Disease Information for Fentanyl (Sublimaze/Duragesic) Administration/Toxicity

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Clinical Manifestations
Signs & Symptoms
Nausea
Vomiting
Miosis/narrow pupils
Associated Diseases & Rule outs
Associated Disease & Complications
Opiate/Morphine overdose toxidrome
Disease Mechanism & Classification
Drugs
DRUG/Addiction potential high
DRUG/Analgesic/injectable medication (example)
DRUG/Important Acute care drugs (example)
DRUG/Intensivist (ICU care)
DRUG/Intravenous anesthetic use (ex)
DRUG/Narcotic/analgesic drug (category)
DRUG/Narcotic/Opiate-opioid medication (example)
DRUG/Synthetic opioid agonist (example)
DRUG/Opiod mu receptors thalamus/caudate/amygdala
Process
PROCESS/Medication/Drug (CONFIRM dose/before treatment)
Toxin
TOXIN/Decreases Blood Pressure
TOXIN/Difficult to test levels/prove
TOXIN/NOT Diagnosed on USUALToxic screens
Synonyms
Synonym
fentanyl, Fentanyl (product), Fentanyl (substance), FENTANYL PREPARATION, Fentanyl product, Fentyl, Phentanyl, Propanamide N phenyl N (1 (2 phenylethyl) 4 piperidinyl), Brand name/Actiq (Fentanyl), Brand name/Duragesic (Fentanyl), Brand Name/Fentora (Fentanyl) Buccal Tabs, Brand name/Inapsitol Fentanyl-Droperidol (combination), Brand Name/Lazanda (Fentanyl) Nasal Spray, Brand name/Onsolis (Fentanyl buccal), Brand name/Oralet (Fentanyl) lozenge, Brand name/Sublimaze (Fentanyl)
Treatment
Drug Therapy - Indication
RX/Nalmefene (Revex)
Drug Dosage
DRUG/.$$$$$ Most Expensive
DRUG/Dose Dermal patch delivery
Definition

powerful synthetic opioid narcotic analgesic drug; oral and more usually parenteral and short acting; available as dermal patch; this drug has a high addiction potential; the phenylpiperidine synthetics include carfentanil, alfentanyl, sufentanil, meperidine, as well as fentanyl

(fentanyl transdermal 50 mcg=60mgm hycodone(oral)=morphine iv 20 mgm=morphine (oral) 60 mgm=oxycodone (oral) 40 mgm)

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External Links Related to Fentanyl (Sublimaze/Duragesic) Administration/Toxicity
Google
Wikipedia
Merck
Images
PubMed (National Library of Medicine)
NGC (National Guideline Clearinghouse)
Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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