Skip to main content

6Node page

what any key link opens

psx:substance/doc/claim/32f5b6be-90f9-4d35-9a72-52b2b2ce955e

claim2026-07-18recordsupported

feeds · downstream

Closure of psx:substance/doc/claim/32f5b6be-90f9-4d35-9a72-52b2b2ce955e: 60 upstream, 48 downstream.

psx:substance/doc/claim/32f5b6be-90f9-4d35-9a72-52b2b2ce955e
├─ used  src/doi:10.1055/a-2794-6487  Cardiac Consequences Associated with Psychedelic Use: A Systematic Review of LSD, MDMA, and 5-HT2B-Mediated Valvular Heart Disease.
  ├─ informed_by  claim/71d31519-7261-4b12-a630-65ca0444d26d  Claim in safety — supported
  ├─ informed_by  claim/cfc4cc91-aabe-4f29-bc43-8ddc2ca3753f  Claim in safety — supported
  ├─ informed_by  claim/1db56354-789d-4b83-afbc-f91313c969f1  Claim in safety — supported
  ├─ informed_by  claim/9fef610c-f08e-4473-a7c9-56ae7a928c7c  Claim in safety — supported
  ├─ informed_by  claim/93cebf09-92c1-47c8-83fc-90907a9d9e7f  Claim in safety — supported
  ├─ informed_by  claim/c5a759a2-5718-4b0b-99f2-b22aed1d9766  Claim in safety — supported
  ├─ informed_by  claim/b36b0a32-8ee2-4ce6-b005-8bf2d5923889  Claim in safety — inconclusive  working
  ├─ informed_by  claim/9bf4bd28-b39b-4560-b879-6eec290261c6  Claim in safety — supported
  ├─ informed_by  claim/b3993c67-d17f-41c8-a8e4-cb99f610f92d  Claim in safety — partially_supported
  ├─ informed_by  claim/2316c35a-8830-46dd-92fe-e78fd5007e17  Claim in safety — supported
  ├─ informed_by  claim/950e9040-a06c-4f21-96b0-29bdc1fd9cf3  Claim in safety — supported
    ├─ used  src/url:94362063e5f26b60  PiHKAL: A Chemical Love Story (#64 DOC)
    ├─ used  src/doi:10.1139/v73-210  The Synthesis of Some Analogs of the Hallucinogen 1-(2,5-Dimethoxy-4-methylphenyl)-2-aminopropane (DOM).
    ├─ used  src/url:fb766f4e413b2d40  Critical Review Report: DOC (4-Chloro-2,5-dimethoxyamfetamine)
    ├─ used  src/url:4dd9532540a6e7b6  NCATS Inxight Drugs: DOC (2,5-dimethoxy-4-chloroamphetamine)
    ├─ used  src/doi:10.1038/s41467-023-44016-1  Identification of 5-HT2A receptor signaling pathways associated with psychedelic potential
    ├─ used  src/doi:10.1007/s00213-013-3303-6  Behavioral and neurochemical pharmacology of six psychoactive substituted phenethylamines: mouse locomotion, rat drug discrimination and in vitro receptor and transporter binding and function
    ├─ used  src/doi:10.1093/jat/bku087  A fatal intoxication of 2,5-dimethoxy-4-chloroamphetamine: a case report.
    ├─ used  src/doi:10.1007/s11419-022-00628-8  Difficulties interpreting concentrations in fatal cases: example of 2,5-dimethoxy-4-chloroamphetamine.
    ├─ used  src/doi:10.1016/j.toxac.2017.01.002  2,5-dimethoxy-4-chloroamphetamine, a LSD-like designer drug: Clinical and analytical documentation of non-fatal exposure in five patients.
    ├─ used  src/doi:10.1097/MEJ.0b013e3282fc765b
    ├─ used  src/doi:10.1021/acsptsci.4c00157  1-(2,5-Dimethoxy-4-iodophenyl)-2-aminopropane (DOI): From an Obscure to Pivotal Member of the DOX Family of Serotonergic Psychedelic Agents - A Review.
    ├─ used  src/doi:10.1007/7854_2016_466  Effect of Hallucinogens on Unconditioned Behavior.
    ├─ used  src/doi:10.1016/j.toxlet.2008.09.014  2,5-Dimethoxyamphetamine-derived designer drugs: studies on the identification of cytochrome P450 (CYP) isoenzymes involved in formation of their main metabolites and on their capability to inhibit CYP2D6.
    ├─ used  src/doi:10.1007/s11419-022-00638-6  Analysis of 2,5-dimethoxy-amphetamines and 2,5-dimethoxy-phenethylamines aiming their determination in biological matrices: a review.
    ├─ used  src/pmid:9933142  Comparisons of hallucinogenic phenylisopropylamine binding affinities at cloned human 5-HT2A, 5-HT2B and 5-HT2C receptors.
    ├─ used  src/doi:10.1371/journal.pone.0009019  Psychedelics and the human receptorome
    ├─ used  src/pmid:12761331  3,4-methylenedioxymethamphetamine (MDMA) induces fenfluramine-like proliferative actions on human cardiac valvular interstitial cells in vitro.
    ├─ used  src/doi:10.1007/s00204-018-2244-6  Opioid analgesic drugs and serotonin toxicity (syndrome): mechanisms, animal models, and links to clinical effects
