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  • Fentanyl
    8 Drugs classified under this active ingredient

    All the Active Ingredient Drugs

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    partial basket chart

    Opioid. Fentanyl (as Citrate) 100, 200, 300, 400, 600, 800 mcg.
    SUBLING. TABS: 10, 30 x 100 μg, 200 μg,
    300 μg , 400 μg, 600 μg, 800 μg.
    Initial: 100 μg. subling., not be
    swallowed, chewed oe sucked. Titr.
    upwards as necess. See lit.
    Manag. of breakthr. pain in adult pts using
    opioid ther. for chronic cancer pain.
    Breakthr. pain is a transient exacerb. of
    otherwise control. chronic background
    C/I: Hypersens.; Opioid-naïve pts due to
    the risk of life-threat. resp. depress.;
    Sev. resp. depress. or sev. obstr. lung
    cond.; acute or post-oper. pain, incl.
    headache/migraine, dental pain, or use in

    partial basket chart

    Opioid. Fentanyl (as citrate) 200, 400, 600, 800, 1200, 1600 mcg/dose.
    (lozenge): 30. Initial: 200 μg. To supply
    only 6 x 200 μg and to use all units bef. incr. to higher dose. See lit. Unit to be
    sucked, not chewed over 15 mins.
    Discont: Grad. downward titrat.
    Manage. breakthrough cancer pain in pts
    16 and older with maligns. who are
    already receiv. and tolerant to opioid ther.
    for persist. cancer pain.
    C/I: Post-op. pain, opioid non-tol.,
    hypersens./intol. to fentanyl, anaphylax.
    See lit.

    partial basket chart

    Opioid. Fentanyl 12.5, 25, 50, 75, 100 mcg/hour.
    5 x 12.5 μg/hr (2.063 mg/patch); 5 x 25 μg/hr (4.125 mg/patch); 5 x 50 μg/hr
    (8.25 mg/patch); 5 x 75 μg/hr (12.375
    mg/patch); 5 x 100 μg/hr (16.5 mg/
    patch). Initial: Depend. on pts. current
    cond., intensity of pain, opioid history.
    Dose titrat: Initial dose may be incr.
    aft. 3 days with patch replacement;
    then titrate every 6 days. See lit.
    Breakthrough pain may be treated
    with supplement. short-act. analges.
    Discont. when necess., gradually.
    Manage. chron./intract. pain req. opioid
    analges. See lit.
    C/I: Opioid intoler., post-op. pain, acute
    pain, mild-mod. pain. Concurrent with

    Fenta Injection
    not in the basket chart
    Fenta Injection

    Narcotic Anesthetic. Fentanyl 0.05 mg/ml.
    AMPS: 5,50 x 2 ml,10 ml. The
    dosage should be individualized.
    Vital signs should be routinely
    monitored. See lit.
    Surg. anesth. and analges. See lit.
    Also epidural route for post-op.
    pain, adjunct to regional or general
    C/I: Hypersens., as with other opiate.
    given epidural., should not be given to
    pts. exhibiting: severe hemorrh.
    or shock, septicemia, disturb. in blood
    morphology. See lit.

    Fenta SL
    not in the basket chart
    Fenta SL

    Opioid Analgesic. Fentanyl 67, 133, 267, 400, 533, 800 mcg.
    SUB LING. TABS.:30× 67, 133, 267, 400, 533, 800 mcg. Should be admin. direct.
    under the tongue at the deepest part. All pts. must start ther.with a single 133
    mcg SG tab. If adequate analgesia is not obtained within 15-30 min. of admin.
    of a single tablet, a supplem. (second) 133 mcg tab. may be admin. If tmt. of a
    breakthrough pain episode requires more than one dosage unit, an incr. in dose
    to the next higher available strength should be consid. Dose escalation should
    cont. in a stepwise manner until adequate analgesia is achieved. The dose
    strength for the supplement. (2 nd ) tab. should be increased from 133- 267 mcg at
    dose of 533 mcg. This is illustrated in the schedule below. No more than two (2)
    tabs. should be admin. for a single episode of breakthrough pain during this
    titrat. phase. See lit.
    Tmt. of breakthrough pain in adult. with cancer who are already receiv. maintenan.
    opioid ther. for chron. cancer pain.
    C/I: Hypersens. Pts. without mainten. opioid ther. as there is an incr. risk of respirat. depress. Simultan. use of MAO inhib., or within 2 wks. after the cessation of the use of MAO inhib.
    Severe respirat. depress. or severe obstruct.lung condit. Tmt. of acute pain other than breakthrough pain.

    Fentadol 12, 25, 50, 75, 100
    not in the basket chart
    Fentadol 12, 25, 50, 75, 100

    Opioid Analgesic. Fentanyl 12.5, 25, 50, 75, 100 mcg/hr.
    TRANSDERMAL PATCHES: 5x12.5µg/hr. (2.1mg/patch), 5x25µg/hr. (4.2mg/patch), 5x50µg/hr. (8.4mg/patch), 5x75µg/hr. (12.6mg/patch), 5x100µg/hr. (16.8mg/patch).
    Dosage must be ajust. individ. accord. pt. condit.
    Managem. of chron.  pain and intractab.  pain requir.opioid analgesia. The drug should only be used in pts. who are already receiv. opioid ther., who have demonstrate.  opioid tolerance.
    C/I: Hypersens. Pts. who did not use an opioid analgesic in the past. Short period pain  (e.g., after surgery). Pts.  with not chron./ persist. pain. Mild/moder.  pain relief. Pts. with sev.  breath. problems. Pts. with severe impair.  of the CNS funct.(e.g., brain damage). During tmt. with MAO inhib., or within a minim. of 2 wks. of discont. those drugs. Lact. Child. under 2 yrs. of age.