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This text provides instructions for the Oral Transmucosal Fentanyl Citrate Titration Process, which includes starting at 200 mcg, consuming one unit over 15 minutes, waiting 15 minutes, and optionally consuming one additional unit. It also advises waiting at least 4 hours before treating another episode of breakthrough pain with OTFC, and to try the 200 mcg dose for several episodes. The available dosage strengths range from 200 to 1600 mcg. A warning is included in a boxed section.*