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Gacyclidine (GK-11, OTO-313) is a
psychoactive drug A psychoactive drug, psychopharmaceutical, psychoactive agent or psychotropic drug is a chemical substance, that changes functions of the nervous system, and results in alterations in perception, mood, consciousness, cognition or behavior. ...
which acts as a
dissociative Dissociatives, colloquially dissos, are a subclass of hallucinogens which distort perception of sight and sound and produce feelings of detachment – dissociation – from the environment and/or self. Although many kinds of drugs are capable of ...
via functioning as a non-competitive NMDA receptor antagonist. It is closely related to
phencyclidine Phencyclidine or phenylcyclohexyl piperidine (PCP), also known as angel dust among other names, is a dissociative anesthetic mainly used recreationally for its significant mind-altering effects. PCP may cause hallucinations, distorted percept ...
(PCP), and specifically, is a
derivative In mathematics, the derivative of a function of a real variable measures the sensitivity to change of the function value (output value) with respect to a change in its argument (input value). Derivatives are a fundamental tool of calculus. ...
of
tenocyclidine Tenocyclidine (TCP) is a dissociative anesthetic with psychostimulant effects. It was discovered by a team at Parke-Davis in the late 1950s. Heterocyclic compounds and methods for producing the same It is similar in effects to phencyclidine (PCP) ...
(TCP).


History

Gacyclidine is a psychoactive drug that was used for helping with body trauma in humans. While seeing most tests on animals, it was never used commercially to the degree as other painkillers or psychoactive drugs. While Gacyclidine has been used in numerous tests dating back to 2012, these tests did not provide fruitful results that would push the future of the drug into a different direction.


Chemistry

The 1,2-addition of 2-methylcyclohexanone (I) with 2-thienyl lithium (II) or 2-thienyl magnesium bromide (III) gives cyclohexanol (IV) as a diastereomeric mixture, which was treated with sodium azide (NaN3) in
trichloroacetic acid Trichloroacetic acid (TCA; TCAA; also known as trichloroethanoic acid) is an analogue of acetic acid in which the three hydrogen atoms of the methyl group have all been replaced by chlorine atoms. Salts and esters of trichloroacetic acid are calle ...
to yield the azide (V). The reduction of (V) with lithium aluminium hydride (LiAlH4) or Raney nickel in isopropanol affords the corresponding amine (VI), preferentially with the ''cis''-configuration. Finally, this compound is dialkylated with 1,5-dibromopentane (VII) by means of
potassium carbonate Potassium carbonate is the inorganic compound with the formula K2 CO3. It is a white salt, which is soluble in water. It is deliquescent, often appearing as a damp or wet solid. Potassium carbonate is mainly used in the production of soap and gl ...
(K2CO3) in acetonitrile to provide the target compound as a diastereomeric mixture.


Usage


Main

Gacyclidine's original purpose was for helping with human body trauma, specifically spine and brain trauma. Tests were done on animals to see how their bodies would react to the different drugs and see how that information could be applied to humans. Gacyclidine is used to reduce damage to the brain or spinal cord, hence a treatment for tinnitus, stroke, trauma, and convulsion. As a psychoactive drug, alteration of perception is what makes this substance of use. The use of this product derives in medical usage.  It is recommended that the prescriptive drug be used before such injuries, but it could be of use after the injury has occurred. A lipid-based intratympanic formulation of gacyclidine (OTO-313) has been studied as an potential therapy for the treatment of
tinnitus Tinnitus is the perception of sound when no corresponding external sound is present. Nearly everyone experiences a faint "normal tinnitus" in a completely quiet room; but it is of concern only if it is bothersome, interferes with normal hearin ...
.


