Fact-checked by Grok 2 weeks ago

Methylhexanamine

Methylhexanamine, also known as 1,3-dimethylamylamine (DMAA) or 4-methyl-2-hexanamine, is a synthetic aliphatic amine compound with the molecular formula C₇H₁₇N that functions as a central nervous system stimulant exhibiting sympathomimetic and dopaminergic effects.^[1]^[2]^[3] Developed in the 1940s and patented as a nasal decongestant, it was marketed by Eli Lilly under the trade name Forthane as an inhaled sympathomimetic agent until its withdrawal from pharmaceutical use in 1983 due to limited efficacy and safety concerns.^[4]^[1] In the mid-2000s, DMAA reemerged as an ingredient in dietary supplements promoted for weight loss, energy enhancement, and athletic performance, often misleadingly labeled as a natural extract from geranium (Pelargonium graveolens) oil despite lacking verifiable pre-1994 dietary use history under U.S. regulations and evidence of synthetic origin.^[4]^[5] Its pharmacological actions, including elevation of blood pressure, heart rate modulation in combination with caffeine, and substrate inhibition at the dopamine transporter, have linked it to adverse events such as cardiovascular incidents and neurological disturbances in users.^[6]^[3] Regulatory scrutiny intensified following reports of toxicity exceeding that of related stimulants like ephedrine, leading to bans by the U.S. Food and Drug Administration on its inclusion in supplements, prohibition by the World Anti-Doping Agency in competitive sports, and restrictions in multiple countries amid ongoing detections in adulterated products.^[5]^[7]^[8]

Chemical Properties

Structure and Synthesis

Methylhexanamine, systematically named 4-methylhexan-2-amine or 1,3-dimethylamylamine, possesses the molecular formula C₇H₁₇N.^[1] Its structure comprises a branched six-carbon chain with a primary amine group at the 2-position and a methyl substituent at the 4-position, resulting in the configuration CH₃CH(NH₂)CH₂CH(CH₃)CH₂CH₃.^[9] The compound is entirely synthetic, with no verified natural occurrence in sources like geranium oil, contrary to prior marketing assertions lacking empirical support.^[10]^[11] Initial synthesis routes were patented in 1944 by Eli Lilly and Company under U.S. Patent 2,350,318 for aminoalkane production, targeting nasal decongestants.^[12] The process employs reductive amination via oxime formation: 4-methylhexan-2-one reacts with hydroxylamine hydrochloride to yield the oxime intermediate, followed by catalytic hydrogenation to reduce the C=N bond to the primary amine.^[12] This method exemplifies classical organic synthesis for aliphatic amines from ketones, ensuring high yield and purity suitable for pharmaceutical applications.^[12]

Physical and Chemical Characteristics

Methylhexanamine appears as a liquid with an amine odor.^[1] It has a density of 0.762–0.766 g/mL at 20 °C and a refractive index of 1.417–1.419 at 20 °C.^[13] The boiling point is reported as 130–135 °C at 760 mmHg, with an estimated melting point of -19 °C.^[13] The compound exhibits limited solubility in water but is highly soluble in organic solvents such as ethanol, ether, and chloroform.^[1] As a primary aliphatic amine, methylhexanamine displays basic character, with the pKa of its conjugate acid approximately 10.54 in water at 24 °C.^[13] This basicity influences its protonation behavior in aqueous environments. Methylhexanamine remains stable under standard storage conditions but may undergo gradual degradation in oxidative settings, as observed in analytical samples over time.^[14]

Pharmacology

Mechanism of Action

Methylhexanamine (1,3-dimethylamylamine; DMAA) primarily exerts its stimulant effects as an indirect sympathomimetic agent by acting as a substrate at the norepinephrine transporter (NET), with an IC₅₀ of 0.41 µM for inhibition.^[3] This interaction promotes reverse transport of norepinephrine, elevating extracellular concentrations in synaptic clefts and mimicking the physiological actions of endogenous catecholamines such as norepinephrine and epinephrine.^[1] The resulting noradrenergic surge stimulates postsynaptic alpha- and beta-adrenergic receptors, inducing vasoconstriction via alpha-1 receptor activation, increased myocardial contractility and heart rate through beta-1 agonism, and heightened central nervous system arousal via beta-2 and alpha-2 influences on noradrenergic pathways.^[3]^[15] DMAA also demonstrates weaker substrate-like activity at the dopamine transporter (DAT), inhibiting dopamine uptake with an IC₅₀ of 29.4 µM—approximately 60-fold less potent than d-amphetamine—and inducing DAT endocytosis, which may contribute to dopaminergic components of its psychostimulant profile.^[3] However, its preferential affinity for NET over DAT underscores norepinephrine-mediated sympathomimetic dominance, aligning with early physiological observations of pressor and tachycardic responses in animal models.^[3]^[16] Direct binding affinity data for adrenergic receptors remain sparse, with effects inferred to arise mainly from neurotransmitter displacement and release rather than potent receptor agonism, distinguishing DMAA from direct-acting sympathomimetics like phenylephrine.^[17] This indirect mechanism, structurally analogous to amphetamines, accounts for its vasoconstrictive and alerting properties without robust evidence of primary direct receptor interaction.^[3]

Pharmacokinetics and Metabolism

Methylhexanamine, also known as 1,3-dimethylamylamine (DMAA), exhibits rapid initial absorption after oral administration, with a mean lag time of 0.14 ± 0.13 hours observed in healthy adult males following a 25 mg dose.^[6] Peak plasma concentrations (C_max ≈ 70 ng/mL) are attained at a mean t_max of 3.57 ± 1.48 hours, ranging from 3 to 5 hours across individuals.^[6] These parameters derive from a controlled pharmacokinetic study using noncompartmental analysis of plasma samples collected over 24 hours via HPLC-MS.^[6] The compound demonstrates extensive tissue distribution, evidenced by a large apparent volume of distribution (V_z/F) of 236 ± 38 L, suggesting broad penetration beyond the plasma compartment.^[6] Elimination occurs primarily via renal excretion, with an oral clearance (CL/F) of 20.02 ± 5 L/h and a terminal elimination half-life (t_{1/2}) of 8.45 ± 1.9 hours.^[6] Human data remain limited to small-scale studies, precluding precise quantification of absolute bioavailability, though the pharmacokinetics appear consistent with low first-pass effects given the clearance values relative to hepatic blood flow.^[6]^[15] Metabolism of methylhexanamine is minimal, with the parent compound predominating in excretion pathways and little evidence of significant biotransformation.^[15] No major metabolites have been consistently identified in human pharmacokinetic evaluations, and recovery studies indicate most DMAA is eliminated unchanged, potentially via glomerular filtration and tubular secretion.^[15] While co-administration with other stimulants like caffeine in dietary supplements may alter absorption kinetics through pharmacodynamic interactions, dedicated interaction studies are scarce.^[6] Overall, the compound's profile supports prolonged systemic exposure, consistent with its observed half-life.^[6]

