Actiq® (fentanyl lozenge) is a medication often prescribed to treat breakthrough cancer pain in people who are regularly using other opioid pain medications to treat their underlying pain. It is a strong opioid narcotic with a high potential for abuse. Because it is considered a "controlled substance," there are strict laws and regulations surrounding the usage of Actiq.
Actiq comes as a lozenge (with a handle) that is placed in the mouth between the cheek and gums. This medication is used on an "as needed" basis, in combination with a regularly scheduled, long-acting narcotic medication.
The initial dose 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 lozenge (30 minutes after starting it), one additional 200-mcg lozenge may be used. After that, another lozenge may not be used for at least four hours.
(Click Actiq Dosage for more information about Actiq usage, to learn about the factors that may affect your dosage of this pain medication and important tips for safely using this drug.)