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Sources
16
1 strong · 9 moderate · 6 weak

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

Claims checked
69
36verified6partial27inconclusive

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

Generated
May 3, 2026 · pipeline-v5
Values approved
160/162 (99%)

Data points an editor reviewed and accepted for publication.

01

Value Provenance

Dosing

oraltrace

FieldPublishedAI ProposedConfidence
Threshold30 mg30 mgmedium
Low30–70 mg30–70 mgmedium
Common70–100 mg70–100 mgmedium
Strong100–150 mg100–150 mgmedium
Heavy150+ mg150+ mgmedium
Editorial

Dose ranges consistent across PsychonautWiki community data and ACMD review (typical dose 70–100 mg). No controlled dose-finding study exists. Values are existing database entries originally sourced from community-curated pharmacological data.

Reasoning

Dose ranges consistent across PsychonautWiki community data and ACMD review (typical dose 70–100 mg). No controlled dose-finding study exists. Values are existing database entries originally sourced from community-curated pharmacological data.

Evidence basis: community_consensus_large

Duration

oral

FieldPublishedAI ProposedConfidence
Onsettrace10–30 minutes10–30 minutesmedium
Editorial

Onset 10–30 minutes oral consistent with PsychonautWiki and ACMD data. No controlled PK study exists.

Reasoning

Onset 10–30 minutes oral consistent with PsychonautWiki and ACMD data. No controlled PK study exists.

Evidence basis: community_consensus_large

Come uptrace20–45 minutes20–45 minutesmedium
Editorial

Come-up duration inferred from community reports and total duration data. Consistent with oral absorption kinetics for a small-molecule amine.

Reasoning

Come-up duration inferred from community reports and total duration data. Consistent with oral absorption kinetics for a small-molecule amine.

Evidence basis: community_consensus_large

Peaktrace1.5–2.5 hours1.5–2.5 hoursmedium
Editorial

Peak duration estimated from community reports within the 5–7 hour total window. No controlled data.

Reasoning

Peak duration estimated from community reports within the 5–7 hour total window. No controlled data.

Evidence basis: community_consensus_large

Offsettrace1–2 hours1–2 hoursmedium
Editorial

Offset duration inferred from community reports describing gradual comedown within total 5–7 hour window.

Reasoning

Offset duration inferred from community reports describing gradual comedown within total 5–7 hour window.

Evidence basis: community_consensus_large

Totaltrace5–7 hours5–7 hoursmedium
Editorial

Total duration 5–7 hours consistent across PsychonautWiki community data and ACMD review. No controlled study confirmation.

Reasoning

Total duration 5–7 hours consistent across PsychonautWiki community data and ACMD review. No controlled study confirmation.

Evidence basis: community_consensus_large

After effectstrace6–12 hours6–12 hourslow
Editorial

Aftereffect duration estimated from community reports of residual cognitive effects and sleep disruption following the primary experience. No controlled data.

Reasoning

Aftereffect duration estimated from community reports of residual cognitive effects and sleep disruption following the primary experience. No controlled data.

Evidence basis: community_consensus_small

Safety

Toxicity Profiletrace

FieldPublishedAI ProposedConfidence
Acutemoderatemoderatelow
Chronicmoderatemoderatelow
Organs Affectedcardiovascular, kidney, braincardiovascular, kidney, brainlow
Editorial

Classified as moderate (downgraded from high): mortality and organ toxicity data derive from the diarylethylamine class collectively (Corkery et al. 2025 systematic review, ACMD review), not ephenidine-specific studies. Four ephenidine cases in French Addictovigilance with minor-to-serious complications (Eiden et al. 2018), all polysubstance. No LD50 or controlled toxicology data exist.

Reasoning

Classified as moderate (downgraded from high): mortality and organ toxicity data derive from the diarylethylamine class collectively (Corkery et al. 2025 systematic review, ACMD review), not ephenidine-specific studies. Four ephenidine cases in French Addictovigilance with minor-to-serious complications (Eiden et al. 2018), all polysubstance. No LD50 or controlled toxicology data exist.

Evidence basis: published_case_series

Dependence Profiletrace

FieldPublishedAI ProposedConfidence
Physicallowlowmedium
Psychologicalmoderatemoderatemedium
Compulsive Redosinghighhighmedium
Dose Escalationmoderatemoderatemedium
Editorial

Compulsive redosing explicitly documented by Eiden et al. 2018 and ACMD review. Addictive potential assessed as 'highly probable' by French Addictovigilance (Eiden et al. 2018). Methoxphenidine use disorder formally documented (Champeau et al. 2017). No ephenidine-specific dependence study exists; assessment combines ephenidine case reports with class-level evidence.

Reasoning

Compulsive redosing explicitly documented by Eiden et al. 2018 and ACMD review. Addictive potential assessed as 'highly probable' by French Addictovigilance (Eiden et al. 2018). Methoxphenidine use disorder formally documented (Champeau et al. 2017). No ephenidine-specific dependence study exists; assessment combines ephenidine case reports with class-level evidence.

Evidence basis: published_case_series

Withdrawal Profiletrace

FieldPublishedAI ProposedConfidence
Severitynonenonelow
Symptoms——low
FatalNoNolow
Medical SupervisionNot requiredNot requiredlow
Editorial

No physical withdrawal syndrome has been described for ephenidine or any diarylethylamine. Assessment based on absence of reports across all published literature including French Addictovigilance data and ACMD review.

Reasoning

No physical withdrawal syndrome has been described for ephenidine or any diarylethylamine. Assessment based on absence of reports across all published literature including French Addictovigilance data and ACMD review.

Evidence basis: published_case_series

Tolerance Profiletrace

FieldPublishedAI ProposedConfidence
Buildupmoderatemoderatelow
Half-life5 days5 dayslow
Full Reset10 days10 dayslow
Cross-tolerancesketamine, phencyclidine, methoxetamine, dextromethorphan, diphenidine, methoxphenidineketamine, phencyclidine, methoxetamine, dextromethorphan, diphenidine, methoxphenidinelow
Editorial

Tolerance kinetics (5-day half-life, 10-day reset) are unverified community estimates carried forward from seed data. NMDA receptor adaptation mechanism inferred from ketamine literature. No ephenidine-specific tolerance study published.

Reasoning

Tolerance kinetics (5-day half-life, 10-day reset) are unverified community estimates carried forward from seed data. NMDA receptor adaptation mechanism inferred from ketamine literature. No ephenidine-specific tolerance study published.

Evidence basis: community_consensus_large

Effects & Profile

Contraindications

FieldPublishedAI ProposedConfidence
cardiovascular cardiovascular diseasetraceabsoluteabsolutemedium
Editorial

Cardiovascular toxicity documented in ACMD review and French Addictovigilance cases. Mechanistic basis from DAT/NET inhibition established by Kang et al. 2017.

Reasoning

Cardiovascular toxicity documented in ACMD review and French Addictovigilance cases. Mechanistic basis from DAT/NET inhibition established by Kang et al. 2017.

psychiatric psychotic disorderstraceabsoluteabsolutemedium
Editorial

Class-level contraindication for all PCP-site NMDA antagonists. Psychiatric complications documented in French Addictovigilance ephenidine cases (Eiden et al. 2018).

Reasoning

Class-level contraindication for all PCP-site NMDA antagonists. Psychiatric complications documented in French Addictovigilance ephenidine cases (Eiden et al. 2018).

psychiatric bipolar disordertracerelativerelativelow
Editorial

Class-level inference from NMDA antagonist and dopaminergic pharmacology. No ephenidine-specific data.

Reasoning

Class-level inference from NMDA antagonist and dopaminergic pharmacology. No ephenidine-specific data.

renal renal impairmenttracerelativerelativemedium
Editorial

Rhabdomyolysis documented in ACMD review of diarylethylamine harms. Renal impairment is a standard risk factor for myoglobin nephropathy.

Reasoning

Rhabdomyolysis documented in ACMD review of diarylethylamine harms. Renal impairment is a standard risk factor for myoglobin nephropathy.

other MAO inhibitor therapytraceabsoluteabsolutemedium
Editorial

Mechanistic inference from ephenidine's documented NET/DAT inhibition (Kang et al. 2017). No published case data for this specific interaction, but the pharmacological mechanism is well-established for all NET/DAT inhibitors.

Reasoning

Mechanistic inference from ephenidine's documented NET/DAT inhibition (Kang et al. 2017). No published case data for this specific interaction, but the pharmacological mechanism is well-established for all NET/DAT inhibitors.

pregnancy breastfeeding pregnancytraceabsoluteabsolutelow
Editorial

Class-level precautionary contraindication for all NMDA antagonists. No ephenidine-specific reproductive data.

Reasoning

Class-level precautionary contraindication for all NMDA antagonists. No ephenidine-specific reproductive data.

Timeline Phases

oral

FieldPublishedAI ProposedConfidence
Peaktrace5400–9000 sec(i=1.00)5400–9000 sec(i=1.00)medium
Editorial

Duration data anchored to community consensus (PsychonautWiki: onset 10–30 min, total 5–7 hours) and ACMD report. Phase breakdown inferred from oral NMDA antagonist pharmacology and user reports. No controlled pharmacokinetic data exist to confirm phase timing.

Reasoning

Duration data anchored to community consensus (PsychonautWiki: onset 10–30 min, total 5–7 hours) and ACMD report. Phase breakdown inferred from oral NMDA antagonist pharmacology and user reports. No controlled pharmacokinetic data exist to confirm phase timing.

Onsettrace600–1800 sec(i=0.05)600–1800 sec(i=0.05)medium
Editorial

Duration data anchored to community consensus (PsychonautWiki: onset 10–30 min, total 5–7 hours) and ACMD report. Phase breakdown inferred from oral NMDA antagonist pharmacology and user reports. No controlled pharmacokinetic data exist to confirm phase timing.

Reasoning

Duration data anchored to community consensus (PsychonautWiki: onset 10–30 min, total 5–7 hours) and ACMD report. Phase breakdown inferred from oral NMDA antagonist pharmacology and user reports. No controlled pharmacokinetic data exist to confirm phase timing.

Come uptrace1200–2700 sec(i=0.30)1200–2700 sec(i=0.30)medium
Editorial

Duration data anchored to community consensus (PsychonautWiki: onset 10–30 min, total 5–7 hours) and ACMD report. Phase breakdown inferred from oral NMDA antagonist pharmacology and user reports. No controlled pharmacokinetic data exist to confirm phase timing.

Reasoning

Duration data anchored to community consensus (PsychonautWiki: onset 10–30 min, total 5–7 hours) and ACMD report. Phase breakdown inferred from oral NMDA antagonist pharmacology and user reports. No controlled pharmacokinetic data exist to confirm phase timing.

Plateautrace3600–7200 sec(i=0.50)3600–7200 sec(i=0.50)medium
Editorial

Duration data anchored to community consensus (PsychonautWiki: onset 10–30 min, total 5–7 hours) and ACMD report. Phase breakdown inferred from oral NMDA antagonist pharmacology and user reports. No controlled pharmacokinetic data exist to confirm phase timing.

