Poppers

Poppers
A selection of over-the-counter poppers on display
A selection of over-the-counter poppers on display
Clinical data
Other namespopper, poppe
Routes of
administration
Inhalation
Drug classVasodilator
Legal status
Legal status
  • Usually available OTC
Pharmacokinetic data
BioavailabilityWhen inhaled,
  • Amyl nitrite: unknown
  • Isopropyl nitrite: 43%
  • Isobutyl nitrite: unknown
MetabolismLiver
Metabolites
Onset of action15 seconds
Elimination half-lifeSuspected to be minutes to less than an hour
Duration of action30 seconds to 5 minutes
ExcretionPrimarily urine
Chemical and physical data
Formula Depends on primary active ingredient
Molar mass Depends on primary active ingredient
Boiling pointDepends on primary active ingredient

Poppers (or popper) is a slang term referring to recreational drugs belonging to the alkyl nitrite family of chemical compounds. When fumes from these substances are inhaled, they act as potent vasodilators, producing mild euphoria, warmth, and dizziness. Most effects have a rapid onset and are short-acting.[1] Its recreational use is believed to be potentially dangerous for people with heart problems, anaemia, or glaucoma. Reported adverse effects include fainting, retinal toxicity, and vision loss.[2][3]

As poppers include a broad range of chemical types, their legality differs across different jurisdictions. They are often packaged under the guise of room deodorizer, leather polish, nail polish remover, or videotape head cleaner to evade anti-drug laws.[1]

The term poppers stems from the "popping" sound of glass vials containing the substance when crushed to release vapour for inhalation. Amyl nitrite, a chemical analogue of alkyl nitrite, was originally prescribed in the late 1800s for the medical management of angina.[1] Many analogues exist, such as isoamyl nitrite, isopentyl nitrite, isopropyl nitrite, and isobutyl nitrite. These substances are subject to different regulations; for example, isobutyl nitrite is banned in the European Union.

Poppers act as muscle relaxants, causing the relaxation of involuntary smooth muscles such as the throat and anus.[4][5] Such physiological effects, along with others (such as mild euphoria), have resulted in poppers being used as recreational drugs, sometimes during sexual intercourse (known colloquially as chemsex), as the effects can heighten arousal and help facilitate acts such as anal intercourse.[6] It has been reported that poppers were a part of the club culture which began during the mid-1970s disco scene, and surged in popularity during the rave scene of the 1980s and 1990s.[7][8]

  1. ^ a b c Romanelli F, Smith KM, Thornton AC, Pomeroy C (January 2004). "Poppers: epidemiology and clinical management of inhaled nitrite abuse". Pharmacotherapy. 24 (1): 69–78. doi:10.1592/phco.24.1.69.34801. PMID 14740789. S2CID 44991387.
  2. ^ Davies AJ, Kelly SP, Naylor SG, Bhatt PR, Mathews JP, Sahni J, et al. (November 2012). "Adverse ophthalmic reaction in poppers users: case series of 'poppers maculopathy'". Eye. 26 (11): 1479–1486. doi:10.1038/eye.2012.191. PMC 3496104. PMID 23079752.
  3. ^ Vignal-Clermont C, Audo I, Sahel JA, Paques M (October 2010). "Poppers-associated retinal toxicity". The New England Journal of Medicine. 363 (16): 1583–1585. doi:10.1056/NEJMc1005118. PMID 20942681.
  4. ^ Zhao P, Tang S, Wang C, Zhang Y, Best J, Tangthanasup TM, et al. (20 January 2017). "Recreational Drug Use among Chinese MSM and Transgender Individuals: Results from a National Online Cross-Sectional Study". PLOS ONE. 12 (1): e0170024. Bibcode:2017PLoSO..1270024Z. doi:10.1371/journal.pone.0170024. PMC 5249205. PMID 28107391.
  5. ^ Schmidt AJ, Bourne A, Weatherburn P, Reid D, Marcus U, Hickson F (December 2016). "Illicit drug use among gay and bisexual men in 44 cities: Findings from the European MSM Internet Survey (EMIS)". The International Journal on Drug Policy. 38: 4–12. doi:10.1016/j.drugpo.2016.09.007. PMID 27788450.
  6. ^ "Sex and Poppers". SexInfo Online. 28 November 2017. Archived from the original on 2019-12-26. Retrieved 2020-05-01.
  7. ^ "Nitrites". Drugscope. Archived from the original on 2007-04-05. Retrieved 2007-04-24.
  8. ^ Nickerson M (1979). Isobutyl nitrite and related compounds. Pharmex. OCLC 4790673.[page needed]