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5-APB

5-(2-Aminopropyl)benzofuran (5-APB) is a synthetic benzofuran derivative classified as a novel psychoactive substance, functioning primarily as a releasing agent for serotonin, dopamine, and norepinephrine to elicit entactogenic, stimulant, and entheogenic effects structurally and pharmacologically akin to MDMA and MDA.^[1]^[2] Originally synthesized in the 1990s by David E. Nichols at Purdue University during investigations into non-neurotoxic MDMA analogs and selective 5-HT2A agonists, 5-APB entered recreational markets around 2010 as a research chemical often sold under the "benzofury" moniker, prompting regulatory scrutiny due to its abuse potential and reports of acute toxicity.^[3]^[4] Empirical pharmacological assessments reveal dose-dependent monoamine release with pronounced serotonergic activity, alongside vasoconstrictive effects mediated by 5-HT2 receptors, though in vitro hepatocyte models demonstrate elevated hepatotoxicity relative to its 6-APB positional isomer.^[5]^[6]^[2]

History

Emergence and early detection

5-APB, chemically known as 5-(2-aminopropyl)benzofuran, was initially synthesized in the early 1990s as part of pharmacological research exploring structural analogs of amphetamines with potential reduced neurotoxicity.^[7] The compound's preparation was formally documented in scientific literature by 2000, within studies aimed at developing selective serotonin releasers.^[5] However, it remained confined to academic and preclinical contexts until its commercial introduction as a designer drug. The emergence of 5-APB in the recreational market occurred in 2010, when it began appearing online as a so-called "legal high" under monikers like "benzo fury," positioned as an entactogenic alternative to substances such as MDMA.^[8] This coincided with the broader rise of benzofuran derivatives as novel psychoactive substances (NPS), with 5-APB among the first in its class to gain traction among users seeking stimulant and empathogenic effects.^[9] Sales were primarily through research chemical vendors, often evading initial regulatory scrutiny due to its novel status. Early detection efforts identified 5-APB through European drug monitoring networks that same year, with the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) recording its first seizures and analytical confirmations in member states.^[8] Forensic laboratories employed techniques such as gas chromatography-mass spectrometry (GC-MS) to differentiate it from positional isomers like 6-APB, prompted by reports of acute intoxications and polydrug contexts.^[10] By 2011, EMCDDA-Europol assessments highlighted its risks, leading to targeted bans in jurisdictions including the United Kingdom.^[5] These detections underscored challenges in NPS surveillance, as rapid online dissemination outpaced traditional scheduling mechanisms.

Chemistry

Structure and physical properties

5-(2-Aminopropyl)benzofuran, commonly known as 5-APB, is a synthetic benzofuran derivative characterized by a benzofuran ring system substituted at the 5-position with a 2-aminopropyl side chain, conferring a phenethylamine-like scaffold. The molecular formula is C₁₁H₁₃NO, with a molecular weight of 175.23 g/mol. This compound possesses a chiral center at the alpha carbon of the propyl chain, typically existing as a racemic mixture in synthesized forms.^[11] Detailed physical properties, including melting point, boiling point, and solubility in various solvents, remain sparsely reported in peer-reviewed or chemical database sources, reflecting its status as a research chemical with limited commercial or pharmaceutical development.^[12] The free base form is an oil or low-melting solid, while the hydrochloride salt manifests as a crystalline solid, facilitating handling and analysis in laboratory settings.^[13] Solubility data indicate moderate water solubility for the salt form, though quantitative values are not standardized across references.^[14]