    ├─ used  src/doi:10.1016/0893-133x(95)00145-4  Chronic administration of serotonergic antidepressants attenuates the subjective effects of LSD in humans.
    ├─ used  src/url:1039759a8d0d0498  Federal Register Proposed Rule: Placement of DOI and DOC in Schedule I
    ├─ used  src/doi:10.1007/s00204-020-02693-7
    ├─ used  src/url:1686980bed760e37  Federal Register Proposed Rule: Second NPRM for DOI and DOC Schedule I Placement
    ├─ used  src/doi:10.3390/ijms25010241
    ├─ used  src/doi:10.3389/fphar.2019.01423
    ├─ used  src/pmid:10432484
    ├─ used  src/pmid:7658446
    ├─ derived_from  gen/0556ab53-3608-44a4-85fa-a3c77ce24944  Generation — pipeline-v5
    ├─ generated_by  pub/1364171c-b17e-4a6a-addf-8a266b825890  Publication — backfill
      ├─ used  search/4e011bba-9d1d-4b45-8540-c7eba3051308  Searched PubChem for "4-chloro-2,5-dimethoxyamphetamine"
      ├─ used  search/5bf4fb2c-303a-4a8b-9f78-3afaf7e5a5c5  Searched PubMed for "DOC 2,5-dimethoxy-4-chloroamphetamine pharmacology serotonin"
      ├─ used  search/49416c1e-9277-4bf9-bc09-82d0d15ec9dc  Searched OpenAlex for "DOC 4-chloro-2,5-dimethoxyamphetamine psychedelic serotonin receptor"
      ├─ used  search/f186455f-7eaa-4b73-84c3-7623e3914332  Searched PubMed for "4-chloro-2,5-dimethoxyamphetamine toxicity case report adverse"
      ├─ used  search/8166a8e8-73b0-42c9-b259-653e344ef472  Searched OpenAlex for "DOB DOI DOM DOC serotonin 5-HT2A receptor binding hallucinogen pharmacology"
      ├─ used  search/87e735bc-0987-4321-b554-9aed32746122  Searched ClinicalTrials.gov for "DOC 4-chloro-2,5-dimethoxyamphetamine"
      ├─ used  search/df9ac70d-dbae-4bba-b504-76e866a43c5f  Searched PubMed for "DOI head twitch response 5-HT2A agonist behavioral pharmacology mouse rat"
      ├─ used  search/e8cd9e5f-99cc-42fb-9943-e7ae50884210  Searched WebSearch for "DOC 2,5-dimethoxy-4-chloroamphetamine legal status DEA schedule USA UK Germany"
      ├─ used  search/1055e372-5690-4169-b876-0d728c2f7126  Searched WebSearch/Erowid for "DOC 4-chloro-2,5-dimethoxyamphetamine synthesis 1973 Shulgin PIHKAL history discovery"
      ├─ used  search/acf61695-c082-4a46-81bb-33a71848806c  Searched PiHKAL/Erowid for "DOC PiHKAL entry #64 Shulgin dose duration effects"
      ├─ used  search/30d0b1db-f760-4b0b-80e0-01f92c21ecf0  Searched NCATS Inxight Drugs for "DOC binding affinity Ki 5-HT2A 5-HT2C"
      ├─ used  search/ac64096a-a8f6-4a50-85eb-86ae3c68ba12  Searched ECDD Repository for "DOC ECDD WHO recommendation legal status pharmacology"
      ├─ used  search/73ecfdfe-672b-44d9-88ff-625943449f8c  Searched DEA Federal Register for "DEA DOC DOI Schedule I final rule 2023 2024"
      ├─ used  search/2da4e6eb-5135-4a47-a5d2-c25b6444bb77  Searched CrossRef/DOI verification for "10.1139/v73-210 Coutts Malicky 1973 DOC synthesis"
      ├─ used  search/cba52e65-eca8-4000-b9b2-a0745d13c2ad  Searched PubMed for "1-(2,5-Dimethoxy-4-iodophenyl)-2-aminopropane DOX family serotonergic review 2024 Glennon Dukat"
      ├─ used  search/db9b8b2c-0b6f-4145-8731-f5839160adea  Searched PubMed for "tramadol serotonin toxicity mechanism"
      ├─ used  search/12f97d8d-7ee8-40d4-845b-36647cbc81c0  Searched WebSearch for "DOC 2,5-dimethoxy-4-chloroamphetamine SMILES synthesis Coutts Malicky 1973 original paper"
      ├─ used  search/27bd29a2-ca76-4023-a7e2-a029580a3473  Searched WebFetch/NCATS Inxight for "DOC Ki binding affinity receptor pharmacology"
      ├─ used  search/8ce33ec2-a15e-466f-9ab0-f5b67e90ca3a  Searched WebSearch for "DOC 2,5-dimethoxy-4-chloroamphetamine not releasing agent SERT monoamine transport pharmacology"
      └─ used  search/3d19d48a-c3e4-4251-9a63-abcdff79a442  Searched PubMed for "5-HT2B cardiac valvulopathy psychedelic hallucinogen"
├─ informed_by  section/safety.full@1
  ├─ used  version/1  Revision 1
    ├─ derived_from  issue/notice@77dd343fe862  Issued notice
    ├─ derived_from  issue/info_card@30ae0ce2032c  Issued info_card
    ├─ derived_from  issue/emergency@3f0909c25c71  Issued emergency
    ├─ derived_from  issue/info_card@07a6f4f6bd3b  Issued info_card