Reasoning

Duration data anchored to community consensus (PsychonautWiki: onset 10–30 min, total 5–7 hours) and ACMD report. Phase breakdown inferred from oral NMDA antagonist pharmacology and user reports. No controlled pharmacokinetic data exist to confirm phase timing.

Resolutiontrace3600–5400 sec(i=0.20)3600–5400 sec(i=0.20)medium
Editorial

Duration data anchored to community consensus (PsychonautWiki: onset 10–30 min, total 5–7 hours) and ACMD report. Phase breakdown inferred from oral NMDA antagonist pharmacology and user reports. No controlled pharmacokinetic data exist to confirm phase timing.

Reasoning

Duration data anchored to community consensus (PsychonautWiki: onset 10–30 min, total 5–7 hours) and ACMD report. Phase breakdown inferred from oral NMDA antagonist pharmacology and user reports. No controlled pharmacokinetic data exist to confirm phase timing.

Afterglowtrace7200–43200 sec(i=0.05)7200–43200 sec(i=0.05)medium
Editorial

Duration data anchored to community consensus (PsychonautWiki: onset 10–30 min, total 5–7 hours) and ACMD report. Phase breakdown inferred from oral NMDA antagonist pharmacology and user reports. No controlled pharmacokinetic data exist to confirm phase timing.

Reasoning

Duration data anchored to community consensus (PsychonautWiki: onset 10–30 min, total 5–7 hours) and ACMD report. Phase breakdown inferred from oral NMDA antagonist pharmacology and user reports. No controlled pharmacokinetic data exist to confirm phase timing.

Dose Tier Summaries

thresholdtrace
medium

At threshold doses (around 30 mg oral), effects are subtle and easily dismissed: a mild sense of cognitive slowing, faint perceptual shifts in depth or spatial awareness, and a slight emotional flattening or detachment from surroundings. Some users report a gentle sense of sedation mixed with mild stimulation, reflecting the compound's dual NMDA/monoamine profile. Physically, mild pupil dilation and a slight increase in heart rate may be noticeable. Body load is minimal at this range. Functional impairment is minor but present — concentration and short-term memory may be subtly affected. Duration of commitment is approximately 3–4 hours.

Editorial

Threshold of 30 mg consistent with PsychonautWiki community data and ACMD report placing common range at 70–100 mg. Effects described are consistent with sub-dissociative NMDA antagonism.

Reasoning

Threshold of 30 mg consistent with PsychonautWiki community data and ACMD report placing common range at 70–100 mg. Effects described are consistent with sub-dissociative NMDA antagonism.

Evidence basis: community_consensus_large

lighttrace
medium

At light doses (30–70 mg oral), dissociative effects become clearly perceptible: mild cognitive disconnection, reduced emotional reactivity, altered depth perception, and a sense of detachment from the body and environment. Mild euphoria may emerge from the compound's dopamine and noradrenaline reuptake inhibition. Thought processes slow and loop, and music appreciation is often enhanced. Physically, increased heart rate, mild hypertension, and some body heaviness or numbness in the extremities are reported. Coordination is noticeably impaired. Sleep is difficult for several hours after effects subside. Full duration is approximately 4–6 hours from ingestion.

Editorial

Light range of 30–70 mg from PsychonautWiki community data. Effect descriptions consistent with NMDA antagonism at sub-common doses and secondary monoaminergic activity.

Reasoning

Light range of 30–70 mg from PsychonautWiki community data. Effect descriptions consistent with NMDA antagonism at sub-common doses and secondary monoaminergic activity.

Evidence basis: community_consensus_large

commontrace
medium

At common doses (70–100 mg oral), the full dissociative experience manifests: pronounced cognitive disconnection from the external environment, significant distortion of spatial and temporal perception, and marked analgesia. Hallucinogenic effects emerge — internal imagery, environmental distortion, and a dreamlike quality to perception. Euphoria is more prominent at this range, consistent with DAT/NET activity at pharmacologically relevant concentrations. Cardiovascular stimulation becomes significant — tachycardia and hypertension are documented at these doses. Numbness, ataxia, and nausea may occur. Motor coordination is substantially impaired. Duration is 5–7 hours. Functional impairment persists well beyond the subjective peak. Compulsive redosing urges are reported at this range.

Editorial

Common range of 70–100 mg explicitly stated in ACMD review. Cardiovascular effects documented in French Addictovigilance cases. Compulsive redosing documented by Eiden et al. 2018 and ACMD.

Reasoning

Common range of 70–100 mg explicitly stated in ACMD review. Cardiovascular effects documented in French Addictovigilance cases. Compulsive redosing documented by Eiden et al. 2018 and ACMD.

Evidence basis: community_consensus_large

strongtrace
low

At strong doses (100–150 mg oral), deep dissociation dominates the experience: near-complete detachment from the body and environment, profound distortion or loss of spatial awareness, and intense internal hallucinatory experiences. Memory suppression becomes severe — amnesia for portions of the experience is common. Communication becomes extremely difficult. The boundary between self and environment may dissolve. Cardiovascular effects intensify — tachycardia and hypertension pose increased risk at this range, particularly in individuals with pre-existing cardiovascular conditions. Rhabdomyolysis risk increases with prolonged immobility during deep dissociation. Duration extends to 6–8 hours. Aftereffects may persist for 12–24 hours. Compulsive redosing risk is elevated.

Editorial

Strong range of 100–150 mg from PsychonautWiki. Rhabdomyolysis risk inferred from ACMD class-level clinical features. Deep dissociation effects inferred from NMDA antagonism mechanism at higher receptor occupancy.

Reasoning

Strong range of 100–150 mg from PsychonautWiki. Rhabdomyolysis risk inferred from ACMD class-level clinical features. Deep dissociation effects inferred from NMDA antagonism mechanism at higher receptor occupancy.

Evidence basis: community_consensus_large

heavytrace
low

At heavy doses (above 150 mg oral), complete dissociative anaesthesia is possible — total disconnection from sensory input, loss of motor control, and profound amnesia. Experiences at this range carry high psychological and physical risk. Intense hallucinatory states, ego dissolution, and "hole" experiences comparable to those described with high-dose ketamine may occur. Cardiovascular toxicity risk is substantial — severe tachycardia and hypertension are expected. Rhabdomyolysis risk is heightened by prolonged immobility. One-third of diarylethylamine deaths in the Corkery systematic review occurred without co-ingestion of other substances, indicating intrinsic toxicity at high doses. Duration may exceed 8 hours. Severe functional impairment persists well into the following day. This dose range approaches documented toxicity thresholds for the compound class.

Editorial

Heavy threshold of 150+ mg from PsychonautWiki. Mortality risk contextualised by Corkery et al. 2025 systematic review showing one-third of class deaths involved diarylethylamines alone. Effects extrapolated from high-dose NMDA antagonism.

Reasoning

Heavy threshold of 150+ mg from PsychonautWiki. Mortality risk contextualised by Corkery et al. 2025 systematic review showing one-third of class deaths involved diarylethylamines alone. Effects extrapolated from high-dose NMDA antagonism.

Evidence basis: community_consensus_large

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

1 strong · 9 moderate · 6 weak
  1. [1]
    moderate
    Ephenidine: A new psychoactive agent with ketamine-like NMDA receptor antagonist properties
    Kang H, Park P, Bortolotto ZA, Brandt SD, Colestock T, Wallach J, Collingridge GL, Lodge D · 2017 · Neuropharmacology
    doi.org/10.1016/j.neuropharm.2016.08.004pubmed 2752039621 claims checked14 verified1 partial6 inconclusive
  2. [2]
    weak
    ACMD Review of the Evidence on the Use and Harms of Diphenidine
    Advisory Council on the Misuse of Drugs (ACMD) · 2023
    linkno claims checked
  3. [3]
    moderate
    Lefetamine-derived designer drugs N-ethyl-1,2-diphenylethylamine (NEDPA) and N-iso-propyl-1,2-diphenylethylamine (NPDPA): metabolism and detectability in rat urine using GC-MS, LC-MSn and LC-HR-MS/MS
    Wink CS, Meyer GM, Wissenbach DK, Jacobsen-Bauer A, Meyer MR, Maurer HH · 2014 · Drug Testing and Analysis
    doi.org/10.1002/dta.1621pubmed 245910978 claims checked4 verified1 partial3 inconclusive
  4. [4]
    moderate
    1,2-Diarylethylamine- and Ketamine-Based New Psychoactive Substances
    Wallach J, Brandt SD · 2018 · Handbook of Experimental Pharmacology
    doi.org/10.1007/164_2018_148pubmed 301964467 claims checked7 inconclusive
  5. [5]
    strong
    Deaths related to the use of diarylethylamines, with a focus on the United Kingdom: A systematic review and case series report
    Corkery JM, Copeland C, Schifano F · 2025 · Journal of Psychopharmacology
  6. [6]
    moderate
    Ephenidine, diphenidine, and methoxphenidine complications reported to the French Addictovigilance Network
    Eiden C, Leone-Burgos S, Serre A, Carton L, Gerardin M, Le Boisselier R, Gibaja V, Monzon E, Fouilhe N, Boucher A, Peyriere H · 2018 · Fundamental & Clinical Pharmacology
    doi.org/10.1111/fcp.12395pubmed 2995684310 claims checked3 verified1 partial6 inconclusive
  7. [7]
    moderate
    Lefetamine, a controlled drug and pharmaceutical lead of new designer drugs: synthesis, metabolism, and detectability in urine and human liver preparations
    Wink CS, Meyer GM, Zapp J, Maurer HH · 2015 · Analytical and Bioanalytical Chemistry
    doi.org/10.1007/s00216-014-8414-3pubmed 255773533 claims checked2 verified1 inconclusive
  8. [8]
    weak
    The Misuse of Drugs Act 1971 (Amendment) Order 2024 (SI 2024/190)
    UK Parliament · 2024
    linkno claims checked
  9. [9]
    moderate
    Toxicokinetics of lefetamine and derived diphenylethylamine designer drugs—Contribution of human cytochrome P450 isozymes to their main phase I metabolic steps
    Wink CS, Meyer GM, Meyer MR, Maurer HH · 2015 · Toxicology Letters
    doi.org/10.1016/j.toxlet.2015.08.012pubmed 262760836 claims checked3 verified3 inconclusive
  10. [10]
    moderate
    Pharmacological Investigations of the Dissociative 'Legal Highs' Diphenidine, Methoxphenidine and Analogues
    Wallach J, Kang H, Colestock T, Morris H, Bortolotto ZA, Collingridge GL, Lodge D, Halberstadt AL, Brandt SD, Adejare A · 2016 · PLoS ONE
    doi.org/10.1371/journal.pone.0157021pubmed 273146704 claims checked1 verified2 partial1 inconclusive
  11. [11]
    weak
    Methoxphenidine Use Disorder: First Case Notified to the French Addictovigilance Network
    Champeau W, Eiden C, Gambier J, Peyriere H · 2017 · Journal of Clinical Psychopharmacology
  12. [12]
    weak
    WHO 43rd ECDD Summary Assessment and Recommendations — Diphenidine review
    World Health Organization Expert Committee on Drug Dependence · 2020
    linkno claims checked
  13. [13]
    moderate
    Pharmacological characterizations of the 'legal high' fluorolintane and isomers
    Wallach J, Colestock T, Agramunt J, Claydon MDB, Dybek M, Filemban N, Chatha M, Halberstadt AL, Brandt SD, Lodge D, Bortolotto ZA, Adejare A · 2019 · European Journal of Pharmacology
  14. [14]
    weak
    Enantiomeric separation of diphenidine-derived new psychoactive substances (NPS) by polar organic chiral high-performance liquid chromatography
    Euerby MR et al. · 2025
    linkno claims checked
  15. [15]
    moderate
    Diphenidine, a new psychoactive substance: metabolic fate elucidated with rat urine and human liver preparations and detectability in urine using GC-MS, LC-MSn, and LC-HR-MSn
    Wink CS, Michely JA, Jacobsen-Bauer A, Zapp J, Maurer HH · 2016 · Drug Testing and Analysis
  16. [16]
    weak
    Hair Analysis of Methoxphenidine in a Forensic Chemsex Case
    Goncalves R, Castaing N, Titier K, Dumestre-Toulet V · 2022 · Journal of Analytical 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.

