Drug intelligence / Profile preview

dextroamphetamine + scopolamine

Development stage
Preclinical
Lead developer
Lyndon B. Johnson Space Center
Modality
Small Molecules, Implantable Devices → Device-based Delivery → Drug Delivery Systems, Transdermal Patches → Device-based Delivery → Drug Delivery Systems, Inhalation Devices → Device-based Delivery → Drug Delivery Systems
Administration
Oral
01

Overview

Dextroamphetamine + scopolamine is an oral combination of two small molecule drugs—dextroamphetamine, a central nervous system stimulant, and scopolamine, an anticholinergic agent. This combination has been studied primarily for the prevention and management of severe motion sickness, especially in operational environments such as spaceflight and aviation[1][3][5][7][9]. Dextroamphetamine increases synaptic concentrations of dopamine and norepinephrine by inhibiting their reuptake and promoting their release in the brain[8]. Scopolamine acts as a competitive antagonist at muscarinic acetylcholine receptors, thereby reducing parasympathetic activity and suppressing nausea/vomiting associated with motion sickness[2]. The rationale for combining these agents is to counteract the sedative/cognitive-impairing effects of scopolamine with the stimulating properties of dextroamphetamine while enhancing anti-motion sickness efficacy. This combination is not FDA-approved for any indication but has been used off-label in specialized settings such as NASA's space program[3][5][9].

Other names
scopolamine-dextroamphetamineSMS medication
02

Targets

M1 (Muscarinic acetylcholine receptor M1)CHRM2 (M2)CHRM3 (M3)CHRM4 (M4)CHRM5 (M5)DAT (Dopamine plasma membrane transport protein)NET (Norepinephrine Transporter)TAAR1 (Trace amine-associated receptor 1)

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