Field and laboratory perspectives on fentanyl and carfentanil decontamination

Sci Rep. 2024 Oct 25;14(1):25381. doi: 10.1038/s41598-024-74594-z.

Abstract

Abuse of the highly toxic compound fentanyl and its analogues is increasing, raising serious public health concerns due to their potency and availability. Therefore, there is a need for decontamination methodologies to safely remove fentanyl to avoid harmful exposure. In this study, the efficacy of commercial and in-house synthesized decontamination agents (Dahlgren Decon, RSDL (Reactive Skin Decontamination Lotion), FAST-ACT (First applied sorbent treatment against chemical threats), GDS2000, alldecont MED, bleach, Domestos Spray Bleach, Effekt Klor, MgO, TiO2-nanodiamond, and CeO2) were evaluated for the degradation of fentanyl and carfentanil under controlled laboratory conditions and on wooden floor surfaces. Liquid chromatography/mass spectrometry analysis showed that oxidative decontamination agents were the most effective, with N-oxides identified as major degradation products. The physiological effects of these N-oxides were also investigated regarding their ability to activate the µ-opioid receptor and their metabolism in human liver microsomes. The results provide empirical evidence that complements prior research findings on the degradation of fentanyl and carfentanil using a variety of decontamination agents.

MeSH terms

  • Analgesics, Opioid / pharmacology
  • Decontamination* / methods
  • Fentanyl* / analogs & derivatives
  • Fentanyl* / pharmacology
  • Humans
  • Microsomes, Liver / metabolism
  • Receptors, Opioid, mu / metabolism

Substances

  • Fentanyl
  • carfentanil
  • Analgesics, Opioid
  • Receptors, Opioid, mu