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FentoraOn September 25, 2006 the FDA approved Fentora (fentanyl buccal tablet) manufactured by Cephalon, Inc. Fentora is the first buccal tablet approved for breakthrough pain in cancer patients who are opioid tolerant. Approximately one half of the Fentora dose is absorbed by the upper check lining, resulting in faster analgesia compared to conventional oral opioids. Fentora, available in 100, 200, 400, 600 and 800 microgram tablets, will become available in the United States early October 2006. Pill Identification - FENTORA Fentora will be sold in cartons containing 7 child-resistant blister cards (each card containing 4 tablets). The cartons and blister cards are color coded. The tablets, blister cards and cartons are marked with the microgram strength: 100 mcg debossed '1' - blue blister/carton For more information, please see the Fentora website. ( categories: New Medicines )
 Fentora
Danielle, The pill is not really new - just the mode of delivery is new. Fentora is simply fentanyl, a very potent opioid. At this time in the US I think it's the strongest of all human pain medicatons. What makes Fentora new is its mode of delivery. According to the manufacturer it may work faster for breakthrough pain since it's absorbed more quickly through buccal membranes. From what I'm reading, Fentora might be similar to Actiq in its action. Actiq is made by the same company (Cephalon). Fentora's only approval at this time is for breakthrough pain for opioid-tolerant cancer patients. It is not approved for non-cancer chronic pain patients.  If you go to
If you go to http://www.actiq.com you can see what they look like as well as an image of the "sucker". To me, they look like a Q-Tip. The prescribing information is listed along with the "black boxed" warning. gtrplayer OK
Wow they do look like q-tips! And thanks gtrplayer I WAS just asking about them. I have heard of morphine pops and all sorts like that but even in my long term pain mgmt I have never had them prescribed or suggested to me so I was just curious. Thanks for the link! And for sticking up for me!! Danielle No problem
Danielle- I have actually seen them dispensed one time in a local pharmacy, but I guess the poor guy they were prescribed for was considered terminal. And Danielle, I know that you are a good poster, I just didn't want someone popping in and assuming the worst. Keep on posting! gtrplayer fentanyl
Hi i have a question for anybody who can help me. I have a friend who uses oxycontin daily and this past weekend someone gave him a 2.5 mg fentanyl patch, ( 0.25mcg per hour) . He was insisting on putting it on but i warned him he shouldnt, so he didnt. I would like to know if he would be able to handle it without putting himself in danger, he weighs about 200 lbs and takes about 100- 140 mg of oxycodone daily. I know he shouldnt even be taking it in the first place but i would just like to know if that is too powerful for him or if he can handle it .. Thanks  Not good advice
Since you are not the patient's doctor, you shouldn't be making comments like this. Even doctors make mistakes. I know because my husband was precribed the wrong medicine and he ended up in the hospital and was very, very sick. Only this person's doctor can help. And for such a strong medicine, the doctor needs to know the patient's entire history, any physical problems, all meds he is taking and other information. And the doctor needs to monitor the patient very closely. The strong opiates can be very deadly if not used correctly and without proper supervision.