    ├─ derived_from  issue/emergency@c15c760aabf6  Issued emergency
      ├─ used  claim/816145f1-5015-4398-a3ef-ff2dfa3e7ff7  Claim in summary — inconclusive  working
      ├─ used  claim/ea4b4008-e06a-476b-b8a2-3780870864a7  Claim in history — inconclusive  working
      ├─ used  claim/02f39265-7705-4a4e-856e-6f58358161e1  Claim in summary — partially_supported
      ├─ used  claim/484adbd6-777c-4cfa-b4bb-1649d9e7169a  Claim in summary — supported
      ├─ used  claim/2d96bd4f-d369-4b1c-861e-858fc7189a77  Claim in pharmacology — supported
      ├─ used  claim/9d2eb3bc-aeb0-4968-aa4d-78448b3e7999  Claim in pharmacology — supported
      ├─ used  claim/53b8d326-042a-4ad6-9c4e-e72e10613d52  Claim in receptor-pharmacology — supported
      ├─ used  claim/9529ad09-9d1a-407f-9c5d-55307f2b0a0b  Claim in summary — supported
      ├─ used  claim/139c4643-88c9-4387-b62a-47c84d9538b1  Claim in pharmacology — supported
      ├─ used  claim/258c29a8-66bc-4626-8176-1b82088d3e77  Claim in summary — partially_supported
      ├─ used  claim/c1568120-699e-4b86-a7f1-be8e4b0a6aa1  Claim in history — supported
      ├─ used  claim/5e8c84ea-6108-41c9-becc-a0154bc704f6  Claim in clinical-evidence — supported
      ├─ used  claim/280acb14-c717-4517-b696-435ec61c2887  Claim in pharmacokinetic-detail — inconclusive  working
      ├─ used  claim/fd2d4266-27ac-4e9c-8a52-1e792955f398  Claim in clinical-evidence — supported
      ├─ used  claim/113101ba-bb2f-4fdc-812f-265d66defca8  Claim in summary — partially_supported
      ├─ used  claim/8c6f0c74-96be-47da-b925-ba967b3980ec  Claim in pharmacokinetic-detail — supported
      ├─ used  claim/392ba50f-4df0-49ed-b7b2-6dcc7dc7e72f  Claim in clinical-evidence — supported
      ├─ used  claim/36455efd-154d-43ef-965d-082885c835c5  Claim in clinical-evidence — supported
      ├─ used  claim/460abf0c-27b0-4933-b676-9bead30c59a4  Claim in pharmacokinetic-detail — supported
      ├─ used  claim/6952cc4c-66f6-495e-bbc7-266312878fbb  Claim in clinical-evidence — supported
      ├─ used  claim/640858c7-fb26-412f-9c81-99068988730a  Claim in history — supported
      ├─ used  claim/2f8011c5-2a12-4d87-9698-9fbc1ea1f123  Claim in pharmacokinetic-detail — supported
      ├─ used  claim/d6c33652-7b4c-419c-96e6-e3982d793f96  Claim in clinical-evidence — supported
      ├─ used  claim/ae88a7e6-e5c6-4de6-a910-78b100ccb0ed  Claim in comparative-pharmacology — partially_supported
      ├─ used  claim/86f4e6db-7364-4112-8c24-04ea5b06f77b  Claim in history — supported
      ├─ used  claim/eeb14285-eceb-4173-8b8b-d618339d2f4e  Claim in clinical-evidence — supported
      ├─ used  claim/c2d7616f-5592-4da6-9637-3c78904c5c62  Claim in clinical-evidence — supported
      ├─ used  claim/f1646bc3-36fe-4a2b-9de8-de8330df9ab6  Claim in history — supported
      ├─ used  claim/af5277a4-0545-4201-a530-bffb525cf06c  Claim in chemistry — supported
      ├─ used  claim/23d8ec1f-94c1-44a6-a011-b217fa2a536f  Claim in chemistry — inconclusive  working
      ├─ used  claim/35b54100-e4f0-468a-841e-7b1d5644cba1  Claim in comparative-pharmacology — supported
      ├─ used  claim/989fb9aa-1c0f-4ef8-84d5-0457e2193aae  Claim in pharmacology — supported
      ├─ used  claim/d8443035-982c-4566-8b4c-433aee52f329  Claim in neuroscience — supported
      ├─ used  claim/7a53fd3c-c6eb-417d-9369-1cecfa99c76f  Claim in pharmacology — supported
      ├─ used  claim/3ab0ddfc-f5f8-49f2-a728-d1d4fa4da40b  Claim in pharmacology — supported
      ├─ used  claim/a74783ee-7687-4cb3-b81f-22a90bffddf1  Claim in pharmacokinetic-detail — supported
      ├─ used  claim/602d2ef8-f094-46bb-ac91-681547b880bd  Claim in pharmacokinetic-detail — supported
      ├─ used  claim/d9330e63-f6d1-4d2b-82a6-2faba0e8a3f3  Claim in pharmacology — inconclusive  working
      ├─ used  claim/d6f546da-efcf-44d5-aef6-f2f072f36850  Claim in pharmacokinetic-detail — supported
      ├─ used  claim/79a81d92-76be-4733-80d9-f6d01708cffd  Claim in receptor-pharmacology — supported
      └─ used  claim/1880bf58-0ae8-4fd3-940b-508581d75caa  Claim in receptor-pharmacology — supported
… closure truncated at 200 nodes