Synthesis methods

5-APB, or 5-(2-aminopropyl)benzofuran, is synthesized through multi-step procedures detailed in peer-reviewed forensic and pharmacological literature, typically yielding the hydrochloride salt for analytical purposes. The initial synthesis was reported in 2000 as part of efforts to develop selective serotonin 5-HT_2C receptor ligands, involving construction of the benzofuran ring system substituted at the 5-position with a 2-aminopropyl chain.^[15] Later characterizations for isomer differentiation employed similar routes, confirming structures via NMR and chromatography after preparation of 4-, 5-, 6-, and 7-APB positional analogs.^[16] A representative approach begins with a protected phenolic precursor, such as a methoxy-substituted phenyl compound, undergoing directed formylation (e.g., via Rieche formylation using dichloromethyl methyl ether and a Lewis acid like SnCl₄) to introduce an aldehyde group ortho or para to the directing substituent. This aldehyde then participates in a nitroaldol (Henry) or Knoevenagel-type condensation with nitroethane, catalyzed by base like ammonium acetate, forming a β-nitroalkene intermediate. The double bond is reduced (e.g., with NaBH₄), followed by nitro group reduction to the primary amine (e.g., using trichlorosilane and diisopropylethylamine or catalytic hydrogenation), and finally, deprotection and cyclization to close the furan ring if not pre-formed. Yields for analogous sequences range from 40-90% per step, with overall efficiency around 10-20% due to purification losses.^[17]^[4] These methods prioritize regioselectivity to ensure the 5-position substitution, distinguishing 5-APB from more toxic isomers like 6-APB, which may derive from controlled precursors such as 3-methoxyamphetamine. Clandestine variations reportedly adapt non-controlled starting materials like piperonal derivatives, but published routes emphasize controlled laboratory conditions to avoid impurities observed in seized samples.^[18]^[16] All claims of synthesis efficacy and purity require verification through spectroscopic confirmation, as isomer mixtures can arise from incomplete regioselectivity.^[5]

Detection in biological and forensic samples

5-APB can be detected in biological matrices such as urine, plasma, blood, and postmortem tissues through a combination of screening and confirmatory methods, with liquid chromatography-mass spectrometry (LC-MS) techniques being predominant due to their sensitivity and specificity for polar analytes like this benzofuran derivative.^[19] Initial screening often employs enzyme-linked immunosorbent assay (ELISA) targeting amphetamines, which exhibits cross-reactivity with 5-APB, prompting further analysis; for instance, in a postmortem case, blood screened positive for methamphetamine via ELISA before confirmation.^[20] Confirmatory identification typically uses gas chromatography-mass spectrometry (GC-MS) or LC-MS/MS, often following solid-phase extraction or liquid-liquid extraction to isolate the compound and its metabolites from complex matrices.^[19] ^[21] Key metabolites aiding detection include 5-(2-aminopropyl)benzofuran-2-carboxylic acid and hydroxy-5-APB, identified in rat urine and human plasma via LC-high-resolution MS^n after enzymatic hydrolysis and extraction; these phase I metabolites extend the detection window beyond the parent compound, which undergoes rapid metabolism.^[19] In authentic human urine following 5-APB-related ingestion (often confounded with its N-methyl analog 5-MAPB), both parent drug and metabolites were verifiable by GC-MS after derivatization or LC-MS without, highlighting the utility of untargeted screening for novel psychoactive substances (NPS).^[19] Detection limits in validated LC-MS/MS methods for blood reach 1-5 ng/mL for 5-APB, enabling quantification in low-concentration forensic scenarios.^[22] In forensic toxicology, particularly postmortem analyses, 5-APB has been quantified in peripheral blood at concentrations associated with fatality, such as 0.56 μg/g in femoral blood from a 2014 intoxication case confirmed by GC-MS and LC-MS/MS after initial alkaline drug extraction.^[20] Another report documented 860 ng/mL in postmortem blood via LC-MS, deemed causative in death amid poly-drug use.^[23] Ultra-high-performance LC-quadrupole time-of-flight MS (UHPLC-QTOF-MS) has identified 5-APB in whole blood from overdose cases, distinguishing it from isomers like 6-APB through accurate mass and fragmentation patterns.^[24] These methods underscore the need for targeted NPS panels in routine toxicology, as standard amphetamine assays alone risk under-detection or misattribution.^[22]

