Cocaethylene
Encyclopedia
Cocaethylene is the ethyl
ester
of benzoylecgonine
. It is structurally similar to cocaine
, which is the methyl ester of benzoylecgonine. Cocaethylene is formed in vivo
when cocaine and ethyl alcohol
have been ingested simultaneously.
Normally cocaine's metabolism produces two major and biologically inactive metabolites, benzoylecogonine and ecgonine methyl ester. Carboxylesterase
is an important part of cocaine's metabolism because it acts as the catalyst for the hydrolysis
of cocaine which produces the inactive metabolites. If ethanol
is present during the metabolism of cocaine, a portion of the cocaine undergoes transesterification
with ethanol, instead of undergoing hydrolysis with water
, which results in cocaethylene.
Cocaethylene is a recreational drug with stimulant, euphoriant
, anorectic
, sympathomimetic and local anesthetic
properties. Three monoamine neurotransmitters known as serotonin
(5-HT), norepinephrine
(NE), and dopamine
(DA) play an important role in cocaethylene's action. Cocaethylene increases the level of serotonergic
, noradrenergic, and dopaminergic
neurotransmission
by inhibiting the action of the serotonin transporter
(SERT), norepinephrine transporter
(NET), and dopamine transporter
(DAT) which makes cocaethylene a serotonin-norepinephrine-dopamine reuptake inhibitor (SNDRI).Serotonin-norepinephrine-dopamine reuptake inhibitors are also known as triple reuptake inhibitor which is abbreviated TRI
Cocaethylene appears to, in most users, produce more euphoria
and possess a longer duration of action than cocaine. Some studies suggest that it may be more cardiotoxic
than cocaine. Cocaethylene is more potent
than cocaine at binding to the dopamine transporter, however it is less potent at binding to the serotonin transporter and norepinephrine transporter.
Ethyl group
In chemistry, an ethyl group is an alkyl substituent derived from ethane . It has the formula -C2H5 and is very often abbreviated -Et.Ethylation is the formation of a compound by introduction of the ethyl functional group, C2H5....
ester
Ester
Esters are chemical compounds derived by reacting an oxoacid with a hydroxyl compound such as an alcohol or phenol. Esters are usually derived from an inorganic acid or organic acid in which at least one -OH group is replaced by an -O-alkyl group, and most commonly from carboxylic acids and...
of benzoylecgonine
Benzoylecgonine
Benzoylecgonine is a topical analgesic and the main metabolite of cocaine.-History:Benzoylecgonine is used as the main pharmaceutical ingredient in the prescription drug Esterom, a topical solution used for the relief of muscle pain....
. It is structurally similar to cocaine
Cocaine
Cocaine is a crystalline tropane alkaloid that is obtained from the leaves of the coca plant. The name comes from "coca" in addition to the alkaloid suffix -ine, forming cocaine. It is a stimulant of the central nervous system, an appetite suppressant, and a topical anesthetic...
, which is the methyl ester of benzoylecgonine. Cocaethylene is formed in vivo
In vivo
In vivo is experimentation using a whole, living organism as opposed to a partial or dead organism, or an in vitro controlled environment. Animal testing and clinical trials are two forms of in vivo research...
when cocaine and ethyl alcohol
Ethanol
Ethanol, also called ethyl alcohol, pure alcohol, grain alcohol, or drinking alcohol, is a volatile, flammable, colorless liquid. It is a psychoactive drug and one of the oldest recreational drugs. Best known as the type of alcohol found in alcoholic beverages, it is also used in thermometers, as a...
have been ingested simultaneously.
Normally cocaine's metabolism produces two major and biologically inactive metabolites, benzoylecogonine and ecgonine methyl ester. Carboxylesterase
Carboxylesterase
In enzymology, a carboxylesterase is an enzyme that catalyzes the chemical reactionThus, the two substrates of this enzyme are carboxylic ester and H2O, whereas its two products are alcohol and carboxylate....
is an important part of cocaine's metabolism because it acts as the catalyst for the hydrolysis
Hydrolysis
Hydrolysis is a chemical reaction during which molecules of water are split into hydrogen cations and hydroxide anions in the process of a chemical mechanism. It is the type of reaction that is used to break down certain polymers, especially those made by condensation polymerization...
of cocaine which produces the inactive metabolites. If ethanol
Ethanol
Ethanol, also called ethyl alcohol, pure alcohol, grain alcohol, or drinking alcohol, is a volatile, flammable, colorless liquid. It is a psychoactive drug and one of the oldest recreational drugs. Best known as the type of alcohol found in alcoholic beverages, it is also used in thermometers, as a...
is present during the metabolism of cocaine, a portion of the cocaine undergoes transesterification
Transesterification
In organic chemistry, transesterification is the process of exchanging the organic group R″ of an ester with the organic group R′ of an alcohol. These reactions are often catalyzed by the addition of an acid or base catalyst...
with ethanol, instead of undergoing hydrolysis with water
Water
Water is a chemical substance with the chemical formula H2O. A water molecule contains one oxygen and two hydrogen atoms connected by covalent bonds. Water is a liquid at ambient conditions, but it often co-exists on Earth with its solid state, ice, and gaseous state . Water also exists in a...
, which results in cocaethylene.
Cocaethylene is a recreational drug with stimulant, euphoriant
Euphoriant
A euphoriant is a type of psychoactive drug which tends to induce feelings of euphoria, the effects of which may include relaxation, anxiolysis, stress relief, mood lift, pleasure, and a rush although these effects are not necessary for a drug to be a euphoriant. Many euphoriants are notorious for...
