Page last updated: 2024-10-27

fentanyl and Dyspnea

fentanyl has been researched along with Dyspnea in 49 studies

Fentanyl: A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
fentanyl : A monocarboxylic acid amide resulting from the formal condensation of the aryl amino group of N-phenyl-1-(2-phenylethyl)piperidin-4-amine with propanoic acid.

Dyspnea: Difficult or labored breathing.

Research Excerpts

ExcerptRelevanceReference
" A randomized, double-blind, placebo-controlled crossover comparison of 100 mcg nebulized fentanyl vs placebo on dyspnea intensity and inspiratory neural drive (IND) during constant work rate (CWR) cycle exercise was performed in 21 ILD patients."9.34Inspiratory neural drive and dyspnea in interstitial lung disease: Effect of inhaled fentanyl. ( Ibrahim-Masthan, M; Ja, N; James, MD; Milne, KM; Moran-Mendoza, O; O'Donnell, DE; Phillips, DB; Scheeren, RE, 2020)
"The optimal dose of fentanyl sublingual spray (FSS) for exertional dyspnea has not been determined."9.30Prophylactic Fentanyl Sublingual Spray for Episodic Exertional Dyspnea in Cancer Patients: A Pilot Double-Blind Randomized Controlled Trial. ( Azhar, A; Bruera, E; Dalal, S; Dev, R; Driver, L; Haider, A; Hernandez, F; Hui, D; Kilgore, K; Larsson, L; Liu, D; Naberhuis, J; Reddy, A; Reddy, S; Virgilio, A, 2019)
"We conducted a pilot study to examine the effect of prophylactic fentanyl buccal tablet (FBT) on exercise-induced dyspnea."9.24Effect of Prophylactic Fentanyl Buccal Tablet on Episodic Exertional Dyspnea: A Pilot Double-Blind Randomized Controlled Trial. ( Balachandran, DD; Bruera, E; Frisbee-Hume, S; Hui, D; Kilgore, K; Liu, D; Park, M, 2017)
"In this pilot study, we examined the effect of prophylactic fentanyl pectin nasal spray (FPNS) on exercise-induced dyspnea, physiologic function, and adverse events."9.22Impact of Prophylactic Fentanyl Pectin Nasal Spray on Exercise-Induced Episodic Dyspnea in Cancer Patients: A Double-Blind, Randomized Controlled Trial. ( Bruera, E; Hui, D; Kilgore, K; Liu, D; Park, M; Williams, J, 2016)
"To determine time to onset, efficacy, feasibility, and safety of transmucosal fentanyl in comparison to immediate-release morphine for the relief of episodic breathlessness."9.22EffenDys-Fentanyl Buccal Tablet for the Relief of Episodic Breathlessness in Patients With Advanced Cancer: A Multicenter, Open-Label, Randomized, Morphine-Controlled, Crossover, Phase II Trial. ( Alt-Epping, B; Cornely, OA; Gärtner, J; Hein, R; Hellmich, M; Kloke, M; Nauck, F; Piel, M; Simon, ST; Voltz, R, 2016)
"To evaluate the efficacy of oral transmucosal fentanyl citrate (OTFC) in the treatment of dyspnea on exertion in patients with advanced cancer."9.20A randomized crossover clinical trial to evaluate the efficacy of oral transmucosal fentanyl citrate in the treatment of dyspnea on exertion in patients with advanced cancer. ( Bruera, E; Correas, MÁ; Moralo, MJ; Pinna, MÁ; Vargas, RM, 2015)
"Prophylactic fentanyl was safe and improved dyspnea, fatigue, walk distance, and respiratory rate."9.19Effects of prophylactic subcutaneous fentanyl on exercise-induced breakthrough dyspnea in cancer patients: a preliminary double-blind, randomized, controlled trial. ( Bruera, E; Chisholm, G; Frisbee-Hume, S; Hui, D; Morgado, M; Reddy, S; Xu, A, 2014)
"We performed a systematic review to evaluate the current evidence for the use of fentanyl for the relief of breathlessness."8.89Fentanyl for the relief of refractory breathlessness: a systematic review. ( Gaertner, J; Köskeroglu, P; Simon, ST; Voltz, R, 2013)
"Nebulized fentanyl is well established for analgesia but its use for dyspnea requires further investigation."7.96Nebulized Fentanyl for Dyspnea: A Retrospective Chart Review. ( Cain, J; Coyne, PJ; Dulin, JD; Higgins, EA; Miller, MM; Overstreet, AN; Vaughan, L; Young, AM, 2020)
"In this pilot study, the preadministration of intranasal fentanyl prior to activity in palliative, end-stage hospitalized heart failure patients, safely reduced tachypnea, and the feeling of shortness of breath."7.91The Use of Intranasal Fentanyl for the Palliation of Incident Dyspnea in Advanced Congestive Heart Failure: A Pilot Study. ( Malik, A; Pedersen, A; Pilkey, J; Tam, JW; Wong, J, 2019)
"This exploratory study shows that IV Fentanyl can alleviate dyspnea in some patients but is an example of the difficulties conducting dyspnea research."7.83Intravenous Fentanyl for Dyspnea at the End of Life: Lessons for Future Research in Dyspnea. ( Pang, GS; Qu, LM; Tan, YY; Yee, AC, 2016)
" We treated a 50s female with pain and dyspnea from bone metastasis and lymphangitis carcinomatosa after surgery for NSCLC in whom the optimal dosages of transdermal fentanyl (Durotep Patch) were determined by titration with fentanyl injection, and oxycodone hydrochloride (OxyContin) in a short period."7.76[Successful management of a patient with pain and dyspnea from bone metastasis and lymphangitis carcinomatosa after surgery for non-small cell lung cancer (NSCLC) in whom optimal dosages of transdermal fentanyl were determined by titration with fentanyl i ( Eguchi, K; Gika, M; Inoue, Y; Izawa, N; Nakayama, M; Takeuchi, K, 2010)
