Regulatory PathRegulatory requirements compared

Active substance

Fentanyl

Open in the medicines table

SFDA Saudi Arabia — SFDA human drug list

Trade nameStrengthForm · routePackPublic priceTypeCompanyStatus
ABSTRAL 100MCG SUBLINGUAL TABLET100 µgSublingual tablet · Sublingual use10 BlisterSAR 271.10NCE · PrescriptionKYOWA KIRIN LIMITEDValid
ABSTRAL 200MCG SUBLINGUAL TABLET200 µgSublingual tablet · Sublingual use10 BlisterSAR 271.10NCE · PrescriptionKYOWA KIRIN LIMITEDValid
DUROGESIC 12MCG-H TRASDERMAL PATCHES12 µgTransdermal patch · Transdermal use5 BoxSAR 79.75Generic · PrescriptionJANSSEN PHARMACEUTICA N.VValid
DUROGESIC TTS 100 Ug-HOUR100 µgTransdermal patch · Transdermal use5 BoxSAR 339.95NCE · PrescriptionJANSSEN PHARMACEUTICA N.VValid
DUROGESIC TTS 25 Ug-HOUR25 µgTransdermal patch · Transdermal use5 BoxSAR 110.50NCE · PrescriptionJANSSEN PHARMACEUTICA N.VValid
DUROGESIC TTS 50 Ug-HOUR50 µgTransdermal patch · Transdermal use5 BoxSAR 206.75NCE · PrescriptionJANSSEN PHARMACEUTICA N.VValid
DUROGESIC TTS 75 Ug-HOUR75 µgTransdermal patch · Transdermal use5 BoxSAR 276.05NCE · PrescriptionJANSSEN PHARMACEUTICA N.VValid
FENTANYL 50 mcg/ml solution for injection50 µ/mlSolution for injection · Intravenous use10 AmpouleSAR 63.15Generic · PrescriptionMACARTHYS LABORATORIES Ltd T/A MARTINDALE PHARMACEUTICALSValid
FENTANYL 50 mg mcg/ml solution for injection50 µ/mlSolution for injection · Intravenous use10 AmpouleSAR 23.60Generic · PrescriptionMACARTHYS LABORATORIES Ltd T/A MARTINDALE PHARMACEUTICALSValid
FENTANYL MEDIS 10 ml Ampoule50 µ/mlSolution for injection · Intravenous use10 AmpouleSAR 63.80Generic · PrescriptionLES LABORATOIRES MEDISValid
FENTANYL MEDIS 2 ml Ampoule50 µ/mlSolution for injection · Intravenous use10 AmpouleSAR 25.85Generic · PrescriptionLES LABORATOIRES MEDISValid
Fentanyl Kalceks0.05 mg/mlSolution for injection · Intramuscular and intravenous use10 AmpouleSAR 23.60Generic · PrescriptionAS KalceksValid
Fentanyl Kalceks0.05 mg/mlSolution for injection · Intramuscular and intravenous use10 AmpouleSAR 63.15Generic · PrescriptionAS KalceksValid
Fentanyl Piramal 0.05MG-ML AMPOULES0.05 mg/mlSolution for injection · Intravenous use5 AmpouleSAR 49.65NCE · PrescriptionPiramal Critical Care B.VValid
Fentanyl Piramal 0.05MG-ML AMPOULES0.05 mg/mlSolution for injection · Intravenous use5 AmpouleSAR 10.60NCE · PrescriptionPiramal Critical Care B.VValid
Fentanyl Piramal 0.05MG-ML AMPOULES0.05 mg/mlSolution for injection · Intravenous use50 AmpouleSAR 192.25NCE · PrescriptionPiramal Critical Care B.VValid
Fentanyl Piramal 0.05MG-ML AMPOULES0.05 mg/mlSolution for injection · Intravenous use50 AmpouleSAR 93.75NCE · PrescriptionPiramal Critical Care B.VValid
PecFent 100 MCG NASAL SPRAY100 µgNasal spray, solution · Nasal use1 BottleSAR 201.85NCE · PrescriptionKyowa Kirin Holdings B.V.Valid
PecFent 100 MCG NASAL SPRAY100 µgNasal spray, solution · Nasal use4 BottleSAR 772.40NCE · PrescriptionKyowa Kirin Holdings B.V.Valid
PecFent 400 MCG NASAL SPRAY400 µgNasal spray, solution · Nasal use1 BottleSAR 201.85NCE · PrescriptionKyowa Kirin Holdings B.V.Valid
PecFent 400 MCG NASAL SPRAY400 µgNasal spray, solution · Nasal use4 BottleSAR 772.40NCE · PrescriptionKyowa Kirin Holdings B.V.Valid
FENTANYL CITRATE 50MCG-ML VIAL50 µ/mlSolution for injection · Intravenous use10 AmpouleSAR 67.05NCE · PrescriptionANTIGENWithdrawn by MAH · Not Marketed
FENTANYL Transdermal System 100 mcg/h100 µgTransdermal patch · Transdermal use5 BoxSAR 287.80Generic · PrescriptionAPOTEXWithdrawn by MAH · Not Marketed
FENTANYL Transdermal System 25 mcg/h25 µgTransdermal patch · Transdermal use5 BoxSAR 94.85Generic · PrescriptionAPOTEXWithdrawn by MAH · Not Marketed
FENTANYL Transdermal System 50 mcg/h50 µgTransdermal patch · Transdermal use5 BoxSAR 166.60Generic · PrescriptionAPOTEXWithdrawn by MAH · Not Marketed

