Drinamyl
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Dexamyl (or Drinamyl in the UK) was the brand name of a
combination drug A combination drug is a combination of two or more pharmaceutical drugs as active ingredients combined into a single dosage form, typically as a ''fixed-dose combination'', with each constituent standardized to specifications of a fixed dose. Fix ...
composed of
amobarbital Amobarbital (formerly known as amylobarbitone or sodium amytal as the soluble sodium salt) is a drug that is a barbiturate derivative. It has sedative-hypnotic properties. It is a white crystalline powder with no odor and a slightly bitter taste. ...
(previously called amylbarbitone) and
dextroamphetamine Dextroamphetamine (international nonproprietary name, INN: dexamfetamine) is a potent central nervous system (CNS) stimulant and enantiomer of amphetamine that is used in the treatment of attention deficit hyperactivity disorder (ADHD) and narc ...
(Dexedrine) within the same pill. It was widely abused and is no longer manufactured. First introduced in 1950 by Smith, Kline & French (SKF), Dexamyl was marketed as an
anorectic An anorectic is a drug that reduces appetite, resulting in lower food consumption, leading to weight loss. These substances work by affecting the central nervous system or certain neurotransmitters to create a feeling of fullness or reduce the desi ...
obesity medication as well as an
anxiolytic An anxiolytic (; also antipanic or anti-anxiety agent) is a medication or other intervention that reduces anxiety. This effect is in contrast to anxiogenic agents which increase anxiety. Anxiolytic medications are used for the treatment of anxie ...
and
antidepressant Antidepressants are a class of medications used to treat major depressive disorder, anxiety disorders, chronic pain, and addiction. Common side effects of antidepressants include Xerostomia, dry mouth, weight gain, dizziness, headaches, akathi ...
medication that did not cause agitation.
Racemic In chemistry, a racemic mixture or racemate () is a mixture that has equal amounts (50:50) of left- and right-handed enantiomers of a chiral molecule or salt. Racemic mixtures are rare in nature, but many compounds are produced industrially as r ...
amphetamine Amphetamine (contracted from Alpha and beta carbon, alpha-methylphenethylamine, methylphenethylamine) is a central nervous system (CNS) stimulant that is used in the treatment of attention deficit hyperactivity disorder (ADHD), narcolepsy, an ...
had already been marketed
over-the-counter Over-the-counter (OTC) drugs are medicines sold directly to a consumer without a requirement for a prescription from a healthcare professional, as opposed to prescription drugs, which may be supplied only to consumers possessing a valid pres ...
(OTC) since 1933 as a
nasal Nasal is an adjective referring to the nose, part of human or animal anatomy. It may also be shorthand for the following uses in combination: * With reference to the human nose: ** Nasal administration, a method of pharmaceutical drug delivery * ...
decongestant A decongestant, or nasal decongestant, is a type of pharmaceutical drug that is used to relieve nasal congestion in the upper respiratory tract. The active ingredient in most decongestants is either pseudoephedrine or phenylephrine (the latter o ...
inhaler An inhaler (puffer, asthma pump or allergy spray) is a medical device used for delivering medicines into the lungs through the work of a person's breathing. This allows medicines to be delivered to and absorbed in the lungs, which provides the ...
device sold under the brand name
Benzedrine Amphetamine (contracted from alpha- methylphenethylamine) is a central nervous system (CNS) stimulant that is used in the treatment of attention deficit hyperactivity disorder (ADHD), narcolepsy, and obesity; it is also used to treat binge e ...
, and also as an oral tablet since 1938. Dexamyl utilized its
enantiopure In chemistry, an enantiomer ( /ɪˈnænti.əmər, ɛ-, -oʊ-/ ''ih-NAN-tee-ə-mər''), also known as an optical isomer, antipode, or optical antipode, is one of a pair of molecular entities which are mirror images of each other and non-superpos ...
isomer of greater
central nervous system The central nervous system (CNS) is the part of the nervous system consisting primarily of the brain, spinal cord and retina. The CNS is so named because the brain integrates the received information and coordinates and influences the activity o ...
(CNS) selectivity, dextroamphetamine, to elevate mood and suppress appetite, whereas the concomitant
barbiturate Barbiturates are a class of depressant, depressant drugs that are chemically derived from barbituric acid. They are effective when used medication, medically as anxiolytics, hypnotics, and anticonvulsants, but have physical and psychological a ...
was included to broadly counteract potential adverse effects from dextroamphetamine. Its name is a
portmanteau In linguistics, a blend—also known as a blend word, lexical blend, or portmanteau—is a word formed by combining the meanings, and parts of the sounds, of two or more words together.
of ''dextro''- amphetamine and ''amyl''- barbitone. Dexamyl was discontinued in 1982 by SKF in favor of
monoamine oxidase inhibitors Monoamine oxidase inhibitors (MAOIs) are a class of drugs that inhibit the activity of one or both monoamine oxidase enzymes: monoamine oxidase A (MAO-A) and monoamine oxidase B (MAO-B). They are best known as effective antidepressants, espe ...
(MAOIs) and
tricyclic antidepressants Tricyclic antidepressants (TCAs) are a class of medications that are used primarily as antidepressants. TCAs were discovered in the early 1950s and were marketed later in the decade. They are named after their chemical structure, which contains ...
(TCAs) which were recently developed and shared treatment indications with Dexamyl yet lacked the high dependence potential and abuse liability which characterized long-term Dexamyl usage.


