Guest guest Posted August 1, 2012 Report Share Posted August 1, 2012 > M wrote: > I have a pain management follow up today at seven pm. I will be asking my primary care doctor, once again, to restart my Actiq or replace it with something comperable. Please wish me luck, I'm REALLY going to need it. Steve, With all love and compassion just ask the Cancer Treatment Of America's PA Brain Center and Pain Center if they could provide that for you. Does the Fentora help? Check this interview out from a pain doctor with a pain condition in PA. Chronic Pain Advocacy Meetups near Manchester, Pennsylvania ... chronic-pain-advocacy.meetup.com/cities/us/pa/manchester/ Find Meetup Groups in Manchester, PA, us about Chronic Pain Advocacy. Gorchesky interview 2(3) www.conquerchiari.org/.../Gorchesky%20interview%202(3).html Dr. Mark Gorchesky - Pain Expert, Pain Patient, Pain Advocate ... to help people in a different way, by starting the PAIN Foundation of Western Pennsylvania. Will be thinking of you! Bennie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2012 Report Share Posted August 7, 2012 Bennie CTCA said they couldn't help the last time that I checked, but I'll check again. Fentora is similar to Actiq in that it is another for of oral transmucosal fentanyl citrate. Actiq is a lozenge on a stick with a lot of sugar, so it is bad for patients' teeth. They planned a sugar free form, but it was never released due to the release of Fentora. Fentora is a small tablet that you place between your gums and lip that dissolves and delivers almost all of the dose through the mucosa into the bloodstream. You can stop Actiq mid-dose of you need to (or if you simply don't need the rest of it). Actiq delivers 25% transmucosally for fast onset and relief, but you also swallow 75%. One third of the swallowed dose (25% of the full dose) makes it past the liver to the blood slowly, which prevents rebound pain (Fentora doesn't). Because of first pass metabolism, two thirds of the swallowed dose (50% of the full dose) is destroyed by the liver before it ever reaches the bloodstream. 1200mcg lozenges = 600mcg Fentora If I could get my insurance to cover it, it would be an acceptable alternative (as long as it wasn't my only breakthrough medication) to OTFC (generic Actiq). Actually, any TIRF (transmucosal immediate release fentanyl) product would be an acceptable alternative to Actiq. TIRF products include, Actiq, Fentora, Onsolis, Abstral, Lazanda, Subsys, and OTFC (oral transmucosal fentanyl citrate). Unfortunately. I don't know of any doctors willing to prescribe Fentora either. Thanks for the advice*.* Steve M in PA Steve, Does the Fentora help? Quote Link to comment Share on other sites More sharing options...
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