Abstral (Fentanyl) [Sublingual Tablet] is an effective medication used to treat “breakthrough” cancer pain.
Immediately stop the use of this medicine if you suffer any of these mentioned side effects:
• slow heart rate, weak or shallow breathing, sighing, severe drowsiness;
• confusion, extreme fear, unusual thoughts or behaviour; or
• feeling like you might pass out.
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Abstral can only be given to people who are found accommodating for chronic cancer discomfort in their opioid care. If patients take at least 60 mg oral morphine a day, at least 25 micrograms transdermal fentanyl a hour, at least 30 mg oxycodone a day, or at least 8 mg of oral hydromorphone per day, or at least an equivalent algebraic dose of another drug for a week or more, the resistant drug will be assumed to be opium.
Abstral sublingual tablets can go straight to the lowest section of the tongue. Abstral sublingual tablets can not be eaten, nor dissolved entirely without swallowing or sucking in the sublingual cavity. If the sublingual tablet is fully removed, patients should be told to eat or drink something.
Water should be used for moistening the mucosa prior to taking abstral in patients with a dry mouth. For exclusive use in nhs scotland for the treatment of break-through pain in adult patients who use opioid medication for chronic cancer pain, fentanyl sublingual (abstral) tablets are allowed