Medications


Fentanyl Metered Dose Nasal Spray 0.1 mg/actuation

Uses

For pain.

Instructions

Keep the medicine at room temperature. Avoid heat and direct light.

This medicine is for use in the nose. Avoid getting the medicine into the eyes or mouth. Rinse the eyes with water if the medicine is sprayed into the eyes.

Ask your doctor, nurse or pharmacist to show you how to use this medicine correctly.

The first time you open a new spray, you need to get it ready to use. Place the tip of the bottle inside the pouch and spray into it. Repeat this 3 more times. It is now ready to use. This process is called priming the spray.

Wash your hands before and after handling this medicine.

Blow and wipe your nose with a clean tissue before using this product.

This medicine is a very fine mist. Some patients may not feel the medicine. You should hear a click when this medicine is delivered. Do not use an extra dose of medicine if you do not feel the medicine being delivered.

If the pain does not improve after using the first dose, do not use a second dose. Ask the doctor what should be used instead to relieve this episode of pain.

Wait at least 2 hours between doses of this medicine.

Do not blow your nose for at least 30 minutes after using this medicine.

Keep track of number of times sprayed. Do not use more than the total number of doses shown on the package.

Please tell your doctor and pharmacist about all the medicines you take. Include both prescription and over-the-counter medicines. Also tell them about any vitamins, herbal medicines, or anything else you take for your health.

To reduce constipation, eat high fiber foods, drink plenty of water and exercise.

Avoid grapefruit juice while on this medicine.

If your symptoms do not improve or they worsen while on this medicine, contact your doctor.

Do not suddenly stop taking this medicine. Check with your doctor before stopping.

Discard any unused medicine after 60 days.

Do not share this medicine with anyone who has not been prescribed this medicine.

This medicine may interfere with some lab test results. Be sure to tell all your healthcare providers that you are taking this medicine.

Cautions

Do not change brands, dosage forms or strengths without consulting your doctor or pharmacist. Doing so can result in serious side effects.

This medicine contains an opioid. Though it helps many people, this medicine may sometimes cause addiction, especially if it is used for a long time. This risk for addiction may be higher if you have a substance use disorder - such as overuse of or addiction to drugs or alcohol. Speak with your doctor about the benefits and risks of using this medicine.

Ask your doctor or pharmacist if you should have naloxone on hand to treat opioid overdose. Teach your family or household members about the signs of an opioid overdose and how to treat it.

Tell your doctor and pharmacist if you ever had an allergic reaction to a medicine. Symptoms of an allergic reaction can include trouble breathing, skin rash, itching, swelling, or severe dizziness.

Some patients taking this medicine have experienced serious side effects. Please speak with your doctor to understand the risks and benefits associated with this medicine.

Do not use the medication any more than instructed.

This medicine may cause dizziness or fainting, especially after exercising or in hot weather. Be very careful when standing or sitting up quickly.

If possible, avoid using with marijuana or other medicines that can cause dizziness or drowsiness. These include allergy/cold products, muscle relaxers, sleep aids, and pain relievers.

Be very careful not to spray the medicine into your eyes. Wash your hands thoroughly before touching your eyes.

Your ability to stay alert or to react quickly may be impaired by this medicine. Do not drive or operate machinery until you know how this medicine will affect you.

Do not drink beverages with alcohol while on this medicine.

Call the doctor if there are any signs of confusion or unusual changes in behavior.

Tell the doctor or pharmacist if you are pregnant, planning to be pregnant, or breastfeeding.

This medicine can hurt a new baby in the womb. If you become pregnant while on this medicine, tell your doctor immediately. Your doctor may switch you to a different medicine.

Do not take St. John's wort while on this medicine.

Please tell all your doctors and dentists that you are on this medicine before they provide care.

Ask your pharmacist if this medicine can interact with any of your other medicines. Be sure to tell them about all the medicines you take.

Do not start or stop any other medicines without first speaking to your doctor or pharmacist.

This medicine should be used with caution in patients with breathing difficulties.

Call your doctor right away if you notice slow or shallow breathing.

This medicine is associated with increased risk of death in certain patients. Please speak with your doctor about the benefits and risks of using this medicine.

This medicine can cause serious side effects in some patients. Important information from the U.S. Food and Drug Administration (FDA) is available from your pharmacist. Please review it carefully with your pharmacist to understand the risks associated with this medicine.

Side Effects

The following is a list of some common side effects from this medicine. Please speak with your doctor about what you should do if you experience these or other side effects.

  • constipation
  • dizziness
  • drowsiness or sedation
  • headaches
  • lightheadedness
  • nausea
  • vomiting

Call your doctor or get medical help right away if you notice any of these more serious side effects:

  • severe or persistent abdominal pain
  • agitated feeling or trouble sleeping
  • decreased awareness or responsiveness
  • breathing interruption during sleep
  • shallow, irregular breathing
  • confusion
  • severe, watery or bloody diarrhea
  • fainting
  • high fever
  • hallucinations (unusual thoughts, seeing or hearing things that are not real)
  • fast or irregular heart beats
  • slow heartbeat
  • mood changes
  • muscle aches, spasms or abnormal movements
  • restlessness
  • seizures
  • unusual or unexplained tiredness or weakness
  • difficulty or discomfort urinating
  • severe or persistent vomiting

A few people may have an allergic reactions to this medicine. Symptoms can include difficulty breathing, skin rash, itching, swelling, or severe dizziness. If you notice any of these symptoms, seek medical help quickly.

Extra

Please speak with your doctor, nurse, or pharmacist if you have any questions about this medicine.

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IMPORTANT NOTE: This document tells you briefly how to take your medicine, but it does not tell you all there is to know about it.Your doctor or pharmacist may give you other documents about your medicine. Please talk to them if you have any questions.Always follow their advice. There is a more complete description of this medicine available in English.Scan this code on your smartphone or tablet or use the web address below. You can also ask your pharmacist for a printout. If you have any questions, please ask your pharmacist.


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