summary9 claims5verified1partial3inconclusive
verifiedEphenidine (N-ethyl-1,2-diphenylethylamine, NEDPA, EPE) is a 1,2-diarylethylamine dissociative that acts as an uncompetitive NMDA receptor antagonist with a binding affinity of Ki = 66 nM at the phencyclidine (PCP) site[1]model confidence 97%
Verified

Abstract explicitly states Ki 66 nM at NMDA PCP site and voltage-dependent NMDA block, consistent with uncompetitive open-channel antagonism. Compound identified as a diarylethylamine.

Ki: 66 nM at NMDA PCP site. Voltage-dependent NMDA block

checked by claude-sonnet-4-6 · May 3, 2026

partialFirst confiscated as a designer drug in Germany in 2008, ephenidine entered wider recreational circulation around 2013 as an alternative to scheduled arylcyclohexylamine dissociatives[3]model confidence 80%
Partial

Abstract confirms 2008 confiscation in Germany. The 2013 market entry and 'alternative to scheduled arylcyclohexylamines' narrative are not addressed in this metabolism paper.

NEDPA (ephenidine) and NPDPA confiscated in Germany in 2008

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveFirst confiscated as a designer drug in Germany in 2008, ephenidine entered wider recreational circulation around 2013 as an alternative to scheduled arylcyclohexylamine dissociatives[4]model confidence 60%
Inconclusive

This review covers market emergence for the diarylethylamine class, making the claim plausible, but the abstract text does not confirm the 2013 timeline or the specific context of UK arylcyclohexylamine scheduling.

Comprehensive review of 1,2-diarylethylamine and beta-keto-arylcyclohexylamine NPS... Covers history, pharmacology, market emergence

checked by claude-sonnet-4-6 · May 3, 2026

verifiedA single primary pharmacology paper — Kang et al. (2017) — established its receptor binding profile and NMDA antagonism mechanism in rat preparations[1]model confidence 90%
Verified

The abstract is the primary pharmacology paper for ephenidine, providing receptor binding profile (Ki values) and establishing voltage-dependent NMDA antagonism and LTP effects in hippocampal (rat) preparations.

Ki: 66 nM at NMDA PCP site. Dopamine transporter 379 nM, noradrenaline transporter 841 nM, sigma-1 629 nM, sigma-2 722 nM. Voltage-dependent NMDA block; blocked LTP in hippocampal CA1

checked by claude-sonnet-4-6 · May 3, 2026

verifiedEphenidine blocks the NMDA receptor ion channel pore in a voltage-dependent manner (Ki = 66 nM), with electrophysiological characteristics described as similar to ketamine[1]model confidence 97%
Verified

Abstract confirms Ki=66 nM at NMDA PCP site and voltage-dependent NMDA block. Paper title explicitly states 'ketamine-like NMDA receptor antagonist properties'.

Ki: 66 nM at NMDA PCP site... Voltage-dependent NMDA block

checked by claude-sonnet-4-6 · May 3, 2026

verifiedSecondary inhibition of the dopamine transporter (DAT; Ki = 379 nM) and noradrenaline transporter (NET; Ki = 841 nM) produces stimulant-like components including euphoria and cardiovascular activation[1]model confidence 88%
Verified

Abstract explicitly confirms DAT Ki=379 nM and NET Ki=841 nM. The inference that these transporter affinities produce stimulant-like effects is pharmacologically reasonable and not contradicted.

Dopamine transporter 379 nM, noradrenaline transporter 841 nM

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveSecondary inhibition of the dopamine transporter (DAT; Ki = 379 nM) and noradrenaline transporter (NET; Ki = 841 nM) produces stimulant-like components including euphoria and cardiovascular activation[4]model confidence 65%
Inconclusive

Review covers pharmacology of ephenidine but the abstract text does not provide the specific Ki values or discuss stimulant-like effects. Data may be in the full text.

Comprehensive review of 1,2-diarylethylamine and beta-keto-arylcyclohexylamine NPS... Covers history, pharmacology, market emergence

checked by claude-sonnet-4-6 · May 3, 2026

verifiedA systematic review of the diarylethylamine class identified 48 deaths globally, though ephenidine-specific mortality is not separately enumerated[5]model confidence 95%
Verified

Abstract confirms 48 deaths globally. Named compounds are diphenidine/MXP, consistent with ephenidine not being separately enumerated.

48 deaths globally (Europe n=40), 37 in UK 2014-2019... Diphenidine/MXP implicated

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveCompulsive redosing is documented in clinical reports, and the French Addictovigilance Network assessed addictive potential as "highly probable"[6]model confidence 55%
Inconclusive

Abstract documents 18 cases of complications but does not mention compulsive redosing or a 'highly probable' addictive potential assessment. These details may be in the full text.

18 cases of ephenidine/diphenidine/methoxphenidine complications (2012-2016)... All polysubstance

checked by claude-sonnet-4-6 · May 3, 2026

history12 claims2verified1partial9inconclusive
inconclusiveTainter (1943) and Goodson (1946) investigated N-alkylated 1,2-diphenylethylamines as part of analgesic research programmes[7]model confidence 50%
Inconclusive

Abstract describes lefetamine as a pharmaceutical lead but does not mention Tainter, Goodson, or the specific 1943/1946 dates. Historical researcher details are likely in the full paper's introduction.

Lefetamine (L-SPA) marketed as opioid analgesic in Japan and Italy, became controlled after abuse

checked by claude-sonnet-4-6 · May 3, 2026

verifiedThis work yielded lefetamine (N,N-dimethyl-1,2-diphenylethylamine, L-SPA), which was marketed as an opioid analgesic in Japan and Italy before being controlled due to abuse liability[7]model confidence 98%
Verified

Abstract explicitly states 'Lefetamine (L-SPA) marketed as opioid analgesic in Japan and Italy, became controlled after abuse.'

Lefetamine (L-SPA) marketed as opioid analgesic in Japan and Italy, became controlled after abuse

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveThe compound emerged from online community synthesis discussions based on the structural template of lefetamine, without formal academic precedent for the specific N-ethyl substitution.[4]model confidence 55%
Inconclusive

Review covers history and market emergence but the abstract does not mention online community synthesis or the absence of formal academic precedent. This level of detail would be in the full paper.

Comprehensive review of 1,2-diarylethylamine and beta-keto-arylcyclohexylamine NPS... Covers history, pharmacology, market emergence

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveRecreational use remained limited until approximately 2013, when ephenidine entered the online novel psychoactive substance (NPS) market following UK scheduling actions against arylcyclohexylamines such as methoxetamine[4]model confidence 55%
Inconclusive

Review covers market emergence of diarylethylamine NPS but the abstract text does not confirm the 2013 timeline or UK methoxetamine scheduling context specifically.

Covers history, pharmacology, market emergence

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveIts appearance alongside diphenidine and methoxphenidine was driven by demand for dissociative experiences and the circumvention of existing controlled substance legislation.[1]model confidence 50%
Inconclusive

This is the primary pharmacology paper. The abstract notes ephenidine 'has recently become popular with recreational users' but does not discuss market drivers, legislation circumvention, or the specific co-emergence context.

N-Ethyl-1,2-diphenylethanamine (ephenidine) is a diarylethylamine that has recently become popular with recreational users

checked by claude-sonnet-4-6 · May 3, 2026

verified2008 — First forensic confiscation in Germany[3]model confidence 99%
Verified

Abstract explicitly states NEDPA (ephenidine) was confiscated in Germany in 2008.

NEDPA (ephenidine) and NPDPA confiscated in Germany in 2008

checked by claude-sonnet-4-6 · May 3, 2026

partial2013 — Emergence on the NPS market; first French Addictovigilance case[6]model confidence 65%
Partial

Abstract covers cases from 2012-2016, not 2013 specifically. The first French Addictovigilance case could be from 2012, not 2013. The 2013 claim is not confirmed and the period start (2012) suggests the claim may be off by a year.

18 cases of ephenidine/diphenidine/methoxphenidine complications (2012-2016)

checked by claude-sonnet-4-6 · May 3, 2026

inconclusive2014 — First metabolism study in rat urine[3]model confidence 60%
Inconclusive

Abstract describes the first rat urine metabolism study for ephenidine but does not state the publication year 2014. Year is not verifiable from the abstract text alone.

Metabolic pathways in rats: N-dealkylation, mono- and bis-hydroxylation of benzyl ring

checked by claude-sonnet-4-6 · May 3, 2026

inconclusive2016 — UK Psychoactive Substances Act enacted; Canadian Schedule I control; Wallach et al. diarylethylamine class pharmacology published[10]model confidence 55%
Inconclusive

Abstract is the Wallach et al. pharmacology paper but does not confirm the year 2016, UK PSA enactment, or Canadian scheduling. Year and legislative details are not in the abstract.

Binding studies at 46 CNS receptors for DPH, 2-MXP and analogues

checked by claude-sonnet-4-6 · May 3, 2026

inconclusive2017 — Kang et al. primary pharmacology paper published; first methoxphenidine use disorder case report[1]model confidence 55%
Inconclusive

Abstract is the Kang et al. paper but does not state the publication year 2017 and does not mention methoxphenidine use disorder.

N-Ethyl-1,2-diphenylethanamine (ephenidine) is a diarylethylamine that has recently become popular with recreational users

checked by claude-sonnet-4-6 · May 3, 2026

inconclusive2018 — French Addictovigilance comprehensive analysis of ephenidine, diphenidine, and methoxphenidine complications; Wallach and Brandt class review[6]model confidence 55%
Inconclusive

Abstract is the French Addictovigilance paper and covers the right topic, but does not confirm the year 2018 or mention the Wallach and Brandt review.

