Patient Information Leaflet
Fentanilo Matrix Sandoz 12 micrograms/hour Transdermal Patches EFG
Fentanilo Matrix Sandoz 25 micrograms/hour Transdermal Patches EFG
Fentanilo Matrix Sandoz 50 micrograms/hour Transdermal Patches EFG
Fentanilo Matrix Sandoz 75 micrograms/hour Transdermal Patches EFG
Fentanilo Matrix Sandoz 100 micrograms/hour Transdermal Patches EFG
Read this leaflet carefully before you start using this medicine because it contains important information for you.
1.What is Fentanilo Matrix Sandoz and what it is used for.
2.What you need to know before starting to use Fentanilo Matrix Sandoz..
3.How to use Fentanilo Matrix Sandoz..
4.Possible side effects.
5Storage of Fentanilo Matrix Sandoz.
6.Contents of the pack and additional information.
The name of this medication is Fentanilo Matrix Sandoz.
The patches help to relieve very strong and long-lasting pain:
Fentanilo Matrix Sandoz contains a medication called fentanilo. It belongs to a group of strong pain-relieving medications called opioids.
Do not use this medicine if you or your child is in any of the above circumstances. If you are unsure, consult your doctor or pharmacist before using fentanyl.
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If the patch sticks to another person
The patch should only be used on the skin of the person for whom the doctor has prescribed it. There have been some cases where the patch has accidentally stuck to another family member by close physical contact or sharing the same bed with the person wearing the patch. If the patch accidentally sticks to another person (particularly a child), the medicine in the patch can pass through the other person's skin and may cause serious side effects, such as difficulty breathing, slow or weak breathing, which can be fatal. In the event that the patch sticks to someone else's skin, it should be removed immediately and the person should see a doctor.
Be especially careful with Fentanilo Matrix Sandoz
Consult your doctor or pharmacist beforeusing this medicine if you are in any of the following circumstances. Your doctor will need to monitor you more closely if:
If you meet any of the above conditions (or are unsure), consult your doctor or pharmacist before using Fentanilo Matrix Sandoz.
While using the patch, report to your doctor if you experience breathing problems while sleeping.Fentanyl and other opioids can cause sleep-related breathing disorders such as sleep apnea (pauses in breathing while sleeping) and sleep-related hypoxemia (low oxygen levels in the blood). Talk to your doctor if you, your partner, or caregiver notice any of the following symptoms:
While using the patch, report to your doctor if you notice a change in the pain you feel.If you experience:
Do not change your dose on your own. Your doctor may decide to adjust your dose or change your treatment.
Side effects and Fentanilo Matrix Sandoz
In rare cases, these breathing problems can be life-threatening or even fatal, especially in people who have not used strong prescription painkillers (such as fentanyl or morphine) before. If you, or your partner or caregiver, notice that the person wearing the patch is unusually sleepy, slow or weak breathing:
- remove the patch,
- call a doctor or go to the nearest hospital immediately,
- keep the person moving and talking as much as possible.
See section 4 for a complete list of possible side effects.
Do not expose the patch to direct heat, such as heating pads, electric blankets, hot water bottles, hot tubs, or heat lamps or tanning beds. Do not take the sun or long hot baths and do not use saunas or hot tubs. If you do, you may increase the amount of medicine released from the patch.
Long-term use and tolerance
This medicine contains fentanyl, an opioid. Repeated use of opioid painkillers can make the medicine less effective (your body becomes accustomed to it, known as pharmacological tolerance). You may also become more sensitive to pain when using fentanyl transdermal patches. This is known as hyperalgesia. Increasing the dose of the patches may continue to reduce pain for a while, but it may also be harmful. If you notice that the medicine is losing its effectiveness, consult your doctor. Your doctor will decide whether to increase the dose or gradually reduce the use of fentanyl transdermal patches.
Dependence and addiction
The repeated use of Fentanilo Matrix Sandoz can also cause dependence, abuse, and addiction, which could lead to a potentially fatal overdose. The risk of these side effects may be higher with a higher dose and longer use. Dependence or addiction can cause you to feel a lack of control over the amount of medicine you should use or how often you should use it. You may feel the need to continue using the medicine even if it no longer helps to relieve pain.
The risk of dependence or addiction varies from person to person. The risk of becoming dependent or addicted to Fentanilo Matrix Sandoz may be higher if:
If you notice any of the following symptoms while using Fentanilo Matrix Sandoz, it could be a sign of dependence or addiction.
If you notice any of these signs, consult your doctor to determine the best course of treatment for you, when it is appropriate to stop using the medicine, and how to do it safely.
Withdrawal symptoms when stopping useFentanilo Matrix Sandoz
Do not stop using this medicine abruptly. Withdrawal symptoms such as restlessness, difficulty sleeping, irritability, agitation, anxiety, feeling your heartbeat (palpitations), increased blood pressure, feeling or being sick, diarrhea, loss of appetite, tremors, chills, or sweating may occur. If you want to stop using this medicine, talk to your doctor first. Your doctor will advise you on how to do it, usually by gradually reducing the dose to minimize unpleasant withdrawal symptoms.
