How Does Fentanyl Work?

Fentanyl, like other Opioids, operates by binding to the body’s Opioid receptors, which are predominantly located in the brain and spinal cord. When Fentanyl binds to these receptors, it not only blocks pain signals but also leads to an increased release of dopamine – a neurotransmitter associated with pleasure, reward, and euphoria. This elevation in dopamine levels is responsible for the pronounced feelings of relaxation and well-being that many users experience, but it’s also a key factor behind the drug’s potential for addiction.

Physiological Side Effects Of Fentanyl Use

When an individual consumes Fentanyl, a range of physiological side effects may manifest, some of which can be life-threatening. One of the most pressing concerns is respiratory depression. Opioids, including Fentanyl, can slow down the body’s breathing rate. When consumed in high doses, or in combination with other substances that depress the central nervous system, Fentanyl can reduce breathing to dangerously low levels or even halt it altogether, potentially leading to death.

Other dangerous side effects of Fentanyl use include:

  • Dizziness
  • Nausea
  • Confusion
  • Euphoria

While not all users will experience these side effects, and some might experience them more intensely than others, it’s crucial to be aware of them, especially when considering the overall potency and risks associated with Fentanyl use.

Long-Term Effects Of Opioid Use On The Brain

Chronic use of Opioids, including Fentanyl, can have profound and enduring effects on the brain’s structure and function. Over time, consistent Opioid use can lead the brain to rely heavily on the drug for dopamine production, which may reduce its natural ability to generate and regulate this neurotransmitter. This dopamine dysregulation can lead to anhedonia, or a reduced capacity to experience pleasure from typically enjoyable activities.

Furthermore, with prolonged Opioid use, the brain often adapts by increasing its number of Opioid receptors, leading to increased drug tolerance. This means that higher doses of the Opioid are required over time to achieve the same pain-relieving or euphoric effects. This adaptation can, in turn, heighten the risk of overdose and further complications.

Additionally, there are cognitive ramifications. Long-term Opioid users may experience impairments in decision-making, memory, and emotional regulation. The brain’s frontal cortex, responsible for higher-order functions like decision-making, impulse control, and emotional regulation, can be particularly affected. Over-reliance on Opioids can lead to a decreased volume in this region, further compounding cognitive and emotional challenges.

Prolonged exposure to Fentanyl can also lead to changes in the brain’s structure, specifically in areas related to judgment, decision-making, learning, and memory. For instance, studies have shown that chronic Opioid use can result in a decrease in gray matter volume in certain brain regions. These structural changes can translate to cognitive deficits and behavioral changes, which, in some cases, may persist even after discontinuing the drug.

There’s also the risk of dependency and addiction. The brain begins to associate the drug with reward, reinforcing drug-seeking behavior and making it increasingly difficult to stop drug use, even if the person recognizes the negative consequences of their drug use.

Lastly, the emotional toll of chronic Opioid use shouldn’t be overlooked. Many individuals report heightened feelings of anxiety and depression, potentially linked to alterations in the brain’s neural pathways responsible for mood regulation.

Can Fentanyl Use Result In Permanent Brain Damage?

Fentanyl, like other Opioids, has the potential to cause significant harm to the brain, especially when abused or used improperly. One of the most immediate and severe risks is hypoxia, a condition in which there is an insufficient supply of oxygen to the brain. This can occur as a result of respiratory depression, a known side effect of Opioid use. When the brain is deprived of oxygen, even for short periods, it can lead to cell death and tissue damage.

Extended hypoxic conditions can lead to more severe outcomes, such as coma or even death.

While not every person who uses Fentanyl will experience permanent brain damage, it’s essential to be aware of these potential outcomes.

Seek Treatment For Fentanyl Addiction

Seeking treatment for Opioid addiction not only mitigates the risk of permanent brain damage but also empowers individuals to reclaim control over their lives.

Contact a treatment provider today to explore your treatment options and take the first step towards an addiction-free life.

Author: Opioid Help – Last Edited: October 12, 2023

Sources

Baldini, A., Von Korff, M., & Lin, E. H. (2012). A review of potential adverse effects of long-term Opioid therapy: A practitioner’s guide. The Primary Care Companion for CNS Disorders, 14(3). Retrieved on October 10, 2023, from https://pubmed.ncbi.nlm.nih.gov/23106029/

National Institute on Drug Abuse. (2019). Prescription Opioids and heroin research report. Retrieved on October 10, 2023, from https://nida.nih.gov/publications/research-reports/prescription-opioids-heroin/introduction

Volkow, N. D., & McLellan, A. T. (2016). Opioid abuse in chronic pain—Misconceptions and mitigation strategies. The New England Journal of Medicine, 374(13), 1253-1263. Retrieved on October 10, 2023, from https://pubmed.ncbi.nlm.nih.gov/27028915/