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Amphetamine and Related Drugs

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Excretion of amfetamine is markedly dependent on urinary<br />

pH, being greatly increased in acid urine. After large doses,<br />

amfetamine may be detected in urine for several days. Under<br />

uncontrolled urinary pH conditions, about 30% of the dose is<br />

excreted unchanged in the urine in 24 h <strong>and</strong> a total of about<br />

90% of the dose is excreted in 3 to 4 days. The amount<br />

excreted unchanged in 24 h may increase to 74% of the dose in<br />

acid urine <strong>and</strong> decrease to 1 to 4% in alkaline urine; under<br />

alkaline conditions, hippuric acid <strong>and</strong> benzoic acid account for<br />

about 50% of the urinary material. Under normal conditions 16<br />

to 28% is excreted as hippuric acid, about 4% as<br />

benzoylglucuronide, 2 to 4% as 4–hydroxyamfetamine, 4 hydroxyamfetamine, <strong>and</strong><br />

about 2% as norephedrine in 24 h; small amounts of<br />

conjugated 4–hydroxynorephedrine 4 hydroxynorephedrine <strong>and</strong> phenylacetone are<br />

also excreted. No elimination in the faeces has been detected.<br />

4/27/2009 ٢٨

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