PMID- 27207154 OWN - NLM STAT- MEDLINE DCOM- 20171017 LR - 20190318 IS - 1879-0046 (Electronic) IS - 0376-8716 (Linking) VI - 164 DP - 2016 Jul 1 TI - Benzylpiperazine: "A messy drug". PG - 1-7 LID - S0376-8716(16)30037-0 [pii] LID - 10.1016/j.drugalcdep.2016.04.010 [doi] AB - Designer drugs are synthetic structural analogues/congeners of controlled substances with slightly modified chemical structures intended to mimic the pharmacological effects of known drugs of abuse so as to evade drug classification. Benzylpiperazine (BZP), a piperazine derivative, elevates synaptic dopamine and serotonin levels producing stimulatory and hallucinogenic effects, respectively, similar to the well-known drug of abuse, methylenedioxymethamphetamine (MDMA). Furthermore, BZP augments the release of norepinephrine by inhibiting presynaptic autoreceptors, therefore, BZP is a "messy drug" due to its multifaceted regulation of synaptic monoamine neurotransmitters. Initially, pharmaceutical companies used BZP as a therapeutic drug for the treatment of various disease states, but due to its contraindications and abuse potential it was withdrawn from the market. BZP imparts predominately sympathomimetic effects accompanied by serious cardiovascular implications. Addictive properties of BZP include behavioral sensitization, cross sensitization, conditioned place preference and repeated self-administration. Additional testing of piperazine derived drugs is needed due to a scarcity of toxicological data and widely abuse worldwide. CI - Copyright (c) 2016 Elsevier Ireland Ltd. All rights reserved. FAU - Katz, D P AU - Katz DP AD - Department of Drug Discovery and Development, Harrison School of Pharmacy, Auburn University, Auburn, AL 36849, United States. Electronic address: dzk0027@auburn.edu. FAU - Deruiter, J AU - Deruiter J AD - Department of Drug Discovery and Development, Harrison School of Pharmacy, Auburn University, Auburn, AL 36849, United States. Electronic address: deruija@auburn.edu. FAU - Bhattacharya, D AU - Bhattacharya D AD - Department of Drug Discovery and Development, Harrison School of Pharmacy, Auburn University, Auburn, AL 36849, United States. Electronic address: dzb0023@auburn.edu. FAU - Ahuja, M AU - Ahuja M AD - Department of Drug Discovery and Development, Harrison School of Pharmacy, Auburn University, Auburn, AL 36849, United States. Electronic address: mza0016@auburn.edu. FAU - Bhattacharya, S AU - Bhattacharya S AD - Department of Drug Discovery and Development, Harrison School of Pharmacy, Auburn University, Auburn, AL 36849, United States. Electronic address: szb0050@auburn.edu. FAU - Clark, C R AU - Clark CR AD - Department of Drug Discovery and Development, Harrison School of Pharmacy, Auburn University, Auburn, AL 36849, United States. Electronic address: clarkcr@auburn.edu. FAU - Suppiramaniam, V AU - Suppiramaniam V AD - Department of Drug Discovery and Development, Harrison School of Pharmacy, Auburn University, Auburn, AL 36849, United States. Electronic address: suppivd@auburn.edu. FAU - Dhanasekaran, M AU - Dhanasekaran M AD - Department of Drug Discovery and Development, Harrison School of Pharmacy, Auburn University, Auburn, AL 36849, United States. Electronic address: dhanamu@auburn.edu. LA - eng PT - Journal Article PT - Review DEP - 20160506 PL - Ireland TA - Drug Alcohol Depend JT - Drug and alcohol dependence JID - 7513587 RN - 0 (Designer Drugs) RN - 0 (Hallucinogens) RN - 0 (Piperazines) RN - 0 (Vesicular Monoamine Transport Proteins) RN - 333DO1RDJY (Serotonin) RN - 3UG152ZU0E (1-benzylpiperazine) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) RN - VTD58H1Z2X (Dopamine) RN - X4W3ENH1CV (Norepinephrine) SB - IM MH - Contraindications MH - Designer Drugs/*pharmacology MH - Dopamine/metabolism MH - Hallucinogens/*pharmacology MH - Humans MH - N-Methyl-3,4-methylenedioxyamphetamine/pharmacology MH - Norepinephrine/metabolism MH - Piperazines/*pharmacology MH - Serotonin/metabolism MH - Substance-Related Disorders/etiology MH - Vesicular Monoamine Transport Proteins/drug effects OTO - NOTNLM OT - *Benzylpiperazine OT - *Designer drugs OT - *Monoaminergic toxicity OT - *Piperazine derivatives OT - *Substances of abuse OT - *Toxicokinetics EDAT- 2016/05/22 06:00 MHDA- 2017/10/19 06:00 CRDT- 2016/05/22 06:00 PHST- 2015/10/08 00:00 [received] PHST- 2016/04/01 00:00 [revised] PHST- 2016/04/03 00:00 [accepted] PHST- 2016/05/22 06:00 [entrez] PHST- 2016/05/22 06:00 [pubmed] PHST- 2017/10/19 06:00 [medline] AID - S0376-8716(16)30037-0 [pii] AID - 10.1016/j.drugalcdep.2016.04.010 [doi] PST - ppublish SO - Drug Alcohol Depend. 2016 Jul 1;164:1-7. doi: 10.1016/j.drugalcdep.2016.04.010. Epub 2016 May 6.