indented by distance from this node, not by parentage

1Provenance card

the boundary, as counts

Sources

2215 with DOI

1 strong · 12 moderate · 9 weak

Compilations

12026-04-24T15:11:00.464Z

pipeline-v5 · prompt hash not recorded — run predates 2026-09

Decisions

31last ruled 2026-06-04

0 awaiting a ruling

Issued documents

52026-10-19T20:31:39.224Z

notice · info card · emergency

Searches

201 with no results

queries and counts on the build

Claims checked

5347 supported

47 supported · 6 not

Correspondence

0received

consent field ships in Phase 4

Edges

199

derivations recorded for this entity

Complete over 22 sources, 1 compilation, and 31 decisions.Not here: the private journal (never).Working material — drafts, discards, unsupported claims — is listed below and readable on the working page.Cite: psychedex.org/substances/doc/archive

2Build

one panel per compilation run

generation run 2026-04-24

29,966 min completedmodel pipeline-v5plan not recordedrun/16783ebd…

Selection

results seen71
selected by the model34
consumed as sources22

Verification

claims checked53
supported42
partially supported5
not supported0
inconclusive6
  • record
  • seen / partial
  • working

The model's own caveats

none raised on this run

Reproduce

inputs
22 source keys (listed under Sources)
plan
not recorded — template version, prompt hash and git SHA are written from 2026-09 onward
model
pipeline-v5
streams
none — agent transcripts are persisted from 2026-09 onward
20 searches — query, source, results, what was kept and why
20 searches for this run
#sourcequeryseenkeptrationale
1OpenAlexDOC 4-chloro-2,5-dimethoxyamphetamine psychedelic serotonin receptor33WHO report is authoritative summary; analytical review covers detection methods; molecular review covers pharmacology context
2PubChem4-chloro-2,5-dimethoxyamphetamine11Confirmed chemical identity data for DOC
3PubMedDOC 2,5-dimethoxy-4-chloroamphetamine pharmacology serotonin33All directly relevant to DOC pharmacology, toxicology, and metabolism
4OpenAlexDOB DOI DOM DOC serotonin 5-HT2A receptor binding hallucinogen pharmacology74Ray provides broad receptor profile; Nelson provides DOC-specific binding affinities; Luethi contextualizes DOC as designer drug; Halberstadt covers animal pharmacology models
5ClinicalTrials.gov · absenceDOC 4-chloro-2,5-dimethoxyamphetamine0—Confirms no registered clinical trials involving DOC
6PubMedDOI head twitch response 5-HT2A agonist behavioral pharmacology mouse rat21HTR model directly relevant to DOx class animal pharmacology
7PubMed4-chloro-2,5-dimethoxyamphetamine toxicity case report adverse11Direct clinical case of DOC intoxication with toxicological confirmation
8WebSearch/ErowidDOC 4-chloro-2,5-dimethoxyamphetamine synthesis 1973 Shulgin PIHKAL history discovery102Historical context and primary dose/duration data
9CrossRef/DOI verification10.1139/v73-210 Coutts Malicky 1973 DOC synthesis11Verified original synthesis paper
10NCATS Inxight DrugsDOC binding affinity Ki 5-HT2A 5-HT2C11Specific binding affinity data not found in structured APIs
11DEA Federal RegisterDEA DOC DOI Schedule I final rule 2023 202453US regulatory history for DOC scheduling
12ECDD RepositoryDOC ECDD WHO recommendation legal status pharmacology12Official WHO scheduling recommendation and adverse effects summary
13PiHKAL/ErowidDOC PiHKAL entry #64 Shulgin dose duration effects11Primary historical self-experimental source for DOC effects and dosing
14PubMed1-(2,5-Dimethoxy-4-iodophenyl)-2-aminopropane DOX family serotonergic review 2024 Glennon Dukat11Authoritative review of DOx class from leading expert group; covers DOC history and SAR
15PubMedtramadol serotonin toxicity mechanism11Mechanistic basis for dangerous DOC+tramadol interaction
16WebSearchDOC 2,5-dimethoxy-4-chloroamphetamine legal status DEA schedule USA UK Germany103Primary legal status data for major jurisdictions
17WebSearchDOC 2,5-dimethoxy-4-chloroamphetamine SMILES synthesis Coutts Malicky 1973 original paper101Primary historical source for DOC synthesis history
18WebFetch/NCATS InxightDOC Ki binding affinity receptor pharmacology12Only source with specific Ki values for DOC at primary targets
19PubMed5-HT2B cardiac valvulopathy psychedelic hallucinogen225-HT2B cardiac valvulopathy risk context for DOC
20WebSearchDOC 2,5-dimethoxy-4-chloroamphetamine not releasing agent SERT monoamine transport pharmacology101Confirms critical seed data error: monoamine releasing agent classification is incorrect for DOC
53 claims by section — every cited sentence, checked against its source
safety12 · 11 ok
  • Barnett et al. (2014) reported a 37-year-old male found deceased with DOC in iliac blood at 377 ng/mL and no other psychoactive drugs except caffeinesupported

    37-year-old male. DOC concentrations: 377 ng/mL iliac blood, 3193 ng/mL urine, 3143 ng/g liver, 683 ng/g brain. Only caffeine co-detected. bku087

  • Lelievre et al. (2022) reported a young woman presenting with vomiting, convulsions, and cardiorespiratory arrestsupported

    Case of young woman admitted to hospital with vomiting, convulsions and cardiorespiratory arrest following DOC use. s11419-022-00628-8

  • Interpretation of postmortem DOC concentrations is limited by redistribution artifacts.supported

    Discusses challenges interpreting postmortem DOC concentrations. s11419-022-00628-8

  • DOC has high affinity at serotonin₂B receptors, inferred from a strong positive correlation (r > 0.9) between 5-HT₂A and 5-HT₂B binding affinities across the chemical/dox class. 5-HT₂B receptor agonism is the established mechanism of drug-induced cardiac valvulopathy, demonstrated with fenfluramine and mdmasupported

    Binding affinities of 17 phenylisopropylamine hallucinogens at cloned human 5-HT2A, 5-HT2B, and 5-HT2C receptors. Correlation r>0.9 between all three subtypes. DOC included. pmid:9933142

  • DOC has high affinity at serotonin₂B receptors, inferred from a strong positive correlation (r > 0.9) between 5-HT₂A and 5-HT₂B binding affinities across the chemical/dox class. 5-HT₂B receptor agonism is the established mechanism of drug-induced cardiac valvulopathy, demonstrated with fenfluramine and mdmasupported

