ACTIQ- fentanyl citrate lozenge 
Cephalon, LLC



Dispense with Medication Guide available at:

Medication Guide

 ACTIQ® (AK-tik)

(fentanyl citrate) oral transmucosal lozenge, CII


Do not use ACTIQ unless you are regularly using another opioid pain medicine around-the-clock for at least one week or longer for your cancer pain and your body is used to these medicines (this means that you are opioid tolerant). You can ask your healthcare provider if you are opioid tolerant.

Keep ACTIQ in a safe place away from children.

Get emergency medical help right away if:

  • a child takes ACTIQ. ACTIQ can cause an overdose and death in any child who takes it.
  • an adult who has not been prescribed ACTIQ uses it.
  • an adult who is not already taking opioids around-the-clock, uses ACTIQ.

These are medical emergencies that can cause death. If possible, remove ACTIQ from the mouth.


Important information about ACTIQ:

Do not take ACTIQ if:

Before taking ACTIQ, tell your healthcare provider if you have a history of:

Tell your healthcare provider if you are:

When taking ACTIQ:

The possible side effects of ACTIQ:

Get emergency medical help or call 911 right away if you have:

These are not all the possible side effects of ACTIQ. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. For more information go to

How should I store ACTIQ?

The ACTIQ Child Safety Kit contains important information on the safe storage and handling of ACTIQ.

The Child Safety Kit includes:


Figure 1


Figure 2


Figure 3

How should I dispose of ACTIQ units when they are no longer needed?

Disposing of ACTIQ units after use:

Partially used ACTIQ units may contain enough medicine to be harmful or fatal to a child or other adults who have not been prescribed ACTIQ. You must properly dispose of the ACTIQ handle right away after use even if there is little or no medicine left on it.

After you have finished the ACTIQ unit and the medicine is totally gone, throw the handle away in a place that is out of the reach of children.

If any medicine remains on the used ACTIQ unit after you have finished:


Figure 4

Temporary Storage of Used ACTIQ Units:


Figure 5

Disposing of Used ACTIQ Units from the Temporary Storage Bottle:

You must dispose of all used ACTIQ units in the temporary storage bottle at least one time each day, as follows:

  1. To open the temporary storage bottle, push down on the cap until you are able to twist the cap to the left to remove it (See Figure 6).

Figure 6

2. Remove one ACTIQ unit from the temporary storage bottle. Hold the ACTIQ by its handle over the toilet bowl.

3. Using wire-cutting pliers, cut the medicine end off so that it falls into the toilet.

4. Throw the handle away in a place that is out of the reach of children.

5. Repeat these 3 steps for each ACTIQ handle that is in the storage bottle. There should not be more than 4 handles in the temporary storage bottle for 1 day.

6. Flush the toilet twice.

Do not flush entire unused ACTIQ units, ACTIQ handles, or blister packages down the toilet.

Disposing of unopened ACTIQ units: Dispose of any unopened ACTIQ units remaining from a prescription as soon as they are no longer needed, as follows:

  1. Remove all ACTIQ from the locked storage space (See Figure 7).

Figure 7

2. Remove one ACTIQ unit from its blister package by using scissors to cut off the marked end and then peel back the blister backing (See Figures 8A and 8B).


3. Hold ACTIQ by its handle over the toilet bowl. Use wire-cutting pliers to cut the medicine end off so that it falls into the toilet (See Figures 9A and 9B).


4. Throw the handle away in a place that is out of the reach of children (See Figure 10).


Figure 10

5. Repeat steps 1 through 4 for each ACTIQ unit.

6. Flush the toilet twice after the medicine ends from 5 ACTIQ units have been cut off (See Figure 11). Do not flush more than 5 ACTIQ units at a time.


Figure 11

If you need help with disposal of ACTIQ, call Teva Pharmaceuticals at 1-888-483-8279, or call your local Drug Enforcement Agency (DEA) office.

General information about ACTIQ

Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Use ACTIQ only for the purpose for which it was prescribed. Do not give ACTIQ to other people, even if they have the same symptoms you have. ACTIQ can harm other people and even cause death. Sharing ACTIQ is against the law.

This Medication Guide summarizes the most important information about ACTIQ. If you would like more information, talk with your healthcare provider or pharmacist. You can ask your pharmacist or healthcare provider for information about ACTIQ that is written for healthcare professionals.

For more information about the TIRF REMS Access program, go to or call 1-866-822-1483.

What are the ingredients of ACTIQ?

Active Ingredient: fentanyl citrate

Inactive Ingredients: sugar, citric acid, dibasic sodium phosphate, artificial berry flavor, magnesium stearate, modified food starch and confectioner’s sugar.

Patient Instructions for Use

Before you use ACTIQ, it is important that you read the Medication Guide and these Patient Instructions for Use. Be sure that you read, understand, and follow these Patient Instructions for Use so that you use ACTIQ the right way. Ask your healthcare provider or pharmacist if you have any questions about the right way to use ACTIQ.

When you get an episode of breakthrough cancer pain, use the dose of ACTIQ prescribed by your healthcare provider as follows:


Figure 12


Figure 14

1. Place the medicine end of the ACTIQ unit in your mouth between your cheeks and gums and actively suck on the medicine.

2. Move the medicine end of the ACTIQ unit around in your mouth, especially along the inside of your cheeks (See Figure 15).


Figure 15

3. Twirl the handle often.

4. Finish the ACTIQ unit completely over 15 minutes to get the most relief. If you finish ACTIQ too quickly, you will swallow more of the medicine and get less relief.

5. Do not bite or chew ACTIQ. You will get less relief for your breakthrough cancer pain.


Figure 16

See “How should I dispose of ACTIQ units when they are no longer needed?” for proper disposal of ACTIQ.

Distributed by:
Teva Pharmaceuticals USA, Inc.                                                                                     call 1-888-483-8279
Parsippany, NJ 07054

©2023 Cephalon, LLC.
Printed in USA

This Medication Guide has been approved by the U.S. Food and Drug Administration.                                       Revised: 12/2023           

Revised: 12/2023
Cephalon, LLC