Product image of Matrifen (Fentanyl) supplied by GNH India

Matrifen

Active Ingredient:
Fentanyl
Origin:
EU

Matrifen (Fentanyl)

Fentanyl, the active ingredient in Matrifen, is an opioid analgesic presented as a transdermal patch for transdermal use. It provides continuous systemic delivery of opioid medication for the management of chronic severe pain, including cancer‑related pain and persistent non‑cancer pain, in patients who require around‑the‑clock analgesia. The patch is designed for once‑weekly application, allowing steady plasma concentrations and reducing the need for frequent dosing.

GNH India supplies Matrifen as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Istituto Gentili S.R.L

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Indications & Clinical Uses

Fentanyl is an opioid analgesic used in the management of severe, persistent pain conditions.

  • Chronic severe cancer pain: provides continuous opioid analgesia to reduce breakthrough pain episodes.
  • Chronic non‑cancer pain: delivers steady opioid levels for patients with pain unresponsive to other therapies.
  • Post‑operative pain (when indicated): may be used for ongoing analgesia after major surgery when oral opioids are insufficient.

How It Works

  • Fentanyl binds selectively to mu‑opioid receptors in the central nervous system, activating inhibitory G‑protein pathways that reduce neuronal excitability and diminish the perception of pain. Its high lipophilicity enables rapid transdermal absorption, producing sustained plasma concentrations that maintain analgesia over several days.

Side Effects

Fentanyl transdermal therapy can be associated with a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Nausea: mild to moderate feeling of sickness.
  • Constipation: reduced bowel movements.
  • Dizziness: light‑headed sensation.
  • Local skin irritation: redness or itching at the patch site.

Serious or Rare Side Effects

  • Respiratory depression: slowed or shallow breathing that can be life‑threatening.
  • Severe hypotension: marked drop in blood pressure.
  • Opioid dependence or withdrawal: signs of addiction or withdrawal upon abrupt discontinuation.

Precautions & Warnings

When prescribing or using Matrifen, several safety considerations should be observed to minimize risk.

  • Assess patient suitability: confirm opioid tolerance and evaluate pain severity.
  • Avoid use in patients with significant respiratory disease: risk of respiratory depression.
  • Monitor for signs of sedation or confusion: especially during dose titration.
  • Do not apply to damaged or inflamed skin: may affect drug absorption.
  • Concomitant CNS depressants: use with caution as they can enhance sedation.
  • Store at room temperature: keep patches in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Fentanyl may interact with other medications, altering its effect or increasing adverse events.

Major Interactions (Avoid)

  • Benzodiazepines or other CNS depressants: can cause profound respiratory depression.
  • CYP3A4 inhibitors (e.g., ketoconazole, erythromycin): increase fentanyl plasma levels, risk of toxicity.
  • MAO inhibitors: may precipitate severe hypotension or serotonin syndrome.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce fentanyl efficacy.
  • Anticholinergic agents: can exacerbate constipation.
  • Alcohol: additive CNS depression, requires careful monitoring.

Frequently Asked Questions

Matrifen is a fentanyl transdermal patch indicated for the management of chronic severe pain, including cancer‑related pain and persistent non‑cancer pain, when continuous opioid therapy is required. It provides steady systemic analgesia over several days, reducing the need for frequent dosing.

Fentanyl acts as a potent mu‑opioid receptor agonist in the central nervous system. By activating these receptors, it inhibits the transmission of pain signals and alters the perception of pain, resulting in strong analgesic effects. Its high lipophilicity allows efficient absorption through the skin when delivered via a patch.

The specific dose and patch strength are determined by the prescribing clinician based on the patient’s opioid tolerance, pain severity, and clinical response. Dosing decisions are individualized, and the prescriber will select the appropriate patch strength and replacement interval for each patient.

The safety of fentanyl patches during pregnancy and lactation has not been fully established. Because opioids can cross the placenta and enter breast milk, use is generally avoided unless the potential benefit justifies the potential risk. Clinicians should discuss risks and alternatives with the patient.

To request Matrifen, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Compared with oral morphine, the fentanyl patch offers continuous, steady‑state plasma levels without the peaks and troughs associated with oral dosing. It is also more potent on a per‑microgram basis, allowing once‑weekly application, which can improve adherence for patients who have difficulty taking multiple oral doses.

Matrifen patches should be stored at room temperature, below 25 °C, in their original sealed packaging. Keep them away from moisture, direct sunlight, and heat sources. Do not expose the patches to extreme temperatures, and discard any patch that appears damaged or discolored.

The patch is applied to a clean, dry, hair‑free area of intact skin on the upper torso, upper arm, or thigh. Press firmly for about 30 seconds to ensure good contact. The patch remains in place for the prescribed duration (usually seven days) and is then removed and disposed of safely.

The most critical risks include respiratory depression, which can be life‑threatening, severe hypotension, and the potential for opioid dependence or withdrawal if the patch is stopped abruptly. Patients should be monitored closely for signs of shallow breathing, excessive sedation, or sudden drops in blood pressure.

Matrifen is contraindicated in patients with known hypersensitivity to fentanyl or any patch components, those with severe respiratory insufficiency, acute or severe asthma, and individuals who are not opioid‑tolerant. It should also be avoided in patients with significant head injuries or increased intracranial pressure.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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