Page last updated: 2024-10-27

fentanyl and Opiate Overdose

fentanyl has been researched along with Opiate Overdose in 69 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.

Opiate Overdose: Accidental or deliberate use of an OPIOID in excess of normal dosage. It includes overdose for prescription and illicit opioids.

Research Excerpts

ExcerptRelevanceReference
"A large percentage of opioid overdose fatalities involve fentanyl or one of its legal or illegal analogs (F/FAs)."5.62Wooden Chest syndrome: The atypical pharmacology of fentanyl overdose. ( Ann LeQuang, J; Pergolizzi, JV; Raffa, RB; Vortsman, E; Webster, LR, 2021)
"Illicit opioids, consisting largely of fentanyl, novel synthetic opioids, and adulterants, are the primary cause of drug overdose fatality in the United States."4.31Opioid overdoses involving xylazine in emergency department patients: a multicenter study. ( Aldy, K; Amaducci, A; Brent, J; Calello, D; Hendrickson, R; Hughes, A; Judge, B; Krotulski, AJ; Kurt, A; Levine, M; Logan, BK; Love, JS; Manini, AF; Pizon, A; Schwarz, E; Shulman, J; Vargas-Torres, C; Walton, SE; Wax, P; Wiegan, T, 2023)
"In 2022, provisional data indicated that more than two thirds (68%) of the reported 107,081 drug overdose deaths in the United States involved synthetic opioids other than methadone, principally illicitly manufactured fentanyls (IMFs) (1)."4.31Illicitly Manufactured Fentanyl-Involved Overdose Deaths with Detected Xylazine - United States, January 2019-June 2022. ( Goldberger, BA; Kariisa, M; Kumar, S; Mattson, CL; O'Donnell, J, 2023)
"Positive responses to a fentanyl vaccine were found along with appreciation for the complexity of a vaccine strategy to prevent OD in the setting of pain and uncertain durability."4.12Acceptability of a Fentanyl Vaccine to Prevent Opioid Overdose and Need for Personalized Decision-Making. ( Blakemore, LM; Cox, R; Dowling, DJ; Kossowsky, J; Levy, O; Levy, S; Needles, EW; Weitzman, ER, 2022)
"Naloxone is the primary opioid overdose reversal agent, but concern has been raised that naloxone is not efficacious against the pervasive illicit high potency opioids (i."2.82Treatment of opioid overdose: current approaches and recent advances. ( Britch, SC; Walsh, SL, 2022)
"There is little scientific evidence that supports the use of initial systemic dosing that exceeds 0."2.82Pharmacokinetic considerations for community-based dosing of nasal naloxone in opioid overdose in adults. ( Dale, O, 2022)
"The increasing number of opioid overdoses in North America especially is an indication of changing drug markets and failing regional systems of care."2.72The opioid overdose crisis as a global health challenge. ( Krausz, RM; Westenberg, JN; Ziafat, K, 2021)
" High-quality comparative naloxone dosing studies assessing effectiveness and safety are needed."2.66Naloxone dosing in the era of ultra-potent opioid overdoses: a systematic review. ( Brasher, PMA; Buxton, JA; Curran, J; Doyle-Waters, MM; Godwin, J; Hau, JP; Hohl, CM; Moe, J; O'Sullivan, F; Purssell, E; Purssell, R, 2020)
"Opioid use disorder and opioid overdose continue to be significant public health challenges despite the availability of effective treatments."2.44Daily methocinnamox treatment dose-dependently attenuates fentanyl self-administration in rhesus monkeys. ( France, CP; Maguire, DR, 2024)
"Among inpatients with opioid use disorder, fentanyl status does not appear to be statistically significantly associated with Clinical Opioid Withdrawal Scale and Short Opiate Withdrawal Scale mean and maximum scores."1.91Fentanyl withdrawal: Understanding symptom severity and exploring the role of body mass index on withdrawal symptoms and clearance. ( Choi, CJ; Comer, S; Jones, J; Luba, R, 2023)
"Heroin caused prolonged (45-60 minute) respiratory depression in female and male rats, characterized by decreased frequency, tidal volume, and minute ventilation and increased inspiratory time and apneic pause."1.91Heroin- and Fentanyl-Induced Respiratory Depression in a Rat Plethysmography Model: Potency, Tolerance, and Sex Differences. ( Carlson, ER; Frye, EV; Hampson, A; Hastings, LE; Koob, GF; Lewis, SJ; Marchette, RCN; Mejias-Torres, G; Vendruscolo, JCM; Vendruscolo, LF; Volkow, ND, 2023)
"Fentanyl test strips are a novel drug checking tool that can be used by people who use drugs to detect the presence of fentanyl in drug products."1.91Differences in drug use behaviors that impact overdose risk among individuals who do and do not use fentanyl test strips for drug checking. ( Baltes, A; Brown, R; Malicki, J; Salisbury-Afshar, E; Tilhou, AS; Zaborek, J, 2023)
"They indicated lower perceived risk of opioid overdose (0."1.91Attitudes and experiences with fentanyl contamination of methamphetamine: exploring self-reports and urine toxicology among persons who use methamphetamine and other drugs. ( Daniulaityte, R; Juhascik, M; Ruhter, L; Silverstein, S, 2023)