    MDMA and MDA activate 5-HT2B receptors and induce mitogenic responses in valvular interstitial cells. pmid:12761331

  • DOC has high affinity at serotonin₂B receptors, inferred from a strong positive correlation (r > 0.9) between 5-HT₂A and 5-HT₂B binding affinities across the chemical/dox class. 5-HT₂B receptor agonism is the established mechanism of drug-induced cardiac valvulopathy, demonstrated with fenfluramine and mdmasupported

    Systematic review: LSD and MDMA activate 5-HT2B receptors with fibrotic signaling in valvular interstitial cells. DOx compounds have high 5-HT2B affinity per Nelson 1999. a-2794-6487

  • Prolonged psychedelic states carry elevated risk of acute psychological distress, anxiety, and panic reactions, particularly in unprepared users or those who have unwittingly consumed DOC believing it to be lsdsupported

    Patients believed they had ingested LSD. Severe symptoms documented. j.toxac.2017.01.002

  • Claim in safety — inconclusiveinconclusiveworking →

  • Rapid tachyphylaxis develops with repeated dosing of 5-HT₂A agonists, mechanistically linked to downregulation via beta-arrestin2 pathway activation. Cross-tolerance to other serotonergic psychedelics (LSD, psilocybin, mescaline, and other DOx compounds) is expected based on shared 5-HT₂A agonismsupported

    Beta-arrestin-biased ligands block psychedelic effects and induce receptor downregulation and tachyphylaxis. s41467-023-44016-1

  • Tramadol: tramadol inhibits serotonin-transporter and acts as a weak µ-opioid agonist and SNRIpartially supported

    Reviews tramadol as SERT inhibitor. Tramadol inhibits human SERT in HEK293 cells. s00204-018-2244-6

  • Bonson et al. (1996) demonstrated this attenuation with LSD in humanssupported

    Chronic SSRI administration attenuates subjective LSD effects, likely via 5-HT2A receptor downregulation. 0893-133x(95)00145-4

  • CYP2D6 substrates: DOC competitively inhibits cyp2d6 (Ki = 2.7–19.9 µM in human liver microsomes)supported

    DOC is a competitive CYP2D6 inhibitor (Ki 7.1-296 µM recombinant, 2.7-19.9 µM HLM). j.toxlet.2008.09.014

clinical-evidence8 · 8 ok
  • This represents the first published fatality attributed solely to DOC.supported

    First reported fatal case attributed to DOC alone. bku087

  • Plasma DOC concentrations were < 18 µg/L; urine concentrations ranged from 300 to 1,300 µg/L.supported

    Plasma concentrations below 18 μg/L; urine 300-1300 μg/L. j.toxac.2017.01.002

  • This case highlighted the challenges of interpreting postmortem DOC concentrations due to redistribution artifacts.supported

    Discusses challenges interpreting postmortem DOC concentrations. s11419-022-00628-8

  • The patient had believed they were consuming doi and MDMA.supported

    Patient reported to have ingested DOI + MDMA but actually ingested DOC + MDMA. mej.0b013e3282fc765b

  • All human data for DOC derive from self-experimental reports (Shulgin, N = 1), clinical intoxication cases, and postmortem analysessupported

    First case report of recreational use of 2,5-dimethoxy-4-chloroamphetamine confirmed by toxicological screening. mej.0b013e3282fc765b

  • All human data for DOC derive from self-experimental reports (Shulgin, N = 1), clinical intoxication cases, and postmortem analysessupported

    Five non-fatal DOC exposures (ages 18-23) in France. j.toxac.2017.01.002

  • All human data for DOC derive from self-experimental reports (Shulgin, N = 1), clinical intoxication cases, and postmortem analysessupported

    First reported fatal case attributed to DOC alone. 37-year-old male. DOC concentrations: 377 ng/mL iliac blood, 3193 ng/mL urine, 3143 ng/g liver, 683 ng/g brain. bku087

  • All human data for DOC derive from self-experimental reports (Shulgin, N = 1), clinical intoxication cases, and postmortem analysessupported

    Case of young woman admitted to hospital with vomiting, convulsions and cardiorespiratory arrest following DOC use. Second fatal case in published literature. s11419-022-00628-8

pharmacokinetic-detail7 · 6 ok
  • Abbara et al. (2017) reported plasma DOC concentrations of < 18 µg/L and urine concentrations of 300–1,300 µg/L in a five-patient non-fatal case seriessupported

    Five non-fatal DOC exposures (ages 18-23) in France. Plasma concentrations below 18 μg/L; urine 300-1300 μg/L. j.toxac.2017.01.002

  • cyp2d6 is the primary metabolizing enzyme for DOC, catalyzing O-demethylation at both the 2- and 5-methoxy positions to yield the two main metabolitessupported

    CYP2D6 identified as the sole isoenzyme involved in O-demethylation of DOC and related DOx compounds. j.toxlet.2008.09.014

  • DOC competitively inhibits CYP2D6 with Ki values of 2.7–19.9 µM in human liver microsomes and 7.1–296 µM using recombinant CYP2D6supported

    DOC is a competitive CYP2D6 inhibitor (Ki 7.1-296 µM recombinant, 2.7-19.9 µM HLM). j.toxlet.2008.09.014

  • Interpretation of these values is limited by postmortem redistribution.supported

    Discusses challenges interpreting postmortem DOC concentrations. s11419-022-00628-8

  • Claim in pharmacokinetic-detail — inconclusiveinconclusiveworking →

  • Identification requires specific GC-MS or LC-MS/MS screening panelssupported

    Identified via LC/UV, GC/MS, quantified via LC/MS/MS. j.toxac.2017.01.002

  • Nieddu et al. (2023) highlighted the need for updated validated analytical methods for chemical/dox and chemical/2c-x compounds in biological matrices.supported

