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Amyl nitrite

From Wikipedia, the free encyclopedia
Chemical compound
Not to be confused withAmyl nitrate.

Pharmaceutical compound
Amyl nitrite
Chemical structure of amyl nitrite
Ball-and-stick model of amyl nitrite
Clinical data
Other namesIsoamyl nitrite,
Isopentyl nitrite,
Nitramyl,
3-methyl-1-nitrosooxybutane,
Pentyl alcohol nitrite (ambiguous),
poppers (ambiguous, colloquial, slang)
ATC code
Legal status
Legal status
Identifiers
  • (3-methylbutyl) nitrite
CAS Number
PubChemCID
DrugBank
ChemSpider
UNII
KEGG
ChEBI
CompTox Dashboard(EPA)
Chemical and physical data
FormulaC5H11NO2
Molar mass117.148 g·mol−1
3D model (JSmol)
Density0.872 g/cm3
Boiling point99 °C (210 °F)
Solubility in waterSlightly soluble mg/mL (20 °C)
  • CC(C)CCON=O
  • InChI=1S/C5H11NO2/c1-5(2)3-4-8-6-7/h5H,3-4H2,1-2H3 checkY
  • Key:OWFXIOWLTKNBAP-UHFFFAOYSA-N checkY
  (verify)

Amyl nitrite is achemical compound with theformula C5H11NO2. A variety of isomers are known, but they all feature anamyl group attached to thenitrite functional group. The alkyl group (the amyl in this case) is unreactive and the chemical and biological properties are mainly due to the nitrite group. Like otheralkyl nitrites, amyl nitrite is bioactive in mammals, being avasodilator, which is the basis of its use as a prescription medicine.[3] As an inhalant, it also has apsychoactive effect, which has led to its recreational use, with its smell being described as that of old socks or dirty feet.[4] It was first documented in 1844 and came into medical use in 1867.[5]

Uses

[edit]
  • Amyl nitrite was historically employed medically to treatheart diseases as well asangina.
  • Amyl nitrite was sometimes used as an antidote forcyanide poisoning.[6][7] It was thought to act as anoxidant, to induce the formation ofmethemoglobin.Methemoglobin in turn can sequestercyanide as cyanomethemoglobin.[8] However, it has been replaced byhydroxocobalamin which had better efficacy,[9] and the use of amyl nitrite has been found to be ineffective and unscientific.[10]
  • Trace amounts are added to someperfumes.[11]
  • It is also used recreationally as aninhalant drug that induces a brief euphoric state, and when combined with other intoxicant stimulant drugs such ascocaine orMDMA, the euphoric state intensifies and is prolonged. Once some stimulative drugs wear off, a common side effect is a period ofdepression oranxiety, colloquially called a "come down"; amyl nitrite is sometimes used to combat these negative after-effects.[12] This effect, combined with its dissociative effects, has led to its use as a recreational drug(see:Poppers).[6]

Nomenclature

[edit]

The term "amyl nitrite" encompasses severalisomers. In older literature, the common non-systematic nameamyl was often used for thepentyl group, where the amyl group is alinear or normal (n)alkyl group, and the resulting amyl nitrite would have the structural formula CH3(CH2)3CH2ONO, also referred to as n-amyl nitrite.

A common form of amyl nitrite is the isomer with the formula (CH3)2CHCH2CH2ONO, which may be more specifically referred to as isoamyl nitrite.

The similarly namedamyl nitrate has very different properties. At the same time,isopropyl nitrite has a similar structure and similar uses (also called 'poppers') but with worse side-effects.[13]

Amyl nitrite is sometimes referred to colloquially asbanapple gas.[14]

Synthesis and reactions

[edit]

Alkyl nitrites are prepared by the reaction ofalcohols withnitrous acid:[15]

ROH + HONO → RONO + H2O, where R = alkyl group

The reaction is calledesterification. Synthesis of alkyl nitrites is, in general, straightforward and can be accomplished in home laboratories. A common procedure includes the dropwise addition of concentratedsulfuric acid to a cooled mixture of an aqueous sodium nitrite solution and an alcohol. The intermediately-formed stoichiometric mixture of nitrogen dioxide and nitric oxide then converts the alcohol to the alkyl nitrite, which, due to its low density, will form an upper layer that can be easilydecanted from the reaction mixture.