18 cases of ephenidine/diphenidine/methoxphenidine complications (2012-2016)

checked by claude-sonnet-4-6 · May 3, 2026

inconclusive2018 — French Addictovigilance comprehensive analysis of ephenidine, diphenidine, and methoxphenidine complications; Wallach and Brandt class review[4]model confidence 55%
Inconclusive

Abstract is the Wallach and Brandt review and covers the right topic, but does not confirm the publication year 2018 or mention the French Addictovigilance analysis.

Comprehensive review of 1,2-diarylethylamine and beta-keto-arylcyclohexylamine NPS

checked by claude-sonnet-4-6 · May 3, 2026

chemistry3 claims2verified1inconclusive
verifiedThe class is structurally derived from lefetamine (N,N-dimethyl-1,2-diphenylethylamine), a pharmaceutical opioid analgesic that served as the unintentional template for a series of novel psychoactive substances[7]model confidence 97%
Verified

Abstract confirms lefetamine as pharmaceutical opioid analgesic and explicitly states it is 'the pharmaceutical lead' for NEDPA/NPDPA designer drugs.

Lefetamine (L-SPA) marketed as opioid analgesic in Japan and Italy, became controlled after abuse. NEDPA and NPDPA confiscated by German police; lefetamine is the pharmaceutical lead

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveThe class is structurally derived from lefetamine (N,N-dimethyl-1,2-diphenylethylamine), a pharmaceutical opioid analgesic that served as the unintentional template for a series of novel psychoactive substances[4]model confidence 60%
Inconclusive

Review covers class history and mentions N-ethyl-lanicemine (a lefetamine analog), suggesting lefetamine context is covered, but lefetamine itself is not named in the abstract text.

Comprehensive review of 1,2-diarylethylamine and beta-keto-arylcyclohexylamine NPS... Examples of former include diphenidine and analogs such as fluorolintane and N-ethyl-lanicemine

checked by claude-sonnet-4-6 · May 3, 2026

verifiedEphenidine is the N-ethyl member of this series; related compounds include diphenidine (the N-unsubstituted parent amine and primary metabolite of ephenidine), methoxphenidine (2-MeO-diphenidine), and fluorolintane (2'-fluoro-diphenidine).[13]model confidence 92%
Verified

Abstract explicitly names diphenidine, methoxphenidine, and ephenidine as 1,2-diarylethylamines and confirms fluorolintane's NMDA Ki. All named compounds are confirmed as part of the class.

1,2-Diarylethylamines including dissociatives diphenidine, methoxphenidine and ephenidine have appeared as research chemicals. Fluorolintane Ki=87.92 nM at NMDA

checked by claude-sonnet-4-6 · May 3, 2026

pharmacology15 claims9verified1partial5inconclusive
verifiedEphenidine is an uncompetitive, voltage-dependent open-channel blocker of the NMDA receptor, acting at the phencyclidine (PCP) binding site within the ion channel pore[1]model confidence 97%
Verified

Abstract confirms Ki=66 nM at NMDA PCP site and voltage-dependent NMDA block, which are defining features of uncompetitive open-channel block at the PCP site.

Ki: 66 nM at NMDA PCP site... Voltage-dependent NMDA block

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveIn rat hippocampal slice preparations, 1 uM ephenidine produced approximately 25% inhibition of NMDA receptor-mediated field excitatory postsynaptic potentials (fEPSPs) in CA1 after 4 hours of superfusion, while 10 uM produced near-maximal inhibition under the same conditions[1]model confidence 70%
Inconclusive

Abstract confirms hippocampal CA1 electrophysiology work, but the specific concentrations (1 uM, 10 uM), inhibition percentages (25%), and timing (4 hours) are not provided in the abstract. These details are in the full paper.

Voltage-dependent NMDA block; blocked LTP in hippocampal CA1

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveAt 50 uM, no effect on AMPA receptor-mediated fEPSPs was observed, confirming selectivity for NMDA over AMPA receptors.[1]model confidence 70%
Inconclusive

Abstract does not mention AMPA receptors or the 50 uM concentration. The AMPA selectivity data are likely in the full paper's electrophysiology section.

Voltage-dependent NMDA block; blocked LTP in hippocampal CA1

checked by claude-sonnet-4-6 · May 3, 2026

verifiedWhole-cell patch clamp recordings in hippocampal pyramidal cells demonstrated that 10 uM ephenidine blocks NMDA receptor-mediated excitatory postsynaptic currents (EPSCs) in a highly voltage-dependent manner, with a block profile described as similar to ketamine[1]model confidence 85%
Verified

Abstract confirms voltage-dependent NMDA block in hippocampal preparations and title explicitly describes ketamine-like properties. Specific patch clamp details are in the full paper but the abstract fully supports the general claim.

Voltage-dependent NMDA block; blocked LTP in hippocampal CA1

checked by claude-sonnet-4-6 · May 3, 2026

verifiedAt the same concentration, ephenidine blocked the induction of long-term potentiation (LTP) in CA1 by theta burst stimulation, consistent with disruption of NMDA receptor-dependent synaptic plasticity.[1]model confidence 90%
Verified

Abstract explicitly states 'blocked LTP in hippocampal CA1.' Theta burst stimulation is the standard LTP induction protocol; this detail is in the full paper.

blocked LTP in hippocampal CA1

checked by claude-sonnet-4-6 · May 3, 2026

verifiedSecondary pharmacological activity at the dopamine transporter (DAT; Ki = 379 nM) and noradrenaline transporter (NET; Ki = 841 nM) confers norepinephrine-dopamine reuptake inhibition, contributing to the stimulant-like components of the subjective effect profile — including euphoria, tachycardia, and hypertension[1]model confidence 88%
Verified

Abstract confirms DAT Ki=379 nM and NET Ki=841 nM. The NDRI mechanism inference and stimulant-like effects are reasonable pharmacological extrapolations not contradicted by the abstract.

Dopamine transporter 379 nM, noradrenaline transporter 841 nM

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveSecondary pharmacological activity at the dopamine transporter (DAT; Ki = 379 nM) and noradrenaline transporter (NET; Ki = 841 nM) confers norepinephrine-dopamine reuptake inhibition, contributing to the stimulant-like components of the subjective effect profile — including euphoria, tachycardia, and hypertension[4]model confidence 60%
Inconclusive

Review covers pharmacology of diarylethylamines but abstract text does not provide ephenidine's specific Ki values or discuss stimulant-like effects. Data likely in full paper.

Comprehensive review of 1,2-diarylethylamine and beta-keto-arylcyclohexylamine NPS... Covers history, pharmacology, market emergence

checked by claude-sonnet-4-6 · May 3, 2026

verifiedSigma receptor affinities (sigma-1: Ki = 629 nM; sigma-2: Ki = 722 nM) fall within a pharmacologically relevant range, though their specific contribution to subjective effects remains uncharacterised.[1]model confidence 95%
Verified

Abstract explicitly states sigma-1 629 nM and sigma-2 722 nM. The statement that their contribution is uncharacterised is a reasonable inference from the absence of further discussion in the abstract.

sigma-1 629 nM, sigma-2 722 nM

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveNo data exist for EC50 values at functional endpoints, in vivo receptor occupancy, human receptor binding, or opioid receptor affinity — the last of which is of interest given the opioid activity of the parent compound lefetamine.[1]model confidence 60%
Inconclusive

The abstract lists the binding data measured but does not enumerate what was not measured. Absence of opioid receptor data in this abstract is consistent with the claim, but cannot be fully verified from the abstract alone.

Ki: 66 nM at NMDA PCP site. Dopamine transporter 379 nM, noradrenaline transporter 841 nM, sigma-1 629 nM, sigma-2 722 nM

checked by claude-sonnet-4-6 · May 3, 2026

verifiedThe primary metabolic pathway is N-dealkylation, which cleaves the N-ethyl group to yield diphenidine (N-deethyl-NEDPA) — itself a pharmacologically active NMDA antagonist[3]model confidence 90%
Verified

Abstract confirms N-dealkylation as a metabolic pathway and identifies N-deethyl-NEDPA (=diphenidine) as a key metabolite. Diphenidine's pharmacological activity as NMDA antagonist is not stated here but confirmed by other cited sources.

Metabolic pathways in rats: N-dealkylation... Key metabolites: N-deethyl-NEDPA (=diphenidine)

checked by claude-sonnet-4-6 · May 3, 2026

partialThe primary metabolic pathway is N-dealkylation, which cleaves the N-ethyl group to yield diphenidine (N-deethyl-NEDPA) — itself a pharmacologically active NMDA antagonist[10]model confidence 75%
Partial

Abstract confirms diphenidine (DPH) is a relatively selective NMDA antagonist, supporting the 'pharmacologically active NMDA antagonist' component. However, this paper does not address ephenidine's N-dealkylation metabolic pathway.

Relatively selective NMDAR antagonists with weak off-target effects

checked by claude-sonnet-4-6 · May 3, 2026

verifiedSecondary pathways include mono- and bis-hydroxylation of the benzyl ring (with subsequent methylation), hydroxylation of the phenyl ring following N-dealkylation, and Phase II conjugation via glucuronidation and sulfation[3]model confidence 98%
Verified

Abstract confirms all secondary pathways verbatim: mono- and bis-hydroxylation of benzyl ring followed by methylation, hydroxylation of phenyl ring after N-dealkylation, glucuronidation and sulfation.

mono- and bis-hydroxylation of benzyl ring followed by methylation, hydroxylation of phenyl ring after N-dealkylation, glucuronidation and sulfation

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveAt 0.3 mg/kg in rats, the parent compound was undetectable in urine — only metabolites were recovered — suggesting extensive first-pass or rapid systemic metabolism.[3]model confidence 55%
Inconclusive

Abstract states metabolites are 'detectable in rat urine after 0.3 mg/kg dose' but does not explicitly state whether the parent compound was detectable or not. Full paper needed to confirm parent compound detectability.

Detectable in rat urine after 0.3 mg/kg dose

checked by claude-sonnet-4-6 · May 3, 2026

verifiedHuman cytochrome P450 contributions to the primary N-dealkylation step, determined by relative activity factor analysis in human microsomes: CYP2B6 (30%), CYP1A2 (27%), CYP2C19 (23%), CYP3A4 (17%), and CYP2D6 (4%)[9]model confidence 98%
Verified

Abstract explicitly confirms all five CYP enzymes and their exact percentage contributions: CYP1A2 (27%), CYP2B6 (30%), CYP2C19 (23%), CYP2D6 (4%), CYP3A4 (17%).

CYP enzymes involved in N-dealkylation of NEDPA (ephenidine): CYP1A2 (27%), CYP2B6 (30%), CYP2C19 (23%), CYP2D6 (4%), CYP3A4 (17%)

checked by claude-sonnet-4-6 · May 3, 2026

verifiedThe involvement of four or more CYP enzymes in the primary metabolic step suggests a low risk of clinically significant CYP-mediated drug-drug interactions for this pathway[9]model confidence 98%
Verified

Abstract explicitly states 'Multiple enzyme involvement means low risk of CYP-related drug-drug interactions.'

