A Review of Toxicological Profile of Fentanyl-A 2024 Update.

IF 4.1 3区 环境科学与生态学 Q2 ENVIRONMENTAL SCIENCES Toxics Pub Date : 2024-09-24 DOI:10.3390/toxics12100690
Jessica Williamson, Ali Kermanizadeh
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Abstract

Fentanyl and its analogues are synthetic opioids of varying potencies that are unfortunately heavily abused. Over the last 15 years, fentanyl and its analogues have contributed to the increasing prominence of hospitalisation and numerous deaths due to drug overdose. In this comprehensive literature review, the mechanism of toxicity of the drug in humans is evaluated. A systematic approach was used whereby the relevant literature has been detailed where the toxicity of fentanyl and/or its analogues to different organs/systems were investigated. Furthermore, the review covers the post-mortem toxicological data and demographic information from past fatal cases where fentanyl was believed to be involved. Such insight into fentanyl toxicity is useful as an aid to better understand the toxic doses of the drug and the suspected mechanism of action and the unexpected complications associated with overdose incidences involving the drug. Finally, the review offers an overview of the traditional and emerging test systems used to investigate the adverse effects of fentanyl on human health.

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芬太尼毒理学概况综述--2024 年更新。
芬太尼(Fentanyl)及其类似物是一种合成的阿片类药物,具有不同的药效,但不幸的是被大量滥用。在过去的 15 年中,芬太尼及其类似物导致因吸毒过量而住院治疗和死亡的案例越来越多。在这篇全面的文献综述中,对该药物对人体的毒性机制进行了评估。本综述采用了一种系统性方法,详细介绍了相关文献,其中调查了芬太尼和/或其类似物对不同器官/系统的毒性。此外,该综述还涵盖了以往认为与芬太尼有关的死亡病例的尸检毒理学数据和人口统计学信息。这种对芬太尼毒性的深入了解有助于更好地理解该药物的毒性剂量和可疑作用机制,以及与涉及该药物的过量用药事件相关的意外并发症。最后,综述概述了用于研究芬太尼对人体健康不利影响的传统和新兴测试系统。
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来源期刊
Toxics
Toxics Chemical Engineering-Chemical Health and Safety
CiteScore
4.50
自引率
10.90%
发文量
681
审稿时长
6 weeks
期刊介绍: Toxics (ISSN 2305-6304) is an international, peer-reviewed, open access journal which provides an advanced forum for studies related to all aspects of toxic chemicals and materials. It publishes reviews, regular research papers, and short communications. Our aim is to encourage scientists to publish their experimental and theoretical results in detail. There is, therefore, no restriction on the maximum length of the papers, although authors should write their papers in a clear and concise way. The full experimental details must be provided so that the results can be reproduced. Electronic files or software regarding the full details of calculations and experimental procedure can be deposited as supplementary material, if it is not possible to publish them along with the text.
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