Detection in Biological Fluids

Methylhexanamine, primarily excreted unchanged in urine due to minimal metabolism, is detected using sensitive chromatographic techniques in biological fluids such as urine and plasma for anti-doping and forensic purposes. Gas chromatography-mass spectrometry (GC-MS) serves as a standard method, often requiring derivatization to improve the compound's chromatographic behavior and sensitivity, achieving limits of detection in the low ng/mL range. Liquid chromatography-tandem mass spectrometry (LC-MS/MS) provides an alternative without derivatization, employing electrospray ionization and selected reaction monitoring (e.g., m/z 116.2 → 57.3 transition) for specificity, with validated linear ranges from 50–700 ng/mL in urine.^[18]^[19]^[18] The World Anti-Doping Agency (WADA) classifies methylhexanamine as a non-threshold stimulant, requiring reporting of adverse findings above the minimum required performance limit (MRPL), typically 10–50 ng/mL for similar compounds, though laboratories must achieve reliable detection at these levels using confirmatory tandem MS to distinguish the parent compound from potential interferences or isomers. Challenges include the compound's two chiral centers, potentially yielding multiple peaks in racemic samples, and the need for high-resolution MS in complex matrices to confirm identity amid endogenous amines. Direct analysis in real-time mass spectrometry (DART-MS) has also been applied for rapid screening in urine and supplements.^[20]^[21]^[18] Detection windows in urine vary by dose and individual factors like renal clearance and hydration; following a 25–40 mg oral dose, peak urinary concentrations reach 18 µg/mL within 2–4 hours, remaining detectable at 500–2000 ng/mL up to 50 hours and beyond, with reports of persistence up to 105 hours (approximately 4 days) based on terminal half-life of about 8.5 hours. Plasma levels peak at ~70 ng/mL 3–5 hours post-ingestion, but urine analysis predominates due to higher concentrations and non-invasive collection.^[21]^[22]^[18]

History

Early Development and Pharmaceutical Use

Methylhexanamine, also known as 1,3-dimethylamylamine (DMAA), was patented in 1944 by Eli Lilly and Company as part of a class of aliphatic amines intended for use as vasoconstrictors in nasal applications.^[23]^[24] The compound was specifically described in U.S. Patent 2,350,318 for its potential to alleviate nasal congestion through localized vasoconstriction, reflecting early pharmaceutical interest in sympathomimetic agents for short-term symptomatic relief of rhinitis. Eli Lilly synthesized it via methods outlined in the patent, emphasizing its aliphatic amine structure as suitable for inhalation delivery without the central nervous system stimulation seen in related amphetamines.^[12] Commercial introduction occurred in 1948 under the trade name Forthane, marketed as an over-the-counter inhaled nasal decongestant for treating acute rhinitis and associated congestion.^[15] Clinical use focused on its alpha-adrenergic agonist properties, which induced rapid mucosal vasoconstriction to reduce swelling and improve airflow, with studies from the era reporting efficacy comparable to or exceeding ephedrine in potency for this purpose—approximately 19 times stronger in decongestant effect based on comparative vasoconstrictive assays.^[23] Through the 1950s to 1970s, Forthane remained available for episodic use, with limited reports of misuse or dependency during this period, as its formulation and delivery limited systemic absorption and abuse potential compared to oral sympathomimetics.^[4] Production and distribution continued until 1983, when Eli Lilly voluntarily withdrew the New Drug Application (NDA) for methylhexanamine, leading to its discontinuation as a pharmaceutical product.^[15] This decision aligned with the emergence of alternative decongestants, such as oxymetazoline and pseudoephedrine, which offered similar or improved profiles for over-the-counter use without necessitating the withdrawal due to emergent safety concerns; contemporaneous data showed no pattern of acute adverse events or widespread abuse prompting regulatory action at the time.^[25] The compound's early pharmaceutical tenure thus established its role as a targeted vasoconstrictor, distinct from broader stimulant applications that arose later.

Discontinuation and Reemergence in Supplements

Following the withdrawal of methylhexanamine from pharmaceutical use as a nasal decongestant in 1983, the compound saw no significant commercial application for over two decades.^[4] Its dormancy ended with reintroduction into the dietary supplement market in 2006, primarily as a stimulant alternative after the U.S. ban on ephedrine alkaloids in supplements under the Combat Methamphetamine Epidemic Act of 2005.^[4]^[26] This revival positioned it in products aimed at enhancing exercise performance and promoting fat loss, capitalizing on demand for legal stimulants in the post-ephedrine era.^[15] The reemergence was enabled by the regulatory framework established by the Dietary Supplement Health and Education Act (DSHEA) of 1994, which classified dietary supplements separately from drugs and did not require FDA pre-market approval for safety or efficacy.^[27] Under DSHEA, manufacturers faced no obligation to notify the FDA of ingredients unless classified as new dietary ingredients (NDIs), a threshold often circumvented by claiming methylhexanamine occurred naturally in geranium oil extracts.^[28] This labeling strategy allowed rapid market entry without prior safety demonstrations, fostering proliferation in pre-workout and weight-loss formulations.^[29] Companies like USP Labs exemplified this trend by incorporating the substance into flagship products such as Jack3d, launched in the late 2000s as a high-potency pre-workout aid.^[28] Marketed for its purported energy-boosting effects amid minimal oversight, these supplements achieved widespread adoption in fitness communities, with annual U.S. sales of DMAA-containing products exceeding $100 million by the early 2010s before heightened FDA examinations.^[30] The absence of proactive regulatory hurdles under DSHEA thus drove a surge in availability, shifting methylhexanamine from obscurity to a staple in non-pharmaceutical performance enhancers.^[31]