5 more — full table

Indications — CHI Daman Drug Formulary

ACUTE PANCREATITIS-PAIN MANAGEMENT; BURN MANAGEMENT; CHRONIC PANCREATITIS; DIABETIC NEUROPATHY; ENDOMETRIOSIS; ENTEROPATHIC ARTHROPATHIES, UNSPECIFIED SITE REACTIVE ARTHROPATHY, UNSPECIFIED; LOW BACK PAIN; NEUROPATHIC PAIN; PAIN MANAGEMENT IN CANCER PATIENTS; POST-HERPETIC NEURALGIA; POSTOPERATIVE PAIN; RENAL AND URETERIC STONES; SICKLE CELL DISEASE - PAIN MANAGEMENT

US FDA United States — FDA approvals (Drugs@FDA)

ProductStrengthForm · routeApplicantStatusFirst approved
SUBLIMAZE PRESERVATIVE FREEEQ 0.05MG BASE/MLinjectable · injectionRISINGPrescription19 Feb 1968
FENTANYL CITRATEEQ 0.05MG BASE/ML; EQ 0.025MG BASE/0.5MLinjectable · injectionHIKMA PHARMSPrescription11 Jul 1984
FENTANYL CITRATEEQ 0.05MG BASE/MLinjectable · injectionHOSPIRAPrescription12 Jan 1985
FENTANYL-2525MCG/HRfilm, extended release · transdermalMYLAN TECHNOLOGIESPrescription28 Jan 2005
FENTANYL-5050MCG/HRfilm, extended release · transdermalMYLAN TECHNOLOGIESPrescription28 Jan 2005
FENTANYL-7575MCG/HRfilm, extended release · transdermalMYLAN TECHNOLOGIESPrescription28 Jan 2005
FENTANYL-100100MCG/HRfilm, extended release · transdermalMYLAN TECHNOLOGIESPrescription28 Jan 2005
FENTANYL-1212.5MCG/HRfilm, extended release · transdermalMYLAN TECHNOLOGIESPrescription28 Jan 2005
FENTANYL-3737.5MCG/HRfilm, extended release · transdermalMYLAN TECHNOLOGIESPrescription28 Jan 2005
FENTANYL-6262.5MCG/HRfilm, extended release · transdermalMYLAN TECHNOLOGIESPrescription28 Jan 2005
FENTANYL-8787.5MCG/HRfilm, extended release · transdermalMYLAN TECHNOLOGIESPrescription28 Jan 2005
FENTANYL-2525MCG/HRfilm, extended release · transdermalDIFGEN PHARMSPrescription20 Oct 2008
FENTANYL-5050MCG/HRfilm, extended release · transdermalDIFGEN PHARMSPrescription20 Oct 2008
FENTANYL-7575MCG/HRfilm, extended release · transdermalDIFGEN PHARMSPrescription20 Oct 2008
FENTANYL-100100MCG/HRfilm, extended release · transdermalDIFGEN PHARMSPrescription20 Oct 2008
FENTANYL-1212.5MCG/HRfilm, extended release · transdermalDIFGEN PHARMSPrescription20 Oct 2008
FENTANYL-3737.5MCG/HRfilm, extended release · transdermalDIFGEN PHARMSPrescription20 Oct 2008
FENTANYL-6262.5MCG/HRfilm, extended release · transdermalDIFGEN PHARMSPrescription20 Oct 2008
FENTANYL-8787.5MCG/HRfilm, extended release · transdermalDIFGEN PHARMSPrescription20 Oct 2008
FENTANYL-2525MCG/HRfilm, extended release · transdermalSPECGX LLCPrescription9 Feb 2011
FENTANYL-5050MCG/HRfilm, extended release · transdermalSPECGX LLCPrescription9 Feb 2011
FENTANYL-7575MCG/HRfilm, extended release · transdermalSPECGX LLCPrescription9 Feb 2011
FENTANYL-100100MCG/HRfilm, extended release · transdermalSPECGX LLCPrescription9 Feb 2011
FENTANYL-1212.5MCG/HRfilm, extended release · transdermalSPECGX LLCPrescription9 Feb 2011
FENTANYL-3737.5MCG/HRfilm, extended release · transdermalSPECGX LLCPrescription9 Feb 2011