"In this cohort study of patients admitted to the ED with confirmed opioid overdose testing positive for NPOs, in-hospital naloxone dosing was high compared with patients who tested positive for fentanyl alone."1.91Naloxone Use in Novel Potent Opioid and Fentanyl Overdoses in Emergency Department Patients. ( Abston, S; Aldy, K; Amaducci, A; Brent, J; Campleman, SL; Culbreth, RE; Krotulski, A; Li, S; Logan, B; Manini, AF; Meyn, A; Wax, P, 2023)
"Number of opioid overdose deaths, people incarcerated, and associated costs over 5 years."1.91Mortality, incarceration and cost implications of fentanyl felonization laws: A modeling study. ( Barocas, JA; Gonsalves, G; Jurecka, C; Savinkina, A, 2023)
"Fentanyl was defined as probable or suspected IMF or probable pharmaceutical fentanyl."1.72Using death scene and toxicology evidence to define involvement of heroin, pharmaceutical morphine, illicitly manufactured fentanyl and pharmaceutical fentanyl in opioid overdose deaths, 38 states and the District of Columbia, January 2018-December 2019. ( Gladden, RM; Kariisa, M; Mattson, CL; O'Donnell, J, 2022)
"Fentanyl has replaced most other non-prescribed opioids in much of North America."1.72Modeling of overdose and naloxone distribution in the setting of fentanyl compared to heroin. ( Coffin, PO; Kahn, JG; Maya, S, 2022)
" Prior research has assessed the effectiveness of naloxone in the hospital setting; however, it is challenging to assess naloxone dosing regimens in the community/first-responder setting, including reversal of respiratory depression effects of fentanyl and its derivatives (fentanyls)."1.72Development of a Translational Model to Assess the Impact of Opioid Overdose and Naloxone Dosing on Respiratory Depression and Cardiac Arrest. ( Ahmadi, SF; Bloom, S; Chaturbedi, A; Dahan, A; Eshleman, A; Florian, J; Han, X; Janowsky, A; Li, Z; Mann, J; Olofsen, E; Samieegohar, M; Strauss, DG; Swanson, T; Wolfrum, K; Zirkle, J, 2022)
"The proportion of opioid overdose deaths increased by 36% post-COVID emergence (95% CI: 14%, 59%)."1.72Impact of COVID-19 on the characteristics of opioid overdose deaths in Arkansas. ( Fairman, BJ; Rezaeiahari, M, 2022)
"They had a higher prevalence of chronic pain (35."1.72Individuals Dying of Overdoses Related to Pharmaceutical Opioids Differ from Individuals Dying of Overdoses Related to Other Substances: A Population-Based Register Study. ( Clausen, T; Gjersing, L; Hamina, A; Handal, M; Lid, TG; Odsbu, I; Skurtveit, S, 2022)
"Naloxone was felt to be effective by the LEO in 370 (62%) of these cases with 6 (1%) exhibiting combativeness and 57 (10%) having the composite outcome of irritability or combativeness."1.72Outcomes of law enforcement officer administered naloxone. ( Colella, MR; Farkas, A; Gooley, B; Weston, B, 2022)
"Fentanyl is an analgesic that is frequently prescribed, which resulted in non-intentional as well as intentional misuse and deaths."1.72Case report on postmortem fentanyl measurement after overdose with more than 67 fentanyl patches. ( Bethlehem, C; Croes, EA; Peeters, LEJ; Tan, GE; Vleut, IT, 2022)
"Pre-treatment with naloxone (1 mg/kg) prevented fentanyl-induced VCC, but naloxone (1 and 2 mg/kg) was unable to reverse VCC when administered after fentanyl."1.62Fentanyl causes naloxone-resistant vocal cord closure: A platform for testing opioid overdose treatments. ( Janowsky, A; Miner, NB; Schutzer, WE; Torralva, R; Zarnegarnia, Y, 2021)
"A large percentage of opioid overdose fatalities involve fentanyl or one of its legal or illegal analogs (F/FAs)."1.62Wooden Chest syndrome: The atypical pharmacology of fentanyl overdose. ( Ann LeQuang, J; Pergolizzi, JV; Raffa, RB; Vortsman, E; Webster, LR, 2021)
"Medically treated opioid overdoses identify a population at high risk of subsequent mortality and need for treatment."1.62Medically treated opioid overdoses among New Jersey Medicaid beneficiaries: Rapid growth and complex comorbidity amid growing fentanyl penetration. ( Crystal, S; Nowels, M; Olfson, M; Samples, H; Treitler, P; Williams, AR, 2021)
"Opioid overdose has become the leading cause of death among adults between 25 and 54 years old in the U."1.56The protective effect of trusted dealers against opioid overdose in the U.S. ( Carroll, JJ; Green, TC; Rich, JD, 2020)
"Although limited literature has shown leukoencephalopathy to be associated with opioid overdose, we present a case of additional involvement of subcortical gray matter."1.56Diffuse subcortical white matter injury and bilateral basal ganglia neuronal loss after acute opioid overdose. ( Chaudhari, A; Dinicu, AI; Kayyal, S, 2020)
"Fentanyl analogs have been identified as important contributors to these overdoses, but little is known about their prevalence in patients seeking health care."1.56Fentanyl analog positivity among near-real-time urine drug test results in patients seeking health care. ( Bundy, WL; Dawson, E; Huskey, A; LaRue, L; Stanton, JD; Whitley, P, 2020)
"From 2013 to 2017, the overall opioid overdose mortality rate was consistently higher in NH white Americans, however, the rate increase was greater among NH Black (174 %) compared to NH white (85 %) Americans."1.56Opioid-related overdose mortality in the era of fentanyl: Monitoring a shifting epidemic by person, place, and time. ( Althoff, KN; Chandran, A; Leifheit, KM; Park, JN; Sherman, SG, 2020)

