Description

1. Why am I taking ABSTRAL?

Buy Abstral Pills contains the active ingredient fentanyl (as citrate). ABSTRAL is a strong pain medicine used to treat breakthrough cancer pain in adults who are already receiving an effective maintenance dose of opioid therapy for their underlying cancer pain. For more information, see Section 1. Why am I taking ABSTRAL? in the full CMI.

2. What should I know before I take ABSTRAL?

Do not take Buy Abstral Pills if you have ever had an allergic reaction to fentanyl or any of the ingredients listed at the end of the CMI. Talk to your doctor if you have any other medical conditions, take any other medicines, or are pregnant or plan to become pregnant or are breastfeeding. For more information, see Section 2. What should I know before I take ABSTRAL? in the full CMI.

3. What if I am taking other medicines?

Some medicines may interfere with Buy Abstral Pills and affect how it works. A list of these medicines is in Section 3. What if I am taking other medicines? in the full CMI.

4. How do I take ABSTRAL?

Buy Abstral Pills sublingual tablet is placed under your tongue until dissolved. Do not suck, chew or swallow the tablet
Do not eat or drink anything until the tablet is completely dissolved. If needed, you can moisten your mouth by rinsing it with water before placing the tablet under your tongue.

Do not take ABSTRAL:
If you are allergic to fentanyl or any of the ingredients listed at the end of this leaflet. Always check the ingredients to make sure you can use this medicine.

If you are allergic to any other similar medicines (such as other opioid analgesics)

For other types of short-term or acute pain (e.g. post-operative pain, headache, migraine)

If you are not already receiving (and are not tolerant to) opioid maintenance therapy for cancer-related pain
If you have any lung conditions or breathing difficulties.

Check with your doctor if you have or have had:
Difficulty breathing, wheezing, chronic cough, asthma or other breathing conditions such as chronic obstructive pulmonary disease (COPD),
Myasthenia gravis (immune disease that causes muscle weakness)

A brain tumour, increased pressure in your skull, reduced alertness, coma, or head injury
Heart problems
Liver or kidney problems
Low blood pressure
Mouth wounds or mucositis (inflammation and ulceration of the mouth or gut lining)

During treatment, you may be at risk of developing certain side effects. It is important you understand these risks and how to monitor for them. See additional information under Section 6. Are there any side effects?

5. What if I am taking other medicines?

Tell your doctor or pharmacist if you are taking any other medicines, including any medicines, vitamins or supplements that you buy without a prescription from your pharmacy, supermarket or health food shop.

Some medicines may interfere with ABSTRAL and affect how it works. These include:

some antibiotics used to treat infections such as erythromycin, rifampicin or rifabutin

some medicines used to treat fungal infections such as ketoconazole and itraconazole
some medicines used to treat HIV infections such as ritonavir
some medicines used to treat convulsions/fits such as gabapentin, pregabalin, carbamazepine, phenobarbital or phenytoin
other medicines used to treat pain
cough suppressants
medicines used for surgery (anaesthetics) and muscle relaxants
some antihistamines
medicines used to help you relax, sleep, relieve anxiety, depression and mental disorders, such as barbiturates, benzodiazepines, cannabis
some antidepressants such as phenelzine and selegiline, as these may increase the risk of a potentially life-threatening condition called serotonin

syndrome. Symptoms of serotonin syndrome include confusion, fast heartbeat, hallucinations, restlessness, shaking, shivering, sudden jerking of muscles, sweating)
alcohol
certain types of strong pain killers such as buprenorphine, nalbuphine and pentazocine. You could experience symptoms of withdrawal syndrome (nausea, vomiting, diarrhoea, anxiety, chills, tremor, and sweating) while using these medicines.