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Abstral

Opioids, sometimes called narcotics, are a type of drug. They include strong prescription pain relievers, such as oxycodone, hydrocodone, fentanyl, and tramadol. The illegal drug heroin is also an opioid. Some opioids are made from the opium plant, and others are synthetic (man-made).

A doctor may give you a prescription opioid to reduce pain after you have had a major injury or surgery. You may get them if you have severe pain from health conditions like cancer. Some doctors prescribe them for chronic pain.

Opioids can cause side effects such as drowsiness, mental fog, nausea, and constipation. They may also cause slowed breathing, which can lead to overdose deaths. If someone has signs of an overdose, call 911:

  • The person's face is extremely pale and/or feels clammy to the touch
  • Their body goes limp
  • Their fingernails or lips have a purple or blue color
  • They start vomiting or making gurgling noises
  • They cannot be awakened or are unable to speak
  • Their breathing or heartbeat slows or stops

Other risks of using prescription opioids include dependence and addiction. Dependence means feeling withdrawal symptoms when not taking the drug. Addiction is a chronic brain disease that causes a person to compulsively seek out drugs, even though they cause harm. The risks of dependence and addiction are higher if you misuse the medicines. Misuse can include taking too much medicine, taking someone else's medicine, taking it in a different way than you are supposed to, or taking the medicine to get high.

Opioid misuse, addiction, and overdoses are serious public health problems in the United States. Another problem is that more women are misusing opioids during pregnancy. This can lead to babies being addicted and going through withdrawal, known as neonatal abstinence syndrome (NAS). Opioid misuse may sometimes also lead to heroin use, because some people switch from prescription opioids to heroin.

The main treatment for prescription opioid addiction is medication-assisted treatment (MAT). It includes medicines, counseling, and support from family and friends. MAT can help you stop using the drug, get through withdrawal, and cope with cravings. There is also a medicine called naloxone which can reverse the effects of an opioid overdose and prevent death, if it is given in time.

To prevent problems with prescription opioids, be sure to follow your doctor's instructions when taking them. Do not share your medicines with anyone else. Contact your doctor if you have any concerns about taking the medicines.

NIH: National Institute on Drug Abuse

Abstral FDA Approved Drugs

ABSTRAL [Fentanyl CitrateC22H28N2OC6H8O7]
RX
-
eq 0.1mg base (sublingual tablet)
eq 0.2mg base (sublingual tablet)
eq 0.3mg base (sublingual tablet)
eq 0.4mg base (sublingual tablet)
eq 0.6mg base (sublingual tablet)
eq 0.8mg base (sublingual tablet)
Sentynl Theraps IncJan 7, 2011
  • Management of breakthrough pain in patients with cancer.
efficacy
3.0  (1)
side effects
0.0  (0)
danger
0.0  (0)

UNK

ACTIQ [Fentanyl CitrateC22H28N2OC6H8O7]
RX
-
eq 0.2mg base (transmucosal troche/lozenge)
eq 0.4mg base (transmucosal troche/lozenge)
eq 0.6mg base (transmucosal troche/lozenge)
eq 0.8mg base (transmucosal troche/lozenge)
eq 1.2mg base (transmucosal troche/lozenge)
eq 1.6mg base (transmucosal troche/lozenge)
CephalonNov 4, 1998
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

FENTANYL CITRATE [Fentanyl CitrateC22H28N2OC6H8O7]
RX
-
eq 0.05mg base/ml (injection injectable)
eq 0.2mg base (transmucosal troche/lozenge)
eq 0.4mg base (transmucosal troche/lozenge)
eq 0.6mg base (transmucosal troche/lozenge)
eq 0.8mg base (transmucosal troche/lozenge)
eq 1.2mg base (transmucosal troche/lozenge)
eq 1.6mg base (transmucosal troche/lozenge)
HospiraJan 12, 1985
MallinckrodtOct 30, 2009
Par PharmOct 30, 2009
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

FENTANYL CITRATE PRESERVATIVE FREE [Fentanyl CitrateC22H28N2OC6H8O7]
RX
-
eq 0.05mg base/ml (injection injectable)
HospiraSep 24, 1991
West-ward Pharms IntJul 11, 1984
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

FENTORA [Fentanyl CitrateC22H28N2OC6H8O7]
RX
-
eq 0.1mg base (buccal, sublingual tablet)
eq 0.2mg base (buccal, sublingual tablet)
eq 0.4mg base (buccal, sublingual tablet)
eq 0.6mg base (buccal, sublingual tablet)
eq 0.8mg base (buccal, sublingual tablet)
CephalonSep 25, 2006
  • Management of breakthrough pain in patients with cancer by buccal or sublingual administration of fentanyl.
  • Management of breakthrough pain in patients with cancer.
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

LAZANDA [Fentanyl CitrateC22H28N2OC6H8O7]
RX
-
eq 0.1mg base (nasal spray, metered)
eq 0.3mg base (nasal spray, metered)
eq 0.4mg base (nasal spray, metered)
Depomed IncJun 30, 2011
  • Management of breakthrough pain in cancer patients 18 years of age and older who are receiving and tolerant to opioid therapy for their underlying persistent cancer pain.
  • Management of breakthrough pain in patients with cancer.
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

SUBLIMAZE PRESERVATIVE FREE [Fentanyl CitrateC22H28N2OC6H8O7]
RX
-
eq 0.05mg base/ml (injection injectable)
AkornApproved Prior To Jan 1, 1982
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

WARNING: Consult a licensed physician in the appropriate field for medical treatment and drug prescription. Do not self medicate.