"To evaluate the efficacy and safety of oral transmucosal fentanyl citrate (OTFC) in terminally ill patients experiencing dyspnea."7.74Oral transmucosal fentanyl citrate for dyspnea in terminally ill patients: an observational case series. ( Gauna, AA; Kang, SK; Swatko, ER; Triano, ML; Vanston, VJ, 2008)
"Episodic breathlessness is a distressing and difficult to treat symptom because of its short duration."7.01Intranasal Fentanyl Versus Placebo for Treatment of Episodic Breathlessness in Hospice Patients With Advanced Nonmalignant Diseases. ( Allan, S; Bridge, R; Hewitt, D; Iupati, S, 2021)
" Low dosed opioids have been investigated for refractory dyspnea in COPD and other life-limiting conditions, and some positive effects were demonstrated."6.72Opioids in patients with COPD and refractory dyspnea: literature review and design of a multicenter double blind study of low dosed morphine and fentanyl (MoreFoRCOPD). ( de Hosson, SM; Heller-Baan, R; Kerstjens, HAM; Lam-Wong, WY; Mooren, KJM; Peters, L; Pool, K; van Beurden-Moeskops, WJC; van den Berg, JK; van Dijk, M, 2021)
"Fentanyl is an appropriate drug because of its fast onset and short duration of action."6.45[Nasal application of fentanyl citrate as symptom control against breathlessness in palliative care--overview and case report]. ( Sitte, T, 2009)
" The purpose of this study is to investigate the efficacy of nebulized fentanyl citrate on dyspnea, cough, and throat pain in patients with COVID-19 and evaluate the safety with any potential adverse events."5.51Nebulized fentanyl for respiratory symptoms in patients with COVID-19 (ventanyl trial). ( Abujaber, AA; Al-Assaf, AA; Khatib, MY; Mohamed, AS; Nashwan, AJ; Shaikh, N; Tharayil, AGM; Wraidat, MAA, 2022)
" A randomized, double-blind, placebo-controlled crossover comparison of 100 mcg nebulized fentanyl vs placebo on dyspnea intensity and inspiratory neural drive (IND) during constant work rate (CWR) cycle exercise was performed in 21 ILD patients."5.34Inspiratory neural drive and dyspnea in interstitial lung disease: Effect of inhaled fentanyl. ( Ibrahim-Masthan, M; Ja, N; James, MD; Milne, KM; Moran-Mendoza, O; O'Donnell, DE; Phillips, DB; Scheeren, RE, 2020)
"The optimal dose of fentanyl sublingual spray (FSS) for exertional dyspnea has not been determined."5.30Prophylactic Fentanyl Sublingual Spray for Episodic Exertional Dyspnea in Cancer Patients: A Pilot Double-Blind Randomized Controlled Trial. ( Azhar, A; Bruera, E; Dalal, S; Dev, R; Driver, L; Haider, A; Hernandez, F; Hui, D; Kilgore, K; Larsson, L; Liu, D; Naberhuis, J; Reddy, A; Reddy, S; Virgilio, A, 2019)
"We conducted a pilot study to examine the effect of prophylactic fentanyl buccal tablet (FBT) on exercise-induced dyspnea."5.24Effect of Prophylactic Fentanyl Buccal Tablet on Episodic Exertional Dyspnea: A Pilot Double-Blind Randomized Controlled Trial. ( Balachandran, DD; Bruera, E; Frisbee-Hume, S; Hui, D; Kilgore, K; Liu, D; Park, M, 2017)
"In this pilot study, we examined the effect of prophylactic fentanyl pectin nasal spray (FPNS) on exercise-induced dyspnea, physiologic function, and adverse events."5.22Impact of Prophylactic Fentanyl Pectin Nasal Spray on Exercise-Induced Episodic Dyspnea in Cancer Patients: A Double-Blind, Randomized Controlled Trial. ( Bruera, E; Hui, D; Kilgore, K; Liu, D; Park, M; Williams, J, 2016)
"To determine time to onset, efficacy, feasibility, and safety of transmucosal fentanyl in comparison to immediate-release morphine for the relief of episodic breathlessness."5.22EffenDys-Fentanyl Buccal Tablet for the Relief of Episodic Breathlessness in Patients With Advanced Cancer: A Multicenter, Open-Label, Randomized, Morphine-Controlled, Crossover, Phase II Trial. ( Alt-Epping, B; Cornely, OA; Gärtner, J; Hein, R; Hellmich, M; Kloke, M; Nauck, F; Piel, M; Simon, ST; Voltz, R, 2016)
"To evaluate the efficacy of oral transmucosal fentanyl citrate (OTFC) in the treatment of dyspnea on exertion in patients with advanced cancer."5.20A randomized crossover clinical trial to evaluate the efficacy of oral transmucosal fentanyl citrate in the treatment of dyspnea on exertion in patients with advanced cancer. ( Bruera, E; Correas, MÁ; Moralo, MJ; Pinna, MÁ; Vargas, RM, 2015)
"Prophylactic fentanyl was safe and improved dyspnea, fatigue, walk distance, and respiratory rate."5.19Effects of prophylactic subcutaneous fentanyl on exercise-induced breakthrough dyspnea in cancer patients: a preliminary double-blind, randomized, controlled trial. ( Bruera, E; Chisholm, G; Frisbee-Hume, S; Hui, D; Morgado, M; Reddy, S; Xu, A, 2014)
"We performed a systematic review to evaluate the current evidence for the use of fentanyl for the relief of breathlessness."4.89Fentanyl for the relief of refractory breathlessness: a systematic review. ( Gaertner, J; Köskeroglu, P; Simon, ST; Voltz, R, 2013)
"Nebulized fentanyl is well established for analgesia but its use for dyspnea requires further investigation."3.96Nebulized Fentanyl for Dyspnea: A Retrospective Chart Review. ( Cain, J; Coyne, PJ; Dulin, JD; Higgins, EA; Miller, MM; Overstreet, AN; Vaughan, L; Young, AM, 2020)
