natgillin/translations-raw huggingface dataset:
These actions can be followed by administration of a specific opioid antagonist such as naloxone. 
Tem ukrepom lahko sledi vnos specifičnega antagonista opioidov, npr. naloksona.
On exceptional occasions where a new episode occurs earlier, you can use Instanyl to treat it but you must wait at least 2 hours before doing so. 
V izjemnih primerih, ko se nova epizoda bolečine pojavi prej, jo lahko zdravite z zdravilom Instanyl, vendar morate pred tem počakati vsaj 2 uri.
If you think you are becoming dependent on Instanyl, it is important that you inform you doctor. 
Če menite, da postajate odvisni od zdravila Instanyl, o tem obvestite svojega zdravnika.
Severe respiratory depression or severe obstructive lung conditions. 
Resna depresija dihanja ali resne obstruktivne bolezni pljuč.
It is recommended that the patient's head is in upright position when administrating Instanyl. 
Priporočljivo je, da je bolnikova glava med uporabo zdravila Instanyl v pokončnem položaju.
Limited data on pharmacokinetics, efficacy and safety are available for the use of Instanyl in patients above 65 years of age. 
Podatki o farmakokinetiki, učinkovitosti in varnosti zdravila Instanyl pri bolnikih, starejših od 65 let,
Before patients are titrated with Instanyl, it is expected that their background persistent pain is controlled by use of chronic opioid therapy and that they are experiencing no more than four episodes of breakthrough pain per day. 
Pred titracijo zdravila Instanyl se pričakuje, da je stalna bolečina pod nadzorom s kroničnim opioidnim zdravljenjem in da bolnik ne čuti več kot štirih epizod prebijajoče bolečine na dan.
Concomitant use of Instanyl with other medicinal products (other than oxymetazoline) administered via the nose has not been evaluated in the clinical trials. 
Sočasna uporaba zdravila Instanyl z drugimi zdravili (poleg oksimetazolina), ki se vnašajo nazalno, ni bila ovrednotena s kliničnimi preskušanji.
Once primed, the display shows the number of doses left and the nasal spray is ready for use again. 
Ko ste pršilo pripravili, se na zaslonu prikaže število preostalih odmerkov in pršilo za nos je znova pripravljeno za uporabo.
Patients being treated with medicinal products containing sodium oxybate. 
Bolniki, zdravljeni z zdravili, ki vsebujejo natrijev oksibat.
If discontinuation of all opioid therapy is required, the patient must be closely followed by the physician as gradual downward opioid titration is necessary in order to avoid the possibility of abrupt withdrawal effects. 
Če je potrebna prekinitev zdravljenja z vsemi opioidi, mora zdravnik bolnika skrbno spremljati in s titracijo postopoma zmanjševati odmerke opioidov, da se izogne možnemu odtegnitvenemu sindromu.
• Not to use Instanyl nasal spray for treatment of more than four breakthrough cancer pain episodes a day. 
• Ne uporabljati Instanyl pršila za nos za zdravljenje več kot štirih epizod prebijajoče bolečine zaradi raka na dan.
Clinically significant respiratory depression may occur with fentanyl, and patients must be observed for these effects. 
Pri uporabi fentanila lahko pride do klinično pomembne depresije dihanja, zato je treba spremljati bolnike zaradi morebitnega pojava teh učinkov.
• It must be pumped 3 or 4 times (primed) until a fine mist appears. 
- Pred prvo uporabo pršila za nos: • Pršilo pritisnite 3- do 4-krat (temeljito), dokler se ne pojavi fina meglica.
Sleepiness, drowiness, dizziness, reduced body temperature, slow heart beat, difficulties coordinating arms and legs. 
zaspanost, dremavost, omotica, znižana telesna temperatura, upočasnjen srčni utrip, težave s koordinacijo rok in nog.
Before using the nasal spray for the first time, it must be pumped 5 times (primed) to give a full dose of Instanyl. 
Pred prvo uporabo pršila za nos je treba pršilo 5-krat pritisniti (aktivirati), da dobite celoten odmerek zdravila Instanyl.
Educational material for the physicians should contain the following: 
Izobraževalno gradivo za zdravnike mora vsebovati naslednje:
Instanyl shows linear kinetics. 
Za zdravilo Instanyl je značilna linearna kinetika.
