• Vet Hum Toxicol · Feb 2004

    Case Reports

    The fentanyl tea bag.

    • Fermin Barrueto, Mary Ann Howland, Robert S Hoffman, and Lewis S Nelson.
    • Division of Emergency Medicine, Department of Surgery, University of Maryland School of Medicine, 419 West Redwood Street, Suite 280, Baltimore, Maryland 21201, USA.
    • Vet Hum Toxicol. 2004 Feb 1;46(1):30-1.

    AbstractFentanyl patches create unique opportunities for use and abuse. Each patch contains 100-fold more drug than is stated on the label in order to create the gradient required to deliver the stated amount (ie 25-100 microg/h). Several methods of abuse of this analgesic have been reported, ranging from ingestion to inhalation to application of multiple patches to the skin. We report the unique case of a 21-y-old woman who steeped a fentanyl patch in a cup of hot water and then drank the mixture. Coma and hypoventilation resulted. The woman was resuscitated with naloxone i.v. and recovered without sequelae.

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