Fentanyl Actiq Dosage
Before determining the dosage of Fentanyl Actiq in a patient, it is necessary to ensure that the patient’s chronic pain is controlled by a background morphine treatment and that there are no more than 4 painful paroxysms per day.
The initial dose of Actiq should be 200 micrograms, with dose increases, if necessary, according to the available dosage range (200, 400, 600, 800, 1200 and 1600 micrograms). Patients should be carefully monitored until the dose provides effective analgesia and acceptable side effects with a single Actiq unit per paroxysmal pain. This dose is defined as the effective dose.
During titration, if satisfactory analgesia is not achieved within 30 minutes of administration of a first Actiq unit (ie, 15 minutes after the dissolution of a unit of d Actiq), a second Actiq unit of the same assay may be used. In no case should more than two Actiq units be used to treat the same paroxysmal pain. With a dosage of 1600 micrograms, it will likely be necessary to administer a second dose only in a minority of patients.
Before using fentanyl, make sure your doctor is aware of any medical conditions you may have. You may not also be able to use this medication if you have a history of breathing problems, substance abuse, or a head injury. In addition, other safety precautions with fentanyl includes; understanding the warnings of abuse potential, the safety of using the medicine when pregnant or breastfeeding, and potential drug interactions.
Side Effects of Fentanyl Actiq
Just like all medications, this drug comes with its own side effects. Therefore the most common side effects of fentanyl are:
Nausea, vomiting, constipation, and diarrhea
Drowsiness and dizziness
`Further more, less common side effects, which may be severe, include such things as:
Abnormally slow heart action
Muscle spasms and tremors
Fluid retention and swelling of tissues in the lower limbs
Anxiety, confusion, and hallucinations
In addition, rare side effects from using fentanyl have also been reported, including:
Sexual and erectile dysfunction (ED)
Eczema and other skin disorders
Reduced sense of touch