1.8 ml - 10 doses 2.9 ml - 20 doses 5.0 ml - 40 doses 
1,8 ml - 10 odmerkov 2,9 ml - 20 odmerkov 5,0 ml - 40 odmerkov
Caution is advised when Instanyl is coadministered with medicinal products that affect the serotoninergic neurotransmitter systems. 
Pri sočasni uporabi zdravila Instanyl z zdravili, ki vplivajo na sistem serotoninergičnih nevrotransmiterjev, je potrebna previdnost.
What Instanyl contains 
Kaj vsebuje navodilo
Instanyl should not be used during childbirth because fentanyl may cause serious breathing problems in the new-born child. 
Zdravila Instanyl se ne sme uporabljati med porodom, ker lahko fentanil pri novorojenčku povzroči resne težave z dihanjem.
- if you use other nasal spray products, e.g. for common cold or allergy. 
- če uporabljate druga pršila za nos, npr. za prehlad ali alergijo.
Impaired renal or hepatic function 
Okvarjena ledvična ali jetrna funkcija
B. CONDITIONS OR RESTRICTIONS REGARDING SUPPLY AND USE Medicinal product subject to special and restricted medical prescription (See Annex I: Summary of Product Characteristics, section 4.2). 
Predpisovanje in izdaja zdravila je le na poseben recept in le s posebnim režimom (glejte Prilogo I: Povzetek glavnih značilnosti zdravila, poglavje 4.2).
• Information about dose counting scheme included in the labelling and the educational material for the multi-dose nasal spray. 
• Informacije o shemi štetja odmerkov, ki so vključene v označevanje in izobraževalna gradiva za večodmerno pršilo za nos.
In animal studies, male and female fertility was impaired at sedative doses (see section 5.3). 
V študijih na živalih so ugotovili zmanjšano plodnost samcev in samic ob sedativnih odmerkih (glejte poglavje 5.3).
• troleandomycin, clarithromycin, or erythromycin (medicines for treatment of bacterial infections); 
• troleandomicin, klaritromicin ali eritromicin (zdravila za zdravljenje bakterijskih okužb),
Instanyl can cause dizziness, drowsiness and visual disturbances, which may affect your ability to drive or use machines. 
Zdravilo Instanyl lahko povzroči omotico, zaspanost in motnje vida, ki lahko vplivajo na vašo sposobnost za vožnjo ali upravljanje strojev.
It is advised not to use fentanyl during labour and delivery (including caesarean section) because fentanyl passes through the placenta and may cause respiratory depression in the newborn (neonate). 
Fentanila se ne sme uporabljati med popadki in porodom (vključno s carskim rezom), ker fentanil prehaja skozi posteljico in lahko povzroči depresijo dihanja pri novorojenčku (novorojencu).
Comparable bioavailability (AUC) of fentanyl was achieved with and without oxymetazoline, while fentanyl Cmax decreased and Tmax increased by a factor two when oxymetazoline was administered. 
Z oksimetazolinom ali brez njega je bila dosežena primerljiva biološka uporabnost (AUC) fentanila, vendar pa se je pri uporabi oksimetazolina znižala vrednost Cmax in povišala vrednost Tmax fentanila za količnik dve.
Contact your doctor to confirm the correct dose of your usual medicine if you are not sure. 
V primeru dvoma pokličite svojega zdravnika in preverite pravilnost odmerka svojega običajnega zdravila.
- if you are not regularly using a prescribed opioid medicine (e.g codeine, fentanyl, hydromorphone, morphine, oxycodone, pethidine), every day on a regular schedule, for at least a week, to control your persistent pain. 
- če za nadzor svoje stalne bolečine ne uporabljate redno predpisanega opioidnega zdravila že vsaj en teden (npr. kodeina, fentanila, hidromorfona, morfina, oksikodona, petidina), vsak dan in po rednem režimu.
- if you take medicines called partial agonist/antagonists e.g. buprenorphine, nalbuphine and pentazocine (medicines for treatment of pain) as you may experience symptoms of withdrawal syndrome. 
- če jemljete zdravila, imenovana delni agonisti/antagonisti, npr. buprenorfin, nalbufin in pentazocin (zdravila za zdravljenje bolečine), saj se lahko pojavijo simptomi odtegnitvenega sindroma.
You should wait for 4 hours before treating the next episode of breakthrough pain. 
Počakati bi morali 4 ure, preden zdravite naslednjo epizodo prebijajoče bolečine.