Uses and Marketing

Original Medical Applications

Methylhexanamine, also known as 1,3-dimethylamylamine (DMAA), was patented in 1944 by Eli Lilly and Company and marketed starting in 1948 under the brand name Forthane as an inhaled nasal decongestant specifically for relieving nasal congestion.^[32] The product was formulated as a nasal inhaler at a concentration of 0.6 mg/mL, delivering low inhaled doses typically around 0.6 mg per use to provide targeted relief from nasal swelling and stuffiness. This application leveraged its vasoconstrictive properties for short-term symptomatic treatment, with efficacy observations from mid-20th-century use indicating rapid onset of decongestion comparable to or exceeding alternatives like ephedrine, where its intrinsic effect on nasal passages was estimated at 19 times stronger.^[15] Prescribed in this form, methylhexanamine was administered via inhalation to minimize systemic exposure, distinguishing it from later oral high-dose formulations and resulting in low reported abuse potential during its pharmaceutical era.^[1] Eli Lilly voluntarily discontinued marketing Forthane by the late 1970s to early 1980s, after which no recognized medical uses persisted.^[32] While short-term clinical benefits were noted in observational data, formal long-term studies on safety and efficacy were limited, reflecting the era's standards for topical decongestants.^[15]

Promotion in Dietary Supplements and Performance Enhancers

Methylhexanamine, also known as 1,3-dimethylamylamine (DMAA), has been marketed in dietary supplements primarily as a pre-workout aid and fat burner, appearing in products such as OxyElite Pro and Jack3d from manufacturers like USPlabs.^[33] These supplements typically contained DMAA at doses ranging from 25 to 75 mg per serving, substantially higher than the low milligram quantities used in its original pharmaceutical applications as a nasal decongestant.^[6] ^[34] Promoters positioned DMAA as a potent stimulant ingredient synergizing with caffeine and other compounds to deliver rapid effects, targeting bodybuilders and athletes seeking competitive edges.^[35] Marketing claims emphasized DMAA's role in boosting energy levels, enhancing mental focus, and accelerating fat metabolism through thermogenesis, with assertions of improved endurance and strength during workouts.^[26] ^[36] Supplements were advertised for weight loss support, purportedly aiding calorie expenditure and appetite suppression when combined with exercise regimens.^[35] ^[37] User testimonials, often featured in promotional materials and online forums, described sensations of euphoria and heightened alertness, reinforcing perceptions of DMAA as a superior alternative to ephedrine-based formulas banned earlier.^[38] These narratives contrasted sharply with regulatory assessments viewing such products as adulterated due to unapproved synthetic stimulants.^[28] A key marketing tactic involved labeling DMAA as a "natural" extract from geranium plants (Pelargonium graveolens), ostensibly qualifying it as a dietary ingredient exempt from pre-market approval under U.S. law. Manufacturers cited selective studies claiming trace occurrences in geranium oils to substantiate this positioning, aiming to evade scrutiny as a new drug. However, independent chemical analyses, including those using gas chromatography-mass spectrometry on multiple geranium species and commercial oils, consistently failed to detect DMAA, indicating its synthetic origin rather than botanical derivation.^[39] ^[40] This discrepancy highlighted a reliance on contested evidence to sustain market viability amid growing regulatory challenges.^[41]

Safety Profile

Purported Physiological Benefits and Supporting Evidence

Methylhexanamine, also known as 1,3-dimethylamylamine (DMAA), was originally developed and marketed by Eli Lilly and Company as an inhaled nasal decongestant under the trade name Forthane starting in 1948, leveraging its sympathomimetic properties to induce vasoconstriction in nasal mucosa, thereby reducing congestion. In vitro and animal studies have demonstrated its potent alpha-adrenergic agonist activity, with effects on nasal decongestion reported to be approximately 19 times stronger than those of ephedrine when administered orally in comparative assays. At low therapeutic doses (typically 0.125% in nasal solutions), it provided short-term symptomatic relief with minimal reported side effects in clinical use, supporting its efficacy as a decongestant prior to discontinuation in favor of more selective agents.^[36] In dietary supplements, methylhexanamine has been promoted for acute physiological enhancements including heightened alertness, improved focus, and increased endurance, attributed to its indirect sympathomimetic action via catecholamine release and inhibition of the dopamine transporter, mimicking mild amphetamine-like stimulation.^[3] Anecdotal reports from users in non-controlled settings describe ergogenic effects such as enhanced energy during exercise and suppressed appetite, potentially linked to elevated systolic blood pressure (up to 8-12 mm Hg at doses of 50-75 mg) and central nervous system activation.^[6] However, controlled human studies, including pharmacokinetic evaluations of single 25 mg oral doses, show no meaningful changes in resting heart rate, blood pressure, or body temperature, indicating limited acute physiological impact at lower supplement-relevant levels.^[6] Empirical support for performance-enhancing claims remains scant, with no robust randomized controlled trials (RCTs) demonstrating improvements in exercise outcomes such as run time or power output when methylhexanamine is ingested alone or combined with caffeine.^[42] One double-blind, placebo-controlled study of a multi-ingredient supplement containing DMAA reported no ergogenic benefits on anaerobic capacity or perceived exertion, despite minor hemodynamic shifts.^[43] Animal models suggest vasoconstrictive and pressor effects that could theoretically aid short-term endurance by enhancing oxygen delivery, but human translation lacks validation through long-term RCTs, particularly for purported weight loss via metabolic boosting, where in vitro lipolysis markers show inconsistent elevation without sustained fat reduction data.^[15] Overall, while original decongestant utility aligns with verifiable sympathomimetic pharmacology, supplement-related benefits rely predominantly on user reports rather than high-quality clinical evidence.^[35]

