Harriette Nelms

Written by Harriette Nelms

Published: 18 Dec 2024

50-facts-about-fenethylline
Source: Reuters.com

What is Fenethylline? Fenethylline, also known as Captagon, is a powerful stimulant that combines amphetamine and theophylline. Initially developed in 1961 by Degussa AG, it was used to treat ADHD, narcolepsy, and depression. However, its potential for abuse and severe side effects led to its ban in most countries by 1986. Today, it is a highly illicit substance, primarily produced in Syria, and is often used by militant groups for its ability to enhance alertness and reduce fear. Despite its dangerous reputation, the drug remains a significant issue, with a global market worth approximately $57 billion.

Key Takeaways:

  • Fenethylline, a powerful stimulant, was initially developed for medical use but is now a widely abused substance with significant health risks and global impact.
  • Its synthesis is relatively simple, leading to widespread illicit production, and efforts to combat addiction are ongoing through the development of protein-conjugate vaccines.
Table of Contents

What is Fenethylline?

Fenethylline is a unique compound with a fascinating history. It combines the properties of amphetamine and theophylline, making it a powerful stimulant. Let's dive into some key facts about this intriguing substance.

  1. Synthesis: Fenethylline was first synthesized by the German pharmaceutical firm Degussa AG in 1961.

  2. Chemical Composition: It is a combination of amphetamine and theophylline linked by an alkyl chain.

  3. Codrug: Fenethylline acts as a mutual prodrug, meaning it is metabolized into both amphetamine and theophylline in the body.

  4. Trade Names: It was marketed under various brand names, including Captagon, Biocapton, and Fitton.

Medical Uses and Initial Approval

Initially, fenethylline was developed for legitimate medical purposes. It was used to treat several conditions before its potential for abuse became apparent.

  1. Initial Use: Initially marketed for treating conditions like attention deficit hyperactivity disorder (ADHD), narcolepsy, and depression.

  2. Metabolism: In the body, fenethylline is metabolized into 24.5% amphetamine and 13.7% theophylline.

  3. Pharmacological Actions: The physiological effects of fenethylline are believed to result from a synergistic effect between amphetamine and theophylline.

  4. Serotonin Receptors: It appears to act directly at several serotonin receptors, although the pharmacological actions before cleavage are poorly established.

Military and Illicit Use

Fenethylline's stimulating effects made it attractive for military and illicit use, particularly in conflict zones.

  1. Military Use: Fenethylline is used by some jihadist fighters due to its ability to produce euphoria and enhance alertness, making it useful for long-term operations.

  2. Illicit Use: It is primarily produced for illicit use, with Syria being the world's largest producer, accounting for about 80% of the global supply.

  3. Global Market Value: The global market for fenethylline is worth approximately $57 billion (USD).

  4. Legal Status: Listed as a Schedule I controlled substance in the United States in 1981 and illegal in most countries by 1986.

Side Effects and Health Risks

Despite its initial medical uses, fenethylline has significant side effects and health risks, leading to its ban in many countries.

  1. WHO Scheduling: Listed by the World Health Organization for international scheduling under the Convention on Psychotropic Substances in 1986.

  2. Side Effects: Associated with hallucinations, visual distortions, psychosis, myocardial infarction, seizures, and delusions.

  3. Abuse Incidence: Despite its potential for abuse, the actual incidence of fenethylline abuse was quite low during its legitimate use period.

Synthesis and Production

The synthesis of fenethylline is relatively straightforward, making it easy to produce in clandestine labs.

  1. Synthetic Process: The clandestine chemical synthesis of fenethylline is straightforward and inexpensive.

  2. Academic Synthesis: Small-scale synthesis in academic laboratories is equally straightforward, involving two laboratory steps with extraction and purification.

  3. Theophylline Alkylation: The first step involves alkylation of theophylline using 1-bromo-2-chloroethane to give 7-(β-chloroethyl)theophylline.