Pharmacology

Mechanism of action

5-APB primarily exerts its effects by acting as a substrate-type releaser at monoamine transporters, promoting the efflux of serotonin, dopamine, and norepinephrine into the synaptic cleft. It interacts with the serotonin transporter (SERT) with an EC₅₀ of 19 nM for release, the norepinephrine transporter (NET) with an EC₅₀ of 21 nM, and the dopamine transporter (DAT) with an EC₅₀ of 31 nM in rat synaptosomes, demonstrating higher potency than MDA at SERT and DAT.^[5] This reversal of transporter function inhibits reuptake and elevates extracellular monoamine levels, as evidenced by dose-dependent increases in dopamine (up to 6.7-fold) and serotonin (up to 17.7-fold) in rat nucleus accumbens via microdialysis following systemic administration.^[5] In vitro, 5-APB slows dopamine reuptake and induces reverse transport at DAT, particularly at higher concentrations, mimicking amphetamine-like mechanisms.^[7] Uptake inhibition potencies align with its releasing profile, with IC₅₀ values of 0.29 μM at SERT, 0.16 μM at NET, and 6.1 μM at DAT, yielding a DAT:SERT ratio of 0.05 indicative of a serotonin-dominant but balanced monoamine action similar to MDMA.^[1] These interactions underlie its stimulant and entactogenic properties, contributing to behavioral activation observed in rodent models.^[5] Additionally, 5-APB displays agonist activity at serotonin receptors, functioning as a partial agonist at 5-HT_2A (EC₅₀ 6.3 μM, 54% efficacy; K_i 0.84 μM) and 5-HT_2B (EC₅₀ 0.28 μM, 61% efficacy), which may modulate vasoconstrictive responses in vascular and gastrointestinal tissues.^[1]^[7] This receptor agonism, observed in rat models, complements its transporter-mediated effects but occurs at lower potencies relative to monoamine release.^[1]

Pharmacokinetics and metabolism

Limited human pharmacokinetic data exist for 5-APB, a benzofuran analogue of amphetamine, due to its status as a novel psychoactive substance with primarily recreational use and few controlled studies. In rat models, intravenous administration at doses of 0.3–1.0 mg/kg produces rapid elevations in extracellular dopamine (up to 6.7-fold above baseline) and serotonin (up to 17.7-fold), with peak effects occurring shortly post-injection and serotonin levels remaining substantially elevated (11.3-fold) at 120 minutes, indicating a duration of action of at least 2 hours.^[5] Metabolism of 5-APB occurs primarily via hepatic Phase I processes, including aromatic hydroxylation, side-chain oxidation, and ring cleavage, as demonstrated in rat liver microsomes, rat urine following administration, and human hepatocytes. Identified metabolites include N-acetyl derivatives, hydroxylated forms on the benzofuran ring or propyl chain, and carboxylic acids resulting from beta-oxidation of the side chain; a prominent human metabolite is 2-(5-(2-aminopropyl)-2-hydroxyphenyl)acetic acid, formed through ring hydroxylation at the ortho position relative to the acetic acid side chain (post-cleavage), followed by reduction and oxidation steps, potentially contributing to bioactivation and toxicity.^[19]^[25] 5-APB acts as a moderate inhibitor of cytochrome P450 2D6 (CYP2D6), with an IC₅₀ of 0.86 μM, which may influence its own metabolism and interactions with other substrates.^[26] Elimination pathways mirror those of structurally similar amphetamines, predominantly renal excretion of metabolites in urine, though specific half-life or bioavailability figures for 5-APB remain unreported; its N-methyl derivative, 5-MAPB, exhibits first-order kinetics with a plasma half-life of approximately 6.5 hours in a reported human case, suggesting comparable elimination for 5-APB.^[27] Post-mortem analyses in fatalities have detected 5-APB in blood, supporting systemic distribution and persistence sufficient for detection after acute use.^[24]

