The dominant use of hexamethylenetetramine is in the production of solid (powder) or liquid
phenolic resins and phenolic
resin moulding compounds, in which it is added as a hardening component. These products are used as binders, e.g., in brake and clutch linings, abrasives, non-woven textiles, formed parts produced by moulding processes, and fireproof materials. It is used as an alternative to
antibiotics to prevent
urinary tract infections (UTIs) and is sold under the brand names
Hiprex,
Urex, and
Urotropin, among others. it is used for the treatment of
urinary tract infections. In an acidic environment, methenamine is believed to act as an
antimicrobial by converting to
formaldehyde. A
systematic review of its use for this purpose in adult women found there was insufficient evidence of benefit and further research was needed. A UK study showed that methenamine is as effective as daily low-dose antibiotics at preventing UTIs among women who experience recurrent UTIs. As methenamine is an antiseptic, it may avoid the issue of antibiotic resistance. Methenamine acts as an over-the-counter
antiperspirant due to the
astringent property of formaldehyde.
Histological stains Methenamine silver stains are used for
staining in
histology, including the following types: •
Grocott's methenamine silver stain, used widely as a screen for
fungal organisms. •
Jones' stain, a methenamine silver-
Periodic acid-Schiff that stains for
basement membrane, availing to view the "spiked"
Glomerular basement membrane associated with
membranous glomerulonephritis.
Solid fuel Together with
1,3,5-trioxane, hexamethylenetetramine is a component of
hexamine fuel tablets used by campers, hobbyists, the military and relief organizations for heating camping food or military rations. It burns smokelessly, has a high
energy density of 30.0
megajoules per
kilogram (MJ/kg), does not liquify while burning, and leaves no ashes, although its fumes are toxic. Standardized 0.149
g tablets of methenamine (hexamine) are used by fire-protection laboratories as a clean and reproducible fire source to test the flammability of carpets and rugs. where it is listed under
E number E239, however it is not approved in the USA, Russia, Australia, or New Zealand.
Reagent in organic chemistry Hexamethylenetetramine is a versatile
reagent in
organic synthesis. It is used in the
Duff reaction (formylation of arenes), the
Sommelet reaction (converting benzyl halides to aldehydes), and in the
Delepine reaction (synthesis of amines from alkyl halides).
Explosives Hexamethylenetetramine is the base component to produce
RDX and, consequently,
C-4 Pyrotechnics Hexamethylenetetramine is also used in
pyrotechnics to reduce combustion temperatures and decrease the color intensity of various fireworks. Because of its ash-free combustion, hexamethylenetetramine is also utilized in indoor fireworks alongside
magnesium and
lithium salts. ==Historical uses==