"In this pilot study, the preadministration of intranasal fentanyl prior to activity in palliative, end-stage hospitalized heart failure patients, safely reduced tachypnea, and the feeling of shortness of breath."3.91The Use of Intranasal Fentanyl for the Palliation of Incident Dyspnea in Advanced Congestive Heart Failure: A Pilot Study. ( Malik, A; Pedersen, A; Pilkey, J; Tam, JW; Wong, J, 2019)
"Among Japanese palliative care physicians, using oxycodone for cancer dyspnea was relatively popular practice, whereas fentanyl was not."3.91The Current Practice of Opioid for Cancer Dyspnea: The Result From the Nationwide Survey of Japanese Palliative Care Physicians. ( Matsuda, Y; Matsunuma, R; Mori, M; Suzuki, K; Watanabe, H; Yamaguchi, T, 2019)
"This exploratory study shows that IV Fentanyl can alleviate dyspnea in some patients but is an example of the difficulties conducting dyspnea research."3.83Intravenous Fentanyl for Dyspnea at the End of Life: Lessons for Future Research in Dyspnea. ( Pang, GS; Qu, LM; Tan, YY; Yee, AC, 2016)
" We treated a 50s female with pain and dyspnea from bone metastasis and lymphangitis carcinomatosa after surgery for NSCLC in whom the optimal dosages of transdermal fentanyl (Durotep Patch) were determined by titration with fentanyl injection, and oxycodone hydrochloride (OxyContin) in a short period."3.76[Successful management of a patient with pain and dyspnea from bone metastasis and lymphangitis carcinomatosa after surgery for non-small cell lung cancer (NSCLC) in whom optimal dosages of transdermal fentanyl were determined by titration with fentanyl i ( Eguchi, K; Gika, M; Inoue, Y; Izawa, N; Nakayama, M; Takeuchi, K, 2010)
"To evaluate the efficacy and safety of oral transmucosal fentanyl citrate (OTFC) in terminally ill patients experiencing dyspnea."3.74Oral transmucosal fentanyl citrate for dyspnea in terminally ill patients: an observational case series. ( Gauna, AA; Kang, SK; Swatko, ER; Triano, ML; Vanston, VJ, 2008)
"Episodic breathlessness is a distressing and difficult to treat symptom because of its short duration."3.01Intranasal Fentanyl Versus Placebo for Treatment of Episodic Breathlessness in Hospice Patients With Advanced Nonmalignant Diseases. ( Allan, S; Bridge, R; Hewitt, D; Iupati, S, 2021)
" Low dosed opioids have been investigated for refractory dyspnea in COPD and other life-limiting conditions, and some positive effects were demonstrated."2.72Opioids in patients with COPD and refractory dyspnea: literature review and design of a multicenter double blind study of low dosed morphine and fentanyl (MoreFoRCOPD). ( de Hosson, SM; Heller-Baan, R; Kerstjens, HAM; Lam-Wong, WY; Mooren, KJM; Peters, L; Pool, K; van Beurden-Moeskops, WJC; van den Berg, JK; van Dijk, M, 2021)
"Flares of breathlessness are accompanied by degrees of psychological distress, although it is unclear whether psychological factors may precede or be induced by EB."2.58Episodic Breathlessness in Patients with Advanced Cancer: Characteristics and Management. ( Mercadante, S, 2018)
"Inhaled morphine improved breathlessness in chronic obstructive pulmonary disease patients."2.50Inhaled nebulized and intranasal opioids for the relief of breathlessness. ( Bausewein, C; Simon, ST, 2014)
"Fentanyl is an appropriate drug because of its fast onset and short duration of action."2.45[Nasal application of fentanyl citrate as symptom control against breathlessness in palliative care--overview and case report]. ( Sitte, T, 2009)
"Pneumomediastinum is a rare complication of substance use, likely due to a Valsalva maneuver after drug inhalation."1.72Tension pneumomediastinum from opioid inhalation. ( Chicotka, S; Coffey, C; Hryniewicki, AT; Nene, RV; Odish, MF; Roderick, E; Thistlewaite, PA; Vazquez, MH, 2022)
"Fentanyl efficacy was not statistically related to age, gender, cancer type, previous opioid treatment, steroid and midazolam doses and PPS."1.51Fentanyl treatment for end-of-life dyspnoea relief in advanced cancer patients. ( Benítez-Rosario, MA; González-Dávila, E; Rosa-González, I; Sanz, E, 2019)
"Dyspnea is a prognostic factor that affects the quality of life of terminal cancer patients, and many reports have described opioid treatment for dyspnea alleviation."1.43Combined Effect of Opioids and Corticosteroids for Alleviating Dyspnea in Terminal Cancer Patients: A Retrospective Review. ( Hayakawa, T; Maeda, T, 2016)
"Supraventricular tachycardia is uncommon in pregnancy."1.40Management of labour and delivery in a woman with refractory supraventricular tachycardia. ( Dennis, AT; Gerstman, MD, 2014)
"This syndrome is relatively uncommon and accompanies dyspnea and hypoxemia on changing to a sitting or standing from recumbent position."1.32[Anesthetic management for a patient with platypnea-orthodeoxia syndrome]. ( Kawamoto, K; Terasaki, H; Yoshitake, A, 2004)
"Subcutaneous emphysema was observed to the cervical zone after surgery but discharge was not delayed."1.31[Subarachnoid anesthesia in the repair of urinary stress incontinence using a Burch-type colposuspension by means of extraperitoneal laparoscopy]. ( de Santos, P; Faulí, A; Gomar, C; Martínez, S; Pérez, J; Plaza, A; Vanrell, J, 2002)

