Conclusion
Athough reports in the literature of severe anaphylactic reactions to narcotics are rare, they occur, and it may be that such reactions are true IgE-mediated reactions, rather than direct histamine release as has been previously believed. Cross-sensitivity between individual opioid derivative members of the fentanyl group od drugs appears likely.
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Fisher, M.M., Harle, D.G. & Baldo, B.A. Anaphylactoid reactions to narcotic analgesics. Clinical Reviews in Allergy 9, 309–318 (1991). https://doi.org/10.1007/BF02802310
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DOI: https://doi.org/10.1007/BF02802310