Other medicines and Fentanilo Matrix Sandoz
Inform your doctor or pharmacist if you are taking, have taken recently, or may need to take any other medicine. This includes over-the-counter medicines and herbal remedies. You should also inform your pharmacist that you are using fentanyl if you buy any other medicine from the pharmacy.
Your doctor will know which medicines can be taken safely with Fentanilo Matrix Sandoz. They may need to monitor you closely if you are taking any of the following medicines or if you stop taking any of the following medicines, as this may affect the amount of fentanyl you need.
Particularly, inform your doctor or pharmacist if you are taking:
Fentanilo Matrix Sandoz with antidepressants
The risk of side effects increases if you are taking certain antidepressants. Fentanyl may interact with these medicines and you may experience changes in your mental state, such as feeling agitated, seeing, feeling, hearing, or smelling things that are not there (hallucinations), and other effects such as changes in blood pressure, rapid heartbeat, high body temperature, hyperactive reflexes, poor coordination, muscle stiffness, nausea, vomiting, and diarrhea.
Fentanilo Matrix Sandoz with central nervous system depressants, including benzodiazepines, alcohol, and some narcotics
Consult your doctor if you are taking any other medicine that slows down your central nervous system (CNS depressants). CNS depressants include medicines that make you sleep, reduce anxiety, or decrease consciousness (see also "Other medicines and Fentanilo Matrix Sandoz"); but alcohol and some narcotics are also CNS depressants. The use of this type of medicine with fentanyl can cause severe drowsiness, decreased consciousness, difficulty breathing with slow or shallow breathing, coma, and death. Due to this, concomitant use should only be considered when other treatment options are not possible.
However, if your doctor prescribes fentanyl along with sedatives, your doctor should limit the dose and duration of concomitant treatment. Follow your doctor's recommendations closely. It may be helpful to inform friends or family members who are aware of the signs and symptoms mentioned above. Contact your doctor when you experience these symptoms.
Do not drink alcohol while using Fentanilo Matrix Sandoz unless you have previously discussed it with your doctor.
Surgery
If you think you will be receiving anesthesia, inform your doctor or dentist that you are using Fentanilo Matrix Sandoz.
Pregnancy and breastfeeding
If you are pregnant or breastfeeding, or think you may be pregnant, consult your doctor or pharmacist before using this medicine.
Fentanyl should not be used during pregnancy unless you have discussed it with your doctor.
Fentanyl should not be used during labor as the medicine can affect the newborn's breathing.
Prolonged use of fentanyl during pregnancy can cause withdrawal symptoms (such as loud crying, feeling restless, convulsions, poor feeding, and diarrhea) in your newborn, which can be potentially fatal if not recognized and treated. Talk to your doctor immediately if you think your baby may be experiencing withdrawal symptoms.
Do not use fentanyl if you are breastfeeding. Do not breastfeed for 3 days after removing the Fentanilo Matrix Sandoz patch. This is because the medicine can pass into breast milk.
Driving and operating machinery
Fentanilo Matrix Sandoz may affect your ability to drive and use machines or tools, as it may cause drowsiness or dizziness. If this happens, do not drive or operate tools or machines. Do not drive while using this medicine until you know how it affects you.
Talk to your doctor or pharmacist if you have any doubts about whether it is safe for you to drive while using this medicine.
Do not use this medicine if you are allergic to peanuts or soy.
Always follow exactly the administration instructions of this medication as indicated by your doctor. In case of doubt, consult your doctor or pharmacist again.
Your doctor will decide what concentration of fentanyl is most suitable for you, taking into account the intensity of the pain, your general condition, and the type of pain treatment you have received so far.
Before starting treatment and regularly during it, your doctor will also explain to you what you can expect from the use of Fentanilo Matrix Sandoz, when and for how long you should use it, when you should contact your doctor, and when you should discontinue use (see also section 2, Withdrawal symptoms when stopping the use of Fentanilo Matrix Sandoz).
Use and change of patches
Apply your patch onChange your patch on |
MondayThursday |
TuesdayFriday |
WednesdaySaturday |
ThursdaySunday |
FridayMonday |
SaturdayTuesday |
SundayWednesday |
Adults
Children
Adults and children:
Do not apply the patch to
Applying a patch
Step 1: Prepare the skin
Step 2: Open the package
Step 3: Remove and press
Step 4: Remove the patch
Step 5: Wash your hands
More about using Fentanilo Matrix Sandoz
Daily activities while using the patches
- Do not use hot tubs.
- Do not place a tight or elastic fabric over the patch.
How quickly do the patches work?
For how long will you have to use the patches?
If the pain worsens
If you use too many patches or a patch with the wrong dose
If you have applied too many patches or a patch with the wrong dose, remove the patches and contact your doctor immediately, go to the hospital, or call the Toxicology Information Service, phone 91 562 04 20, indicating the medication and the amount applied.
The signs of overdose include breathing problems or weak breathing, fatigue, extreme drowsiness, inability to think clearly, walk, or speak normally, and dizziness or confusion. An overdose can also cause a brain disorder known as toxic leukoencephalopathy.