Documented Adverse Effects and Empirical Risks

Methylhexanamine (DMAA), a sympathomimetic compound, exerts physiological stress primarily through alpha- and beta-adrenergic receptor agonism, leading to documented cardiovascular effects such as hypertension and tachycardia. In rat models, intravenous administration of DMAA at doses of 1-10 mg/kg produced dose-dependent increases in heart rate and mean arterial pressure, alongside vasopressor responses indicative of vasoconstriction.^[15] Human observational data from regulatory surveillance corroborate these findings, with reports of transient systolic blood pressure elevations following oral doses exceeding 25 mg, potentially escalating to arrhythmias in susceptible individuals due to sustained catecholamine-like overload.^[44]^[28] The U.S. Food and Drug Administration (FDA) documented over 80 adverse event reports by early 2013, including instances of myocardial infarction and irregular heart rhythms linked to DMAA-containing supplements, though causality was complicated by polypharmacy in many cases.^[45] Neurological risks stem from DMAA's central stimulant properties, manifesting as headaches, jitteriness, and acute anxiety, particularly at doses above therapeutic precedents (e.g., 25-75 mg). Preclinical assessments reveal potential for reinforcing effects akin to amphetamines, with self-administration studies in rodents suggesting abuse liability through dopamine and norepinephrine release in reward pathways.^[4] By 2012, FDA monitoring captured at least 86 illnesses attributable to DMAA exposure, encompassing neurological symptoms like severe headaches and presumed dependence signals in chronic users, though empirical thresholds for addiction remain understudied due to ethical constraints on controlled trials.^[46] These effects align mechanistically with sympathomimetic excess, where unchecked noradrenergic surge disrupts autonomic balance without dose-response data establishing safe margins in humans. Hepatotoxicity signals appear in isolated reports, with elevated liver enzymes (e.g., ALT peaks exceeding 1,700 U/L) observed post-exposure to DMAA-adulterated supplements, yet confounded by concurrent hepatotoxins like synephrine or caffeine.^[47] In vitro cytotoxicity assays indicate membrane disruption at supratherapeutic concentrations, implying a plausible first-principles risk from metabolic overload during escalated dosing beyond original nasal decongestant levels (e.g., 0.125% solutions).^[48] Clinical causality is tentative, as multi-ingredient formulations preclude isolation, but regulatory bodies such as the FDA classify DMAA as a contributor to idiosyncratic liver injury based on temporal associations in post-marketing data.^[28] Overall, empirical risks amplify with dose and duration, underscoring sympathomimetic-mediated end-organ strain absent from low-dose pharmaceutical contexts.

Case Reports of Injuries and Fatalities

In 2010, two active-duty U.S. Army soldiers collapsed and died during routine physical training after consuming dietary supplements containing 1,3-dimethylamylamine (DMAA). Autopsy findings for both cases revealed elevated troponin levels indicative of myocardial injury, along with the presence of DMAA in their systems; the deaths were attributed to cardiac arrhythmias precipitated by the supplement in combination with physical exertion. ^[49] ^[25] Civilian case reports have linked DMAA ingestion to severe cardiovascular incidents, including myocardial infarction and cerebral hemorrhage. For instance, in 2011, a 22-year-old male experienced cardiac arrest shortly after consuming a DMAA-containing pre-workout supplement, with toxicology confirming DMAA exposure and no other explanatory factors identified in clinical evaluation. ^[35] The U.S. Food and Drug Administration (FDA) documented 86 adverse event reports associated with DMAA products as of April 2013, encompassing fatalities, heart attacks, strokes, and rhabdomyolysis, though many involved multi-ingredient formulations complicating direct attribution. ^[50] ^[28] A 2013 case involved a marathon runner who suffered fatal collapse during the event, with postmortem analysis detecting DMAA in whole blood at levels consistent with recent ingestion, alongside evidence of heat stroke and multi-organ failure. ^[51] Elevated risks in pharmacovigilance databases, such as the FDA's, show disproportionate reporting of hemorrhagic stroke and cardiac events relative to other supplements, despite confounding factors like polypharmacy and underlying health conditions. ^[52] These incidents underscore DMAA's role in acute toxicities, though definitive causality often requires exclusion of co-factors via detailed forensic review.

Regulatory Status

Actions by Sports Governing Bodies

The World Anti-Doping Agency (WADA) added methylhexanamine to its Prohibited List effective January 1, 2010, categorizing it as a non-specified stimulant under section S6, banned in-competition with no threshold for detection.^[53] This status requires strict liability, where any urinary concentration above trace contamination levels triggers an anti-doping rule violation (ADRV), reflecting WADA's rationale of preventing potential ergogenic benefits—such as increased alertness and endurance—from conferring unfair advantages, alongside concerns over cardiovascular risks in athletes.^[54] Detections surged post-prohibition, with 12 ADRVs reported globally in 2009 (pre-full enforcement), rising to 33 in 2010 and 114 in 2011, often linked to contaminated supplements.^[55] The International Olympic Committee (IOC) aligns with WADA protocols, enforcing sanctions via sample re-analysis and immediate disqualifications; for instance, during the 2012 London Olympics, at least three athletes—including Italian bobsledder William Frullani and a German biathlete—tested positive, resulting in event exclusions and medal reviews.^[56] Similarly, at the 2014 Sochi Winter Olympics, Latvian ice hockey player Vitalijs Pavlovs was expelled after a positive test, underscoring zero-tolerance application to maintain competitive integrity.^[57] National anti-doping organizations like the U.S. Anti-Doping Agency (USADA) have issued hundreds of sanctions, such as 12-month suspensions for cyclists testing positive in events like the 2022 Joe Martin Stage Race, citing both performance enhancement risks and health hazards like elevated blood pressure during exertion.^[58] Some retrospective analyses have critiqued the non-specified status, arguing that methylhexanamine's ergogenic effects may be modest and comparable to permitted caffeine levels, where thresholds allow low-dose use without sanction; proponents of threshold-based policies for select stimulants suggest blanket prohibitions overlook dose-dependent risks and contaminate inadvertent positives from trace supplement impurities, potentially eroding trust in anti-doping without proportional evidence of widespread abuse or severe outcomes.^[59] However, WADA and bodies like the IOC maintain zero-tolerance to deter intentional use and align with precautionary principles, given empirical links to over 100 annual ADRVs and isolated severe incidents, such as the 2009 Jamaican Championships positives involving sprinter Yohan Blake, who received a warning rather than a ban due to contamination claims.^[60]

