Drugs Home > What Is Fentanyl Buccal Soluble Film Used For?

Fentanyl buccal soluble film is approved for treating breakthrough cancer pain in adults who are taking an around-the-clock pain medication. This medicine should only be used by people who are already accustomed to the effects of opioid medications. Do not take this painkiller to treat short-term pain, including headaches or pain following a surgery. There are currently no off-label uses for fentanyl buccal soluble film.

An Introduction to Uses of Fentanyl Buccal Soluble Film

Fentanyl buccal soluble film (Onsolis™) is a strong prescription opioid medication approved to treat breakthrough pain in people with cancer. It comes as a small film, which dissolves inside the mouth along the cheek.
Fentanyl buccal soluble film is only approved for use in people who are already taking other regularly scheduled opioid pain medications for their underlying cancer pain. Fentanyl buccal soluble film is used as needed to help relieve sudden flares of pain that occur despite using an around-the-clock opioid pain medication. These sudden flares of pain are called "breakthrough" pain.
This medication should only be used in people who have already been using opioids and who are tolerant to their effects. Therefore, it should not be used to treat acute pain (pain expected to last a short time), headache or migraine pain, or pain from surgery or other medical or dental procedures.
In general, people are considered opioid tolerant if they have been taking at least 60 mg of morphine, 30 mg of oxycodone, 8 mg of hydromorphone, 25 mcg of fentanyl patch (Duragesic®), or an equivalent dose of another opioid every day for at least a week.
Fentanyl buccal soluble film is a Schedule II controlled substance because it has a high potential for abuse. Schedule II medications are considered to have the highest abuse potential of all prescription medicines. Therefore, there are strict rules and regulations for prescribing and obtaining them.
Written by/reviewed by:
Last reviewed by: Kristi Monson, PharmD;
Last updated/reviewed:
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