Alphamethylfentanyl

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Alphamethylfentanyl


Alphamethylfentanyl is a synthetic opioid analgesic that is an analog of fentanyl. It was first synthesized in the 1970s as part of research into potential therapeutic agents. Despite its structural similarity to fentanyl, alphamethylfentanyl has been found to possess a lower potency than its parent compound. However, it has still been associated with a number of overdose cases, primarily due to its illicit manufacture and distribution within the drug market.

The chemical structure of alphamethylfentanyl differs from fentanyl by the addition of a methyl group to the alpha position of the phenethylamine backbone. This modification results in a compound that is pharmacologically active as an agonist at the mu-opioid receptor, which is responsible for its analgesic and euphoric effects. Like other opioids, alphamethylfentanyl can cause a range of adverse effects, including respiratory depression, nausea, constipation, and, at high doses, fatal overdose.

Due to its potency and potential for abuse, alphamethylfentanyl has been classified as a Schedule I controlled substance in the United States and in other countries around the world. This classification indicates that it has a high potential for abuse, no currently accepted medical use in treatment, and a lack of accepted safety for use under medical supervision.

The illicit production and distribution of alphamethylfentanyl and other synthetic opioids have contributed to the ongoing opioid epidemic, which has resulted in a significant increase in opioid-related overdoses and deaths. Efforts to combat the spread of synthetic opioids include law enforcement actions to disrupt the supply chain, public health initiatives to reduce demand and harm, and research into new treatment and prevention strategies.


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Contributors: Prab R. Tumpati, MD