Purple fentanyl: A new face on an old enemy

Affiliations

Aurora BayCare Medical Center, Green Bay

Abstract

Introduction: Overdoses due to novel potent opioids continue to increase across the United States. The availability of colored fentanyl products that may appeal to younger patients is concerning.

Case presentation: We present the case of an adult male with an unknown ingestion subsequently identified as purple fentanyl. Brorphine is a common component of purple fentanyl and is considered an emerging novel potent opioid.

Discussion: Only limited number of case reports describing brorphine exposure are available, and many clinicians remain unfamiliar with this substance. It is a potent opioid with a presumed long half-life. Clinical presentation is similar to that of other opioid toxidromes, including respiratory depression, miosis, and sedation, and is managed similarly. Patients may require extended monitoring after exposure to brorphine.

Conclusions: Awareness of emerging substances of abuse will enable clinicians to diagnose and treat affected patients more readily.

Document Type

Article

PubMed ID

42623633

Link to Full Text

 

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