fentanyl (nasal) (cont.)
What happens if I miss a dose (Lazanda)?
Since fentanyl nasal is used as needed, you are not likely to miss a dose.
What happens if I overdose (Lazanda)?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. A fentanyl overdose can be fatal, especially to a child.
Overdose symptoms may include extreme drowsiness, weak pulse, fainting, and slow breathing (breathing may stop).
What should I avoid while taking fentanyl nasal (Lazanda)?
Avoid using a decongestant nasal spray while you are using fentanyl nasal.
Fentanyl may impair your thinking or reactions. Do not drive or do anything that requires you to be alert.
Grapefruit and grapefruit juice may interact with fentanyl and lead to potentially dangerous effects. Discuss the use of grapefruit products with your doctor.
What other drugs will affect fentanyl nasal (Lazanda)?
Do not use fentanyl nasal with any other narcotic pain medications, sedatives, tranquilizers, sleeping pills, muscle relaxers, or other medicines that can make you sleepy or slow your breathing. Dangerous side effects may result.
Many drugs can interact with fentanyl. Below is just a partial list. Tell your doctor if you are using:
- aprepitant (Emend);
- modafanil (Progivil);
- pioglitazone (Actos, Actoplus Met, Duetact);
- St. John's wort;
- an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), rifabutin (Mycobutin), rifampin (Rifater, Rifadin, Rifamate), telithromycin (Ketek), and others;
- phenobarbital (Solfoton) or other barbiturates;
- antifungal medication such as itraconazole (Sporanox), ketoconazole (Nizoral), miconazole (Oravig), or voriconazole (Vfend);
- heart or blood pressure medication such as diltiazem (Cartia, Cardizem), nicardipine (Cardene), quinidine (Quin-G), verapamil (Calan, Covera, Isoptin, Verelan), and others;
- HIV/AIDS medicine such as delavirdine (Rescriptor), efavirenz (Sustiva, Atripla), fosamprenavir (Lexiva), nevirapine (Viramune), ritonavir (Norvir, Kaletra), and others;
- seizure medication such as carbamazepine (Carbatrol, Tegretol), oxcarbazepine (Trileptal), phenytoin (Dilantin), and others; or
- steroids such as prednisone and others.
This list is not complete and other drugs may interact with fentanyl nasal. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
Where can I get more information?
Your pharmacist can provide more information about fentanyl nasal.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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