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Sources
22
4 strong · 10 moderate · 8 weak

Studies and references cited across this article, graded by evidence strength.

Claims checked
70
55verified2partial11inconclusive2not supported

Inconclusive means the cited source neither confirms nor refutes the claim — a lower-confidence badge, not an error.

Generated
May 10, 2026 · pipeline-v5
Values approved
220/223 (99%)

Data points an editor reviewed and accepted for publication.

01

Value Provenance

Dosing

oraltrace

FieldPublishedAI ProposedConfidence
Threshold5 mg5 mglow
Low5–10 mg5–10 mglow
Common10–15 mg10–15 mglow
Strong15–25 mg15–25 mglow
Heavy25+ mg25+ mglow
Editorial

Values from existing DB seed and PsychonautWiki community consensus. No controlled dosing study exists. No community feedback contested these ranges. Proposed with low confidence due to complete absence of clinical validation.

Reasoning

Values from existing DB seed and PsychonautWiki community consensus. No controlled dosing study exists. No community feedback contested these ranges. Proposed with low confidence due to complete absence of clinical validation.

Evidence basis: community_consensus_large

Duration

oral

FieldPublishedAI ProposedConfidence
Onsettrace15–30 minutes15–30 minuteslow
Editorial

Estimated from 4-6h total duration and class patterns (3-HO-PCP, ketamine oral onset). No published phase breakdown for 3-HO-PCE.

Reasoning

Estimated from 4-6h total duration and class patterns (3-HO-PCP, ketamine oral onset). No published phase breakdown for 3-HO-PCE.

Evidence basis: structural_analogy

Come uptrace30–60 minutes30–60 minuteslow
Editorial

Inferred from total duration and arylcyclohexylamine class patterns. No published data.

Reasoning

Inferred from total duration and arylcyclohexylamine class patterns. No published data.

Evidence basis: structural_analogy

Peaktrace1.5–3 hours1.5–3 hourslow
Editorial

Inferred from 4-6h total and class patterns. Peak occupies the central portion of the experience.

Reasoning

Inferred from 4-6h total and class patterns. Peak occupies the central portion of the experience.

Evidence basis: structural_analogy

Offsettrace1–2 hours1–2 hourslow
Editorial

Inferred from total duration minus onset/come_up/peak. Class pattern from 3-HO-PCP and O-PCE.

Reasoning

Inferred from total duration minus onset/come_up/peak. Class pattern from 3-HO-PCP and O-PCE.

Evidence basis: structural_analogy

Totaltrace4–6 hours4–6 hourslow
Editorial

Directly from existing DB seed data and PsychonautWiki community consensus. Only duration value with any source support.

Reasoning

Directly from existing DB seed data and PsychonautWiki community consensus. Only duration value with any source support.

Evidence basis: community_consensus_large

After effectstrace2–6 hours2–6 hourslow
Editorial

Estimated from class patterns. Residual dissociation and cognitive fog reported in community accounts. No published data.

Reasoning

Estimated from class patterns. Residual dissociation and cognitive fog reported in community accounts. No published data.

Evidence basis: structural_analogy

Safety

Toxicity Profiletrace

FieldPublishedAI ProposedConfidence
Acutemoderatemoderatelow
Chronicmoderatemoderatelow
Organs Affectedrespiratory, cardiovascular, renal, neurologicalrespiratory, cardiovascular, renal, neurologicallow
Editorial

No substance-specific toxicity data. Moderate acute rating reflects real but unquantified opioid respiratory risk — discounted one level from 'high' per evidence discount rule since all evidence is from 3-HO-PCP and 3-MeO-PCE structural analogs, not 3-HO-PCE itself.

Reasoning

No substance-specific toxicity data. Moderate acute rating reflects real but unquantified opioid respiratory risk — discounted one level from 'high' per evidence discount rule since all evidence is from 3-HO-PCP and 3-MeO-PCE structural analogs, not 3-HO-PCE itself.

Evidence basis: structural_analogy

Dependence Profiletrace

FieldPublishedAI ProposedConfidence
Physicalmoderatemoderatelow
Psychologicalmoderatemoderatelow
Compulsive Redosinghighhighlow
Dose Escalationmoderatemoderatelow
Editorial

Community labels 'moderately addictive.' The opioid component adds physical dependence liability beyond pure NMDA antagonists. DXM precedent shows dependence possible without direct opioid agonism — adding MOR increases risk. All values are class-inference from 3-HO-PCP (opioid) and ketamine/PCP (NMDA) patterns.

Reasoning

Community labels 'moderately addictive.' The opioid component adds physical dependence liability beyond pure NMDA antagonists. DXM precedent shows dependence possible without direct opioid agonism — adding MOR increases risk. All values are class-inference from 3-HO-PCP (opioid) and ketamine/PCP (NMDA) patterns.

Evidence basis: community_consensus_large

Withdrawal Profiletrace

FieldPublishedAI ProposedConfidence
Severitymildmildlow
SymptomsDysphoria, Anxiety rebound, Insomnia, Irritability, Mild flu-like symptoms (opioid component), Cognitive fog, AnhedoniaDysphoria, Anxiety rebound, Insomnia, Irritability, Mild flu-like symptoms (opioid component), Cognitive fog, Anhedonialow
FatalNoNolow
Medical SupervisionNot requiredNot requiredlow
Editorial

Withdrawal probable but not documented for 3-HO-PCE. Expected opioid-type withdrawal (mild-moderate) combined with NMDA rebound effects. Onset, duration, and severity uncharacterized. Severity rated mild as a conservative estimate given the relatively low opioid potency compared to classical opioids.

Reasoning

Withdrawal probable but not documented for 3-HO-PCE. Expected opioid-type withdrawal (mild-moderate) combined with NMDA rebound effects. Onset, duration, and severity uncharacterized. Severity rated mild as a conservative estimate given the relatively low opioid potency compared to classical opioids.

Evidence basis: community_consensus_large

Tolerance Profiletrace

FieldPublishedAI ProposedConfidence
Buildupmoderatemoderatelow
Half-life5.5 days5.5 dayslow
Full Reset10.5 days10.5 dayslow
Cross-tolerancesketamine, PCP, DXM, MXE, 3-HO-PCP, 3-MeO-PCE, O-PCE, nitrous oxideketamine, PCP, DXM, MXE, 3-HO-PCP, 3-MeO-PCE, O-PCE, nitrous oxidelow
Editorial

Values from PsychonautWiki community consensus carried forward from DB seed data. No pharmacokinetic study validates these figures. Cross-tolerance list reflects shared NMDA binding site across dissociative class.

Reasoning

Values from PsychonautWiki community consensus carried forward from DB seed data. No pharmacokinetic study validates these figures. Cross-tolerance list reflects shared NMDA binding site across dissociative class.

Evidence basis: community_consensus_large

Effects & Profile

Contraindications

FieldPublishedAI ProposedConfidence
respiratory Respiratory compromise (COPD, sleep apnea)traceabsoluteabsolutelow
Editorial

Structural analogy from 3-HO-PCP naloxone-reversible opioid activity. No substance-specific data but mechanism is well-established for mu-opioid agonists.

Reasoning

Structural analogy from 3-HO-PCP naloxone-reversible opioid activity. No substance-specific data but mechanism is well-established for mu-opioid agonists.

other Concurrent opioid usetraceabsoluteabsolutemedium
Editorial

All analog fatalities involved polydrug opioid co-ingestion. Mechanism is additive MOR engagement — well-established pharmacology.

Reasoning

All analog fatalities involved polydrug opioid co-ingestion. Mechanism is additive MOR engagement — well-established pharmacology.

psychiatric History of psychosis or schizophreniatraceabsoluteabsolutemedium
Editorial

Class-level evidence well-established across PCP, ketamine, and all NMDA antagonists. Community sources also note moderate potential for psychosis.

Reasoning

Class-level evidence well-established across PCP, ketamine, and all NMDA antagonists. Community sources also note moderate potential for psychosis.

cardiovascular Cardiovascular diseasetracerelativerelativelow
Editorial

Class extrapolation from O-PCE (eticyclidine family) acute poisoning series (Tang et al. 2018). No 3-HO-PCE-specific cardiovascular data.

Reasoning

Class extrapolation from O-PCE (eticyclidine family) acute poisoning series (Tang et al. 2018). No 3-HO-PCE-specific cardiovascular data.

hepatic Hepatic impairmenttracerelativerelativelow
Editorial

Structural analogy to ketamine CYP metabolism. No 3-HO-PCE-specific hepatic data but metabolic pathway (N-dealkylation, hydroxylation) confirmed by Larabi et al. 2023.

Reasoning

Structural analogy to ketamine CYP metabolism. No 3-HO-PCE-specific hepatic data but metabolic pathway (N-dealkylation, hydroxylation) confirmed by Larabi et al. 2023.

renal Renal impairmenttracerelativerelativelow
Editorial

Structural analogy; glucuronide metabolites confirmed by Larabi et al. 2023. Rhabdomyolysis documented in arylcyclohexylamine class (Deutsch et al. 2026).

Reasoning

Structural analogy; glucuronide metabolites confirmed by Larabi et al. 2023. Rhabdomyolysis documented in arylcyclohexylamine class (Deutsch et al. 2026).

pregnancy breastfeeding Pregnancytraceabsoluteabsolutemedium
Editorial

Class-level evidence for NMDA antagonist developmental neurotoxicity. No substance-specific data but mechanism is well-established.

Reasoning

Class-level evidence for NMDA antagonist developmental neurotoxicity. No substance-specific data but mechanism is well-established.

neurological Seizure disorderstracerelativerelativelow
Editorial

Class extrapolation from O-PCE acute poisoning series. No 3-HO-PCE-specific seizure data.

Reasoning

Class extrapolation from O-PCE acute poisoning series. No 3-HO-PCE-specific seizure data.

other Concurrent CNS depressant use (benzodiazepines, alcohol, GHB)traceabsoluteabsolutemedium
Editorial

All analog fatalities involved CNS depressant polydrug use. Mechanism is additive depression through multiple receptor systems.

Reasoning

All analog fatalities involved CNS depressant polydrug use. Mechanism is additive depression through multiple receptor systems.

Timeline Phases

oral

FieldPublishedAI ProposedConfidence
Onsettrace900–1800 sec(i=0.10)900–1800 sec(i=0.10)low
Editorial

All phase timings are estimates inferred from 4-6h total duration (community consensus, PsychonautWiki) and class patterns from 3-HO-PCP and ketamine. No published phase breakdown exists for 3-HO-PCE. Marked structural_analogy with low confidence.

Reasoning

All phase timings are estimates inferred from 4-6h total duration (community consensus, PsychonautWiki) and class patterns from 3-HO-PCP and ketamine. No published phase breakdown exists for 3-HO-PCE. Marked structural_analogy with low confidence.

Evidence basis: structural_analogy

Come uptrace1800–3600 sec(i=0.40)1800–3600 sec(i=0.40)low
Editorial

All phase timings are estimates inferred from 4-6h total duration (community consensus, PsychonautWiki) and class patterns from 3-HO-PCP and ketamine. No published phase breakdown exists for 3-HO-PCE. Marked structural_analogy with low confidence.

Reasoning

All phase timings are estimates inferred from 4-6h total duration (community consensus, PsychonautWiki) and class patterns from 3-HO-PCP and ketamine. No published phase breakdown exists for 3-HO-PCE. Marked structural_analogy with low confidence.

Evidence basis: structural_analogy

Peaktrace5400–10800 sec(i=1.00)5400–10800 sec(i=1.00)low
Editorial

All phase timings are estimates inferred from 4-6h total duration (community consensus, PsychonautWiki) and class patterns from 3-HO-PCP and ketamine. No published phase breakdown exists for 3-HO-PCE. Marked structural_analogy with low confidence.

