Page last updated: 2024-10-27

fentanyl and Adrenal Insufficiency

fentanyl has been researched along with Adrenal Insufficiency in 7 studies

Fentanyl: A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
fentanyl : A monocarboxylic acid amide resulting from the formal condensation of the aryl amino group of N-phenyl-1-(2-phenylethyl)piperidin-4-amine with propanoic acid.

Adrenal Insufficiency: Conditions in which the production of adrenal CORTICOSTEROIDS falls below the requirement of the body. Adrenal insufficiency can be caused by defects in the ADRENAL GLANDS, the PITUITARY GLAND, or the HYPOTHALAMUS.

Research Excerpts

ExcerptRelevanceReference
"We retrospectively studied the clinical characteristics of infants (<29 weeks' gestation) before (n=26) and after (n=35) implementing the following practice changes: stress reduction, conservative replacement of thyroid hormone, positive antenatal glucocorticoid administration, sedation with fentanyl (<7 days after birth), and hydrocortisone therapy for hypotension."3.81Increased Incidence of Late-Onset Circulatory Collapse after Changing Clinical Practice: A Retrospective Investigation of Causative Factors. ( Akaba, K; Saito, E; Shimokaze, T, 2015)
"We report on a 64-year-old patient in whom fentanyl therapy was found to be responsible for the induction of secondary adrenal insufficiency as clearly demonstrated by re-exposure."3.75Secondary adrenal insufficiency due to opiate therapy - another differential diagnosis worth consideration. ( Brändle, M; Greminger, P; Schimke, KE, 2009)
"Opioid-induced hypoadrenalism is likely an under-recognised clinical entity with potentially serious adverse patient outcomes."1.51Opioid-induced hypoadrenalism resulting in fasting hypoglycaemia. ( Clarke, AJ; Tabet, EJ; Twigg, SM, 2019)

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19901 (14.29)18.7374
1990's0 (0.00)18.2507
2000's3 (42.86)29.6817
2010's2 (28.57)24.3611
2020's1 (14.29)2.80

Authors

AuthorsStudies
Kondo, A1
Murakami, T1
Fujii, T1
Tatsumi, M1
Ueda-Sakane, Y1
Ueda, Y1
Yamauchi, I1
Ogura, M1
Taura, D1
Inagaki, N1
Tabet, EJ1
Clarke, AJ1
Twigg, SM1
Shimokaze, T1
Saito, E1
Akaba, K1
Schimke, KE1
Greminger, P1
Brändle, M1
Mazul-Sunko, B1
Resetic, J1
Solter, M1
Ivanec, Z1
Oltmanns, KM1
Fehm, HL1
Peters, A1
Wanscher, M1
Tønnesen, E1
Hüttel, M1
Larsen, K1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Anesthesia for Upper Endoscopy and Colonoscopy in Cardiac Patients With Acute Anemia: Pretreatment With Low-dose Ketamine Can Reduce the Dose of Etomidate. A Randomized Clinical Trial.[NCT04857450]60 participants (Anticipated)Interventional2020-11-20Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Other Studies

7 other studies available for fentanyl and Adrenal Insufficiency

ArticleYear
Opioid-induced adrenal insufficiency in transdermal fentanyl treatment: a revisited diagnosis in clinical setting.
    Endocrine journal, 2022, Feb-28, Volume: 69, Issue:2

    Topics: Adrenal Insufficiency; Analgesics, Opioid; Constipation; Female; Fentanyl; Humans; Middle Aged; Neop

2022
Opioid-induced hypoadrenalism resulting in fasting hypoglycaemia.
    BMJ case reports, 2019, Dec-11, Volume: 12, Issue:12

    Topics: Adolescent; Adrenal Insufficiency; Analgesics, Opioid; Female; Fentanyl; Humans; Hypoglycemia; Trama

2019
Increased Incidence of Late-Onset Circulatory Collapse after Changing Clinical Practice: A Retrospective Investigation of Causative Factors.
    American journal of perinatology, 2015, Volume: 32, Issue:12

    Topics: Adrenal Insufficiency; Female; Fentanyl; Gestational Age; Humans; Hydrocortisone; Hyponatremia; Hypo

2015
Secondary adrenal insufficiency due to opiate therapy - another differential diagnosis worth consideration.
    Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association, 2009, Volume: 117, Issue:10

    Topics: Adrenal Cortex Hormones; Adrenal Insufficiency; Analgesics, Opioid; Diagnosis, Differential; Fentany

2009
Postoperative adrenal crisis in a patient with Schmidt syndrome (autoimmune polyglandular endocrinopathy type II).
    European journal of anaesthesiology, 2004, Volume: 21, Issue:5

    Topics: Adrenal Insufficiency; Adult; Anesthetics, Intravenous; Anti-Inflammatory Agents; Antithyroid Agents

2004
Chronic fentanyl application induces adrenocortical insufficiency.
    Journal of internal medicine, 2005, Volume: 257, Issue:5

    Topics: Administration, Cutaneous; Adrenal Insufficiency; Anti-Inflammatory Agents; Drug Administration Sche

2005
Etomidate infusion and adrenocortical function. A study in elective surgery.
    Acta anaesthesiologica Scandinavica, 1985, Volume: 29, Issue:5

    Topics: Adrenal Cortex; Adrenal Insufficiency; Anesthetics; Cosyntropin; Drug Tolerance; Etomidate; Female;

1985