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*  Study of the Safety of BEMA™ Fentanyl Use for Breakthrough Pain in Cancer Subjects on Chronic Opioid Therapy - Full Text View -...
Regularly experience 1 - 4 breakthrough pain episodes per day that require additional opioids for pain control ... The standard of care for these breakthrough pain episodes is a rapid onset, short acting analgesic with minimal associated ... Oral transmucosal fentanyl citrate (OTFC) has been used successfully in treating breakthrough pain episodes associated with ... Breakthrough Pain. Pain. Neurologic Manifestations. Nervous System Diseases. Signs and Symptoms. Fentanyl. Analgesics, Opioid. ...
  https://clinicaltrials.gov/ct2/show/NCT00293020
*  Sublingual Methadone for the Management of Cancer-related Breakthrough Pain in Outpatients
Pain due to cancer or its treatment; controlled baseline pain;. - episodes of breakthrough pain every day that are "4/10" in ... have breakthrough pain that in the opinion of the investigator is likely to change. within the next seven days (recent or ... to demonstrate the feasibility of a novel model to assess sublingual methadone to breakthrough pain in the outpatient setting ... pain,. - new chemotherapy or use of an injectable bisphosphonate likely to alter the pain, new. use corticosteroids within the ...
  http://www.knowcancer.com/cancer-trials/NCT00351715/
*  Long-term Safety and Efficacy Study of Fentanyl Sublingual Spray for the Treatment of Breakthrough Cancer Pain - Full Text View...
Patients received fentanyl sublingual spray to treat up to a maximum of 4 breakthrough pain episodes per day with a minimum ... Experience on average 1 to 4 breakthrough cancer pain episodes per day usually at least partially controlled by supplemental ... Long-term Safety and Efficacy Study of Fentanyl Sublingual Spray for the Treatment of Breakthrough Cancer Pain. The safety and ... Titration was stopped when the dose administered provided adequate analgesia for breakthrough pain without unacceptable side ...
  https://clinicaltrials.gov/ct2/show/NCT00538863
*  Fentora How Long Does It Stay in Your System? | The Recovery Village
Fentora is an opioid narcotic that's prescribed to alleviate breakthrough pain in cancer patients. Fentora has a rapid onset of ... Fentora is taken only when episodes of breakthrough pain occur. Sublingual opioids such as Fentora may be taken recreationally ... Fentora is an opioid narcotic that's prescribed to alleviate breakthrough pain in cancer patients. Fentora has a rapid onset of ... By binding to them, the opioid receptors become activated to reduce the patient's perception of pain. In addition to pain ...
  https://www.therecoveryvillage.com/fentora-addiction/how-long-stay-in-system/
*  Oxymorphone Hydrochloride (Professional Patient Advice) - Drugs.com
Advise patient to report episodes of breakthrough pain and adverse reactions to health care provider. ... If pain recurs, incrementally increase the dose to reestablish pain control.. Use With CNS Depressants. Adults Initiate therapy ... PO Relief of moderate to severe acute pain (immediate-release); relief of moderate to severe pain in patients requiring around- ... Titrate to optimal pain relief, taking into account pain intensity and adverse reactions. ...
  https://www.drugs.com/ppa/oxymorphone-hydrochloride.html
*  Long-term Extension Study of BEMA™ Fentanyl
2. wish to continue using BEMA Fentanyl for treatment of breakthrough pain episodes, and. 3. provide signed informed consent at ... Open-label, Long-term Extension Study for Treatment of Breakthrough Cancer Pain With BEMA™ Fentanyl. Trial Phase:. Phase 3. ... Open-label, Long-term Extension Study for Treatment of Breakthrough Cancer Pain With BEMA™ Fentanyl ...
  http://www.knowcancer.com/cancer-trials/NCT00696137/
*  These highlights do not include all the information needed to use Oxymorphone Hydrochloride safely and effectively. see full...