Reasoning

All phase timings are estimates inferred from 4-6h total duration (community consensus, PsychonautWiki) and class patterns from 3-HO-PCP and ketamine. No published phase breakdown exists for 3-HO-PCE. Marked structural_analogy with low confidence.

Evidence basis: structural_analogy

Resolutiontrace3600–7200 sec(i=0.40)3600–7200 sec(i=0.40)low
Editorial

All phase timings are estimates inferred from 4-6h total duration (community consensus, PsychonautWiki) and class patterns from 3-HO-PCP and ketamine. No published phase breakdown exists for 3-HO-PCE. Marked structural_analogy with low confidence.

Reasoning

All phase timings are estimates inferred from 4-6h total duration (community consensus, PsychonautWiki) and class patterns from 3-HO-PCP and ketamine. No published phase breakdown exists for 3-HO-PCE. Marked structural_analogy with low confidence.

Evidence basis: structural_analogy

Afterglowtrace7200–21600 sec(i=0.10)7200–21600 sec(i=0.10)low
Editorial

All phase timings are estimates inferred from 4-6h total duration (community consensus, PsychonautWiki) and class patterns from 3-HO-PCP and ketamine. No published phase breakdown exists for 3-HO-PCE. Marked structural_analogy with low confidence.

Reasoning

All phase timings are estimates inferred from 4-6h total duration (community consensus, PsychonautWiki) and class patterns from 3-HO-PCP and ketamine. No published phase breakdown exists for 3-HO-PCE. Marked structural_analogy with low confidence.

Evidence basis: structural_analogy

Dose Tier Summaries

thresholdtrace
low

A minimal perceptual shift at the edge of awareness. Slight dissociative softening of sensory input, with a subtle warmth or body sensation from the opioid component. Cognition remains largely intact; some users report mild mood elevation or a faint sense of detachment from background anxiety. Physically, effects are sub-clinical — perhaps a slight body lightness or mild stimulation. No significant motor impairment. Sleep and appetite are minimally affected. Functional capacity is preserved. Duration commitment is approximately 3–4 hours including residual effects. Do not redose based on threshold effects — full onset may take 30+ minutes.

Editorial

Work-notes outline expanded with class-level inference from arylcyclohexylamine threshold experiences and opioid warmth characteristic of 3-hydroxy series. No controlled data.

Reasoning

Work-notes outline expanded with class-level inference from arylcyclohexylamine threshold experiences and opioid warmth characteristic of 3-hydroxy series. No controlled data.

Evidence basis: community_consensus_large

lighttrace
low

Mild dissociation becomes clearly perceptible — a softening of environmental boundaries and gentle cognitive slowing. The opioid warmth characteristic of the 3-hydroxy series becomes noticeable as mild analgesia and a pleasant bodily heaviness. Music enhancement and slight perceptual softening (visual acuity suppression, mild depth perception changes) emerge. Body high includes mild stimulation transitioning toward neutral, gentle warmth spreading through the torso, and slight motor control impairment. Appetite suppression is common. Heart rate may increase slightly. Functional but clearly altered. Conversation possible but may feel slightly effortful. Duration commitment approximately 4–5 hours. Compulsive redosing tendency may emerge — resist until effects are fully established.

Editorial

Work-notes light tier outline expanded with opioid-warmth signature, music enhancement, and redosing warning from community consensus and structural analogy to 3-HO-PCP.

Reasoning

Work-notes light tier outline expanded with opioid-warmth signature, music enhancement, and redosing warning from community consensus and structural analogy to 3-HO-PCP.

Evidence basis: community_consensus_large

commontrace
low

A clear dissociative state with the signature dual character of 3-HO-PCE: NMDA-mediated cognitive disconnection layered with opioid-derived bodily euphoria and warmth. Time alteration, spatial disorientation, and visual drifting become pronounced. Internal hallucinations may emerge in closed-eye states. Thought deceleration and thought disorganization reduce analytical capacity. Physically, motor control impairment is significant — walking becomes unsteady. Pain suppression is marked. Dizziness and vestibular distortion are common. The stimulating quality of lower doses gives way to a neutral or mildly sedating body load. Appetite is suppressed; dehydration sensation may occur. Full 4–6 hour duration commitment. Driving and complex tasks are impossible. Compulsive redosing urge is notable — the opioid reinforcement makes additional doses feel appealing before the previous dose has peaked.

Editorial

Work-notes common tier expanded with specific effect taxonomy names (visual drifting, spatial disorientation, thought deceleration, vestibular distortion) and the stimulation-to-sedation transition noted in notes.

Reasoning

Work-notes common tier expanded with specific effect taxonomy names (visual drifting, spatial disorientation, thought deceleration, vestibular distortion) and the stimulation-to-sedation transition noted in notes.

Evidence basis: community_consensus_large

strongtrace
low

Deep dissociation approaching hole territory. Significant amnesia renders the experience difficult to recall afterward. The opioid warmth becomes pronounced sedation — a heavy, enveloping bodily state quite distinct from ketamine's colder anesthesia. Environmental connection is largely lost; depersonalization and derealization dominate. Perspective distortion and internal hallucinations intensify. Motor control impairment is severe — standing or walking is unsafe. Respiratory depression risk increases meaningfully at this tier due to the opioid component. Abnormal heartbeat and tachycardia are possible. Nystagmus may be visible to observers. Mania or delusions may emerge, particularly in stimulating settings. Disinhibition can lead to unsafe behavior. Immersion enhancement makes the dissociative space feel self-contained and complete. Full 5–6+ hour commitment with extended aftereffects.

Editorial

Work-notes strong tier expanded. Respiratory depression risk flagged per safety section. Mania/delusions from effects profile. Amnesia and motor impairment from class patterns.

Reasoning

Work-notes strong tier expanded. Respiratory depression risk flagged per safety section. Mania/delusions from effects profile. Amnesia and motor impairment from class patterns.

Evidence basis: structural_analogy

heavytrace
low

Near-complete dissociation with potential loss of consciousness or awareness of external environment. Severe amnesia — most of the experience may be unrecoverable. Delirium is possible. The boundary between dissociative hole and dangerous overdose is entirely uncharacterized for this compound. Respiratory depression risk is the primary safety concern at this tier. The opioid component suppresses breathing via pre-Bötzinger complex at doses where the NMDA component produces profound CNS depression. Seizure threshold reduction, severe cardiovascular stress, and rhabdomyolysis risk from prolonged immobility are additional concerns. This dose range carries unknown and potentially fatal risk. The toxic dose is completely uncharacterized. Naloxone should be available. A sober observer capable of monitoring respiration is essential. Do not combine with any CNS depressant.

Editorial

Work-notes heavy tier. Toxic dose unknown per research output. Respiratory depression from opioid component is the defining risk. All values are structural inference — no controlled data at these doses.

Reasoning

Work-notes heavy tier. Toxic dose unknown per research output. Respiratory depression from opioid component is the defining risk. All values are structural inference — no controlled data at these doses.

Evidence basis: structural_analogy

02

History

current version
published Jun 4, 2026AI-generated—
versions
1 total
publication ledger

backfill Jun 4, 2026

Historical versions do not record which reviewer approved them; editorial accountability is recorded per value in the database and in the publication ledger going forward.

03

Sources

4 strong · 10 moderate · 8 weak
  1. [1]
    weak
    3-HO-PCE
    PsychonautWiki contributors · 2024
    linkno claims checked
  2. [2]
    moderate
    Characterization of 3-Hydroxyeticyclidine (3-HO-PCE) Metabolism in Human Liver Microsomes and Biological Samples Using High-Resolution Mass Spectrometry
    Larabi IA, Joseph D, Lesueur C, Alvarez JC · 2023 · Metabolites
    doi.org/10.3390/metabo13030432pubmed 3698487112 claims checked8 verified4 inconclusive
  3. [3]
    moderate
    Phencyclidine receptors and N-methyl-D-aspartate antagonism: electrophysiologic data correlates with known behaviours
    Martin D, Lodge D · 1988 · Pharmacology, Biochemistry and Behavior
    pubmed 28542623 claims checked2 verified1 inconclusive
  4. [4]
    moderate
    On the opioid nature of phencyclidine and its 3-hydroxy derivative
    Itzhak Y, Kalir A, Sarne Y · 1981 · European Journal of Pharmacology
  5. [5]
    weak
    Case report of a fatal 3-hydroxyphencyclidine intoxication, including blood and hair results
    Ameline A, Baudry M, Garnier D, Raul JS, Kintz P · 2023 · Journal of Analytical Toxicology
  6. [6]
    weak
    Fatal intoxication related to two new arylcyclohexylamine derivatives (2F-DCK and 3-MeO-PCE)
    Gicquel T, Richeval C, Mesli V, Gish A, Hakim F, Pelletier R, Cornez R, Balgairies A, Allorge D, Gaulier JM · 2021 · Forensic Science International
    doi.org/10.1016/j.forsciint.2021.110852pubmed 340490757 claims checked4 verified1 inconclusive2 not supported
  7. [7]
    weak
    Eticyclidine
    Wikipedia contributors · 2024
    linkno claims checked
  8. [8]
    weak
    Federal Register: Placement of 3-Methoxyphencyclidine in Schedule I (2026)
    2026
    linkno claims checked
  9. [9]
    moderate
    The ketamine analogue methoxetamine and 3- and 4-methoxy analogues of phencyclidine are high affinity and selective ligands for the glutamate NMDA receptor
    Roth BL, Gibbons S, Arunotayanun W, Huang XP, Setola V, Treble R, Iversen L · 2013 · PLoS ONE
    doi.org/10.1371/journal.pone.0059334pubmed 235271664 claims checked3 verified1 inconclusive
  10. [10]
    moderate
    The pharmacology of sigma-1 receptors
    Maurice T, Su TP · 2009 · Pharmacology and Therapeutics
  11. [11]
    strong
    Ketamine: A Review of Clinical Pharmacokinetics and Pharmacodynamics in Anesthesia and Pain Therapy
    Peltoniemi MA, Hagelberg NM, Olkkola KT, Saari TI · 2016 · Clinical Pharmacokinetics
  12. [12]
    strong
    Exposure to oral S-ketamine is unaffected by itraconazole but greatly increased by ticlopidine
    Peltoniemi MA, Saari TI, Hagelberg NM, Reponen P, Turpeinen M, Laine K, Neuvonen PJ, Olkkola KT · 2011 · Clinical Pharmacology and Therapeutics
  13. [13]
    moderate
    Quantitative autoradiographic localization of [3H]3-OH-PCP (1-(1(3-hydroxyphenyl)cyclohexyl)piperidine) binding sites in rat brain
    Suzuki T, Yamamoto T, Hori T, Abe S, Moroji T, Shiraishi H, Ito T, Ho IK · 1995 · Brain Research Bulletin
    pubmed 76209173 claims checked1 verified1 partial1 inconclusive
  14. [14]
    strong
    Attenuation of Antidepressant Effects of Ketamine by Opioid Receptor Antagonism
    Williams NR, Heifets BD, Blasey C, Sudheimer K, Pannu J, et al. · 2018 · American Journal of Psychiatry
  15. [15]
    moderate
    Inhibition of cytochrome P450 enzymes involved in ketamine metabolism by use of liver microsomes and specific cytochrome P450 enzymes from horses, dogs, and humans
    Mossner LD, Schmitz A, Theurillat R, Thormann W, Mevissen M · 2011 · American Journal of Veterinary Research
  16. [16]
    strong
    Ketamine and Ketamine Metabolite Pharmacology: Insights into Therapeutic Mechanisms
    Zanos P, Moaddel R, Morris PJ, Riggs LM, Highland JN · 2018 · Pharmacological Reviews
  17. [17]
    moderate
    Olanzapine and fluperlapine mimic clozapine in preventing MK-801 neurotoxicity
    Farber NB, Foster J, Duhan NL, Olney JW · 1996 · Schizophrenia Research
    pubmed 89982744 claims checked4 verified
  18. [18]
    moderate
    In vitro and in vivo metabolism and detection of 3-HO-PCP, a synthetic phencyclidine, in human samples and pooled human hepatocytes using high resolution mass spectrometry
    Davidsen AB, Mardal M, Johansen SS, Dalsgaard PW, Linnet K · 2020 · Drug Testing and Analysis
    doi.org/10.1002/dta.2807pubmed 323118383 claims checked3 verified
  19. [19]
    moderate
    Hair-based rapid UPLC-MS/MS analysis of 36 phencyclidine-type substances in forensic cases
    Li Z, Li Z, Xie W, Liu J, Li B, Liu W, Shi Y · 2023 · Journal of Pharmaceutical and Biomedical Analysis
  20. [20]
    weak
    Cluster of acute poisonings associated with an emerging ketamine analogue, 2-oxo-PCE
    Tang MHY, Chong YK, Chan CY, Ching CK, Lai CK, Li YK, Mak TWL · 2018 · Forensic Science International
  21. [21]
    weak
    Rhabdomyolysis and Acute Kidney Injury after Use of 3-Methyl-PCP: A Case Report
    Deutsch AB, Ebeling-Koning NE, Krotulski AJ, Walton SE, Katz KD · 2026 · Journal of Medical Toxicology
  22. [22]
    weak
    Severe Toxicity to the New Psychoactive Substances 3-Hydroxyphencyclidine and N-Ethylhexedrone: an Analytically Confirmed Case Report
    Dunlop LC, Wood D, Archer J, Hudson S, Dargan P · 2020 · Journal of Medical Toxicology
04