57 more — full table

EMA European Union — centrally authorised medicines

Effentora Phoenix Labs Unlimited Company · Authorised · authorised 4 Apr 2008 · ATC N02AB03

Therapeutic indication (EMA)

Effentora is indicated for the treatment of breakthrough pain (BTP) in adults with cancer who are already receiving maintenance opioid therapy for chronic cancer pain. BTP is a transitory exacerbation of pain that occurs on a background of otherwise controlled persistent pain. 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 of oxycodone daily, at least 8 mg of oral hydromorphone daily or an equianalgesic dose of another opioid for a week or longer.

Instanyl Istituto Gentili S.r.l. · Authorised · authorised 20 Jul 2009 · ATC N02AB03

Therapeutic indication (EMA)

Instanyl is indicated for the management of breakthrough pain in adults already receiving maintenance opioid therapy for chronic cancer pain. Breakthrough pain is a transitory exacerbation of pain that occurs on a background of otherwise controlled persistent pain. 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.

PecFent Gruenenthal GmbH · Authorised · authorised 31 Aug 2010 · ATC N02AB03

Therapeutic indication (EMA)

PecFent is indicated for the management of breakthrough pain in adults who are already receiving maintenance opioid therapy for chronic cancer pain. Breakthrough pain is a transitory exacerbation of pain that occurs on a background of otherwise controlled persistent pain. 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 of oxycodone daily, at least 8 mg of oral hydromorphone daily or an equi-analgesic dose of another opioid for a week or longer.

Ionsys Janssen-Cilag International NV · Withdrawn · authorised 24 Jan 2006 · ATC N02AB03

Therapeutic indication (EMA)

Management of acute moderate to severe post-operative pain for use in a hospital setting only

Ionsys Incline Therapeutics Europe Ltd · Withdrawn · authorised 18 Nov 2015 · ATC N02AB03

Therapeutic indication (EMA)

Ionsys is indicated for the management of acute moderate to severe post-operative pain in adult patients.

