fentanyl lozenge (cancer pain only) - buccal, Actiq (cont.)

PRECAUTIONS: Before taking fentanyl, tell your doctor or pharmacist if you are allergic to it; or to other narcotic pain medications (e.g., morphine); or if you have any other allergies.This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: severe breathing problems (e.g., respiratory depression), certain bowel diseases (e.g., paralytic ileus, infectious diarrhea), intoxication with medications that depress the nervous system or your breathing (CNS/respiratory depressants such as alcohol or tranquilizers/sedatives).Before using this medication, tell your doctor or pharmacist your medical history, especially of: diabetes, lung diseases (e.g., chronic obstructive pulmonary disease-COPD, hypoxia, hypercapnia), gallbladder disease, brain disorders (e.g., seizures, head injury, tumor, increased intracranial pressure), kidney disease, liver disease, heart problems (e.g., slow/irregular heartbeat), personal or family history of regular use/abuse of drugs/alcohol, underactive thyroid (hypothyroidism), difficulty urinating (e.g., due to enlarged prostate or urethral stricture), mental/mood disorders (e.g., toxic psychosis), adrenal gland problem (e.g., Addison's disease), disease of the pancreas (e.g., pancreatitis), a certain spinal problem (kyphoscoliosis), intestinal diseases (e.g., colitis), recent bowel/abdominal surgery.This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid alcoholic beverages.Before having surgery, tell your doctor or dentist that you are using this medication.To lower your risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.This medication contains sugar and may increase your risk of getting cavities. Maintain good oral hygiene (e.g., brushing, flossing) and have regular dental check-ups. Caution is also advised if you have diabetes. Ask your doctor or pharmacist about using this product safely.Caution is advised when using this drug in the elderly because they may be more sensitive to its effects, especially slow/shallow breathing and drowsiness.During pregnancy, this medication should be used only when clearly needed. Using it for long periods or in high doses near the expected delivery date is not recommended because of possible harm to the unborn baby. Discuss the risks and benefits with your doctor. Infants born to mothers who have used this type of medication for an extended time may have withdrawal symptoms such as irritability, abnormal/persistent crying, vomiting, or diarrhea. Tell your doctor immediately if you notice any of these symptoms in your newborn.This drug passes into breast milk and could have undesirable effects on a nursing infant. Therefore, breast-feeding is not recommended while using this drug. Consult your doctor before breast-feeding.

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