Re: Use of Strong Opioids in Advanced Cancer Pain

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منابع مشابه

Use of strong opioids in advanced cancer pain: a randomized trial.

The World Health Organization (WHO) guidelines for the treatment of cancer pain recommend nonopioid analgesics as first-line therapy, so-called "weak" analgesics combined with nonopioid analgesics as second-line therapy, and so-called "strong" opioids (with nonopioid analgesics) only as third-line therapy. However, these guidelines can be questioned with regard to the extent of efficacy as well...

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[Concomitant use of strong and weak opioids in the management of chronic cancer pain].

OBJECTIVES Our aim was to search whether the addition of Tramadol affected treatment when a dose increase was needed before increasing the transdermal fentanyl (TDF) dose in cancer patients using TDF would have any advantages. METHODS Patients were divided into two groups: a Control Group (Group K) and a Tramadol Group (Group T). When patients were first admitted to the polyclinic, demographi...

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[Use of opioids in chronic non-cancer pain].

Opioids play a much smaller role in the management of chronic noncancer pain than they do in that of severe acute pain and cancer pain. They are beneficial in a small subset of patients with chronic noncancer pain but there are pharmacological, psychological and societal concerns about their current widespread use for this indication. T here has been a dramatic increase in recent years in the u...

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Recent advances in the use of opioids for cancer pain

Opioids are the mainstay of treatment for moderate to severe cancer pain. In recent years there have been many advances in the use of opioids for cancer pain. Availability and consumption of opioids have increased and opioids other than morphine (including methadone, fentanyl, oxycodone) have become more widely used. Inter-individual variation in response to opioids has been identified as a sig...

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Cancer-Related Pain Management and the Optimal Use of Opioids.

Pain relief is vital to the treatment of cancer. Despite the widespread use and recognition of clinical recommendations for the management of cancer-related pain, avoidable suffering is still prevalent in patients with malignant disease. A gap exists between what is known about pain medical management and actual practices of patients, caregivers, healthcare professionals and institutions. Opioi...

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ژورنال

عنوان ژورنال: Journal of Pain and Symptom Management

سال: 2005

ISSN: 0885-3924

DOI: 10.1016/j.jpainsymman.2004.12.003