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Can Actiq be converted to Abstral?

Can Actiq be converted to Abstral?

Conversion of ABSTRAL from Actiq a. For patients being converted from Actiq, prescribers must use the Initial Dosing Recommendations for Patients on Actiq. See Table 1 for initial dosing recommendations. Patients must be instructed to stop the use of Actiq and dispose of any remaining units.

Can you convert Actiq to Fentora?

For patients converting from ACTIQ doses equal to or greater than 600 mcg, titration should be initiated with the 200 mcg FENTORA tablet and should proceed using multiples of this tablet strength.

What are the indications of Actiq?

INDICATIONS AND USAGE ACTIQ is indicated for the management of breakthrough pain in cancer patients 16 years of age and older who are already receiving and who are tolerant to around-the- clock opioid therapy for their underlying persistent cancer pain.

How do you take Abstral?

You can take ABSTRAL whenever you have an episode of breakthrough cancer pain; up to four (4) doses per day. You must wait for at least two (2) hours before treating another episode of breakthrough pain with ABSTRAL.

Who manufactures Abstral?

The Abstral (fentanyl) singlingual tablets are manufactured at Novartis, Lincoln, NE, USA and Recipharm, Sweden. An expiration period of 36 months for the tablets manufactured at Novartis.

Is tramadol a painkiller?

About tramadol Tramadol is a strong painkiller. It’s used to treat moderate to severe pain, for example after an operation or a serious injury. It’s also used to treat long-standing pain when weaker painkillers no longer work.

How do you take Actiq?

Place Actiq in your mouth between your cheeks and gums. Using the handle, move it around in your mouth especially along your cheeks. Twirl the handle often. You may drink some water before using Actiq, to help with taking the product but you should not drink or eat anything while using Actiq.

What is Actiq prescribed for?

This medication is used to help relieve sudden (breakthrough) cancer pain in people who are regularly taking moderate to large amounts of opioid pain medication. Fentanyl belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain.

When should I take Abstral?

Once you know the dose that gives you the best pain relief (your personal optimal dose) you should take your dose of Abstral® no more than 4 times daily. You must wait at least 2 hours from taking your last dose before treating your next episode of breakthrough pain with Abstral®.

Does abstral make you sleepy?

Abstral with food, drink and alcohol Abstral can make some people feel drowsy. Do not consume alcohol without consulting your doctor as it might make you feel more drowsy than usual.

Is Levorphanol a morphine?

Levorphanol is seven times more potent than oral morphine and five times more potent than parenteral morphine. Levorphanol has a half-life of 12 to 16 hours but its duration of analgesia is similar to morphine (i.e., 4 to 6 hours). The longer half-life may lead to systemic accumulation with repeated dosing.

What’s the first dose of Abstral after Actiq?

Dose conversion from Actiq. The initial dose of Abstral is always 100 mcg with the only exception being patients already using Actiq. For patients being converted from Actiq, instruct patient to stop use of Actiq and dispose of any remaining units.

Are there any other fentanyl tablets other than Actiq?

There are no conversion directions available for patients on any other fentanyl products other than ACTIQ (Note: This includes oral, transdermal, or parenteral formulations of fentanyl.) [see Warnings and Precautions ( 5.5 )]. ABSTRAL is NOT a generic version of any other oral transmucosal fentanyl product.

Can you take more than one Abstral tablet at a time?

During titration, patients can be instructed to use multiples of 100 mcg tablets and/or 200 mcg tablets for any single dose. Instruct patients not to use more than 4 tablets at one time. If adequate analgesia is not obtained 30 minutes after the use of ABSTRAL, the patient may repeat the same dose of ABSTRAL.

Are there any side effects to taking Abstral?

You may report side effects to FDA at 1-800-FDA-1088. Fatal respiratory depression has occurred in patients treated with immediate-release transmucosal fentanyl, including following use in opioid non-tolerant patients and improper dosing. The substitution of ABSTRAL for any other fentanyl product may result in fatal overdose.