Substituted β-hydroxyamphetamines, or simply β-hydroxyamphetamines, also known as phenylisopropanolamines, phenylpropanolamines, norephedrines, or cathinols, are derivatives of β-hydroxyamphetamine with one or more chemical substituents. They are substituted phenethylamines, phenylethanolamines (β-hydroxyphenethylamines), and amphetamines (α-methylphenethylamines), and are closely related to but distinct from the substituted cathinones (β-ketoamphetamines). Examples of β-hydroxyamphetamines include the β-hydroxyamphetamine stereoisomers phenylpropanolamine and cathine and the stereospecific N-methylated β-hydroxyamphetamine derivatives ephedrine and pseudoephedrine, among many others.

In terms of pharmacological activity, the β-hydroxyamphetamines include indirectly acting norepinephrine and dopamine releasing agents and directly acting α- and β-adrenergic receptor agonists, among other actions. In contrast to their amphetamine counterparts, ephedrine and 4-fluoroephedrine are not agonists of the human trace amine-associated receptor 1 (TAAR1). With regard to medical and other uses, β-hydroxyamphetamines are employed as sympathomimetics, decongestants, bronchodilators, vasoconstrictors, vasodilators, tocolytics, antitussives, cardiac stimulants, antihypotensive agents, appetite suppressants, psychostimulants, wakefulness-promoting agents, antidepressants, euphoriants or recreational drugs, and performance-enhancing drugs (in exercise and sports), among others.

β-Hydroxyamphetamines have increased hydrophilicity and lower lipophilicity relative to their amphetamine counterparts owing to their β-hydroxyl group. For comparison, the predicted log P (XLogP3) of amphetamine is 1.8, of β-hydroxyamphetamine is 0.8, and of cathinone is 1.1. As a result of their reduced lipophilicity, they are generally less able to cross the blood–brain barrier and show greater peripheral selectivity in comparison to the corresponding amphetamine analogues. This makes the β-hydroxyamphetamines less applicable for use as centrally-acting agents but more applicable for peripherally-specific uses such as sympathomimetic stimulation. Besides different physicochemical properties, there is also a large drop in the potency of β-hydroxyamphetamines as monoamine releasing agents in vitro relative to amphetamines and cathinones.

List of substituted β-hydroxyamphetamines

Generic or Trivial NameChemical Name# of Subs
β-Hydroxyamphetamine (phenylisopropanolamine)β-Hydroxy-α-methylphenethylamine0
Phenylpropanolamine (PPA; norephedrine)β-Hydroxyamphetamine, (1RS,2SR)-0
(1R,2S)-Phenylpropanolamineβ-Hydroxyamphetamine, (1R,2S)-0
(1S,2R)-Phenylpropanolamineβ-Hydroxyamphetamine, (1S,2R)-0
Norpseudoephedrineβ-Hydroxyamphetamine, (1SR,2RS)-0
Cathine (D-norpseudoephedrine)β-Hydroxyamphetamine, (1S,2S)-0
L-Norpseudoephedrineβ-Hydroxyamphetamine, (1R,2R)-0
β-Hydroxy-N-methylamphetamineβ-Hydroxy-N-methylamphetamine1
Racephedrine (racemic ephedrine)β-Hydroxy-N-methylamphetamine, (1RS,2SR)-1
Ephedrineβ-Hydroxy-N-methylamphetamine, (1R,2S)-1
(1S,2R)-Ephedrineβ-Hydroxy-N-methylamphetamine, (1S,2R)-1
Racemic pseudoephedrineβ-Hydroxy-N-methylamphetamine, (1RS,2RS)-1
Pseudoephedrineβ-Hydroxy-N-methylamphetamine, (1S,2S)-1
(1R,2R)-Pseudoephedrineβ-Hydroxy-N-methylamphetamine, (1R,2R)-1
meta-Hydroxynorephedrine3,β-Dihydroxyamphetamine1
Metaraminol (metaradrine)3,β-Dihydroxyamphetamine, (1R,2S)-1
para-Hydroxynorephedrine4,β-Dihydroxyamphetamine1
Oxyfedrineβ-Hydroxy-N-(...)-amphetamine, (1R,2S)-1
Alifedrineβ-Hydroxy-N-(...)-amphetamine, (1R,2S)-1
Tinofedrineβ-Hydroxy-N-(3,3-di-3-thienyl)-2-propenyl)amphetamine, (1R,2S)-1
Cafedrine (ethyltheophyllinylnorephedrine)β-Hydroxy-N-(ethyltheophyllinyl)amphetamine1
Methylephedrine (N-methylephedrine)β-Hydroxy-N,N-dimethylamphetamine, (1R,2S)-2
N-Methylpseudoephedrineβ-Hydroxy-N,N-dimethylamphetamine, (1S,2S)-2
Cinnamedrine (cinnamylephedrine)β-Hydroxy-N-methyl-N-cinnamylamphetamine2
Etafedrine (ethylephedrine)β-Hydroxy-N-methyl-N-ethylamphetamine, (1R,2S)-2
4-Fluoroephedrine4-Fluoro-β-hydroxy-N-methylamphetamine2
Oxilofrine (4-hydroxyephedrine)4,β-Dihydroxy-N-methylamphetamine2
4-Methylephedrine (dihydromephedrone)4-Methyl-β-hydroxy-N-methylamphetamine2
Corbadrine (levonordefrin; α-methylnorepinephrine)3,4,β-Trihydroxyamphetamine2
Methoxamine (methoxamedrine)2,6-Dimethoxy-β-hydroxyamphetamine2
Hexapradolα-Desmethyl-α-hexyl-β-hydroxy-β-phenylamphetamine2
Erythrohydrobupropion3-Chloro-β-hydroxy-N-tert-butylamphetamine, erythro-2
Threohydrobupropion3-Chloro-β-hydroxy-N-tert-butylamphetamine, threo-2
Ritodrine4,β-Dihydroxy-N-(4-hydroxyphenylethyl)amphetamine2
Isoxsuprine4,β-Dihydroxy-N-(...)-amphetamine2
Suloctidil4-Isopropylthio-β-hydroxy-N-octylamphetamine2
Buphenine4,β-Dihydroxy-N-(...)-amphetamine2
Trecadrineβ-Hydroxy-N-methyl-N-(...)-amphetamine2
Ethylnorepinephrine (butanefrine)β,3,4-Trihydroxy-α-desmethyl-α-ethylamphetamine3
Dioxifedrine (α-methylepinephrine; 3,4-dihydroxyephedrine)3,4,β-Trihydroxy-N-methylamphetamine3
Dioxethedrin (α-methyl-N-ethylnorepinephrine)3,4,β-Trihydroxy-N-ethylamphetamine3
Butaxamine3,6-Dimethoxy-β-hydroxy-N-tert-butylamphetamine, (1S,2S)-3
Isoetarine3,4,β-Trihydroxy-α-desmethyl-α-ethyl-N-isopropylamphetamine4
Procaterol2,3-(...)-4,β-dihydroxy-N-isopropyl-α-desmethyl-α-ethyl- amphetamine, (1R,2S)-5