Advise patients to report episodes of breakthrough pain and adverse experiences occurring during therapy to their doctor. ... Titrate dose to adequate pain relief (generally mild or no pain). Patients who experience breakthrough pain may require dosage ... Titrate dose to adequate pain relief (generally mild or no pain).. Opioid-Naïve Patients Patients who have not been receiving ... If the level of pain increases, effort should be made to identify the source of increased pain, while adjusting the dose [see ...
  https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=82cc28da-27d1-4d29-83ab-e6719e49750d&type=display
*  Effective Management of Breakthrough Pain in Cancer Patients Using Intranasal Fentanyl | Cancer Network
... but still experienced episodes of breakthrough pain everyday. Intranasal fentanyl spray is aimed at managing breakthrough pain ... at 10 minutes following dosing with intranasal fentanyl spray among patients with cancer who experience breakthrough pain was ... All patients involved in the trial were already receiving effective treatment to control background pain, ... but still experienced episodes of breakthrough pain everyday. Intranasal fentanyl spray is aimed at managing breakthrough pain ...
  http://www.cancernetwork.com/palliative-and-supportive-care/effective-management-breakthrough-pain-cancer-patients-using-intranasal-fentanyl
*  AKELA Pharma Inc. announces positive results for the extension part of its Phase IIb Fentanyl TAIFU... ( http://w...
Breakthrough pain episodes are sudden and intense flares of pain that "break through" a long-acting continuous treatment, such ... Breakthrough pain episodes are common in cancer patients, often occurring several times a day. ... pain and CNS markets. Its lead product, for the treatment of breakthrough cancer pain, is a fast-acting Fentanyl formulation ... for the whole 60 min pain episode (P=0.050). This was already seen in numerical pain scale scores up to 15 minutes (P=0.008) ...
  http://www.bio-medicine.org/medicine-news-1/AKELA-Pharma-Inc--announces-positive-results-for-the-extension-part-of-its-Phase-IIb-Fentanyl-TAIFUN-28R-29-trial-526-1/
*  Majority of Patients Satisfied with Fentanyl Sublingual Spray for Breakthrough Cancer Pain - MPR
... a study presented at the American Pain Society's 31st Annual Scientific Meeting has concluded. ... Compared with previous medications for breakthrough cancer pain, use of fentanyl sublingual spray significantly improved ... Patients who were opioid-tolerant and had 1-4 episodes of breakthrough cancer pain per day were included in the study.. ... HONOLULU, HI-Compared with previous medications for breakthrough cancer pain, use of fentanyl sublingual spray significantly ...
  http://www.empr.com/aps-2012-chronic-pain/majority-of-patients-satisfied-with-fentanyl-sublingual-spray-for-breakthrough-cancer-pain/article/241650/
*  Abstral (fentanyl) dose, indications, adverse effects, interactions... from PDR.net
... may titrate at consecutive episodes of breakthrough pain. During any episode of breakthrough cancer pain, if there is ... Do not treat more than 4 episodes of breakthrough pain in a day with Abstral. If a patient has greater than 4 breakthrough pain ... 2 doses/break-through pain episode, and 4 treated episodes/day of Abstral sublingual; 1600 mcg/dose, 2 doses/break-thru pain ... Once an appropriate breakthrough dose is determined, if a patient has greater than 4 breakthrough pain episodes per day, then ...
  https://www.pdr.net/drug-summary/Abstral-fentanyl-1395
*  ACTIQ 400MCG LOZENGE WITH INTEGRAL OROMUCOSAL APPLICATOR | Drugs.com
If the breakthrough pain has stopped, do not. use ACTIQ until the next breakthrough pain. episode.. If you stop using ACTIQ. ... ACTIQ does not relieve your breakthrough. pain for several episodes of breakthrough. pain in a row. Your doctor will decide if ... pain. Breakthrough pain is additional. sudden pain that occurs suddenly in spite. of your having taken your usual opioid. pain- ... for that same episode of breakthrough pain.. Do not use a second unit unless your doctor. tells you to. Never use more than two ...
