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This medication is used to help relieve severe ongoing pain (such as due to cancer). Fentanyl belongs to a class of drugs known as opioid (narcotic) analgesics. It works in the brain to change how your body feels and responds to pain. Do not use the patch form of fentanyl to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (“as needed”) use. Buy Fentanyl Patch Online – Fentanyl Patch online kaufen – 온라인으로 펜타닐 패치를 구입하고 – comprar parche de fentanilo en línea

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See also Warning section. Read the Medication Guide and, if available, the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill. Learn how to properly use, store, and discard the patches. If you have any questions, ask your doctor or pharmacist. Use this medication on a regular schedule as directed by your doctor, not as needed for sudden (breakthrough) pain. Before you start using this medication, ask your doctor or pharmacist if you should stop or change how you use your other opioid medication(s). It may take up to 24 hours before you have pain relief from fentanyl patches. Other pain relievers (such as acetaminophen, ibuprofen) may also be prescribed. Ask your doctor or pharmacist about using fentanyl safely with other drugs. Apply this medication to the skin as directed by your doctor. Order Fentanyl Patch Online (Fast and Safe Delivery)

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• Fentanyl transdermal system exposes users to risks of addiction, abuse, and misuse, which can lead to overdose and death. Assess patient’s risk before prescribing, and monitor regularly for these behaviors or conditions.   • To ensure that the benefits of opioid analgesics outweigh the risks of addiction, abuse, and misuse, the Food and Drug Administration (FDA) has required a Risk Evaluation and Mitigation Strategy (REMS) for these products.  • Serious, life-threatening, or fatal respiratory depression may occur. Monitor closely, especially upon initiation or following a dose increase.   • Accidental exposure to fentanyl transdermal system, especially in children, can result in fatal overdose of fentanyl.  • Prolonged use of fentanyl transdermal system during pregnancy can result in neonatal opioid withdrawal syndrome, which may be life-threatening if not recognized and treated. If opioid use is required for a prolonged period in a pregnant woman, advise the patient of the risk of neonatal opioid withdrawal syndrome and ensure that appropriate treatment will be available.   • Concomitant use with CYP3A4 inhibitors (or discontinuation of CYP3A4 inducers) can result in a fatal overdose of fentanyl.  • Exposure of the fentanyl transdermal system application site and surrounding area to direct external heat sources has resulted in fatal overdose of fentanyl. Warn patients to avoid exposing the fentanyl transdermal system application site and surrounding area to direct external heat sources.   • Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. Reserve concomitant prescribing for use in patients for whom alternative treatment options are inadequate; limit dosages and durations to the minimum required; and follow patients for signs and symptoms of respiratory depression and sedation.

 

———————–DOSAGE AND ADMINISTRATION———————–

• To be prescribed only by healthcare providers knowledgeable in use of potent opioids for management of chronic pain.  • Use the lowest effective dosage for the shortest duration consistent with individual patient treatment goals. • Individualize dosing based on the severity of pain, patient response, prior analgesic experience, and risk factors for addiction, abuse, and misuse. • Initial dose selection: consult conversion instructions.  • Each transdermal system is intended to be worn for 72 hours.  • Adhere to instructions concerning administration and disposal of fentanyl transdermal system.  • Mild to moderate hepatic and renal impairment: Initiate treatment with one half the usual starting dose, titrate slowly, and monitor for signs of respiratory and central nervous system depression. • Do not abruptly discontinue fentanyl transdermal system in a physically-dependent patient.

——————–DOSAGE FORMS AND STRENGTHS———————-

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——————————-CONTRAINDICATIONS——————————

• Opioid non-tolerant patients.  • Acute or intermittent pain, postoperative pain, mild pain.  • Significant respiratory depression. • Acute or severe bronchial asthma in an unmonitored setting or in absence of resuscitative equipment.  • Known or suspected gastrointestinal obstruction, including paralytic ileus.  • Known hypersensitivity to fentanyl or any of the components of the transdermal system. Fentanyl Patch online kaufen

—————————WARNINGS AND PRECAUTIONS——————–

 

• Risk of Increased Fentanyl Absorption with Elevated Body Temperature: Monitor patients with fever closely for sedation and respiratory depression and reduce the dose if necessary. Warn patients to avoid strenuous exertion that may lead to increased body temperature . • Life-Threatening Respiratory Depression in Patients with Chronic Pulmonary Disease or in Elderly, Cachectic, or Debilitated Patients: Monitor closely, particularly during initiation and titration.  • Serotonin Syndrome with Concomitant Use of Serotonergic Drugs: Potentially life-threatening condition could result from concomitant serotonergic drug administration. Discontinue fentanyl transdermal system immediately if serotonin syndrome is suspected.  • Adrenal Insufficiency: If diagnosed, treat with physiologic replacement of corticosteroids, and wean patient off of the opioid. Order Fentanyl Patch Online (Fast and Safe Delivery)- 온라인으로 펜타닐 패치를 구입하고

 

Limitations of use:

• Because of the risks of addiction, abuse, and misuse with opioids, even at recommended doses, and because of the greater risks of overdose and death with extended-release opioid formulations, reserve fentanyl transdermal system for use in patients for whom alternative treatment options (e.g., non-opioid analgesics or immediate-release opioids) are ineffective, not tolerated, or would be otherwise inadequate to provide sufficient management of pain. • Fentanyl transdermal system is not indicated as an as-needed (prn) analgesic – Fentanyl Patch online kaufen – フェンタニルパッチをオンラインで購入し – comprar parche de fentanilo en línea – 온라인으로 펜타닐 패치를 구입하고

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