Research

Studies (49)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (2.04)18.2507
2000's16 (32.65)29.6817
2010's26 (53.06)24.3611
2020's6 (12.24)2.80

Authors

AuthorsStudies
van Dijk, M1
Mooren, KJM1
van den Berg, JK1
van Beurden-Moeskops, WJC1
Heller-Baan, R1
de Hosson, SM1
Lam-Wong, WY1
Peters, L1
Pool, K1
Kerstjens, HAM1
Nene, RV1
Hryniewicki, AT1
Roderick, E1
Chicotka, S1
Vazquez, MH1
Thistlewaite, PA1
Coffey, C1
Odish, MF1
Shaikh, N1
Khatib, MY1
Wraidat, MAA1
Mohamed, AS1
Al-Assaf, AA1
Tharayil, AGM1
Abujaber, AA1
Nashwan, AJ1
Higgins, EA1
Young, AM1
Cain, J1
Dulin, JD1
Miller, MM1
Overstreet, AN1
Vaughan, L1
Coyne, PJ2
Milne, KM1
Ibrahim-Masthan, M1
Scheeren, RE1
James, MD1
Phillips, DB1
Moran-Mendoza, O1
Ja, N1
O'Donnell, DE1
Iupati, S1
Bridge, R1
Allan, S1
Hewitt, D1
Hui, D6
Kilgore, K3
Frisbee-Hume, S2
Park, M2
Liu, D3
Balachandran, DD1
Bruera, E7
Mercadante, S1
Pilkey, J1
Pedersen, A1
Tam, JW1
Malik, A1
Wong, J1
Benítez-Rosario, MA2
Rosa-González, I1
González-Dávila, E1
Sanz, E1
Yamaguchi, T1
Matsunuma, R1
Suzuki, K1
Matsuda, Y1
Mori, M1
Watanabe, H1
Hernandez, F1
Larsson, L1
Naberhuis, J1
Virgilio, A1
Reddy, S2
Reddy, A1
Dalal, S1
Haider, A1
Driver, L1
Azhar, A1
Dev, R1
Kako, J1
Kajiwara, K1
Noto, H1
Oosono, Y1
Kobayashi, M1
Simon, ST3
Köskeroglu, P1
Gaertner, J1
Voltz, R2
Xu, A1
Chisholm, G1
Morgado, M1
Pinna, MÁ1
Moralo, MJ1
Correas, MÁ2
Vargas, RM1
Dennis, AT1
Gerstman, MD1
Cuervo Pinna, MÁ2
Sanz Rubiales, Á1
del Valle, ML1
Bausewein, C2
Pang, GS1
Qu, LM1
Tan, YY1
Yee, AC1
Kotrach, HG1
Bourbeau, J1
Jensen, D1
Maeda, T1
Hayakawa, T1
Williams, J1
Kloke, M1
Alt-Epping, B1
Gärtner, J1
Hellmich, M1
Hein, R1
Piel, M1
Cornely, OA1
Nauck, F1
Wahler, RG1
Smith, DB1
Mulcahy, KB1
Mota Vargas, R1
Redondo Moralo, MJ1
Sitte, T2
Bauer, MD1
Clark-Price, SC1
McFadden, MS1
Smith, TJ2
Coyne, P1
French, W1
Ramakrishnan, V1
Corrigan, P1
Gika, M1
Eguchi, K1
Inoue, Y1
Izawa, N1
Takeuchi, K1
Nakayama, M1
Tajitsu, T1
Matsuura, S1
Kawagoe, K1
Dang, D1
Robinson, PC1
Winnicki, S1
Jersmann, HP1
Shlamovitz, GZ1
Elsayem, A1
Todd, KH1
Rivero, C1
Cerizola, M1
Kohn, E1
Riva, J1
Pastor Tomás, EM1
Arribas del Amo, D1
Gómez Gómez, R1
Córdoba Díaz de Laspra, E1
Saiz Gormaz, J1
Kawamoto, K1
Yoshitake, A1
Terasaki, H1
Schultheis, CP1
Kimoto, M1
Murao, K1
Shirane, A1
Sakamoto, S1
Yamada, M1
Nakao, S1
Shingu, K1
Martin, AS1
Feria, M1
Zylicz, Z1
van Rijn-van der Plaat, LL1
Gauna, AA1
Kang, SK1
Triano, ML1
Swatko, ER1
Vanston, VJ1
Glass, E1
D'Olimpio, J1
Viswanathan, R1
de Santos, P1
Plaza, A1
Faulí, A1
Pérez, J1
Martínez, S1
Vanrell, J1
Gomar, C1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Morphine or Fentanyl for Refractory Dyspnea in COPD[NCT03834363]Phase 460 participants (Anticipated)Interventional2019-11-15Recruiting
Pulmonary Gas Exchange and Neuro-sensory Abnormalities in Patients With Idiopathic Pulmonary Fibrosis and Mild Mechanical Restriction. Implications for Dyspnea and Exercise Intolerance[NCT05052229]Early Phase 140 participants (Anticipated)Interventional2022-04-21Recruiting
Effects of Prophylactic Subcutaneous Fentanyl on Exercise-Induced Breakthrough Dyspnea in Cancer Patients: A Preliminary Double-Blind, Randomized Controlled Trial[NCT01515566]Phase 1/Phase 226 participants (Actual)Interventional2012-04-30Completed
Effects of Inhaled Fentanyl Citrate on Perceived Respiratory Discomfort (Dyspnea) During Exercise in the Presence of External Thoracic Restriction[NCT01853449]Early Phase 114 participants (Actual)Interventional2013-06-30Completed
A Preliminary Study of Prophylactic Fentanyl Pectin Nasal Spray (FPNS) for Exercise-Induced Breakthrough Dyspnea[NCT01832402]Phase 235 participants (Actual)Interventional2013-06-11Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Retention Rate