Effects

Subjective psychological effects

Users report subjective psychological effects from 5-APB including euphoria, enhanced empathy, and increased sociability, which are described as similar to those elicited by MDMA or MDA.^[28]^[29] These entactogenic qualities are attributed to its profile as a serotonin, dopamine, and norepinephrine releaser, though human data remain limited to self-reports due to the absence of controlled clinical studies.^[28] Mild hallucinogenic components, such as visual distortions or enhanced perceptual acuity, have also been noted by consumers, distinguishing it somewhat from pure stimulants.^[29] Negative psychological effects can include anxiety, agitation, and dysphoria, particularly with higher doses or in unfavorable settings, as reported in case descriptions and user accounts.^[1]^[27] Some individuals experience insomnia or restlessness persisting into the comedown phase, potentially exacerbating mood disturbances.^[27] These adverse reactions underscore variability influenced by dose (typically 75-150 mg orally), set, and setting, with no established therapeutic context to validate consistency.^[28] Overall, while entactogenic benefits predominate in anecdotal evidence, the potential for acute psychological distress highlights risks absent rigorous empirical validation.^[29]

Physiological effects

5-APB, as a monoamine releaser and reuptake inhibitor, induces sympathomimetic effects including tachycardia and elevated blood pressure through potent inhibition of the norepinephrine transporter (NET).^[30] These cardiovascular responses stem from increased synaptic norepinephrine levels, mirroring effects observed with amphetamine-like stimulants.^[1] User reports and case data consistently describe mydriasis, agitation, and hyperthermia, with body temperature elevations linked to serotonergic and dopaminergic activation.^[7]^[5] In acute intoxication scenarios, physiological manifestations extend to severe hemodynamic instability, such as hypotension refractory to vasopressors and recurrent ventricular fibrillation, as documented in overdose cases requiring intensive care.^[31] Bruxism and diaphoresis are frequently reported, contributing to dehydration risks during prolonged use.^[32] While human clinical trials are absent, in vitro and animal data support these outcomes via 5-APB's affinity for trace amine-associated receptor 1 (TAAR1) and monoamine transporters, potentiating peripheral sympathetic outflow.^[2] Adverse events like insomnia and anxiety reflect sustained central and autonomic arousal, persisting beyond peak effects.^[7]

Toxicity and Risks

Acute toxicity and adverse reactions

Acute toxicity data for 5-APB in humans remains limited, primarily derived from isolated case reports of recreational use, with preclinical studies indicating sympathomimetic and serotonergic effects that parallel those of MDMA and amphetamines, including vasoconstriction and potential cardiotoxicity.^[20]^[33] Common acute adverse reactions reported in users include agitation, mydriasis, tachycardia, hypertension, nausea, and sympathomimetic stimulation such as diaphoresis and tremor.^[1]^[32] More severe manifestations encompass hyperreflexia, clonus, hallucinations, disorientation, and convulsions, akin to those observed with structurally related benzofurans like 5-MAPB.^[33] Case reports highlight risks of life-threatening intoxication even without polydrug involvement. In a 2014 fatality involving a 20-year-old male who consumed 5-APB at a music festival, prodromal symptoms included episodic freezing, involuntary reaching, clenched teeth (bruxism), dyspnea, incoherent gibberish speech, and frothy bloody oral secretions, progressing to unresponsiveness, asystole, and apnea; postmortem analysis revealed peripheral blood 5-APB concentration of 2.5 mg/L, with central blood at 2.9 mg/L, liver at 16 mg/kg, and urine at 23 mg/L, attributing death solely to acute 5-APB intoxication despite low concurrent ethanol (0.02% w/v).^[34]^[20] A 2019 case of a 25-year-old female with prior ecstasy use presented with malaise, tonic-clonic seizures, cardiorespiratory arrest, hemodynamic instability, and recurrent ventricular fibrillation after presumed oral ingestion, culminating in multi-organ failure and death; toxicology confirmed blood 5-APB at 1.429 mg/mL alongside 5-APDB (0.111 mg/mL), with no other substances detected.^[35] These incidents underscore dose-dependent risks, including seizures, arrhythmias, and respiratory failure, potentially exacerbated by 5-APB's inhibition of monoamine transporters and interactions at dopamine and serotonin receptors, though exact lethal thresholds remain undefined due to sparse pharmacokinetic data in overdose scenarios.^[20]^[35] Preclinical evidence suggests greater acute hepatotoxicity for 5-APB compared to its 6-APB isomer, involving reactive oxygen species production and mitochondrial dysfunction, which may contribute to systemic collapse in severe exposures.^[36] Supportive care, such as benzodiazepines for agitation and cooling for hyperthermia observed in related benzofuran toxicities, has shown transient efficacy in non-fatal cases, but outcomes vary with rapid intervention.^[33]

