Your child is in pain and needs treatment right away. We believe the Intra-nasal Fentanyl is the best way to take away severe pain in children. It is the quickest and least painful way.

Ways to Give Pain Medicine

  • Nose spray - the quickest and most effective way without a needle stick

  • IV - effective but can be painful and scary to children

  • By mouth - takes too long to go into effect (up to 30 minutes)


Fentanyl is a strong pain medicine. It works in 5 to 10 minutes. This medicine is often used in IV form to reduce moderate to severe pain.

How it is Given

We use a device called an atomizer, as shown below.

This medicine takes effect within 5 to 10 minutes and will last 30 to 60 minutes.

Side Effects

No serious problems have been reported. When the medicine is given, your child may:

  • Have mild irritation of the nose causing brief gagging or coughing

  • Become sleepy

  • Have watery eyes

  • Have nasal congestion

After it is Given

  • Watch your child closely

  • Do not let your child walk or wander

  • Watch for falling

Tell the ED staff if your child:

  • Becomes sleepy

  • Has breathing problems

  • Is not acting right

  • Still has pain 15 minutes after the medicine was given

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