Research

Studies (69)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's0 (0.00)24.3611
2020's69 (100.00)2.80

Authors

AuthorsStudies
Cruz, SL1
Carranza-Aguilar, CJ1
Pérez-García, IP1
Wightman, RS1
Perrone, J1
Scagos, R2
Hallowell, BD1
Krieger, M1
Li, Y1
McGregor, AJ1
Nelson, LS1
Marshall, BDL3
Miner, NB1
Schutzer, WE1
Zarnegarnia, Y1
Janowsky, A2
Torralva, R1
Daniulaityte, R2
Silverstein, SM1
Getz, K1
Juhascik, M2
McElhinny, M1
Dudley, S1
Rahman, S1
Trussell, A1
Pearson, SA1
Buckley, NA1
Karanges, EA1
Cairns, R1
Litchfield, M1
Todd, A1
Gisev, N1
Shearer, D1
Young, S1
Fairbairn, N1
Brar, R1
O'Donnell, J2
Gladden, RM1
Kariisa, M2
Mattson, CL2
Choi, NG1
Choi, BY1
DiNitto, DM1
Marti, CN1
Baker, SD1
Trecki, J1
Gerona, RR1
Ellison, R1
Thomas, C1
Mileusnic-Polchan, D1
Irvine, MA2
Oller, D1
Boggis, J1
Bishop, B1
Coombs, D2
Wheeler, E1
Doe-Simkins, M1
Walley, AY1
Bratberg, J1
Green, TC2
Britch, SC1
Walsh, SL1
King, E1
Marchetti, L1
Weidele, H1
Wolanski, J1
Shrestha, N1
St John, K1
Taylor, M1
Pradhan, A1
Ogando, YM1
Shaya, F1
Dale, O1
Napoletano, S1
Basile, G1
Lo Faro, AF1
Negro, F1
Weitzman, ER1
Kossowsky, J1
Blakemore, LM1
Cox, R1
Dowling, DJ1
Levy, O1
Needles, EW1
Levy, S1
Coffin, PO1
Maya, S1
Kahn, JG1
Rivera, AV1
Nolan, ML1
Paone, D1
Carrillo, SA1
Braunstein, SL1
Strickland, JC1
Marks, KR1
Smith, KE1
Ellis, JD1
Hobelmann, JG1
Huhn, AS1
Calello, DP1
Aldy, K3
Jefri, M1
Nguyen, TT1
Krotulski, A2
Logan, B2
Brent, J3
Wax, P3
Walton, S1
Manini, AF3
Mann, J1
Samieegohar, M1
Chaturbedi, A1
Zirkle, J1
Han, X1
Ahmadi, SF1
Eshleman, A1
Wolfrum, K1
Swanson, T1
Bloom, S1
Dahan, A2
Olofsen, E1
Florian, J1
Strauss, DG1
Li, Z1
Shin, SS1
LaForge, K1
Stack, E1
Pope, J1
Leichtling, G1
Larsen, JE1
Leahy, JM1
Seaman, A1
Hoover, D1
Chisholm, L1
Blazes, C1
Baker, R1
Byers, M1
Branson, K1
Korthuis, PT1
Rezaeiahari, M1
Fairman, BJ1
Skurtveit, S1
Odsbu, I1
Gjersing, L1
Handal, M1
Lid, TG1
Clausen, T1
Hamina, A1
Filteau, MR1
Green, B1
Kim, F1
McBride, KA1
Gooley, B1
Weston, B1
Colella, MR1
Farkas, A1
Disney, A1
Olson, KM1
Shafer, AM1
Moore, SC1
Anand, JP1
Traynor, JR1
Husbands, SM1
Abadie, R3
Cano, M3
Habecker, P3
Gelpí-Acosta, C3
Luba, R3
Jones, J3
Choi, CJ3
Comer, S3
Peeters, LEJ3
Vleut, IT3
Tan, GE3
Croes, EA3
Bethlehem, C3
Marchette, RCN1
Carlson, ER1
Frye, EV1
Hastings, LE1
Vendruscolo, JCM1
Mejias-Torres, G1
Lewis, SJ1
Hampson, A1
Volkow, ND1
Vendruscolo, LF1
Koob, GF1
Stopka, TJ2
Larochelle, MR1
Li, X1
Bernson, D1
Li, W1
Ackerson, LK1
Bayly, R1
Dammann, O1
Bauer, C1
Tilhou, AS1
Zaborek, J1
Baltes, A1
Salisbury-Afshar, E1
Malicki, J1
Brown, R1
Kline, A2
Williams, JM2
Steinberg, ML1
Mattern, D2
Chesin, M1
Borys, S2
Chaguturu, V1
Love, JS1
Levine, M1
Krotulski, AJ1
Logan, BK1
Vargas-Torres, C1
Walton, SE1
Amaducci, A2
Calello, D1
Hendrickson, R1
Hughes, A1
Kurt, A1
Judge, B1
Pizon, A1
Schwarz, E1
Shulman, J1
Wiegan, T1
Allen, C1
Arredondo, C1
Dunham, R1
Fishman, M1
Lev, L1
Mace, S1
Parks, J1
Rosa, D1
Shoyinka, S1
White, D1
Williams, A1
Ruhter, L1
Silverstein, S1
Bedard, ML1
Nowlan, AC1
Martin Del Campo, Z1
Miller, C1
Dasgupta, N1
McElligott, ZA1
Jeffery, MM1
Stevens, M1
D'Onofrio, G1
Melnick, ER1
Salazar, A1
Moreno-Pulido, S1
Prego-Meleiro, P1
Henares-Montiel, J1
Pulido, J1
Donat, M1
Sotres-Fernandez, G1
Sordo, L1
Kumar, S1
Goldberger, BA1
Santelices, C1
Matsumoto, A1
Boulad, M1
Eubanks, LM1
Pholcharee, T1
Oyen, D1
Natori, Y1
Zhou, B1
Wilson, IA1
Janda, KD1
Campleman, SL1
Li, S1
Meyn, A1
Abston, S1
Culbreth, RE1
Friedman, J1
Shover, CL1
Savinkina, A1
Jurecka, C1
Gonsalves, G1
Barocas, JA1
Maguire, DR1
France, CP1
Hartmann, GE1
Sethi, R1
McGowan, R1
Hammond, K1
Davison, C1
Gilbert, M1
Rosenblum, D1
Unick, J1
Ciccarone, D2
Moe, J1
Godwin, J1
Purssell, R1
O'Sullivan, F1
Hau, JP1
Purssell, E1
Curran, J1
Doyle-Waters, MM1
Brasher, PMA1
Buxton, JA2
Hohl, CM1
Switzer, AR1
Beland, B1
Sarna, JR1
Walzak, A1
Pfeffer, G1
Meier, A1
Moore, SK1
Saunders, EC1
McLeman, B1
Metcalf, SA1
Auty, S1
Walsh, O1
Marsch, LA1
Chatterton, CN1
Handy, RP1
Shoemaker, GK1
Scott-Ham, M1
Carroll, JJ1
Rich, JD1
Dinicu, AI1
Chaudhari, A1
Kayyal, S1
Furr-Holden, D1
Milam, AJ1
Wang, L1
Sadler, R1
Ivsins, A1
Boyd, J1
Mayer, S1
Collins, A1
Sutherland, C1
Kerr, T1
McNeil, R1
Stanton, JD1
Whitley, P1
LaRue, L1
Bundy, WL1
Dawson, E1
Huskey, A1
Althoff, KN1
Leifheit, KM1
Park, JN1
Chandran, A1
Sherman, SG2
Jacka, BP1
Goldman, JE1
Yedinak, JL1
Bernstein, E1
Hadland, SE1
Biello, KB1
Cooperman, N1
Dooley-Budsock, P1
Foglia, R1
Kosten, TR1
Petrakis, IL1
Hodder, SL1
Feinberg, J1
Strathdee, SA1
Shoptaw, S1
Altice, FL1
Ortenzio, L1
Beyrer, C1
Krausz, RM1
Westenberg, JN1
Ziafat, K1
Pergolizzi, JV2
Ann LeQuang, J2
Raffa, RB2
Webster, LR1
Vortsman, E1
Crystal, S1
Nowels, M1
Olfson, M1
Samples, H1
Williams, AR1
Treitler, P1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Rhode Island Prescription and Illicit Drug Study Responding to Fentanyl and Associated Harms[NCT04372238]509 participants (Anticipated)Interventional2020-09-03Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