Retention rate is defined as the percentage of subjects able to complete the study. (NCT01515566)
Timeframe: Baseline to study completion, up to 100 minutes.

Interventionpercentage of participants (Number)
Fentanyl100
Placebo100

Effect of Fentanyl on Walk Distance

Ambulatory patients with breakthrough dyspnea performed a baseline 6 minute walk test (6MWT), and then received either subcutaneous fentanyl or placebo 15 minutes before a second 6MWT. The change in walk distance was documented between the first and second 6MWT. (NCT01515566)
Timeframe: Baseline 6 minute walk test (6MWT) to second 6MWT, up to 100 minutes for study participation.

,
Interventionfeet (Mean)
Walk Distance (Baseline Walk Test)Walk Distance (Second Walk Test)
Fentanyl397.7434.9
Placebo399417.9

Effect of Fentanyl Versus Placebo for Exercise-Induced and Breakthrough Dyspnea

"Participants receive either Fentanyl subcutaneous (SQ) 15 minutes before walking test, or Placebo (SQ) 15 minutes before walking test. During the study, trained research staff perform study assessments and monitor participant carefully throughout the study period. Six-minute walk tests were carried out following guidelines from the American Thoracic Society. The intensity of dyspnea at 0, 1, 2, 3, 4, 5 and 6 minute of each walk test were assessed using a validated numeric rating scale (NRS) ranging from 0 (no shortness of breath) to 10 (worst possible shortness of breath) and every 5 minutes during the rest period." (NCT01515566)
Timeframe: Baseline to 100 minutes for study participation.

,
Interventionunits on a scale (Mean)
Dyspnea at 0 minutes (Baseline walk test)Dyspnea at 6 minutes (Baseline walk test)Dyspnea at 0 minutes (Second walk test)Dyspnea at 6 minutes (Second walk test)
Fentanyl2614
Placebo3725

Dyspnea Borg Scale

"Assessed dyspnea using the modified Dyspnea Borg Scale that ranges from 0 (no shortness of breath) to 10 (worst possible shortness of breath). Measured the mean difference of modified Dyspnea Borg scale between the first and second 6 Minute Walk Tests and between the first and third 6 Minute Walk Tests." (NCT01832402)
Timeframe: 1.5 to 2 hours on a Single visit

,
Interventionscore on a scale (Mean)
Mean difference between 1st and 2nd walk testsMean difference between 1st and 3rd walk tests
Controlled Group (Placebo)-1.7-2.4
Intervention Group (Fentanyl Pectin Nasal Spray)-1.8-1.7

Dyspnea Numeric Rating Scale

"Our primary outcome was dyspnea intensity now using a dyspnea numeric rating scale that ranges from 0 (no shortness of breath) to 10 (worst possible shortness of breath). Measured the mean difference of dyspnea numeric rating scale between the first and second 6 Minute Walk Tests and between the first and third 6 Minute Walk Tests. 6 minute walk tests were carried out following guidelines from the American Thoracic Society." (NCT01832402)
Timeframe: 1.5 to 2 hours on a Single visit

,
Interventionscore on a scale (Mean)
Mean difference between 1st and 2nd walk testsMean difference between 1st and 3rd walk tests
Controlled Group (Placebo)-1.7-2.5
Intervention Group (Fentanyl Pectin Nasal Spray)-2.0-2.3

Walk Distance at 6 Minutes

Compared the mean difference of distance between the first and second 6 Minute Walk Tests and between the first and third 6 Minute Walk Tests. (NCT01832402)
Timeframe: 1.5 to 2 hours on a Single visit

,
Interventionmeters (Mean)
Mean difference between 1st and 2nd walk testsMean difference between 1st and 3rd walk tests
Control Group (Placebo)16.314.6
Interventional Group (Fentanyl Pectin Nasal Spray)23.823.3

