Evidence map›Paper›PMID 39299010›Full record

ArticleDrug and alcohol dependence2024

Effects of xylazine on naloxone-precipitated fentanyl withdrawal in male and female rats.

Hannah N Carlson, Anthony G Spera, Mark A Smith

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Adverse maternal and neonatal effects associated with perinatal xylazine exposure: a systematic review.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hannah N CarlsonDavidson College, Psychology Department, Davidson, NC 28036, United States; Lake Forest College, Psychology Department, Lake Forest, IL 60045, United States.
Anthony G SperaDavidson College, Psychology Department, Davidson, NC 28036, United States.
Mark A SmithDavidson College, Psychology Department, Davidson, NC 28036, United States. Electronic address: masmith@davidson.edu.

Funding

Social Influences on Drug-Seeking BehaviorR01DA031725 · NIDA · DAVIDSON COLLEGE · PI SMITH, MARK A · 2012 to 2022
$3.1M
The Influence of Gonadal Hormones on Opioid UseR01DA045364 · NIDA · DAVIDSON COLLEGE · PI SMITH, MARK A · 2018 to 2022
$1.6M
NIDA NIH HHS R01 DA031725NIDA NIH HHS R01 DA045364
6 · The paper itself

Abstract

purposeThe combination of fentanyl and xylazine (i.e., "tranq-dope") was recently declared an emerging national health threat in the United States. Given the recency of this development, very little is known regarding the behavioral pharmacology of fentanyl-xylazine combinations. The purpose of this study was to characterize the somatic and affective withdrawal symptoms of this drug combination.

methodsMale and female Long Evans rats were given twice daily (08:00 and 20:00) subcutaneous injections of fentanyl, xylazine, or combined fentanyl-xylazine for five days. On the sixth (testing) day, rats were given a final injection at 08:00. Four hours later, rats were injected intraperitoneally with either saline or a naloxone challenge before behavioral observation. Somatic withdrawal was examined using the Gellert-Holtzman scale and anxiety-like behavior was examined using the elevated plus maze.

resultsNaloxone administration did not induce somatic or affective symptoms in rats treated with fentanyl alone, a low dose of xylazine alone, or a high dose of xylazine alone. Naloxone induced somatic but not affective withdrawal symptoms in rats treated with both fentanyl and xylazine.

conclusionChronic co-exposure to fentanyl and xylazine produces an opioid-like somatic withdrawal syndrome at doses that are not apparent with either drug alone. These results corroborate clinical reports that xylazine worsens fentanyl withdrawal and suggest that novel interventions may be required to treat withdrawal from fentanyl-xylazine combinations in humans.

Indexed as

FentanylNaloxoneNarcotic AntagonistsRats, Long-EvansSubstance Withdrawal SyndromeXylazineAnalgesics, OpioidAnimalsBehavior, AnimalFemaleMaleRatsAnalgesics, OpioidFentanylNaloxoneNarcotic AntagonistsXylazineFentanylOpioid use disorderOpioid withdrawalPreclinical modelSex differencesXylazine

Identifiers

PMID39299010
PMCPMC11527582

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.