10 reviews available for fentanyl and Opiate Overdose

ArticleYear
Estimating naloxone need in the USA across fentanyl, heroin, and prescription opioid epidemics: a modelling study.
    The Lancet. Public health, 2022, Volume: 7, Issue:3

    Topics: Analgesics, Opioid; Drug Overdose; Fentanyl; Heroin; Humans; Naloxone; Narcotic Antagonists; Opiate

2022
Treatment of opioid overdose: current approaches and recent advances.
    Psychopharmacology, 2022, Volume: 239, Issue:7

    Topics: Analgesics, Opioid; Drug Overdose; Drug-Related Side Effects and Adverse Reactions; Fentanyl; Humans

2022
Pharmacokinetic considerations for community-based dosing of nasal naloxone in opioid overdose in adults.
    Expert opinion on drug metabolism & toxicology, 2022, Volume: 18, Issue:3

    Topics: Adult; Analgesics, Opioid; Drug Overdose; Fentanyl; Humans; Naloxone; Narcotic Antagonists; Opiate O

2022
All Hands on Deck: We Need Multiple Approaches To Uncover the Neuroscience behind the Opioid Overdose Crisis.
    ACS chemical neuroscience, 2023, 06-07, Volume: 14, Issue:11

    Topics: Analgesics, Opioid; Drug Overdose; Fentanyl; Humans; Opiate Overdose; Opioid-Related Disorders; Unit

2023
The Role of Non-Pharmaceutical Fentanyl-Contaminated Counterfeit Oxycodone in Increasing Opioid Overdoses: A Commentary Review.
    The primary care companion for CNS disorders, 2023, Nov-09, Volume: 25, Issue:6

    Topics: Analgesics, Opioid; Drug Overdose; Fentanyl; Humans; Opiate Overdose; Opioid-Related Disorders; Oxyc

2023
Naloxone dosing in the era of ultra-potent opioid overdoses: a systematic review.
    CJEM, 2020, Volume: 22, Issue:2

    Topics: Adult; Analgesics, Opioid; Child; Drug Overdose; Female; Fentanyl; Humans; Male; Naloxone; Narcotic

2020
The opioid crisis and HIV in the USA: deadly synergies.
    Lancet (London, England), 2021, 03-20, Volume: 397, Issue:10279

    Topics: Adolescent; Adult; Analgesics, Opioid; Black or African American; Case-Control Studies; Disease Outb

2021
The opioid overdose crisis as a global health challenge.
    Current opinion in psychiatry, 2021, 07-01, Volume: 34, Issue:4

    Topics: Analgesics, Opioid; Fentanyl; Global Health; Humans; Opiate Overdose; Prevalence

2021
The rise of illicit fentanyls, stimulants and the fourth wave of the opioid overdose crisis.
    Current opinion in psychiatry, 2021, 07-01, Volume: 34, Issue:4

    Topics: Analgesics, Opioid; Central Nervous System Stimulants; Cocaine; Cocaine-Related Disorders; Comorbidi

2021
Overdoses due to fentanyl and its analogues (F/FAs) push naloxone to the limit.
    Journal of clinical pharmacy and therapeutics, 2021, Volume: 46, Issue:6

    Topics: Diaphragm; Dose-Response Relationship, Drug; Fentanyl; Heroin; Humans; Laryngismus; Muscle Rigidity;

2021

Trials

1 trial available for fentanyl and Opiate Overdose

ArticleYear
A randomized clinical trial of a theory-based fentanyl overdose education and fentanyl test strip distribution intervention to reduce rates of opioid overdose: study protocol for a randomized controlled trial.
    Trials, 2020, Nov-26, Volume: 21, Issue:1

    Topics: Adolescent; Adult; Aged; Analgesics, Opioid; Fentanyl; Humans; Middle Aged; North America; Opiate Ov

2020

Other Studies

58 other studies available for fentanyl and Opiate Overdose

ArticleYear
Sodium chloride injection to treat opioid overdose; Does it work? A preclinical study.
    Neurotoxicology, 2021, Volume: 87

    Topics: Animals; Dose-Response Relationship, Drug; Fentanyl; Injections, Intravenous; Male; Morphine; Naloxo

2021
Toxicological and pharmacologic sex differences in unintentional or undetermined opioid overdose death.
    Drug and alcohol dependence, 2021, 10-01, Volume: 227

    Topics: Adult; Analgesics, Opioid; Drug Overdose; Female; Fentanyl; Humans; Male; Opiate Overdose; Retrospec

