ACTIQ made these powerful candies to treat breakthrough pain in cancer patients 16 years of age and older who are already receiving and who are tolerant to around-the-clock opioid therapy for their cancer pain.
Legally, these meds are only dispensed to patients that are enrolled in the TIRF REMS Access program.
These lollipops come in pretty high dosages because this medication is intended for cancer patients who are experiencing intense breakthrough pain.
They range from 200, 400, 600, 800, 1200, and 1600 µg (microgram) doses per lollipop.
These doses are very high for an opiate and present a strong risk for those who are not highly opiate tolerant. There is a very real risk of overdose and death if incorrectly administered.
To get an idea of how extremely potent Fentanyl is, consider this: The 1600 µg lollipop is equipotent to 160mg of morphine. That’s very strong. Additionally, the oral bioavailability of morphine is 25%, but the oral bioavailability of fentanyl is 50%. So really, 1600µg of this stuff is could be considered equal to 320 mg of morphine.
fentanyl lollipop side effects
The high doses present in these things can be dangerous, causing some severe opioid side effects. You’ll pick up a tolerance very quickly from these, if you don’t have it already that is. Also, these things can be very addictive. Remember, this stuff is way stronger than morphine.
Also, the sugar content is very high in these. So long term application of the lollipops has been known to cause dental issues like cavities. This happens quicker when the lollipop (sugar) is placed directly against the gums for long periods of time where there is no protective enamel.
Best ways to administer.
Many users have reported that it is better to put it under your tongue or in your cheeks and you shouldn’t suck on it, but rather just leave in your mouth for 15-30 minutes.
Mouth absorption (transmucosally) gives about 50% bioavailability, while oral consumption / swolling the medication proves around 33% bioavailability. The stomach absorbs Fentanyl very poorly.
Price / Street Price
The pharmacy price for these is around $10 a pop.
For street prices, they range from $15 to $50. Sometimes more. The amount of drug compared to the price is often extravagant, but people who abuse these enjoy the novelty of the lollipop and find it worthwhile.
Dangers associated with fentanyl lollipop abuse
When compared to other opioids available Fentanyl is definitely one of the most potent available.
So potent, in fact, that it has Fentanyl carries the highest rate of respiratory depression of the readily available opioids in the world. Couple this with it’s effects being far less “euphoric” than it’s opioid cousins (oxycodone, morphone, heroin etc.. ), and you have a dangerous mix.
Often times people can overdose and die without even feeling any of the particularly pleasurable effects they are accustomed to experiencing with other opiates.
What have your experiences been like with the Fentanyl lollipop? Let us know in the comments.