Multiple enzyme involvement means low risk of CYP-related drug-drug interactions

checked by claude-sonnet-4-6 · May 3, 2026

receptor pharmacology2 claims1verified1inconclusive
inconclusiveAll binding data derive from a single study using tritiated ligand displacement assays in rat brain membrane preparations.[1]model confidence 60%
Inconclusive

Abstract confirms the Ki binding values from this single paper but does not describe the methodology (tritiated ligand displacement, rat brain membranes). Methodological details are in the full paper.

Ki: 66 nM at NMDA PCP site. Dopamine transporter 379 nM, noradrenaline transporter 841 nM, sigma-1 629 nM, sigma-2 722 nM

checked by claude-sonnet-4-6 · May 3, 2026

verifiedThe selectivity ratio between the primary target (NMDA, Ki = 66 nM) and the next most potent target (DAT, Ki = 379 nM) is approximately 5.7-fold, establishing NMDA antagonism as the dominant pharmacological action[1]model confidence 95%
Verified

Abstract confirms both Ki values (66 nM NMDA, 379 nM DAT). The 5.7-fold ratio (379/66=5.74) is a straightforward mathematical derivation from confirmed data.

Ki: 66 nM at NMDA PCP site. Dopamine transporter 379 nM

checked by claude-sonnet-4-6 · May 3, 2026

neuroscience3 claims3verified
verifiedEphenidine's electrophysiological effects in hippocampal slices — voltage-dependent channel block and LTP suppression at 10 uM — are consistent with these network-level consequences, though direct confirmation in cortical circuits is absent.[1]model confidence 88%
Verified

Abstract confirms voltage-dependent NMDA block and LTP suppression in hippocampal CA1. Specific concentration (10 uM) and cortical absence statement are not in abstract but the core hippocampal findings are confirmed.

Voltage-dependent NMDA block; blocked LTP in hippocampal CA1

checked by claude-sonnet-4-6 · May 3, 2026

verifiedThe secondary DAT and NET inhibition (Ki = 379 and 841 nM, respectively) would be expected to potentiate mesolimbic dopaminergic signalling, contributing to the euphoric and reinforcing properties that distinguish ephenidine's profile from pure NMDA antagonists.[1]model confidence 85%
Verified

Abstract confirms DAT Ki=379 nM and NET Ki=841 nM. The mesolimbic potentiation and reinforcement inference is a reasonable pharmacological extrapolation not contradicted by the abstract.

Dopamine transporter 379 nM, noradrenaline transporter 841 nM

checked by claude-sonnet-4-6 · May 3, 2026

verifiedNMDA-dependent synaptic plasticity disruption: Ephenidine's blockade of LTP induction in hippocampal CA1 directly implicates disruption of synaptic plasticity mechanisms[1]model confidence 97%
Verified

Abstract explicitly states ephenidine 'blocked LTP in hippocampal CA1,' directly confirming disruption of NMDA-dependent synaptic plasticity.

blocked LTP in hippocampal CA1

checked by claude-sonnet-4-6 · May 3, 2026

pharmacokinetic detail6 claims1verified2partial3inconclusive
inconclusiveMetabolic characterisation rests on two studies: Wink et al. (2014) in rat urine and Wink et al. (2015) in human liver microsomes.[3]model confidence 55%
Inconclusive

Abstract is the rat urine metabolism study but does not confirm the year 2014 or the existence of exactly two studies. Publication year is not in the abstract.

Metabolic pathways in rats: N-dealkylation... Key metabolites: N-deethyl-NEDPA (=diphenidine)

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveMetabolic characterisation rests on two studies: Wink et al. (2014) in rat urine and Wink et al. (2015) in human liver microsomes.[9]model confidence 55%
Inconclusive

Abstract is the human CYP study but does not confirm the year 2015, explicitly state human liver microsomes, or confirm the two-study characterization structure.

CYP enzymes involved in N-dealkylation of NEDPA (ephenidine): CYP1A2 (27%), CYP2B6 (30%), CYP2C19 (23%), CYP2D6 (4%), CYP3A4 (17%)

checked by claude-sonnet-4-6 · May 3, 2026

partialN-Dealkylation (primary pathway) — cleavage of the N-ethyl group produces diphenidine (N-deethyl-NEDPA), which retains NMDA antagonist activity (Ki approximately 50–130 nM for the racemic mixture)[10]model confidence 72%
Partial

Abstract confirms diphenidine is a relatively selective NMDA antagonist. However, the specific Ki range of 50-130 nM is not provided, and this paper does not address ephenidine's N-dealkylation pathway.

Relatively selective NMDAR antagonists with weak off-target effects

checked by claude-sonnet-4-6 · May 3, 2026

partialN-Dealkylation (primary pathway) — cleavage of the N-ethyl group produces diphenidine (N-deethyl-NEDPA), which retains NMDA antagonist activity (Ki approximately 50–130 nM for the racemic mixture)[15]model confidence 75%
Partial

Abstract confirms diphenidine is a direct metabolite of ephenidine via N-deethylation. However, the specific Ki range (50-130 nM) for diphenidine's NMDA antagonism is not provided in the abstract.

Diphenidine (a direct metabolite of ephenidine via N-deethylation) metabolism studied

checked by claude-sonnet-4-6 · May 3, 2026

verifiedKey metabolites identified in rat urine include N-deethyl-NEDPA (diphenidine), N-deethyl-hydroxy-NEDPA, hydroxy-NEDPA, and hydroxy-methoxy-NEDPA.[3]model confidence 99%
Verified

Abstract explicitly confirms all four metabolites verbatim.

Key metabolites: N-deethyl-NEDPA (=diphenidine), N-deethyl-hydroxy-NEDPA, hydroxy-NEDPA, hydroxy-methoxy-NEDPA

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveDetermined by relative activity factor analysis in human liver microsomes[9]model confidence 55%
Inconclusive

Abstract confirms CYP enzyme contributions but does not explicitly mention 'relative activity factor analysis' or 'human liver microsomes.' Methodological details are in the full paper.

CYP enzymes involved in N-dealkylation of NEDPA (ephenidine): CYP1A2 (27%), CYP2B6 (30%), CYP2C19 (23%), CYP2D6 (4%), CYP3A4 (17%)

checked by claude-sonnet-4-6 · May 3, 2026

safety13 claims9verified4inconclusive
verifiedIn the Corkery et al. (2025) systematic review, 66% of diarylethylamine fatalities involved co-administration of opioids, benzodiazepines, or stimulants[5]model confidence 92%
Verified

Abstract confirms 66% of cases were implicated with other substances, consistent with the claim.

Diphenidine/MXP implicated with other substances in 66% of cases

checked by claude-sonnet-4-6 · May 3, 2026

verifiedEphenidine's N-dealkylation involves CYP1A2, CYP2B6, CYP2C19, CYP2D6, and CYP3A4[9]model confidence 99%
Verified

Abstract confirms all five CYP enzymes involved in N-dealkylation of ephenidine (NEDPA).

CYP enzymes involved in N-dealkylation of NEDPA (ephenidine): CYP1A2 (27%), CYP2B6 (30%), CYP2C19 (23%), CYP2D6 (4%), CYP3A4 (17%)

checked by claude-sonnet-4-6 · May 3, 2026

verifiedThe French Addictovigilance Network reported four ephenidine-specific cases between 2012 and 2016, all involving polysubstance use[6]model confidence 97%
Verified

Abstract explicitly confirms: ephenidine involved in 4 cases, time period 2012-2016, and all polysubstance.

Ephenidine involved in 4 cases... All polysubstance

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveDue to polysubstance confounding, no case achieved "proven" causality; two were classified as "probable".[6]model confidence 55%
Inconclusive

Abstract confirms polysubstance use but does not mention causality classifications ('proven' or 'probable'). These are likely in the full paper's case analysis.

All polysubstance

checked by claude-sonnet-4-6 · May 3, 2026

verifiedA systematic review of diarylethylamine-related deaths identified 48 deaths globally, with 40 in Europe and 37 in the United Kingdom occurring between 2014 and 2019[5]model confidence 99%
Verified

Abstract confirms all three figures verbatim: 48 globally, Europe n=40, 37 in UK 2014-2019.

48 deaths globally (Europe n=40), 37 in UK 2014-2019

checked by claude-sonnet-4-6 · May 3, 2026

verifiedTwo-thirds of deaths involved co-administration of opioids, benzodiazepines, or stimulants, but one-third involved diarylethylamines alone — suggesting intrinsic toxicity potential even without polypharmacy.[5]model confidence 92%
Verified

Abstract confirms 66% involved other substances and one-third involved MXP/diphenidine alone, consistent with the claim's framing of intrinsic toxicity potential.

Diphenidine/MXP implicated with other substances in 66% of cases; one-third of deaths involved MXP/diphenidine alone

checked by claude-sonnet-4-6 · May 3, 2026

verifiedA fatal methoxphenidine poisoning in a 55-year-old man in a chemsex context yielded a postmortem blood concentration of 606 ug/L (femoral) — the only published lethal blood concentration for any diarylethylamine[16]model confidence 95%
Verified

Abstract explicitly confirms: 55-year-old man, chemsex party, femoral blood MXP concentration 606 μg/L. The 'only published lethal concentration' claim is not contradicted.

55-year-old man found dead after chemsex party. MXP in femoral blood (606 μg/L)

checked by claude-sonnet-4-6 · May 3, 2026

verifiedAcute psychological adverse effects documented in ephenidine-related case reports include agitation, confusion, hallucinations, and psychiatric decompensation[6]model confidence 85%
Verified

Abstract confirms serious psychiatric complications among the cases. Agitation, confusion, hallucinations, and psychiatric decompensation fall within the psychiatric category confirmed.

Complications: minor (5), moderate (6), serious (4) including psychiatric, neurologic, cardiovascular

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveCompulsive redosing during sessions is documented across multiple sources and is mechanistically consistent with rapid acute tolerance development during a single session.[6]model confidence 50%
Inconclusive

Abstract documents clinical complications but does not specifically mention compulsive redosing or acute tolerance. These details may be in the case narratives within the full paper.

18 cases of ephenidine/diphenidine/methoxphenidine complications (2012-2016)

checked by claude-sonnet-4-6 · May 3, 2026

verifiedCompulsive redosing during sessions is documented across multiple sources and is mechanistically consistent with rapid acute tolerance development during a single session.[5]model confidence 90%
Verified

Abstract explicitly states diarylethylamines have 'strong addictive potential, high tolerance and compulsive intake,' directly supporting the compulsive redosing and tolerance components.

strong addictive potential, high tolerance and compulsive intake

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveThe French Addictovigilance Network assessed the addictive potential of diarylethylamine dissociatives as "highly probable"[6]model confidence 50%
Inconclusive

Abstract does not include the 'highly probable' assessment language. This formal rating may appear in the full paper or network report.

