What is Lazanda?
Lazanda nasal spray contains fentanyl. This opioid pain medication is also known as fentanyl. Narcotic is another name for an opioid.Lazanda nasal is used for "breakthrough" cancer. It is combined with non-fentanyl pain medication that is taken around the clock.This medication should not be used to treat pain that isn't related to cancer, such as pain caused by dental work or migraine.Lazanda can only be used under a specific programme if it is not given in a hospital. To use this medication, you must register with the programme.
Warnings
Lazanda should not be used unless your body has become tolerant of a similar opioid pain medication. Lazanda should not be used to replace other forms of fentanyl. You will not receive the same dosage if you switch.Fentanyl may cause breathing problems and addiction. Do not exceed the prescribed dosage. Never give this medication to anyone else.Lazanda should not be used to treat pain that's not cancer-related. This includes pain caused by dental work, surgery, or migraine headaches. MISTAKEN USE OF NARCOTIC MEDICATIONS CAN CAUSE ADDICTION OR DEATH. This is especially true for children or anyone who uses the medication without a prescription.Fentanyl can interact with many other drugs. Tell your doctor if you are taking any other medications or if you will stop using them during your treatment with Lazanda.Lazanda should be kept out of the reach of children. Each bottle of Lazanda contains enough fentanyl to be deadly for a child.
Before you take this drug
If you're not sure if your body is opioid-tolerant, talk to your doctor.Inform your doctor of any children who live in the house where you plan to store this medication. Keep away from children. Lazanda contains a high amount of fentanyl, which can be deadly to children.
Tell your doctor about any of the following to ensure that Lazanda will be safe for you:
- Sleep apnea, breathing problems
- A head injury, brain tumour, or seizures;
- Mental illness and drug or alcohol abuse are both mental illnesses.
- Urination problems
- Liver or kidney disease
- A blockage of your stomach or intestines
- You may have problems with your thyroid, gallbladder, or pancreas.
Your baby may develop a dependence on Lazanda if you take it while pregnant. This could cause withdrawal symptoms that are life-threatening for the newborn. Babies who are born addicted to habit-forming drugs may require medical care for several weeks. Inform your physician as soon as you realize you're pregnant or planning on becoming pregnant.Lazanda can also cause drowsiness or breathing problems in nursing infants. You should not breastfeed if you are taking this medication.This medication should not be given to anyone younger than 18 years of age.
How to take Lazanda?
Lazanda should not be used to replace other fentanyl products, including Abstral, Actiq Fentora Onsolis Duragesic, or generic brands (injections, skin patches, dissolving films, and "lollipop" devices).Even at low doses, fentanyl can become habit-forming. This medicine should never be shared with anyone else. Misuse of narcotic pain medication can cause addiction, overdose, or death, especially for children or others who use the medicine without a prescription.Lazanda can be sprayed into one nostril. Your doctor may change your dose. Please follow all the instructions on the prescription label. Fentanyl may slow your breathing or even stop it. Lazanda should never be used in higher doses or for a longer period of time than prescribed. If the medication does not seem to be working as well at relieving pain, tell your doctor.Continue to use your narcotic pain medication around the clock, but do not combine Lazanda with another form of fentanyl.You will not use the exact same dose if you switch from another form to Lazanda. Start with 100 micrograms.Use only one dose per episode of cancer pain.If you continue to experience pain 30 minutes after using nasal spray, call your doctor. Do not use the nasal spray more than four times in a 24-hour period. Wait at least two hours after using Lazanda to treat a new pain episode.Lazanda should not be used to treat more than four pain episodes in a day. If you experience pain in a breakthrough manner more than four times per day, call your doctor.If you suddenly stop taking this medication after long-term usage, you may experience unpleasant withdrawal symptoms. Ask your doctor about how to prevent withdrawal symptoms if you suddenly stop taking this medication.Keep it out of the reach of children. Each bottle of Lazanda contains enough fentanyl to be deadly for a child.Lazanda should not be used if it has been inactive for more than 5 days. After you prime a spray, toss it after 14 days, even if it still contains medicine.Store away from heat or moisture at room temperature. When not in use, keep the bottle tightly sealed and in the child-resistant container.Track your medication. Fentanyl can be abused, so you need to know if someone is taking your medication without a prescription or improperly.Keep leftover opioid medications out of the reach of children. One dose of this medication can be fatal for someone who uses it incorrectly or accidentally. You should ask your pharmacist about a drug disposal program. If there isn't a take-back programme available, flush any unused medication down the toilet.
What happens if I miss the dose?
Lazanda helps with pain, so you won't miss a dosage. If the next scheduled dosage of your medication is approaching, do not take a missed one. You should not take extra medicine to compensate for a missed dose.
What happens if I overdose?
Call the Poison Help Line at 1-800-222-1222 or seek emergency medical care. An overdose of fentanyl can be deadly, especially if it is taken by a child or someone who has not been prescribed the drug.
What should be avoided?
Don't drink alcohol. Side effects and death can occur.Fentanyl can affect your ability to think or react. Do not drive or operate machinery until you are sure how the medicine will affect your body. Drowsiness or extreme dizziness can lead to accidents or falls.Grapefruit and grapefruit juice can interact with fentanyl to cause unwanted side effects. Talk to your doctor about the use of grapefruit-based products.
Side effects of Lazanda
If you experience any of the following symptoms of an allergic reaction: hives, difficulty breathing, swelling of the face, lips, or throat, and/or difficulty breathing, seek emergency medical attention.Fentanyl, like other narcotics, can cause breathing problems. If breathing becomes weak, death may result. If you have long, slow breaths with blue lips or are unable to wake up, someone caring for you needs to seek medical help immediately.
If you experience:
- Slow heartbeat, sighing, and shallow breathing during sleep, stopping breathing.
- Confusion, fear of the unknown, abnormal thoughts or behaviours;
- Dizziness, feeling like you might pass out;
- Symptoms of fatigue or weakness that worsen
Serotonin syndrome symptoms include: hallucinations and agitation; fever, sweating, or shivering; rapid heartbeat; muscle stiffness and twitching; and loss of coordination.The risk of serious side effects is higher in elderly adults, those with malnutrition, or those who are debilitated.Men or women may be affected by long-term opioid use. The effects of opioids on fertility may not be permanent.
Lazanda can cause a variety of side effects.
- Nausea, vomiting, constipation
There may be other side effects. For medical advice on side effects, call your doctor. The fda can be contacted at 1-800-fda-1088 to report side effects.
Interaction with other drug
Lazanda may be less effective or cause side effects if you take certain drugs. You should tell your doctor if other medications, such as antifungal medication, heart or blood-pressure medications, or medications to treat hiv and aids, are also being taken.
Fentanyl may interact with other drugs, causing dangerous side effects and even death. Tell your doctor if you use:
- Other narcotic medication: opioid pain medication or prescription cough medicine
- A sedative such as valium, diazepam (alprazolam), lorazepam (lorazepam), ativan, klonopin (restoril), tranxene (versed), xanax, and others.
- Drugs that slow down your breathing or make you sleepy—a sleeping tablet, muscle relaxer, or tranquillizer;
- Drugs that affect the serotonin level in your body—medicines for depressive disorders or parkinson’s disease.
This list is incomplete. Other drugs, such as vitamins and herbs, may interact with fentanyl. This medication guide does not cover every potential interaction.