2021
Fentanyl causes naloxone-resistant vocal cord closure: A platform for testing opioid overdose treatments.
    Drug and alcohol dependence, 2021, 10-01, Volume: 227

    Topics: Analgesics, Opioid; Animals; Drug Overdose; Fentanyl; Naloxone; Narcotic Antagonists; Opiate Overdos

2021
Lay knowledge and practices of methamphetamine use to manage opioid-related overdose risks.
    The International journal on drug policy, 2022, Volume: 99

    Topics: Adult; Analgesics, Opioid; Drug Overdose; Female; Fentanyl; Humans; Methamphetamine; Opiate Overdose

2022
Trends in transdermal fentanyl utilisation and fatal fentanyl overdose across Australia (2003-2015).
    Drug and alcohol review, 2022, Volume: 41, Issue:2

    Topics: Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Drug Overdose; Female; Fentanyl; Humans; Male; O

2022
Challenges with buprenorphine inductions in the context of the fentanyl overdose crisis: A case series.
    Drug and alcohol review, 2022, Volume: 41, Issue:2

    Topics: Analgesics, Opioid; Buprenorphine; Buprenorphine, Naloxone Drug Combination; Fentanyl; Humans; Nalox

2022
Using death scene and toxicology evidence to define involvement of heroin, pharmaceutical morphine, illicitly manufactured fentanyl and pharmaceutical fentanyl in opioid overdose deaths, 38 states and the District of Columbia, January 2018-December 2019.
    Addiction (Abingdon, England), 2022, Volume: 117, Issue:5

    Topics: Analgesics, Opioid; District of Columbia; Drug Overdose; Fentanyl; Heroin; Humans; Illicit Drugs; Mo

2022
Heroin and fentanyl overdose deaths among cases age 50+ in the National Poison Data System, 2015-2020.
    Clinical toxicology (Philadelphia, Pa.), 2022, Volume: 60, Issue:5

    Topics: Aged; Analgesics, Opioid; COVID-19; Drug Overdose; Fentanyl; Heroin; Humans; Middle Aged; Opiate Ove

2022
Notes from the Field: Increased Incidence of Fentanyl-Related Deaths Involving Para-fluorofentanyl or Metonitazene - Knox County, Tennessee, November 2020-August 2021.
    MMWR. Morbidity and mortality weekly report, 2022, 01-28, Volume: 71, Issue:4

    Topics: Benzimidazoles; Fentanyl; Humans; Illicit Drugs; Opiate Overdose; Piperidines; Tennessee

2022
Insights from biosurveillance: non-fatal opioid overdoses in Rhode Island 2019-21.
    Addiction (Abingdon, England), 2022, Volume: 117, Issue:9

    Topics: Analgesics, Opioid; Biosurveillance; Drug Overdose; Fentanyl; Humans; Opiate Overdose; Rhode Island

2022
Impact of the naloxone standing order on trends in opioid fatal overdose: an ecological analysis.
    The American journal of drug and alcohol abuse, 2022, 05-04, Volume: 48, Issue:3

    Topics: Analgesics, Opioid; Drug Overdose; Female; Fentanyl; Humans; Naloxone; Narcotic Antagonists; Opiate

2022
New Psychoactive Substances and receding COVID-19 pandemic: really going back to "normal"?
    Acta bio-medica : Atenei Parmensis, 2022, 05-11, Volume: 93, Issue:2

    Topics: Analgesics, Opioid; COVID-19; Ecosystem; Fentanyl; Humans; Opiate Overdose; Pandemics; SARS-CoV-2

2022
Acceptability of a Fentanyl Vaccine to Prevent Opioid Overdose and Need for Personalized Decision-Making.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2022, 08-15, Volume: 75, Issue:Suppl 1

    Topics: Adult; Analgesics, Opioid; COVID-19; Drug Overdose; Female; Fentanyl; Humans; Male; Opiate Overdose;

2022
Modeling of overdose and naloxone distribution in the setting of fentanyl compared to heroin.
    Drug and alcohol dependence, 2022, 07-01, Volume: 236

    Topics: Analgesics, Opioid; Drug Overdose; Fentanyl; Heroin; Humans; Naloxone; Narcotic Antagonists; Opiate

2022
Gaps in naloxone ownership among people who inject drugs during the fentanyl wave of the opioid overdose epidemic in New York City, 2018.
    Substance abuse, 2022, Volume: 43, Issue:1

    Topics: Analgesics, Opioid; Drug Overdose; Drug Users; Fentanyl; Humans; Naloxone; New York City; Opiate Ove

2022
Patient perceptions of higher-dose naloxone nasal spray for opioid overdose.
    The International journal on drug policy, 2022, Volume: 106

    Topics: Analgesics, Opioid; Drug Overdose; Fentanyl; Humans; Naloxone; Narcotic Antagonists; Nasal Sprays; O

2022
Identification of a novel opioid,
    Clinical toxicology (Philadelphia, Pa.), 2022, Volume: 60, Issue:9

    Topics: Adult; Alprazolam; Analgesics, Opioid; Benzimidazoles; Cocaine; Codeine; Drug Overdose; Fentanyl; He

2022
Development of a Translational Model to Assess the Impact of Opioid Overdose and Naloxone Dosing on Respiratory Depression and Cardiac Arrest.
    Clinical pharmacology and therapeutics, 2022, Volume: 112, Issue:5

    Topics: Analgesics, Opioid; Drug Overdose; Fentanyl; Heart Arrest; Humans; Naloxone; Narcotic Antagonists; O

2022
"It wasn't here, and now it is. It's everywhere": fentanyl's rising presence in Oregon's drug supply.
    Harm reduction journal, 2022, 07-11, Volume: 19, Issue:1

    Topics: Analgesics, Opioid; Drug Overdose; Fentanyl; Humans; Illicit Drugs; Opiate Overdose; Opioid-Related

2022
Impact of COVID-19 on the characteristics of opioid overdose deaths in Arkansas.
    The International journal on drug policy, 2022, Volume: 109

