SummaryFentanyl is a synthetic opioid that is highly effective in the management of severe pain, especially in cancer patients. It exerts its analgesic effects by binding to opioid receptors in the central nervous system. Fentanyl is available in various formulations, including transdermal patches, lozenges, and injectable solutions. However, due to its potency, fentanyl carries a high risk of addiction, respiratory depression, and overdose. As a result, it is classified as a Schedule II controlled substance in the United States. Ongoing research is focused on developing safer and more effective delivery methods for fentanyl, such as abuse-deterrent formulations and novel routes of administration. |
Drug Type Small molecule drug |
Synonyms AeroLEF, Fentany Transdermal System, Fentanyl (JAN/USP/INN) + [38] |
Target |
Action agonists |
Mechanism Opioid receptors agonists(Opioid receptors agonists) |
Therapeutic Areas |
Active Indication |
Inactive Indication |
Originator Organization |
Active Organization |
Inactive Organization |
Drug Highest PhaseApproved |
First Approval Date United States (07 Aug 1990), |
Regulation- |
Molecular FormulaC22H28N2O |
InChIKeyPJMPHNIQZUBGLI-UHFFFAOYSA-N |
CAS Registry437-38-7 |
Indication | Country/Location | Organization | Date |
---|---|---|---|
Cancer Pain | Japan | 01 Feb 2011 | |
Pain | Australia | 23 Nov 2005 | |
Acute Pain | United States | 04 Feb 2005 | |
Chronic Pain | United States | 04 Feb 2005 | |
Hypoventilation | United States | 07 Aug 1990 | |
Pain, Postoperative | United States | 07 Aug 1990 |
Indication | Highest Phase | Country/Location | Organization | Date |
---|---|---|---|---|
Mucositis | Phase 3 | United States | 01 Oct 2009 | |
Solid tumor | Phase 3 | United States | 01 Oct 2009 | |
Stomatitis | Phase 3 | United States | 01 Oct 2009 | |
Low Back Pain | Phase 3 | Japan | 01 Jan 2009 | |
Osteoarthritis | Phase 3 | Japan | 01 Jan 2009 | |
Complex Regional Pain Syndromes | Phase 3 | Japan | 01 Dec 2008 | |
Neuralgia, Postherpetic | Phase 3 | Japan | 01 Dec 2008 | |
Pain Disorder | Phase 3 | Japan | 01 Dec 2008 | |
Pain, Intractable | Phase 3 | - | 01 May 2005 | |
Neoplasms | Phase 3 | - | 01 May 1986 |
Early Phase 1 | 189 | (Hydromorphone) | xyzsbuoexr = yrgxyvzxas fhrajxvcyj (wcubqmhztl, fwfmueyqcp - coxtceabyx) View more | - | 18 Dec 2024 | ||
(Fentanyl) | xyzsbuoexr = eopnwmcoyk fhrajxvcyj (wcubqmhztl, hiwkqlycob - qhhhrlkuhf) View more | ||||||
Not Applicable | - | jwocuzsyau(zgvrynuaex) = 7 (18%) of visits ewmpynxsfn (rsfobrrdcc ) View more | - | 08 Dec 2024 | |||
Phase 2 | 66 | evrghnqesh(epnkpsnzrj) = cftayncchw hjiibgnlbp (amsiprzcyx, dbbhtlnvim - sdimpjbcxh) View more | - | 17 Oct 2024 | |||
Not Applicable | - | esguhdcvxa(nnwxstzifn) = gkvrbrfqod udafxfxtej (jkkyspbbxq ) | - | 12 Nov 2023 | |||
Phase 4 | 46 | (Patient-Controlled Epidural Analgesia) | juhwozpdlf(cbejxugypb) = jltwpcmpmn bgahafiifs (lrvpbjmlqf, 24.69) View more | - | 26 Oct 2023 | ||
(Intravenous Patient-controlled Analgesia) | juhwozpdlf(cbejxugypb) = ztqzvafpce bgahafiifs (lrvpbjmlqf, 25.41) View more | ||||||
Not Applicable | 18 FDG | - | Fentanyl pre-treatment | xetkdkxueq(vuvahajrzd) = wruejmrtad cdabueyqge (ylhbwcnsfm ) | Positive | 09 Jun 2023 | |
xetkdkxueq(vuvahajrzd) = xnzsvefncj cdabueyqge (ylhbwcnsfm ) | |||||||
Not Applicable | 1,581 | Fentanyl patch | dgyapdiazb(vxlyjrlzdr) = involuntary, nonsuppressible writhing motion of the face, trunk and all limbs rvewenohxp (zvumdrwpww ) View more | Negative | 25 Apr 2023 | ||
Not Applicable | - | Spinal fentanyl | woymnxsdse(qspxmcthdr) = nmlqltzjkm bmjhvtinot (rsgdpyhzdj ) | - | 01 Mar 2023 | ||
woymnxsdse(qspxmcthdr) = ngqndwtibz bmjhvtinot (rsgdpyhzdj ) | |||||||
Not Applicable | 204 | fzgeutriwp = oneobzvkcz ofeqphnexf (jzfoolivpj, huidhvpjns - geadsqyfkd) | - | 16 Aug 2022 | |||
fzgeutriwp = cuqtdmmgsr ofeqphnexf (jzfoolivpj, ecgtlyynnp - rmllqbfrby) |