Reviews

6 reviews available for fentanyl and Dyspnea

ArticleYear
Opioids in patients with COPD and refractory dyspnea: literature review and design of a multicenter double blind study of low dosed morphine and fentanyl (MoreFoRCOPD).
    BMC pulmonary medicine, 2021, Sep-10, Volume: 21, Issue:1

    Topics: Analgesics, Opioid; Dose-Response Relationship, Drug; Double-Blind Method; Dyspnea; Fentanyl; Health

2021
Episodic Breathlessness in Patients with Advanced Cancer: Characteristics and Management.
    Drugs, 2018, Volume: 78, Issue:5

    Topics: Analgesics, Opioid; Breakthrough Pain; Dyspnea; Fentanyl; Humans; Morphine; Neoplasms; Pain Manageme

2018
Fentanyl for the relief of refractory breathlessness: a systematic review.
    Journal of pain and symptom management, 2013, Volume: 46, Issue:6

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Chronic Disease; Drug-Related Side E

2013
Inhaled nebulized and intranasal opioids for the relief of breathlessness.
    Current opinion in supportive and palliative care, 2014, Volume: 8, Issue:3

    Topics: Administration, Inhalation; Administration, Intranasal; Analgesics, Opioid; Dyspnea; Fentanyl; Human

2014
[Nasal application of fentanyl citrate as symptom control against breathlessness in palliative care--overview and case report].
    Wiener medizinische Wochenschrift (1946), 2009, Volume: 159, Issue:23-24

    Topics: Acute Disease; Administration, Cutaneous; Administration, Intranasal; Aged, 80 and over; Ambulatory

2009
Contemporary drug therapy in palliative care: new directions.
    Cancer investigation, 2001, Volume: 19, Issue:4

    Topics: Adrenal Cortex Hormones; Analgesics; Anorexia; Antiemetics; Antitussive Agents; Cachexia; Cough; Dru

2001

Trials

12 trials available for fentanyl and Dyspnea

ArticleYear
Nebulized fentanyl for respiratory symptoms in patients with COVID-19 (ventanyl trial).
    Medicine, 2022, Jan-28, Volume: 101, Issue:4

    Topics: Administration, Inhalation; Adolescent; Adult; Aged; Analgesics, Opioid; Clinical Trials, Phase III

2022
Inspiratory neural drive and dyspnea in interstitial lung disease: Effect of inhaled fentanyl.
    Respiratory physiology & neurobiology, 2020, Volume: 282

    Topics: Administration, Inhalation; Aged; Aged, 80 and over; Analgesics, Opioid; Cross-Over Studies; Diaphra

2020
Intranasal Fentanyl Versus Placebo for Treatment of Episodic Breathlessness in Hospice Patients With Advanced Nonmalignant Diseases.
    Journal of pain and symptom management, 2021, Volume: 61, Issue:5

    Topics: Analgesics, Opioid; Double-Blind Method; Dyspnea; Fentanyl; Hospices; Humans; Neoplasms

2021
Effect of Prophylactic Fentanyl Buccal Tablet on Episodic Exertional Dyspnea: A Pilot Double-Blind Randomized Controlled Trial.
    Journal of pain and symptom management, 2017, Volume: 54, Issue:6

    Topics: Administration, Buccal; Adult; Aged; Analgesics, Opioid; Comorbidity; Double-Blind Method; Dyspnea;

2017
Prophylactic Fentanyl Sublingual Spray for Episodic Exertional Dyspnea in Cancer Patients: A Pilot Double-Blind Randomized Controlled Trial.
    Journal of pain and symptom management, 2019, Volume: 58, Issue:4

    Topics: Administration, Sublingual; Adult; Aged; Analgesics, Opioid; Dose-Response Relationship, Drug; Doubl

2019
Effects of prophylactic subcutaneous fentanyl on exercise-induced breakthrough dyspnea in cancer patients: a preliminary double-blind, randomized, controlled trial.
    Journal of pain and symptom management, 2014, Volume: 47, Issue:2

    Topics: Adult; Aged; Analgesics, Opioid; Double-Blind Method; Dyspnea; Exercise; Exercise Test; Fatigue; Fea

2014
A randomized crossover clinical trial to evaluate the efficacy of oral transmucosal fentanyl citrate in the treatment of dyspnea on exertion in patients with advanced cancer.
    The American journal of hospice & palliative care, 2015, Volume: 32, Issue:3

    Topics: Aged; Analgesics, Opioid; Dose-Response Relationship, Drug; Double-Blind Method; Dyspnea; Female; Fe

2015
Does nebulized fentanyl relieve dyspnea during exercise in healthy man?
    Journal of applied physiology (Bethesda, Md. : 1985), 2015, Jun-01, Volume: 118, Issue:11

    Topics: Administration, Inhalation; Adult; Analgesics, Opioid; Bicycling; Cross-Over Studies; Double-Blind M

2015
Impact of Prophylactic Fentanyl Pectin Nasal Spray on Exercise-Induced Episodic Dyspnea in Cancer Patients: A Double-Blind, Randomized Controlled Trial.
    Journal of pain and symptom management, 2016, Volume: 52, Issue:4

    Topics: Administration, Intranasal; Analgesics, Opioid; Double-Blind Method; Dyspnea; Exercise; Female; Fent

2016
EffenDys-Fentanyl Buccal Tablet for the Relief of Episodic Breathlessness in Patients With Advanced Cancer: A Multicenter, Open-Label, Randomized, Morphine-Controlled, Crossover, Phase II Trial.
    Journal of pain and symptom management, 2016, Volume: 52, Issue:5