    Topics: Analgesics, Opioid; Arkansas; COVID-19; Drug Overdose; Fentanyl; Humans; Methadone; Methamphetamine;

2022
Individuals Dying of Overdoses Related to Pharmaceutical Opioids Differ from Individuals Dying of Overdoses Related to Other Substances: A Population-Based Register Study.
    European addiction research, 2022, Volume: 28, Issue:6

    Topics: Aged; Analgesics, Opioid; Chronic Pain; Drug Overdose; Female; Fentanyl; Humans; Opiate Overdose; Ph

2022
'It's the same thing as giving them CPR training': rural first responders' perspectives on naloxone.
    Harm reduction journal, 2022, 10-03, Volume: 19, Issue:1

    Topics: Analgesics, Opioid; Cardiopulmonary Resuscitation; Drug Overdose; Emergency Responders; Fentanyl; Hu

2022
Outcomes of law enforcement officer administered naloxone.
    The American journal of emergency medicine, 2022, Volume: 62

    Topics: Analgesics, Opioid; Drug Overdose; Fentanyl; Humans; Naloxone; Narcotic Antagonists; Opiate Overdose

2022
Opioid Antagonists from the Orvinol Series as Potential Reversal Agents for Opioid Overdose.
    ACS chemical neuroscience, 2022, 11-02, Volume: 13, Issue:21

    Topics: Analgesics, Opioid; Fentanyl; Humans; Naloxone; Narcotic Antagonists; Opiate Overdose; Receptors, Op

2022
Substance use, injection risk behaviors, and fentanyl-related overdose risk among a sample of PWID post-Hurricane Maria.
    Harm reduction journal, 2022, 11-24, Volume: 19, Issue:1

    Topics: Cyclonic Storms; Drug Overdose; Fentanyl; Humans; Opiate Overdose; Opioid-Related Disorders; Risk-Ta

2022
Substance use, injection risk behaviors, and fentanyl-related overdose risk among a sample of PWID post-Hurricane Maria.
    Harm reduction journal, 2022, 11-24, Volume: 19, Issue:1

    Topics: Cyclonic Storms; Drug Overdose; Fentanyl; Humans; Opiate Overdose; Opioid-Related Disorders; Risk-Ta

2022
Substance use, injection risk behaviors, and fentanyl-related overdose risk among a sample of PWID post-Hurricane Maria.
    Harm reduction journal, 2022, 11-24, Volume: 19, Issue:1

    Topics: Cyclonic Storms; Drug Overdose; Fentanyl; Humans; Opiate Overdose; Opioid-Related Disorders; Risk-Ta

2022
Substance use, injection risk behaviors, and fentanyl-related overdose risk among a sample of PWID post-Hurricane Maria.
    Harm reduction journal, 2022, 11-24, Volume: 19, Issue:1

    Topics: Cyclonic Storms; Drug Overdose; Fentanyl; Humans; Opiate Overdose; Opioid-Related Disorders; Risk-Ta

2022
Substance use, injection risk behaviors, and fentanyl-related overdose risk among a sample of PWID post-Hurricane Maria.
    Harm reduction journal, 2022, 11-24, Volume: 19, Issue:1

    Topics: Cyclonic Storms; Drug Overdose; Fentanyl; Humans; Opiate Overdose; Opioid-Related Disorders; Risk-Ta

2022
Substance use, injection risk behaviors, and fentanyl-related overdose risk among a sample of PWID post-Hurricane Maria.
    Harm reduction journal, 2022, 11-24, Volume: 19, Issue:1

    Topics: Cyclonic Storms; Drug Overdose; Fentanyl; Humans; Opiate Overdose; Opioid-Related Disorders; Risk-Ta

2022
Substance use, injection risk behaviors, and fentanyl-related overdose risk among a sample of PWID post-Hurricane Maria.
    Harm reduction journal, 2022, 11-24, Volume: 19, Issue:1

    Topics: Cyclonic Storms; Drug Overdose; Fentanyl; Humans; Opiate Overdose; Opioid-Related Disorders; Risk-Ta

2022
Substance use, injection risk behaviors, and fentanyl-related overdose risk among a sample of PWID post-Hurricane Maria.
    Harm reduction journal, 2022, 11-24, Volume: 19, Issue:1

    Topics: Cyclonic Storms; Drug Overdose; Fentanyl; Humans; Opiate Overdose; Opioid-Related Disorders; Risk-Ta

2022
Substance use, injection risk behaviors, and fentanyl-related overdose risk among a sample of PWID post-Hurricane Maria.
    Harm reduction journal, 2022, 11-24, Volume: 19, Issue:1

    Topics: Cyclonic Storms; Drug Overdose; Fentanyl; Humans; Opiate Overdose; Opioid-Related Disorders; Risk-Ta

2022
Fentanyl withdrawal: Understanding symptom severity and exploring the role of body mass index on withdrawal symptoms and clearance.
    Addiction (Abingdon, England), 2023, Volume: 118, Issue:4

    Topics: Analgesics, Opioid; Animals; Body Mass Index; Cattle; Female; Fentanyl; Morphine; Narcotic Antagonis

2023
Fentanyl withdrawal: Understanding symptom severity and exploring the role of body mass index on withdrawal symptoms and clearance.
    Addiction (Abingdon, England), 2023, Volume: 118, Issue:4

    Topics: Analgesics, Opioid; Animals; Body Mass Index; Cattle; Female; Fentanyl; Morphine; Narcotic Antagonis

2023
Fentanyl withdrawal: Understanding symptom severity and exploring the role of body mass index on withdrawal symptoms and clearance.
    Addiction (Abingdon, England), 2023, Volume: 118, Issue:4

    Topics: Analgesics, Opioid; Animals; Body Mass Index; Cattle; Female; Fentanyl; Morphine; Narcotic Antagonis

2023
Fentanyl withdrawal: Understanding symptom severity and exploring the role of body mass index on withdrawal symptoms and clearance.
    Addiction (Abingdon, England), 2023, Volume: 118, Issue:4

