Hypersensitivity to fentanyl or adhesives;
Acute pain (onset not rapid enough);
Mild or intermittent pain;
Alcohol intolerance (small amounts of alcohol released into skin);
OB: Not recommended during labor and delivery;
Lactation: May cause adverse affects in infant.Use Cautiously in:
Patients with severe pulmonary or hepatic disease;
↑ intracranial pressure;
Undiagnosed abdominal pain;
Cardiac disease (particularly bradyarrhythmias);
Fever or situations that increase body temperature (↑ release of fentanyl from delivery system);
Titration period (additional analgesics may be required);
Cachectic or debilitated patients (dose ↓ suggested because of altered drug disposition);
Pedi: Safety not established for children <2 yr; pediatric patients initiating therapy at 25 mcg/hr should be opioid tolerant and receiving at least 60 mg oral morphine equivalents per day;
Geri: Dose ↓ suggested due to altered drug disposition.
fentaNYL (transdermal) has been found in Davis's Drug Guide
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