Fentanyl

Category: alkaloid

Aliases: Sublimaze, Duragesic

Pharmacological Mechanism

Synthetic phenylpiperidine μ-opioid agonist; ~100× morphine potency. Lipophilic — fast onset and short duration after single dose; depot via TD patch enables 72h analgesia. Illicit fentanyl analogs drive most US opioid overdose deaths.

Half-Life (t½)

IV: 4h, TD: 16h, IN: 4h, SL: 4h

Dosing Guidelines

Target Organ Systems