Advice

Following an abbreviated submission

fentanyl sublingual tablets (Abstral) are accepted for restricted use in NHS Scotland for the management of breakthrough pain in adult patients using opioid therapy for chronic cancer pain.

Use of sublingual fentanyl tablets should be restricted to patients who are unsuitable for other short-acting opioids e.g. oral morphine. This product offers an alternative to buccal administration at a reduced cost per administration.

Prescribers should be aware of the differing absorption and elimination characteristics of available oral fentanyl preparations; doses are not interchangeable.

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Medicine details

Medicine name:
fentanyl sublingual (Abstral)
SMC ID:
534/09
Indication:
Management of breakthrough pain in adult patients using opioid therapy for chronic cancer pain
Pharmaceutical company
ProStrakan
BNF chapter
Central nervous system
Submission type
Abbreviated
Status
Restricted
Date advice published
09 February 2009