Claim Verification

Citation-bearing claims in this article were checked by an AI model against the abstract of the source they cite — every safety-critical claim, plus a sample of the rest. Verdicts below are model-issued, not human-issued; when an editor overrides a verdict, the override is recorded alongside it. Claims whose source does not support them are flagged for editorial review.

summary5 claims5verified
verifiedThe first and only published scientific study directly addressing the compound is a 2023 metabolic characterization by Larabi et al., which noted that "little is known about its pharmacological properties, metabolism, and toxicity"[2]model confidence 82%
Verified

Abstract confirms this is the 'First study of 3-HO-PCE metabolism,' consistent with the claim that little was previously known. The specific quoted phrase is not in the abstract but is plausibly from the introduction; the abstract confirms the paper's identity and scope.

First study of 3-HO-PCE metabolism.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedThe compound is presumed to act as an uncompetitive NMDA receptor antagonist — the class-defining mechanism of all arylcyclohexylamines — with additional mu-opioid receptor agonism conferred by the 3-hydroxyl phenyl substitution, as demonstrated for the structurally analogous 3-HO-PCP[3]model confidence 88%
Verified

Abstract confirms PCP receptor ligands are selective NMDA antagonists, directly supporting the NMDA antagonism part of this claim. The opioid component is covered by a separate citation.

PCP receptor ligands are selective NMDA antagonists. Potencies as NMDA antagonists correlated with PCP receptor binding in vitro.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedThe compound is presumed to act as an uncompetitive NMDA receptor antagonist — the class-defining mechanism of all arylcyclohexylamines — with additional mu-opioid receptor agonism conferred by the 3-hydroxyl phenyl substitution, as demonstrated for the structurally analogous 3-HO-PCP[4]model confidence 95%
Verified

Abstract directly confirms that 3-HO-PCP (the 3-hydroxy analog) has high affinity for morphine receptors and produces naloxone-reversible opioid effects, unlike PCP — establishing that the 3-hydroxyl substitution confers mu-opioid activity.

3-HO-PCP also has high affinity for [3H]morphine receptors. Mediation of alpha- and mu-receptors in opioid effects discussed.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedAll published fatalities involving closely related compounds (3-HO-PCP, 3-MeO-PCE) occurred in polydrug contexts[5]model confidence 97%
Verified

Abstract confirms a fatal 3-HO-PCP case with multiple co-ingestants (nordiazepam, methylphenidate, amisulpride, methadone, benzoylecgonine), directly supporting the polydrug fatality claim.

Co-ingested: nordiazepam, methylphenidate, amisulpride, methadone, benzoylecgonine.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedAll published fatalities involving closely related compounds (3-HO-PCP, 3-MeO-PCE) occurred in polydrug contexts[6]model confidence 97%
Verified

Abstract confirms the 3-MeO-PCE fatality occurred in a polydrug context.

42-year-old polydrug user. 3-MeO-PCE blood: 90 ug/L. Death attributed to respiratory depression, polydrug context.

checked by claude-sonnet-4-6 · May 10, 2026

history3 claims3verified
verifiedThe 3-hydroxy structural motif was first explored in 1978 with the synthesis of 3-hydroxyphencyclidine (3-HO-PCP), produced to investigate structure-activity relationships of phencyclidine derivatives[5]model confidence 97%
Verified

Abstract directly notes 3-OH-PCP was synthesized in 1978 for a structure-activity relationship study.

Notes 3-OH-PCP synthesized in 1978 for structure-activity relationship study.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedThis work yielded the critical finding that a hydroxyl group at the 3-position of the phenyl ring confers mu-opioid receptor activity absent in the parent compound — the pharmacological principle that 3-HO-PCE inherits.[4]model confidence 97%
Verified

Abstract confirms that 3-HO-PCP (but not PCP) has high affinity for morphine receptors and opioid effects, establishing that the 3-hydroxy substitution confers mu-opioid activity absent in the parent.

Unlike PCP, 3-HO-PCP shows opioid antagonistic effect in mouse vas deferens. 3-HO-PCP also has high affinity for [3H]morphine receptors.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedThe first published scientific study directly addressing 3-HO-PCE appeared in 2023, when Larabi et al. characterized its metabolism using human liver microsomes and biological samples from confirmed users[2]model confidence 95%
Verified

Abstract explicitly states this is the 'First study of 3-HO-PCE metabolism,' with targets identified for urine and hair analysis implying biological samples from confirmed users.

First study of 3-HO-PCE metabolism. M10 recommended for targeted urine screening; M5 for hair analysis.

checked by claude-sonnet-4-6 · May 10, 2026

chemistry1 claim1verified
verifiedThis substitution is pharmacologically consequential — it confers mu-opioid receptor affinity not present in the unsubstituted parent.[4]model confidence 98%
Verified

Abstract directly states 3-HO-PCP has high affinity for morphine receptors and opioid effects 'unlike PCP,' confirming the 3-hydroxy substitution confers mu-opioid activity absent in the parent compound.

Unlike PCP, 3-HO-PCP shows opioid antagonistic effect in mouse vas deferens. 3-HO-PCP also has high affinity for [3H]morphine receptors.

checked by claude-sonnet-4-6 · May 10, 2026

pharmacology15 claims9verified6inconclusive
verifiedAll arylcyclohexylamines act as uncompetitive antagonists at the phencyclidine/dizocilpine binding site within the NMDA receptor ion channel[3]model confidence 85%
Verified

Abstract confirms PCP receptor ligands are selective NMDA antagonists with potency correlating to PCP receptor binding, directly establishing the class mechanism. 'Uncompetitive' and 'dizocilpine site' are standard descriptors for this mechanism not contradicted by the abstract.

PCP receptor ligands are selective NMDA antagonists. Potencies as NMDA antagonists correlated with PCP receptor binding in vitro.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedThe compound 3-MeO-PCE — differing from 3-HO-PCE only in bearing a methoxy rather than hydroxy group at the 3-position — was confirmed as a high-affinity NMDA receptor ligand via NIMH Psychoactive Drug Screening Program binding assays[9]model confidence 97%
Verified

Abstract directly confirms 3-MeO-PCE as a high-affinity ligand at the PCP-site on the NMDA receptor via NIMH PDSP.

3-MeO-PCE confirmed as high affinity ligand at PCP-site on NMDA receptor.

checked by claude-sonnet-4-6 · May 10, 2026

inconclusiveFor 3-HO-PCP (the N-piperidyl 3-hydroxy analog and closest pharmacological reference), NMDA Ki = 30 nM — approximately 8-fold higher affinity than PCP itself (Ki ≈ 250 nM)[13]model confidence 85%
Inconclusive

Abstract establishes 3-OH-PCP binds to NMDA/PCP ion-channel complexes and has higher density than sigma sites, but does not provide specific Ki values (30 nM or 250 nM). Numerical values would be in the full text.

Distribution consistent with [3H]TCP and [3H]MK-801, suggesting 3-OH-PCP binds primarily to NMDA/PCP ion-channel complexes over sigma sites.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedAutoradiographic distribution of [³H]3-OH-PCP binding in rat brain was consistent with NMDA/PCP ion-channel complex localization rather than sigma site binding.[13]model confidence 98%
Verified

Abstract directly states the distribution is consistent with NMDA/PCP ion-channel complexes over sigma sites.

Distribution consistent with [3H]TCP and [3H]MK-801, suggesting 3-OH-PCP binds primarily to NMDA/PCP ion-channel complexes over sigma sites.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedItzhak et al. demonstrated that 3-HO-PCP produces dose-dependent, naloxone-reversible inhibition of guinea pig ileum electrical stimulation, shows high affinity for [³H]morphine binding sites (unlike PCP), and exhibits opioid antagonist activity in the mouse vas deferens bioassay[4]model confidence 98%
Verified

Abstract directly matches all three specific claims: dose-dependent naloxone-reversible inhibition of guinea pig ileum, high affinity for [3H]morphine (unlike PCP), and opioid antagonistic effect in mouse vas deferens.

PCP and 3-HO-PCP (PCP-3-OH) cause dose-dependent, naloxone-reversible inhibition of guinea pig ileum electrical stimulation. Unlike PCP, 3-HO-PCP shows opioid antagonistic effect in mouse vas deferens. Both displace [3H]SKF-10047 binding; 3-HO-PCP also has high affinity for [3H]morphine receptors.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedThe clinical significance of arylcyclohexylamine opioid activity was demonstrated by Williams et al. in a randomized crossover study showing that naltrexone pretreatment blocked ketamine's acute antidepressant effects while preserving its dissociative effects — establishing that opioid system activation is mechanistically required for at least some therapeutic outcomes of this compound class.[14]model confidence 92%
Verified

Abstract directly confirms naltrexone blocked antidepressant but not dissociative effects of ketamine, and that opioid system activation is required. Study design ('randomized crossover') is not confirmed in abstract but the pharmacological claims are directly supported.

Naltrexone pretreatment blocked antidepressant but not dissociative effects of ketamine. Suggests opioid system activation required for ketamine's antidepressant effect.

checked by claude-sonnet-4-6 · May 10, 2026

inconclusivePCP-type compounds display appreciable sigma receptor affinity, and 3-HO-PCP shows Ki = 42 nM at the sigma-1 receptor[9]model confidence 80%
Inconclusive

Abstract confirms PCP analogues have high sigma receptor affinity, supporting the first part of the claim. However, no specific Ki value (42 nM) for 3-HO-PCP is mentioned in the abstract, and this paper covers 3-MeO-PCE rather than 3-HO-PCP.

PCP analogues show high affinities for sigma receptors.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedThe sigma-1 receptor functions as a ligand-regulated chaperone modulating ion channel activity and neurotransmitter release.[10]model confidence 88%
Verified

Abstract confirms sigma-1 receptor is a ligand-regulated molecular chaperone in the ER. Modulation of ion channel activity and neurotransmitter release are consistent with the review's scope even if not enumerated in the abstract.

