Adrenochrome is synthesized in vivo by the oxidation of epinephrine. In vitro, silver oxide (Ag2O) is used as an oxidizing agent.
There has been a substantial amount of controversy about whether adrenochrome can be classified as a Psychotropic drug.. According to a work by A. Hoffer and H. Osmond, psychoactive effects of adrenochrome include euphoria, confusion, changed train of thought, and inability to concentrate.
Author Hunter S. Thompson mentions adrenochrome in his book Fear and Loathing in Las Vegas. In the book it is derived from a living donor's adrenal gland (removing the gland kills the donor; it cannot be taken from a corpse). As such, it is purported to be very exotic, and very intense: "the first wave felt like a combination of mescaline and methedrine". Thompson reported a significant perceived rise in body temperature that led to paralysis. The adrenochrome scene also appears in the novel's film adaptation. In the DVD commentary, director Terry Gilliam admits that his and Thompson's portrayal is fictional hyperbole. In fact, Gilliam insists that the drug is entirely fictional and seems unaware of the existence of a substance with even a similar name.
In the televised Inspector Lewis mystery Whom the Gods Would Destroy (2007), Lewis investigates a series of murders that revolve around the death of a prostitute some 20 years earlier. The prostitute had been murdered by a group of then-Oxford students (Sons of Twice Born) for the purpose of experiencing the high attained from adrenochrome.
Author Aldous Huxley mentions adrenochrome early in his book The Doors of Perception relating it to lysergic acid and mescaline.
In the Discworld novel Sourcery a character is described thus: "He looked like someone who had just eaten a handful of pineal glands and washed them down with a pint of adrenochrome. He looked so high you could bounce intercontinental TV off him."
In White Wolf's Aberrant RPG Soma is a drug which provides temporal superpowers and is derived from Adrenochrome.
Otep has also recorded a song called Adrenochrome Dreams, which appeared on the album the Ascension. The song is highly psychedelic, narrating a discontinuous dream.
Adrenochrome was the title of a MOD format music file produced by the artist Dax
Punk band The Groovie Ghoulies released an album called Appetite For Adrenochrome, although the main themes of the album are based in 1950s era monster movies rather than drug use.