Adults who have breakthrough cancer pain may benefit from Fentora. This prescription medication is designed for people who have cancer and are taking a regularly scheduled narcotic pain medicine. Fentora works to treat sudden bursts of pain that "break through" the around-the-clock medicine. People over the age of 65 should use Fentora with caution, as they may have an increased risk for side effects.
What Is Fentora Used For?Fentora® (fentanyl buccal tablets) is a strong prescription opioid medication licensed to treat breakthrough pain (sudden bursts of pain that "break through" around-the-clock pain medication). Specifically, it is used to treat breakthrough pain in people who are taking regularly scheduled narcotic pain medication for underlying cancer pain. It comes as a small buccal tablet, which is dissolved inside the mouth between the cheek and gum (it can also be placed under the tongue).
Fentora is used on an as-needed basis, in combination with another regularly scheduled narcotic pain medication. It should not be used to treat acute pain (pain expected to last a limited amount of time), headache or migraine pain, or pain from surgery or other medical or dental procedures.
When treating chronic pain, an effective strategy for pain relief often includes using a baseline, around-the-clock medication to control most of the pain, without causing too much drowsiness or other side effects, plus adding a rescue medication for breakthrough pain. Fentora is commonly used as the rescue medication in such a strategy.
This medication should only be used in people who have already been using opioids, and who are tolerant to their effects. In general, people are considered opioid tolerant if they have been taking at least 60 mg of morphine, 30 mg of oxycodone, 8 mg of hydromorphone, 25 mcg of fentanyl patch (Duragesic®), or an equivalent dose of another opioid medication every day for at least a week.
Fentora is a Schedule II controlled substance, because it has a high potential for abuse. Schedule II medications are considered to have the highest abuse potential of all prescription medicines. As such, there are strict rules and regulations for prescribing and obtaining this medication.