What should be considered before using fentanyl for breakthrough cancer pain?

Updated: Jan 29, 2018
  • Author: Stephen Kishner, MD, MHA; Chief Editor: Erik D Schraga, MD  more...
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Answer

Answer

See the list below:

  • Transmucosal or intranasal spray fentanyl should not be used in opioid-naïve patients.

  • Initiate dosing cautiously in the chosen formulation and titrate to effect.

  • Do not exceed more than 2 doses per breakthrough episode.

  • Consider increasing 24-hour scheduled opioid therapy if more than 4 breakthrough episodes occur in a day.


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