Evidence map›Paper›PMID 40383852›Full record

ArticlePsychopharmacology2026

Xylazine potentiates the interoceptive effects of fentanyl in male and female rats.

Brooke N Bender, Joseph M Carew, Madigan L Bedard, Zoe A McElligott, Joyce Besheer

Abstract read
In one paragraph

Article in Psychopharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Brooke N BenderBowles Center for Alcohol Studies, The University of North Carolina at Chapel Hill, Chapel Hill, 27599, USA.ORCID http://orcid.org/0000-0003-3296-6144
Joseph M CarewBowles Center for Alcohol Studies, The University of North Carolina at Chapel Hill, Chapel Hill, 27599, USA.
Madigan L BedardBowles Center for Alcohol Studies, The University of North Carolina at Chapel Hill, Chapel Hill, 27599, USA.
Zoe A McElligottBowles Center for Alcohol Studies, The University of North Carolina at Chapel Hill, Chapel Hill, 27599, USA.
Joyce BesheerBowles Center for Alcohol Studies, The University of North Carolina at Chapel Hill, Chapel Hill, 27599, USA. joyce_besheer@med.unc.edu.ORCID http://orcid.org/0000-0001-6187-8376

Funding

SEEDING POSTDOCTORAL INNOVATORS IN RESEARCH &EDUCATIONK12GM000678 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DONALD T LYSLE, Kathryn Joanna Reissner · 1999 to 2026
$30.9M
Center for Drug Evaluation and Research U01FD007857FDA HHS U01 FD007857NIGMS NIH HHS K12 GM000678
6 · The paper itself

Abstract

rationaleXylazine, a sedative typically used in veterinary medicine, has been increasingly detected as an adulterant in the unregulated opioid supply and present in opioid overdose deaths. Therefore, xylazine-adulterated fentanyl is a growing public health concern. People who use drugs have reported that xylazine changes and prolongs the effects of fentanyl.

objectivesWe used standard operant drug discrimination procedures to better understand how xylazine impacts the discriminative stimulus/interoceptive effects of fentanyl.

methodsMale and female Long-Evans rats (n = 23) were trained to discriminate fentanyl (0.032 mg/kg intraperitoneal) such that one lever was reinforced with sucrose on days when fentanyl was administered, and the other lever was reinforced when vehicle was administered. Once rats met testing criteria, we tested a dose range of fentanyl to confirm discriminative stimulus control, then we tested if xylazine alone produced fentanyl-like effects and if the addition of xylazine to fentanyl impacted fentanyl interoceptive effects.

resultsStimulus control was confirmed, as rats showed increased percent responses on the fentanyl-appropriate lever as well as decreased response rates for increasing doses of fentanyl. Xylazine alone did not substitute for the stimulus effects of fentanyl but produced similar response rate reductions as fentanyl alone. Xylazine co-administered with fentanyl potentiated the stimulus effects of lower doses of fentanyl in both males and females and potentiated response rate reductions.

conclusionsThese results indicate that xylazine enhances the interoceptive effects of fentanyl, which may inform clinical research about xylazine-adulterated fentanyl.

Indexed as

Analgesics, OpioidFentanylInteroceptionXylazineAnimalsConditioning, OperantDose-Response Relationship, DrugDrug SynergismFemaleMaleRatsRats, Long-EvansAnalgesics, OpioidFentanylXylazineDrug discriminationInteroceptionOpioid adulterantsOpioid use disorder

Identifiers

PMID40383852
PMCPMC13042262

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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.