Brand Names

How to Use

Transmucosal fentanyl contains a drug in an amount which can be fatal to a child . Patients and their caregivers must keep transmucosal fentanyl out of the reach of children and discard open units properly.

Transmucosal fentanyl comes with patient instructions. Read them carefully before using the product.

How to use transmucosal fentanyl:
• Keep medication in sealed pouch until ready to use.
• The foil package must be opened with scissors immediately prior to product use.
• Place the drug in mouth between the cheek and lower gum, occasionally moving the drug from one side to the other using the handle.
• The drug must be sucked, not chewed.
• Suck the drug over a 15-minute period.

Dosage

The number of units that you use will depend on the strength of the drug. Always the number of doses you use each day, the time allowed between doses and the length of time you take the drug depend on the medical problem for which you are using transmucosal fentanyl .

• For oral transmucosal dosage form :
  • For cancer pain:
    • Adults The initial dose to treat episodes of breakthrough cancer pain in diseaseds who are already receiving and who are tolerant to opioid therapy for their underlying persistent cancer pain is 200 micrograms.
      Redosing may start 15 minutes after the previous dose has been completed - 30 minutes after the start of the previous dose. Patients must not use more than 2 units per episode of breakthrough pain. Patients must record their use over few episodes of breakthrough cancer pain and review their experience with their physicians to determine if a dosage adjustment is warranted.
    • Children Use and dose must be determined by the family doctor.

Missed dose If your family doctor has ordered you to use this drug according to a regular schedule and you miss a dose, use it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule Do not double doses .

Storage To store this drug:

• Keep out of the reach of children.
• Store away from heat and direct light.
• Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the drug to break down.
• Do not keep outdated drug or drug no longer needed. Be sure that any discarded drug is out of the reach of children.
• Do not use if the foil pouch has been opened.
• A temporary storage bottle is provided as part of the Actiq ^{"reg "} Welcome Kit. This container is to be using by diseaseds or their caregivers in the event that a partially consumed unit can't be disposed of promptly. If additional assistance is required, refer to 1-800-615-0187.