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Phenylpiracetam

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Russian-developed phenyl-substituted piracetam analog created in 1983 for Soviet cosmonauts — the only racetam on the WADA prohibited list… | Pharmaceutical · Oral

Aliases (14)
Phenotropil · Phenotropil® · Phenotropyl · Carphedon · Carfedon · Fonturacetam · Fonturacetamum · Nanotropil Novo · Nanotropil Novo® · Aktitropil · Aktitropil® · Entrop · 4-Phenylpiracetam · (RS)-2-(2-oxo-4-phenylpyrrolidin-1-yl)acetamide
TYPICAL DOSE
100 mg
ROUTE
Oral (tablet)
CYCLE
PRN only
STORAGE
Room temp; original container
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Brand options8 known
PhenotropilPhenotropylCarphedonCarfedonFonturacetamFonturacetamumNanotropil NovoAktitropil

StatusUnscheduled in US (legal gray-market import for personal use). Rx-only in Russia (registered as Phenotropil 2003; off-market 2017-2018; reissued as Nanotropil Novo® and Aktitropil® by Pharmstandard ~2020+). WADA-banned in-competition since **1998** (S6 stimulant) — this is the date in WADA prohibited-list documentation; some sources misstate as 2002, which is when high-profile athlete cases began under the new code.

Overview TL;DR

Russian-developed phenyl-substituted piracetam analog created in 1983 for Soviet cosmonauts — the only racetam on the WADA prohibited list because it is the only one that produces a clear stimulant lift with measurable physical-performance and cold-tolerance benefit. At 100-200 mg AM it gives clean drive + alertness + cognitive throughput + physical edge with no jitters, but tolerance reliably builds in 1-2 weeks of daily use — verdict is STRONG-CANDIDATE-PRN, not daily. Strong fit for Dylan's high-cognitive-load business days and pre-training pulses (2-3×/week max). Cost ~$20-35/mo gray-market via RUPharma / CosmicNootropic; pharma-grade tablets exist (Nanotropil Novo, Aktitropil) so you can avoid powder and CoA gambling.

Mechanism of action

Phenylpiracetam is racemic 2-(2-oxo-4-phenylpyrrolidin-1-yl)acetamide — piracetam with a phenyl group added at the 4-position of the pyrrolidone ring. That single phenyl addition transforms it from a clean cognitive-only racetam into a stimulant-class racetam with multimodal CNS action. The active enantiomer is (R)-phenylpiracetam. Recent work (Zvejniece et al. 2017, MRZ-9547 program at Merz) has clarified the molecular pharmacology that older Russian work was not equipped to characterize:

1. Dopaminergic arm — atypical DAT inhibition (the load-bearing mechanism). (R)-phenylpiracetam is an atypical dopamine transporter (DAT) inhibitor with an IC50 of ~4.82 μM for DAT binding and ~14.5 μM for functional dopamine reuptake inhibition in human recombinant DAT assays. Importantly, it is also a dual DAT/NET reuptake inhibitor — it inhibits norepinephrine transporter (NET) at IC50 ~182 μM (~11-fold lower NET vs. DAT affinity). This DAT inhibition is mechanistically similar to modafinil (also an atypical DAT inhibitor) and explains the stim-like phenomenology that no other racetam produces. The "atypical" classification means it does not produce the abuse profile of cocaine-type DAT inhibitors despite the same target — likely because of different binding kinetics and absence of the conformational changes that drive reinforcement.

2. Receptor density upregulation — indirect dopaminergic + GABA effects. Russian primary research (Firstova et al. 2011, plus earlier Akhapkina lab work) demonstrated that single-dose 100 mg/kg phenotropil in rats increases the density (Bmax) of striatal receptors: D1 +16%, D2 +29%, D3 +62%, benzodiazepine site +25%. Phenylpiracetam itself does not bind D1/D2/D3 — the upregulation is indirect, presumably downstream of DAT inhibition + tonic D-receptor activation. The benzodiazepine-site density increase is the proposed mechanism for the mild anxiolytic component reported by Russian clinicians. Encyclopedia accuracy note: the framing "phenylpiracetam binds D1/D2/D3 receptors" appears in some secondary sources but is incorrect — it binds DAT, not the D-receptors themselves. The receptor density effect is downstream/indirect.

