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USES: This medication is a narcotic pain reliever that also relieves anxiety. It is used for breakthrough cancer pain only. This drug is not to be used for pain due to surgical procedures nor for acute pain.
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| Overview | Photos | How
To Use | Side
Effects | Precautions | Missed
Dose | Drug
Interactions | |
Actiq
Uses
This medication is a narcotic pain reliever that also relieves anxiety. It is used for breakthrough cancer pain only. This drug is not to be used for pain due to surgical procedures nor for acute pain.
Notes
- Do not share this medication with others.
- Medical tests, including breathing function tests, will be done to monitor your progress.
- To avoid possible fatal ingestion of this drug, keep it (and all other medications) out of children's reach.
Storage
- Store at room temperature at or below 86 degrees F (30 degrees C) away from light and moisture.
- Protect from freezing.
Photos
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Actiq is a \x26quot;lozenge\x26quot; made of |
Actiq (fentanyl oral transmucosal) |
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How
To Use - HOW TO USE THIS MEDICATION: Learn proper use of this medication from your doctor or pharmacist and use only as directed.
- Suck the lozenge, do not chew or swallow it whole.
- Your dosage is based on your medical condition, desired effect and age.
- If the full effect has been obtained or excessive side effects occur, remove the lozenge from your mouth.
- Do not stop using your regularly prescribed pain medication.
- Use this medication exactly as prescribed.
- Do not increase your dose, use it more frequently or use it for a longer period of time than prescribed because this drug can be habit-forming.
- When used for extended periods, this medication may not work as well and may require different dosing.
- Consult your doctor if the medication isn't working well.
Side
Effects - Facial itching or redness, nausea or vomiting, sweating, dizziness, drowsiness, unusual weakness or constipation might occur.
- If these effects persist or worsen, notify your doctor promptly.
- Report promptly unusually shallow or slow breathing.
- Unlikely but report promptly slow heartbeat, fainting, vision problems, mental/mood changes, trouble urinating, seizures or problems with coordination.
- In the unlikely event you have an allergic reaction to this drug, seek immediate medical attention.
- Symptoms of an allergic reaction include rash, body itching, swelling, dizziness or trouble breathing.
- If you notice other effects not listed above, contact your doctor or pharmacist.
Precautions
- Before using this drug, tell your doctor your medical history, including any allergies (especially drug allergies), serious head injury or brain disorders; heart, lung, kidney or liver disease; enlarged prostate, intestinal diseases (e.g., colitis), low thyroid function, drug or alcohol dependency and of recent abdominal surgery.
- To avoid dizziness or lightheadedness when rising from a seated or lying position, get up slowly.
- Alcohol may add to the side effects of this drug causing drowsiness or dizziness.
- Ask your doctor or pharmacist about the use of alcohol.
- Use caution when performing tasks requiring alertness (e.g., driving) as this drug may cause drowsiness or dizziness.
- Caution is advised if this product is used in the elderly because this group may be more sensitive to the drug's effects.
- This medication should be used only when clearly needed during pregnancy.
- Discuss the risks and benefits with your doctor.
- It is not known if this drug is excreted into breast milk.
- Consult your doctor before breast-feeding.
Missed
Dose
Drug
Interactions - Tell your doctor of all prescription and nonprescription drugs you may use, especially other drugs that can cause drowsiness such as medicine for sleep, tranquilizers, psychiatric medicines, MAO inhibitors (e.g., furazolidone, moclobemide, phenelzine, procarbazine, selegiline), anti-seizure drugs, muscle relaxants, certain antihistamines (e.g., diphenhydramine) or other narcotic pain relievers (e.g., codeine).
- Also report use of "water pills" (diuretics), blood pressure medicines, cimetidine, certain protease inhibitors (e.g., indinavir), erythromycin, azole antifungals (e.g., ketoconazole), sibutramine and naltrexone.
- This drug may interfere with certain laboratory tests (amylase and lipase).
- Do not start or stop any medicine without doctor or pharmacist approval.
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| User Medicine
Opinions for Actiq |
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| Overall: | 
| | Low
adverse Reactions |  |
| Healing Power: | 
| | No dependency problems: |
| | Cost-Benefit: |
| Sex:
M
Age: 42
Time Taken: 2 years
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| Reason:
Cervical Spondylosis & Myofascial Pain Syndrome | Date:
2 February 2008 | Side
Effects
Increased constipation. No dental issues, no addiction, no high, just less pain. Only complaint is short duration, but it’s just a property of Fentanyl – cleared out by liver quickly. Pain relief starts fast, but for hour or less (I’m VERY tolerant of opioids)…IMO, addiction reports are way overblown. There’re always people w/ high addiction potential, but it doesn’t mean it’ll hook everyone, as some say. To say it’s only OK for terminal patients, when addiction is a minor issue, is ludicrous.
Additional Thoughts
Very few patients using Actiq ever have addiction problems (compulsive use, multi scripts, lying for more, etc). Addiction will always be problem for a few patients, so docs must assess potential and monitor compliance & proper use. Patients still developing addiction should be helped. It shouldn’t mean NO patients should be allowed Actiq…Saying it’s 80x stronger than morphine is absurd; Fentanyl dose is reduced for that reason! Actiq has 0.2mg to 1.6mg (only half gets in the blood), compared to 20mg morphine tablets, easily taken in multiples. IOW, Fentanyl’s cut back proportional to its strength, so it’s about the strength of morphine doses. Saying it’s 80x more powerful without saying there’s about a hundred times less inside is VERY misleading!...I don't want anyone harmed by medications – each case is tragic. Still, we’d do society better by focusing on meds doing most harm to the most people first. Actiq wouldn't make it onto even long lists of those! Cost, OTOH, is outrageous!
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CONDITIONS
OF USE: The information in this database is intended to supplement, not substitute
for, the expertise and judgement of healthcare professionals. The information
is not intended to cover all possible uses, directions, precautions, drug interactions
or adverse effects, nor should it be construed to indicate that use of a particular
drug is safe, appropriate or effective for you or anyone else. A healthcare professional
should be consulted before taking any drug, changing any diet or commencing or
discontinuing any course of treatment. | |
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