Benefits
Blood pressure and heart rate after single doses of 50 or 75 mg
In a double-blind crossover trial, 10 healthy young adults took DMAA 50 or 75 mg, caffeine 250 mg, or both. Heart rate did not change, but systolic and diastolic blood pressure rose, generally with dose. The largest rise, about 20% systolic and 17% diastolic, came 60 minutes after caffeine plus 75 mg. No benefit outcome was measured.
Absorption and clearance of a single 25 mg dose
In 8 men given one 25 mg oral dose (7 analyzed), blood levels peaked at about 70 ng/mL 3 to 5 hours later and the half-life was about 8.5 hours. Resting heart rate, blood pressure and body temperature were largely unaffected at this dose. The study was funded by a DMAA product maker that also supplied the capsules.
Resting blood pressure and blood tests over 10 to 12 weeks
In 50 young men, 50 mg a day of DMAA, with or without 250 mg caffeine, for 12 weeks did not change resting blood pressure, ECG or blood tests versus placebo; groups held 11 to 14 men. In a 10 week trial of a DMAA pre-workout product in 25 men, systolic pressure rose about 6 mmHg, a difference that was not significant. Both came from one university laboratory, and the 10 week trial was funded by the maker.
Finished pre-workout and fat-burner products over 2 weeks
Thirteen healthy adults took one of two DMAA plus caffeine products daily for 2 weeks with no comparison group. Resting heart rate and blood pressure did not rise, but after a dose, blood pressure measures rose about 5 to 15% at 60 to 90 minutes (significant only for systolic with one product), and fasting blood sugar rose with one product. The products contained several other ingredients, and the maker partly funded the study.
Mechanism of action
Releases the body's own noradrenaline
In anesthetized rats, DMAA raised heart rate and blood pressure over the same dose range, and both effects were greatly reduced when the sympathetic nerves were chemically destroyed. It caused almost no direct contraction of isolated aorta. This points to an indirect action through noradrenaline released from nerve endings. These are animal findings.
Narrows blood vessels and raises blood pressure
The FDA describes DMAA as narrowing blood vessels and arteries, which can raise blood pressure. In people, single doses raised systolic and diastolic pressure without raising heart rate, and the rise was not explained by blood levels of noradrenaline or adrenaline. New Zealand clinicians reporting bleeding in the brain called it a potent pressor agent.
Clinical trials
Double-blind, randomized crossover study of single oral doses of DMAA (sold as geranamine) and caffeine, alone and combined, from a University of Memphis laboratory whose other DMAA studies disclose funding from the maker USPlabs. (Bloomer et al. 2011, Phys Sportsmed)
10 healthy young men and women, each tested on 5 days after an overnight fast.
Heart rate did not change with any condition. Systolic and diastolic blood pressure and rate pressure product rose with DMAA, generally with dose, peaking about 20% (systolic) and 17% (diastolic) above baseline 60 minutes after caffeine 250 mg plus DMAA 75 mg. Plasma noradrenaline and adrenaline were relatively unaffected. Measured over 2 hours only.
Open single-dose pharmacokinetic study (NCT01765933) funded by USPlabs, which supplied the 25 mg capsules and was consulted in the design. (Schilling et al. 2013, BMC Pharmacol Toxicol)
8 healthy men after an overnight fast; one was excluded for abnormal DMAA levels, leaving 7.
Oral clearance was about 20 L per hour, volume of distribution about 236 L and terminal half-life about 8.5 hours; peak plasma levels of about 70 ng/mL appeared 3 to 5 hours after dosing. Heart rate, blood pressure and body temperature were largely unaffected. The authors note these peaks were 15 to 30 times lower than levels reported in adverse-event cases. No placebo group.
Randomized, placebo-controlled 12 week trial of daily DMAA and caffeine alone or combined, from the same University of Memphis laboratory. (Bloomer et al. 2013, Hum Exp Toxicol)
50 young healthy men who completed the study (placebo 11, caffeine 14, DMAA 13, caffeine plus DMAA 12).
No interaction effects were found for body composition, resting respiratory rate, blood pressure, 12-lead ECG, urinalysis, blood counts, metabolic and lipid panels, or oxidative stress, inflammatory and cardiac markers. Small groups of healthy young men cannot detect rare serious events, and the study did not test exercise conditions or higher doses.
Open 2 week study of two USPlabs products (Jack3d and OxyELITE Pro) containing DMAA, caffeine and other ingredients, funded in part by USPlabs. (Farney et al. 2012, Nutr Metab Insights)
13 healthy young adults: 7 men took Jack3d; 4 men and 2 women took OxyELITE Pro; 2 servings a day.
After 14 days, resting heart rate and blood pressure were not raised. After a dose, systolic pressure rose significantly with OxyELITE Pro but not Jack3d, and blood pressure measures rose about 5 to 15% at 60 to 90 minutes overall. Fasting glucose rose with Jack3d. Other ingredients may have contributed, and there was no placebo.
Randomized placebo-controlled 10 week trial of Jack3d, a multi-ingredient pre-workout product containing DMAA and caffeine, funded by USPlabs. (Whitehead et al. 2012, Nutr Metab Insights)
25 healthy men (13 placebo, 12 product), taking 1 to 3 servings on training days.
Blood pressure did not differ significantly between groups, although systolic pressure rose about 6 mmHg with the product while diastolic fell about 4 mmHg. LDL cholesterol fell about 7 mg/dL in the product group; other blood markers did not differ. The authors advised that people with elevated blood pressure avoid DMAA products.
Two case reports from the US military with a review of DMAA history and pharmacology. (Eliason et al. 2012, Mil Med)
Two active duty soldiers taking commercial multi-ingredient dietary supplements that contained DMAA.
Both collapsed from cardiac arrest during physical exertion and died. The authors conclude that DMAA in combination with other ingredients may be associated with serious consequences, recalling earlier adverse events with other sympathomimetic drugs removed from the market. Case reports of products with several ingredients cannot show that DMAA alone caused the deaths.
Case series from Christchurch Hospital, New Zealand, where DMAA was sold as a recreational stimulant. (Gee et al. 2012, Ann Emerg Med)
3 adults who presented with cerebral hemorrhage after using DMAA.
The report describes 3 cases of bleeding in the brain after DMAA use and characterizes DMAA as a sympathomimetic and potent pressor agent. It also discusses whether DMAA is synthetic or natural. Recreational use may have involved larger doses or other substances, and case reports cannot prove cause.