  4. Amphetamine Displacement: The second step involves displacement of the terminal halide in 7-(β-chloroethyl)theophylline by the primary amine in amphetamine to give fenethylline.

Chemical Properties

Understanding the chemical properties of fenethylline helps explain its effects and ease of production.

  1. Analogous Reagents: The synthesis can be performed with analogous reagents and solvents, making it relatively simple.

  2. Molecular Weight: Fenethylline hydrochloride has a molecular weight of 377.95 g/mol.

  3. Hydrochloric Salt: It is usually produced as a hydrochloric salt.

Market and Legal History

Fenethylline's journey from a medical drug to an illicit substance is marked by significant legal and market changes.

  1. Early Approval: Briefly approved for use in the United States in the 1960s and 1970s for treating ADHD, narcolepsy, and depression.

  2. Withdrawal from Market: Removed from the U.S. market due to side effects and potential for abuse.

  3. European Marketing: Initially marketed in Europe as an over-the-counter product that substituted for amphetamines but quickly became prescription-only.

  4. Commercial Marketing: Mainly marketed in Europe and the Middle East in the 1960s under the trade name Captagon.

Effects on Users

Fenethylline has a range of effects on users, from euphoria to severe health risks.

  1. Tablet Formulation: Initially sold as tablets containing 50 mg of fenethylline, which metabolized to amphetamine and theophylline.

  2. Central Nervous System Stimulant: The pharmacologic effects of the drug are considered to be the actions of these two metabolites, with amphetamine being a central nervous system stimulator.

  3. Schedule I Classification: Moved to Schedule I controlled substance in the United States in 1986.

  4. Illicit Production: Manufactured in clandestine labs in Southern Europe and the Middle East, with Syria being a major producer.

  5. Terrorist Promotion: Promoted by terrorist groups such as the Islamic State to enhance desirable characteristics like aggressiveness, alertness, and fearlessness in their recruits.

  6. Zombielike Detachment: Described as causing a "zombielike detachment" in users, leading to a blank state with spiked heart rate and emotional disconnection.

  7. Euphoric Intensity: Produces a euphoric intensity in users, allowing them to stay awake for very long periods of time.

  8. Calm and Focused: Users remain more calm and focused under the effects of the drug, keeping their senses operational.

  9. Fear and Hunger Subduction: Helps subdue feelings of fear and hunger, beneficial for conducting long-term operations.

Psychological and Physical Effects

Fenethylline's effects are not just physical but also deeply psychological, impacting users' mental states.

  1. Psychological Effects: Psychiatrist Dr. Robert Keisling describes the drug as giving users a sense of well-being and euphoria, along with the thought that they are invincible.

  2. Former Fighter's Account: A former fighter associated with the Muslim Brotherhood described the effect of high doses: "They go blank. Their heart rate spikes. They lose all connection to their emotions and thoughts."

  3. Chemical Information: The chemical name of fenethylline is (R,S)-1,3-dimethyl-7-[2-(1-phenylpropan-2-ylamino)ethyl]purine-2,6 dione.

Production and Availability

The ease of producing fenethylline contributes to its widespread illicit use.

  1. Raw Materials Availability: The raw materials necessary for synthesizing fenethylline are available for legal purchase, making it relatively simple to manufacture.

  2. Manufacturing Cost: The manufacture of fenethylline is relatively inexpensive, contributing to its widespread illicit production.

  3. Synthetic Materials: The clandestine synthesis involves straightforward chemical reactions using common reagents and solvents.

  4. Academic Research: Small-scale synthesis in academic laboratories is equally straightforward, involving two laboratory steps with extraction and purification.

  5. Material Requirements: The synthesis requires specialized materials, such as 1-bromo-2-chloroethane and amphetamine, which are readily available.

Global Impact and Health Risks

Fenethylline's impact is felt worldwide, with significant health risks and widespread abuse.

