|Actiq® Oral Transmucosal; Duragesic® Transdermal; Fentanyl Oralet®; Sublimaze®
|Foreign Brand Names|
|Durogesic (Mexico); Fentanest®
Analgesic, Narcotic; General Anesthetic|
|What key warnings should I know about before taking this
- This warning is for Actiq® only. It is for
cancer pain that is poorly treated by your other pain medicines. It is not to be
used for pain caused by an operation (surgery). Keep away from children. It
could kill a child.
|Reasons not to take this medicine|
- If you have an allergy to fentanyl or any other part of the medicine.
- If you have any of the following conditions: Increased pressure in the
brain, severe lung problems, severe liver disease, severe kidney
|What is this medicine used for?|
- This medicine is used to decrease pain.
- Skin patch is used for long-term pain that needs continuous medicine
- Lollipop (Actiq®) is used for cancer pain that
comes through the usual pain
|How does it work?|
- Fentanyl binds to brain receptors, relieving pain. The feeling of pain
and a person's response to pain are also
|How is it best taken?|
- Make sure you are drinking enough liquids unless told to drink less by
healthcare provider. Avoid products with caffeine.
- Do not suddenly stop using this medicine if you have been taking it
for a long time. Medicine should be slowly decreased.
- Skin patch:
- Apply skin patch (sticky side to skin) to dry nonirritated and
nonirradiated skin (chest, back, upper leg, upper arm).
- Clip (do not shave) hair at site before putting patch on.
- Rotate patch site every 3 days.
- Place the lollipop in your mouth between the cheek and lower gum.
- Suck it. Do not chew or bite. It should take about 15 minutes to use.
- This medicine is taken on an as needed basis for pain not treated by
|What do I do if I miss a dose?|
- Use a missed dose as soon as possible.
- If it is almost time for the next dose, skip the missed one. Return to
your regular schedule.
- Many times this medicine is taken on an as needed
|What are the precautions when taking this
- This medicine may be habit-forming with long-term use.
- If you are 65 or older, you may have more side effects.
- You may not be alert. Avoid driving, doing other tasks or activities
until you see how this medicine affects you.
- Avoid alcohol (includes wine, beer, and liquor) and other medicines
and herbs that slow your actions and reactions. This includes sedatives,
tranquilizers, mood stabilizers, or pain medicine. Talk with healthcare
- Be careful about throwing away the lollipops. It would be dangerous if
anyone else ate them.
- Tell healthcare provider if you have lung disease. You may be more
sensitive to this medicine.
- Tell healthcare provider if you are allergic to any medicine. Make
sure to tell about the allergy and how it affected you. This includes telling
about rash; hives; itching; shortness of breath; wheezing; cough; swelling of
face, lips, tongue, throat; or any other symptoms involved.
- Tell healthcare provider if you are pregnant or plan on getting
- Tell healthcare provider if you are
|What are the common side effects of this
- Feeling sleepy, lightheaded, dizzy, or having blurred vision. Avoid
driving, doing other tasks or activities that require you to be alert until you
see how this medicine affects you.
- Nausea or vomiting. Small frequent meals, frequent mouth care, sucking
hard candy, or chewing gum may help.
- Constipation. More liquids, regular exercise, or a fiber-containing
diet may help. Talk to healthcare provider about a stool softener or
|What should I monitor?|
- Keep a diary of how well your pain is controlled. If not well
controlled, talk with healthcare provider.
- If no bowel movements in 3 days, talk with healthcare
|Reasons to call healthcare provider
- Signs of a life-threatening reaction. These include wheezing;
tightness in the chest; fever; itching; bad cough; blue skin color; fits;
swelling of face, lips, tongue, or throat.
- Too tired or sleepy.
- Changes in thinking clearly and logically.
- Passing out, fainting, dizziness, or lightheadedness.
- Difficult breathing.
- Severe nausea or vomiting.
- Any rash.
|How should I store this medicine?|
- Store at room temperature.
- Protect from freezing and
- Do not share your medicine with others and do not take anyone else's
- Keep all medicine out of the reach of children and pets (could kill
- Keep a list of all your medicines (prescription, herbal/supplements,
vitamins, over-the-counter) with you. Give this list to healthcare provider
(doctor, nurse, pharmacist, physician assistant).
- Talk with healthcare provider before starting any new medicine,
including over-the-counter or natural products (herbs,
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