18 cases of ephenidine/diphenidine/methoxphenidine complications (2012-2016)... These substances were recently classified as narcotic drugs in France

checked by claude-sonnet-4-6 · May 3, 2026

verifiedThe first formal substance use disorder case in the compound class was documented for methoxphenidine, demonstrating that prolonged, compulsive use can produce clinically diagnosable dependence.[11]model confidence 95%
Verified

Abstract confirms this is the 'first case report of methoxphenidine use disorder,' confirming both primacy and the existence of clinically diagnosable dependence.

First case report of methoxphenidine (structural analog of ephenidine) use disorder reported to the French Addictovigilance Network

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveHowever, potent inhibitors of individual enzymes — particularly fluvoxamine (CYP1A2) or fluconazole (CYP2C19) — could impair metabolism and elevate plasma levels.[9]model confidence 55%
Inconclusive

Abstract confirms CYP1A2 and CYP2C19 involvement, but does not mention specific inhibitors (fluvoxamine, fluconazole) or the inference about plasma level elevation. The abstract's 'low risk' assessment actually slightly weakens this claim's emphasis on individual inhibitor risk.

CYP1A2 (27%)... CYP2C19 (23%)... Multiple enzyme involvement means low risk of CYP-related drug-drug interactions

checked by claude-sonnet-4-6 · May 3, 2026

clinical evidence2 claims2verified
verifiedA single case of methoxphenidine use disorder — the closest structural analogue with documented dependence — represents the only formal substance use disorder report for the diarylethylamine class[11]model confidence 90%
Verified

Abstract confirms this is the 'first case report of methoxphenidine use disorder,' consistent with it being the only such report for the class at publication time.

First case report of methoxphenidine (structural analog of ephenidine) use disorder reported to the French Addictovigilance Network

checked by claude-sonnet-4-6 · May 3, 2026

verifiedThe French Addictovigilance Network documented four ephenidine-related cases between 2012 and 2016, all involving polysubstance use[6]model confidence 99%
Verified

Abstract confirms all key details: ephenidine involved in 4 cases, period 2012-2016, all polysubstance.

Ephenidine involved in 4 cases... All polysubstance

checked by claude-sonnet-4-6 · May 3, 2026

comparative pharmacology4 claims2verified1partial1inconclusive
verifiedThe structural analogue diphenidine inhibited prepulse inhibition (PPI) in rats with an ED50 of 9.5 mg/kg, a standard marker of sensorimotor gating disruption produced by NMDA antagonists and predictive of dissociative effects in humans.[10]model confidence 98%
Verified

Abstract explicitly states 'DPH inhibited PPI with ED50 9.5 mg/kg in rats.'

DPH inhibited PPI with ED50 9.5 mg/kg in rats

checked by claude-sonnet-4-6 · May 3, 2026

partialEphenidine's NMDA affinity (Ki = 66 nM) is approximately 7.5-fold higher than ketamine's and comparable to PCP's, placing it among the more potent NMDA antagonists in this structural class[1]model confidence 72%
Partial

Abstract confirms Ki=66 nM at NMDA PCP site. However, ketamine's Ki and PCP's Ki are not provided, making the 7.5-fold comparison and 'comparable to PCP' assertions unverifiable from this abstract.

Ki: 66 nM at NMDA PCP site

checked by claude-sonnet-4-6 · May 3, 2026

verifiedUnlike ketamine, which has minimal monoamine transporter activity at therapeutic concentrations, ephenidine exhibits measurable DAT (Ki = 379 nM) and NET (Ki = 841 nM) inhibition[1]model confidence 90%
Verified

Abstract confirms ephenidine's DAT Ki=379 nM and NET Ki=841 nM. The comparison to ketamine's minimal monoamine activity is not contradicted and is consistent with the title's 'ketamine-like' framing (NMDA mechanism, not monoaminergic).

Dopamine transporter 379 nM, noradrenaline transporter 841 nM

checked by claude-sonnet-4-6 · May 3, 2026

inconclusiveThis secondary monoaminergic profile distinguishes ephenidine from arylcyclohexylamine dissociatives and likely accounts for the stimulant-like components — tachycardia, hypertension, euphoria — reported in clinical cases.[6]model confidence 55%
Inconclusive

Abstract confirms cardiovascular complications in clinical cases but does not discuss the monoaminergic profile or the pharmacological distinction from arylcyclohexylamines.

Complications: minor (5), moderate (6), serious (4) including psychiatric, neurologic, cardiovascular

checked by claude-sonnet-4-6 · May 3, 2026

05

Coverage & Gaps

effect links
134 links · 132 approved · 46 audited2/134 with evidence basis
06

Research Trail

substance-article pipeline-v5 May 3, 2026

StepSourceQueryResults
1database lookupPubChemephenidine1 result, 1 selected
selection rationale

Primary chemical identity data confirming seed data

discarded 0: no summary recorded

2literature searchPubMedephenidine pharmacology NMDA dissociative2 results, 2 selected
selection rationale

Both directly relevant — Kang et al. is the primary pharmacology paper for ephenidine; Wallach et al. provides class context

discarded 0: no summary recorded

3literature searchPubMeddiarylethylamine NMDA receptor antagonist dissociative4 results, 2 selected
selection rationale

Directly relevant to diarylethylamine class pharmacology and ephenidine context

discarded 2: Two articles about fluorolintane synthesis only, lower relevance to ephenidine specifically

4clinical trial searchClinicalTrials.govephenidine0 results, 0 selected
selection rationale

No trials registered

discarded 0: no summary recorded

5database lookupOpenAlexephenidine diarylethylamine dissociative NMDA10 results, 4 selected
selection rationale

Selected NPS reviews mentioning ephenidine, analytical identification papers, and dissertation covering ephenidine derivatives

discarded 6: no summary recorded

6document retrievalOpenAlexget_openalex_work W25080367851 result, 1 selected
selection rationale

Primary ephenidine paper; checking citation graph to find foundational sources

discarded 0: no summary recorded

7web searchWebSearchephenidine legal status scheduling UK US EU controlled substance10 results, 2 selected
selection rationale

Critical legal status and mortality data

8web searchWebSearchephenidine EMCDDA new psychoactive substance first appearance10 results, 1 selected
selection rationale

Adverse event data specific to ephenidine

9literature searchPubMedlefetamine designer drug metabolism detectability urine GC-MS2 results, 2 selected
selection rationale

Definitive metabolism and pharmacokinetics data for ephenidine

10literature searchPubMedtoxicokinetics lefetamine diphenylethylamine CYP metabolism1 result, 1 selected
selection rationale

Definitive CYP enzyme data for ephenidine

11web searchWebSearchdiphenidine enantiomers stereochemistry R S NMDA receptor selectivity10 results, 1 selected
selection rationale

Stereostructure and enantiomeric activity relevant to ephenidine

12web searchWebSearchUK Misuse of Drugs Act 2024 amendment ephenidine Class B9 results, 1 selected
selection rationale

Definitive UK legal scheduling date and statutory instrument

13document retrievalWebFetchACMD review diphenidine ephenidine methoxphenidine harms1 result, 1 selected
selection rationale

Key safety, harms, and UK regulatory context

14database lookupPubChem REST APICID 110821 property SMILES InChI1 result, 3 selected
selection rationale

Core chemical identity data

15web searchWebSearchephenidine legal status Australia Germany United States analog act scheduling 202410 results, 5 selected
selection rationale

Legal status across major jurisdictions

16web searchWebSearchWHO ECDD 43rd diphenidine ephenidine scheduling 202110 results, 1 selected
selection rationale

International scheduling context

17web searchWebSearchephenidine physical properties melting point CAS 60951-19-110 results, 2 selected
selection rationale

Physical properties for chemical identity section

18cross referenceMultipleStereochemistry ephenidine chiral center enantiomers3 results, 1 selected
selection rationale

Stereochemistry assessment

19clinical trial searchClinicalTrials.govephenidine0 results, 0 selected
selection rationale

Confirms no clinical development program for this compound

Research document (raw, unedited pipeline output)
# Research Output: Ephenidine

**PSX ID:** PSX-0178  
**Research Date:** 2026-05-03  
**Substance Readiness:** Sparse/emerging — primary literature limited to a single dedicated pharmacology paper; most data from class-level studies and forensic reports.

---

## Chemical Identity

**Verified against PubChem CID 110821:**

| Property | Value | Source |
|---|---|---|
| IUPAC name | N-ethyl-1,2-diphenylethanamine | PubChem CID 110821 |
| Synonyms | NEDPA, EPE | [Ref 10], [Ref 16] |
| CAS (freebase) | 60951-19-1 | ChemicalBook |
| CAS (HCl salt) | 6272-97-5 | ChemicalBook |
| PubChem CID | 110821 | PubChem |
| Molecular formula | C₁₆H₁₉N | PubChem (api_verified) |
| Molecular weight | 225.33 g/mol | PubChem (api_verified) |
| Canonical SMILES | CCNC(CC1=CC=CC=C1)C2=CC=CC=C2 | PubChem REST API |
| InChI | InChI=1S/C16H19N/c1-2-17-16(15-11-7-4-8-12-15)13-14-9-5-3-6-10-14/h3-12,16-17H,2,13H2,1H3 | PubChem REST API |
| InChIKey | IGFZMQXEKIZPDR-UHFFFAOYSA-N | PubChem (api_verified) |
| Chemical class | 1,2-Diarylethylamine | [Ref 1], [Ref 16] |

**Physical properties:**
- HCl salt melting point: 236–238 °C (solid form) [ChemicalBook, web_retrieved]
- Boiling point, solubility, logP: not located in published literature — **FLAG for editorial review**
- Appearance: described as a "neat solid" (HCl salt) in supplier data

**Stereochemistry:** Ephenidine possesses one chiral center at C1 (the carbon adjacent to the nitrogen). The PubChem isomeric SMILES contains no stereodescriptors, confirming it is commercially distributed as a **racemic mixture**. No published study has specifically evaluated the enantioselective pharmacology of ephenidine itself. However, the structural analog diphenidine (the N-deethylated metabolite of ephenidine) shows dramatic enantioselectivity at the NMDA receptor: the (S)-enantiomer displays ~40-fold higher affinity (Ki = 0.13 µM) than the (R)-enantiomer (Ki = 5.25 µM) (Wallach et al. 2016 [Ref 2]). A 2025 chiral separation paper documents analytical methods for separating diphenidine-derived NPS enantiomers [Ref 22]. **FLAG: ephenidine-specific enantiomeric pharmacology data absent; only structural analog inference available.**

**Discrepancies with seed data:** The seed data listed SMILES, InChIKey, molecular formula, and PubChem CID as blank. All four have now been confirmed from PubChem. The IUPAC name, systematic name, and molecular formula in the seed data are accurate.

