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converting from fentanyl pca to duragesic

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converting from fentanyl pca to duragesic
(FEN ta nill)
Duragesic

What is the most important information I should know about fentanyl topical?
• Fentanyl topical should not be used to treat acute or post-operativepain converting from fentanyl pca to duragesic. Fentanyl topical is used to treat chronic pain converting from fentanyl pca to duragesic.
• Use caution when driving, operating machinery, or performing other hazardousactivities converting from fentanyl pca to duragesic. Fentanyl may cause drowsiness or fatigue converting from fentanyl pca to duragesic. If you experience drowsinessor fatigue, avoid these activities converting from fentanyl pca to duragesic.
• Also avoid alcohol, sleeping pills, tranquilizers, sedatives, and antihistamines converting from fentanyl pca to duragesic. These medications also may cause dangerous sedation converting from fentanyl pca to duragesic.
• Fentanyl topical can also cause constipation converting from fentanyl pca to duragesic. Drink plenty of water (sixto eight full glasses a day) to lessen this side effect converting from fentanyl pca to duragesic. Increasing the amountof fiber in your diet can also help to alleviate constipation converting from fentanyl pca to duragesic.
• Never use more fentanyl than is prescribed for you converting from fentanyl pca to duragesic. If your pain is notbeing adequately treated, talk to your doctor converting from fentanyl pca to duragesic.

What is fentanyl topical?
• Fentanyl is in a class of drugs called narcotic analgesics converting from fentanyl pca to duragesic. It relievespain converting from fentanyl pca to duragesic.
• Fentanyl topical patches are used to treat chronic pain that cannot becontrolled by less potent pain relievers converting from fentanyl pca to duragesic.
• Fentanyl topical may also be used for purposes other than those listedin this medication guide converting from fentanyl pca to duragesic.

What should I discuss with my healthcare provider before using fentanyl topical?
• Fentanyl topical should not be used to treat acute or post-operativepain converting from fentanyl pca to duragesic. Fentanyl topical is used to treat chronic pain converting from fentanyl pca to duragesic.
• Fentanyl is habit forming and should be used under close medical supervision converting from fentanyl pca to duragesic.
• Before using this medication, tell your doctor if you have
· kidney disease;
· liver disease;
· asthma;
· urinary retention;
· an enlarged prostate;
· hypothyroidism;
· seizures or epilepsy;
· gallbladder disease;
· a head injury; or
· Addison's disease converting from fentanyl pca to duragesic.
• You may not be able to use fentanyl topical, or you may require a lowerdose or special monitoring during treatment if you have any of the conditionslisted above converting from fentanyl pca to duragesic.
• Fentanyl is in the FDA pregnancy category C converting from fentanyl pca to duragesic. This means that it is notknown whether fentanyl will harm an unborn baby converting from fentanyl pca to duragesic. This medication may cause addictionand withdrawal symptoms in an unborn baby converting from fentanyl pca to duragesic. Do not use fentanyl topical withoutfirst talking to your doctor if you are pregnant converting from fentanyl pca to duragesic.
• Fentanyl may also cause addiction and withdrawal symptoms in a nursinginfant converting from fentanyl pca to duragesic. Do not use fentanyl topical without first talking to your doctor ifyou are breast-feeding a baby converting from fentanyl pca to duragesic.
• Fentanyl topical patches are not approved for use by children youngerthan 12 years of age or by children younger than 18 years of age who weigh lessthan 50 kg (110 lbs) converting from fentanyl pca to duragesic.
• If you are older than 60 years of age, you may be more likely to experienceside effects from fentanyl therapy converting from fentanyl pca to duragesic. A lower dose or special monitoring may benecessary converting from fentanyl pca to duragesic.