  https://www.drugs.com/uk/actiq-400mcg-lozenge-with-integral-oromucosal-applicator-leaflet.html
*  Effective Pain Management - Caregiver.com
There are a variety of options for pain control and doctors work toward addressing side effects that can occur with pain ... Effective pain control improves the individual's state of mind and ability to move through the healing process. ... Breakthrough pain may occur in the same area as the chronic pain, but not always. Noting the events leading up to the episode ... TYPES OF PAIN. Acute pain can occur at the same time chronic pain is experienced. The euphemism "breakthrough pain" is one type ...
  https://caregiver.com/articles/effective-pain-management/
*  Asthma drugs head Japan approvals - PharmaTimes
The product will be sold by Kyowa Hakko Kirin for the management of episodes of breakthrough pain experienced by cancer ...
  http://www.pharmatimes.com/news/asthma_drugs_head_japan_approvals_1005722
*  Tapentadol Hydrochloride Monograph for Professionals - Drugs.com
Patients with chronic pain who experience episodes of breakthrough pain may require dosage adjustment or supplemental analgesia ... Pain. Conventional tablets or oral solution: Relief of acute pain that is severe enough to require an opiate analgesic and for ... Pain. Oral. For acute pain not related to trauma or surgery, limit prescribed quantity to amount needed for the expected ... If level of pain increases after dosage stabilization, attempt to identify source of increased pain before increasing dosage.1 ...
  https://www.drugs.com/monograph/tapentadol-hydrochloride.html
*  Actiq Dosage Guide - Drugs.com
Thus patients should take a maximum of two doses of ACTIQ for any episode of breakthrough pain.. b.. Patients MUST wait at ... Breakthrough Pain fentanyl, Subsys, Fentora, Abstral, Lazanda, Onsolis, More.... Pain tramadol, acetaminophen, Tylenol, ... The initial dose of ACTIQ to treat episodes of breakthrough cancer pain is always 200 mcg. The ACTIQ unit should be consumed ... Patients must wait at least 4 hours before treating another episode of breakthrough pain with ACTIQ. To reduce the risk of ...
  https://www.drugs.com/dosage/actiq.html
*  Lazanda - Side Effects, Uses, Dosage, Overdose, Pregnancy, Alcohol | RxWiki
No more than 2 doses should be taken for each episode of breakthrough pain and no more than 4 episodes of pain should be ... No more than 2 doses should be taken for each episode of breakthrough pain; wait at least 4 hours before treating another ... Each episode of pain can be treated with a single spray into one nostril or a single spray into each nostril. If adequate pain ... Lazanda manages breakthrough cancer pain. Can cause constipation. Talk to your doctor about which laxatives and stool softeners ...
  http://www.rxwiki.com/lazanda
*  Onsolis - Side Effects, Uses, Dosage, Overdose, Pregnancy, Alcohol | RxWiki
No more than 2 doses should be taken for each episode of breakthrough pain and no more than 4 episodes of pain should be ... No more than 2 doses should be taken for each episode of breakthrough pain; wait at least 4 hours before treating another ... Each episode of pain can be treated with a single spray into one nostril or a single spray into each nostril. If adequate pain ... The recommended dose/dose range of (LAZANDA) fentanyl nasal spray for the treatment of breakthrough cancer pain is 100 mcg to ...
  http://www.rxwiki.com/onsolis
*  Oxymorphone hydrochloride | definition of oxymorphone hydrochloride by Medical dictionary
Instruct patient taking Opana or Opana ER to report episodes of breakthrough pain and adverse reactions (especially severe ... Pain in immediate postoperative period (first 12 to 24 hours), or if pain is mild or not expected to persist for extended ... Monitor patient receiving Opana or Opana ER for breakthrough pain and adverse reaction (especially severe constipation). ... Moderate to severe pain. Adults: 1 to 1.5 mg I.M. or subcutaneously q 4 to 6 hours p.r.n.; or initially, 0.5 mg I.V., increased ...
