dosage of fentanyl for anesthesia

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

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

What should I discuss with my healthcare provider before using fentanyl topical?
• Fentanyl topical should not be used to treat acute or post-operativepain dosage of fentanyl for anesthesia. Fentanyl topical is used to treat chronic pain dosage of fentanyl for anesthesia.
• Fentanyl is habit forming and should be used under close medical supervision dosage of fentanyl for anesthesia.
• 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 dosage of fentanyl for anesthesia.
• 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 dosage of fentanyl for anesthesia.
• Fentanyl is in the FDA pregnancy category C dosage of fentanyl for anesthesia. This means that it is notknown whether fentanyl will harm an unborn baby dosage of fentanyl for anesthesia. This medication may cause addictionand withdrawal symptoms in an unborn baby dosage of fentanyl for anesthesia. Do not use fentanyl topical withoutfirst talking to your doctor if you are pregnant dosage of fentanyl for anesthesia.
• Fentanyl may also cause addiction and withdrawal symptoms in a nursinginfant dosage of fentanyl for anesthesia. Do not use fentanyl topical without first talking to your doctor ifyou are breast-feeding a baby dosage of fentanyl for anesthesia.
• 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) dosage of fentanyl for anesthesia.
• If you are older than 60 years of age, you may be more likely to experienceside effects from fentanyl therapy dosage of fentanyl for anesthesia. A lower dose or special monitoring may benecessary dosage of fentanyl for anesthesia.

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

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

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

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

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 dosage of fentanyl for anesthesia.
• Other, less serious side effects may be more likely to occur dosage of fentanyl for anesthesia. 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 dosage of fentanyl for anesthesia.
• Fentanyl is habit forming dosage of fentanyl for anesthesia. Do not stop using it suddenly dosage of fentanyl for anesthesia.
• Side effects other than those listed here may also occur dosage of fentanyl for anesthesia. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome dosage of fentanyl for anesthesia.

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 dosage of fentanyl for anesthesia. Tellyour doctor about all medicines that you are taking, and do not take any medicineunless your doctor approves dosage of fentanyl for anesthesia.
• Drugs other than those listed here may also interact with fentanyl topical dosage of fentanyl for anesthesia. Talk to your doctor and pharmacist before taking any prescription or over-the-countermedicines dosage of fentanyl for anesthesia.

Where can I get more information?
• Your pharmacist has additional information about fentanyl topical writtenfor health professionals that you may read dosage of fentanyl for anesthesia.

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