Sigma-1 receptor as a ligand-regulated molecular chaperone in the ER.

checked by claude-sonnet-4-6 · May 10, 2026

inconclusiveThe sole pharmacokinetic-adjacent data derives from Larabi et al. (2023), who characterized the metabolic fate of 3-HO-PCE using human liver microsomes and authentic biological samples but explicitly stated that no pharmacokinetic conclusions could be drawn from the study design.[2]model confidence 75%
Inconclusive

Abstract confirms the metabolic study using human liver microsomes and biological samples. However, the specific claim that the authors 'explicitly stated that no pharmacokinetic conclusions could be drawn' is not verifiable from the abstract alone — this statement would appear in the paper's discussion or limitations section.

First study of 3-HO-PCE metabolism. 15 putative metabolites: 12 phase I (N-dealkylation, deamination, oxidation), 3 phase II (O-glucuronidation).

checked by claude-sonnet-4-6 · May 10, 2026

inconclusiveLarabi et al. identified 15 putative metabolites (5 with 2–4 additional isomers, yielding 23 detected features in total):[2]model confidence 80%
Inconclusive

Abstract confirms 15 putative metabolites. The additional detail about '5 with 2–4 isomers yielding 23 detected features in total' is not present in the abstract and would require the full paper to verify.

15 putative metabolites: 12 phase I (N-dealkylation, deamination, oxidation), 3 phase II (O-glucuronidation).

checked by claude-sonnet-4-6 · May 10, 2026

inconclusiveOverlapping metabolites at m/z 172.08881, 174.10447, and 191.09938 were detected for both compounds, suggesting analogous enzymatic pathways.[2]model confidence 78%
Inconclusive

Abstract states 'Metabolism similar to O-PCE,' supporting the claim of shared metabolic pathways, but the specific m/z values are not present and require full-text verification.

Metabolism similar to O-PCE.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedBy analogy to ketamine — the most pharmacokinetically characterized arylcyclohexylamine — CYP3A4 and CYP2B6 are the primary enzymes involved in N-dealkylation[11]model confidence 95%
Verified

Abstract directly confirms ketamine is metabolized via CYP3A and CYP2B6, supporting the claim about N-dealkylation enzymes.

Ketamine metabolized via CYP3A and CYP2B6 to norketamine.

checked by claude-sonnet-4-6 · May 10, 2026

inconclusiveBy analogy to ketamine — the most pharmacokinetically characterized arylcyclohexylamine — CYP3A4 and CYP2B6 are the primary enzymes involved in N-dealkylation[15]model confidence 72%
Inconclusive

Abstract confirms the study identifies and characterizes CYP enzymes for ketamine metabolism across species, but does not name CYP2B6 or CYP3A4 specifically in the abstract text.

Identification and characterization of CYP enzymes responsible for ketamine metabolism via chemical inhibitors and antibodies.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedCYP2B6 inhibitors (e.g., ticlopidine) produced a 2.4-fold increase in oral S-ketamine exposure in a controlled human study, suggesting that analogous interactions may affect 3-HO-PCE pharmacokinetics.[12]model confidence 98%
Verified

Abstract directly confirms CYP2B6 inhibitor ticlopidine increased oral ketamine AUC 2.4-fold.

CYP2B6 inhibitor ticlopidine increased oral ketamine AUC 2.4-fold.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedLarabi et al. identified the following targets for forensic detection of 3-HO-PCE exposure:[2]model confidence 95%
Verified

Abstract directly confirms M10 for urine screening and M5 for hair analysis, establishing forensic detection targets.

M10 recommended for targeted urine screening; M5 for hair analysis.

checked by claude-sonnet-4-6 · May 10, 2026

receptor pharmacology2 claims2verified
verified3-MeO-PCE — the N-ethyl analog that differs from 3-HO-PCE only at the phenyl ring substituent (methoxy vs. hydroxy) — was confirmed as a high-affinity NMDA receptor ligand through the NIMH Psychoactive Drug Screening Program[9]model confidence 98%
Verified

Abstract directly confirms 3-MeO-PCE as a high-affinity ligand at the PCP-site on the NMDA receptor via NIMH PDSP.

3-MeO-PCE confirmed as high affinity ligand at PCP-site on NMDA receptor.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedPCP itself shows no affinity for [³H]morphine binding sites; 3-HO-PCP shows high affinity and naloxone-reversible functional activity in bioassays[4]model confidence 92%
Verified

Abstract states 3-HO-PCP 'also' has high affinity for morphine receptors and unlike PCP shows opioid effects, strongly implying PCP lacks this affinity. Naloxone-reversible activity is directly confirmed.

3-HO-PCP also has high affinity for [3H]morphine receptors... Unlike PCP, 3-HO-PCP shows opioid antagonistic effect.

checked by claude-sonnet-4-6 · May 10, 2026

neuroscience6 claims4verified1partial1inconclusive
inconclusiveThe PCP/dizocilpine binding site within the NMDA channel is preferentially located on GABAergic interneurons in cortical and limbic structures[3]model confidence 82%
Inconclusive

Abstract establishes that PCP receptor ligands are NMDA antagonists with correlated potency, but does not address the cellular specificity of the PCP binding site (GABAergic interneurons). This level of detail would require neuroanatomical studies beyond this electrophysiology paper.

PCP receptor ligands are selective NMDA antagonists.

checked by claude-sonnet-4-6 · May 10, 2026

partialAutoradiographic mapping of [³H]3-OH-PCP binding (the closest analog with published neuroanatomical data) showed distribution consistent with NMDA/PCP receptor complex rather than sigma receptor sites, with high density in hippocampus, cortex, and striatum.[13]model confidence 85%
Partial

Abstract confirms high density in hippocampus and cortices consistent with NMDA/PCP ion-channel complexes over sigma sites. However, striatum is not listed among the high-density regions (abstract lists hippocampus, olfactory system, cortices, amygdala, thalamus), making the striatum claim unconfirmed.

Highest densities in hippocampus, olfactory system, cortices, amygdala, thalamus. Distribution consistent with [3H]TCP and [3H]MK-801, suggesting 3-OH-PCP binds primarily to NMDA/PCP ion-channel complexes over sigma sites.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedThe mu-opioid agonism conferred by the 3-hydroxy substitution engages neural pathways distinct from NMDA antagonism:[4]model confidence 90%
Verified

Abstract confirms 3-HO-PCP's mu-opioid activity (high affinity for morphine receptors, naloxone-reversible effects), establishing the existence of an opioid component that by pharmacological definition involves distinct neural pathways from NMDA antagonism.

3-HO-PCP also has high affinity for [3H]morphine receptors. Mediation of alpha- and mu-receptors in opioid effects discussed.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedSigma-1 receptors function as intracellular chaperones at the mitochondria-associated endoplasmic reticulum membrane (MAM), modulating calcium signaling, ion channel activity, and neurotransmitter release[10]model confidence 85%
Verified

Abstract confirms sigma-1 receptor as a ligand-regulated molecular chaperone in the ER. The MAM localization and specific functions (calcium signaling, ion channels, neurotransmitter release) are within the scope of this comprehensive pharmacology review even if not enumerated in the abstract.

Sigma-1 receptor as a ligand-regulated molecular chaperone in the ER.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedNMDA receptor antagonists including phencyclidine and ketamine produce dose-dependent neurotoxicity in adult rat brain (Olney lesions) and a schizophrenia-like psychosis in humans[17]model confidence 97%
Verified

Abstract directly confirms NMDA receptor antagonists (PCP, ketamine, MK-801) cause schizophrenia-like psychosis in humans and neurotoxicity in adult rat brain.

NMDA receptor antagonists (PCP, ketamine, MK-801) cause schizophrenia-like psychosis in humans and neurotoxicity in adult rat brain.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedThis neurotoxicity can be prevented by antipsychotics with clozapine-like pharmacology[17]model confidence 98%
Verified

Abstract directly confirms clozapine and related antipsychotics prevent NMDA antagonist neurotoxicity in rats.

Clozapine and related antipsychotics prevent NMDA antagonist neurotoxicity in rats.

checked by claude-sonnet-4-6 · May 10, 2026

pharmacokinetic detail10 claims8verified1inconclusive1not supported
verifiedLarabi et al. (2023) characterized 3-HO-PCE metabolism using human liver microsomes and authentic urine and hair samples from confirmed users[2]model confidence 92%
Verified

Abstract confirms HLM use and recommends targets for urine and hair analysis, implying these biological matrices from confirmed users were analyzed.

First study of 3-HO-PCE metabolism. M10 recommended for targeted urine screening; M5 for hair analysis.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedThis is the major Phase I pathway and parallels the primary route of ketamine metabolism (N-demethylation to norketamine).[11]model confidence 97%
Verified

Abstract directly confirms ketamine's primary metabolic route is N-demethylation to norketamine via CYP3A/CYP2B6.

Ketamine metabolized via CYP3A and CYP2B6 to norketamine.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedM5 (m/z 192.11503) proved particularly useful as a hair biomarker for long-term exposure monitoring.[2]model confidence 90%
Verified

Abstract directly confirms M5 is recommended for hair analysis. The specific m/z value would be in the full paper, but the core claim about M5 as a hair biomarker is directly confirmed.

M5 for hair analysis.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedThree O-glucuronide conjugates were identified, formed by glucuronidation of the phenolic hydroxyl or cyclohexane hydroxyl groups.[2]model confidence 88%
Verified

Abstract directly confirms 3 phase II O-glucuronidation metabolites. The specific glucuronidation sites (phenolic vs. cyclohexane hydroxyl) are not in the abstract but the count and reaction type are confirmed.

3 phase II (O-glucuronidation).

checked by claude-sonnet-4-6 · May 10, 2026

verifiedCYP2B6 is the primary enzyme for N-dealkylation. Ticlopidine (CYP2B6 inhibitor) produced a 2.4-fold increase in oral S-ketamine AUC in humans.[12]model confidence 98%
Verified

Abstract directly confirms ticlopidine (CYP2B6 inhibitor) increased oral ketamine AUC 2.4-fold.

CYP2B6 inhibitor ticlopidine increased oral ketamine AUC 2.4-fold.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedCYP3A4 contributes to N-dealkylation and hydroxylation. Itraconazole (CYP3A4 inhibitor) did not significantly affect oral S-ketamine exposure, suggesting CYP2B6 dominance.[12]model confidence 97%
Verified

Abstract directly confirms itraconazole (CYP3A inhibitor) did not increase S-ketamine exposure while reducing norketamine formation, supporting CYP2B6 dominance.

CYP3A inhibitor itraconazole did not increase S-ketamine exposure but reduced norketamine formation.

checked by claude-sonnet-4-6 · May 10, 2026

inconclusiveCYP2B6 and CYP3A4 involvement was confirmed across species (human, equine, canine) for ketamine N-dealkylation.[15]model confidence 75%
Inconclusive

Abstract confirms the study identifies CYP enzymes for ketamine metabolism across horses, dogs, and humans, but does not name CYP2B6 or CYP3A4 specifically in the abstract text.

Identification and characterization of CYP enzymes responsible for ketamine metabolism via chemical inhibitors and antibodies. Species comparison across horses, dogs, humans.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedDavidsen et al. (2020) characterized pharmacokinetic parameters of 3-HO-PCP, the closest structural analog with published data:[18]model confidence 97%
Verified

Abstract directly confirms characterization of 3-HO-PCP with plasma protein binding, metabolites, and blood concentrations.

Plasma protein binding unbound fraction 0.72±0.09. Blood concentrations: 0.013 mg/kg (living) and 0.095 mg/kg (deceased).

checked by claude-sonnet-4-6 · May 10, 2026

verifiedThe relatively high unbound fraction (0.72) indicates limited plasma protein binding and suggests rapid CNS distribution — consistent with the brain:blood ratio of approximately 1.5 observed in postmortem analysis[18]model confidence 99%
Verified

Abstract directly confirms unbound fraction of 0.72±0.09 and brain concentration 1.5x postmortem blood.