Potential for dependence and long-term harm

Due to the novelty of 5-APB as a recreational substance, empirical data on its potential for dependence remain limited, with no large-scale clinical studies documenting addiction rates or withdrawal syndromes in humans.^[37] Preclinical assessments indicate abuse liability through mechanisms such as increased synaptosomal dopamine release, comparable to other monoamine releasers, which could foster reinforcing effects and psychological dependence via euphoria and enhanced sociability.^[37] However, unlike classical stimulants, 5-APB lacks strong evidence of physical dependence, with user reports and analogous entactogens like MDMA suggesting tolerance develops primarily to subjective effects rather than compulsive redosing patterns.^[38] Long-term harm from repeated 5-APB use is poorly characterized, but pharmacological profiling reveals risks tied to its potent agonism at the serotonin 5-HT_2B receptor, which has been linked to cardiovascular complications such as valvulopathy in chronic serotonergic drug exposure.^[39] In vitro studies demonstrate hepatotoxicity, with 5-APB exhibiting greater cytotoxicity in human liver cells than its 6-APB isomer, potentially via oxidative stress and mitochondrial dysfunction, though human case data are absent.^[36] Neurotoxic potential remains speculative, inferred from serotonin depletion akin to MDMA but unsubstantiated by direct assays; no verified long-term cognitive or psychiatric sequelae have been reported, underscoring the need for caution given the class's overall data scarcity.^[36]^[38]

Overdose cases and fatalities

A fatal intoxication case attributed solely to 5-APB was reported in 2014, involving a man found unresponsive after presumed ecstasy ingestion; postmortem analysis revealed peripheral blood concentrations of 860 ng/mL 5-APB, with no other substances detected, and the cause of death was certified as acute 5-APB intoxication in an accidental manner.^[20] Another fatality occurred in Norway involving a 25-year-old man, with postmortem femoral blood 5-APB concentration of 860 ng/mL deemed causative, as confirmed by forensic toxicology excluding other contributors.^[40] A third documented overdose death in 2018 involved a 25-year-old woman who collapsed after recreational use, testing positive only for 5-APB and its analog 5-APDB; she exhibited multi-organ failure and hemodynamic shock, succumbing hours after emergency admission despite intervention.^[35] These cases highlight 5-APB's potential for lethal acute toxicity, often presenting with sympathomimetic effects like agitation, hyperthermia, and cardiovascular collapse, though blood concentrations alone do not reliably predict fatality due to limited data.^[40] No large-scale epidemiological data exists on overdose incidence, as 5-APB remains a niche research chemical with sporadic forensic reporting, but isolated deaths underscore risks even without polydrug involvement.^[41]

Legal Status

United Kingdom

In the United Kingdom, 5-APB (1-(benzofuran-5-yl)propan-2-amine) is classified as a Class B drug under the Misuse of Drugs Act 1971, subjecting it to controls on production, supply, possession, and importation.^[42] This classification places it alongside substances like amphetamine, with maximum penalties for possession of up to 5 years' imprisonment, an unlimited fine, or both, and for supply or production up to 14 years' imprisonment, an unlimited fine, or both.^[43] The substance was initially addressed through a temporary class drug order issued in June 2013, prompted by evidence of its sale as a "legal high" akin to MDMA, reports of acute harms including hospitalizations, and analytical confirmation in seized products marketed as "benzo fury."^[44] In November 2013, the Advisory Council on the Misuse of Drugs advised permanent control under Class B, citing its structural similarity to controlled phenethylamines, prevalence in recreational settings, and potential for dependence and toxicity comparable to class B stimulants.^[3] This recommendation led to its addition to the permanent schedule effective from June 2014 via amendment to the Misuse of Drugs Act.^[45] As a result of its Class B status, 5-APB is also listed in Schedule 1 of the Misuse of Drugs Regulations 2001, prohibiting its use except under Home Office license for research or other specified purposes, with no recognized medical applications.^[42] The Psychoactive Substances Act 2016 does not apply, as the substance predates and is captured by the earlier Misuse of Drugs Act framework.^[46]

