Why am I getting this handout?

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 without a needle stick.

What are the ways to give pain medicine?

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

  • IV - effective, but it is painful and scary to children.

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

What is Fentanyl?

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 is this medicine given?

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


How soon will it take effect?

Within 5 to 10 minutes.

Are there any 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

How long will the effects of this medicine last?

The effects will last 30 to 60 minutes. 

What should I do after the medicine is given?

You should not let your child walk or wander around; watch for falling.

Tell one of 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

    boy 1
    boy 2