Fluorexetamine (FXE)
Fluorexetamine (FXE) is an arylcyclohexylamine dissociative in the methoxetamine/ketamine family that emerged as a research chemical around 2020. It is an NMDA receptor antagonist producing dose-dependent dissociation and anaesthesia, with a longer duration than ketamine. Human data are anecdotal, and bladder toxicity is a plausible class-shared concern.
01 Overview
Fluorexetamine is a fluorinated analogue related to methoxetamine, marketed as a longer-lasting dissociative research chemical. It has no clinical characterisation, and its profile is drawn from user reports and structural analogy to the ketamine-type dissociatives.
Reported effects are dose-dependent dissociation, analgesia and anaesthesia, with a notably long duration that raises the risk of accidental redosing. As with other ketamine-family analogues, urinary-tract and bladder toxicity is a plausible risk with heavy, frequent use, alongside ataxia and confusion.
02 Mechanism
Non-competitive NMDA receptor antagonist (open-channel blocker); a fluorinated arylcyclohexylamine in the methoxetamine/ketamine family.
03 Dosing
| Tier | Dose | Route | Notes |
|---|---|---|---|
| Light | 10–25 mg | Insufflated | Faster onset; poorly characterised. |
| Light | 15–30 mg | Oral | Long onset; wait before redosing. |
| Common | 30–60 mg | Oral | Estimated from anecdote; long duration. |
04 Effects
| Effect | Magnitude | Evidence | |
|---|---|---|---|
| DissociationDetachment, depersonalisation and 'hole'-like states at high doses. | Anecdotal | ||
| AnalgesiaReduced pain perception at higher doses. | Anecdotal |
05 Side effects
| Effect | Severity | Frequency | Evidence | Countermeasures |
|---|---|---|---|---|
| Ataxia and loss of coordinationUnsteady gait and impaired motor control with fall risk. | Moderate | Very common | Anecdotal | |
| Overdose from redosingLong, delayed onset makes cumulative overdose and confusion likely if redosed. | Severe | With redosing | Unconfirmed | |
| Bladder and urinary-tract toxicityCystitis-type bladder damage seen with ketamine and analogues may extend to FXE with frequent heavy use. | Severe | Plausible with heavy use | Unconfirmed |