Side-chain-cyclized substituted β-hydroxyamphetamines

Some β-hydroxyamphetamines have had their side chain extended and cyclized. Examples include certain substituted phenylmorpholines like phenmetrazine and phendimetrazine and their analogues; substituted phenylmorpholines related to bupropion like radafaxine (cyclized (2S,3S)-hydroxybupropion) and manifaxine; certain substituted aminorexes like 4-methylaminorex and 4,4'-dimethylaminorex; and other compounds including cilobamine, diphenylprolinol, ifenprodil, levophacetoperane, pipradrol, rimiterol, traxoprodil, vibegron, and zilpaterol.

Activity profiles

Monoamine release by β-hydroxyamphetamines and related agents (EC50Tooltip half maximal effective concentration, nM)
CompoundNETooltip NorepinephrineDATooltip Dopamine5-HTTooltip SerotoninClassRef
AmphetamineNDNDNDAmphetamineND
Dextroamphetamine (S(+)-amphetamine)6.6–7.25.8–24.8698–1765Amphetamine
Levoamphetamine (R(–)-amphetamine)NDNDNDAmphetamineND
MethamphetamineNDNDNDAmphetamineND
Dextromethamphetamine (S(+)-methamphetamine)12.3–13.88.5–24.5736–1291.7Amphetamine
Levomethamphetamine (R(–)-methamphetamine)28.54164640Amphetamine
CathinoneNDNDNDCathinoneND
S(–)-Cathinone (L-cathinone)12.418.52366Cathinone
MethcathinoneNDNDNDCathinoneND
L-Methcathinone13.114.81772Cathinone
Phenylpropanolamine (norephedrine)NDNDNDβ-HydroxyamphetamineND
(+)-Phenylpropanolamine ((+)-norephedrine)42.1302>10000β-Hydroxyamphetamine
(–)-Phenylpropanolamine ((–)-norephedrine)1371371>10000β-Hydroxyamphetamine
NorpseudoephedrineNDNDNDβ-HydroxyamphetamineND
Cathine ((+)-norpseudoephedrine)15.068.3>10000β-Hydroxyamphetamine
(–)-Norpseudoephedrine30.1294>10000β-Hydroxyamphetamine
Racephedrine (racemic ephedrine)NDNDNDβ-HydroxyamphetamineND
Ephedrine ((–)-ephedrine)43.1–72.4236–1350>10000β-Hydroxyamphetamine
(+)-Ephedrine2182104>10000β-Hydroxyamphetamine
Racemic pseudoephedrineNDNDNDβ-HydroxyamphetamineND
(–)-Pseudoephedrine40929125>10000β-Hydroxyamphetamine
Pseudoephedrine ((+)-pseudoephedrine)2241988>10000β-Hydroxyamphetamine
The smaller the value, the more strongly the substance releases the neurotransmitter. See also Monoamine releasing agent § Activity profiles for a larger table with more compounds.

See also