International regulations and developments

5-APB has not been scheduled under the United Nations 1961 Single Convention on Narcotic Drugs, the 1971 Convention on Psychotropic Substances, or subsequent international treaties administered by the International Narcotics Control Board. As a new psychoactive substance (NPS), its control remains primarily at the national level, with varying degrees of prohibition across jurisdictions. The World Health Organization (WHO) has placed 5-APB on its list of substances under surveillance since 2017, monitoring its potential for abuse, health risks, and patterns of use to inform possible future recommendations for international scheduling.^[47] This surveillance status reflects ongoing global concerns about benzofuran derivatives but does not impose binding controls. The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) first reported detections of 5-APB in 2010, primarily through notifications from member states like the United Kingdom, triggering inclusion in its early warning system for NPS.^[48] By 2013, EMCDDA data indicated widespread availability in Europe, leading to national bans in countries such as Germany, Sweden, and the Netherlands, often under generic NPS legislation or specific analog provisions.^[9] No formal EU-wide risk assessment has been conducted for 5-APB akin to those for substances like 5-IT, but its structural similarity to controlled amphetamines has prompted harmonized responses under Council Framework Decision 2004/757/JHA. Developments since the early 2010s include increased seizures and forensic identifications reported by the United Nations Office on Drugs and Crime (UNODC), with 5-APB noted in global NPS assessments as early as 2013.^[49] In non-European contexts, countries like Egypt incorporated 5-APB into national controlled substances lists in 2014 as part of broader NPS crackdowns.^[50] WHO's continued surveillance through 2024 underscores unresolved questions about its toxicity and dependence potential, with no escalation to critical review or scheduling proposals as of that date, reflecting a cautious approach to NPS amid debates over evidence thresholds for international action.^[51]

Societal and Cultural Aspects

Recreational use patterns

Recreational use of 5-APB primarily occurs among individuals seeking empathogenic and mild stimulant effects similar to those of MDMA, though with reported differences in duration and intensity.^[44] ^[30] Users typically administer it orally in doses ranging from 50 to 120 mg, equivalent to 1-2 mg/kg body weight, with effects onsetting in 20-60 minutes and lasting 5-8 hours overall.^[30] ^[52] Insufflation is less common, involving lower doses of approximately 25-50 mg nasally, but it is noted for potentially harsher effects on nasal tissues and faster onset.^[44] Use patterns mirror those of other entactogens, with consumption often in social or party environments such as raves, where it promotes euphoria, empathy, and energy without the same level of jaw clenching or hyperthermia associated with MDMA.^[53] ^[44] Anecdotal reports indicate occasional redosing to extend effects, though less compulsively than with MDMA, and total session durations of 3-12 hours depending on dose and individual factors.^[53] ^[30] Combinations with other substances, such as alcohol or stimulants, are reported but discouraged due to heightened risks of cardiovascular strain and serotonin-related complications.^[52] Frequency of use is generally sporadic, as tolerance to effects develops rapidly—halving within 3-7 days—and chronic administration raises concerns for dependence and cardiotoxicity linked to 5-HT2B receptor agonism.^[52] ^[44] Data on prevalence remains limited, primarily derived from user self-reports on online forums and early 2010s detections in novel psychoactive substance markets, with no large-scale epidemiological surveys available.^[44] Harm reduction practices emphasize starting with low doses (e.g., 40-60 mg for light effects), hydration, and avoidance of polydrug use to mitigate acute risks like vasoconstriction and agitation.^[52] ^[53]

