1,4-Butanediol
1,4-Butanediol (BDO) is an industrial solvent and a prodrug of GHB: it is metabolised in the liver to GHB via alcohol and aldehyde dehydrogenase. Its effects, narrow dose-response and dependence risk mirror GHB, but onset is delayed and variable, and its shared metabolism with ethanol produces a dangerous interaction with alcohol.
01 Overview
1,4-Butanediol is used industrially in plastics and solvents and, like GBL, is misused as a GHB substitute. It is converted to GHB by the same enzymes that metabolise alcohol, so the two compete: drinking alcohol slows BDO's conversion and can prolong and unpredictably shift its effects, while the combined depressant load raises the risk of coma.
Because conversion is enzymatic and slower than GBL, onset is delayed, which encourages premature redosing and overshoot. Once converted, the profile is that of GHB, including the steep dose-response, severe physical dependence with heavy use, and a potentially life-threatening withdrawal syndrome.
02 Mechanism
A GHB prodrug metabolised by alcohol dehydrogenase and aldehyde dehydrogenase to gamma-hydroxybutyrate, which then acts at GHB and GABA-B receptors. Shared metabolism with ethanol underlies the alcohol interaction.
03 Dosing
| Tier | Dose | Route | Notes |
|---|---|---|---|
| Light | 0.5–1 ml | Oral | Delayed onset; must be diluted. Wait fully before considering more. |
| Common | 1–2 ml | Oral | Effects resemble GHB after enzymatic conversion; narrow margin. |
| Strong | 2–3 ml | Oral | High risk of unconsciousness; delayed onset makes overshoot easy. |
04 Effects
| Effect | Magnitude | Evidence | |
|---|---|---|---|
| Euphoria and disinhibitionRelaxation and sociability once converted to GHB. | dose-dependent | Observational | |
| SedationDrowsiness progressing to deep sleep at higher doses. | dose-dependent | Observational | |
| Delayed, variable onsetEnzymatic conversion makes timing and intensity harder to predict than GHB or GBL. | unpredictable | Observational |
05 Side effects
| Effect | Severity | Frequency | Evidence | Countermeasures |
|---|---|---|---|---|
| Overdose, coma and respiratory arrestDelayed onset encourages redosing and overshoot into sudden coma; risk greatly increased by alcohol. | Life-threatening | Common at recreational doses | Observational | |
| Dependence and withdrawal syndromeFrequent dosing causes severe physical dependence; withdrawal can be life-threatening. | Life-threatening | With heavy, frequent use | Observational | |
| Nausea and mucosal irritationUnpleasant taste, nausea and irritation of the gut, worse when undiluted. | Moderate | Common if undiluted | Observational |