Is medication is also known as Buccal Fentanyl and used to treat breakthrough pain.

Breakthrough pain is the pain felt despite a current regimen of pain medications – often narcotics.

This medication is often used in patients that are cancer patients.

Fentanyl is a class of narcotics (opiate) analgesics that affects pain receptors in the brain and nervous system.

Actiq is when Buccal fentanyl is given as a Lozenge on a handle.

Fentroa is the same medication but in a tablet form that dissolves in the mouth.

This medication is a scheduled II controlled substance per the Controlled Substance Act.

Other uses for this medication include:

-  Migraine Headaches
-  Cluster Headaches
-  Severe back pain
-  Bone injuries
-  Severe Arthritis
-  Neuropathy

Abuse

Abuse of this medication occurs.

On streets, during abuse, this medication is known as “Morphine Lollipops”.

Administration

-  This medication is 80 times more potent than morphine.

Absorption

-   This medication is absorbed through the buccal mucosa directly into the blood stream
-   25% is absorbed inside mouth
-   75% is absorbed into the Gastrointestinal Tract.
-   50% of total dose is metabolized by liver and becomes unavailable for pain relief.  [most of this is from the 75% of the dose that is absorbed in the GI tract.

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