Isoamyl nitrite decomposes in the presence of base to give nitrite salts and theisoamyl alcohol:

C5H11ONO + NaOH → C5H11OH +NaNO2

Amyl nitrite, like other alkyl nitrites, reacts withcarbanions to giveoximes.[16]

Amyl nitrites are also useful as reagents in a modification of theSandmeyer reaction. The reaction of the alkyl nitrite with an aromaticamine in a halogenated solvent produces aradical aromatic species, this then frees ahalogen atom from the solvent. For the synthesis ofaryl iodidesdiiodomethane is used,[17][18] whereasbromoform is the solvent of choice for the synthesis ofaryl bromides.[19]

Physiological effects

[edit]
An early container of amyl nitrite, Hunterian Museum, Glasgow

Amyl nitrite, in common with otheralkyl nitrites,[20] is a potentvasodilator; it expandsblood vessels, resulting in lowering of theblood pressure. Amyl nitrite may be used during cardiovascular stress testing in patients with suspected hypertrophic cardiomyopathy to cause vasodilation and thereby reduceafterload and provoke obstruction of blood flow towards the aorta from the ventricle by increasing the pressure gradient, thereby causing left ventricular outflow obstruction. Alkyl nitrites are a source ofnitric oxide, which signals for relaxation of theinvoluntary muscles. Physical effects include decrease in blood pressure, headache, flushing of the face, increased heart rate, dizziness, and relaxation of involuntary muscles, especially theblood vessel walls and theinternal andexternal anal sphincter. There are nowithdrawal symptoms.Overdose symptoms includenausea,vomiting,hypotension,hypoventilation,shortness of breath, andfainting. The effects set in very quickly, typically within a few seconds and disappear within a few minutes. Amyl nitrite may also intensify the experience ofsynesthesia.[21] Amyl nitrite, when given as a medication for patients with angina, can also be administered as an ampule. The ampule is put in a gauze pad and then inhaled by the patient during an angina attack and repeated every fifteen minutes. However, oral dosing of amyl nitrite is ineffective due to poor absorption and extensive hepatic metabolism. Amyl nitrite has been widely replaced bynitroglycerin for the treatment of acute angina.[citation needed]

Toxicity

[edit]

There are case reports of life-threatening toxicity involving unusually large amounts.[22] However, there is little evidence that typical inhaled doses of amyl nitrite pose a significant risk, except when combined with drugs used for erectile dysfunction.[23][24] One study found neurotoxic effects in rats injected with alkyl nitrites, including impairments to memory, learning, and motor coordination, hypothesized to be due to effects on the glutamergic pathway in the hippocampus.[25] Further, liquid amyl nitrite is highly toxic when ingested because of the dangerously high concentration it causes in the blood.[26] Regardless of the form or route of administration, toxicity principally results when the nitrite oxidizes a significant proportion of hemoglobin in the blood without oxygen, forming methemoglobin, which cannot carry oxygen. Severe poisoning cases will progress tomethemoglobinemia, characterized by a blue-brown discoloration under the skin which could be mistaken for cyanosis.[22][26] Treatment with oxygen and intravenous methylene blue frustrates visual confirmation further as methylene blue itself is, as its name suggests, a blue dye; the patient's changes in different shades of blue notwithstanding, it is an effective antidote by way of catalyzing the production of the enzyme responsible for reducing the methemoglobin in the blood back to hemoglobin.

The discoloration does mean that regular near-infrared–based pulse oximetry becomes useless. More fundamentally, blood gas analysis on the whole has limited effectiveness, as the increased methemoglobin level increases the oxygen binding affinity of regular hemoglobin.[22] Therefore, the measurement of actual ratios and levels of methemoglobin and hemoglobin must accompany any blood gas partial pressure sample in these cases.

