Doctor insights on:
Fentanyl Oralet Allergy In Children
Like other allergy: Oral transmucosal formulation of fentanyl citrate (OTFC) has been reported to be an effective sedative, providing convenient and atraumatic sedation for children mainly. There can be local irritation or more commonly hives. Even wheeze. It would last while the drug is there (several hours). ...Read more
Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more
It depends: Drug allergies and sensitivities to drugs are different. True allergies usually involve activation of the body's immune system to fight the "foreign" substance, in this case fentanyl. These are often serious and potentially life threatening. Fentanyl sensitivity include side effects like itching, nausea, or rash. These are annoying but not life threatening. Fentanyl rarely causes a true allergy. ...Read more
Ever heard of oral sedation using midazolam syrup to reduce anxiety in addition to oral transmucosal fentanyl citrate for pain prior to surgery?
Duragesic Allergy: An allergy is caused by your immune system and can be of varying degrees. An allergy to Fentanyl, the narcotic in Duragesic, can cause itching and or a rash as well as anaphylaxis, a tumultuous immune response presenting as significant swelling accompanied by difficulty breathing. The adhesive in the patch itself can cause a skin reaction presenting as skin irritation as well as a severe rash. ...Read more
Fentanyl allergy: Fentanyl is narcotic pain reliever. An allergy occurs when your body’s immune system creates antibodies to a foreign substance causing a reaction that can be mild to severe. Anaphylaxis has occurred with Fentanyl use. Https://www. Ncbi. Nlm. Nih. Gov/pmc/articles/PMC3440895/ ...Read more
Duragesic (fentanyl): The label states that its for adults only. Anyone above the age of 18yrs ...Read more
Why do you prefer nalbuphine in children in postop pain control? Why not use fentanyl or pethidine? What's the reason? What advantage?!
It's peak onset: May take 24 hours with first patch, and will recapitulate the build up if a gap of 2 hours without patch occurs. Break though narcotics can be used unitl peak action. ...Read more
Read this link...: Ref: Toxicologic Testing for Opiates: Understanding False-Positive and False-Negative Test Results, as found at: https://www. Ncbi. Nlm. Nih. Gov/pmc/articles/PMC3505132/ ...Read more
Fentanyl: About 48 hoursGet a more detailed answer ›
Would need more info: Fentanyl is a very powerfull opiod 1000 times more patent than morphine. How much opiod was the person taking? Opiod naive patient (persons who are not taking opiods) will react differently than people who are on chronic opiods. It is harder to hurt people on chronic opiods by increasing opiods they are already on but even they can be hurt. Was it given for chronic or new acute pain. It's possible. ...Read more
Fentanyl patch: USe of fentanyl patches results in plasma levels being adequate in about 6-8 hours with the first patch. So if you just went straight to a 100mcgm patch first use it will take 6-8 hours. One should never use a 100mgcm patch as the first selection when using Fentanyl patches - always start low and increase dose as needed and indicated. ...Read more
Yes, of course: The answer is that you can use fentanyl safely, selectively and sparingly. Most of the debate about the role of opioids in chronic pain management is based upon both the safety and efficacy of these drugs and the potential for abuse. Because of concerns about tolerance, physical dependence and addiction, many health professionals are still reluctant to prescribe opioids for chronic pain. ...Read more
Not specifically: Not specifically fentanyl. But any drug capable of causing extreme sedation, which includes any narcotic in overdose, could make someone unaware of the normal sensations that tell us we need to eat. Thus, hypoglycemia could follow. Alcohol specifically is an intoxicant that can cause hypoglycemia. ...Read more
Weaning off drugs.: Stopping the patch "cold turkey" is not something I would recommend for you. The effects are distinctly unpleasant. I would suggest asking your provider to wean the dose of your medication slowly. If they won't do it I suggest getting a second opinion. ...Read more
It can: Every one responds differently to different opioids. Fentanyl usually does cause the same euphoria that other opioids do. Dose can have an impact, as can chronic use of opioids. Fentanyl's primary purpose is analgesia and is highly addictive and potentially dangerous if misused. No opioids should be taken for their side effects ...Read more
Yes and no: There are sublingual and transmucosal forms of fentanyl, available as oral sprays, films, dissolving tablets, and nose spray. It is NOT widely used for post-operative pain managemen, because its safety in that setting has not been proven. It's safety and efficacy has been proven only for opiod-tolerant patients with breakthrough cancer pain.. ...Read more
What would be better for postop pain, sublingual administration of sufentanil (Zalviso) or iontophoretic transmission of fentanyl (Ionsys)?
Duragesic (fentanyl) vicoidn: This is best done with medical direction and a strong mind on your part. This also depends on the dose used of each. I would see your doctor. ...Read more
Pain docs: Pain specialist.Get a more detailed answer ›
Is immune system compromised when w/d from fentanyl? In supervised w/d and I have caught a nasty flu.
It can be: The stress response to withdrawal from opiates can indeed alter your immune system function via stress hormones such as cortisol. However, the flu you caught may have been caught even if you were not withdrawing. Your symptoms may seem worse because the aches and pains feel worse when you are in withdrawal. ...Read more
Oral transmucosal formulation of fentanyl citrate (OTFC) has been reported to be an effective sedative, providing convenient and atraumatic sedation for children mainly. There can be local irritation or more commonly hives. Even wheeze. It would last while the drug ...Read more