Narcotic agonists: Fentanyl (actiq, Duragesic): Dosage/Route:

Adult: 0.005-0.1 mg IM, 30-60 min before surgery; 0.002 mg/kg IV or IM during surgery; 0.05-0.1 mg postoperatively; 5mcg/kg transmucosally; for transdermal patch, calculate the previous day's narcotics need and use tablet to convert to patch strength; sublingual tablet or nasal spray--- initially 100 mcg to a maximum of 800 mcg a dose sublingually or as a nasal spray in one nostril for treatment of breakthrough cancer pain Pediatric (>2 yl: 2-3 mcg/kg IM or IV; base transmucosal dose on weight and do not exceed 400 mcg