Governmental Bans and Enforcement

In April 2013, the U.S. Food and Drug Administration (FDA) issued warning letters to companies marketing products containing 1,3-dimethylamylamine (DMAA, synonymous with methylhexanamine), stating that DMAA does not qualify as a dietary ingredient under the Federal Food, Drug, and Cosmetic Act and is not generally recognized as safe (GRAS) for use in foods or supplements, based on insufficient historical evidence of safe consumption prior to 1958 and lack of expert consensus on its safety.^[28]^[61] This determination prompted import alerts for DMAA-containing goods and led to federal seizures, such as the July 2013 action by U.S. Marshals in three states confiscating over $2,000 worth of tainted supplements from a distributor, citing violations of federal law prohibiting interstate sale of unsafe additives.^[62] The FDA's position was upheld in subsequent court rulings, including a 2020 federal appeals court affirmation that DMAA is neither an herb nor GRAS, reinforcing enforcement through ongoing warning letters to manufacturers, as seen in cases against Total Body Nutrition in 2017 and Lose Fat Gain Life in 2020 for adulterated products.^[63]^[64] FDA post-market reviews have reaffirmed these findings into the 2020s, with a 2021 memorandum reiterating the absence of GRAS status due to inadequate safety data and a May 2025 update to the agency's public inventory of non-GRAS substances listing DMAA explicitly.^[33]^[65] Enforcement has reduced overt market availability, though challenges persist with clandestine sales and structural analogs like 1,3-dimethylhexylamine (DMHA), prompting continued monitoring and seizures of misbranded imports under broader adulteration authorities.^[66] Internationally, New Zealand classified DMAA as a prescription medicine in 2012 via Medsafe, effectively banning its over-the-counter sale in supplements due to cardiovascular risks evidenced by adverse event reports, with compliance enforced through product recalls and import restrictions.^[67] Australia's Therapeutic Goods Administration listed DMAA in Schedule 10 (prohibited substances) in 2012, following Food Standards Australia New Zealand warnings about health hazards, leading to market withdrawals and border detentions.^[68] In the United Kingdom, the Medicines and Healthcare products Regulatory Agency (MHRA) ruled in August 2012 that DMAA products like Jack3d constituted unlicensed medicines, resulting in bans, seizures, and appeals upholding the decision based on pharmacological similarity to amphetamines and reported toxicities.^[69] Within the European Union, DMAA falls under novel food regulations requiring pre-market authorization, which it lacks due to no proven history of significant consumption before 1997, leading to prohibitions in member states like Finland and Sweden, with the Dutch National Institute for Public Health enforcing via supplement alerts and analog restrictions. These actions, grounded in pharmacovigilance data linking DMAA to hypertension and arrhythmias, have similarly curbed legitimate distribution while spurring underground persistence.^[59]

Controversies and Debates

Claims of Natural Origin Versus Synthetic Production

Supplement manufacturers, such as those producing products like Jack3d, marketed methylhexanamine (DMAA) as a natural extract from geranium oil derived from Pelargonium graveolens, implying botanical safety and compliance with dietary supplement regulations.^[70] However, multiple gas chromatography-mass spectrometry (GC-MS) analyses of geranium oils and plant materials have consistently failed to detect DMAA at levels sufficient for commercial extraction, with detection limits often below 0.1 ppm yielding negative results across samples from various sources.^[71]^[72] A 2012 study examining multiple geranium oil variants concluded that DMAA presence is unlikely from natural sources, as chromatographic profiles did not match expected botanical contaminants.^[73] Further evidence from isotopic and stereochemical analyses reinforces synthetic origins, revealing that DMAA in supplements exhibits enantiomeric and diastereomeric ratios characteristic of laboratory synthesis rather than plant-derived variability.^[74] For instance, synthetic DMAA standards from commercial suppliers display distinct isomeric profiles inconsistent with hypothetical natural biosynthesis in Geraniaceae species.^[73] These findings undermine assumptions of inherent safety tied to "natural" labeling, as synthetic production—often sourced from Chinese chemical suppliers—lacks the regulatory scrutiny applied to verified botanicals. Legal consequences have validated this synthetic status, with U.S. federal indictments against USP Labs in 2015 charging the company with fraud for importing synthetic DMAA while falsely certifying it as geranium extract via fabricated documentation.^[70] The case resulted in convictions and forfeiture exceeding $4.7 million, highlighting deceptive labeling practices that misled consumers and retailers under the Federal Food, Drug, and Cosmetic Act.^[70] Such rulings emphasize empirical chemical verification over unsubstantiated marketing claims, exposing risks of adulteration in performance-enhancing supplements.^[28]

Balancing Efficacy Claims Against Risk Data

Proponents of methylhexanamine use contend that controlled low doses, such as 25 mg, offer benefits for acute exercise performance and fat metabolism in healthy adults with minimal risk, drawing on limited experimental evidence of sympathomimetic stimulation akin to caffeine. In a randomized pharmacokinetic study involving healthy men, a single 25 mg oral dose elicited no significant alterations in resting heart rate (mean 64 bpm), systolic blood pressure (mean 118 mm Hg), or body temperature, with peak plasma levels approximately 15–30 times lower than those in case reports of adverse events. Complementary laboratory data indicate that such doses can enhance lipolysis and metabolic rate, potentially supporting short-term energy and focus without hemodynamic disruption in tolerant individuals.^[6]^[35] This perspective incorporates recognition of inter-individual variability in stimulant tolerance, where healthy adults may exhibit differential responses based on factors like baseline cardiovascular fitness, though quantitative data specific to methylhexanamine remain sparse. Historical development as a vasoconstrictor by Eli Lilly, patented in 1944 for nasal applications, implies prior assessments of tolerability at therapeutic exposures, contrasting with modern supplement contexts involving higher or unmonitored intakes. Advocates thus prioritize self-regulated dosing and informed consent, arguing that absolute prohibitions overlook capacity for personal risk calibration absent contraindications.^[23] Regulatory restrictions face scrutiny for relying on precautionary interpretations of risks, given the dearth of randomized trials establishing causal links to mortality or widespread harm; documented severe events derive chiefly from retrospective case reports, often involving doses exceeding 375 mg or concurrent substances, with symptoms frequently resolving post-cessation. A review of 16 pertinent studies—eight experimental and eight clinical—found insufficient evidence of acute or chronic toxicity at typical dietary supplement levels to warrant global bans, as experimental designs were underpowered and causality unproven.^[59] Such critiques posit that alarmist policies amplify confounded reports while sidelining probabilistic assessments of rarity versus utility. Persistent evidentiary voids, notably the absence of rigorous dose-response investigations, impede precise weighing of transient ergogenic effects against infrequent but grave outcomes like exertional heat stroke or hemorrhage. Experimental constraints imposed by prohibitions further stall elucidation of safe thresholds, tilting toward empirical voids over causal clarity and favoring, in principle, targeted research to inform stratified access—such as for low-risk cohorts—rather than uniform interdiction.^[59]^[6]