- other medicines taken via the nose, especially oxymetazoline, xylometazoline and similar medicines, which are used for relief of nose congestions. 
druga zdravila za nazalno uporabo, predvsem oksimetazolin, ksilometazolin in podobna zdravila, ki se uporabljajo za lajšanje kongestije nosne sluznice.
When priming, please refer to the above safety instructions 
Ko pripravljate pršilo, glejte varnostna navodila zgoraj.
Breakthrough pain is a transitory exacerbation of pain that occurs on a background of otherwise controlled persistent pain. 
Prebijajoča bolečina je prehodno poslabšanje bolečine poleg kronične stalne bolečine, ki je sicer pod nadzorom.
• Do not point the nasal spray in the direction of yourself and other people. 
• Ne usmerjajte pršila za nos vase in v druge osebe.
• Always to keep Instanyl out of the reach and sight of children since it can be harmful to them. 
• Zdravilo Instanyl je treba vedno shranjevati nedosegljivo otrokom, saj je zdravilo za otroke lahko škodljivo.
• The Instanyl nasal spray dose strengths cannot be compared with other Fentanyl products. 
• Jakosti odmerkov Instanyl pršila za nos ni mogoče primerjati z drugimi zdravili, ki vsebujejo fentanil.
If after 10 minutes you need a second dose of Instanyl to relieve your pain, repeat steps 1 to 8 in the other nostril. 
Če po 10 minutah zaradi ublažitve bolečine potrebujete drugi odmerek pršila Instanyl, ponovite korake od 1 do 8 v drugi nosnici.
Patients receiving maintenance opioid therapy are those who are taking at least 60 mg of oral morphine daily, at least 25 micrograms of transdermal fentanyl per hour, at least 30 mg oxycodone daily, at least 8 mg of oral hydromorphone daily or an equianalgesic dose of another opioid for a week or longer. 
Bolniki na vzdrževalnem zdravljenju z opioidi so tisti, ki uporabljajo vsaj 60 mg peroralnega morfina na dan, vsaj 25 mikrogramov transdermalnega fentanila na uro, vsaj 30 mg oksikodona na dan, vsaj
About 9 of the dose is recovered in the faeces primarily as metabolites. 
Približno 9% odmerka se izloči z blatom, predvsem v obliki presnovkov.
How to use Instanyl 
Kako uporabljati zdravilo Instanyl
You should however continue to take your usual pain relieving medicine to treat your cancer pain. 
Kljub temu morate nadaljevati z jemanjem svojega običajnega zdravila proti bolečinam zaradi raka.
Instanyl acts rapidly and is used for relieving breakthrough pain in adult cancer patients already treated with opioids for their usual pain. 
Instanyl deluje hitro in se uporablja za lajšanje prebijajoče bolečine pri bolnikih z rakom, ki se že zdravijo z opioidi zaradi običajne bolečine.
• To open cut with scissors along the line (above the scissors symbol) on the blister. 
• Pretisni omot odprete tako, da s škarjami zarežete vzdolž črte na foliji (označena s simbolom škarij).
Fentanyl exhibits three compartment distribution kinetics. 
Za fentanil je značilna kinetika porazdelitve s tremi predelki.
INSTRUCTIONS FOR USE OF INSTANYL 
NAVODILO ZA UPORABO ZDRAVILA INSTANYL
• Press the plunger upwards firmly to release the dose with your thumb while inhaling gently through the nose and then remove the spray container from the nose. 
• Odmerek sprostite s čvrstim pritiskom palca na bat ter sočasno nežno vdihnite skozi nos, potem pa odstranite vsebnik pršila iz nosu.
Shows how much time is left of the locking period. 
Kaže, kako dolgo bo pršilo še zaklenjeno.
After each dose, the number is counting downwards on the display. 
Po vsakem odmerku se število na zaslonu zniža za eno.
In order to keep track of the number of doses of Instanyl used, you should use the tick-boxes in the booklet placed on top of the child-resistant outer box. 
Za beleženje števila uporabljenih odmerkov zdravila Instanyl uporabite okvirčke v knjižici, nameščeni na vrhu za otroke varne škatle.
It is recommended that the patient sit or stand in upright position when administrating Instanyl. 
Priporočljivo je, da bolnik med uporabo zdravila Instanyl stoji ali sedi v pokončnem položaju.
Instanyl comes in different pack sizes of 2, 6, 8 and 10 single-dose containers. 
Zdravilo Instanyl je na voljo v različnih velikostih pakiranj: 2, 6, 8 in 10 enoodmernih vsebnikov.
