Fentanyl azepane

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Fentanyl-azepane structure

Fentanyl azepane, also known as azepanyl fentanyl, is a synthetic opioid that is part of the fentanyl family of substances. It is an analog of fentanyl, a powerful opioid analgesic, and has been found in the illicit drug market. Fentanyl azepane is one of many fentanyl analogs that have been synthesized in an attempt to circumvent legal restrictions on fentanyl and other opioids. Due to its potency and potential for abuse, it is of significant concern to public health and law enforcement agencies.

Chemistry[edit | edit source]

Fentanyl azepane is chemically related to fentanyl, but it has a modified structure that includes an azepane ring. This modification can potentially alter its pharmacological profile, including its potency, duration of action, and side effects. Like other opioids, it acts on the mu-opioid receptor (MOR) in the brain, which is responsible for the drugs' analgesic effects as well as their addictive properties.

Pharmacology[edit | edit source]

The pharmacological effects of fentanyl azepane, like those of fentanyl, include analgesia, sedation, euphoria, and respiratory depression. Its potency is likely to be similar to or greater than that of fentanyl, making it extremely dangerous when used without medical supervision. The risk of overdose and death is high, particularly when the substance is used by individuals who are not aware of its potency or when it is mixed with other drugs.

Legal Status[edit | edit source]

Fentanyl azepane, due to its similarity to fentanyl and its potential for abuse, is likely to be classified as a controlled substance in many jurisdictions. However, the specific legal status may vary from one country to another, and it may be subject to emergency scheduling or permanent control under drug laws aimed at curbing the opioid crisis.

Health Risks[edit | edit source]

The health risks associated with fentanyl azepane are similar to those of other potent opioids. These include the risk of overdose, which can lead to respiratory failure and death, as well as the risk of developing dependence and addiction. The illicit nature of the substance also means that users may be unaware of the exact composition and potency of the drug they are consuming, further increasing the risk of adverse outcomes.

Conclusion[edit | edit source]

Fentanyl azepane represents a continuing challenge in the fight against the opioid epidemic. Its emergence underscores the need for ongoing surveillance of the illicit drug market, as well as comprehensive strategies to address substance abuse and addiction. Public health interventions, along with law enforcement efforts, are critical in mitigating the risks associated with this and similar synthetic opioids.

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Contributors: Prab R. Tumpati, MD