    Topics: Administration, Buccal; Analgesics, Opioid; Cross-Over Studies; Disease Progression; Dyspnea; Feasib

2016
Failure to accrue to a study of nebulized fentanyl for dyspnea: lessons learned.
    Journal of palliative medicine, 2009, Volume: 12, Issue:9

    Topics: Analgesics, Opioid; Double-Blind Method; Dyspnea; Female; Fentanyl; Health Status Indicators; Humans

2009
Nebulized fentanyl citrate improves patients' perception of breathing, respiratory rate, and oxygen saturation in dyspnea.
    Journal of pain and symptom management, 2002, Volume: 23, Issue:2

    Topics: Administration, Inhalation; Analgesics, Opioid; Dyspnea; Female; Fentanyl; Humans; Male; Middle Aged

2002

Other Studies

31 other studies available for fentanyl and Dyspnea

ArticleYear
Tension pneumomediastinum from opioid inhalation.
    The American journal of emergency medicine, 2022, Volume: 53

    Topics: Administration, Inhalation; Adult; Dyspnea; Fentanyl; Heroin Dependence; Humans; Male; Mediastinal E

2022
Nebulized Fentanyl for Dyspnea: A Retrospective Chart Review.
    Journal of pain & palliative care pharmacotherapy, 2020, Volume: 34, Issue:2

    Topics: Administration, Inhalation; Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Dyspnea; Female; Fen

2020
The Use of Intranasal Fentanyl for the Palliation of Incident Dyspnea in Advanced Congestive Heart Failure: A Pilot Study.
    Journal of palliative care, 2019, Volume: 34, Issue:2

    Topics: Administration, Intranasal; Aged; Aged, 80 and over; Analgesics, Opioid; Dyspnea; Female; Fentanyl;

2019
Fentanyl treatment for end-of-life dyspnoea relief in advanced cancer patients.
    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019, Volume: 27, Issue:1

    Topics: Administration, Cutaneous; Administration, Intravenous; Adult; Aged; Aged, 80 and over; Analgesics,

2019
The Current Practice of Opioid for Cancer Dyspnea: The Result From the Nationwide Survey of Japanese Palliative Care Physicians.
    Journal of pain and symptom management, 2019, Volume: 58, Issue:4

    Topics: Analgesics, Opioid; Dyspnea; Fentanyl; Humans; Japan; Morphine; Neoplasms; Oxycodone; Palliative Car

2019
Authors' Response to: Prophylactic Fentanyl Sublingual Spray for Episodic Exertional Dyspnea in Cancer Patients: A Pilot Double-Blind Randomized Controlled Trial.
    Journal of pain and symptom management, 2019, Volume: 58, Issue:4

    Topics: Analgesics, Opioid; Double-Blind Method; Dyspnea; Fentanyl; Humans; Neoplasms

2019
Response to "Prophylactic Fentanyl Sublingual Spray for Episodic Exertional Dyspnea in Cancer Patients: A Pilot Double-Blind Randomized Controlled Trial".
    Journal of pain and symptom management, 2019, Volume: 58, Issue:4

    Topics: Analgesics, Opioid; Double-Blind Method; Dyspnea; Fentanyl; Humans; Neoplasms

2019
Management of labour and delivery in a woman with refractory supraventricular tachycardia.
    International journal of obstetric anesthesia, 2014, Volume: 23, Issue:1

    Topics: Adult; Amides; Amnion; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthesia, Epidural; Anes

2014
A randomized crossover clinical trial to evaluate the efficacy of oral transmucosal fentanyl citrate in the treatment of dyspnea on exertion in patients with advanced cancer.
    Journal of pain and symptom management, 2014, Volume: 47, Issue:6

    Topics: Drug-Related Side Effects and Adverse Reactions; Dyspnea; Female; Fentanyl; Humans; Male; Patient Sa

2014
Placebo-controlled feasibility randomized trial?
    Journal of pain and symptom management, 2014, Volume: 48, Issue:1

    Topics: Analgesics, Opioid; Dyspnea; Exercise; Fentanyl; Humans; Walking

2014
The essential role of feasibility studies in supportive care: reply to Sanz Rubiales and del Valle.
    Journal of pain and symptom management, 2014, Volume: 48, Issue:1

    Topics: Analgesics, Opioid; Dyspnea; Exercise; Fentanyl; Humans; Walking

2014
Intravenous Fentanyl for Dyspnea at the End of Life: Lessons for Future Research in Dyspnea.
    The American journal of hospice & palliative care, 2016, Volume: 33, Issue:3

    Topics: Aged; Aged, 80 and over; Analgesics, Opioid; Anxiety; Dyspnea; Female; Fentanyl; Humans; Infusions,

2016
Combined Effect of Opioids and Corticosteroids for Alleviating Dyspnea in Terminal Cancer Patients: A Retrospective Review.
    Journal of pain & palliative care pharmacotherapy, 2016, Volume: 30, Issue:2

    Topics: Adrenal Cortex Hormones; Aged; Aged, 80 and over; Analgesics, Opioid; Dose-Response Relationship, Dr

2016
Nebulized Fentanyl for Dyspnea in a Hospice Patient with True Allergy to Morphine and Hydromorphone.
    Journal of pain & palliative care pharmacotherapy, 2017, Volume: 31, Issue:1

    Topics: Administration, Inhalation; Aged, 80 and over; Drug Hypersensitivity; Dyspnea; Female; Fentanyl; Hos

