Mesocarb (sydnocarb) is a Soviet-developed stimulant with a sydnone-imine structure. It produces stimulant effects similar to amphetamine but with reportedly less abuse potential and cardiovascular stress. Used in Russia for fatigue and depression. Not stocked by Kodiac. This monograph is provided for research and educational reference.
Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.
Sydnone-imine stimulant
A Soviet-developed sydnone-imine class psychostimulant marketed for fatigue and ADHD-like indications, characterized by gradual catecholamine release and modest abuse liability relative to amphetamines.
Abstract
Mesocarb (Sydnocarb; CAS 34262-84-5; molecular formula C18H18N4O2; molecular weight 322.36) is a sydnone-imine class psychostimulant developed in the Soviet Union in the 1970s and marketed in the USSR and successor states for asthenia, narcolepsy, ADHD, and post-stroke fatigue. The compound is a phenylisopropylsydnonimine and is structurally distinct from the amphetamine scaffold despite producing amphetamine-like central effects. Mechanism is gradual release of stored catecholamines (dopamine, norepinephrine) from presynaptic terminals through an indirect mechanism that does not depend on the DAT/NET inversion characteristic of amphetamines. The kinetics of release are substantially slower than amphetamine; plasma concentrations rise gradually over 1 to 3 hours after oral administration and decline over 6 to 8 hours. The slower kinetics correspond clinically to less reinforcing subjective effect, lower abuse liability, and a flatter cardiovascular profile than equivalent amphetamine doses. Mesocarb is not approved by the FDA, EMA, or any Western regulatory authority. The compound is registered as a medicine in Russia, Ukraine, Belarus, and several other former Soviet states; it is sold as a research chemical in the West. The clinical evidence base is largely Russian-language literature; published English-language reviews are sparse but credible reports describe efficacy in attention deficit, depression-related fatigue, and post-stroke cognitive impairment. Doses in clinical use are 5 to 50 mg per day in divided doses. Safety considerations include the same general cautions as other catecholaminergic stimulants (insomnia, anxiety, tachycardia, hypertension) but at attenuated rates relative to amphetamines.
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