Dosage

Testing of Gacyclidine was performed on animals in a study. In concluding hours (18-96 h) no necrotic neurons were discovered in animals with dosages of 1, 5, 10, 20 milligrams of Gacyclidine. At 20 milligrams the presence of a few cytoplasmic vacuoles were present. In a study conducted to find possible neurotoxicity in dosages, scientists tested the effects of Gacyclidine in comparison to MK-801 (
dizocilpine Dizocilpine (INN), also known as MK-801, is a pore blocker of the ''N''-Methyl-D-aspartate (NMDA) receptor, a glutamate receptor, discovered by a team at Merck in 1982. Glutamate is the brain's primary excitatory neurotransmitter. The channel is ...
) and CNS-1102, and finalized more positive effects on animals from Gacyclidine. When given MK-801 at dosages of 1 or 5 milligrams of Gacyclidine, effects were harmless and behaved similarly to untreated animals. At dosages between 5 and 10 milligrams, the animals began to experience behaviors of tremors, sedation and exophthalmos. With CNS-1102, at all doses tested, the animals exhibited some excitation. At the highest doses (10 and 20 milligrams) they suffered from severe akinesia 1 hour after drug administration. Animals that received 1 or 5 milligrams of Gacyclidine or its enantiomers behave similarly to untreated animals. At the highest doses (10 and 20 milligrams), the animals began to show some signs of excitation. For all doses, the recovery period was always better with Gacyclidine and its enantiomers than with MK-801 or CNS-1102. The days after the testing, labs observed electron microscopy in the 20-milligram group. During observation small lesions were labeled as cytoplasmic or intramitochondrial vacuoles. In addition, no neuronal or glial alterations, such as astrocytic swelling or microglial activation, were seen that could suggest a short-term toxic event had occurred. Further concluding observations, current evidence indicates that the possibility of a short-term toxicity, would be totally reversible. Likewise, any long-term toxicity would become evident after 4 days. But, the evidence in total strongly suggests that Gacyclidine and its enantiomers are, at least, far less neurotoxic than MK-801.


Effect

With the use of this drug, motor skills have significantly improved upon use, as it is the antagonist to the NMDA receptor. Gacyclidine is able to reduce calcium getting into cells. While animal test results showed potential in the rats, human tests showed slight improvement to the condition of patients. Outside of results seen in animals like potential trauma assistance and pain relief, there is little to no proof that there will be any clinical benefits in the future of Gacyclidine.


Ethics

The results of Gacyclidine are helpful in reducing the size of the lesion and enhancing the functional parameters after injury. Gacyclidine also increases behavioral parameters and neuronal survival in traumatic brain injury models. When gacyclidine is administered 0 to 30 minutes after injury, optimum protection is obtained. It is therefore concluded that Gacyclidine exhibits neuroprotective effects close to those of other antagonists of the NMDA receptor, with the benefit of being slightly less neuroprotective. Gacyclidine being a psychoactive drug and its chemical makeup have the potential to become a very addictive drug when combined in certain formulas. This resulted in Gacyclidine falling under the list of drugs that were placed under the Controlled Substances Act which sought to control the distribution of certain drugs such psychoactive drugs, depressants, and narcotics.


See also

*
Arylcyclohexylamine Arylcyclohexylamines, also known as arylcyclohexamines or arylcyclohexanamines, are a chemical class of pharmaceutical, designer, and experimental drugs. History Phencyclidine (PCP) is believed to be the first arylcyclohexylamine with recog ...
*
Memantine Memantine is a medication used to slow the progression of moderate-to-severe Alzheimer's disease. It is taken by mouth. Common side effects include headache, constipation, sleepiness, and dizziness. Severe side effects may include blood clots ...
* Dextrallorphan *
Dimemorfan Dimemorfan ( INN) (or dimemorphan) (brand names Astomin, Dastosirr, Tusben), or dimemorfan phosphate ( JAN), also known as 3,17-dimethylmorphinan, is an antitussive (cough suppressant) of the morphinan family that is widely used in Japan and is a ...


References


External links

* {{Ionotropic glutamate receptor modulators Arylcyclohexylamines Dissociative drugs NMDA receptor antagonists Thiophenes 1-Piperidinyl compounds