10 doses (2.0 ml) 20 doses (3.2 ml) 30 doses (4.3 ml) 40 doses (5.3 ml) 
10 odmerkov (2,0 ml) 20 odmerkov (3,2 ml) 30 odmerkov (4,3 ml) 40 odmerkov (5,3 ml)
Instanyl can cause somnolence, dizziness, visual disturbances or other adverse reactions which may affect their ability to drive or operate machinery. 
Zdravilo Instanyl lahko povzroči zaspanost, omotico, motnje vida ali druge neželene učinke, ki lahko vplivajo na njihovo sposobnost za vožnjo ali upravljanje strojev.
- if the person has difficulty breathing, you should prompt the person to breathe in every 
- če ima oseba težave z dihanjem, jo morate spodbuditi k dihanju vsakih 5-10 sekund.
The symbol disappears from the display, when the white button on the side of the nasal spray is pressed. 
Simbol izgine z zaslona, ko pritisnete beli gumb ob strani pršila za nos.
Keep the bottle stored upright. 
Stekleničko shranjujte v pokončnem položaju.
• Gently hold the single-dose container with your thumb supporting it at the plunger at the bottom and your index and middle finger on either side of the spray tip (see drawing). 
• Nežno primite enoodmerni vsebnik tako, da s palcem podprete bat spodaj, kazalec in sredinec pa postavite na obe strani konice pršila (glejte risbo).
However, iatrogenic addiction following therapeutic use of opioids is known to occur in the treatment of cancer related pain. 
Iatrogena odvisnost, ki bi jo povzročila uporaba opioidov v okviru zdravljenja bolečine zaradi raka, pa je znano, da se pojavlja.
The efficacy and safety of Instanyl (50, 100 and 200 micrograms) have been assessed in two randomised, double-blind, cross-over, placebo-controlled pivotal studies in 279 opioid-tolerant adult cancer patients (age 32-86 years) with breakthrough pain (BTP). 
randomiziranih, dvojno-slepih, navzkrižnih, s placebom nadzorovanih preskušanjih pri 279 odraslih bolnikih z rakom (starost 32-86 let), ki so imeli prebijajoče bolečine in razvito toleranco na opioide.
• Only to use Instanyl nasal spray if they have received the proper information regarding the use of the device and the safety precautions from the prescriber and/or the pharmacist. 
• Instanyl pršilo za nos uporabljati samo, če jih je predpisovalec in/ali farmacevt seznanil z ustreznimi informacijami glede uporabe pršila in previdnostnimi ukrepi.
Fentanyl should be used with caution in patients with evidence of increased intracranial pressure, impaired consciousness or coma. 
Uporaba fentanila pri bolnikih z znaki zvišanega intrakranialnega tlaka, zmanjšano zavestjo ali komo zahteva posebno previdnost.
Subjects with allergic rhinitis received oxymetazoline nasal spray one hour prior to Instanyl. 
Preiskovanci z alergičnim rinitisom so prejeli oksimetazolin s pršilom za nos eno uro pred zdravilom Instanyl.
Recurrent episodes of epistaxis (see section 4.4). 
Ponavljajoče se epizode krvavitev iz nosu (glejte poglavje 4.4).
For nasal use 
za nazalno uporabo
Single-dose container consisting of a vial (clear type I glass) integrated in a polypropylene spray container, packed in child-resistant blister. 
Enoodmerni vsebnik sestavlja viala (prozorno steklo tipa I) vložena v polipropilenski vsebnik za pršilo, ki je shranjen v za otroke varnem pretisnem omotu.
Instanyl should be discontinued immediately if the patient no longer experiences breakthrough pain episodes. 
Zdravljenje z zdravilom Instanyl je treba prekiniti takoj, ko bolnik več ne čuti epizod prebijajoče bolečine.
After the second dose within 1 hour the nasal spray is locked. 
Po drugem odmerku znotraj 1 ure se bo pršilo za nos zaklenilo.
• The pharmacist must inform the patients that in order to prevent theft and misuse of Instanyl nasal spray they have to keep it in a safe place to avoid misuse and diversion. 
• Farmacevt mora obvestiti bolnika, da je treba Instanyl pršilo za nos zaradi preprečevanja kraje in zlorabe shranjevati na varnem mestu, kjer ni možna zloraba ali napačna uporaba.
Instanyl contains the active substance fentanyl and belongs to a group of strong painkillers called opioids. 