In popular culture

[edit]

TheColumbo episode titled "Troubled Waters" (1974–1975) features amyl nitrite inhaled by the antagonist Hayden Danziger – played byRobert Vaughn – to help him feign a heart attack for his alibi. However, the episode consistently refers to the substance incorrectly as amyl nitrate.[27]

The 1978Derek Jarman filmJubilee features a character credited as "Amyl Nitrite", although in the film itself the character is "Amyl Nitrate".

The title of the 1993 song "Animal Nitrate" by English bandSuede is a pun on amyl nitrite, referencing its recreational use, although singerBrett Anderson has said the song has more to do with other drugs likeecstasy and cocaine.[28]

In the 1999 filmFight Club, the character Chloe, a terminally ill woman, mentions having a collection of amyl nitrite while openly discussing her unfulfilled desires at a cancer support group.

The punk bandAmyl and the Sniffers reference recreational use of amyl nitrite in their name.[29]

TheHunter S. Thompson bookFear and Loathing in Las Vegas sees amyl nitrite as one of the many drugs Raoul Duke packs for the trip toLas Vegas, taking about two dozen ampules of it with him and usually justifying its usage by him andDr. Gonzo to other people around them by claiming it is forangina.

In Season 1, Episode 9 ofBob's Burgers, "Spaghetti Western and Meatballs", Gene guesses amyl nitrite for the A in the ABS program near the end of the episode.