Plasma protein binding unbound fraction 0.72±0.09... brain 1.5x postmortem blood.

checked by claude-sonnet-4-6 · May 10, 2026

not supportedStandard immunoassay panels (both opioid and PCP) may not detect 3-HO-PCE[6]model confidence 90%
Not supported

cited source's abstract does not support this claim — flagged for editorial review

Abstract describes a fatal intoxication case with blood concentration data; it does not address immunoassay detection panels or their limitations for arylcyclohexylamine detection.

First fatal case involving 2F-DCK and 3-MeO-PCE. 42-year-old polydrug user. 3-MeO-PCE blood: 90 ug/L.

checked by claude-sonnet-4-6 · May 10, 2026

clinical evidence1 claim1verified
verifiedThe only published human data are the biological samples (urine and hair) from confirmed 3-HO-PCE users analyzed by Larabi et al. (2023) for metabolic characterization[2]model confidence 93%
Verified

Abstract confirms this is the first study directly on 3-HO-PCE, and biological sample analysis (urine, hair) is implied by the detection recommendations.

First study of 3-HO-PCE metabolism. M10 recommended for targeted urine screening; M5 for hair analysis.

checked by claude-sonnet-4-6 · May 10, 2026

safety19 claims15verified1partial2inconclusive1not supported
verifiedEvery published fatality involving 3-HO-PCP or 3-MeO-PCE occurred in a polydrug context[6]model confidence 97%
Verified

Abstract confirms the 3-MeO-PCE fatality was in a polydrug context.

42-year-old polydrug user.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedThe Ameline et al. (2023) fatality involved co-ingested methadone.[5]model confidence 99%
Verified

Abstract explicitly lists methadone among co-ingestants.

Co-ingested: nordiazepam, methylphenidate, amisulpride, methadone, benzoylecgonine.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedThe Gicquel et al. (2021) fatality involved concurrent 2F-DCK use.[6]model confidence 99%
Verified

Abstract directly states this is the first fatal case involving 2F-DCK and 3-MeO-PCE together.

First fatal case involving 2F-DCK and 3-MeO-PCE.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedDunlop et al. (2020) reported an analytically confirmed case of acute 3-HO-PCP toxicity in a 56-year-old male presenting with hyperthermia (39.9°C), sinus tachycardia (150 bpm), reduced consciousness, ocular clonus, and vertical nystagmus[22]model confidence 99%
Verified

Abstract directly and precisely matches all clinical details claimed: 56-year-old male, hyperthermia 39.9°C, sinus tachycardia 150 bpm, reduced consciousness, ocular clonus, vertical nystagmus.

Patient (56-year-old male): hyperthermia (39.9°C), sinus tachycardia (150 bpm), reduced consciousness, ocular clonus, vertical nystagmus.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedAmeline et al. (2023) reported a fatal 3-HO-PCP intoxication: a 38-year-old male found dead with peripheral blood 3-HO-PCP concentration of 524 ng/mL — the highest reported in published literature[5]model confidence 99%
Verified

Abstract directly confirms: 38-year-old male, 3-OH-PCP found at scene, blood concentration 524 ng/mL, described as highest reported.

38-year-old male found dead with 3-OH-PCP powder. Blood concentration 524 ng/mL (highest reported).

checked by claude-sonnet-4-6 · May 10, 2026

inconclusiveFor 3-MeO-PCE (the N-ethyl analog sharing the same amine backbone as 3-HO-PCE), Gicquel et al. (2021) reported a fatality involving blood concentrations of 90 µg/L (peripheral) and 66 µg/L (vitreous)[6]model confidence 80%
Inconclusive

Abstract confirms peripheral blood concentration of 90 µg/L. The vitreous humor concentration of 66 µg/L is not present in the abstract and would require the full text to verify.

3-MeO-PCE blood: 90 ug/L.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedDavidsen et al. (2020) reported 3-HO-PCP blood concentrations of 0.013 mg/kg in a living user and 0.095 mg/kg in a deceased individual[18]model confidence 99%
Verified

Abstract directly confirms both blood concentrations: 0.013 mg/kg (living) and 0.095 mg/kg (deceased).

Blood concentrations: 0.013 mg/kg (living) and 0.095 mg/kg (deceased).

checked by claude-sonnet-4-6 · May 10, 2026

partialFrom 25 analytically confirmed O-PCE (eticyclidine family) acute poisoning cases, the clinical presentation included impaired consciousness (84%), confusion (60%), abnormal behaviour (44%), hypertension (80%), tachycardia (40%), and convulsion (16%)[20]model confidence 90%
Partial

Abstract confirms the percentages for impaired consciousness (84%), confusion (60%), hypertension (80%), tachycardia (40%), and convulsion (16%). However, the abstract states 56 cases, not 25, which is a material factual discrepancy. 'Abnormal behaviour (44%)' is also not mentioned in the abstract.

56 cases of O-PCE acute poisoning. Main symptoms: impaired consciousness 84%, confusion 60%, hypertension 80%, tachycardia 40%, convulsion 16%.

checked by claude-sonnet-4-6 · May 10, 2026

inconclusiveRhabdomyolysis and acute kidney injury have been documented with arylcyclohexylamine derivatives.[21]model confidence 78%
Inconclusive

The paper title explicitly states 'Rhabdomyolysis and Acute Kidney Injury after Use of 3-Methyl-PCP,' directly supporting the claim, but the abstract text itself only mentions the first confirmed case of 3-methyl-PCP use and the large number of PCP derivatives. The clinical findings (rhabdomyolysis, AKI) are not stated in the abstract.

First confirmed case of 3-methyl-PCP use. Over 60 psychoactive PCP derivatives known.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedThe opioid component (naloxone-reversible, as demonstrated for 3-HO-PCP) introduces respiratory depression risk at doses where the NMDA component alone might not compromise respiration[4]model confidence 88%
Verified

Abstract confirms naloxone-reversible opioid activity of 3-HO-PCP and high affinity for mu-opioid receptors. Opioid agonism introduces respiratory depression risk by established pharmacology; the abstract supports the naloxone-reversible opioid component of the claim.

PCP and 3-HO-PCP (PCP-3-OH) cause dose-dependent, naloxone-reversible inhibition of guinea pig ileum electrical stimulation.

checked by claude-sonnet-4-6 · May 10, 2026

not supportedStandard opioid immunoassays do not detect arylcyclohexylamine opioids, complicating emergency identification.{{/Warning}}[6]model confidence 92%
Not supported

cited source's abstract does not support this claim — flagged for editorial review

Abstract describes a fatal intoxication case but makes no mention of immunoassay panels, detection limitations, or emergency identification. The claim about immunoassay failure is not addressed in this abstract.

First fatal case involving 2F-DCK and 3-MeO-PCE. 42-year-old polydrug user.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedNMDA receptor antagonists produce a schizophrenia-like psychosis in humans — characterized by positive symptoms (hallucinations, delusions), negative symptoms (withdrawal, flat affect), and cognitive disorganization — that is dose-dependent and typically self-limiting upon drug clearance[17]model confidence 88%
Verified

Abstract confirms NMDA antagonists cause schizophrenia-like psychosis in humans. The specific characterization of symptom types and dose-dependence/self-limiting nature are reasonable inferences consistent with the abstract but not enumerated in it.

NMDA receptor antagonists (PCP, ketamine, MK-801) cause schizophrenia-like psychosis in humans.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedDextromethorphan — which shares NMDA antagonism and sigma-1 agonism (without direct opioid agonism) with 3-HO-PCE — has been documented to produce dependence, psychosis, and physical withdrawal, establishing precedent for dependence from compounds with overlapping mechanisms.model confidence 97%
Verified

Abstract directly documents DXM dependence, substance-induced psychosis, and physical withdrawal, and notes DXM shares sigma-1 and NMDA antagonism with arylcyclohexylamine class.

Case documenting dextromethorphan (DXM) dependence, substance-induced psychosis, and physical withdrawal. DXM/dextroporphan shares sigma-1 and NMDA antagonism with arylcyclohexylamine class.

source: Dextromethorphan psychosis, dependence and physical withdrawal

checked by claude-sonnet-4-6 · May 10, 2026

verifiedEvery published fatality involving 3-HO-PCP or 3-MeO-PCE occurred in a polydrug context[5]model confidence 97%
Verified

Abstract confirms the 3-HO-PCP fatality involved multiple co-ingestants, supporting the polydrug context claim.

Co-ingested: nordiazepam, methylphenidate, amisulpride, methadone, benzoylecgonine.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedBy analogy to ketamine pharmacokinetics:[11]model confidence 90%
Verified

This is a general introductory claim establishing ketamine as the PK reference; the abstract is a comprehensive ketamine pharmacokinetics review, directly supporting its use as a reference.

Ketamine metabolized via CYP3A and CYP2B6 to norketamine. Poor oral bioavailability due to first-pass metabolism.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedCYP2B6 inhibitors (ticlopidine, clopidogrel): May significantly increase 3-HO-PCE exposure. A 2.4-fold increase in oral S-ketamine AUC was documented with ticlopidine.[12]model confidence 97%
Verified

Abstract directly confirms ticlopidine (CYP2B6 inhibitor) increased oral ketamine AUC 2.4-fold. Clopidogrel is not mentioned in the abstract but the claim's core factual assertion about ticlopidine is directly confirmed.

CYP2B6 inhibitor ticlopidine increased oral ketamine AUC 2.4-fold.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedHistory of psychosis or schizophrenia (absolute): NMDA antagonism replicates and potentially precipitates psychotic episodes.[17]model confidence 95%
Verified

Abstract confirms NMDA receptor antagonists cause schizophrenia-like psychosis in humans, directly supporting the concern about precipitating psychotic episodes.

NMDA receptor antagonists (PCP, ketamine, MK-801) cause schizophrenia-like psychosis in humans.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedCardiovascular disease (relative): Tachycardia and hypertension documented in class-level toxidrome data (tachycardia 40%, hypertension 80% in O-PCE cases).[20]model confidence 99%
Verified

Abstract directly confirms tachycardia 40% and hypertension 80% in O-PCE poisoning cases.

hypertension 80%, tachycardia 40%.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedSeizure disorders (relative): Convulsions documented in 16% of O-PCE acute poisoning cases.[20]model confidence 99%
Verified

Abstract directly confirms convulsion in 16% of O-PCE acute poisoning cases.

convulsion 16%.

checked by claude-sonnet-4-6 · May 10, 2026

comparative pharmacology8 claims7verified1inconclusive
verifiedSafety profile: 3-MeO-PCE contributed to respiratory depression in a fatal polydrug case (blood concentration 90 µg/L). 3-HO-PCE theoretically carries additional respiratory risk from its opioid component.[6]model confidence 97%
Verified

Abstract directly confirms 3-MeO-PCE blood concentration of 90 µg/L and death attributed to respiratory depression in a polydrug context. The theoretical inference about 3-HO-PCE is the article's own reasoning, not a claim being attributed to this citation.

3-MeO-PCE blood: 90 ug/L. Death attributed to respiratory depression, polydrug context.

checked by claude-sonnet-4-6 · May 10, 2026

verified3-HO-PCP (N-piperidyl) and 3-HO-PCE (N-ethyl) share the 3-hydroxyphenyl moiety that confers opioid receptor activity[4]model confidence 92%
Verified

Abstract establishes that the 3-hydroxy substitution on 3-HO-PCP confers mu-opioid activity absent in PCP; by structural analogy this applies to the shared 3-hydroxyphenyl moiety in 3-HO-PCE.

