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Alfentanil hydrochloride acts as a potent μ-opioid receptor agonist. An in vitro study using AtT20 cells expressing μ-opioid receptors and membrane potential dye assays demonstrated that alfentanil, together with morphine and fentanyl, exhibits rapid dissociation kinetics from the μ-opioid receptor. This rapid dissociation was measured by the rate at which the agonist effect reversed following washout. In contrast, other synthetic opioids such as carfentanil and isotonitazene displayed markedly slower dissociation rates. The rapid dissociation of alfentanil from the receptor correlates directly with higher sensitivity to antagonism by naloxone, the standard opioid overdose reversal agent. Agonists with slow dissociation kinetics were found to be more resistant to naloxone reversal, requiring higher doses for effective antagonism.
Fig. 1 Concentration–response of Alfentanil reversing opioid-induced hyperpolarization in μ-opioid receptor-expressing AtT20 cells. (Alhosan N.; et al. 2025)
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