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Pharmacokinetics Routes: IV, IM, transdermal patch, transmucosal (lozenge, buccal, nasal spray) Onset: Rapid (within minutes when given IV) Duration: Short (3060 minutes IV), longer with transdermal patch Metabolism: Hepatic (CYP3A4 enzyme) Elimination: Renal (mostly metabolites) Clinical Uses Pain management: Severe, chronic pain (especially cancer pain) Anesthesia: Induction and maintenance of anesthesia, adjunct to general anesthesia Procedural sedation: In ICU or emergency settings Postoperative pain (controlled settings only) Adverse Effects Respiratory depression (most serious) Sedation, dizziness Nausea, vomiting, constipation Bradycardia, hypotension Tolerance and dependence with prolonged use Contraindications Hypersensitivity to fentanyl Respiratory depression or severe asthma Paralytic ileus (for transdermal use) Precautions Use with caution in elderly, hepatic impairment, or patients with COPD

2019 Nov;51(10):e13395

The hybrid conjugate (TiO 2 -DLDH RGD ) that is thus formed under UVA radiation produces controlled ROS, with Anatase TiO2 being the most photosensitive metastable form of TiO2

doi: 10.1161/CIRCRESAHA.116.305360

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