Medications


Fentanyl Buccal Tablet 600 mcg

Uses

For pain.

Instructions

Drink some water to moisten your mouth before using the medicine.

Remove medicine from the foil just before using. Place it between the cheek and gums and let dissolve completely.

Do not chew or swallow it whole.

Change the location of the medicine in the mouth with each dose to avoid irritation.

If there is any medicine left in your mouth after 30 minutes, swish and swallow with some water.

Keep the medicine in its original container.

Do not eat or drink for 30 minutes after taking this medicine.

Start taking this medicine as soon as you develop symptoms.

Peel back the foil backing and carefully remove the tablet using dry hands. Do not try to push the tablet through the foil.

If you need a second dose to relieve your pain, wait at least 30 minutes after the first dose.

Do not take more than 2 doses per episode of pain. Wait at least 4 hours before using the medicine again.

Store at room temperature in a dry place. Do not keep in the bathroom.

Keep the medicine away from heat and light.

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

Avoid grapefruit juice while on this medicine.

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.

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.

It is very important that you keep all appointments for medical exams and tests while on this medicine.

Cautions

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.

If you have dizziness, drowsiness, or nausea before the tablet has dissolved, remove the tablet from your mouth and rinse your mouth with water. Contact your doctor to see if you need a lower dose.

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.

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

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.

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

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.

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

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.

  • decreased appetite
  • constipation
  • drowsiness or sedation
  • lack of energy and tiredness
  • headaches
  • lightheadedness
  • mouth sores or irritation
  • nausea
  • stomach upset or abdominal pain
  • vomiting

If you have any of the following side effects, you may be getting too much medicine. Please contact your doctor to let them know about these side effects.

  • dizziness
  • low blood pressure
  • severe stomach pain that spreads to the back

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

  • agitated feeling or trouble sleeping
  • decreased awareness or responsiveness
  • breathing interruption during sleep
  • shallow, irregular breathing
  • confusion
  • fainting
  • hallucinations (unusual thoughts, seeing or hearing things that are not real)
  • slow heartbeat
  • muscle aches, spasms or abnormal movements
  • pale or blue skin, lips or fingernails
  • seizures
  • cold, moist skin
  • unusual or unexplained tiredness or weakness
  • difficulty or discomfort urinating

A few people may have an allergic reaction 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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