References

[1]
1,3-Dimethylamylamine | C7H17N | CID 7753 - PubChem
1,3-Dimethylamylamine or methylexaneamine (DMAA) is a synthetic pharmaceutical patented in the 1940s as a nasal decongestant which can be used as a recreational ...
[2]
Methylhexaneamine: Uses, Interactions, Mechanism of Action
Aug 26, 2024 · Structure for Methylhexaneamine (DB19370) · 1,3-dimethylamylamine · 2-amino-4-methylhexane · 4-methyl-2-hexanamine · Dimethylamylamine · Floradrene ...
[3]
The Alkylamine Stimulant 1,3-Dimethylamylamine Exhibits Substrate ...
The alkylamine stimulant 1,3-dimethylamylamine (DMAA) is used nonmedically as an appetite suppressant and exercise performance enhancer despite adverse ...
[4]
Abuse Liability of the Dietary Supplement Dimethylamylamine - PMC
Dimethylamylamine (DMAA) is an aliphatic amine with sympathomimetic properties that has been used for multiple purposes and referred by numerous names ...
[5]
DMAA as a Dietary Supplement Ingredient | Nutrition - JAMA Network
May 7, 2012 · For DMAA to be legally sold as a dietary supplement, it must be a naturally occurring substance with a documented history of use prior to 1994.Missing: Methylhexanamine | Show results with:Methylhexanamine
[6]
Physiological and pharmacokinetic effects of oral 1,3 ...
Oct 4, 2013 · In varying concentrations of caffeine and DMAA, there appears to be no effect on heart rate [8], while DMAA affected blood pressure and the rate ...
[7]
Analytical Challenges and Metrological Approaches to Ensuring ...
Jan 11, 2022 · Animal toxicology studies, moreover, have shown that the systematic toxicity of DMAA in animals is greater than ephedrine, another restricted ...
[8]
Have prohibition policies made the wrong decision? A critical review ...
Nov 14, 2016 · This paper aimed to critically review the available evidence on the acute and/or long-term harms of DMAA.
[9]
2-Hexanamine, 4-methyl- - the NIST WebBook
2-Hexanamine, 4-methyl- · Formula: C7H17N · Molecular weight: 115.2166 · IUPAC Standard InChI: InChI=1S/C7H17N/c1-4-6(2)5-7(3)8/h6-7H,4-5,8H2,1-3H3 Copy · IUPAC ...<|separator|>
[10]
Studies of methylhexaneamine in supplements and geranium oil
This communication shows that geranium oils do not contain methylhexaneamine and that products labelled as containing geranium oil but which contain ...
[11]
Study: “Geranium oils do not contain DMAA-MHA”
Jan 18, 2012 · Geranium oils do not contain the stimulant DMAA-MHA, according to new research that once again questions the study often cited by pre-workout ...
[12]
METHYL HEXANEAMINE - August 2017 (HTML version)
It was first made in the early 1940s and patented in 1944 by the American pharmaceutical manufacturer, Eli Lilly. They synthesised it in a two-stage reaction ...Missing: routes | Show results with:routes
[13]
1,3-Dimethylamylamine CAS#: 105-41-9 - ChemicalBook
Chemical Properties. Melting point, -19°C (estimate). Boiling point, bp760 130-135°. Density, 0.7620-0.7655. refractive index, n20/D1.417-1.419. Flash point, 43 ...Missing: solubility stability
[14]
Methylhexanamine – Knowledge and References - Taylor & Francis
Methylhexanamine, also known as 1,3-dimethylamylamine or DMAA, is a stimulant commonly found in dietary supplements that is marketed as a way to promote fat ...
[15]
Pharmacokinetic and Toxicological Aspects of 1,3 ... - MDPI
Despite being banned in several countries, 1,3-DMAA is still found in supplements, as evidenced in the United States in the period from 2017 to 2021 [19]. A ...Missing: controversies | Show results with:controversies
[16]
Exposures to 1,3-dimethylamylamine-containing products reported ...
Oct 11, 2012 · ... Methylhexanamine, Forthan, Forthane ... A number of these clinical effects might be explained by DMAA operating as a norepinephrine ...
[17]
Abuse liability of the dietary supplement dimethylamylamine
Jan 1, 2015 · Initially developed in 1944 by Eli Lilly as a nasal decongestant (Shonle and Rohrmann, 1944), the vasoconstrictive and sympathomimetic efficacy ...
[18]
https://doi.org/10.1016/j.jchromb.2009.09.013
[19]
[PDF] Miniaturized Analysis of Methylhexanamine in Urine by Gas ...
Nov 29, 2021 · Most stimulants are determined in urine because despite hepatic metabolism, an important percentage of stimulants are excreted in urine ...
[20]
[PDF] WADA Technical Document – TD2022MRPL MINIMUM REQUIRED ...
Jan 1, 2022 · • The MRPL is not a Threshold (T) nor is it a Limit of Detection (LOD). Adverse Analytical Findings. (AAFs) may result from concentrations ...Missing: methylhexanamine | Show results with:methylhexanamine<|separator|>
[21]
https://doi.org/10.3390/psychoactives2030015
[22]
https://doi.org/10.1186/2050-6511-14-52
[23]
[PDF] Fact sheet DMAA, DMBA and DMHA in supplements - RIVM
In addition, data on historical use of DMHA as a medicine to treat hypotension indicate that the poten- cy of DMHA is within an order of magnitude of the ...
[24]
Dimethylamine - an overview | ScienceDirect Topics
Dimethylamylamine (DMAA), also known as methylhexanamine, was patented in 1944 by the pharmaceutical company Eli Lilly under the trade name Forthane. It was ...
[25]
Case Reports: Death of Active Duty Soldiers Following Ingestion of ...
18,19 This sympathomimetic ingredient was first used commercially in 194820 as a nasal decongestant, but was removed from the market in 1983 at the request of ...
[26]
DMAA | Podcast - Chemistry World
Sep 13, 2019 · The history of DMAA dates back a lot further than its use as a supplement. It was first released as a nasal decongestant under the name ' ...
[27]
Information for Consumers on Using Dietary Supplements | FDA
Oct 21, 2022 · Under DSHEA, FDA is not authorized to approve dietary supplements for safety and effectiveness before they are marketed.Missing: DMAA history pre-