Public health and policy implications

The recreational use of 5-APB has raised public health concerns primarily due to documented cases of acute toxicity and fatalities, often involving polydrug intoxication. Reported adverse effects include agitation, tachycardia, mydriasis, seizures, and hallucinations, mirroring symptoms associated with amphetamine derivatives.^[32] In one verified postmortem case, a blood concentration of 0.86 mg/L of 5-APB, combined with ethanol (0.6 g/L) and THC (0.0024 mg/L), was deemed contributory to death, marking a rare instance of 5-APB as the primary intoxicant.^[24] In vitro studies indicate 5-APB exhibits greater hepatotoxicity than its 6-APB isomer, inducing significant liver cell damage potentially through oxidative stress mechanisms.^[36] Epidemiological data on 5-APB remains sparse, reflecting its niche status among new psychoactive substances (NPS), but its stimulant-entactogenic profile—euphoria, elevated blood pressure, hyperthermia, and appetite suppression—amplifies risks of cardiovascular and thermoregulatory strain, particularly in unsupervised settings.^[51] At least 10 drug-related deaths have been linked to 5-APB, underscoring underreporting challenges in NPS monitoring and the hazards of impure or adulterated products.^[7] Harm reduction efforts are complicated by incomplete toxicological profiles, including potential for serotonin syndrome akin to MDMA and vasoconstrictive effects that may precipitate acute medical emergencies.^[27] Policy responses to 5-APB highlight tensions in regulating NPS, which are engineered to exploit regulatory gaps, necessitating rapid legislative adaptations over static scheduling. In the United Kingdom, a temporary class drug order banned 5-APB alongside analogs like 6-APB, enabling swift prohibition based on emerging harm evidence without full parliamentary review.^[54] Similar emergency actions, such as Michigan's six-month scheduling in 2013, reflect a reactive paradigm prioritizing public safety amid limited prevalence data.^[55] These measures underscore the value of international surveillance systems like those from the WHO, yet critics argue they may inadvertently foster clandestine markets without addressing root drivers of NPS appeal, such as demand for novel entactogens. Broader policy debates emphasize integrating toxicological research with flexible controls to balance harm mitigation against overreach, given 5-APB's evasion of initial bans as a purported "legal high."^[5]