2017
Pharmacologic intervention for cancer-related dyspnea.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2008, Sep-01, Volume: 26, Issue:25

    Topics: Analgesics, Opioid; Chlorpromazine; Dyspnea; Fentanyl; Humans; Neoplasms; Palliative Care; Randomize

2008
Intranasal fentanyl for episodic breathlessness.
    Journal of pain and symptom management, 2008, Volume: 36, Issue:6

    Topics: Administration, Intranasal; Aged; Aged, 80 and over; Analgesics, Opioid; Dyspnea; Female; Fentanyl;

2008
Anesthesia case of the month.
    Journal of the American Veterinary Medical Association, 2009, Jun-15, Volume: 234, Issue:12

    Topics: Anesthesia, General; Anesthetics, Intravenous; Animals; Cat Diseases; Cats; Dyspnea; Endoscopy, Gast

2009
[Successful management of a patient with pain and dyspnea from bone metastasis and lymphangitis carcinomatosa after surgery for non-small cell lung cancer (NSCLC) in whom optimal dosages of transdermal fentanyl were determined by titration with fentanyl i
    Gan to kagaku ryoho. Cancer & chemotherapy, 2010, Volume: 37, Issue:3

    Topics: Administration, Cutaneous; Bone Neoplasms; Carcinoma, Non-Small-Cell Lung; Dyspnea; Female; Fentanyl

2010
[Home hospice care for the lung cancer patients].
    Gan to kagaku ryoho. Cancer & chemotherapy, 2009, Volume: 36 Suppl 1

    Topics: Analgesics, Opioid; Dyspnea; Fentanyl; Home Care Services; Hospice Care; Humans; Lung Neoplasms; Mor

2009
The safety of flexible fibre-optic bronchoscopy and proceduralist-administered sedation: a tertiary referral centre experience.
    Internal medicine journal, 2012, Volume: 42, Issue:3

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Biopsy; Bronchoscopy; Conscious Sedation; Dyspnea; Femal

2012
Ketamine for palliative sedation in the emergency department.
    The Journal of emergency medicine, 2013, Volume: 44, Issue:2

    Topics: Advance Directive Adherence; Aged, 80 and over; Airway Obstruction; Anesthetics, Dissociative; Anest

2013
[Anaestheia for valve replacement in the second trimester of pregnancy].
    Revista espanola de anestesiologia y reanimacion, 2014, Volume: 61, Issue:1

    Topics: Acute Disease; Adult; Anesthesia, General; Cardiotocography; Chorea Gravidarum; Dyspnea; Emergencies

2014
[Anesthesia in a patient with acute strangulation of a massive diaphragmatic hernia].
    Revista espanola de anestesiologia y reanimacion, 2003, Volume: 50, Issue:4

    Topics: Adjuvants, Anesthesia; Adult; Anesthesia, Inhalation; Anesthesia, Intravenous; Anesthetics, Combined

2003
[Anesthetic management for a patient with platypnea-orthodeoxia syndrome].
    Masui. The Japanese journal of anesthesiology, 2004, Volume: 53, Issue:2

    Topics: Aged; Anesthesia, General; Dyspnea; Fentanyl; Heart Septal Defects, Atrial; Humans; Hypoxia; Male; M

2004
Nebulized fentanyl provides subjective improvements for patients with dyspnea.
    Oncology nursing forum, 2005, Volume: 32, Issue:1

    Topics: Administration, Inhalation; Dyspnea; Fentanyl; Humans; Lung Neoplasms; Narcotics; Nebulizers and Vap

2005
[Appropriate dose of isobaric bupivacaine with fentanyl in spinal anesthesia for cesarean section].
    Masui. The Japanese journal of anesthesiology, 2005, Volume: 54, Issue:8

    Topics: Adult; Anesthesia, Epidural; Anesthesia, Obstetrical; Anesthesia, Spinal; Anesthetics, Combined; Ane

2005
Oral transmucosal fentanyl citrate in the management of dyspnea crises in cancer patients.
    Journal of pain and symptom management, 2005, Volume: 30, Issue:5

    Topics: Administration, Oral; Aged; Analgesics, Opioid; Dyspnea; Female; Fentanyl; Humans; Lung Neoplasms; M

2005
Fentanyl may increase breathlessness in a patient with motor neuron disease.
    Journal of pain and symptom management, 2006, Volume: 32, Issue:3

    Topics: Aged; Anesthetics, Intravenous; Dyspnea; Female; Fentanyl; Humans; Motor Neuron Disease; Neck Pain;

2006
Oral transmucosal fentanyl citrate for dyspnea in terminally ill patients: an observational case series.
    Journal of palliative medicine, 2008, Volume: 11, Issue:4

    Topics: Aged; Aged, 80 and over; Analgesics, Opioid; Dyspnea; Female; Fentanyl; Heart Failure; Humans; Lung

2008
Fentanyl for dyspnea relief.
    Oncology nursing forum, 1998, Volume: 25, Issue:8

    Topics: Acute Disease; Administration, Inhalation; Analgesics, Opioid; Dyspnea; Fentanyl; Humans

1998
[Subarachnoid anesthesia in the repair of urinary stress incontinence using a Burch-type colposuspension by means of extraperitoneal laparoscopy].
    Revista espanola de anestesiologia y reanimacion, 2002, Volume: 49, Issue:2

    Topics: Adult; Aged; Anesthesia, General; Anesthesia, Spinal; Bupivacaine; Carbon Dioxide; Chest Pain; Dyspn

2002