    Review of analytical methods for quantification of 2,5-dimethoxy-amphetamines (DOx) and -phenethylamines (2C-x) in traditional and alternative biological matrices. s11419-022-00638-6

pharmacology7 · 6 ok
  • The psychedelic mechanism is mediated primarily through 5-HT₂A receptor Gq/11 signaling, which activates phospholipase C-β (PLC-β) and downstream inositol trisphosphate (IP₃) and diacylglycerol (DAG) cascadessupported

    5-HT2A-Gq (not beta-arrestin2) efficacy predicts psychedelic potential via head-twitch response magnitude in mice. s41467-023-44016-1

  • Wallach et al. (2023) demonstrated that 5-HT₂A-Gq efficacy — not beta-arrestin2 recruitment — is the key predictor of psychedelic potential as measured by head-twitch response (HTR) magnitude in micesupported

    5-HT2A-Gq (not beta-arrestin2) efficacy predicts psychedelic potential via head-twitch response magnitude in mice. s41467-023-44016-1

  • DOC produces the head-twitch response in rats and mice, consistent with its 5-HT₂A pharmacologysupported

    Review of head twitch response (HTR), prepulse inhibition, and exploratory behavior models for hallucinogens. Behavioral effects mediated primarily by 5-HT2A receptor activation. 7854_2016_466

  • Eshleman et al. (2014) directly assayed DOC at the serotonin-transporter (SERT), dopamine-transporter (DAT), and norepinephrine-transporter (NET), finding minimal to no activitysupported

    In vitro receptor binding and function data for 2C-C, 2C-D, 2C-E, 2C-I, 2C-T-2, and DOC. Includes transporter binding, mouse locomotion, and rat drug discrimination data. s00213-013-3303-6

  • Ewald and Maurer (2008) identified cyp2d6 as the primary — and potentially sole — cytochrome P450 isoenzyme responsible for DOC's O-demethylation at the 2- and 5-methoxy positionssupported

    CYP2D6 identified as the sole isoenzyme involved in O-demethylation of DOC and related DOx compounds. j.toxlet.2008.09.014

  • DOC also functions as a competitive, non-mechanism-based inhibitor of CYP2D6, with Ki values of 7.1–296 µM (recombinant CYP2D6) and 2.7–19.9 µM (human liver microsomes)supported

    DOC is a competitive CYP2D6 inhibitor (Ki 7.1-296 µM recombinant, 2.7-19.9 µM HLM). j.toxlet.2008.09.014

  • Claim in pharmacology — inconclusiveinconclusiveworking →

summary6 · 5 ok
  • Claim in summary — inconclusiveinconclusiveworking →

  • DOC binds 5-ht2a (Ki = 4.0 nM) and 5-ht2c (Ki = 3.54 nM) receptors with low-nanomolar affinity, acting as a partial-agonist that signals primarily through the Gq/11-phospholipase C pathwaypartially supported

    5-HT2A-Gq (not beta-arrestin2) efficacy predicts psychedelic potential via head-twitch response magnitude in mice. s41467-023-44016-1

  • It does not function as a monoamine releasing agentsupported

    In vitro receptor binding and function data for 2C-C, 2C-D, 2C-E, 2C-I, 2C-T-2, and DOC. Includes transporter binding, mouse locomotion, and rat drug discrimination data. s00213-013-3303-6

  • Two published fatalities exist in the literature, with severe intoxication presenting as a sympathomimetic toxidrome including seizures, hyperthermia, and rhabdomyolysispartially supported

    First reported fatal case attributed to DOC alone. 37-year-old male. DOC concentrations: 377 ng/mL iliac blood, 3193 ng/mL urine, 3143 ng/g liver, 683 ng/g brain. Only caffeine co-detected. bku087

  • Two published fatalities exist in the literature, with severe intoxication presenting as a sympathomimetic toxidrome including seizures, hyperthermia, and rhabdomyolysispartially supported

    Case of young woman admitted to hospital with vomiting, convulsions and cardiorespiratory arrest following DOC use. Second fatal case in published literature. s11419-022-00628-8

  • No dependence potential has been demonstrated. tolerance develops rapidly via 5-HT₂A downregulation mediated by beta-arrestin2 recruitment, with cross-tolerance expected across serotonergic psychedelicssupported

    Beta-arrestin-biased ligands block psychedelic effects and induce receptor downregulation and tachyphylaxis. s41467-023-44016-1

history5 · 4 ok
  • The first fatal case attributed solely to DOC was reported by Barnett et al. in 2014 in the United States.supported

    First reported fatal case attributed to DOC alone. bku087

  • Claim in history — inconclusiveinconclusiveworking →

  • The compound has been encountered in powdered, liquid, and blotter paper forms, and is frequently misrepresented as lsd when distributed on blotterssupported

    Five non-fatal DOC exposures (ages 18-23) in France. Patients believed they had ingested LSD. j.toxac.2017.01.002

  • The first published clinical case of recreational DOC use was reported by Ovaska et al. in 2008 in the United Kingdomsupported

    DOC covered under UK Misuse of Drugs Act 1971 as substituted amphetamine. mej.0b013e3282fc765b

  • Glennon and Dukat (2024) provided the most comprehensive recent review of the DOx class, situating DOC within the broader development of doi and other DOx agents as pharmacological probes for serotonergic receptor functionsupported