References

[edit]
  1. ^Therapeutic Goods (Poisons Standard—October 2024) Instrument 2024 (Cth). Schedule 3 "when in preparations for human therapeutic use and packaged in containers with child‑resistant closures"; schedule 4 otherwise.
  2. ^Anvisa (2024-05-28)."RDC Nº 877 - Listas de Substâncias Entorpecentes, Psicotrópicas, Precursoras e Outras sob Controle Especial" [Collegiate Board Resolution No. 877 - Lists of Narcotic, Psychotropic, Precursor, and Other Substances under Special Control] (in Brazilian Portuguese).Diário Oficial da União.Archived from the original on 2024-09-25. Retrieved2024-09-25.
  3. ^"Amyl Nitrite (Inhalation Route) Description and Brand Names - Mayo Clinic".www.mayoclinic.org. Retrieved2023-12-05.
  4. ^"Drugs - Amyl, Butyl or Isobutyl Nitrite, Nitrates, Poppers".urban75.com.
  5. ^Fischer J, Ganellin CR (2006).Analogue-based Drug Discovery. John Wiley & Sons. p. XXX.ISBN 9783527607495.
  6. ^abGiannini AJ, Slaby AE, Giannini MC (1982).The Handbook of Overdose and Detoxification Emergencies. New Hyde Park, NY.: Medical Examination Publishing Co. pp. 48–50.
  7. ^Mason DT, Braunwald E (November 1965)."The effects of nitroglycerin and amyl nitrite on arteriolar and venous tone in the human forearm".Circulation.32 (5):755–766.doi:10.1161/01.cir.32.5.755.PMID 4954412.
  8. ^Vale JA (2001). "Cyanide Antidotes: from Amyl Nitrite to Hydroxocobalamin – Which Antidote is Best?".Toxicology.168 (1):37–38.
  9. ^Hall AH, Saiers J, Baud F (2009)."Which cyanide antidote?".Crit Rev Toxicol.39 (7):541–552.doi:10.1080/10408440802304944.PMID 19650716.
  10. ^Lavon O, Bentur Y (July 2010)."Does amyl nitrite have a role in the management of pre-hospital mass casualty cyanide poisoning?".Clin Toxicol (Phila).48 (6):477–484.doi:10.3109/15563650.2010.505573.PMID 20653465.
  11. ^"Amyl Nitrite Use and Manufacturing".PubChem. U.S. National Library of Medicine.
  12. ^"Amyl nitrite".vsu.mhc.wa.gov.au. Retrieved2025-09-27.
  13. ^Cantrell F (2014). "Nitrite Inhalants".Encyclopedia of Toxicology. Elsevier. pp. 530–531.doi:10.1016/b978-0-12-386454-3.00042-7.ISBN 9780123864550.
  14. ^Nordegren T (2002).The A-Z Encyclopedia of Alcohol and Drug Abuse. Brown Walker Press. p. 94.ISBN 158112404X. Retrieved5 February 2017.
  15. ^Noyes WA (1943)."n-Butyl Nitrite".Organic Syntheses;Collected Volumes, vol. 2, p. 108.
  16. ^Chen YK, Jeon SJ, Walsh PJ, Nugent WA (2005)."(2S)-(−)-3-exo-(Morpholino)isoborneol ((−)-MIB)".Organic Syntheses.82: 87.
  17. ^Smith WB, Ho OC (1990). "Application of the isoamyl nitrite-diiodomethane route to aryl iodides".The Journal of Organic Chemistry.55 (8):2543–2545.doi:10.1021/jo00295a056.
  18. ^Cornforth J, Kumar A, Stuart AS (1987). "Synthesis of substituted dibenzophospholes. Part 6. Preparation of symmetrical and non-symmetrical quaterphenyl intermediates".Journal of the Chemical Society, Perkin Transactions 1: 859.doi:10.1039/P19870000859.
  19. ^Cadogan JI, Roy DA, Smith DM (1966). "An alternative to the Sandmeyer reaction".Journal of the Chemical Society C: Organic: 1249.doi:10.1039/J39660001249.
  20. ^Nickerson M, Parker JO, Lowry TP, Swenson EW (1979).Isobutyl Nitrite and Related Compounds(PDF) (1st ed.). San Francisco California: PHARMEX. Archived fromthe original(PDF) on 2007-09-27.
  21. ^Cytowic R (2003).The Man Who Tasted Shapes. MIT Press.ISBN 978-0-262-53255-6.
  22. ^abcModarai B, Kapadia YK, Kerins M, Terris J (May 2002)."Methylene blue: a treatment for severe methaemoglobinaemia secondary to misuse of amyl nitrite".Emergency Medicine Journal.19 (3):270–271.doi:10.1136/emj.19.3.270.PMC 1725875.PMID 11971852.
  23. ^Nutt D, King LA, Saulsbury W, Blakemore C (March 2007). "Development of a rational scale to assess the harm of drugs of potential misuse".Lancet.369 (9566):1047–1053.doi:10.1016/S0140-6736(07)60464-4.PMID 17382831.S2CID 5903121.
  24. ^O'Malley MF, O'Malley R (May 2020)."Volatile Nitrites".MSD Manual. 2023 Merck & Co., Inc.
  25. ^Cha HJ, Kim YJ, Jeon SY, Kim YH, Shin J, Yun J, et al. (April 2016). "Neurotoxicity induced by alkyl nitrites: Impairment in learning/memory and motor coordination".Neuroscience Letters.619:79–85.doi:10.1016/j.neulet.2016.03.017.PMID 26971703.
  26. ^ab"Amyl Nitrite".Toxbase. UK National Poisons Information Service. December 2018. RetrievedSeptember 29, 2020.
  27. ^"Episode review: Columbo Troubled Waters".Columbophile blog. 29 September 2018. Retrieved8 April 2023.
  28. ^Mulvey J (20 February 1993). "Latter-Day Nitrate Fever".NME: 24.
  29. ^"Amyl and The Sniffers: 'It's just charmingly violent powerful fun'". 2019-05-14. Retrieved2023-12-02.

Further reading

[edit]
Nervous
system
Alcohol intoxication
Barbiturate
overdose
Benzodiazepine
overdose
GHB overdose
Nerve agent /
Organophosphate
poisoning
Opioid overdose
Reversal of
neuromuscular blockade
Circulatory
system
Beta blocker
Digoxin toxicity
Anticoagulants
Other
Arsenic poisoning
Cyanide poisoning
Hydrofluoric acid
Methanol /
Ethylene glycol
poisoning
Paracetamol toxicity
(Acetaminophen)
Toxic metals (cadmium
Other
Emetic
Forms
Targets
sGC
NO donors
(prodrugs)
Enzyme
(inhibitors)
NOS
nNOS
iNOS
eNOS
Unsorted
Arginase
CAMK
Others
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