If this dose is not successful in controlling the breakthrough pain episode, the patient may be instructed to place two 100 mcg tablets on each side of the mouth in the buccal cavity (total of four 100 mcg tablets). ![]() ![]() Patients require to titrate above 100 mcg can be instructed to use two 100 mcg tablets (one on each side of the mouth in the buccal cavity). Increasing the dose: Titration should be initiated using multiples of the 100 mcg Fentanyl tablet.Re-dosing may occur 30 minutes after the start of administration of Fentanyl and the same dosage strength should be used. Re-dosing patients within a single episode: Dosing may be repeated once during a single episode of breakthrough pain if pain is not adequately relieved by one Fentanyl dose.Starting Dose: The initial dose of Fentanyl should be 100 mcg.
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