buccal fentanyl, an opioid analgesic. The tablet formulation is placed in the mouth to dissolve. ▪ INDICATIONS: This drug is used to treat breakthrough pain in cancer patients who are taking regularly scheduled doses of another opiate pain medication and who are tolerant to opiates. ▪ CONTRAINDICATIONS: Known intolerance or hypersensitivity to this drug or its components prohibits its use. This drug must not be used in the management of acute or postoperative pain. ▪ ADVERSE EFFECTS: Adverse effects of this drug include dizziness, delirium, euphoria, light-headedness, sedation, dysphoria, agitation, anxiety, confusion, headache, depression, bradycardia, hypotension, hypertension, facial flushing, chills, chest pain, dysrhythmias, blurred vision, miosis, nausea, vomiting, diarrhea, cramps, anorexia, constipation, dyspepsia, urinary retention, urgency, dysuria, frequency, oliguria, sweating, pruritus, rash, erythema, papules, asthenia, depressed cough, hypoventilation, dyspnea, hiccups, and apnea. Life-threatening side effects include cardiac arrest, respiratory depression, laryngospasm, and bronchospasm.