if you can take 140mgs of
if you can take 140mgs of oxycontin ....there is no reason you can't put on a 2.5mg patch...it is stronger than oxycontin... but not that much stronger....i'm not saying do it... but i personly think it wouldn't hurt...if you take that much oxycontin you have a tolerance built up already...  check this link out if you want info on fentanyl
THE PATCH
I was prescribed the patch at one time but from what I have read I would think it would depend on the life of the oxy's in the persons body(you may not feel it but it is still their). I would hate to see someone taking oxy's and mixing it with the patch. I do not know the length of how long either one stays in your body. I am just learning some of these things for my own meds but please be very careful and if you are under the care of a Dr. and need more then you are taking because of your pain please try and talk to your Dr. you never know he/she may surprise you. Not trying to preach it is just that I have had an encounter that I am blessed to be here today to be able to write this!! Somethings that we do not know can hurt us. I hope all goes well with you and just trying to help. Jamie 1mg = 1000
That lowest dosed patch will
That lowest dosed patch will not be anything some who is on 100-140mg of oxycodone couldn't handle. I don't think they will be very impressed with that small of a dose. It will probably barely keep the oxy withdrawal at bay. Personally I would rather be on fentanyl patches than oxy's. Oxycodone makes you feel sedated and lethargic. Fentanyl can feel energizing. The patches take a long time to kick in and create a stable concentration. If you know your body can tolerate strong opiates you can put it on before bed and wake up with it going strong. If you can't tolerate it i.e. you didn't get it prescribed by a dr. then you shouldn't do that cause you could o.d. and possibly die from respitory suppression/failure. 25mcgs is a small dose compared to the 75 or 100mcg patches. Someone with no opiate tolerance would most likely die if they abused a 100mcg patch. These are the people that give good meds bad reputations with their stupidity. They deserve what they get but unfortunately they can effect the people who benefit from responsible use. Reguardless
Regardless what a person takes on a regular basis unless you or any other poster is this persons doctor I would seriously NOT recommend saying that it was OK to take anything in addition. Since we do not know the persons history or drug interactions or even possible allergies I would leave that answer up to a licensed Dr. and plainly say ... ONLY your Dr. can advise you what to take and how much of it to take. Even with the lowest dose of the patch we cannot say for sure that there would not be any reactions good or bad for this person. Danielle endo712
I just got finished typing a rather lengthy reply to another poster regarding fentanyl. You should read this and pass it along to your friend as well. Please don't advise him to take the patch. As everyone has already said (except Traveler) no one but his doctor should be making that call. How would you feel if you told someone they would be just fine taking something and then they end up overdosing and possibly dying? Over something that some person told you on a Pill ID website? As I just stated in my other post, fentanyl is a very, very potent opioid and should be respected as such. I'm not sure how to insert a link to my other post, but the title of it is "duragesic transdermal system 100 mcg/h" Take care. (edited by TeamPharmer to insert link to htallow's other post) fentanyl patch
While I do agree that you shouldnt go giving your patches to people for many reasons (ie: you cant just give them away! its illegal and you will run out! (a little self centered view i know but true), if they have been on pain managment for years and havnt been perscribed them there is probably a reason!!!) But i absolutly agree that if some one is taking that much oxycodone they would be fine. I have been on both for years. I actually came to this forum to ask a question... Like i said I have been on the patch for years. Strengths varying for when im in more or less pain. Right now i am on the fifties and I put it on last night...took it off this morning cause it felt like it was burning me, and it gave me a "big" blister! not just that but my skin around it is peeling off! like you can see the exact line of where it was from the lack of skin in that area!!!I know i put them in a differant spot than most (like kinda next to my hip bone) but i have been for years cause i cant seem to make them stay in place for more than a few hours any where else. Has this ever happened to any one else? IT BURNS!!! Any input would be greatly appreciated! Thanks, Habitualuser P.S.
I dont think some one on that much oxycodone ( thats like 28 five mg tabs a day!!!) could have any sort of an allergic reaction or some thing like that!! 25mcg of fentanyl isnt that much stronger than that...after i just posted that saying that mabey if the doctor hadnt perscribed them mabey it was for a reason my brother ( who broke many spots in his back four years ago and has been on chronic pain managment ever since's doctor told him that he wont perscribe it cause of a personal reason!!!!!  I've tried it
I have been on it for a week now, it makes my gums sore at first now they are starting to adjust. When titrated to 800mcg it does a great job for break through pain, I recommend it above anything else I have ever taken for break through pain.
There is no pain you are receding. A distant ships smoke on the horizon.....  About the Fentanyl Patches
I had one on and throughout the course of the day, it had fallen off. Not knowing, I began to have extreme tremors in my legs. They couldn't stop. I took the 50mcg ones and the only way i noticed it wasn't there was because I went to the bathroom and had to take off my coat and while looking in the mirror I noticed it gone. Although I did have successful treatment with it, the very fact that I went into a severe shaking bout WAS ENOUGH FOR ME TO STEP UP TO MY DOCTOR. I immediately asked the doctor to discontinue the treatment. But then again, it was a god send. Anyway, I got the cold shoulder treatment but hey, its my body and I am telling you, the convulsions I was having was the most painful and debilitating experience of my life and NO ONE can tell me that I should just tough it out or hey THANKS NORMAL, DEAL WITH IT. So for now, I just personally wouldn't recommend it to anyone. Because if one comes off and you are far away from home.....Forget about it!!! Again as someone said before, do not change unless you talk to your doctor!! Thanks.. P.S. Anyone know about degenerative disks? I put a post in the chronic pain and pain management secton of the forum. |
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Joined: 2005-01-07