[28]
DMAA in Products Marketed as Dietary Supplements - FDA
Feb 22, 2023 · DMAA is not a dietary ingredient, and DMAA-containing products marketed as dietary supplements are illegal and their marketing violates the law.
[29]
Analysis and Confirmation of 1,3-DMAA and 1,4-DMAA in Geranium ...
Nov 8, 2012 · Whether 1,3-DMAA naturally occurs in geranium plants or other dietary ingredients, it has important regulatory and commercial ramifications.Missing: methylhexanamine early
[30]
Scientific Opinion on the Regulatory Status of 1,3 ... - ResearchGate
We note that studies have observed DMAA's long half-life, with repeated doses within 24-36 hours and dosages of greater than 100-200mg increasing risk of ...
[31]
[PDF] Regulation of Dietary Supplements - Congress.gov
Dec 16, 2014 · Prior to enactment of DSHEA in 1994, manufacturers were not required by law to notify the FDA of dietary supplement ingredients. Congress ...
[32]
DMAA as a Dietary Supplement Ingredient | Request PDF
Aug 6, 2025 · As reviewed by Cohen (2012b) , DMAA was introduced in 1948 as a nasal inhaler for rhinitis, but was withdrawn from the US market over 40 years ...
[33]
[PDF] 1,3-dimethylamylamine (1,3-DMAA) (8/24/2021) - FDA
Aug 24, 2021 · 1,3-. DMAA is reported to have the CAS #:105-41-9 and is marketed under various trade names: methylhexanamine and geranamine, among others.
[34]
What is the recommended daily dosage of 1,3-dimethylamylamine ...
In dietary supplements, DMAA content ranged from 13 to 120 mg per serving, with recommended daily intakes between 26 to 320 mg ((Cohen et al., 2014)). Some ...Missing: methylhexanamine | Show results with:methylhexanamine
[35]
1,3-Dimethylamylamine (DMAA): A Brief History and Review of ...
Dec 28, 2018 · DMAA (1,3-dimethylamylamine) was once a popular ingredient for inclusion within dietary supplements, in particular those marketed to the bodybuilding community ...
[36]
1,3-Dmaa - Uses, Side Effects, and More - WebMD
1,3-DMAA is sold as a dietary supplement used for attention deficit-hyperactive disorder (ADHD), weight loss, improving athletic performance, and body building.Missing: history | Show results with:history
[37]
Availability of DMAA Supplements Despite US Food and Drug ...
In the United States, it is currently marketed as a dietary supplement, primarily in products promoted as a preworkout supplement for boosting strength, energy ...
[38]
Use of Recreational Drug 1,3-Dimethylethylamine (DMAA ...
DMAA is a sympathomimetic and potent pressor agent. This report describes 3 cases of cerebral hemorrhage in adults after the use of DMAA.Missing: pharmacokinetics | Show results with:pharmacokinetics<|separator|>
[39]
DMAA not in geranium, says yet another study - NutraIngredients.com
Mar 18, 2017 · Researchers from the University of Milan concluded: “No detectable amounts of DMAA were found in the geranium species analyzed and its presence ...Missing: debunked | Show results with:debunked
[40]
Nothing Natural About Dietary Supplement DMAA: Study - HealthDay
Jul 25, 2012 · Researchers concluded the DMAA found in supplements could not have come from the geranium plant. "The FDA should regulate and/or ban products in ...
[41]
DMAA: A prohibited stimulant - Operation Supplement Safety
DMAA (short for 1,3-dimethylamylamine) is a stimulant similar to amphetamine and was originally developed in the 1940s as a nasal decongestant. In recent years, ...Missing: history | Show results with:history<|separator|>
[42]
Methylhexanamine - Wikipedia
Methylhexanamine is an indirect sympathomimetic drug invented and developed by Eli Lilly and Company and marketed as an inhaled nasal decongestant from 1948 ...
[43]
Effect of Caffeine and 1,3-Dimethylamylamine on Exercise ...
Conclusion: We report for the first time that caffeine+ 1,3D does not improve exercise performance as measured by run time. Isolated ingestion of 1,3-D results ...
[44]
Impact of a Dietary Supplement Containing 1,3-Dimethylamylamine ...
The supplement caused a small increase in systolic blood pressure, but no significant increase in resting heart rate or blood pressure. It did not negatively ...
[45]
[PDF] Risk assessment of 1,3-Dimethylamylamine (DMAA) as an active ...
May 31, 2012 · Depending on the administered dose, DMAA can lead to an acute temporary increase in blood pressure in humans.Missing: methylhexanamine sympathomimetic peer- reviewed
[46]
FDA links illegal DMAA to MI, arrhythmias - Cardiovascular Business
Apr 13, 2013 · The FDA took aim at DMAA again, warning that the amphetamine derivative poses cardiovascular risks, including the potential for arrhythmias ...Missing: evidence | Show results with:evidence
[47]
[PDF] Scientific Memorandum: 1,3-dimethylamylamine (1,3-DMAA ... - FDA
Oct 3, 2016 · The author did report that Fastin-RR reduced the volunteers' body weight (-8.0 + 6.5 lbs) and body fat (-6.3.0 + 7.3 lbs). This short article ...Missing: persistence fluids
[48]
Severe Acute Hepatitis Attributed to the Herbal and Dietary ... - NIH
Sep 2, 2019 · The clinical features of OEP hepatotoxicity consisted of nausea and anorexia with a median peak serum ALT and total bilirubin values of 1740 U/L ...Missing: neurological | Show results with:neurological
[49]
(PDF) Examination of some toxicological parameters of ...
Aug 5, 2025 · On the other hand, 1,3-DMAA, especially in high doses, both alone and in combination with caffeine, caused a decrease in cell viability, and an ...
[50]
Death of active duty soldiers following ingestion of dietary ... - PubMed
Case reports: Death of active duty soldiers following ingestion of dietary supplements containing 1,3-dimethylamylamine (DMAA). Mil Med. 2012 Dec;177(12): ...Missing: 2010 | Show results with:2010
[51]