History

British prime minister
Anthony Eden Robert Anthony Eden, 1st Earl of Avon (12 June 1897 – 14 January 1977) was a British politician who served as Prime Minister of the United Kingdom and Leader of the Conservative Party from 1955 until his resignation in 1957. Achi ...
was prescribed Dexamyl; he was using it to treat abdominal pain. It has been suggested that the drug impaired his judgment during the
Suez Crisis The Suez Crisis, also known as the Second Arab–Israeli War, the Tripartite Aggression in the Arab world and the Sinai War in Israel, was a British–French–Israeli invasion of Egypt in 1956. Israel invaded on 29 October, having done so w ...
. The failure of his Suez policies led to his ousting while he was recovering in
Jamaica Jamaica is an island country in the Caribbean Sea and the West Indies. At , it is the third-largest island—after Cuba and Hispaniola—of the Greater Antilles and the Caribbean. Jamaica lies about south of Cuba, west of Hispaniola (the is ...
. In Britain during the early 1960s the drug was taken by "tired housewives", and was also abused by youths who took excessively large doses and nicknamed the triangular blue tablets "purple hearts" or "blues." This became a celebrated part of the Mod subculture. Dexamyl is the recreational drug of choice for the main character of the film ''
Quadrophenia ''Quadrophenia'' is the sixth studio album by the English rock band the Who, released as a double album on 26 October 1973 by Track Records. It is the group's third rock opera, the previous two being the "mini-opera" song "A Quick One, While ...
'', who eventually suffers from amphetamine psychosis. They were widely abused. Henry Grahn, a general practitioner from Philadelphia who also conducted a study on the usage and effects of Dexamyl among his patients would pronounce the effectiveness of the drug with the quote “This is a Dexamyl age, an age of unrest; probably no other period in history has been dominated by a mood of uncertainty and disquiet.” The famous patient of Freuds,
Sergei Pankejeff Sergei Konstantinovitch Pankejeff (; 24 December 1886 – 7 May 1979) was a Russian aristocrat from Odesa in the Russian Empire. Pankejeff is best known for being a patient of Sigmund Freud, who gave him the pseudonym of the Wolf Man () to prot ...
(also known as the Wolf-man) was supplied with these by Muriel Gardiner from the United States which he, himself, felt was the only method for treating his depressive episodes. In the late 1960s and early 1970s, Dexamyl spansules—a clear and green capsule containing green and white "beads"—became popular as a street-drug upper nicknamed "Christmas trees", a reference to its appearance. In his autobiography ''My Life of Absurdity'', author Chester Himes writes of his use of Dexamyl in the mid-1950s. He also writes that he stopped taking the drug after his friend Vandi Haygood died from "steady doses of Dexamyl". Dr.
George C. Nichopoulos George Constantine Nichopoulos (October 29, 1927 – February 24, 2016), also known as Dr. Nick, was an American physician of Greek descent. He was Elvis Presley's personal physician and was controversial due to the singer's abuse of prescription d ...
was indicted in May 1980 for having improperly prescribed Dexamyl and
phenmetrazine Phenmetrazine, sold under the brand name Preludin among others, is a stimulant drug first chemical synthesis, synthesized in 1952 and originally used as an appetite suppressant, but withdrawn drug, withdrawn from the market in the 1980s due to ...
(Preludin) to the singer
Jerry Lee Lewis Jerry Lee Lewis (September 29, 1935October 28, 2022) was an American pianist, singer, and songwriter. Nicknamed "The Killer", he was described as "rock 'n' roll's first great wild man". A pioneer of rock and roll and rockabilly music, Lewis m ...
, despite knowing he was addicted to them. Dr. Patrick A. Mazza,
team physician The team physician for a sports team is the physician who is in charge of coordinating the medical staff and medical services for a sports team. They are also subject to activities involving team building. The goal of a team physician is to improve ...
for the
Reading Phillies Reading is the process of taking in the sense or meaning of symbols, often specifically those of a written language, by means of sight or touch. For educators and researchers, reading is a multifaceted process involving such areas as word re ...
, said he prescribed Dexamyl, Eskatrol, Dexedrine, and Preludin for
Steve Carlton Steven Norman Carlton (born December 22, 1944) is an American former professional baseball player. He played in Major League Baseball as a left-handed pitcher for six different teams from 1965 to 1988, most notably as a member of the Philadelph ...
, Larry Christenson,
Tim McCarver James Timothy McCarver (October 16, 1941 – February 16, 2023) was an American professional baseball catcher, television sports commentator, and singer. He played in Major League Baseball (MLB) from 1959 to 1980 for four teams, spending almost ...
,
Pete Rose Peter Edward Rose Sr. (April 14, 1941 – September 30, 2024), nicknamed "Charlie Hustle", was an American professional baseball player and manager. He played in Major League Baseball (MLB) from 1963 to 1986, most prominently as a member of ...
, Larry Bowa, and Greg Luzinski. The charges against Mazza were dropped after he contended that he had provided the prescriptions in good faith to the baseball players at their request. The pill was writer Terry Southern's drug of choice for many years.


See also

* Amfecloral, a single molecule with a similar effect (due to metabolites). * Desbutal, another pharmaceutical containing an amphetamine and a barbiturate. * D-IX, an experimental drug containing methamphetamine, cocaine & oxycodone. * The song " Big Black Smoke" by
the Kinks The Kinks were an English rock band formed in London in 1963 by brothers Ray Davies, Ray and Dave Davies, and Pete Quaife. They are regarded as one of the most influential rock bands of the 1960s. The band emerged during the height of British ...
makes reference to the drug with the lyric "And every penny she had was spent on purple hearts and cigarettes." * Dexy's Midnight Runners


References

{{reflist Substituted amphetamines Barbiturates Combination psychiatric drugs