Zdravilna učinkovina zdravila Instanyl je fentanil, ki spada v skupino močnih protibolečinskih zdravil, imenovanih opioidi.
The spray container contains only one dose. 
Vsebnik za pršilo vsebuje samo en odmerek.
The adverse reactions considered to be at least possibly related to treatment in the clinical trials of Instanyl are included in the table below. 
V spodnji tabeli so navedeni neželeni učinki, ki so bili v kliničnih preskušanjih z zdravilom Instanyl vsaj morebitno povezani z zdravljenjem.
Please read the instruction for use at the end of this leaflet to learn how to use Instanyl. 
Preberite navodila za uporabo na koncu te brošure, da se naučite uporabljati zdravilo Instanyl.
The concomitant use of partial opioid agonists/antagonists (e.g. buprenorphine, nalbuphine, pentazocine) is not recommended. 
Sočasna uporaba delnih opioidnih agonistov/antagonistov (npr. buprenorfin, nalbufin, pentazocin) ni priporočljiva.
The nasal spray allows for up to two doses per breakthrough pain episodes. 
Pršilo za nos omogoča dajanje do dveh odmerkov na epizodo prebijajoče bolečine.
If after 10 minutes you need a second dose of Instanyl to relieve your pain, repeat step 1 to 7 in the other nostril. 
Če po 10 minutah zaradi ublažitve bolečine potrebujete drugi odmerek, morate korake od 1 do 7 ponoviti v drugi nosnici.
United Kingdom Takeda UK Ltd Tel.: +44 (0)1628 537 900 
Takeda UK Ltd Tel.: +44 (0)1628 537 900
If Instanyl has been administered, an antidote for the child should be readily available. 
primeru uporabe zdravila Instanyl mora biti na razpolago protisredstvo za otroka.
Non-clinical data reveal no special hazard for humans based on conventional studies of safety pharmacology, repeated dose toxicity,genotoxicity and carcinogenicity. 
Predklinični podatki na osnovi običajnih študij farmakološke varnosti, toksičnosti pri ponavljajočih se odmerkih, genotoksičnosti in karcinogenosti ne kažejo posebnega tveganja za človeka.
- Pull lid to open - After use of Instanyl the nasal spray must be placed in the inner tray again and the box closed 
- Po uporabi je treba Instanyl pršilo za nos spet položiti v notranji podstavek in škatlo zapreti.
You can use Instanyl to treat up to 4 episodes of breakthrough pain per day. 
Zdravilo Instanyl lahko uporabite za zdravljenje do 4 epizod prebijajoče bolečine na dan.
A polypropylene (PP) nasal spray container consisting of a glass bottle (brown Type 1 glass) with metering pump. 
Vsebnik za pršilo za nos iz polipropilena (PP), ki ga sestavlja steklenica (rjavo steklo tipa I) z odmerno črpalko.
Concomitant use of nasal vasoconstrictor should be avoided (see section 4.5). 
Sočasni uporabi nosnega vazokonstriktorja se je treba izogniti (glejte poglavje 4.5).
Magyarország Takeda Pharma Kft. Tel.: +361 2707030 
Takeda Pharma Kft. Tel.: +361 2707030
The single-dose container contains 1 dose of Instanyl and and is supplied in a child-resistant blister. 
Enoodmerni vsebnik vsebuje 1 odmerek zdravila Instanyl in je shranjen v pretisnem omotu, ki je varen za otroke.
If uncertain of how the pump has been stored, you should check the spray pump before use. 
V primeru dvoma o primernosti shranjevanja pršila za nos morate pred uporabo zaporko z mehanskim pršilom preveriti.
What you need to know before you use Instanyl 
Kaj morate vedeti, preden boste uporabili zdravilo Instanyl Ne uporabljajte zdravila Instanyl:
The nasal spray is supplied in a child-resistant outer box and comes in three different pack sizes: 1.8 ml (equal to 10 doses), 2.9 ml (equal to 20 doses) and 5.0 ml (equal to 40 doses). 
Pršilo za nos je shranjeno v za otroke varni škatli in ima tri različne velikosti pakiranja: 1,8 ml (enako 10 odmerkom), 2,9 ml (enako 20 odmerkom) in 5,0 ml (enako 40 odmerkom).
COUNTDOWN-CLOCK symbol 
Simbol ODŠTEVAJOČE URE
- If you get any side effects, talk to your doctor, nurse or pharmacist. 
