Drug Interactions with New Synthetic Opioids
fphar-09-01145 October 10, 2018 Time: 17:2 # 1 REVIEW published: 11 October 2018 doi: 10.3389/fphar.2018.01145 Drug Interactions With New Synthetic Opioids Clara Pérez-Mañá1,2, Esther Papaseit1,2*, Francina Fonseca3,4, Adriana Farré3,4, Marta Torrens3,4 and Magi Farré1,2 1 Clinical Pharmacology Unit, Hospital Universitari Germans Trias i Pujol (HUGTP-IGTP), Badalona, Spain, 2 Department of Pharmacology, Therapeutics and Toxicology, Autonomous University of Barcelona, Barcelona, Spain, 3 Drug Addiction Unit, Institute of Neuropsychiatry and Addictions, Hospital del Mar Medical Research Institute, Barcelona, Spain, 4 Department of Psychiatry and Legal Medicine, Autonomous University of Barcelona, Barcelona, Spain Fentanyl, fentanyl analogs, and other new synthetic opioids (NSO) have burst onto the illegal drug market as new psychoactive substances (NPS). They are often sold as heroin to unsuspecting users and produce euphoria through their agonist action on µ- opioid receptors. Their high consumption, often combined with other substances, has led to multiple intoxications during recent years. In some countries, such as the United States, the consumption of opioids, whether for medical or recreational purposes, has become epidemic and is considered a public health problem. Fentanyl analogs are more potent than fentanyl which in turn is 50 times more potent than morphine. Furthermore, some fentanyl analogs have longer duration of action and Edited by: therefore interactions with other substances and medicines can be more serious. Simona Pichini, This review is focused on the potentially most frequent interactions of opioid NPS Istituto Superiore di Sanità (ISS), Italy taking into account the drugs present in the reported cases of poly-intoxication, Reviewed by: including other illegal drugs of abuse and medication.
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