Gamma-hydroxybutyrate (4-hydroxybutanoic acid, C4H8O3) is both a drug and a naturally occurring compound found in mammalian brain, where it could well function as a neurotransmitter. As a drug it is used most commonly in the form of a chemical salt (Na-GHB or K-GHB). It temporarily inhibits dopamine release and stimulates pituitary growth hormone (GH) release.


Structural formula of gamma-hydroxybutyrate
It has been used as a general anesthetic and as a hypnotic in the treatment of insomnia, particularly in the treatment of narcolepsy under the trade name Xyrem. In addition, it is used by body-builders for its boost to GH release, in the treatment for alcoholism, to aid child-birth, or recreationally as an intoxicant (as GHB, G, Liquid X, Liquid E, GBH, Gamma-oh, Georgia Home Boy, Blue Verve).

GHB was first synthesized in the early 1960s by Dr. H. Laborit to use in studying the neurotransmitter GABA. It quickly found a wide range of uses due to its minimal side effects and controlled action, the only difficulty being the narrow safe dosage range.

Its use recreationally and as a date rape drug in the 1990s led to it being placed in the US on Schedule I of the Controlled Substances Act in March 2000. In the UK it was made a class C drug in June 2003.

At low doses GHB can cause a state of drunkenness. This kind of use is particularly common at rave parties.

GBL, or gamma-butyrolactone, a chemical precursor of GHB, has effects very similar to GHB but is argued to be more toxic.