What should be considered before using fentanyl for breakthrough cancer pain?

Updated: Jan 29, 2018
  • Author: Stephen Kishner, MD, MHA; Chief Editor: Erik D Schraga, MD  more...
  • Print


See the list below:

  • Transmucosal or intranasal spray fentanyl should not be used in opioid-naïve patients.

  • Initiate dosing cautiously in the chosen formulation and titrate to effect.

  • Do not exceed more than 2 doses per breakthrough episode.

  • Consider increasing 24-hour scheduled opioid therapy if more than 4 breakthrough episodes occur in a day.

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!