3. HOW TO USE
When you first start using <TRADENAME>, your doctor will work with you to find the dose that will relieve your breakthrough pain. It is very important that you use <TRADENAME> exactly as the doctor tells you.
- Do not change doses of <TRADENAME> or your other pain medicines on your own. Change in dose must be prescribed and checked by your doctor.
- If you are not sure about the right dose or if you have questions about taking this medicine, talk to your doctor.
How the medicine gets into your body
When you place the lozenge in your mouth:
- The lozenge dissolves and the active ingredient is released. It takes around 15 minutes for this to happen.
- The active ingredient is absorbed through the lining of your mouth, into the blood system.
Taking the medicine like this allows it to be absorbed quickly. This means that it relieves your breakthrough pain quickly.
While the right dose is being found
You should start to feel some relief quickly while you are taking <TRADENAME>. However, while you and the doctor are finding out the dose that controls your breakthrough pain, you may not get enough pain relief 30 minutes after starting to use one <TRADENAME> unit (15 minutes from when you finish using the <TRADENAME> unit). If this happens, your doctor may allow you to use a second <TRADENAME> unit of the same strength for that same episode of breakthrough pain. Do not use a second unit unless your doctor tells you to. Never use more than two units to treat a single episode of breakthrough pain.
While the right dose is being found, you may need to have more than one strength of <TRADENAME> units at home. However, keep only the strengths of <TRADENAME> units you need in the house. This is to stop possible confusion or overdose. Talk to your pharmacist about how to dispose of any <TRADENAME> units you do not need.
How many units to use
Once the right dose has been found with your doctor, use 1 unit for an episode of breakthrough pain. Talk to your doctor if your right dose of <TRADENAME> does not relieve your breakthrough pain for
several episodes of breakthrough pain in a row. Your doctor will decide if your dose needs to be changed.
You must tell your doctor straight away if you are using <TRADENAME> more than four times per day. This is because he may wish to change your medicine for your persistent (around-the-clock) pain. When he has done this, when your persistent pain has been controlled, he may need to change your dose of <TRADENAME>. For the most effective relief, tell your doctor about your pain and how <TRADENAME> is working for you. This is so that the dose can be changed if needed.
How to use the medicine
Opening the pack – each <TRADENAME> unit is sealed in its own blister pack.
- Open the pack when you are ready to use it. Do not open it in advance.
- Hold the blister pack with the printed side away from you.
- Hold the short tab end of the blister pack.
- Put scissors close to the end of <TRADENAME> unit and cut the long tab end completely off (as shown).
- Separate the printed backing from the blister pack and pull the printed backing completely off the blister pack.
- Remove the <TRADENAME> unit from the blister pack and put the lozenge in your mouth straight away.
Using the <TRADENAME> unit
- Put the lozenge between your cheek and gum.
- Using the handle, keep moving the lozenge round in your mouth, especially along your cheeks. Twirl the handle often.
- To get the most effective relief, finish the lozenge completely in 15 minutes. If you finish too quickly, you will swallow more of the medicine and get less relief from your breakthrough pain.
- Do not bite, suck or chew the lozenge. This would mean lower blood levels and less pain relief than when used as directed.
- If for some reason you are not finishing the whole lozenge each time you have breakthrough pain, talk to your doctor.
How often you should use <TRADENAME>
Once a dose is found that effectively controls your pain, do not use more than four <TRADENAME> units each day. If you think you might need to use more than four <TRADENAME> units per day, talk to your doctor straight away.
How many <TRADENAME> units you should use
Do not use more than two units to treat any single episode of breakthrough pain.
If you use more <TRADENAME> than you should
The most common side effects of using too much are feeling sleepy, sick or dizzy.
- If you begin to feel dizzy, sick, or very sleepy before the lozenge is completely dissolved, take it out of your mouth and call another person in your house to help you.
A serious side effect of <TRADENAME> is slow and/or shallow breathing. This can occur if your dose of <TRADENAME> is too high or if you take too much <TRADENAME>.
• If this happens, get medical help straight away.
What to do if a child or adult accidentally takes <TRADENAME>
If you think someone has accidentally taken <TRADENAME>, get medical help straight away. Try to keep the person awake (by calling their name and shaking their arm or shoulder) until emergency help arrives.
If you forget to use <TRADENAME>
If you still have the breakthrough pain, you may use <TRADENAME> as your doctor has told you. If the breakthrough pain has stopped, do not use <TRADENAME> until the next breakthrough pain episode.
If you stop using <TRADENAME>
Do not stop using <TRADENAME> without talking to your doctor. There are usually no noticeable effects if you stop using <TRADENAME>. Keep taking your usual opioid medicine to treat your persistent (around-the-clock) pain as instructed by your doctor.
If you have any further questions on the use of this product, ask your doctor or pharmacist.