral

Route dataPsychonautWiki

ThresholdLightCommonStrongHeavy
5 mg5–10 mg10–25 mg25–50 mg50 mg+
062.5 mg
LightCommonStrongHeavy
Onset15–45 minutes
Come-up1–3 hours
Peak3–5 hours
Offset3–4 hours
Total8–12 hours
After-effects12–24 hours
OnsetCome-upPeakOffset

Rectal

Route dataPsychonautWiki

ThresholdLightCommonStrongHeavy
5 mg5–10 mg10–30 mg30–40 mg40 mg+
050 mg
LightCommonStrongHeavy
Onset5–15 minutes
Come-up3–5 minutes
Peak2–4 hours
Offset3–5 hours
Total6–10 hours
After-effects12–24 hours
OnsetCome-upPeakOffset

Smoked

Route dataPsychonautWiki

ThresholdLightCommonStrongHeavy
5 mg5–10 mg10–20 mg20–60 mg60 mg+
075 mg
LightCommonStrongHeavy
Onset7–10 seconds
Come-up5–10 seconds
Peak1–3 hours
Offset1–3 hours
Total2–6 hours
After-effects2–24 hours
OnsetCome-upPeakOffset

Dangerous interactionsPW

🧬 Receptor activityPHDC

TargetActionAffinitySource
Synaptic vesicular amine transporterKi 2460 nMCHEMBL
Sigma non-opioid intracellular receptor 1Ki 8320 nMCHEMBL
Amine oxidase [flavin-containing] BKi 270000 nMCHEMBL
Sodium-dependent dopamine transporter (SLC6A3)Inhibitor7.611 KiDRUGCENTRAL
Sodium-dependent noradrenaline transporter (SLC6A2)Inhibitor7.91 KiDRUGCENTRAL
Sodium-dependent serotonin transporter (SLC6A4)Inhibitor6.133 KiDRUGCENTRAL
Trace amine-associated receptor 1 (TAAR1)Agonist5.89 EC50DRUGCENTRAL
5-hydroxytryptamine receptor 2B (HTR2B)5 KiDRUGCENTRAL
Alpha-2A adrenergic receptor (ADRA2A)5.383 KiDRUGCENTRAL
Alpha-2B adrenergic receptor (ADRA2B)6.128 KiDRUGCENTRAL
Alpha-2C adrenergic receptor (ADRA2C)6.09 KiDRUGCENTRAL
Sigma non-opioid intracellular receptor 1 (SIGMAR1)5.08 KiDRUGCENTRAL
Synaptic vesicular amine transporter (Slc18a2)5.61 KiDRUGCENTRAL
Trace amine-associated receptor 1 (TAAR1)5.28 EC50DRUGCENTRAL
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Mechanism of actionPH

Methamphetamine enters the brain and triggers a cascading release of norepinephrine, dopamine and serotonin. To a lesser extent methamphetamine acts as a dopaminergic and adrenergic reuptake inhibitor and in high concentrations as a monamine oxidase inhibitor (MAOI). The mechanism of action involved in producing the beneficial behavioral changes seen in hyperkinetic children receiving methamphetamine is unknown.
Appears to exert most or all of its effect in the CNS by causing release of biogenic amines, especialy norepinephrine and dopamine, from storage sites in nerve terminals. It may also slow down catecholamine metabolism by inhibiting monoamine oxidase. The toxic effects of methamphetamine on dopamine and serotonergic neurons have recently been linked to the endogenous formation of c-hydroxy dopamine and 5, 7 dihydrotryptamine, respectively. The ability of methamphetamine to both release dopamine and serotonin as well as to inhibit monoamine oxidase activity leads to the non-enzymatic oxidation of dopamine and serotonin. Methamphetamine induced neuronal damage is mediated by the production of free radicals. This drug causes a long lasting depletion of dopamine and serotonin in the striatum and that pre-treatment alteration of this effect by four different antioxidants, as well as an inhibitor of superoxidase dismutase, indicate that oxygen free radicals have a role in methamphetamine induced neurotoxicity.

PharmacodynamicsPH

Methamphetamine is a potent central nervous system stimulant which affects neurochemical mechanisms responsible for regulating heart rate, body temperature, blood pressure, appetite, attention, mood and responses associated with alertness or alarm conditions. The acute effects of the drug closely resemble the physiological and psychological effects of an epinephrine-provoked fight-or-flight response, including increased heart rate and blood pressure, vasoconstriction (constriction of the arterial walls), bronchodilation, and hyperglycemia (increased blood sugar). Users experience an increase in focus, increased mental alertness, and the elimination of fatigue, as well as a decrease in appetite.