3. Cholinergic arm — α4β2 nicotinic ACh receptor modulation. Phenylpiracetam binds α4β2 nicotinic acetylcholine receptors in cerebral cortex with IC50 ~5.86 μM — a fairly potent direct nAChR effect. This is the AChE-like-effect framing used loosely in the encyclopedia: it is not AChE inhibition (no IC50 against acetylcholinesterase has been reported), but rather direct nAChR modulation at α4β2, the same subtype targeted by varenicline. Net effect functionally resembles cholinergic enhancement — better learning, attention, working memory — and explains the well-known dose-dependent headache that responds to choline supplementation (alpha-GPC or CDP-choline 250-500 mg pre-dose). The Firstova 2011 study also documented that phenotropil decreases the number of cortical NMDA and AChR receptors after a single dose — a homeostatic counter-response to acute receptor activation, with unclear long-term implications.

4. Glutamatergic arm — NMDA receptor modulation (indirect). Like other racetams (notably AMPA-PAM activity at the parent compound piracetam), phenylpiracetam interacts with the glutamate system. The Firstova 2011 work documented decreased NMDA receptor density in scopolamine-treated rats. Other Russian work attributes part of the "neuroprotective" framing to glutamate stabilization in ischemic conditions, but the molecular detail here is thinner than the DAT/nAChR arms.

5. Hypoxia + hypothermia tolerance — the actoprotector arm. This is the cosmonaut-mission mechanism that earned phenylpiracetam its inclusion in the Soyuz emergency medical kit. Russian preclinical work (Bobkov et al. 1983 original characterization, plus follow-ups) documented increased resistance to hypoxic stress, hypothermia, and physical exertion in rats. The "cold tolerance" effect — frequently cited in user reports — is the most distinctive single property of phenylpiracetam and is directly traceable to its development brief at the Institute of Biomedical Problems (Akhapkina lab). Mechanism is presumably multimodal: improved cerebral blood flow under hypoxic conditions + sympathetic activation via DAT/NET inhibition + thermoregulation downstream of DA tone + actoprotector-class membrane stabilization.

6. Cerebral blood flow enhancement. Like piracetam, phenylpiracetam improves regional cerebral blood flow (especially in ischemic regions) — this is the basis for the Russian post-stroke / encephalopathy clinical literature. Mechanism likely overlaps with piracetam's known effects on erythrocyte deformability and platelet aggregation, plus DA-mediated vasomotor tone.

Pharmacokinetics:

  • Bioavailability: ~100% oral
  • Tmax: ~1 hour (effects often felt within 30 min)
  • Half-life: 3-5 hours in humans (2.5-3 hours in rodents)
  • Volume of distribution: crosses BBB efficiently
  • Metabolism: Phenylpiracetam is not metabolized — excreted unchanged
  • Excretion: ~40% in urine, ~60% in bile and sweat (unchanged drug)
  • Detection window for WADA testing: detectable in urine for ~1.5 weeks after single dose

The unmetabolized, half-clean-half-sweat excretion profile is unusual and clinically convenient — no CYP interactions to worry about, no hepatic load, predictable kinetics. The 3-5 hour half-life means a single AM dose covers a workday but rarely interferes with sleep if dosed before noon.

Pharmacokinetics Approximate
t½: 3-5 hours in humans (2
100% 50% 0% 0 5h 10h 15h 20h Peak

Approximate decay curve drawn from the half-life mention(s) in the source notes. Real PK data not yet ingested per compound.

