Prospecto: information for the user
Fentanilo Matrix ratiopharm 12 micrograms/hour transdermal patch EFG
Read this prospect carefully before starting to use this medicine because it contains important information for you.
1. What isFentanilo Matrix ratiopharmand for what it is used
2. What you need to know before starting to useFentanilo Matrix ratiopharm
3. How to useFentanilo Matrix ratiopharm
4. Possible adverse effects
5. Storage ofFentanilo Matrix ratiopharm
6. Contents of the package and additional information
This medicine is called Fentanilo Matrix ratiopharm.
The patches help to relieve very strong and lasting pain:
Fentanilo Matrix ratiopharm contains a medicine called fentanilo. It belongs to a group of strong pain-relieving medicines called opioids.
Do not use Fentanilo Matrix ratiopharm
Do not use this medicine if you or your child are in any of the above circumstances. If you are unsure, consult your doctor or pharmacist before using Fentanilo Matrix ratiopharm.
Warnings and precautions
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 may pass through the other person's skin and may cause serious side effects, such as difficulty breathing, slow or weak breathing that can be fatal. In the event that the patch sticks to someone else's skin, it should be removed immediately and the person should seek medical attention.
Be especially careful with Fentanilo Matrix ratiopharm
Consult your doctor or pharmacist beforeusing this medicine if you are in any of the following circumstances. Your doctor will have to monitor you more closely if:
If you meet any of the above conditions (or if you are unsure), consult your doctor or pharmacist before using Fentanilo Matrix ratiopharm.
While using the patch, report to your doctor if you have breathing problems while sleeping.Fentanyl, like Fentanilo Matrix ratiopharm, 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 observe any of the following symptoms:
Your doctor may decide to modify the dose.
While using the patch, report to your doctor if you notice a change in the pain you feel.If you feel:
Do not change the dose on your own. Your doctor may decide to modify the dose or change the treatment.
Side effects and Fentanilo Matrix ratiopharm
See section 4 for a complete list of possible side effects.
When wearing the patch, do not expose it 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.
The patches should not be cut into smaller pieces as the quality, efficacy, and safety of such divided patches have not been demonstrated.
Doping
The use of fentanyl patches may result in a positive test for doping. The use of fentanyl patches as a doping agent can be hazardous to your health.
Long-term use and tolerance
This medicine contains fentanyl, an opioid. Repeated use of strong painkillers can make the medicine less effective (your body gets used to it, which is known as pharmacological tolerance). You may also become more sensitive to pain when using Fentanilo Matrix ratiopharm. 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 it is better to increase the dose or to gradually reduce your use of Fentanilo Matrix ratiopharm.
Dependence and addiction
The repeated use of Fentanilo Matrix ratiopharm 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 ratiopharm may be higher if:
If you notice any of the following symptoms while using Fentanilo Matrix ratiopharm, 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 Fentanilo Matrix ratiopharm
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 the dose will be gradually reduced to minimize unpleasant withdrawal symptoms.
Other medicines and Fentanilo Matrix ratiopharm
Inform your doctor or pharmacist if you are taking/using, have taken/recently used, or may need to take/use any other medicine. This includes over-the-counter medicines and herbal remedies. You should also inform your pharmacist that you are using Fentanilo Matrix ratiopharm if you buy any medicine from the pharmacy.
Your doctor will know which medicines can be taken/safely used with Fentanilo Matrix ratiopharm. They may need to monitor you closely if you are taking/using any of the types of medicines listed below or if you stop taking/using some of the types of medicines listed, as this may affect the dose of Fentanilo Matrix ratiopharm you need.
Especially, inform your doctor or pharmacist if you are taking/using:
Using Fentanilo Matrix ratiopharm with antidepressants
The risk of side effects increases if you are taking or using certain antidepressants. Fentanilo Matrix ratiopharm may interact with these medicines and you may experience changes in your mental state such as agitation, 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, lack of coordination, muscle stiffness, nausea, vomiting, and diarrhea (which may be signs of a serotonin syndrome). If you are using them together, your doctor may want to monitor you closely to detect these side effects, especially when starting treatment or when changing the dose of the medicine.
Using with central nervous system depressants, including alcohol and some narcotics
The use of Fentanilo Matrix ratiopharm with sedatives, such as benzodiazepines or related medicines, increases the risk of drowsiness, difficulty breathing (respiratory depression), coma, and can be life-threatening. For this reason, concurrent use should only be considered when other treatment options are not possible.
However, if your doctor prescribes Fentanilo Matrix ratiopharm with sedatives, the dose and duration of concurrent treatment should be limited by your doctor.
Inform your doctor about all sedatives you are taking or using and follow your doctor's recommended dose strictly. It may be helpful to inform friends or family members to alert them to the signs and symptoms described above. Contact your doctor if you experience these symptoms.
Do not drink alcohol while usingFentanilo Matrix ratiopharm, unless you have talked to your doctor first.
Surgery
If you think you will be receiving anesthesia, inform your doctor or dentist that you are using Fentanilo Matrix ratiopharm.
Pregnancy and breastfeeding
If you are pregnant or breastfeeding, or think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.
Fentanilo Matrix ratiopharm should not be used during pregnancy, unless you have talked to your doctor.
Fentanilo Matrix ratiopharm should not be usedduring labor, as the medicine may affect the newborn's breathing.
Prolonged use of Fentanilo Matrix ratiopharm during pregnancy may 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 have withdrawal symptoms.
Do not use Fentanilo Matrix ratiopharm if you are breastfeeding. Do not breastfeed for 3 days after removing the Fentanilo Matrix ratiopharm patch. This is because the medicine may pass into breast milk.