How should I use fentanyl topical?
• Use fentanyl topical exactly as directed by your doctor converting from fentanyl pca to duragesic. If you do notunderstand these directions, ask your pharmacist, nurse, or doctor to explainthem to you converting from fentanyl pca to duragesic.
• Apply the patch to a flat, dry, area such as the chest, back, side, orupper arm converting from fentanyl pca to duragesic. Any hair on the application site should be clipped short but notshaved converting from fentanyl pca to duragesic. Avoid areas that are irritated or otherwise damaged converting from fentanyl pca to duragesic.
• If the application site must be washed before the patch is applied, useclear water only converting from fentanyl pca to duragesic. Do not use soaps, oils, lotions, alcohol, or other chemicals converting from fentanyl pca to duragesic. Washing with these substances could change how much of the drug gets absorbedthrough the skin, which could be dangerous converting from fentanyl pca to duragesic. Allow the skin to dry completelybefore applying the patch converting from fentanyl pca to duragesic.
• Apply the patch as directed converting from fentanyl pca to duragesic. Press the patch firmly with the palm ofyour hand for 30 seconds making sure that the patch is sticking, especiallyaround the edges converting from fentanyl pca to duragesic. Each patch is worn for 72 hours converting from fentanyl pca to duragesic.
• After removing the patch, press the sticky side to itself and disposeof the system in the toilet converting from fentanyl pca to duragesic. If another patch is required, apply it to a differentskin site converting from fentanyl pca to duragesic.
• Do not cut or otherwise damage the patch, and do not apply any patchthat has been cut or damaged converting from fentanyl pca to duragesic.
• Never use more of this medication than is prescribed for you converting from fentanyl pca to duragesic. Too muchfentanyl could be very harmful converting from fentanyl pca to duragesic.
• Increase the amount of fiber and water in your diet to prevent constipation converting from fentanyl pca to duragesic.
• Do not share this medication with anyone else converting from fentanyl pca to duragesic. Keep it out of the reachof children and pets converting from fentanyl pca to duragesic.
• Store fentanyl topical at room temperature away from moisture and heat converting from fentanyl pca to duragesic.

What happens if I miss a dose?
• Apply the missed dose as soon as you remember converting from fentanyl pca to duragesic. Do not use a double doseof this medication converting from fentanyl pca to duragesic. Wait the prescribed amount of time before applying yournext patch converting from fentanyl pca to duragesic.

What happens if I overdose?
• Seek emergency medical attention converting from fentanyl pca to duragesic.
• Symptoms of a fentanyl overdose include slow breathing, seizures, dizziness,weakness, loss of consciousness or coma, confusion, tiredness, cold and clammyskin, and small pupils converting from fentanyl pca to duragesic.

What should I avoid while using fentanyl topical?
• Use caution when driving, operating machinery, or performing other hazardousactivities converting from fentanyl pca to duragesic. Fentanyl may cause drowsiness or fatigue converting from fentanyl pca to duragesic. If you experience drowsinessor fatigue, avoid these activities converting from fentanyl pca to duragesic.
• Avoid alcohol while using fentanyl topical converting from fentanyl pca to duragesic. Alcohol will greatly increasethe drowsiness and dizziness caused by fentanyl and could be dangerous converting from fentanyl pca to duragesic.
• Also avoid sleeping pills, tranquilizers, sedatives, and antihistamines converting from fentanyl pca to duragesic. These medications also may cause dangerous sedation converting from fentanyl pca to duragesic.
• Avoid becoming overheated or applying direct heat such as a heating padto the area where you have a patch converting from fentanyl pca to duragesic. Increased temperature can increase the amountof drug you absorb through your skin and may cause harmful effects converting from fentanyl pca to duragesic.

What are the possible side effects of fentanyl topical?
• If you experience any of the following serious side effects, stop usingfentanyl topical and seek emergency medical attention:
· an allergic reaction (difficulty breathing; closing of your throat;swelling of your lips, tongue, or face; or hives);
· slow, weak breathing;
· seizures;
· cold, clammy skin;
· severe weakness or dizziness; or
· unconsciousness converting from fentanyl pca to duragesic.
• Other, less serious side effects may be more likely to occur converting from fentanyl pca to duragesic. Continueto use fentanyl topical and talk to your doctor if you experience
· constipation;
· dry mouth, nausea, vomiting, or decreased appetite;
· dizziness or lightheadedness;
· drowsiness or fatigue;
· muscle twitches;
· sweating;
· itching;
· decreased urination; or
· decreased sex drive converting from fentanyl pca to duragesic.
• Fentanyl is habit forming converting from fentanyl pca to duragesic. Do not stop using it suddenly converting from fentanyl pca to duragesic.
• Side effects other than those listed here may also occur converting from fentanyl pca to duragesic. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome converting from fentanyl pca to duragesic.

What other drugs will affect fentanyl topical?
• Fentanyl topical may increase the effects of other drugs that cause drowsiness,including antidepressants, alcohol, antihistamines, sedatives (used to treatinsomnia), other pain relievers, anxiety medicines, and muscle relaxants converting from fentanyl pca to duragesic. Tellyour doctor about all medicines that you are taking, and do not take any medicineunless your doctor approves converting from fentanyl pca to duragesic.
• Drugs other than those listed here may also interact with fentanyl topical converting from fentanyl pca to duragesic. Talk to your doctor and pharmacist before taking any prescription or over-the-countermedicines converting from fentanyl pca to duragesic.

Where can I get more information?
• Your pharmacist has additional information about fentanyl topical writtenfor health professionals that you may read converting from fentanyl pca to duragesic.

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