Fentora is fentanyl and is dosed in Mcg so comparing it is difficult. No fentanyl based med is dispensed in Mg, so I'm sure you mean Mcg. 200Mg of fent would equal 2000Mcg.
Back to our question: 10Mg of Oxy is = 25Mcg of fentanyl. Those on 10Mg of Oxycontin are given the 25mcg fentanyl patch. Therefore, as a very general comparison, 200Mcg would be = 40 Mg of Oxy. Those on 200Mcq Actiq (fentanyl) are typically given between 40-50 Mg of Oxy IR.
Fentora is made and marketed by Cephalon....The same maker of Actiq. Actiq's patent expired last year, thus, opening up the fentanyl lollipops to generics. Fentora is Cephalon's market replacement as a way to maintain the healthy profit price margins they enjoyed via Actiq. Fentora is a 100% fentanyl lozenge while Actiq is a 100% fenanyl lollipop.
Cephalon has recently applied to the FDA for expanding it's label to back pain and other forms of pain (from cancer pain). The reasoning is much more sales potential. Unfortunately, Fentora is off to a less than desirable start as there have been several deaths. Fentora disolves (5-10 minutes) much quicker than Actiq (30 minutes), thus, hits your blood stream much quicker. You really can't titrate the lozenge as once it dissolves, it's mushy and pretty much gone....No real in between. Actiq can be sucked on and then taken out of the mouth once a certain amt of pain relief is achieved.
Hope this helps. Good luck.