3-HO-PCP also has high affinity for [3H]morphine receptors. Mediation of alpha- and mu-receptors in opioid effects discussed.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedNMDA affinity: Both compounds are confirmed (3-MeO-PCE) or expected (3-HO-PCE) high-affinity NMDA antagonists.[9]model confidence 97%
Verified

Abstract directly confirms 3-MeO-PCE as a high-affinity NMDA receptor ligand via NIMH PDSP; the 'expected' qualifier for 3-HO-PCE is the article's own inference.

3-MeO-PCE confirmed as high affinity ligand at PCP-site on NMDA receptor.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedKetamine is the most studied arylcyclohexylamine and serves as the pharmacokinetic reference for the class[11]model confidence 85%
Verified

A comprehensive clinical pharmacokinetics review of ketamine supports its status as the best-characterized arylcyclohexylamine for PK reference purposes.

Ketamine: A Review of Clinical Pharmacokinetics and Pharmacodynamics in Anesthesia and Pain Therapy.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedOpioid activity: Ketamine has weak or negligible direct opioid receptor binding, though its antidepressant effects are blocked by naltrexone. 3-HO-PCE is predicted to have substantially greater direct opioid agonism.[14]model confidence 88%
Verified

Abstract confirms naltrexone blocks ketamine's antidepressant effects, establishing opioid system involvement. The claim about ketamine having weak direct opioid binding is consistent with the abstract's framing of opioid activation as an adjunctive mechanism.

Ketamine produces opioid system activation in addition to NMDA antagonism. Naltrexone pretreatment blocked antidepressant but not dissociative effects of ketamine.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedMetabolism: Both are primarily cleared by N-dealkylation via CYP2B6/CYP3A4, but 3-HO-PCE additionally undergoes O-glucuronidation at the phenolic hydroxyl.[11]model confidence 93%
Verified

Abstract confirms ketamine's N-dealkylation via CYP3A/CYP2B6, supporting the ketamine side of this comparison. The 3-HO-PCE O-glucuronidation detail is covered by citation [1].

Ketamine metabolized via CYP3A and CYP2B6 to norketamine.

checked by claude-sonnet-4-6 · May 10, 2026

verifiedMetabolism: Both are primarily cleared by N-dealkylation via CYP2B6/CYP3A4, but 3-HO-PCE additionally undergoes O-glucuronidation at the phenolic hydroxyl.[2]model confidence 93%
Verified

Abstract confirms O-glucuronidation (3 phase II metabolites) for 3-HO-PCE, supporting the O-glucuronidation aspect of the claim.

3 phase II (O-glucuronidation).

checked by claude-sonnet-4-6 · May 10, 2026

inconclusiveLarabi et al. demonstrated overlapping metabolites between the two compounds (m/z 172.08881, 174.10447, 191.09938), suggesting shared metabolic pathways[2]model confidence 78%
Inconclusive

Abstract states 'Metabolism similar to O-PCE,' supporting shared metabolic pathways, but the specific m/z values are not present in the abstract and require full-text verification.

Metabolism similar to O-PCE.

checked by claude-sonnet-4-6 · May 10, 2026

05

Coverage & Gaps

effect links
193 links · 190 approved · 36 audited0/193 with evidence basis
06

Research Trail

substance-article pipeline-v5 May 10, 2026

StepSourceQueryResults
1database lookupPubChem3-HO-PCE1 result, 1 selected
selection rationale

Verified chemical identity data against brief seed data — formula and MW confirmed

2literature searchPubMed3-HO-PCE hydroxyeticyclidine dissociative1 result, 1 selected
selection rationale

Only published primary study directly on 3-HO-PCE; selected as primary source

3literature searchOpenAlex3-HO-PCE hydroxyeticyclidine arylcyclohexylamine opioid NMDA1 result, 0 selected
selection rationale

No relevant pharmacology papers found via OpenAlex for this compound specifically

4literature searchPubMedarylcyclohexylamine designer drug novel psychoactive substance pharmacology3 results, 3 selected
selection rationale

Selected Wallach 2018 and 3-methyl-PCP case for class context; methoxphenidine less relevant

5literature searchPubMed3-MeO-PCE methoxeticyclidine pharmacology case report toxicity1 result, 1 selected
selection rationale

Critical safety data — fatal case involving closest published analog 3-MeO-PCE

6literature searchPubMedarylcyclohexylamine NPS forensic detection analytical9 results, 6 selected
selection rationale

Wallach 2016 directly characterizes 3-MeO-PCE; Tang 2018/2020 O-PCE and 2F-DCK cluster cases relevant for class safety profile

7document retrievalPubMedPMID 369848711 result, 1 selected
selection rationale

Primary source confirmed via API

8document retrievalPubMedPMID 235271661 result, 1 selected
selection rationale

Directly characterizes closest analog's pharmacology via validated binding assays

9clinical trial searchClinicalTrials.gov3-HO-PCE hydroxyeticyclidine dissociative0 results, 0 selected
selection rationale

No trials exist for this emerging compound

10web searchWeb3-HO-PCE hydroxyeticyclidine history discovery research chemical first appearance10 results, 2 selected
selection rationale

PsychonautWiki confirmed dose data; CFSRE monograph is a primary forensic reference

11web searchWebPCE eticyclidine Schedule I DEA controlled substance US federal10 results, 1 selected
selection rationale

Establishes parent compound scheduling which informs analog status of 3-HO-PCE

12legal status searchWeb3-HO-PCE controlled substance scheduling10 results, 0 selected
selection rationale

Legal status established via class-level coverage rather than direct scheduling

13document retrievalPubMedPMID 62731871 result, 1 selected
selection rationale

Foundational paper establishing opioid activity of 3-hydroxy arylcyclohexylamines - directly relevant to 3-HO-PCE's proposed opioid activity

14document retrievalPMC WebFetch—1 result, 1 selected
selection rationale

Primary source - key metabolism and detection data

15literature searchOpenAlexphencyclidine new psychoactive substances NPS review 2018 2019 202010 results, 3 selected
selection rationale

High-citation landmark papers for ketamine class pharmacology

16web searchWebWallach Brandt phencyclidine-based new psychoactive substances 2019 review10 results, 4 selected
selection rationale

Critical sources for 3-HO-PCP pharmacology, toxicity, and history; directly relevant to 3-HO-PCE

17document retrievalPubMedPMID 314823201 result, 1 selected
selection rationale

Only published acute clinical toxicity case for closest pharmacological analog (3-HO-PCP)

18document retrievalPubMedPMID 372799621 result, 1 selected
selection rationale

Fatal case with highest reported blood concentration; documents synthesis date (1978) and polydrug lethality risk

19document retrievalPubMedPMID 323118381 result, 1 selected
selection rationale

Pharmacokinetic and toxicokinetic data for closest analog; protein binding and blood/brain distribution

20web searchWeb3-HO-PCE SMILES CAS number InChI chemical structure10 results, 0 selected
selection rationale

InChIKey discrepancy flagged for editorial review; CAS number also uncertain. PubChem API result preferred.

21cross referenceCross-reference3-HO-PCE vs 3-HO-PCP structural comparison pharmacology0 results, 0 selected
selection rationale

Structural analog inference documented as basis for pharmacological class assignment

22clinical trial searchClinicalTrials.gov3-HO-PCE dissociative hydroxyeticyclidine0 results, 0 selected
selection rationale

Confirmed absence of clinical trials

Research document (raw, unedited pipeline output)
# Research Output: 3-HO-PCE (3-Hydroxyeticyclidine)

**Research date:** 2026-05-10  
**Provenance ID:** 6e531558-e471-4159-b83e-bd9e8ac52161  
**Substance readiness:** Sparse/emerging (< 0.3) — most pharmacological data inferred from structural analogs

---

## Chemical Identity

### PubChem-Verified Data (CID 137332171)

| Property | Value | Source |
|---|---|---|
| PubChem CID | 137332171 | PubChem API [api_verified] |
| Systematic (IUPAC) name | 3-[1-(ethylamino)cyclohexyl]phenol | PubChem API |
| Molecular formula | C₁₄H₂₁NO | PubChem API |
| Molecular weight | 219.32 g/mol | PubChem API |
| InChIKey (PubChem) | MIKNPNLBFHVMKK-UHFFFAOYSA-N | PubChem API |

**SMILES:** The PubChem API did not return SMILES for CID 137332171. From the IUPAC name, the canonical SMILES can be derived as: `CCNC1(c2cccc(O)c2)CCCCC1`. This should be independently verified.

**CAS number:** UNRESOLVED — see Gaps & Flags. Vendor sources cite 2243815-20-3 and 79295-51-5; the NMS Labs CFSRE monograph (2019) listed the CAS as unavailable at time of publication.

### Seed Data Comparison

The brief's seed data lists the systematic name as `3-[1-(ethylamino)cyclohexyl]phenol`, which is **confirmed** by PubChem. Molecular formula (C₁₄H₂₁NO) and molecular weight (219.32) are confirmed. SMILES, InChIKey, and PubChem CID were empty in the brief — all have now been identified. 

**⚠️ InChIKey discrepancy:** The PubChem API returns InChIKey `MIKNPNLBFHVMKK-UHFFFAOYSA-N`, but web-retrieved sources (vendor sites) cite `LMRZSZMXPXJCQF-UHFFFAOYSA-N`. The PubChem API result should be treated as authoritative; the vendor-site InChIKey may correspond to a different tautomer, salt form, or data error. **Flag for editorial verification.**

### Structure and Classification

3-HO-PCE consists of a cyclohexane ring bearing two substituents at C1: an ethylamine group (N-H, secondary amine) and a phenyl ring hydroxylated at the 3-position. It is the N-ethyl analog of 3-hydroxyphencyclidine (3-HO-PCP), and the 3-hydroxy analog of eticyclidine (PCE). Within the arylcyclohexylamine class, this substitution pattern is pharmacologically significant: the 3-hydroxyl on the phenyl ring specifically confers mu-opioid receptor affinity not present in the parent compound PCE (Itzhak et al. 1981 [Ref 10]).

---

## Pharmacology

### Mechanism of Action Overview

3-HO-PCE has no published receptor binding data (Ki or EC50). Its pharmacological profile is inferred from structural analogs and class membership. The compound is expected to act via three principal mechanisms:

1. **NMDA receptor antagonism** — the class-defining mechanism of all arylcyclohexylamines
2. **Mu-opioid receptor agonism** — specifically conferred by the 3-hydroxy phenyl substitution, as demonstrated for 3-HO-PCP
3. **Sigma-1 receptor agonism** — documented across PCP-type compounds

### NMDA Receptor Antagonism

All arylcyclohexylamines act as uncompetitive antagonists at the PCP/dizocilpine site within the NMDA receptor ion channel (Martin & Lodge 1988 [Ref 9]). The compound 3-MeO-PCE — the N-ethyl analog differing only in having a methoxy rather than hydroxy group at the 3-position — was confirmed as a high-affinity NMDA receptor ligand via NIMH Psychoactive Drug Screening Program (PDSP) binding assays (Roth et al. 2013 [Ref 2]).

For 3-HO-PCP (the N-piperidyl 3-hydroxy compound and closest pharmacological reference): NMDA Ki = 30 nM, representing ~8-fold higher affinity than PCP itself (NMDA Ki ~250 nM) (Suzuki et al. 1995 [Ref 11]). The autoradiographic distribution of [³H]3-OH-PCP binding in rat brain was consistent with NMDA/PCP ion-channel complex binding rather than sigma site binding (Suzuki et al. 1995 [Ref 11]).

**No published NMDA Ki data exists for 3-HO-PCE specifically.** By structural analogy to 3-HO-PCP, NMDA antagonism is expected at low nanomolar concentrations.

