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Actiq 400mcg (Fentanyl Citrate) OTFC Lozenges


Actiq (Fentanyl Citrate) 400mcg lollipops/lozenges:

Actiq (Fentanyl Citrate) treats severe, ongoing pain that cannot be controlled with other medicines. This medicine is a narcotic pain reliever.

You can buy Actiq lollipops online Fentanyl Citrate 400mcg lozenges without prescription (No RX).

product price is as: per stick (lollipop)
Minimum order quantity is: 30 sticks (lollipops / lozenges)


Actiq 400mcg for sale without prescription online. for patient already receiving and tolerant to opioid analgesics. buy Actiq 400mcg for sale now online..


Initial dose: 100 mcg SL

Individually titrate to tolerable dose that provides adequeate analgeisa for breakthrough pain

Not to exceed 2 doses/breakthrough pain episode

Wait at least 2 hr before treating another episode of breakthrough pain

Limit consumption to 4 or fewer breakthrough pain episodes/24 hr

Administer on floor of mouth directly under tongue and allow to completely dissolve

200 mcg dissolve in mouth over 15 min period, PRN; wait 15 min before taking next dose

Titrate up to 1600 mcg; limit consumption to <4 units/day

Gradual downward titration for discontinuation.

Not equivalent on a mcg-per-mcg basis to any other oral transmucosal fentanyl product

Individually titrate to dose providing adequate analgesia with tolerable adverse effects

Only available via special access program

  • From the 100 mcg initial dose, closely follow patients and change the dosage level until the patient reaches a dose that provides adequate analgesia using a single dosage per breakthrough cancer pain episode with tolerable side effects; patients should record their use of Subsys over several episodes of breakthrough cancer pain and review their experience with their physicians to determine if a dosage adjustment is warranted
  • For each breakthrough pain episode treated, if pain is not relieved after 30 minutes, patients may take only 1 additional dose of the same strength for that episode; thus patients should take a maximum of 2 doses of Subsys for any breakthrough pain episode. Actiq 400mcg without prescription
  • Patients must wait at least 4 hours before treating another episode of breakthrough pain
  • If there is a need to titrate to a 200 mcg dose, prescribe 200 mcg Subsys units
  • Subsequent titration steps are 400 mcg, 600 mcg, 800 mcg, 1200 mcg and 1600 mcg (see prescribing information)
  • To reduce the risk of overdose during titration, patients should have only one strength of Subsys available at any time


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