  https://medical-dictionary.thefreedictionary.com/oxymorphone+hydrochloride
*  The Gate Theory of Pain Revisited: Modeling Different Pain Conditions with a Parsimonious Neurocomputational Model
... wind-down pain), and (e) when an intense pain generates a transitory wind-down episode followed by breakthrough pain. ... 3.2.3. Breakthrough Pain Simulation. Breakthrough pain [21] is defined as "a transitory exacerbation of pain experienced by the ... breakthrough pain, wind-up pain, and wind-down pain.. 3.2.1. Phantom Pain Simulation. Let us start with the so called "phantom ... To test the model, other painful conditions were analyzed: phantom limb pain, wind-up and wind-down pain, breakthrough pain, ...
  https://www.hindawi.com/journals/np/2016/4131395/
*  Orexo AB Announces Submission of a New Drug Application for KW-2246 (Abstral®) in Japan | BioSpace
The product has previously been approved in the US, EU and Canada for the management of episodes of breakthrough pain ... a fentanyl sublingual tablet developed for the treatment of breakthrough cancer pain. KW-2246 (Abstral) is a rapidly- ... experienced by cancer patients who already are receiving opioid analgesics for chronic pain. ...
  https://www.biospace.com/article/releases/orexo-ab-announces-submission-of-a-new-drug-application-for-kw-2246-abstral-and-0174-in-japan-/
*  Fentanyl Dosage
If you find that you experience more than four episodes of breakthrough pain each day, contact your healthcare provider. Your ... contact your healthcare provider if your dose does not adequately manage your pain for several breakthrough episodes in a row. ... one dose should be enough to adequately treat the majority of your breakthrough pain episodes. ... opioid pain medication as well. Using an 'as-needed' fentanyl product alone will not control your pain. ...
  http://pain.emedtv.com/fentanyl/fentanyl-dosage-p2.html
*  Cephalon Announces FDA Advisory Committee Recommendation Against Approval of an Expanded Label f... ( Cephalon to Hold...
If the breakthrough pain episode is not relieved after 30 minutes, patients may take ONLY one additional dose using the same ... If the breakthrough pain episode is not relieved after 30 minutes, patients may take ONLY one additional dose using the same ... for the management of breakthrough pain in opioid-tolerant patients with chronic pain conditions. The panel expressed concerns ... FENTORA is indicated only for the management of breakthrough pain in patients with cancer who are already receiving and who are ...
  http://www.bio-medicine.org/medicine-news-1/Cephalon-Announces-FDA-Advisory-Committee-Recommendation-Against-Approval-of-an-Expanded-Label-for-FENTORA-18584-1/
*  Cephalon Receives FDA Approval for Risk Evaluation and Mitigation Strategy for FENTORA... ( FRAZER Pa. July 21 2011 /- Cephalon...
If the breakthrough pain episode is not relieved 15 minutes after completion of the ACTIQ unit, patients may take ONLY ONE ... If the breakthrough pain episode is not relieved after 30 minutes, patients may take ONLY one additional dose using the same ... FENTORA is indicated only for the management of breakthrough pain in patients with cancer who are already receiving and who are ... ACTIQ is indicated only for the management of breakthrough cancer pain in patients with malignancies who are already receiving ...
  http://www.bio-medicine.org/medicine-technology-1/Cephalon-Receives-FDA-Approval-for-Risk-Evaluation-and-Mitigation-Strategy-for-FENTORA-and-ACTIQ-18941-1/
*  Trigeminal Neuralgia Treatment & Management: Approach Considerations, Overview of Antiepileptic Drugs, Carbamazepine Therapy
It is characterized by unilateral pain following the sensory distribution of cranial nerve V (typically radiating to the ... is a distinctive facial pain syndrome that may become recurrent and chronic. ... Neurosurgical consultation is needed when medical treatment does not effectively control episodes of breakthrough facial pain. ... only to restart it when the pain recurs. Once a patient experiences breakthrough pain on a single agent, a second and even ...
  https://emedicine.medscape.com/article/1145144-treatment