Canada Canada — marketed products (Health Canada)

BrandDINStrengthForm · routeCompany
FENTANYL CITRATE INJECTION0250696350 MCG / MLSOLUTION · INTRAVENOUS; INTRAMUSCULAR; EPIDURALJAMP PHARMA CORPORATION
FENTANYL CITRATE INJECTION SDZ0238412450 MCG / MLSOLUTION · INTRAMUSCULAR; INTRAVENOUS; EPIDURALSANDOZ CANADA INCORPORATED
FENTANYL CITRATE INJECTION USP0224043450 MCG / MLSOLUTION · EPIDURAL; INTRAMUSCULAR; INTRAVENOUSSANDOZ CANADA INCORPORATED
FENTANYL CITRATE INJECTION, USP0250155450 MCG / MLSOLUTION · INTRAVENOUS; INTRAMUSCULAR; EPIDURALFRESENIUS KABI CANADA LTD
FENTANYL INJECTION BP02496143100 MCG / 2 MLSOLUTION · INTRAVENOUS; EPIDURAL; INTRAMUSCULARSTERIMAX INC
FENTANYL INJECTION BP02496151250 MCG / 5 MLSOLUTION · INTRAMUSCULAR; EPIDURAL; INTRAVENOUSSTERIMAX INC
FENTANYL INJECTION BP024961781000 MCG / 20 MLSOLUTION · INTRAVENOUS; EPIDURAL; INTRAMUSCULARSTERIMAX INC
FENTANYL INJECTION BP024961862500 MCG / 50 MLSOLUTION · INTRAMUSCULAR; EPIDURAL; INTRAVENOUSSTERIMAX INC
FENTORA02408007100 MCGTABLET (EFFERVESCENT) · BUCCAL; SUBLINGUALPHOENIX LABS UNLIMITED COMPANY
FENTORA02408015200 MCGTABLET (EFFERVESCENT) · SUBLINGUAL; BUCCALPHOENIX LABS UNLIMITED COMPANY
FENTORA02408023400 MCGTABLET (EFFERVESCENT) · SUBLINGUAL; BUCCALPHOENIX LABS UNLIMITED COMPANY
FENTORA02408031600 MCGTABLET (EFFERVESCENT) · SUBLINGUAL; BUCCALPHOENIX LABS UNLIMITED COMPANY
FENTORA02408058800 MCGTABLET (EFFERVESCENT) · BUCCAL; SUBLINGUALPHOENIX LABS UNLIMITED COMPANY
SANDOZ FENTANYL PATCH0232711212 MCG / HOURPATCH · TRANSDERMALSANDOZ CANADA INCORPORATED
SANDOZ FENTANYL PATCH0232712025 MCG / HOURPATCH · TRANSDERMALSANDOZ CANADA INCORPORATED
SANDOZ FENTANYL PATCH0232713937 MCG / HOURPATCH · TRANSDERMALSANDOZ CANADA INCORPORATED
SANDOZ FENTANYL PATCH0232714750 MCG / HOURPATCH · TRANSDERMALSANDOZ CANADA INCORPORATED
SANDOZ FENTANYL PATCH0232715575 MCG / HOURPATCH · TRANSDERMALSANDOZ CANADA INCORPORATED
SANDOZ FENTANYL PATCH02327163100 MCG / HOURPATCH · TRANSDERMALSANDOZ CANADA INCORPORATED
TEVA-FENTANYL0228294125 MCG / HOURPATCH · TRANSDERMALTEVA CANADA LIMITED
TEVA-FENTANYL0228296850 MCG / HOURPATCH · TRANSDERMALTEVA CANADA LIMITED
TEVA-FENTANYL0228297675 MCG / HOURPATCH · TRANSDERMALTEVA CANADA LIMITED
TEVA-FENTANYL02282984100 MCG / HOURPATCH · TRANSDERMALTEVA CANADA LIMITED
TEVA-FENTANYL0231192512 MCG / HOURPATCH · TRANSDERMALTEVA CANADA LIMITED