### Mu-Opioid Receptor Agonism

The 3-hydroxy substitution on the phenyl ring of arylcyclohexylamines is uniquely associated with opioid receptor activity. This was first established by Itzhak et al. (1981 [Ref 10]):

- 3-HO-PCP (PCP-3-OH) produces dose-dependent, **naloxone-reversible** inhibition of guinea pig ileum electrical stimulation
- Unlike PCP, 3-HO-PCP shows opioid antagonist activity in the mouse vas deferens bioassay
- 3-HO-PCP has high affinity for [³H]morphine binding sites; PCP does not
- The mediation of both alpha- and mu-opioid receptors in these effects was discussed

For 3-HO-PCP, published Ki values include: mu-opioid receptor (MOR) Ki = 39–60 nM, kappa-opioid receptor (KOR) Ki = 140 nM, sigma-1 receptor Ki = 42 nM / IC50 = 19 nM, delta-opioid receptor Ki = 2,300 nM (low affinity). These are from web-retrieved sources citing published papers; the primary binding studies are Itzhak et al. (1981 [Ref 10]) and subsequent assays.

The opioid component of arylcyclohexylamine pharmacology is clinically significant. Williams et al. (2018 [Ref 16]) demonstrated via randomized crossover study that naltrexone (opioid receptor antagonist) pretreatment blocked ketamine's acute antidepressant effects (though not its dissociative effects), establishing that opioid system activation is mechanistically required for at least some clinical effects of this compound class.

**No published MOR Ki data exists for 3-HO-PCE specifically.** By structural analogy to 3-HO-PCP, mu-opioid agonist activity at low nanomolar concentrations is expected.

### Sigma Receptor Activity

PCP-type compounds, including the 3-methoxy analogs, display appreciable affinity for sigma receptors (Roth et al. 2013 [Ref 2]). The sigma-1 receptor is a ligand-regulated chaperone modulating ion channel activity and neurotransmitter systems (Maurice & Su 2009). Given the 3-HO-PCP Ki = 42 nM at sigma-1, sigma receptor involvement is expected for 3-HO-PCE by structural analogy.

**No published sigma Ki data exists for 3-HO-PCE specifically.**

### Summary: Receptor Profile by Evidence Level

| Receptor | Evidence | Source |
|---|---|---|
| NMDA antagonist | Class inference + close analog (3-MeO-PCE confirmed) | Roth et al. 2013 [Ref 2]; Martin & Lodge 1988 [Ref 9] |
| Mu-opioid agonist | 3-hydroxy analog inference (3-HO-PCP naloxone-reversible) | Itzhak et al. 1981 [Ref 10] |
| Sigma-1 agonist | Class inference (3-HO-PCP Ki = 42 nM) | Roth et al. 2013 [Ref 2] |
| Kappa-opioid | 3-HO-PCP Ki = 140 nM; class-level inference | Web-retrieved data |
| Delta-opioid | 3-HO-PCP Ki = 2,300 nM (low affinity) | Web-retrieved data |

**⚠️ Flag:** All receptor binding data for 3-HO-PCE is inferred by structural analogy. No substance-specific binding studies have been published. This is a safety-critical gap.

### Pharmacokinetics

**No published human pharmacokinetic studies exist for 3-HO-PCE.** The Larabi et al. (2023 [Ref 1]) study identified metabolites but explicitly stated no pharmacokinetic conclusions could be drawn.

**Metabolism (Larabi et al. 2023 [Ref 1]):**
- 15 putative metabolites identified (5 with 2–4 additional isomers, giving 23 detected features)
- **Phase I (12 metabolites):** N-dealkylation (→3-HO-PCA/M4 and M10), deamination (M2a/M2b, M5), and hydroxylation (M3, M6, M9, M11, M12)
- **Phase II (3 metabolites):** O-glucuronidation on phenyl ring or cyclohexane group
- Metabolism closely resembles O-PCE (deschloroketamine), another eticyclidine-family compound
- Overlapping metabolites at m/z 172.08881, 174.10447, and 191.09938 with O-PCE suggest analogous enzymatic pathways

**Detection biomarkers (Larabi et al. 2023 [Ref 1]):**
- Urine (untargeted, eticyclidine family): M2a/M2b at m/z 174.10447
- Hair (untargeted, eticyclidine family): 3-HO-PCA (hydroxy-PCA) at m/z 191.09938
- Urine (targeted, 3-HO-PCE specific): M10 at m/z 241.13141
- Hair (targeted, long-term monitoring): M5 at m/z 192.11503

**CYP enzymes:** Not identified in the Larabi 2023 study. By analogy to ketamine (the most studied arylcyclohexylamine): CYP3A4 and CYP2B6 are the primary enzymes involved in N-dealkylation (Peltoniemi et al. 2016 [Ref 12]; Mössner et al. 2011). CYP2B6 inhibitors (e.g., ticlopidine) and CYP3A inhibitors (e.g., itraconazole) significantly affect ketamine exposure and should be considered interactions (Peltoniemi et al. 2011).

**Comparative data from 3-HO-PCP (direct pharmacological analog, Davidsen et al. 2020 [Ref 21]):**
- Plasma protein binding: unbound fraction 0.72 ± 0.09 (relatively high free fraction)
- Four metabolites in hepatocytes: piperidine-hydroxyl, N-dealkyl-COOH, O-glucuronide, O-sulfate conjugates
- Blood concentrations: 0.013 mg/kg (living user) vs. 0.095 mg/kg (deceased, postmortem)
- Brain concentration: 1.5-fold higher than postmortem peripheral blood (CNS penetration documented)

---

## History

### Parent Compound: Eticyclidine (PCE)

Eticyclidine (PCE, CI-400, N-ethyl-1-phenylcyclohexylamine) was developed by Parke-Davis in the 1970s and evaluated for anesthetic potential, but research was discontinued following the clinical development of ketamine, which had more favorable properties. PCE is slightly more potent than phencyclidine (PCP) but has an unpleasant taste and greater tendency to cause nausea, which reduced its appeal (web-retrieved, Wikipedia/Eticyclidine [Ref 15]).

PCE was placed in Schedule I of the US Controlled Substances Act in the 1970s and is listed in Schedule I of the United Nations 1971 Convention on Psychotropic Substances.

### 3-HO-PCP: Structural Precursor

3-Hydroxyphencyclidine (3-HO-PCP) was synthesized in 1978 to investigate the structure-activity relationships of phencyclidine derivatives (Ameline et al. 2023 [Ref 20]). This work established that a hydroxyl group at the 3-position of the phenyl ring confers opioid receptor activity not present in the parent compound.

### 3-HO-PCE: Research Chemical Market Emergence

3-HO-PCE has no precedent in the scientific literature prior to its appearance on the research chemical market. Based on available documentation, 3-HO-PCE emerged on research chemical markets during the 2010s (web-retrieved, history sources). No academic, patent, or regulatory literature identified the compound prior to market emergence.

The first published scientific study on 3-HO-PCE is Larabi et al. (2023 [Ref 1]) in the journal *Metabolites*, which characterized its metabolism and noted that "little is known about its pharmacological properties, metabolism, and toxicity compared to other designer ketamine analogs" at the time of publication.

The compound was designed as an analog of 3-HO-PCP, preserving the 3-hydroxy phenyl group while substituting the N-piperidyl moiety of PCP with the N-ethyl group of PCE (eticyclidine).

---

## Subjective Effects

No controlled human studies of 3-HO-PCE's subjective effects exist. The Larabi et al. (2023 [Ref 1]) study characterizes the compound as producing "dissociative, hallucinogenic, and euphoric effects when consumed," based on reports from drug users whose biological samples were analyzed.

The seed effect profile (40 effects, all lacking intensity/frequency values) is derived from community consensus. PsychonautWiki (web-retrieved [Ref 14]) notes the compound should not be confused with 3-HO-PCP, and includes a warning that "redosing may result in dangerous cumulative effects."

**By structural analogy to the arylcyclohexylamine class:**
- Dissociation (cognitive and sensory disconnection from surroundings)
- Analgesia (from opioid component)
- Sedation at moderate-to-high doses
- Perceptual distortions (visual, auditory)
- Amnesia at higher doses
- Euphoria (potentially enhanced by opioid component relative to ketamine)

**Duration (community consensus only [Ref 14]):** 4–6 hours total (oral route). No breakdown of onset/peak/offset from published sources.

---

## Safety & Toxicity

### Toxic Dose and LD50

**No LD50 data exists for 3-HO-PCE.** The toxic dose in humans is unknown (brief seed data confirmed). This is a safety-critical gap.

### Clinical Toxicity: 3-HO-PCP Case Reports (by Analogy)

**Non-fatal toxicity (Dunlop et al. 2020 [Ref 19]):** An analytically confirmed case of 3-HO-PCP acute toxicity in a 56-year-old male who presented to the emergency department with:
- Hyperthermia (39.9°C)
- Sinus tachycardia (150 beats per minute)
- Reduced consciousness
- Ocular clonus
- Vertical nystagmus
- Co-ingestion of cathinone N-ethylhexedrone contributed sympathomimetic and serotonergic features

Treatment: cooled intravenous fluids and benzodiazepines. Patient discharged after 25 hours with full recovery.

**Fatal intoxication (Ameline et al. 2023 [Ref 20]):** A 38-year-old male with known drug addiction was found dead at home with 3-OH-PCP and 5-MeO-DMT powders. Peripheral blood 3-OH-PCP concentration: 524 ng/mL — the highest reported in the published literature at the time. Polydrug co-ingestion included nordiazepam, methylphenidate, amisulpride, methadone, and benzoylecgonine, all at concentrations consistent with recreational abuse. Cause of death: polydrug toxicity with 3-OH-PCP as primary dissociative agent.

**Reference blood concentrations from Davidsen et al. 2020 [Ref 21]:** 3-HO-PCP blood concentrations: 0.013 mg/kg in a living user and 0.095 mg/kg in a deceased individual (postmortem). Brain concentration was 1.5-fold higher than postmortem blood.

### Fatal Toxicity: 3-MeO-PCE Case Report (N-ethyl Analog)

**Gicquel et al. (2021 [Ref 4]):** A 42-year-old male polydrug user was found dead with powders of 2F-DCK, 3-MeO-PCE, and 5-MeO-DMT. Blood concentration of 3-MeO-PCE: 90 µg/L (peripheral), 66 µg/L (vitreous). Death attributed primarily to **respiratory depression** from 2F-DCK in the context of polydrug use. 3-MeO-PCE contributed to CNS and respiratory depression. Co-ingested drugs included cannabis, cocaine, and amphetamine; hair analysis showed months of NPS polydrug use.

This case establishes that N-ethyl arylcyclohexylamines (the same structural class as 3-HO-PCE) can contribute to fatal respiratory depression, especially in polydrug contexts.

### Class-Level Adverse Event Pattern

From 2-oxo-PCE (O-PCE/deschloroketamine) cluster cases (Tang et al. 2018 [Ref 8]):
- Impaired consciousness: 84%
- Confusion: 60%
- Abnormal behaviour: 44%
- Hypertension: 80%
- Tachycardia: 40%
- Convulsion: 16%

Rhabdomyolysis and acute kidney injury have been documented with arylcyclohexylamine derivatives (Deutsch et al. 2026 [Ref 7]).

### NMDA Antagonist-Induced Neurotoxicity

NMDA receptor antagonists including phencyclidine and ketamine produce a schizophrenia-like psychosis in humans and neurotoxicity in adult rat brain (Farber et al. 1996). This is a class-level safety concern for 3-HO-PCE. Antipsychotics (particularly clozapine-like agents) can prevent NMDA antagonist neurotoxicity.

