(FEN ta nil trans DERM al) Brand: Duragesic, Duragesic-100, Duragesic-12, Duragesic-25, Duragesic-50, Duragesic-75
• MISUSE OF THIS Medicine CAN Reason Deleterious OR FATAL SIDE EFFECTS.
• Do not use this medicine unless you are already being treated with a similar opioid (narcotic) pain medication and your body is tolerant to it. Conversation with your doctor if you are not certain you are opioid-tolerant.
• Do not expose the skin patch to heat while you are wearing it. This includes a hot tub, heating pad, sauna, or heated water bed. Heat can magnify the amount of drug you absorb through your skin and may reason deleterious effects.
• Fentanyl may be habit forming and must be used only by the face it was predesigned for. Never share fentanyl with other face, especially somebody with a history of drug abuse or addiction. Hold the medicine in a seat where others can't get to it
• Hold both used and unused fentanyl transdermal patches out of the reach of children or pets. The amount of fentanyl in a used skin patch could be fatal to a baby or pet who accidentally sucks on or swallows the unit. Search abnormal medical attention if this happens.
• Avoid drinking alcohol, or using another medicines that create you sleepy (such as cool medication, another pain medicine, muscle relaxers, and medication for depression or anxiety). They can add to extreme drowsiness or breathing problems caused by fentanyl.
• The fentanyl transdermal patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Remove the patch till undergoing such a test.
• Fentanyl is an opioid pain medicine. An opioid is sometimes called a narcotic.
• The fentanyl skin patch is used to treat temperate to severe chronic pain. Fentanyl is not for treating mild or casual pain or pain from surgery.
• Fentanyl transdermal may also be used for purposes not listed in this medicine guide.
• Do not use this medicine unless you are already being treated with a similar opioid (narcotic) pain medication and your body is tolerant to it. Opioid medicines include codeine (Tylenol #3), hydrocodone (Lortab, Vicodin, Vicoprofen), hydromorphone (Dilaudid, Exalgo), oxycodone (OxyContin, Combunox, Roxicodone, Percocet), methadone (Methadose, Dolophine), morphine (Kadian, MS Contin, Oramorph), oxymorphone (Opana), and others. Conversation with your doctor if you are not certain you are opioid-tolerant.
• To create certain you can safely use fentanyl transdermal, speak your doctor if you have any of these another conditions:
· a breathing mess such as chronic obstructive pulmonary malady (COPD);
· a history of head injury or brain tumor;
· a heart rhythm disorder;
· liver malady; or
· kidney disease.
• FDA pregnancy category C. It is not known whether fentanyl will harm an unborn child. Fentanyl may reason breathing problems, seizure, or addiction and withdrawal symptoms in a newborn if the mother uses the medicine during pregnancy. Speak your doctor if you are pregnant or plan to become pregnant while using fentanyl transdermal.
• Fentanyl may also reason addiction and withdrawal symptoms in a nursing infant. You must not breast-feed while using fentanyl transdermal.
• Older adults may be more likely to have side effects from this medicine.
• Fentanyl may be habit-forming and should be used only by the face it was predesigned for. This medicine must never be shared with other face, especially somebody who has a history of drug abuse or addiction. Store the medicine in a secure seat where others can't get to it.
• The fentanyl transdermal patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Remove the patch till undergoing such a test.
• MISUSE OF A FENTANYL SKIN PATCH CAN Reason Deleterious OR FATAL SIDE EFFECTS.
• Use exactly as predesigned by your doctor. Never use fentanyl in larger amounts, or for longer than recommended by your doctor. Follow the directions on your prescription label.
• Read all patient instructions carefully till using a fentanyl transdermal skin patch. Follow the directions on your prescription label.
• If the skin should be washed till you apply a skin patch, use clear water only. Let the skin to dry completely till applying the patch.
• Do not use soaps, oils, lotions, alcohol, or another chemicals on the skin where you will apply a fentanyl transdermal skin patch. These substances could magnify the amount of fentanyl that your skin absorbs, possibly causing deleterious effects.
• Apply the skin patch to a flat, dry, hairless area of the chest, back, side, or outer side of your upper hand. To remove any hair from these areas, clip the hair short but do not shave it. Press the patch firmly with the palm of your arm for 30 seconds. Create certain the patch is sticking firmly, especially near the edges. You may wear the patch for up to 72 hours. Never wear more than 1 fentanyl transdermal skin patch at a time unless your doctor has told you to.