- Če opazite kateri koli neželeni učinek, se posvetujte z zdravnikom, medicinsko sestro ali s farmacevtom.
The display now shows ‘P3' and the lock symbol. 
Na zaslonu se bosta prikazala oznaka »P3« in simbol ključavnice.
If Instanyl nasal spray is blocked or does not spray properly: 
Če je pršilni nastavek pršila za nos Instanyl zamašen ali pa pršenje ni ustrezno:
Refer to the package leaflet for information on disposal 
Glejte navodilo za uporabo za informacije o odstranjevanju.
• ritonavir, nelfinavir, amprenavir, and fosamprenavir (medicines that help control HIV infection); 
• ritonavir, nelfinavir, amprenavir in fosamprenavir (zdravila za obvladovanje okužbe s HIV),
If Instanyl nasal spray is frozen the spray pump may crack. 
Če Instanyl pršilo za nos zamrzne, lahko zaporka z mehanskim pršilom poči.
The side effects will often stop or reduce in intensity with continued use of the product. 
Neželeni učinki se ob nadaljnji uporabi zdravila pogosto zmanjšajo ali izginejo.
The display now shows ‘P4' and a lock symbol appears. 
Na zaslonu se bosta sedaj prikazala oznaka »P4« in simbol ključavnice.
After two doses are taken within 60 minutes, Instanyl will lock for a period of 2 hours, from the first dose taken, until another dose can be administered. 
Po dveh uporabljenih odmerkih v obdobju 60 minut se pršilo Instanyl zaklene za 2 uri, merjeno od prvega danega odmerka, ko je ponovno mogoče uporabiti naslednji odmerek.
Priming should be performed in a well ventilated area. 
Je treba pršilo pripravljati v dobro prezračenem prostoru.
Please read the instruction for use at the end of this leaflet to learn how to use the nasal spray. 
Preberite navodila za uporabo na koncu te brošure, da se naučite uporabljati pršilo za nos.
Instanyl may interact with these medicines and you may experience mental status changes (e.g. agitation, hallucinations, coma), and other effects such as body temperature above 38 °C, increase in heart rate, unstable blood pressure, and exaggeration of reflexes, muscular rigidity, lack of coordination and/or gastrointestinal symptoms (e.g. nausea, vomiting, diarrhoea). 
Zdravilo Instanyl lahko medsebojno učinkuje s temi zdravili in pojavi se lahko sprememba mentalnega stanja (npr. agitacija, halucinacije, koma) in drugi učinki, kot so telesna temperatura, višja kot 38 °C, hitrejši srčni utrip, nestabilen krvni tlak in pretirano izraženi refleksi, mišična okorelost, pomanjkanje koordinacije in/ali gastrointestinalni simptomi (npr.
• Instructions for opening and closing of the child-resistant box (for the multi-dose nasal spray) or the child resistant cap (for the multi-dose nasal spray DoseGuard) or opening of the blister (for the single-dose nasal spray). 
• Navodila za odpiranje in zapiranje za otroke varne škatle (za večodmerno pršilo za nos) ali za otroke varne zaporke (za večodmerno pršilo za nos DoseGuard) ali odpiranje pretisnega omota
You could experience symptoms of withdrawal syndrome (nausea, vomiting, diarrhoea, anxiety, chills, tremor, and sweating). 
Pojavijo se lahko odtegnitveni simptomi (siljenje na bruhanje, bruhanje, driska, tesnoba, mrzlica, tremor in znojenje).
Nausea, vomiting Constipation, stomatitis, dry mouth 
Bolezni prebavil navzea, bruhanje zaprtost, stomatitis, suha usta driska
If you experience more than four episodes of breakthrough pain per day, contact your doctor, as your usual cancer pain treatment may have to be changed. 
V primeru pojava več kot štirih epizod prebijajoče bolečine na dan se obrnite na zdravnika, saj bo morda treba spremeniti vaše običajno zdravljenje bolečine zaradi raka.
Do not point the nasal spray in the direction of yourself and other people. 
Ne usmerjajte pršila za nos vase ali druge osebe.
The overall extent of fentanyl exposure in subjects with common cold without prior treatment with nasal vasoconstrictor is comparable to that in healthy subjects. 
Prehlad Skupna stopnja izpostavljenosti fentanilu je pri prehlajenih osebah, ki se ne zdravijo z nosnim vazokonstriktorjem, primerljiva z zdravimi osebami.