Risks of DMAA Detailed By The FDA - Panish | Shea | Ravipudi LLP
Apr 12, 2013 · As of yesterday, the FDA had received 86 notices of a death or an injury linked with a supplement that uses DMAA as an ingredient. Among the ...
[52]
A marathon death associated with the use of 1,3-dimethylamylamine ...
Aug 6, 2025 · Most stimulants are determined in urine because despite hepatic metabolism, an important percentage of stimulants are excreted in urine ...
[53]
Surveillance of the armed forces as a sentinel system for detecting ...
According to the FDA and several peer-reviewed reports, adverse effects reported as a consequence of DMAA use include cardiac arrest, haemorrhagic stroke and ...Missing: fatalities | Show results with:fatalities
[54]
Prohibited List | World Anti Doping Agency - WADA
Jan 1, 2025 · The 2025 List of Prohibited Substances and Methods (List) went into effect on 1 January 2025. The List and the Q&As can also be consulted ...
[55]
Methylhexanamine - LITFL
Sep 8, 2019 · Methylhexaneamine C7H17N was originally intended to be used as a nasal decongestant but in recent times it has found its way into dietary ...
[56]
What is Methylhexanamine and How Many Athletes Were Caught ...
Jun 6, 2021 · In 2009, after WADA banned the drug, a total of 12 cases were registered. In 2010 the number of cases was 33, a year later, there were 114 ...
[57]
Disqualified Olympic Athletes Testing Positive for DMAA Point to ...
The IOC also said 34-year-old William Frullani of Italy, a bobsledder, tested positive for the banned substance and was excluded from the games. German ...
[58]
Two athletes expelled for doping - ESPN
Feb 22, 2014 · Pavlovs tested positive for the stimulant methylhexanamine following Latvia's loss to Canada in the quarterfinals on Thursday. The 30-year-old ...<|separator|>
[59]
Sidney Andrew Accepts Doping Sanction - Usada
Dec 5, 2022 · Sidney Andrew, of Boulder, Colo., an athlete in the sport of cycling, has accepted a 12-month suspension for an anti-doping rule violation.
[60]
Have prohibition policies made the wrong decision? A critical review ...
When contaminated dietary supplements cause positive drug tests: methylhexaneamine as a doping agent in sport. 2017, International Journal of Sport Policy.
[61]
Methylhexaneamine - Cases, Concerns, and Medical Context
Jan 25, 2017 · Methylhexanamine (or Dimethylamylamine, DMAA) was added to the WADA prohibited list 2010 as a stimulant. The first cases emerged in 2009 when ...
[62]
[PDF] Scientific Memorandum: 1,3-dimethylamylamine (1,3-DMAA ... - FDA
Mar 18, 2015 · scientific info1mation regarding the safety of DMAA and found no info1mation to establish its use as. GRAS. Therefore, DMAA is deemed unsafe ...<|separator|>
[63]
Government Seizes Dietary Supplements Containing Unsafe Food ...
Jul 23, 2013 · According to the U.S. Food and Drug Administration (FDA) and federal law, the sale of DMAA in interstate commerce is illegal, and consumers ...Missing: Methylhexanamine ban GRAS
[64]
Total Body Nutrition - 526219 - 09/28/2017 - FDA
Sep 28, 2017 · DMAA is not generally recognized as safe under its conditions of use in your dietary supplement product. Because DMAA does not qualify as a ...
[65]
Lose Fat Gain Life M&B - 594850 - 04/16/2020 - Warning Letters - FDA
May 19, 2020 · Because DMAA does not qualify as a dietary ingredient and is not GRAS or otherwise exempt from the food additive definition, your Skinny Pill ...
[66]
Post-market Determinations that the Use of a Substance is not GRAS
May 8, 2025 · Post-market Determinations that the Use of a Substance is not GRAS 1,3-DMAA Definitions Page Last Updated: 05/08/2025
[67]
Post-market Determinations that the Use of a Substance is Not GRAS
FDA scientists analyze whether there is a basis to conclude that the intended use of the substance is GRAS or meets a listed exception to the food additive ...
[68]
[PDF] Classification of 1,3-dimethylamylamine (DMAA) - Medsafe
Jul 28, 2015 · Users of DMAA are likely to have already converted to the use of other substances since it has effectively been banned in New Zealand for the ...
[69]
[PDF] Final decisions & reasons for decisions by delegates of the ...
Jun 29, 2017 · • Clinical studies in humans reported that SLS caused skin irritation following patch testing at a ≥2% concentration. The irritation ...
[70]
UK wins Jack3D appeal and bans DMAA - NutraIngredients.com
Aug 28, 2012 · It has been banned or warned against in many European countries, Australia, New Zealand, the US and Canada, causing widespread product removal ...
[71]
Two Individuals And Two Companies Sentenced In Scheme To ...
Oct 15, 2020 · The defendants each played roles in developing, manufacturing, or marketing the popular workout and weight loss supplements known as Jack3d and ...<|separator|>
[72]
Methylhexanamine is not detectable in Pelargonium or Geranium ...
Jun 14, 2025 · The claim that 1,3-DMAA was found naturally was first published in 1996, in which geranium oil extracted from Pelargonium graveolens was ...
[73]
Pelargonium Oil and Methyl Hexaneamine (MHA): Analytical ...
Jun 25, 2012 · GC–MS selected ion chromatograms for a MHA negative geranium oil spiked at 0.1 ppm (100 ng/mL) MHA and IS (1 µg/mL): MHA–HFB ions at m/z 240 ...
[74]
[PDF] 1,3-Dimethylamylamine (DMAA) in supplements and geranium ...
According to the GC and HPLC analyses in this study, it appears unlikely that the DMAA in supplements originates from natural sources such as geranium oils for ...Missing: methylhexanamine | Show results with:methylhexanamine
[75]
Study Finds DMAA to be Synthetic, Challenging “Natural” Claims
Jul 19, 2012 · They found that the DMAA actually consisted of four different compounds called stereoisomers and that the unique isomeric ratios in synthetic ...