• After removing a skin patch fold it in half, sticky side in, and flush the patch down the toilet. Apply a new patch to a various skin area on the chest, back, side, or upper hand. Do not use the same skin area twice in a row.
• Do not use a fentanyl transdermal skin patch if it has been cut or damaged. Doing so could expose you to too many fentanyl, which can reason a life-threatening overdose.
• Store the skin patches at room temperature. Hold every patch in its foil pouch before you are ready to use it.
• Hold both used and unused fentanyl transdermal patches out of the reach of children or pets. The amount of fentanyl in a used skin patch could be fatal to a baby or pet who accidentally sucks on or swallows the unit. Search abnormal medical attention if this happens.
• Hold track of how much skin patches have been used from every new package. Fentanyl is a drug of abuse and you must be aware if anyone is using your medication improperly or without a prescription.
• Since fentanyl transdermal is used as needed, you may not be on a dosing schedule. If you are using the skin patches regularly, apply the missed patch as soon as you remember. Continue wearing the patch for up to 72 hours and then apply a new one if needed for pain. Do not wear extra patches to create up a missed dose.
• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222. A fentanyl overdose can be fatal.
• Overdose symptoms may include extreme drowsiness, weak pulse, fainting, and slow breathing (breathing may stop).
• This medicine is for use only on the skin. Avoid touching the sticky side of a skin patch with your fingers. Do not let the medication to come into contact with your eyes, nose, mouth, or lips. If it does, rinse with water. Do not use soap or another chemicals.
• This medicine may impair your thinking or reactions. Avoid driving or operating machinery before you know how fentanyl will affect you.
• Avoid drinking alcohol, which can magnify dizziness or drowsiness.
• Do not expose the skin patch to heat while you are wearing it. This includes a hot tub, heating pad, sauna, or heated water bed. Heat can magnify the amount of drug you absorb through your skin and may reason deleterious effects.
• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.
• Remove the skin patch and call your doctor at once if you have any of these serious side effects:
· slow heart course, weak or shallow breathing, sighing;
· confusion, hallucinations, unusual thoughts or behavior;
· severe weakness, feeling like you might pass out;
· cool, clammy skin; or
· pale skin, light bruising or bleeding.
• Smaller serious side effects may include:
· fever;
· constipation, diarrhea;
· dry mouth, nausea, vomiting, upset stomach;
· headache;
· drowsiness, weakness, weary feeling;
· feeling anxious or nervous;
· cool symptoms such as stuffy nose, sneezing, sore throat;
· sweating, skin rash; or
· itching, blistering, redness, or swelling where the patch was worn.
• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.
• Cool or allergy medication, sedatives, sleeping pills, muscle relaxers, and medication for seizures, depression or anxiety can add to sleepiness caused by fentanyl. Speak your doctor if you regularly use any of these medicines.
• Much drugs can interact with fentanyl. Adown is just a partial list. Speak your doctor if you are using:
· aprepitant (Emend);
· nefazodone;
· isoniazid (for treating tuberculosis);
· St. John's wort;
· an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), rifabutin (Mycobutin), rifampin (Rifater, Rifadin, Rifamate), telithromycin (Ketek), and others;
· an antifungal medicine such as fluconazole (Diflucan), itraconazole (Sporanox), ketoconazole (Nizoral), miconazole (Oravig), or voriconazole (Vfend);
· heart or blood pressure medicine such as diltiazem (Cardizem, Cartia, Dilacor, Tiazac), nicardipine (Cardene), quinidine (Quin-G), verapamil (Calan, Covera, Isoptin, Verelan), and others;
· HIV/AIDS medication such as atazanavir (Reyataz), delavirdine (Rescriptor), efavirenz (Sustiva, Atripla), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), ritonavir (Norvir, Kaletra), saquinavir (Invirase), and others; or
· seizure medicine such as carbamazepine (Carbatrol, Equetro, Tegretol), oxcarbazepine (Trileptal), phenytoin (Dilantin), and others.
• This list is not complete and another drugs may interact with fentanyl transdermal. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.
• Your pharmacist can provide more information about fentanyl transdermal.
Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.
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