Chronic pain, especially breakthrough cancer pain, can be intense and debilitating. Fentanyl lozenges offer specific benefits for patients who deal with breakthrough pain, or pain that flares in spite of daily opioid therapy. Fentanyl lollipops in particular are intended for severe cancer pain.
What Is Fentanyl And Why Is It Behind The Deadly Surge In US Drug Overdoses?
Initial reports of fentanyl abuse were linked to prescription products, but in recent years, illicit fentanyl has become the most commonly abused form. In fact, most fentanyl-related deaths are from fentanyl made in illegal laboratories. Fentanyl is heavily trafficked into the US from other countries and sold as pills or powders, and it has largely replaced heroin in the drug supply. In some cases, these illicit formulations of fentanyl are made to look like other prescription opioid tablets.
Coroners’ offices and state crime laboratories do not test for fentanyl unless given a specific reason to do so. As with any opiate, there is a risk of dependency, tolerance, misuse, and addiction with fentanyl. Physical dependence results in withdrawal symptoms when individuals suddenly stop taking the drug. In this article, we will discuss the medical uses of fentanyl and its side effects.
Dangers Of Fentanyl Lollipop Abuse
The transdermal patch is for the long-term management of pain. This article focuses on injectable fentanyl; more detailed coverage of the transdermal formulation is available in the StatPearls specific article on transdermal fentanyl. See the impact of fentanyl and other synthetic opioids on drug overdose deaths. Fentanyl lollipops are exactly what they sound like—small, flavored lozenges on a stick. Also called Actiq, this form of fentanyl was designed for people who need pain relief quickly and effectively. It works through the mouth, which helps it enter the bloodstream fast.
Transdermal Patch
Keep track of how much fentanyl is left so you will know if any is missing. Store fentanyl at room temperature and away from excess heat and moisture (not in the bathroom). This medication should not be prescribed for other uses; ask your doctor or pharmacist for more information. Help educate your loved one on the risks of fentanyl and make sure they know these harm reduction strategies.
Authentic Prescription Pills And Counterfeit Pill Imitations
Some people who misuse fentanyl remove the gel contents of a fentanyl patch and then inject or ingest the contents. Others might freeze patches and then place frozen pieces under the tongue. Fentanyl should be used along with your other pain medication(s). If you suspect someone is overdosing on fentanyl, call 911 immediately. Many people worry that calling emergency services for someone taking an illegal drug will get them in trouble, but this is not true. Many states have laws that protect not only the person who calls for help, but also the person overdosing from legal trouble.
In An Emergency? Need Treatment?

Due to their potency and potential for misuse, obtaining these lollipops requires a prescription. People are using fentanyl (and other high risk street drugs) more skillfully. They often tell me they’ve adapted to the risks of fentanyl by smoking rather than injecting the drug, which many addiction experts believe is safer (though still incredibly dangerous).
Medical detox provides a safe environment where people can taper off of fentanyl slowly. Medically supervised detoxification (detox) is very important in recovery from fentanyl abuse. Transdermal fentanyl, also called Duragesic, is a patch that can be applied to the skin and worn for up to 24 hours. When an opioid attaches to these receptors, the interaction blocks pain signals, providing relief. But now, deaths nationwide plunged more than 26% from the peak in June 2023, according to the latest preliminary data gathered by the Centers for Disease Control and Prevention.
Do not take more of it or take it more often than prescribed by your doctor. Naloxone and naltrexone are opioid antagonists that reverse the effects of fentanyl. A fentanyl lollipop, also known as the brand name Actiq, is a prescription medication specifically designed for the treatment of breakthrough cancer pain. Breakthrough cancer pain refers to pain experienced by patients who are already on around-the-clock pain medication but still encounter episodes of severe pain. When using fentanyl lollipops, it’s crucial to follow the instructions provided by your healthcare provider.
This can decrease the amount of oxygen that reaches the brain, a condition called hypoxia. Hypoxia can lead to a coma, permanent brain damage, and even death. To prevent accidental fentanyl overdoses, you can use fentanyl test strips to ensure other drugs don’t contain the opioid. You can get them free through some outreach programs, such as needle exchanges or overdose prevention programs. If the patient has used a monoamine oxidase inhibitor in the previous 14 days, fentanyl is contraindicated.
What Does Fentanyl Do And How Is It Misused?
If you or someone you know is struggling with fentanyl use, it is essential to seek professional help. Fentanyl is a synthetic opioid that is about 50 times as potent as heroin. People use fentanyl because it is cheap to manufacture and a small amount goes a long way. Many individuals consume fentanyl without knowledge while others use it intentionally because of its potency. The person should receive immediate medical attention for supportive care and to ensure the emergency has ended. Producers of illicit fentanyl add it to or substitute it for other street drugs to increase profits and the potential for addiction — which keeps their customers coming back for more.
US Overdose Deaths, Select Drugs Or Drug Categories, 1999-2023
- Also, an IV neuromuscular blocker may be employed in cases of severe muscular rigidity to assist the controlled respiration treatments.
- If you suspect someone is overdosing on fentanyl, call emergency services immediately.
- If you’re at a high risk for overdose, have a history of opioid overdose, or live with children or other family members at high risk, your provider might prescribe naloxone (Narcan).
- Fentanyl lollipops are a form of medication that contain the powerful opioid fentanyl.
- If you or someone you know is in need of assistance, reach out to a healthcare professional or a helpline specializing in substance abuse.
Fentanyl addiction is a difficult and often fatal disorder, but opioid use disorders are treatable. Several treatment options are available to help people begin their recovery. If you suspect that somebody is experiencing an opioid overdose, call 911 immediately and follow the instructions of the emergency personnel. Patients may experience breakthrough pain after developing a tolerance to other opioids.
The Effects Of A Fentanyl Lollipop

This drug, used by doctors in hospitals for severe pain, comes in different forms. One form that has gained attention over the years is the fentanyl lollipop. Following a full medical detox from fentanyl, most people benefit from inpatient fentanyl rehab. Inpatient drug rehab can last anywhere from 28 days to several months. Patients stay overnight in the rehab facility and participate in intensive treatment programs and therapy. Once someone completes rehab, their addiction treatment team will create an aftercare plan, which may include continuing therapy and participation in a 12-step program like Narcotics Anonymous.

If A Person Has Naloxone, Is Fentanyl Safe To Use?
It is essential to seek professional help if struggling with fentanyl addiction or misuse. Treatment options, such as medication-assisted treatment and behavioral therapies, can aid in recovery and reduce the risk of long-term consequences. If you are using fentanyl lollipops or know someone who is, it is crucial to have naloxone readily available. You can obtain naloxone from pharmacies, community health centers, or through prescription. It is also important to check the expiration date regularly and replace naloxone as needed.
Long-term options such as weekly therapy can help people maintain their recovery over time. Intensive outpatient programs (IOP) and partial hospitalization programs (PHP) provide the same types of therapy that a person may receive during an inpatient stay. Inpatient treatment provides room and board during the treatment process, and people generally stay for a period of 30 to 90 days or longer, depending on their needs.