    Topics: Analgesics, Opioid; Animals; Body Mass Index; Cattle; Female; Fentanyl; Morphine; Narcotic Antagonis

2023
Case report on postmortem fentanyl measurement after overdose with more than 67 fentanyl patches.
    Forensic toxicology, 2022, Volume: 40, Issue:1

    Topics: Adult; Autopsy; Cocaine; Drug Overdose; Fentanyl; Humans; Male; Opiate Overdose; Young Adult

2022
Case report on postmortem fentanyl measurement after overdose with more than 67 fentanyl patches.
    Forensic toxicology, 2022, Volume: 40, Issue:1

    Topics: Adult; Autopsy; Cocaine; Drug Overdose; Fentanyl; Humans; Male; Opiate Overdose; Young Adult

2022
Case report on postmortem fentanyl measurement after overdose with more than 67 fentanyl patches.
    Forensic toxicology, 2022, Volume: 40, Issue:1

    Topics: Adult; Autopsy; Cocaine; Drug Overdose; Fentanyl; Humans; Male; Opiate Overdose; Young Adult

2022
Case report on postmortem fentanyl measurement after overdose with more than 67 fentanyl patches.
    Forensic toxicology, 2022, Volume: 40, Issue:1

    Topics: Adult; Autopsy; Cocaine; Drug Overdose; Fentanyl; Humans; Male; Opiate Overdose; Young Adult

2022
Heroin- and Fentanyl-Induced Respiratory Depression in a Rat Plethysmography Model: Potency, Tolerance, and Sex Differences.
    The Journal of pharmacology and experimental therapeutics, 2023, Volume: 385, Issue:2

    Topics: Analgesics, Opioid; Animals; Female; Fentanyl; Heroin; Male; Opiate Overdose; Plethysmography; Rats;

2023
Opioid-related mortality: Dynamic temporal and spatial trends by drug type and demographic subpopulations, Massachusetts, 2005-2021.
    Drug and alcohol dependence, 2023, 05-01, Volume: 246

    Topics: Adult; Age Distribution; Analgesics, Opioid; Drug Overdose; Fentanyl; Humans; Male; Massachusetts; M

2023
Differences in drug use behaviors that impact overdose risk among individuals who do and do not use fentanyl test strips for drug checking.
    Harm reduction journal, 2023, 03-28, Volume: 20, Issue:1

    Topics: Analgesics, Opioid; Drug Overdose; Fentanyl; Harm Reduction; Humans; Opiate Overdose; Substance-Rela

2023
Predictors of opioid overdose during the COVID-19 pandemic: The role of relapse, treatment access and nonprescribed buprenorphine/naloxone.
    Journal of substance use and addiction treatment, 2023, Volume: 149

    Topics: Analgesics, Opioid; Buprenorphine, Naloxone Drug Combination; COVID-19; Drug Overdose; Fentanyl; Hum

2023
Opioid overdoses involving xylazine in emergency department patients: a multicenter study.
    Clinical toxicology (Philadelphia, Pa.), 2023, Volume: 61, Issue:3

    Topics: Adult; Analgesics, Opioid; Coma; Drug Overdose; Emergency Service, Hospital; Fentanyl; Humans; Opiat

2023
Guidance for Handling the Increasing Prevalence of Drugs Adulterated or Laced With Fentanyl.
    Psychiatric services (Washington, D.C.), 2023, 10-01, Volume: 74, Issue:10

    Topics: Analgesics, Opioid; Drug Overdose; Fentanyl; Humans; Opiate Overdose; Opioid-Related Disorders; Phar

2023
Attitudes and experiences with fentanyl contamination of methamphetamine: exploring self-reports and urine toxicology among persons who use methamphetamine and other drugs.
    Harm reduction journal, 2023, 04-20, Volume: 20, Issue:1

    Topics: Analgesics, Opioid; Drug Overdose; Female; Fentanyl; Heroin; Humans; Male; Methamphetamine; Opiate O

2023
Fentanyl-Associated Overdose Deaths Outside the Hospital.
    The New England journal of medicine, 2023, Jul-06, Volume: 389, Issue:1

    Topics: Analgesics, Opioid; Drug Overdose; Fentanyl; Hospitals; Humans; Opiate Overdose

2023
Correlation Between Opioid Drug Prescription and Opioid-Related Mortality in Spain as a Surveillance Tool: Ecological Study.
    JMIR public health and surveillance, 2023, 06-28, Volume: 9

    Topics: Analgesics, Opioid; Drug Prescriptions; Fentanyl; Humans; Opiate Overdose; Opioid-Related Disorders;

2023
Illicitly Manufactured Fentanyl-Involved Overdose Deaths with Detected Xylazine - United States, January 2019-June 2022.
    MMWR. Morbidity and mortality weekly report, 2023, Jun-30, Volume: 72, Issue:26

    Topics: District of Columbia; Drug Overdose; Fentanyl; Humans; Opiate Overdose; United States; Xylazine

2023
Evaluating Technologies to Identify Fentanyl and Adulterants in Street Drug Paraphernalia: Qualitative Perspectives of Service Providers and Their Clientele.
    Substance use & misuse, 2023, Volume: 58, Issue:12

    Topics: Analgesics, Opioid; Drug Overdose; Fentanyl; Harm Reduction; Humans; Illicit Drugs; Opiate Overdose;

2023
An Engineered Human-Antibody Fragment with Fentanyl Pan-Specificity That Reverses Carfentanil-Induced Respiratory Depression.
    ACS chemical neuroscience, 2023, 08-16, Volume: 14, Issue:16

    Topics: Analgesics, Opioid; Drug Overdose; Fentanyl; Humans; Immunoglobulin Fragments; Opiate Overdose; Resp

2023
Naloxone Use in Novel Potent Opioid and Fentanyl Overdoses in Emergency Department Patients.
    JAMA network open, 2023, 08-01, Volume: 6, Issue:8

