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    Disclaimer
    ☠ This is an extremely potent opioid active in microgram doses. Accidental overdose can be rapidly fatal. Naloxone should always be on hand.

    Sufentanil Well-documented
    Well-documented
    Multiple authoritative sources agree on dosing and effects.
    • 3 corroborating sources
    • 1 ROA with full dose ladder
    • duration data present
    • 29 combo interactions documented
    • toxicity data (PsychonautWiki, PubChem)

    Aliases: Dsuvia, Sufenta, Chronogesic

    Summary PsychonautWiki

    Sufentanil, also known as sufentanyl and by the brand name Sufenta, is an extremely potent synthetic anilidopiperidine opioid analgesic. Sufentanil has a rapid onset and short mechanism and is used medically as an analgesic in surgical procedures or for the management of post-operative pain. Sufentanil is roughly 500 to 1,000 times more potent than pharmaceutical grade morphine and is approximately 10 times more potent than pharmaceutical grade fentanyl.

    Dose Information dose.wiki PsychonautWiki

    ROA Light Common Strong Heavy
    Intravenous 1-5μg 5-10μg 10-25μg 25μg+
    Light Common Strong Heavy
    Sources

    Intravenous

    Dose ladder — dose.wiki, PsychonautWiki

    Onset, Duration & After-effects dose.wiki TripSit PsychonautWiki

    ROA Onset Peak Offset After Effects Total
    Intravenous 1-2 min 5-10 min 15-30 min 1-12 hrs 21-42 min
    Epidural 5-15 min 30-60 min 1-2 hrs 2-8 hrs 1.58-3.25 hrs
    Sublingual 10-30 min 60-90 min 1-2 hrs 2-8 hrs 2.17-4 hrs

    Effect Profile

    Scores (0–10) curated from multiple sources:

    • Effect keyword matching from PsychonautWiki catalog
    • Weighted by importance: core (×3), major (×2), minor (×1)

    Full methodology

    Opioid 6.7
    Strong+ 7/10

    Strong euphoria and sedation with moderate itching/nausea, mild pain relief

    Euphoria / Warmth ×3
    9
    physical euphoria cognitive euphoria euphoria
    Analgesia ×2
    4
    pain relief
    Sedation / Relaxation ×1
    8
    sedation drowsiness muscle relaxation dream potentiation
    ⚠ Itching / Nausea ×1
    6
    nausea constipation

    Tolerance

    Build-up develops within days of regular use; analgesic tolerance faster than respiratory depression tolerance
    Reset Falls quickly once you stop, at a rate you can't judge. After any break, treat your tolerance as gone.

    No tolerance chart. Our decay curves for opioids were estimates, and a curve can make tolerance look longer-lasting than it is, which is the dangerous direction.

    Opioid tolerance drops fast when you stop, and even a few days off can be enough, so a dose that used to be normal can now stop your breathing. Overdose deaths rise sharply after prison, detox or leaving treatment, and tolerance also falls during a hospital stay. After any break, start with a much smaller amount, try a test dose first, don't use alone, and keep naloxone within reach. Alcohol, benzodiazepines, gabapentinoids and other sedatives make an opioid overdose much more likely.

    Sources: FRANK: heroin · National Harm Reduction Coalition · WHO: opioid overdose · Merrall et al. 2010 · Binswanger et al. 2007 · Strang et al. 2003 · FDA 2019: gabapentinoids and breathing

    Effects dose.wiki

    Positive
    Negative
    Neutral
    Positive
    Negative
    Neutral
    • Changes in focus
    Negative
    Neutral

    Combinations TripSit

    Cross-Check Sufentanil with another substance

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    Helpful Links

    Add missing routes to PsychonautWiki Journal

    The PsychonautWiki Journal app already has Sufentanil, but its built-in entry only covers Intravenous. Here are the other routes we have data for. You can't edit a built-in substance, but you can add a Custom Unit for any of these routes to log it.

    ⬇ Download import file Import this file as custom substances and you get "Sufentanil (Substance Search)" with every route's full dose ladder and timeline, no typing. Works on iOS and Android (v15+); the format is confirmed by the app's developer. The manual values below work for older versions.
    Duration (reference)
    Sufentanil: routes the PsychonautWiki Journal app is missing
    Source: SubstanceSearch (substancesearch.com)
    
    
    Sublingual duration: onset 10-30m · peak 1-1.5h · offset 1-2h · total 2.17-4h · after-effects 2-8h
    
    Note: ranges are harm-reduction guidance, not a prescription. Start low, go slow, and test your substances.

    Ranges are harm-reduction guidance, not a prescription.