Prices — United States and England

SourceProduct as listedPriceUnit / packDate
US NADACFENTANYL 100 MCG/2 ML VIAL$1.78639per ML23 Sep 2026
US NADACFENTANYL 100 MCG/HR PATCH$18.35787per EA23 Sep 2026
US NADACFENTANYL 12 MCG/HR PATCH$8.98903per EA23 Sep 2026
US NADACFENTANYL 2,500 MCG/50 ML VIAL$1.78639per ML7 Oct 2026
US NADACFENTANYL 25 MCG/HR PATCH$6.01448per EA23 Sep 2026
US NADACFENTANYL 250 MCG/5 ML VIAL$1.78639per ML23 Sep 2026
US NADACFENTANYL 37.5 MCG/HR PATCH$35.02694per EA23 Sep 2026
US NADACFENTANYL 50 MCG/HR PATCH$9.07per EA23 Sep 2026
US NADACFENTANYL 62.5 MCG/HR PATCH$57.686per EA23 Sep 2026
US NADACFENTANYL 75 MCG/HR PATCH$15.87124per EA23 Sep 2026
NHS Drug TariffFentanyl 1.2mg lozenges£17.753 lozenge1 Oct 2026
NHS Drug TariffFentanyl 1.2mg lozenges£210.4130 lozenge1 Oct 2026
NHS Drug TariffFentanyl 1.6mg lozenges£17.753 lozenge1 Oct 2026
NHS Drug TariffFentanyl 1.6mg lozenges£210.4130 lozenge1 Oct 2026
NHS Drug TariffFentanyl 100microgram buccal tablets sugar free£139.7228 tablet1 Oct 2026
NHS Drug TariffFentanyl 100microgram sublingual tablets sugar free£49.9910 tablet1 Oct 2026
NHS Drug TariffFentanyl 100micrograms/2ml solution for injection ampoules£16.2410 ampoule1 Oct 2026
NHS Drug TariffFentanyl 100micrograms/dose nasal spray£36.488 dose1 Oct 2026
NHS Drug TariffFentanyl 100micrograms/dose nasal spray£145.9232 dose1 Oct 2026
NHS Drug TariffFentanyl 100micrograms/hour transdermal patches£34.605 patch1 Oct 2026
NHS Drug TariffFentanyl 12micrograms/hour transdermal patches£7.535 patch1 Oct 2026
NHS Drug TariffFentanyl 200microgram buccal tablets sugar free£139.7228 tablet1 Oct 2026

NADAC: average price US retail pharmacies pay to buy the medicine. NHS Drug Tariff Part VIIIA: basic price reimbursed to pharmacies in England and Wales.

WHO WHO Model List of Essential Medicines (2025)

  • 2.2. Opioid analgesics · core
    Chronic cancer pain
    Local > Topical > Transdermal patch: 12 µg/hour; 25 µg/hour; 50 µg/hour; 75 µg/hour; 100 µg/hour

Safety signals and safety-related labeling changes

  • US FDA 22 Dec 2025 ACTIQ — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 22 Dec 2025 FENTANYL CITRATE — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 22 Dec 2025 FENTANYL CITRATE — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 22 Dec 2025 FENTORA — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 22 Dec 2025 SUBLIMAZE PRESERVATIVE FREE — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 22 Dec 2025 FENTANYL CITRATE — safety-related labeling change
    Labeling sections changed: Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 4 Mar 2021 DURAGESIC-100 — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 4 Mar 2021 DURAGESIC-12 — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 4 Mar 2021 DURAGESIC-25 — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 4 Mar 2021 DURAGESIC-50 — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 4 Mar 2021 DURAGESIC-75 — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 4 Mar 2021 LAZANDA — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 4 Mar 2021 ONSOLIS — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 4 Mar 2021 SUBSYS — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 7 Oct 2019 ABSTRAL — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide

All safety entries for fentanyl →

Values as published by each source: SFDA human drug list (4-2026, as published by the Council of Health Insurance; indications from the CHI Daman Drug Formulary), Drugs@FDA, EMA medicines data, Health Canada Drug Product Database (Open Government Licence – Canada), CMS NADAC, NHS Drug Tariff Part VIIIA (NHSBSA Copyright, Open Government Licence v3.0), WHO Model List of Essential Medicines (CC BY 3.0 IGO; regrouped by active substance, not created by WHO), EMA PRAC, US FDA safety-related labeling changes and MHRA Drug Safety Update (Open Government Licence v3.0). Sources and reuse. Not a substitute for the official registers or the product information.