    Comprehensive historical and pharmacological review of the DOx class. DOI, DOC, DOB all first synthesized 1973. DOx compounds are 5-HT2 receptor agonists. SAR, receptor binding, behavioral pharmacology, and development as research tools reviewed. acsptsci.4c00157

receptor-pharmacology3 · 3 ok
  • Nelson et al. (1999) demonstrated a positive correlation (r > 0.9) between 5-HT₂A and serotonin₂B binding affinities across 17 phenylisopropylamine hallucinogenssupported

    Binding affinities of 17 phenylisopropylamine hallucinogens at cloned human 5-HT2A, 5-HT2B and 5-HT2C receptors. Correlation r>0.9 between all three subtypes. pmid:9933142

  • Ray (2010) reported NIMH Psychoactive Drug Screening Program (PDSP) data for DOC across 51 receptor and transporter sitessupported

    Receptor affinity pharmacology of 25 psychedelic drugs at 51 receptors, transporters, and ion channels (NIMH-PDSP). Phenylalkylamines interact with 42 of 49 sites tested. journal.pone.0009019

  • Wallach et al. (2023) established that 5-HT₂A-Gq efficacy, rather than beta-arrestin2 recruitment, predicts psychedelic potential as assessed by HTR magnitudesupported

    5-HT2A-Gq (not beta-arrestin2) efficacy predicts psychedelic potential via head-twitch response magnitude in mice. s41467-023-44016-1

chemistry2 · 1 ok
  • The 2,5-dimethoxy pattern on the phenyl ring is the defining structural feature shared across the DOx series (including dom, doi, and dob) and is critical for high-affinity 5-ht2a bindingsupported

    Comprehensive historical and pharmacological review of the DOx class. DOI, DOC, DOB all first synthesized 1973. SAR, receptor binding, behavioral pharmacology, and development as research tools reviewed. acsptsci.4c00157

  • Claim in chemistry — inconclusiveinconclusiveworking →

comparative-pharmacology2 · 2 ok
  • The 4-position substituent modulates potency, selectivity, and metabolic stability across the series.supported

    Comprehensive historical and pharmacological review of the DOx class. DOI, DOC, DOB all first synthesized 1973. SAR, receptor binding, behavioral pharmacology, and development as research tools reviewed. acsptsci.4c00157

  • The misrepresentation of DOC as LSD on blotter paper is clinically significant because DOC's longer duration (12–24 h vs LSD's 8–12 h), different dose sensitivity, and more pronounced sympathomimetic effects create unexpected risk for users anticipating an LSD experience.partially supported

    Five non-fatal DOC exposures (ages 18-23) in France. Patients believed they had ingested LSD. Severe symptoms documented. j.toxac.2017.01.002

neuroscience1 · 1 ok
  • DOC's low-nanomolar 5-HT₂A affinity and robust head-twitch response production in rodents confirm engagement of the 5-HT₂A pathway that, in other psychedelics, drives default-mode-network (DMN) dissolution, increased global functional connectivity, and elevated neural entropysupported

    Review of head twitch response (HTR), prepulse inhibition, and exploratory behavior models for hallucinogens. Behavioral effects mediated primarily by 5-HT2A receptor activation. 7854_2016_466