Quality indicators4 checks
FDA-approved manufacturer
NDC code on the bottle matches FDA registration. Generic OK; backyard not OK.
Brand vs generic listed
Pharmacy fills should disclose substitution. AB-rated generics are bioequivalent.
Tamper-evident packaging
Pharmacy seal intact, lot number + expiry visible on the bottle and the box.
!
Schedule labeling correct
C-II / C-IV warnings on label match the medication; report any mismatch to the pharmacist.
What to expect Generic
  1. 1
    Day 1
    PK-driven acute peak per administration. Verify dose tolerated.
  2. 2
    Week 1
    Steady-state reached for most daily-dosed pharma.
  3. 3
    Week 2-4
    Therapeutic effect established; titration window if needed.
  4. 4
    Long-term
    Periodic monitoring per drug class (labs, BP, ECG as applicable).
Side effects + safety
  • Common (>10% users):
    • Insomnia / sleep onset delay if dosed past mid-afternoon — most common cause of bad outcomes; resolves with AM-only dosing.
    • Mild headache in choline-undosed users — fully preventable with co-dosed alpha-GPC or CDP-choline.
    • Mild irritability / agitation — typically dose-dependent, more common at 200+ mg, often resolves with food + L-theanine co-dose.
    • Tolerance buildup — universal at >5 consecutive days of daily use, partial within 1-2 weeks. Functionally a side effect because it forces cycling.
  • Less common (1-10%):
    • Mild appetite suppression (DAT inhibitor profile, similar to modafinil but milder)
    • Mild HR / BP elevation (modest sympathetic activation, smaller magnitude than modafinil)
    • Mild GI discomfort if dosed on empty stomach in sensitive users
    • Dry mouth
    • Mild flushing / warmth (transient, especially first doses)
    • Psychomotor agitation / "wired" feeling at higher doses (>200 mg)
  • Rare-serious (<1% but worth knowing):
    • Hypertension at supratherapeutic doses — documented in Russian clinical literature at >400 mg/day. Not a concern at 100-200 mg.
    • No documented cases of dependence, addiction, or withdrawal in the human literature. Tolerance is functional, not addiction-pattern.
    • Theoretical seizure threshold concerns — like piracetam, phenylpiracetam may lower seizure threshold in susceptible individuals. Not contraindicated in healthy users; caution if any seizure history.
    • No documented hepatotoxicity (consistent with non-hepatic metabolism).
    • No documented cardiac arrhythmia signal at therapeutic doses.
  • Specific watch periods:
    • Days 1-7 of any new pulse: monitor for excessive HR/BP if normally stim-sensitive; monitor sleep quality (afternoon dosing kills sleep).
    • Beyond 14 days continuous: tolerance is the main effect, not a safety signal — but you'll be wasting product. Cycle off.
    • Pediatric / under-18: Russian pediatric use exists but Western consensus is to avoid in developing brains. Dylan at 20 is past the highest-risk window but still in the "favor lowest brain-development risk options" range — phenylpiracetam's brain-dev profile is benign at PRN dosing.
  • Interaction risks:
    • Additive with other DAT inhibitors (modafinil, methylphenidate, amphetamine, cocaine, bromantane). Avoid same-day stacking — sympathetic + DA tone goes additive, with risk of overstimulation, hypertension, anxiety, sleep wreck.
    • MAOIs (theoretical): DA reuptake inhibitor + MAO inhibition could theoretically produce hypertensive episode. Selegiline at 1-2.5 mg (MAO-B selective) is probably fine; non-selective MAOIs are not relevant to Dylan's plan.
    • Caffeine: mild additive — usable at low caffeine doses (<100 mg) but stacking 200 mg phenylpiracetam + 200 mg caffeine + 200 mg L-theanine is overshoot for most users.
    • L-tyrosine: theoretically synergistic (more substrate for DA synthesis when reuptake is blocked) — anecdotal reports mixed.
    • Choline (alpha-GPC, CDP-choline): synergistic, prevents headache.
Interactions12 compounds
  • alpha-gpcSynergistic
    / citicoline (Dylan's V4 includes 500 mg citicoline daily): Mandatory pairing to prevent racetam headache and amplify cognitive effect. Pre-dose by 30-60 min.
  • l-tyrosineSynergistic
    Theoretical synergy via increased DA substrate when reuptake is blocked. Anecdotal reports mixed but mostly positive. Try 500-1000 mg with phenylpiracetam dose.
  • pramiracetamSynergistic
    Different mechanism (HACU enhancement vs. DAT inhibition), no cross-tolerance reported. Can be used on alternate days — pramiracetam for sustained daily cogn…
  • sulbutiamineSynergistic
    Similar PRN profile, complementary mechanism (thiamine derivative, mild DA via different pathway). Can stack on the same PRN day for combined drive + cogniti…
  • modafinilSynergistic
    Different DAT-binding kinetics; functionally synergistic for wakefulness + drive, but don't stack same-day on a routine basis — phenylpiracetam should be a *…
  • L-theanineSynergistic
    (Dylan's V4 has 200 mg): Smoothing partner — softens any mild irritability/agitation, no efficacy compromise.
  • MagnesiumSynergistic
    (Dylan's V4): Neutral-positive; helps sleep onset on phenylpiracetam days if dosed PM.
  • CreatineSynergistic
    (Dylan already takes): Synergistic for the physical-performance arm; both improve high-output cognitive + physical work.
  • Beta-alanineSynergistic
    (Dylan's V4): Synergistic for endurance / training-day applications.
  • Other DAT inhibitors same-dayAvoid
    (modafinil daily-stack, amphetamine, methylphenidate, bromantane): additive sympathetic + DA tone, hypertension/anxiety/sleep risk. Pick one per day.
  • High-dose caffeineAvoid
    (>200 mg): additive stimulation, jitter risk. Low caffeine (50-100 mg) is fine.
  • PhenibutAvoid
    not a pharmacological interaction concern, but the GABA-B agonism + stim lift produces a "rollercoaster" subjective profile most users dislike. Skip.
References22 sources
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