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Actiq Dosage

Before prescribing Actiq, your healthcare provider will take into consideration several factors, including the type and severity of your pain, and other medications you are taking. The initial dosage of Actiq for treating breakthrough pain is one 200-mcg lozenge every four hours as needed. If this strength does not provide adequate pain relief, your healthcare may need to increase your dosage.

An Introduction to Dosing With Actiq

The dose of Actiq® (fentanyl lozenge) your healthcare provider recommends will vary depending on a number of factors, including:
  • The type and severity of your pain
  • How you respond to the medication
  • Other medications you are taking
  • Other medical conditions you may have.
As is always the case, do not adjust your dosage unless your healthcare provider specifically tells you to do so.

Initial Actiq Dosage

The initial dosage of Actiq for breakthrough pain is 200 mcg every fours hours as needed. This dose should be consumed over a 15-minute period. If pain is still present 15 minutes after completing the Actiq dose (30 minutes after starting it), one additional 200-mcg lozenge may be used. After that, another Actiq lozenge may not be used for at least four hours.
Your healthcare provider will likely ask you to record your Actiq usage for several episodes of breakthrough pain, in order to determine if you need a higher dose. Normally, only six Actiq lozenges are prescribed at a time, especially initially, to allow for close monitoring and individual dosing adjustments.

Dosing Adjustments

If needed, your healthcare provider will increase your dosage of Actiq until most of your breakthrough pain episodes are relieved with just one Actiq lozenge. If one lozenge causes extreme side effects, your healthcare provider may decrease your dose.
Alternative Therapies for Pain Management

Actiq Lozenge Information

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