Combination of Tramadol-Paracetamol in Palliative Care Pain Management: A Case Report

One of the basic goals of palliative care is to reduce the suffering of the patient, which includes relieving the pain. Some facts show that sometimes a doctor is afraid to give opioid analgesic mono-therapy to his patients because she is worried on one hand about the effect of addiction. In additio...

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Main Author: Riris Sifa Fauziah
Format: Article
Language:English
Published: Universitas Airlangga 2021-02-01
Series:Surabaya Physical Medicine and Rehabilitation Journal
Subjects:
Online Access:https://e-journal.unair.ac.id/SPMRJ/article/view/23098/22448
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author Riris Sifa Fauziah
author_facet Riris Sifa Fauziah
author_sort Riris Sifa Fauziah
collection DOAJ
description One of the basic goals of palliative care is to reduce the suffering of the patient, which includes relieving the pain. Some facts show that sometimes a doctor is afraid to give opioid analgesic mono-therapy to his patients because she is worried on one hand about the effect of addiction. In addition, in some cases, NSAID analgesics mono-therapy can also cause a series of side effects or even the patient may be contraindicated against the use of NSAID or paracetamol class drugs. Actually, this can be prevented by giving a combination of opioids and non-opioids analgesic. By providing this combination of therapy, it is hoped that this can accelerate the onset of work, extend the working period which can reduce the dose of drugs consumed, and more importantly minimize the side effects of each drug. The fixed dose combination of Tramadol-Paracetamol (Tramadol 37.5 mg–Paracetamol 325 mg) is an example of a drug combination preparation that has been shown to be effective in the treatment of pain. In this case report, a patient who is currently undergoing palliative therapy for cancer is described. On the way, the patient felt spinal pain as a result of the spread of the disease. The combination of Tramadol-paracetamol was administered twice a day with a dose that adjusted to the VAS Score observations before and after drug administration. And in this case, there was a decrease in the VAS score after being given Tramadol-Paracetamol combination.
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spelling doaj.art-2728d714f4574ddd92e28976a5229c6d2023-07-15T23:42:00ZengUniversitas AirlanggaSurabaya Physical Medicine and Rehabilitation Journal2656-08952021-02-01313943https://doi.org/10.20473/spmrj.v3i1.23098Combination of Tramadol-Paracetamol in Palliative Care Pain Management: A Case ReportRiris Sifa Fauziah0Faculty of Medicine, YARSI University, Jakarta, IndonesiaOne of the basic goals of palliative care is to reduce the suffering of the patient, which includes relieving the pain. Some facts show that sometimes a doctor is afraid to give opioid analgesic mono-therapy to his patients because she is worried on one hand about the effect of addiction. In addition, in some cases, NSAID analgesics mono-therapy can also cause a series of side effects or even the patient may be contraindicated against the use of NSAID or paracetamol class drugs. Actually, this can be prevented by giving a combination of opioids and non-opioids analgesic. By providing this combination of therapy, it is hoped that this can accelerate the onset of work, extend the working period which can reduce the dose of drugs consumed, and more importantly minimize the side effects of each drug. The fixed dose combination of Tramadol-Paracetamol (Tramadol 37.5 mg–Paracetamol 325 mg) is an example of a drug combination preparation that has been shown to be effective in the treatment of pain. In this case report, a patient who is currently undergoing palliative therapy for cancer is described. On the way, the patient felt spinal pain as a result of the spread of the disease. The combination of Tramadol-paracetamol was administered twice a day with a dose that adjusted to the VAS Score observations before and after drug administration. And in this case, there was a decrease in the VAS score after being given Tramadol-Paracetamol combination.https://e-journal.unair.ac.id/SPMRJ/article/view/23098/22448analgesic combinationpalliative careparacetamoltramadol
spellingShingle Riris Sifa Fauziah
Combination of Tramadol-Paracetamol in Palliative Care Pain Management: A Case Report
Surabaya Physical Medicine and Rehabilitation Journal
analgesic combination
palliative care
paracetamol
tramadol
title Combination of Tramadol-Paracetamol in Palliative Care Pain Management: A Case Report
title_full Combination of Tramadol-Paracetamol in Palliative Care Pain Management: A Case Report
title_fullStr Combination of Tramadol-Paracetamol in Palliative Care Pain Management: A Case Report
title_full_unstemmed Combination of Tramadol-Paracetamol in Palliative Care Pain Management: A Case Report
title_short Combination of Tramadol-Paracetamol in Palliative Care Pain Management: A Case Report
title_sort combination of tramadol paracetamol in palliative care pain management a case report
topic analgesic combination
palliative care
paracetamol
tramadol
url https://e-journal.unair.ac.id/SPMRJ/article/view/23098/22448
work_keys_str_mv AT ririssifafauziah combinationoftramadolparacetamolinpalliativecarepainmanagementacasereport