, anorectic
Anorectic
An anorectic or anorexic , also known as anorexigenic or appetite suppressant, is a dietary supplement and/or drug which reduces appetite, food consumption, and as a result, causes weight loss to occur.-List of anorectics:Numerous pharmaceutical compounds are marketed as appetite suppressants.The...
, sympathomimetic and local anesthetic
Local anesthetic
A local anesthetic is a drug that causes reversible local anesthesia, generally for the aim of having local analgesic effect, that is, inducing absence of pain sensation, although other local senses are often affected as well...
properties. Three monoamine neurotransmitters known as serotonin
Serotonin
Serotonin or 5-hydroxytryptamine is a monoamine neurotransmitter. Biochemically derived from tryptophan, serotonin is primarily found in the gastrointestinal tract, platelets, and in the central nervous system of animals including humans...
(5-HT), norepinephrine
Norepinephrine
Norepinephrine is the US name for noradrenaline , a catecholamine with multiple roles including as a hormone and a neurotransmitter...
(NE), and dopamine
Dopamine
Dopamine is a catecholamine neurotransmitter present in a wide variety of animals, including both vertebrates and invertebrates. In the brain, this substituted phenethylamine functions as a neurotransmitter, activating the five known types of dopamine receptors—D1, D2, D3, D4, and D5—and their...
(DA) play an important role in cocaethylene's action. Cocaethylene increases the level of serotonergic
Serotonergic
Serotonergic or serotoninergic means "related to the neurotransmitter serotonin". A synapse is serotonergic if it uses serotonin as its neurotransmitter...
, noradrenergic, and dopaminergic
Dopaminergic
Dopaminergic means related to the neurotransmitter dopamine. For example, certain proteins such as the dopamine transporter , vesicular monoamine transporter 2 , and dopamine receptors can be classified as dopaminergic, and neurons which synthesize or contain dopamine and synapses with dopamine...
neurotransmission
Neurotransmission
Neurotransmission , also called synaptic transmission, is the process by which signaling molecules called neurotransmitters are released by a neuron , and bind to and activate the receptors of another neuron...
by inhibiting the action of the serotonin transporter
Serotonin transporter
The serotonin transporter is a monoamine transporter protein.This protein is an integral membrane protein that transports the neurotransmitter serotonin from synaptic spaces into presynaptic neurons. This transport of serotonin by the SERT protein terminates the action of serotonin and recycles it...
(SERT), norepinephrine transporter
Norepinephrine transporter
The norepinephrine transporter , also known as solute carrier family 6 member 2 , is a protein that in humans is encoded by the SLC6A2 gene....
(NET), and dopamine transporter
Dopamine transporter
The dopamine transporter is a membrane-spanning protein that pumps the neurotransmitter dopamine out of the synapse back into cytosol, from which other transporters sequester DA and NE into vesicles for later storage and release...
(DAT) which makes cocaethylene a serotonin-norepinephrine-dopamine reuptake inhibitor (SNDRI).Serotonin-norepinephrine-dopamine reuptake inhibitors are also known as triple reuptake inhibitor which is abbreviated TRI
Cocaethylene appears to, in most users, produce more euphoria
Euphoria
Euphoria is an emotional and mental state defined as a sense of great elation and well being.Euphoria may also refer to:* Euphoria , a genus of scarab beetles* Euphoria, a genus name previously used for the longan and other trees...
and possess a longer duration of action than cocaine. Some studies suggest that it may be more cardiotoxic
Cardiotoxicity
Cardiotoxicity is the occurrence of heart electrophysiology dysfunction or/and muscle damage. The heart becomes weaker and is not as efficient in pumping and therefore circulating blood...
than cocaine. Cocaethylene is more potent
Potent
Potent may refer to:*Vair#Potent for the heraldic fur*Warren Potent for the Australian Olympic medalist in shootingSee also:*Potency...
than cocaine at binding to the dopamine transporter, however it is less potent at binding to the serotonin transporter and norepinephrine transporter.
Further reading
- Cocaethylene: responding to combined alcohol and cocaine use
- Warning of extra heart dangers from mixing cocaine and alcohol
See also
- CocaineCocaineCocaine is a crystalline tropane alkaloid that is obtained from the leaves of the coca plant. The name comes from "coca" in addition to the alkaloid suffix -ine, forming cocaine. It is a stimulant of the central nervous system, an appetite suppressant, and a topical anesthetic...
- Drug addiction
- EthanolEthanolEthanol, also called ethyl alcohol, pure alcohol, grain alcohol, or drinking alcohol, is a volatile, flammable, colorless liquid. It is a psychoactive drug and one of the oldest recreational drugs. Best known as the type of alcohol found in alcoholic beverages, it is also used in thermometers, as a...
- EthylphenidateEthylphenidateEthylphenidate is a potent psychostimulant that acts as both a dopamine reuptake inhibitor and norepinephrine reuptake inhibitor, meaning it effectively boosts the levels of the norepinephrine and dopamine neurotransmitters in the brain, by binding to, and partially blocking the transporter...
- Euphoriants
- MethylvanillylecgonineMethylvanillylecgonineMethylvanillylecgonine or vanillylmethylecgonine is a cocaine analog and metabolite of cocaine found in human urine...
- Local anesthetics
- Recreational drugs
- Stimulants
- Tropanes
- Vin MarianiVin MarianiVin Mariani was a tonic and patent medicine created circa 1863 by Angelo Mariani, a French chemist who became intrigued with coca and its economic potential after reading Paolo Mantegazza’s paper on coca's effects...