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In intensive care unit, there was a major hemodynamic instability with hypotension and she experienced recurrent episodes of ventricular fibrillation with ...
[32]
A fatal blood concentration of 5-APB | Request PDF - ResearchGate
We present a case and report the post mortem blood concentration of a fatal outcome for a 25 year old man related to the consumption of 5-APB.
[33]
Acute Toxicity Associated With the Recreational Use of the Novel ...
May 4, 2016 · 5-MAPB appears to have an acute toxicity profile similar to that of 5-APB and MDMA, with marked vasoconstrictor effect.Missing: human | Show results with:human
[34]
(PDF) Acute 5-(2-Aminopropyl)Benzofuran (5-APB) Intoxication and ...
Aug 6, 2025 · Rocaglamide (1) is the parent cyclopenta[b]benzofuran derivative which was first identified as an antileukemic agent from the dried roots and ...
[35]
Fatal 5-APB and 5-APDB overdose: A case report with clinical ...
An APB isomer was detected on GUS by GC-MS. It was identified as 5-APB studying urine metabolites. A 2nd compound, 5-APDB, was highlighted in urine, with ...
[36]
5-(2-aminopropyl)benzofuran (5-APB) is more toxic than its isomer 6 ...
5-APB displayed higher hepatotoxicity than its 6-isomer, 6-APB, in cellular models. Both drugs enhanced oxidative stress and unsettled mitochondrial ...Missing: action pharmacology
[37]
5-(2-Aminopropyl)benzofuran and phenazepam demonstrate the ...
5-APB was first synthesized as an inhibitor of norepinephrine (NE), dopamine (DA), and serotonin (5-HT) transport. The chemical structure of 5-APB is similar ...<|separator|>
[38]
How Are Benzofuran Drugs Abused? - American Addiction Centers
Oct 11, 2024 · Researchers have observed a significant increase in the production of NPS, also referred to as designer drugs, in recent years. Many NPS are ...
[39]
[PDF] The effects of benzofury (5-APB) on the dopamine transporter and 5 ...
Thus 5-. APB's pharmacology is consistent with it having both stimulant and hallucinogenic properties. ... 5-APB has a chemical structure quite similar to 5-HT, ...
[40]
A fatal blood concentration of 5-APB - PubMed
We present a case and report the post mortem blood concentration of a fatal outcome for a 25 year old man related to the consumption of 5-APB.
[41]
Fatal cases involving new psychoactive substances and trends in ...
In a Norwegian fatal case involving 5-APB, blood analysis showed levels of 860 ng/ml, which was considered the cause of death (Krpo et al., 2018). A total of 33 ...<|separator|>
[42]
List of most commonly encountered drugs currently controlled under ...
Apr 1, 2025 · The following is a list of the most commonly encountered drugs currently controlled under the misuse of drugs legislation showing their respective ...
[43]
Misuse of Drugs Act 1971 - Legislation.gov.uk
An Act to make new provision with respect to dangerous or otherwise harmful drugs and related matters, and for purposes connected therewith.
[44]
[PDF] Temporary class drug order report: 5-6APB and NBOMe compounds
May 29, 2013 · Benzofuran analogues of. MDA were originally synthesised in the 1990s by David Nichols at Purdue University who was examining structure ...
[45]
Misuse of Drugs Act 1971 (Ketamine etc.) (Amendment) O - Hansard
Mar 31, 2014 · On benzofuran substances, compounds such as 5-APB and 6-ABP are marketed as legal forms of ecstasy. They are most commonly sold under the ...
[46]
Psychoactive Substances Act 2016 - Legislation.gov.uk
Psychoactive substances, offences, powers for dealing with prohibited activities, powers of entry, search and seizure, retention and disposal of items.
[47]
[PDF] List of substances under surveillance 2024
Mar 24, 2025 · NEW PSYCHOACTIVE SUBSTANCES. Amphetamine-type stimulants. 5-APB (5-APB 5-(2-aminopropyl)benzofuran). Added to surveillance list by 2nd WG (2017).<|separator|>
[48]
Pharmacokinetics, pharmacodynamics and toxicology of new ...
Our review showed that the clinical effects of 2C-B, 4-FA and benzofurans (5-APB/6-APB) are comparable with common illicit drugs like amphetamine and 3,4- ...<|control11|><|separator|>
[49]
[PDF] GLOBAL SMART UPDATE - United Nations Office on Drugs and Crime
Sep 10, 2013 · Features of UNODC Global SMART are online data collection, situation reports and regional as- sessments. The first global situation assess- ment ...<|control11|><|separator|>
[50]
seven synthetic cannabinoids added to the list of controlled narcotics.
13 of 2014, had already amended the list of narcotics, by adding 18 NPS. These included inter alia phenethylamines (5-APB, 6-APB, 25B-NBOMe, 25C-NBOMe, 25I- ...
[51]
[DOC] 2023-who-substances-under-surveillance.docx
WHO List of Substances under Surveillance. NEW PSYCHOACTIVE SUBSTANCES 2. Amphetamine-type stimulants 2. 5-APB (5-APB 5-(2-aminopropyl)benzofuran) 2. 5-MAPB 2.
[52]
5-APB - PsychonautWiki
Jun 26, 2025 · 5-APB was first synthesized in 1993 by psychedelic chemist and researcher David E. Nichols as a potential non-neurotoxic alternative to MDMA.<|separator|>
[53]
[PDF] Benzo Fury | DrugWise
analysis of Benzo Fury usually finds it to contain the chemical 6-(2-aminopropyl) benzofuran (6-apB) or its related isomer. 5-apB but using standard analysis.Missing: psychological | Show results with:psychological
[54]
Drugs Information - APB | The Basement Recovery Project
Research suggests a potential risk of heart damage associated with long-term use of 5- and 6-APB. Several deaths in the UK and Sweden have been linked with ...
[55]
[PDF] department of licensing and regulatory affairs - State of Michigan
May 20, 2013 · (A) 5-APB. (xxiv) 5-(2-Aminopropyl)indole. Some trade or other names ... This dangerous condition cannot be prevented or controlled by local and.<|separator|>