    Topics: Adult; Analgesics, Opioid; Cohort Studies; Disease Progression; Drug Overdose; Emergency Service, Ho

2023
Charting the fourth wave: Geographic, temporal, race/ethnicity and demographic trends in polysubstance fentanyl overdose deaths in the United States, 2010-2021.
    Addiction (Abingdon, England), 2023, Volume: 118, Issue:12

    Topics: Analgesics, Opioid; Central Nervous System Stimulants; Cocaine; Drug Overdose; Ethnicity; Fentanyl;

2023
Mortality, incarceration and cost implications of fentanyl felonization laws: A modeling study.
    The International journal on drug policy, 2023, Volume: 121

    Topics: Analgesics, Opioid; Drug Overdose; Fentanyl; Humans; Opiate Overdose; Opioid-Related Disorders; Unit

2023
Daily methocinnamox treatment dose-dependently attenuates fentanyl self-administration in rhesus monkeys.
    Neuropharmacology, 2024, Feb-01, Volume: 243

    Topics: Analgesics, Opioid; Animals; Dose-Response Relationship, Drug; Female; Fentanyl; Macaca mulatta; Mal

2024
The role of mathematical modelling in aiding public health policy decision-making: A case study of the BC opioid overdose emergency.
    The International journal on drug policy, 2021, Volume: 88

    Topics: Analgesics, Opioid; British Columbia; Drug Overdose; Fentanyl; Health Policy; Humans; Naloxone; Opia

2021
The Rapidly Changing US Illicit Drug Market and the Potential for an Improved Early Warning System: Evidence from Ohio Drug Crime Labs.
    Drug and alcohol dependence, 2020, 03-01, Volume: 208

    Topics: Analgesics, Opioid; Crime; Drug Overdose; Female; Fentanyl; Forensic Medicine; Heroin; Humans; Illic

2020
Fentanyl Overdose Causing Hippocampal Ischaemia Followed by Delayed Leukoencephalopathy.
    The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 2020, Volume: 47, Issue:3

    Topics: Analgesics, Opioid; Brain Ischemia; Disease Progression; Fentanyl; Hippocampus; Humans; Hypoventilat

2020
Understanding the increase in opioid overdoses in New Hampshire: A rapid epidemiologic assessment.
    Drug and alcohol dependence, 2020, 04-01, Volume: 209

    Topics: Adolescent; Adult; Analgesics, Opioid; Female; Fentanyl; Harm Reduction; Heroin; Humans; Male; Needl

2020
The distribution and redistribution of carfentanil in post mortem samples.
    Forensic science international, 2020, Volume: 309

    Topics: Adolescent; Adult; Aged; Analgesics, Opioid; Female; Fentanyl; Forensic Toxicology; Humans; Male; Mi

2020
The protective effect of trusted dealers against opioid overdose in the U.S.
    The International journal on drug policy, 2020, Volume: 78

    Topics: Adult; Analgesics, Opioid; Drug Overdose; Female; Fentanyl; Harm Reduction; Humans; Male; Middle Age

2020
Diffuse subcortical white matter injury and bilateral basal ganglia neuronal loss after acute opioid overdose.
    The neuroradiology journal, 2020, Volume: 33, Issue:3

    Topics: Brain; Fentanyl; Humans; Leukoencephalopathies; Male; Narcotics; Neurons; Opiate Overdose; Oxycodone

2020
African Americans now outpace whites in opioid-involved overdose deaths: a comparison of temporal trends from 1999 to 2018.
    Addiction (Abingdon, England), 2021, Volume: 116, Issue:3

    Topics: Analgesics, Opioid; Black or African American; Drug Overdose; Fentanyl; Humans; Opiate Overdose; Uni

2021
Barriers and facilitators to a novel low-barrier hydromorphone distribution program in Vancouver, Canada: a qualitative study.
    Drug and alcohol dependence, 2020, 11-01, Volume: 216

    Topics: Analgesics, Opioid; Canada; Drug Contamination; Drug Overdose; Female; Fentanyl; Humans; Hydromorpho

2020
Fentanyl analog positivity among near-real-time urine drug test results in patients seeking health care.
    Drug and alcohol dependence, 2020, 12-01, Volume: 217

    Topics: Adult; Aged; Analgesics, Opioid; Chromatography, Liquid; Cross-Sectional Studies; Female; Fentanyl;

2020
Opioid-related overdose mortality in the era of fentanyl: Monitoring a shifting epidemic by person, place, and time.
    Drug and alcohol dependence, 2020, 11-01, Volume: 216

    Topics: Adult; Aged; Analgesics, Opioid; Centers for Disease Control and Prevention, U.S.; Databases, Factua

2020
Opioid overdose in the age of fentanyl: Risk factor differences among subpopulations of overdose survivors.
    The International journal on drug policy, 2021, Volume: 90

    Topics: Analgesics, Opioid; Cross-Sectional Studies; Drug Overdose; Fentanyl; Humans; New Jersey; Opiate Ove

2021
The Hidden Epidemic of Opioid Overdoses During the Coronavirus Disease 2019 Pandemic.
    JAMA psychiatry, 2021, 06-01, Volume: 78, Issue:6

    Topics: Attitude of Health Personnel; Comorbidity; COVID-19; Fentanyl; Humans; Opiate Overdose; Opioid Epide

2021
Wooden Chest syndrome: The atypical pharmacology of fentanyl overdose.
    Journal of clinical pharmacy and therapeutics, 2021, Volume: 46, Issue:6

    Topics: Diaphragm; Fentanyl; Heroin; Humans; Laryngismus; Muscle Rigidity; Opiate Overdose; Syndrome; Thorac

2021
Medically treated opioid overdoses among New Jersey Medicaid beneficiaries: Rapid growth and complex comorbidity amid growing fentanyl penetration.
    Journal of substance abuse treatment, 2021, Volume: 131

    Topics: Adolescent; Adult; Analgesics, Opioid; Child; Comorbidity; Depressive Disorder, Major; Drug Overdose

2021