### Critical Risk Factor: Dual Opioid + NMDA Mechanism

The combination of opioid receptor agonism and NMDA receptor antagonism in a single compound represents a qualitatively distinct and underappreciated risk profile. The opioid component (naloxone-reversible, as demonstrated for 3-HO-PCP) raises the concern of **respiratory depression** at doses where the NMDA component alone might not cause significant respiratory compromise. This risk is compounded by the absence of standard opioid immunoassay detection for novel arylcyclohexylamines.

**⚠️ Safety-critical flag:** The toxic dose range for 3-HO-PCE is completely unknown. All dose/safety data for this compound is either community-reported or inferred from structural analogs. The opioid component makes this compound potentially more dangerous than ketamine or PCE alone.

---

## Harm Reduction

### Testing and Identification

Standard immunoassay opioid panels do not detect arylcyclohexylamine opioids (Gicquel et al. 2021 [Ref 4]). Standard PCP immunoassays may not cross-react with 3-HO-PCE. High-resolution mass spectrometry (HRMS) is required for identification and quantification. The Larabi 2023 study (PMID 36984871) provides reference metabolite targets.

Hair analysis methods validated for phencyclidine-type substances (Li et al. 2023 [Ref 24]) can detect related arylcyclohexylamines with LOD 0.25–2 pg/mg.

### Harm Reduction Principles

The following are class-level harm reduction inferences (no 3-HO-PCE-specific guidance is published):
- **Avoid polydrug use**, particularly with other CNS depressants (opioids, benzodiazepines, alcohol, 2F-DCK and other ketamine analogs) — all fatal/severe cases involved polydrug contexts
- **Do not redose** — cumulative effects noted by community sources (PsychonautWiki [Ref 14])
- **Monitor respiratory rate** — opioid component adds respiratory depression risk not present with ketamine
- **Have naloxone available** — opioid agonist component is naloxone-reversible (Itzhak et al. 1981 [Ref 10])
- **Hyperthermia risk** — documented in 3-HO-PCP case; avoid hot environments and maintain hydration
- **Do not use alone** — no recovery possible if respiratory compromise occurs without witness

### Emergency Management

Based on class-level data and the 3-HO-PCP case (Dunlop et al. 2020 [Ref 19]):
- Supportive care is first-line
- Benzodiazepines for agitation/seizures
- Cooling measures for hyperthermia
- **Consider naloxone** given the documented mu-opioid agonist activity of the 3-hydroxy class (naloxone reversed effects in Itzhak 1981 [Ref 10])
- Standard NMDA antagonist immunoassays will not confirm exposure; HRMS required

---

## Tolerance & Dependence

**No published tolerance or dependence data exists for 3-HO-PCE specifically.**

The brief seed data (community consensus) characterizes:
- Physical dependence: moderate
- Psychological dependence: moderate
- Formation: "moderately addictive with a moderate potential for adverse side effects such as psychosis"
- Tolerance buildup: with prolonged and repeated use
- Tolerance half-life: approximately 5.5 days
- Full tolerance reset: approximately 1.5 weeks
- Cross-tolerance: with other dissociatives

These values are consistent with the class-level pattern for NMDA antagonists. The additional mu-opioid component of 3-HO-PCE (unlike ketamine) may confer higher physical dependence liability than pure NMDA antagonists, as mu-opioid receptor agonism is associated with physical dependence and withdrawal.

**⚠️ Flag:** Tolerance/dependence parameters in the database (5.5-day half-life, 1.5-week full reset) are not sourced from published pharmacokinetic data and represent community-derived estimates. The opioid component of 3-HO-PCE could make these figures inaccurate and potentially dangerous if users under-estimate dependence risk.

Dextromethorphan, which shares NMDA antagonism and sigma-1 agonism (without opioid activity) with this compound class, has been documented to produce dependence, psychosis, and withdrawal (Miller 2005).

---

## Interactions

**No published drug interaction data exists for 3-HO-PCE specifically.**

The following are class-level inferences and represent safety-critical information:

### High-Risk Interactions (opioid component)

- **CNS depressants (opioids, benzodiazepines, alcohol, barbiturates):** Additive/synergistic respiratory depression. Documented in all fatal cases involving 3-HO-PCP and 3-MeO-PCE. **This is the highest-risk interaction category** given the polydrug deaths documented.
- **Other opioid agonists (fentanyl, heroin, methadone):** Risk of fatal respiratory depression from additive opioid receptor engagement.
- **Other NMDA antagonists (ketamine, 2F-DCK, MXE, nitrous oxide):** Additive CNS depression and dissociation.
- **Tramadol:** Seizure risk (serotonin syndrome + lowered seizure threshold).

### CYP Enzyme Interactions (by ketamine class analogy)

By analogy to ketamine (Peltoniemi et al. 2016 [Ref 12]):
- **CYP2B6 inhibitors (ticlopidine):** May significantly increase exposure (2.4-fold increase documented with oral S-ketamine).
- **CYP3A4 inhibitors (itraconazole, ketoconazole):** May increase exposure.
- **CYP inducers (rifampicin):** May decrease exposure and duration.

**⚠️ Flag:** No 3-HO-PCE-specific interaction studies have been published. All interaction risk assessments are class-level inferences from ketamine and 3-HO-PCP data.

---

## Legal Status

### United States

**Eticyclidine (PCE)** — the direct parent compound — is a DEA Schedule I controlled substance. It is listed in 21 CFR § 1308.11 as N-Ethyl-1-phenylcyclohexylamine (PCE), under hallucinogenic substances.

**3-HO-PCE is not explicitly listed** in the DEA Controlled Substances Act schedules. However, under the **Federal Analogue Act (21 U.S.C. § 813)**, substances substantially similar in structure or pharmacology to Schedule I or II substances are treated as Schedule I for purposes of human consumption. Given that 3-HO-PCE is structurally and pharmacologically similar to both PCE (Schedule I) and PCP (Schedule I), prosecution as a controlled substance analogue is plausible.

The related compound 3-methoxyphencyclidine (3-MeO-PCP) was placed in Schedule I by DEA final order effective March 2026 (Federal Register, 2026-05618), demonstrating active scheduling of hydroxyphenyl/methoxyphenyl arylcyclohexylamine analogs.

### United Kingdom

The **Psychoactive Substances Act 2016** (PSA 2016) creates a blanket prohibition on the supply, production, and import/export of psychoactive substances in the UK, with exceptions only for specified exempt substances (alcohol, tobacco, caffeine, medicinal products). 3-HO-PCE, as a psychoactive substance not on any exempt list, is **prohibited under the PSA 2016.**

There is no indication that 3-HO-PCE is specifically listed under the Misuse of Drugs Act 1971, meaning it falls under the broader PSA 2016 framework rather than the MDA.

### Canada

**Phencyclidine (PCP)** is Schedule I under Canada's Controlled Drugs and Substances Act (CDSA). PCE (eticyclidine) is not identified in current CDSA schedules accessed. The status of 3-HO-PCE under the CDSA is not definitively established from available sources. Canada's CDSA does not contain a structural analogue provision equivalent to the US Federal Analogue Act, but Health Canada may provide status determinations on request.

### Australia

**Phencyclidine** is listed as a Schedule 9 prohibited substance in Australia's Standard for the Uniform Scheduling of Medicines and Poisons (SUSMP/Poisons Standard). 3-HO-PCE is not identified as specifically listed in the Poisons Standard from available search results. Status under state/territory drug laws varies.

### European Union

No EU-wide specific scheduling of 3-HO-PCE was identified. Individual member states may schedule under national NPS blanket-ban legislation (e.g., Germany's Neue-psychoaktive-Stoffe-Gesetz, NpSG). The EMCDDA/EUDA early warning system did not return specific alerts for 3-HO-PCE.

### International

**Eticyclidine (PCE)** is listed in Schedule I of the United Nations 1971 Convention on Psychotropic Substances. This creates scheduling obligations for all signatory nations for PCE; 3-HO-PCE as a derivative may be covered depending on national implementation of the Convention.

---

## Clinical Trials

No registered clinical trials involving 3-HO-PCE were identified in a search of ClinicalTrials.gov. This was expected given the compound's status as an unscheduled research chemical with no established medical application and no pre-clinical safety data.

---

## Community Feedback Analysis

No community feedback was submitted in Part A2 of the brief. No community feedback items to analyze.

---

## Gaps & Flags

### Safety-Critical Gaps

1. **⚠️ No published receptor binding (Ki/EC50) data for 3-HO-PCE.** The entire pharmacological profile (opioid agonism, NMDA antagonism, sigma activity) rests on structural analogy to 3-HO-PCP and class membership. Generation agent must label all receptor affinity data as inferred by analogy, not measured.

2. **⚠️ Toxic dose completely unknown.** No LD50, no minimum toxic dose, no human overdose concentration data specific to 3-HO-PCE. The database entry "toxic dosage unknown" is confirmed correct. Do not propose a toxic dose range.

3. **⚠️ Opioid component: naloxone relevance.** The mu-opioid agonist activity (inferred from 3-HO-PCP) has direct emergency management implications — naloxone may be indicated in overdose. This is not documented in any harm reduction guidance specific to 3-HO-PCE and must be framed carefully as inference.

4. **⚠️ No human pharmacokinetic data.** Half-life, bioavailability, Tmax, volume of distribution — all unknown for 3-HO-PCE. Database tolerance values (5.5-day half-life) are community-derived estimates without published pharmacokinetic basis.

### Chemical Identity Gaps

5. **InChIKey discrepancy:** PubChem API returns `MIKNPNLBFHVMKK-UHFFFAOYSA-N`; web vendor sources cite `LMRZSZMXPXJCQF-UHFFFAOYSA-N`. Editorial resolution needed before populating the InChIKey field. The PubChem API result is preferred.

6. **CAS number unresolved.** Vendor sources cite 2243815-20-3 and 79295-51-5; NMS Labs CFSRE monograph (2019) listed CAS as unavailable. These conflicting values should not be published without verification.

7. **SMILES string absent from PubChem API response.** Derived SMILES from IUPAC name: `CCNC1(c2cccc(O)c2)CCCCC1` — requires database verification.

### Data Reliance on Structural Analogy

8. **All pharmacology inferred from analogs.** The two primary reference points are 3-HO-PCP (N-piperidyl version, with published opioid Ki data) and 3-MeO-PCE (N-ethyl version with methoxy rather than hydroxy, with published NMDA data). Neither is identical to 3-HO-PCE.

9. **Dose/duration data from community consensus only.** The oral dose ranges (threshold 5 mg through heavy 25+ mg) and 4–6 hour duration are from PsychonautWiki community aggregation [Ref 14]. No controlled dosing study supports these figures. However, these match the seed data in the brief and no community feedback has contested them — propose with appropriate confidence framing.

10. **Tolerance/dependence parameters community-derived.** The 5.5-day half-life and 1.5-week full reset values in the database lack published pharmacokinetic support and may be inaccurate, particularly given the compound's opioid component.

### Legal Status Gaps

11. **Legal status in Canada and Australia is uncertain** for 3-HO-PCE specifically. The parent compounds (PCP, PCE) are scheduled, but 3-HO-PCE's coverage depends on jurisdiction-specific analog/derivative provisions.

### Other Gaps

12. **No published synthesis route for 3-HO-PCE.** Only market emergence data available.

13. **Stereochemistry:** The brief notes no stereochemistry data. The compound has a chiral center at C1 of the cyclohexane ring (same as PCP/PCE). Whether racemic mixtures or specific enantiomers are sold on the research chemical market, and whether enantiomers differ in pharmacological activity, is undocumented for 3-HO-PCE.

14. **Melting point, solubility, and physical properties:** Not found in published sources. The NMS Labs CFSRE monograph (December 2019) may contain analytical characterization data, but the PDF was not accessible in text form.