Pharmacokinetics

Half-lifePH

The biological half-life has been reported in the range of 4 to 5 hours.
The biologic half-life of methamphetamine reportedly is 4-5 hours.

AbsorptionPH

Methamphetamine is rapidly absorbed from the gastrointestinal tract with peak methamphetamine concentrations occurring in 3.13 to 6.3 hours post ingestion. Moreover, when administered intranasally or as an inhalation, methamphetamine also demonstrates a high degree of absorption. It is distributed to most parts of the body. Because methamphetamine has a high lipophilicity it is distributed across the blood brain barrier and crosses the placenta.
Excretion occurs primarily in the urine, the rate of which is dependent on urine pH. Between 30-54% of an oral dose is excreted in urine as unchanged methamphetamine and 10-23% as unchanged amphetamine. Following an intravenous dose, 45% is excreted as unchanged parent drug and 7% amphetamine.
Methamphetamine is readily absorbed from the GI tract and effects persist for 6-12 hours but may continue up to 24 hr after large doses. /Methamphetamine hydrochloride/
Single pharmacological doses of amphetamines (ie, 10-25 mg) given to human volunteers produce peak plasma levels within 1-2 hr & are rapidly absorbed from the GI tract. Amphetamine absorption usually is complete by 4-6 hr. The illicit use of amphetamines ... by insertion into the vagina (termed "balling") before intercourse suggests that these compounds are also absorbed through mucosal surfaces. ... Methamphetamine ... /has/ absorption characteristics similar to those of amphetamines. ... Sustained release prepn are avail as resin-bound rather than soluble salts. These compounds display reduced peak blood levels compared with std amphetamine prepn, but total bioavailability & time to peak levels remain similar. Pharmacokinetics in overdose are not well described.
Methamphetamine is eliminated principally in urine. Urinary excretion of the drug is pH dependent, and excretion is enhanced in acidic urine. Following oral administration of methamphetamine hydrochloride, approximately 62% of the administered dose is excreted in urine within the first 24 hours, with metabolites and unchanged drug accounting for about two-thirds and one-third, respectively, of the recovered drug.
Methamphetamine hydrochloride has been measured in human sweat at a median range of 63.0 (low dose 16.8-175) and 307 (high dose 199-607) ng per patch(1). /Methamphetamine hydrochloride/

MetabolismPH

Hepatic. The primary site of metabolism is in the liver by aromatic hydroxylation, N-dealkylation and deamination. At least seven metabolites have been identified in the urine, with the main metabolites being amphetamine (active) and 4-hydroxymethamphetamine. Other minor metabolites include 4-hydroxyamphetamine, norephedrine, and 4-hydroxynorephedrine.
Methamphetamine is metabolized in the liver by aromatic hydroxylation, N-dealkylation, and deamination; at least 7 metabolites have been identified in urine.
A species difference was found in a study of the metabolism of methamphetamine, (+/-)-2-methylamino-1-phenylpropane. In man, 22% of an oral dose was excreted into urine unchanged, & 15% of the dose was excreted as 4-hydroxymethamphetamine. After ip admin to rat, 4-hydroxymethamphetamine was principal urinary metabolite (31% of dose), together with 4-hydroxynorephedrine (16%) & unchanged drug (11% of dose). In the guinea pig an ip dose was extensively metabolized to benzoic acid & its glycine & glucuronic acid conjugates.
In vivo metab of N-alkylated amphetamines in rat produced 4-hydroxy- & 4-hydroxy-3-methoxy-metabolites. Relative quantities of phenolic metabolites formed were dependent upon the length of the N-alkyl substituent.
Metamphetamine has known human metabolites that include Amphetamine and 4-Hydroxymethamphetamine.
Hepatic. The primary site of metabolism is in the liver by aromatic hydroxylation, N-dealkylation and deamination. At least seven metabolites have been identified in the urine, with the main metabolites being amphetamine (active) and 4-hydroxymethamphetamine. Other minor metabolites include 4-hydroxyamphetamine, norephedrine, and 4-hydroxynorephedrine.
Route of Elimination: Excretion occurs primarily in the urine, the rate of which is dependent on urine pH. Between 30-54% of an oral dose is excreted in urine as unchanged methamphetamine and 10-23% as unchanged amphetamine. Following an intravenous dose, 45% is excreted as unchanged parent drug and 7% amphetamine.
Half Life: The biological half-life has been reported in the range of 4 to 5 hours.

Plan when to take Methamphetamine — see where onset, peak and comedown land on the clock

Fact-sheets from PsychonautWiki. Harm-reduction reference only — not medical advice.