The powerful synthetic opioid painkiller known as fentanyl pills, often referred to as fentanil, acts quickly and has a brief half-life. On ΞΌ-opioid receptors, it has a strong agonistic activity. Fentanyl is said to be between 50 and 100 times more potent than morphine.
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Paul Janssen invented the fentanyl patch for the first time in 1960 after pethidine (also called meperidine, sold as Demerol) was initially used in medicine a few years earlier. Analogs of the structurally identical drug pethidine were examined by Janssen for opioid activity to produce fentanyl. Because fentanyl was used so widely, fentanyl citrate (a salt made by mixing fentanyl and citric acid in a 1:1 stoichiometry) was produced. In the 1960s, it was used as a general anesthetic in medicine and was sold under the brand name Sublimaze. After that, a large number of other fentanyl analogs, such as sufentanil, alfentanil, remifentanil, and lofentanil, were created and used in medicine.
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The Fentanyl Patch Fentanyl was first made available for palliative use in the mid-1990s in the form of a patch. Over the following ten years, several forms of the drug were reabsorbed via the skin within the mouth, including a lollipop, dissolving pills, and sublingual spray. Fentanyl was the most often used synthetic opioid in medicine as of 2012. Around the world, 1700 kilos were utilized in 2013.
The usage of fentanyl recreationally has resulted in thousands of overdose deaths each year in recent years. Fatalities have also resulted from improper use of medical equipment. A deadly dosage and an effective amount of the drug would be difficult or impossible to differentiate from one another with the untrained eye, making it impossible to precisely quantify a dose of pure fentanyl powder without advanced scientific equipment. When administered under close supervision, fentanyl is a fairly safe surgical anesthetic due to its very wide therapeutic index (270). But because of its tremendous strength, fentanyl in solution needs to be substantially diluted and metered carefully.
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