  1. Clandestine Labs: Initially thought to be mainly manufactured in clandestine labs in southeastern Europe, it now appears that production is widespread in the Middle East.

  2. Global Impact: The global impact of fenethylline abuse is significant, with widespread use reported in the Middle East and Eastern Mediterranean Region.

  3. Health Risks: Associated with rare cases of myocardial infarction, seizures, and delusions, among other health risks.

  4. Psychiatric Issues: Linked to hallucinations, visual distortions, and psychosis, making it a highly dangerous substance for recreational use.

Efforts to Combat Addiction

Researchers are working on ways to combat fenethylline addiction and mitigate its effects.

  1. Protein-Conjugate Vaccines: Researchers have developed protein-conjugate vaccines to disarm fenethylline and its constituents' abilities to affect brain activity, aiming to treat addiction.

  2. Combination Vaccine: The next objective is to develop a combination vaccine for treating fenethylline addiction, addressing the complex pharmacological actions of the drug.

  3. Current Status: Fenethylline remains a highly illicit and abused substance, with significant public health concerns due to its potential for addiction and severe side effects.

Fenethylline's Complex Legacy

Fenethylline, known for its mix of amphetamine and theophylline, has a storied past. Initially created in 1961 by Degussa AG, it was once a legitimate treatment for ADHD, narcolepsy, and depression. However, its potential for abuse led to its ban in the 1980s. Today, it's a major player in the illicit drug market, especially in the Middle East, with Syria producing 80% of the global supply. The drug's ability to produce euphoria, enhance alertness, and subdue fear makes it popular among jihadist fighters. Despite its dangerous side effects, including hallucinations, psychosis, and heart issues, fenethylline remains a significant public health concern. Understanding its history, synthesis, and impact is crucial for addressing the challenges it poses. Fenethylline's journey from a medical treatment to a widely abused substance highlights the complexities of drug regulation and abuse.

Frequently Asked Questions

What exactly is fenethylline?
Fenethylline, often known by its brand name Captagon, is a stimulant drug. It combines amphetamine and theophylline, creating effects that boost alertness, focus, and energy in users. Originally developed in the 1960s for treating conditions like ADHD and narcolepsy, its medical use has significantly declined due to potential for abuse and addiction.
How does fenethylline affect the body?
When someone takes fenethylline, they might feel an increase in energy, improved concentration, and a reduced need for sleep. This is because the drug ramps up dopamine and norepinephrine in the brain, chemicals that play key roles in attention and alertness. However, these effects come with risks, including high blood pressure, heart problems, and the possibility of developing a dependency.
Is fenethylline legal?
In most countries, fenethylline is classified as a controlled substance, making its manufacture, sale, and use without a prescription illegal. Due to its high potential for abuse and addiction, authorities strictly regulate its availability.
Why has fenethylline become popular in conflict zones?
In regions experiencing conflict, like parts of the Middle East, fenethylline's use has surged because it helps fighters stay awake, alert, and endure the harsh conditions of warfare. Unfortunately, this has also led to increased smuggling and illegal production, complicating efforts to control the drug.
Can fenethylline be used for medical purposes today?
While fenethylline was initially developed for medical use, its therapeutic applications have largely been overshadowed by the risks of abuse and addiction. Nowadays, doctors rarely prescribe it, opting for safer alternatives to treat conditions such as ADHD and narcolepsy.
What are the long-term effects of using fenethylline?
Long-term use of fenethylline can lead to serious health issues, including heart disease, mental health problems like anxiety and depression, and a high risk of addiction. Users might also experience withdrawal symptoms when trying to quit, making it hard to break the cycle of dependence.
How is the world responding to the fenethylline problem?
Governments and international organizations are ramping up efforts to combat the illegal production, trafficking, and use of fenethylline. This includes stricter regulations, better enforcement of existing laws, and initiatives aimed at reducing demand through education and support for those struggling with addiction.

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