If you forget to change your patch
If a patch falls off
If you want to stop using the patches
If you have any other questions about using this product, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everyone will experience them.
If you, or your partner, or caregiver, observe any of the following signs in the person wearing the patch, remove the patch and call a doctor, or go to the nearest hospital immediately. You may need urgent medical treatment.
Follow the previous recommendations and keep the person wearing the patch moving and talking as much as possible. In very rare cases, these breathing difficulties can put a person's life at risk or even be fatal, especially in people who have not used strong opioid analgesics (such as Fentanilo Matrix Sandoz or morphine) before. (Rare, may affect up to 1 in 100 people).
The following side effects have also been reported
Very common (may affect more than 1 in 10 people):
Common (may affect up to 1 in 10 people):
Rare (may affect up to 1 in 1,000 people):
Unknown frequency (cannot be estimated from available data)
You may notice rashes, redness, or a mild itching sensation on the skin where the patch is applied. It is usually mild and disappears after removing the patch. If it does not, or if the patch irritates your skin a lot, inform your doctor.
Repeated use of the patches may make the medicine less effective (you become "tolerant" to it) or may cause dependence.
If you switch from another painkiller to Fentanilo Matrix Sandoz or if you suddenly stop using Fentanilo Matrix Sandoz, you may experience withdrawal symptoms such as dizziness, nausea, diarrhea, anxiety, or tremors. Inform your doctor if you notice any of these symptoms.
There have also been cases of newborn babies experiencing withdrawal symptoms after their mothers used Fentanilo Matrix Sandoz for an extended period during pregnancy.
Reporting of side effects
If you experience any type of side effect, consult your doctor, pharmacist, or nurse, even if it is a possible side effect that does not appear in this leaflet. You can also report them directly through the Spanish System for the Pharmacovigilance of Medicines for Human Use:https://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medicine.
Keep all patches (used and unused) out of sight and reach of children.
Store this medication in a protected and secure location, where other people cannot access it. It can be very harmful and cause death to people who may accidentally or intentionally use this medication when not prescribed.
Do not use this medication after the expiration date that appears on the box and on the pouch after “CAD/EXP”. The expiration date is the last day of the month indicated.
Store in the original packaging.
A used or unused patch accidentally stuck to another person, especially a child, can be fatal. Used patches should be folded firmly in half, so that the adhesive side of the patch adheres to itself. They should then be disposed of safely by placing them back in the original pouch and storing them out of sight and reach of other people, especially children, until they are disposed of safely.
Medications should not be thrown down the drain or in the trash. Dispose of the containers and medications you no longer need at the SIGRE collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of the containers and medications you no longer need. This will help protect the environment.
The active ingredient is fentanilo.
Fentanilo Matrix Sandoz 12 micrograms/hour transdermal patches
Each transdermal patch (5.25 cm² of absorption surface area) contains: 2.89 mg of fentanilo (which corresponds to a release rate of 12.5 micrograms/hour of fentanilo).
Fentanilo Matrix Sandoz 25 micrograms/hour transdermal patches
Each transdermal patch (10.5 cm² of absorption surface area) contains: 5.78 mg of fentanilo (which corresponds to a release rate of 25 micrograms/hour of fentanilo).
Fentanilo Matrix Sandoz 50 micrograms/hour transdermal patches
Each transdermal patch (21 cm² of absorption surface area) contains: 11.56 mg of fentanilo (which corresponds to a release rate of 50 micrograms/hour of fentanilo).
Fentanilo Matrix Sandoz 75 micrograms/hour transdermal patches
Each transdermal patch (31.5 cm² of absorption surface area) contains: 17.34 mg of fentanilo (which corresponds to a release rate of 75 micrograms/hour of fentanilo).
Fentanilo Matrix Sandoz 100 micrograms/hour transdermal patches
Each transdermal patch (42 cm² of absorption surface area) contains: 23.12 mg of fentanilo (which corresponds to a release rate of 100 micrograms/hour of fentanilo).
The other components are:
Protective film (remove before applying the patch to the skin):
Polycarbonate film, siliconized
Matrix adhesive layer:
Hydrogenated colophony resin
Poly(2-ethylhexyl acrylate-co-vinyl acetate)
Refined soybean oil
Waterproof coating film:
Polycarbonate film
Printing ink
Appearance of the product and contents of the package
Fentanilo Matrix Sandozis a transparent, rounded, and oblong transdermal patch with an adhesive membrane and covered with a protective film (which is removed before application) so it can be stuck to the skin.
Fentanilo Matrix Sandozis available in packages with 3, 5, 7, 10, 14, 16, and 20 transdermal patches.
Hospital packs with 5 transdermal patches.
Only some package sizes may be marketed.
Marketing Authorization Holder
Sandoz Farmacéutica S.A.
Centro Empresarial Parque Norte
Edificio Roble
C/ Serrano Galvache, 56
28033 Madrid
Spain
Hexal AG
Industriestrasse 25
83607 Holzkirchen
Germany
Last review date of thisleaflet:April 2024
More detailed information about this medication is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS)http://www.aemps.gob.es/
Have questions about this medication or your symptoms? Connect with a licensed doctor for guidance and personalized care.