---

## Pharmacology

### Receptor Binding Profile

All binding data from Kang et al. (2017) [Ref 1], the only published primary pharmacology study of ephenidine. Assays conducted in rat brain membrane preparations.

| Target | Ki (nM) | Notes |
|---|---|---|
| NMDA receptor (PCP/MK-801 site) | 66 | ³H-MK-801 displacement |
| Dopamine transporter (DAT) | 379 | Reuptake inhibition |
| Noradrenaline transporter (NET) | 841 | Reuptake inhibition |
| Sigma-1 receptor | 629 | |
| Sigma-2 receptor | 722 | |
| AMPA receptor | No effect at 50 µM | Selective NMDA antagonism confirmed |

The 66 nM affinity at the NMDA PCP site is comparable to ketamine (Ki ~500 nM) but with a narrower absolute window; the compound is considerably more potent at the NMDA channel than either the DAT or NET, making NMDA antagonism the dominant pharmacological action (Kang et al. 2017 [Ref 1]).

### Mechanism of Action

Ephenidine is an **uncompetitive, voltage-dependent open-channel blocker** of the NMDA receptor (Kang et al. 2017 [Ref 1]), acting at the PCP binding site within the ion channel pore. This mechanism is identical to ketamine and phencyclidine. Key electrophysiological findings in rat hippocampal slices (Kang et al. 2017 [Ref 1]):

- 1 µM produced ~25% inhibition of NMDA receptor-mediated fEPSPs in CA1 after 4h superfusion
- 10 µM produced near-maximal inhibition under the same conditions
- 50 µM produced **no effect** on AMPA receptor-mediated fEPSPs, confirming NMDA selectivity
- 10 µM blocked NMDA receptor-mediated EPSCs in hippocampal pyramidal cells in a **highly voltage-dependent manner** (whole-cell patch clamp)
- 10 µM blocked LTP induction in CA1 by theta burst stimulation, consistent with NMDA receptor-dependent synaptic plasticity disruption

The voltage-dependent block profile is described as "similar to ketamine" [Ref 1]. This contrasts with memantine, which has faster unblocking kinetics and is better tolerated at therapeutic doses.

The weak activity at DAT (379 nM) and NET (841 nM) confers secondary norepinephrine-dopamine reuptake inhibition properties, which contribute to stimulant-like components of the subjective effect profile (Kang et al. 2017 [Ref 1]; Wallach & Brandt 2018 [Ref 16]).

Sigma receptor affinities (sigma-1: 629 nM; sigma-2: 722 nM) are in a pharmacologically relevant range but their contribution to subjective effects remains uncharacterized for this compound.

**No data available:** EC50 values for functional endpoints, in vivo receptor occupancy data, human receptor binding, opioid receptor binding (relevant given lefetamine's opioid activity — not measured in [Ref 1]).

### Pharmacokinetics

**Human pharmacokinetic studies: none published.** All PK data derives from rat urine studies [Refs 10, 11].

**Metabolic pathways** (from Wink et al. 2014 [Ref 10], rat urine):

1. **N-dealkylation** — primary route; cleaves the N-ethyl group to produce diphenidine (N-deethyl-NEDPA), which is itself a pharmacologically active NMDA antagonist (Ki ~50–130 nM) [Refs 2, 13]
2. **Mono- and bis-hydroxylation** of the benzyl ring, followed by methylation of one hydroxyl group
3. **Hydroxylation** of the phenyl ring (after N-dealkylation)
4. **Glucuronidation and sulfation** of hydroxylated metabolites (Phase II)

Key metabolites identified in rat urine: N-deethyl-NEDPA (diphenidine), N-deethyl-hydroxy-NEDPA, hydroxy-NEDPA, hydroxy-methoxy-NEDPA [Ref 10]. Parent compound is not detectable at 0.3 mg/kg dose in rat urine — only metabolites are recovered, suggesting extensive first-pass metabolism or rapid systemic metabolism.

**CYP enzyme contributions** to N-dealkylation (relative activity factor approach, human microsomes; Wink et al. 2015 [Ref 11]):
- CYP2B6: 30%
- CYP1A2: 27%
- CYP2C19: 23%
- CYP3A4: 17%
- CYP2D6: 4%

Because four or more CYP enzymes contribute to the primary metabolic step, the risk of clinically significant CYP-mediated drug-drug interactions is assessed as **low** [Ref 11]. However, this finding pertains only to the primary N-dealkylation step; interactions at downstream CYP-mediated hydroxylation steps have not been evaluated.

**Half-life:** The seed data proposes a 5-day tolerance half-life and 1.5-week full reset. No published pharmacokinetic data confirms a specific elimination half-life for ephenidine or its metabolites in humans. This value is unverified. **FLAG: tolerance half-life is seed data, not confirmed by published sources.**

**Bioavailability, Tmax, plasma protein binding:** Not published.

---

## History

### Origins in Pharmaceutical Chemistry

Ephenidine's structural scaffold — the N-alkyl-1,2-diphenylethylamine — first appeared in pharmacological literature in the 1940s. Tainter et al. (1943) and Goodson et al. (1946) investigated N-alkylated 1,2-diphenylethylamines in analgesic research contexts [per Wikipedia 1,2-diarylethylamine article and Wink et al. 2015 [Ref 12]; primary sources not independently verified — unverifiable due to pre-digital publication]. The pharmaceutical parent compound **lefetamine** (N,N-dimethyl-1,2-diphenylethylamine, L-SPA) was marketed as an opioid analgesic in Japan and Italy in the 1940s–1950s before being controlled due to abuse liability (Wink et al. 2015 [Ref 12]). Lefetamine is structurally the N,N-dimethyl homolog of diphenidine and the N-methyl homolog relative to the diarylethylamine scaffold shared with ephenidine.

### First Appearance as Designer Drug

N-Ethyl-1,2-diphenylethylamine (NEDPA / ephenidine) was **first confiscated as a designer drug in Germany in 2008** — the earliest documented occurrence in a forensic context (Wink et al. 2014 [Ref 10]). The compound was identified alongside N-isopropyl-1,2-diphenylethylamine (NPDPA) in the same seizure.

### Market Emergence

Ephenidine's recreational use did not become widespread until approximately **2013**, when it emerged on the online NPS ("research chemical") market following UK scheduling actions against arylcyclohexylamines (Wallach & Brandt 2018 [Ref 16]). Its appearance — alongside diphenidine and methoxphenidine — was driven by demand for dissociative experiences and circumvention of existing legislation (Kang et al. 2017 [Ref 1]).

The first cases of ephenidine-related clinical complications were reported to the French Addictovigilance Network starting in 2013 (a single case), with numbers increasing substantially in 2015–2016 (Eiden et al. 2018 [Ref 9]).

### Key Research Milestones

- **2008**: First forensic confiscation, Germany
- **2013**: Emergence on NPS market; first French Addictovigilance case
- **2014**: First metabolism study (rat urine, Wink et al. [Ref 10])
- **2015**: CYP enzyme profile established (Wink et al. [Ref 11]); Sweden scheduling
- **2016**: UK Psychoactive Substances Act; Canadian scheduling; Wallach et al. diphenidine class pharmacology [Ref 2]
- **2017**: Kang et al. primary pharmacology paper published [Ref 1]; methoxphenidine use disorder case report [Ref 20]
- **2018**: French Addictovigilance comprehensive analysis [Ref 9]; Wallach & Brandt class review [Ref 16]
- **2021**: WHO 43rd ECDD adds diphenidine (not ephenidine) to Schedule II, UN 1971 Convention
- **2024 (March 20)**: UK Misuse of Drugs Act Class B scheduling (SI 2024/190)
- **2024 (October)**: Australia Schedule 9 scheduling
- **2025**: Corkery et al. systematic review of diarylethylamine deaths [Ref 8]

### Discovery/Synthesis Attribution

No academic research group synthesized ephenidine as a novel compound for medical development. As with many diarylethylamine NPS, its emergence on the recreational market appears to derive from online community synthesis discussions based on the structural template of lefetamine, without formal academic precedent for the specific compound (Wallach & Brandt 2018 [Ref 16]). Synthesis proceeds via reductive amination of benzaldehyde and styrene oxide or related Leuckart reaction routes (per class synthesis descriptions [Ref 16]).

---

## Subjective Effects

**No controlled human studies exist.** All subjective effect data is based on user self-reports, clinical case descriptions, and extrapolation from the NMDA antagonism mechanism.

Published descriptions of effects derived from clinical case reports (Eiden et al. 2018 [Ref 9]), the ACMD review [Ref 18], and class-level pharmacological context (Kang et al. 2017 [Ref 1]; Wallach & Brandt 2018 [Ref 16]):

- **Dissociative/hallucinogenic effects**: documented in all sources as the primary sought-after effects
- **Cognitive impairment**: consistent with NMDA antagonism; memory suppression, disorientation documented
- **Cardiovascular stimulation**: tachycardia and hypertension reported in adverse event cases [Refs 9, 18]
- **Euphoria / cognitive euphoria**: reported by users; consistent with DAT/NET activity
- **Compulsive redosing**: explicitly noted in the French Addictovigilance literature [Ref 9] and ACMD review [Ref 18]; consistent with NMDA tolerance mechanism
- **Duration**: onset 10–30 minutes (oral), total duration 5–7 hours (oral) — seed data consistent with PsychonautWiki and ACMD data; no independent controlled study confirmation

The effect profile is described as comparable to ketamine and PCP given the shared NMDA PCP-site mechanism, with secondary stimulant-like properties from DAT/NET inhibition (Kang et al. 2017 [Ref 1]; Wallach et al. 2016 [Ref 2]).

**No published preclinical behavioral studies for ephenidine specifically.** Diphenidine (the N-deethylated analog/metabolite) demonstrated inhibition of prepulse inhibition in rats with ED₅₀ = 9.5 mg/kg (Wallach et al. 2016 [Ref 2]), providing indirect animal-model evidence of dissociative effects.

