Desperate and suffering patient - need Fentanyl absorption info etc

[camz]

If someone had incredibly intense pain and couldn?t fill other meds currently and also meds had been dramatically reduced besides and this person happened to only have:

*Glycol based Fentanyl troches* for sublingual use

How would they maximize absorption? Could it be made into something that would be better utilizing non

This is legitimate pain in palliative care situation and patient is often in screaming pain. Trying to se generates a lot of spit. When can one swallow? If spit accumulates it dissolves faster and more may be lost.

Even getting through WD wouldn’t solve the issue as the pain is from severe degenerative disease and patient doesn?t even have other non opiate meds to help ease suffering. It?s a terrible situation.

Until this changes, trying to help so they’re able to wait it out until they can get adequate care. Adhesive Arachnoiditis and severe disc degeneration and many other issues have led to indescribable pain. Patient was well controlled until doctor change and new dr doesn’t understand the cokekol?q.e

Anything to take with it to help?
Anything to avoid?

Thank you for any input!!

 

[scottstheone]

Go buy a tube of naloxone spray. Cut off minute amt of fentanyl. Wait 2 hrs before applying anymore. If adverse effects set in, use naloxone. DO NOT DO THIS WITHOUT HAVING NALOXONE ON HAND.