Driving and operating machinery
Fentanyl, like Fentanilo Matrix ratiopharm, may affect your ability to drive and use machines or tools, as it may cause drowsiness or dizziness. If this is the case, 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.
Your doctor will decide what concentration of Fentanilo Matrix ratiopharm is most suitable for you, taking into account the intensity of your 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 what you can expect from the use of Fentanilo Matrix ratiopharm, 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, “Symptoms of withdrawal from Fentanilo Matrix ratiopharm”.
How to apply and change the patches
Apply the patch on | Change the patch on | |
Monday | Thursday | |
Tuesday | Friday | |
Wednesday | Saturday | |
Thursday | Sunday | |
Friday | Monday | |
Saturday | Tuesday | |
Sunday | Wednesday |
Where to apply the patch
Adults
Children
Adults and children:
Do not apply the patch to
How to apply the patch
Step 1: Prepare the skin
Step 2: Open the package
Step 3: Peel and press
Step 4: Dispose of the patch
Step 5: Wash your hands
More information about using Fentanilo Matrix ratiopharm
Activities during patch use
How long do the patches take to act?
How long will you need 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 them and contact your doctor immediately.
The signs of overdose include difficulty breathing or shallow breathing, fatigue, extreme drowsiness, inability to think clearly or walk or speak normally, and feeling of fainting, dizziness, or confusion. An overdose can also cause a brain disorder known as toxic leukoencephalopathy.
In case of overdose or accidental ingestion, consult your doctor, pharmacist, or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested.
If you forget to change the patch
If the patch falls off
If you want to stop using the patches
If you have any other questions about using this medication, ask your doctor or pharmacist.
Like all medicines, this medicine may 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 immediately to the nearest hospital. You may need urgent medical treatment.
Follow the previous recommendations and have the person wearing the patch move and talk as much as possible. In very rare cases, these breathing difficulties can compromise life or even be fatal, especially in people who have not used strong opioid analgesics (such as Fentanilo Matrix ratiopharm or morphine) before. (Rare, may affect up to 1 in 100 people).
They may all be signs of a severe allergic reaction. (Frequency cannot be estimated from available data).
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 100 people)
Rare side effects (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 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 get used to it or become more sensitive to pain) or cause dependence.
If you switch from another analgesic to Fentanilo Matrix ratiopharm or stop using Fentanilo Matrix ratiopharm abruptly, you may experience withdrawal symptoms, such as dizziness, feeling sick, diarrhea, anxiety, or tremors. Inform your doctor if you notice any of these effects.
There have also been reported cases of newborn babies experiencing withdrawal symptoms after their mothers used Fentanilo Matrix ratiopharm for an extended period during pregnancy.
Reporting 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 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 safe and protected place, to which no other people can access. This medication can cause severe damage and even be fatal to people who use it or take it accidentally or intentionally when not prescribed.
How long can you store Fentanilo Matrix ratiopharm
Do not use this medicationafter the expiration date that appears on the box and on the package after CAD or EXP. The expiration date is the last day of the month indicated. If the patches are expired, take them to the pharmacy.
Do not store at a temperature above 30º C.
How to dispose of used patches or patches no longer in use
Accidental exposure of another person to used and unused patches, especially in children, can result in a fatal outcome.
Used patches should be folded firmly in half, so that the adhesive side of the patch adheres to itself. Then, they should be safely disposed of by placing them in the original package and storing them out of sight and reach of other people, especially children, until they are safely disposed of.
Medications should not be thrown away through drains or in the trash. Deposit the containers and medications you no longer need at the SIGRE point of the pharmacy. If in doubt, ask your pharmacist how to dispose of containers and medications you no longer need. In this way, you will help protect the environment.
Fentanilo Matrix ratiopharm 12 micrograms/hour transdermal patch composition
- The active ingredient is fentanilo.
Cada patch releases 12.5 micrograms of fentanilo per hour. Each 3.75 cm2transdermal patch contains 2.063 mg of fentanilo.
- The other components are:
Adhesive layer: acrylic adhesive layer
Support film: polypropylene sheet, blue printing ink
Removable coating: ethylene-vinyl alcohol (siliconized) sheet
Appearance of the product and contents of the package
Fentanilo Matrix ratiopharmis a transparent transdermal patch with an adhesive backing that can be applied to the skin. The transdermal patches are equipped with a blue print showing the concentration.
Fentanilo Matrix ratiopharm 12 micrograms/his available in packages of 2, 3, 4, 5, 8, 10, 16 or 20 transdermal patches.
Only some package sizes may be marketed.
Marketing authorization holder and manufacturer
Marketing authorization holder
Teva Pharma, S.L.U.
C/Anabel Segura, 11 Edificio Albatros B, 1st Floor
28108 Alcobendas, Madrid (Spain)
Manufacturer
Merckle GmbH
Ludwig-Merckle-Strasse 3,
89143 Blaubeuren (Germany)
or
Luye Pharma AG
Am Windfeld 35
83714 Miesbach
Germany
This medicine is authorized in the member states of the European Economic Area with the following names:
Germany:Fentanyl ratiopharm 12 µg/h Matrix patch
Spain:Fentanilo Matrix ratiopharm 12 micrograms/hour transdermal patch EFG
France:Fentanyl Teva Santé12 micrograms/hour, transdermal device
Last review date of this leaflet:April 2024
Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS)http://www.aemps.gob.es/.
Есть вопросы по этому лекарству или вашим симптомам? Свяжитесь с лицензированным врачом для получения помощи и персонализированного ухода.