Onsolis is designed to help relieve sudden flares of pain that occur in people with cancer, despite their use of around-the-clock pain medication. It comes in the form of a soluble film that dissolves on the inside cheek in the mouth. Onsolis is only approved for use in adults who are at least 18 years old and who are used to the effects of opioid medications.
What Is Onsolis Used For?
Onsolis™ (fentanyl buccal soluble film) is a strong prescription opioid medication approved to treat breakthrough pain in people with cancer. It comes as a small film, which dissolves inside the mouth along the cheek.
Onsolis is only approved for use in people who are already taking other regularly scheduled opioid pain medications for their underlying cancer pain. Onsolis is used as needed to help relieve sudden flares of pain that occur despite using an around-the-clock opioid pain medication. These sudden flares of pain are called "breakthrough" pain.
This medication should only be used in people who have already been using opioids and who are tolerant to their effects. Therefore, it should not be used to treat acute pain (pain expected to last a short amount of time), headache or migraine pain, or pain from surgery or other medical or dental procedures.
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 every day for at least a week.
Onsolis is a Schedule II controlled substance because it has a very high potential for abuse. Schedule II medications are considered to have the highest abuse potential of all prescription medicines. Therefore, there are strict rules and regulations for prescribing and obtaining them.
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