Product image of Matrifen (Fentanyl) supplied by GNH India

Matrifen

Active Ingredient:
Fentanyl
Origin:
EU

Matrifen (Fentanyl)

Fentanyl, the active ingredient in Matrifen, is a synthetic opioid analgesic presented as a transdermal patch for transdermal use. It provides continuous pain relief for patients with severe chronic cancer pain or severe chronic non‑cancer pain requiring opioid therapy.

GNH India supplies Matrifen as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide, ensuring quality and regulatory compliance across global markets.

Manufacturer / TM Owner

Istituto Gentili S.R.L

1
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Indications & Clinical Uses

Matrifen (fentanyl) is indicated for conditions involving severe persistent pain where opioid therapy is required.

  • Severe chronic cancer pain: delivers continuous analgesia to manage breakthrough pain in advanced malignancy.
  • Severe chronic non‑cancer pain: offers long‑acting opioid control when other treatments are insufficient.
  • End‑of‑life care: maintains comfort and quality of life in palliative settings.

How It Works

  • Fentanyl acts as a high‑affinity agonist at the μ‑opioid receptors in the central nervous system. Binding to these receptors inhibits the release of excitatory neurotransmitters, reduces neuronal excitability, and modulates pain pathways, resulting in potent analgesia and sedation. The transdermal system provides steady systemic absorption over several days, maintaining therapeutic plasma concentrations.

Side Effects

Fentanyl transdermal therapy may be associated with a range of adverse reactions.

Common Side Effects

  • Nausea: mild to moderate upset stomach.
  • Constipation: reduced bowel motility.
  • Drowsiness: increased sleepiness.
  • Dizziness: light‑headed sensation.
  • Sweating: excessive perspiration.
  • Application site erythema: redness at the patch site.

Serious or Rare Side Effects

  • Respiratory depression: slowed or shallow breathing.
  • Severe hypotension: marked drop in blood pressure.
  • Adrenal insufficiency: impaired cortisol production.
  • Severe skin reactions: bullous or necrotic lesions.
  • Opioid dependence or abuse potential.
  • Overdose: life‑threatening toxicity.

Precautions & Warnings

When prescribing or dispensing Matrifen, clinicians should consider several safety measures.

  • Assess opioid tolerance: confirm patient has prior opioid exposure.
  • Evaluate respiratory function: monitor for existing respiratory compromise.
  • Monitor for signs of abuse: implement risk‑mitigation strategies.
  • Adjust dose in hepatic impairment: reduce exposure in liver disease.
  • Avoid concomitant MAO inhibitors: risk of severe reactions.
  • Store at room temperature: keep patch in original packaging, protect from moisture and direct heat.

Avoid Interactions

Fentanyl may interact with other medicines, altering its efficacy or safety.

Major Interactions (Avoid)

  • Other opioids: additive respiratory depression.
  • MAO inhibitors: risk of hypertensive crisis.
  • Central nervous system depressants (e.g., benzodiazepines): enhanced sedation.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole): increased fentanyl levels.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin): reduced analgesic effect.
  • NSAIDs: potential for gastrointestinal bleeding.
  • Alcohol: heightened central depression.

Frequently Asked Questions

Matrifen is a transdermal fentanyl patch indicated for the management of severe chronic cancer pain and severe chronic non‑cancer pain that requires continuous opioid therapy. It is also employed in end‑of‑life care to provide stable analgesia and improve patient comfort.

Fentanyl in Matrifen binds selectively to μ‑opioid receptors in the brain and spinal cord. This activation blocks the transmission of pain signals and alters the perception of pain, producing strong analgesic and sedative effects while the patch delivers the drug steadily over several days.

The specific dose of Matrifen is determined by the prescribing clinician based on the patient’s opioid tolerance, pain severity, and clinical condition. The prescriber selects the appropriate patch strength and duration, and any adjustments are made according to individual response and safety monitoring.

Fentanyl crosses the placenta and is excreted in breast milk, potentially causing respiratory depression in the fetus or infant. Use during pregnancy or lactation is generally discouraged unless the benefit outweighs the risk and no safer alternatives are available. Consultation with a specialist is essential.

To order 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 and any necessary import documentation.

Matrifen contains fentanyl, a highly potent synthetic opioid, similar to other fentanyl patches on the market. Compared with morphine or buprenorphine patches, fentanyl provides a faster onset and higher potency, allowing smaller patch sizes for equivalent analgesia, but it also requires careful monitoring for respiratory depression.

Store Matrifen at room temperature, below 25 °C, in its original sealed pouch. Keep the patch away from moisture, direct sunlight and heat sources. Do not expose to extreme temperatures, and handle with clean, dry hands to avoid contamination of the adhesive surface.

The patch is applied to a clean, dry, hair‑free area of the upper torso or upper arm. Press firmly for at least 30 seconds, then cover with a protective dressing if needed. The patch remains in place for the prescribed duration, usually 72 hours, after which it is removed and disposed of safely.

The most serious risks include respiratory depression, severe hypotension, opioid dependence, and rare but life‑threatening skin reactions. Patients should be educated on signs of overdose, such as shallow breathing or extreme drowsiness, and instructed to seek immediate medical attention if they occur.

Matrifen is contraindicated in patients with known hypersensitivity to fentanyl or patch components, those with severe respiratory insufficiency, untreated obstructive sleep apnea, or acute intoxication with alcohol or other central depressants. It should also be avoided in individuals taking MAO inhibitors within the past 14 days.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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