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ABSTRAL (fentanyl) sublingual tablets are indicated for the management of breakthrough pain in cancer patients 18 years aged and older who are already receiving and who are tolerant to opioid therapy for his or her underlying persistent cancer pain. Patients considered opioid tolerant are those that are taking around-theclock medicine consisting of a minimum of 60 mg of oral morphine daily, or a minimum of 25 mcg of transdermal fentanyl/hour, or a minimum of 30 mg of oral oxycodone daily, or a minimum of 8 mg of oral hydromorphone daily or a minimum of 25 mg oral oxymorphone daily, or an equianalgesic dose of another opioid medication daily for every week or longer. Patients must remain on around-the-clock opioids when taking ABSTRAL.
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Before taking Abstral, tell your doctor if you have: Ulcers or mouth sores, any breathing condition, any history of brain tumor, head injury, or seizures, slow heartbeats, low blood pressure, or any other heartbeat condition and any mental state like hallucinations, depression Note that if a pregnant woman is using Abstral, the baby could become dependent on Fentanyl, which can cause life-threatening withdrawal symptoms in the baby after birth. Such babies might need medical treatment for a few weeks. It is required of you to tell the doctor if you are pregnant or you are planning to be pregnant. You should also avoid breastfeeding while pregnant.
How to use Abstral
You should get it exactly as prescribed by the doctor. Follow all the instruction on the prescription label. You take the Abstral tablet by placing it under the tongue, far back as possible. Never chew, break, and swallow the tablet whole or suck. Allow the tablet to dissolve in your mouth without chewing it. Avoid eating or drinking anything at this time.
One can use a second Abstral dose 30 minutes after taking the first one. You should take the same amount and strength you used in the early treatment. Never treat more than four episodes of pain in a day.
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You are unlikely to miss a dose or overdose since this is a pain drug. However, if it happens, take the missed dose immediately you remember or skip if it is almost time for the missed dose. Never use an extra dose to make up for the missed dose. In case of an overdose, seek medical care immediately.