3Sources

22 consumed · sorted by year · feeds = sections resting on it

Sources
yearsourcetierstatusfeeds
2026Cardiac Consequences Associated with Psychedelic Use: A Systematic Review of LSD, MDMA, and 5-HT2B-Mediated Valvular Heart Disease.Xu T, Wong S, Le GH, Dri CE, Teopiz KM, Lu A, Lee S, Rhee TG, Yin L, Bargiota S, Ho R, McIntyre RS · Pharmacopsychiatrydoi:10.1055/a-2794-6487strongconsumed1 section
20241-(2,5-Dimethoxy-4-iodophenyl)-2-aminopropane (DOI): From an Obscure to Pivotal Member of the DOX Family of Serotonergic Psychedelic Agents - A Review.Glennon RA, Dukat M · ACS Pharmacology & Translational Sciencedoi:10.1021/acsptsci.4c00157moderateconsumed3 sections
2024NCATS Inxight Drugs: DOC (2,5-dimethoxy-4-chloroamphetamine)NCATSurl:4dd9532540a6e7b6weakconsumedcited only
2023Analysis of 2,5-dimethoxy-amphetamines and 2,5-dimethoxy-phenethylamines aiming their determination in biological matrices: a review.Nieddu M, Baralla E, Sodano F, Boatto G · Forensic Toxicologydoi:10.1007/s11419-022-00638-6moderateconsumed2 sections
2023Federal Register Proposed Rule: Second NPRM for DOI and DOC Schedule I PlacementDEAurl:1686980bed760e37weakconsumedcited only
2023Identification of 5-HT2A receptor signaling pathways associated with psychedelic potentialWallach J, Cao AB, Calkins MM, Heim AJ, Lanham JK, et al. · Nature Communicationsdoi:10.1038/s41467-023-44016-1moderateconsumed4 sections
2022Difficulties interpreting concentrations in fatal cases: example of 2,5-dimethoxy-4-chloroamphetamine.Lelievre B, Dupont V, Buchaillet C, Jousset N, Deguigne M, Cirimele V · Forensic Toxicologydoi:10.1007/s11419-022-00628-8weakconsumed4 sections
2022Federal Register Proposed Rule: Placement of DOI and DOC in Schedule IDEAurl:1039759a8d0d0498weakconsumedcited only
2019Critical Review Report: DOC (4-Chloro-2,5-dimethoxyamfetamine)Brandt SD · WHO Expert Committee on Drug Dependence (ECDD), 42nd meetingurl:fb766f4e413b2d40weakconsumedcited only
2018Effect of Hallucinogens on Unconditioned Behavior.Halberstadt AL, Geyer MA · Current Topics in Behavioral Neurosciencesdoi:10.1007/7854_2016_466moderateconsumed2 sections
2018Opioid analgesic drugs and serotonin toxicity (syndrome): mechanisms, animal models, and links to clinical effectsBaldo BA · Archives of Toxicologydoi:10.1007/s00204-018-2244-6moderateconsumed1 section
20172,5-dimethoxy-4-chloroamphetamine, a LSD-like designer drug: Clinical and analytical documentation of non-fatal exposure in five patients.Abbara C, Ferec S, Leroux G, Bretaudeau-Deguigne M, Lelievre B, Boels D, Turcant A · Toxicologie Analytique et Cliniquedoi:10.1016/j.toxac.2017.01.002weakconsumed5 sections
2014A fatal intoxication of 2,5-dimethoxy-4-chloroamphetamine: a case report.Barnett RY, Baker DD, Kelly NE, McGuire CE, Fassette TC, Gorniak JM · Journal of Analytical Toxicologydoi:10.1093/jat/bku087weakconsumed5 sections
2014Behavioral and neurochemical pharmacology of six psychoactive substituted phenethylamines: mouse locomotion, rat drug discrimination and in vitro receptor and transporter binding and functionEshleman AJ, Forster MJ, Wolfrum KM, Johnson RA, Janowsky A, Gatch MB · Psychopharmacologydoi:10.1007/s00213-013-3303-6moderateconsumed2 sections
2010Psychedelics and the human receptoromeRay TS · PLoS ONEdoi:10.1371/journal.pone.0009019moderateconsumed1 section
20082,5-Dimethoxyamphetamine-derived designer drugs: studies on the identification of cytochrome P450 (CYP) isoenzymes involved in formation of their main metabolites and on their capability to inhibit CYP2D6.Ewald AH, Maurer HH · Toxicology Lettersdoi:10.1016/j.toxlet.2008.09.014moderateconsumed3 sections
2008First case report of recreational use of 2,5-dimethoxy-4-chloroamphetamine confirmed by toxicological screening.Ovaska H, Viljoen A, Puchnarewicz M, Button J, Ramsey J, Holt DW, Dargan PI, Wood DM · European Journal of Emergency Medicinedoi:10.1097/mej.0b013e3282fc765bweakconsumedcited only
20033,4-methylenedioxymethamphetamine (MDMA) induces fenfluramine-like proliferative actions on human cardiac valvular interstitial cells in vitro.Setola V, Hufeisen SJ, Grande-Allen KJ, Vesely I, Glennon RA, Blough B, Rothman RB, Roth BL · Molecular Pharmacologypmid:12761331moderateconsumed1 section
1999Comparisons of hallucinogenic phenylisopropylamine binding affinities at cloned human 5-HT2A, 5-HT2B and 5-HT2C receptors.Nelson DL, Lucaites VL, Wainscott DB, Glennon RA · Naunyn-Schmiedeberg's Archives of Pharmacologypmid:9933142moderateconsumed2 sections
1996Chronic administration of serotonergic antidepressants attenuates the subjective effects of LSD in humans.Bonson KR, Buckholtz JW, Murphy DL · Neuropsychopharmacologydoi:10.1016/0893-133x(95)00145-4moderateconsumed1 section
1991PiHKAL: A Chemical Love Story (#64 DOC)Shulgin AT, Shulgin Aurl:94362063e5f26b60weakconsumedcited only
1973The Synthesis of Some Analogs of the Hallucinogen 1-(2,5-Dimethoxy-4-methylphenyl)-2-aminopropane (DOM).Coutts RT, Malicky JL · Canadian Journal of Chemistrydoi:10.1139/v73-210moderateconsumed2 sections
—Searched ClinicalTrials.gov for "DOC 4-chloro-2,5-dimethoxyamphetamine" — no resultsabsenceno results—

4Docket

one filing per activity — decisions, correspondence, reports

  1. 0012026-04-24revisionRevision 1

    Initial LLM generation (v5 pipeline, wiki)

    psx:substance/doc/version/1
  2. 0022026-06-04proposal29 value proposals approved together

    one review action inferred from a shared reviewer and instant — the graph records one activity per proposal

    29 items in this filing

    • dose_tier · light
    • dose_tier · common
    • dose_tier · strong
    • dose_tier · heavy
    • timeline · oral · onset
    • timeline · oral · come_up
    • timeline · oral · peak
    • timeline · oral · plateau
    • timeline · oral · resolution
    • timeline · oral · afterglow
    • toxicity
    • dependence · full
    • withdrawal
    • tolerance
    • dosage · oral
    • duration · oral · onset
    • duration · oral · come_up
    • duration · oral · peak
    • duration · oral · offset
    • duration · oral · total
    • duration · oral · aftereffects
    • contraindication · psychiatric
    • contraindication · psychiatric
    • contraindication · cardiovascular
    • contraindication · neurological
    • contraindication · pregnancy_breastfeeding
    • contraindication · other
    • contraindication · other
    psx:substance/doc/proposal/dose_tier/b86ff5eb-c8c3-458a-a395-ab0744cfdccc
  3. 0032026-06-04publicationPublication — backfill

5Issued documents

what the notice, info card and emergency page said, by hash

Issued documents
documentcontent hashissuedfrom versionsuperseded
emergencyc15c760aabf6f0fcf5b6fc6b…2026-10-19 20:31Revision 1current
info_card07a6f4f6bd3bebb51e4fffd4…2026-10-19 20:31Revision 1current
emergency3f0909c25c714d225b4bb3e3…2026-09-04 04:29Revision 1superseded2026-10-19
info_card30ae0ce2032c95b160f875fe…2026-09-04 04:29Revision 1superseded2026-10-19
notice77dd343fe8623e9da9c6bf57…2026-09-04 04:29Revision 1current