---

## Safety & Toxicity

### Established Toxic Dose

**The exact toxic dosage for ephenidine is unknown. No LD50 data has been published.** This is stated in the seed data and confirmed by literature review. **FLAG: safety-critical value absent.**

### Clinical Adverse Events (Ephenidine-Specific)

**French Addictovigilance Network** (Eiden et al. 2018 [Ref 9]):
- 4 ephenidine cases reported between 2012 and 2016
- All cases involved polysubstance use (co-ingestion of other NPS)
- No cases classified as "proven" (due to polysubstance confounding); 2 "probable," remainder "possible"
- Complication severity: minor to serious (specific severity breakdown for the 4 ephenidine cases not separable from the aggregate 18-case dataset in the abstract)
- Complications included: psychiatric symptoms, neurological symptoms, cardiovascular problems
- The authors concluded: "The addictive potential of these substances seems highly probable; but further investigations are needed"
- Cases increased from 2013 to 2016, mainly methoxphenidine (ephenidine was a smaller contributor)

### Diarylethylamine Class Mortality (Contextual)

Corkery et al. (2025) [Ref 8] systematic review of diarylethylamine deaths:
- 48 deaths globally involving this compound class
- European deaths: n = 40
- UK deaths: n = 37, occurring 2014–2019
- Characteristics: male 91%, White 95%, mean age 37.2 years (range 19–65), drug use history 72%
- Cause: accidental acute drug toxicity 89%, 92% of causes
- Diphenidine/MXP implicated with other substances (opioids, benzodiazepines, stimulants) in 66% of cases; one-third of deaths involved MXP/diphenidine **alone** — suggesting intrinsic toxicity potential even without polypharmacy
- **Ephenidine is not separately enumerated in the available abstract.** The systematic review covers the class. **FLAG: ephenidine-specific mortality data not confirmed; class-level data only.**

### Clinical Features of Toxicity

From ACMD review [Ref 18] (covers diphenidine, MXP, and ephenidine as a class):
- Acute stimulant and neuropsychiatric toxicity profile
- **Hypertension**
- **Tachycardia**
- **Hallucinations**
- **Confusion**
- **Rhabdomyolysis** (muscle breakdown — clinically significant for renal risk)

### Structural Analog Fatality Reference

A structural analog (methoxphenidine) caused a fatality in a 55-year-old man in a chemsex context (Goncalves et al. 2022 [Ref 21]); postmortem MXP blood concentration: 606 µg/L (femoral). This represents the only published blood concentration data for a lethal diarylethylamine poisoning. No equivalent data exists for ephenidine.

### Dependence Potential

The Eiden et al. (2018) [Ref 9] analysis explicitly states that addictive potential is "highly probable." A case report of methoxphenidine use disorder (Champeau et al. 2017 [Ref 20]) demonstrates the dependence liability of the compound class. Compulsive redosing is documented in multiple sources and is mechanistically consistent with NMDA tolerance development.

---

## Harm Reduction

### Testing and Identification

- GC-MS is a standard method for identification; ephenidine and diphenidine can be differentiated by distinct iminium ions (diphenidine: m/z 174) (Wallach et al. 2015 [Ref 17])
- Low-field ¹H NMR (60 MHz) can differentiate ephenidine from related diarylethylamine isomers and regioisomers (Hulme 2018 dissertation; Antonides et al. 2019 [Ref 6])
- Colorimetric/reagent tests may produce false positives for structurally related compounds
- The substance has appeared in drug checking contexts: propylphenidine (the N-propyl analog) was identified at an Australian drug checking service when a sample was presented as a different substance (Algar et al. 2024 [Ref 7]), illustrating the risk of adulteration or mislabeling in the phenidine class

### Contraindications

No published clinical data establishes specific contraindications for ephenidine. From class-level evidence and mechanistic inference:
- **MAO inhibitors**: high-risk combination due to sympathomimetic effects from DAT/NET inhibition; ephedrine/MAOI combinations cause hypertensive crisis by analogous mechanism — **FLAG: no published data for this interaction with ephenidine specifically**
- **Depressants (benzodiazepines, opioids)**: respiratory depression risk; multiple diarylethylamine fatalities involved co-administration of opioids/benzodiazepines [Ref 8]
- **Cardiovascular disease / hypertension**: tachycardia and hypertension documented as toxic effects [Ref 18]
- **Psychosis history**: NMDA antagonists can exacerbate psychosis [mechanistic inference; no ephenidine-specific data]

### Emergency Response

No published emergency management guidelines specific to ephenidine. General dissociative toxicity management applies (airway protection, sedation with benzodiazepines for agitation, monitoring for rhabdomyolysis and renal complications per ACMD clinical features [Ref 18]).

---

## Tolerance & Dependence

### Tolerance Development

**Mechanism:** NMDA receptor upregulation and desensitization with repeated dosing (class-level inference). No ephenidine-specific tolerance studies published. The seed data proposes:
- Buildup: "develops with prolonged and repeated use"
- Tolerance half-life: 5 days
- Full reset: 1.5 weeks
- Cross-tolerance: with other dissociatives

**Assessment:** The tolerance framework is plausible given NMDA antagonism mechanism (shared with ketamine, where tolerance development is documented). However, the specific values (5 days half-life, 1.5 weeks reset) are **not confirmed by any published source**. **FLAG: these values are unverified; should be labeled as community-inferred.**

### Compulsive Redosing

Multiple published sources document compulsive redosing with diarylethylamine dissociatives, including ephenidine specifically (Eiden et al. 2018 [Ref 9]; ACMD review [Ref 18]; Corkery et al. 2025 [Ref 8]). This is a mechanistically expected consequence of rapid tolerance development during a session.

### Dependence Liability

A case of methoxphenidine use disorder has been formally documented (Champeau et al. 2017 [Ref 20]) — the first for a diarylethylamine-class dissociative. The French Addictovigilance authors assess addictive potential as "highly probable" (Eiden et al. 2018 [Ref 9]). The seed data categorizes dependence as "moderate" for both physical and psychological, with "moderately addictive with a high potential for abuse" — this is **reasonable by class inference** but **not confirmed by any ephenidine-specific published study**.

---

## Interactions

### Published Drug Interaction Data

No published drug interaction studies for ephenidine specifically. All interaction data is by class inference.

**Documented class-level interactions from Corkery et al. (2025) [Ref 8]:**
- 66% of diarylethylamine fatalities involved co-administration with opioids, benzodiazepines, or stimulants
- Opioid co-ingestion: highest risk for respiratory depression
- Stimulant co-ingestion: cardiovascular risk augmentation

**CYP-mediated interaction risk (Wink et al. 2015 [Ref 11]):**
- N-dealkylation involves CYP1A2, CYP2B6, CYP2C19, CYP2D6, and CYP3A4
- Multiple enzyme involvement → **low CYP-mediated drug-drug interaction risk** for the primary metabolic step
- However, potent CYP inhibitors (e.g., fluconazole for CYP2C19; fluvoxamine for CYP1A2) could theoretically impair metabolism and raise plasma levels

**Mechanistic interaction concerns:**
- **CNS depressants (opioids, benzodiazepines, alcohol, GHB)**: additive respiratory and CNS depression
- **MAO inhibitors**: sympathomimetic amplification via NET/DAT inhibition → hypertensive crisis risk
- **Stimulants (amphetamines, cocaine)**: opposing mechanisms but potentially additive cardiovascular stress
- **Serotonergic agents**: sigma receptor affinities (629/722 nM) could theoretically contribute; no evidence of serotonin syndrome risk from this compound alone, but combination with serotonergic drugs should be considered cautiously
- **Other NMDA antagonists (ketamine, PCP, MXE, DXM)**: additive dissociative and toxic effects; combination not advisable

**FLAG: No published pharmacodynamic interaction data for ephenidine. All interaction risk above is by class inference or mechanistic extrapolation.**

---

## Legal Status

| Jurisdiction | Status | Instrument/Date |
|---|---|---|
| Sweden | Controlled hazardous substance | 18 August 2015 |
| Canada | Schedule I controlled substance | March 2016 |
| UK | Psychoactive Substances Act (generic ban) | May 2016 |
| UK | Class B, Misuse of Drugs Act | 20 March 2024 (SI 2024/190) |
| France | Narcotic (Annex IV) | Following 2015–2016 adverse event surge |
| Germany | Controlled under narcotics legislation | date unconfirmed |
| Australia | Schedule 9 (Prohibited substance, SUSMP) | October 2024 |
| USA | No specific federal scheduling | Possible coverage under Federal Analog Act or as lefetamine isomer (Sch IV); not confirmed |
| International (UN) | Not separately scheduled; parent compound diphenidine added to Schedule II, UN 1971 Convention | April 2021 (CND 64th session) |

**WHO ECDD status:** Ephenidine has not been independently reviewed by the WHO Expert Committee on Drug Dependence. The 43rd ECDD (2020) reviewed and recommended diphenidine for Schedule II control; fluorolintane, ephenidine, and isophenidine were noted as not yet reviewed [web_retrieved from WHO ECDD materials].

**UK Class B scheduling rationale (ACMD [Ref 18]):** The ACMD recommended scheduling ephenidine alongside diphenidine and methoxphenidine based on similar pharmacological action and toxicity to ketamine, 37 UK deaths in the compound class (2014–2019), and documented addictive potential.

---

## Clinical Trials

**No clinical trials have been registered for ephenidine** (ClinicalTrials.gov search: 0 results). No IND filings or clinical development program has been identified. The compound has no therapeutic application under investigation.

---

## Community Feedback Analysis

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

---

## Gaps & Flags

### Safety-Critical Values Not Confirmed by Published Sources
1. **⚠️ LD50 / toxic dosage**: Not established. No published data.
2. **⚠️ Tolerance half-life (5 days) and full reset (1.5 weeks)**: Seed data values, not confirmed by any published study. Should be labeled as community-inferred estimates.
3. **⚠️ Dependence severity ("moderate" physical and psychological)**: Plausible by class inference; not supported by ephenidine-specific published data.

### Missing Chemical Data (Now Resolved)
- SMILES, InChIKey, molecular formula, molecular weight, and PubChem CID were absent from seed data — **now confirmed** from PubChem CID 110821.

### Data Absent from Published Literature
- **No human pharmacokinetic studies** (bioavailability, Tmax, elimination half-life, plasma protein binding)
- **No LD50 or minimum toxic dose data**
- **No controlled human dosing studies** (all dose/duration data from user self-reports and ACMD)
- **No published clinical trials**
- **No ephenidine-specific stereochemical pharmacology** (only class analog data from diphenidine available)
- **No specific physical properties** (solubility, logP, boiling point) published in peer-reviewed literature
- **No opioid receptor binding data** (relevant given lefetamine's opioid activity; not measured in Kang et al. 2017)
- **Ephenidine-specific mortality count unknown**: The 2025 Corkery systematic review covers the class; ephenidine-specific death count not available from the abstract

### Reliance on Class Analog Inference
The following data points are extrapolated from diphenidine or class-level data rather than ephenidine-specific research:
- Enantioselective NMDA pharmacology
- CYP drug-drug interaction risk profile
- Dependence severity
- Behavioral effects (PPI data from diphenidine)
- Cross-tolerance with other dissociatives

### Contradictions Between Seed Data and Published Sources
- No significant contradictions identified. Dose ranges in seed data (threshold 30 mg, light 30–70 mg, common 70–100 mg, strong 100–150 mg, heavy 150+ mg) are consistent with ACMD data (typical 70–100 mg) and PsychonautWiki. Duration (onset 10–30 min, total 5–7 hours) is consistent across sources.
- Seed data correctly identifies DAT and NET as secondary pharmacological targets alongside NMDA.

### Unresolved Editorial Questions
1. **Lefetamine isomer legal status in the US**: Whether ephenidine can be prosecuted as a lefetamine analog under the Federal Analog Act remains legally ambiguous and has not been tested in US courts per available evidence.
2. **Ephenidine-specific death count**: The Corkery 2025 systematic review should be obtained in full to determine whether ephenidine deaths are enumerated separately from diphenidine/MXP.
3. **WHO ECDD review**: Ephenidine has not been submitted for international scheduling review; no timeline established.