Intra-nasal (IN) Fentanyl
Why am I getting this handout?
Your child is in pain and needs treatment right away. We believe the Intra-nasal Fentanyl is the best way to take away severe pain in children. It is the quickest and least painful way without a needle stick.
What are the ways to give pain medicine?
- Nose spray - the quickest and most effective without a needle stick.
- IV - effective, but it is painful and scary to children.
- By mouth - takes too long to go into effect (up to 30 minutes).
What is Fentanyl?
Fentanyl is a strong pain medicine. It works in 5 to 10 minutes. This medicine is often used in IV form to reduce moderate to severe pain.
How is this medicine given?
We use a device called an atomizer, as shown.
How soon will it take effect?
Within 5 to 10 minutes.
Are there any side effects?
No serious problems have been reported. When the medicine is given, your child may have
- Mild irritation of the nose causing brief gagging or coughing
- May become sleepy
How long will the effects of this medicine last?
The effects will last 30 to 45 minutes.
What should I do after the medicine is given?
You should not let your child walk or wander around; watch for falling.
Tell one of the ED staff if your child
- Becomes sleepy
- Has breathing problems
- Is not acting right
- Still has pain 15 minutes after the medicine was given
The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.
Last Updated: 11/27/2012
Copyright © 11/27/2012 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#7233
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