Clinical case discussion: treating severe pain syndrome with strong opioids in combination with nsaids in a cancer patient
Approaches to treating pain in cancer patients are individual in each case. However, there are general principals. Most often, physicians encounter difficulties when transfer patients from tramadol to more potent tertiary preparations of WHO Analgesic Ladder. The administration and titration of stro...
| Main Authors: | , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Remedium Group LLC
2018-11-01
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| Series: | Медицинский совет |
| Subjects: | |
| Online Access: | https://www.med-sovet.pro/jour/article/view/2757 |
| _version_ | 1797841836505563136 |
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| author | R. R. Sarmanaeva G. R. Abuzarova |
| author_facet | R. R. Sarmanaeva G. R. Abuzarova |
| author_sort | R. R. Sarmanaeva |
| collection | DOAJ |
| description | Approaches to treating pain in cancer patients are individual in each case. However, there are general principals. Most often, physicians encounter difficulties when transfer patients from tramadol to more potent tertiary preparations of WHO Analgesic Ladder. The administration and titration of strong opioids to a dose that will ensure adequate pain control with minimal side effects is not an easy task. Here, the physician focuses on the pathogenesis of pain and takes into account the tolerability of drugs prescribed. Individual selection of adjuvants that can affect the cause of pain can reduce the rate of strong opioid dose escalation their side effects. However, what to do, if the use of effective adjuvants is limited? The article provides the discussion of these issues. |
| first_indexed | 2024-04-09T16:37:38Z |
| format | Article |
| id | doaj.art-669a58f03bd34b6ab19397a0a715da53 |
| institution | Directory Open Access Journal |
| issn | 2079-701X 2658-5790 |
| language | Russian |
| last_indexed | 2024-04-09T16:37:38Z |
| publishDate | 2018-11-01 |
| publisher | Remedium Group LLC |
| record_format | Article |
| series | Медицинский совет |
| spelling | doaj.art-669a58f03bd34b6ab19397a0a715da532023-04-23T06:56:48ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902018-11-0101911311510.21518/2079-701X-2018-19-113-1152699Clinical case discussion: treating severe pain syndrome with strong opioids in combination with nsaids in a cancer patientR. R. Sarmanaeva0G. R. Abuzarova1Hertsen Moscow Research Cencer Institute – branch of National Medical Research Radiological Center of the Ministry of Healthcare of Russia, MoscowHertsen Moscow Research Cencer Institute – branch of National Medical Research Radiological Center of the Ministry of Healthcare of Russia, MoscowApproaches to treating pain in cancer patients are individual in each case. However, there are general principals. Most often, physicians encounter difficulties when transfer patients from tramadol to more potent tertiary preparations of WHO Analgesic Ladder. The administration and titration of strong opioids to a dose that will ensure adequate pain control with minimal side effects is not an easy task. Here, the physician focuses on the pathogenesis of pain and takes into account the tolerability of drugs prescribed. Individual selection of adjuvants that can affect the cause of pain can reduce the rate of strong opioid dose escalation their side effects. However, what to do, if the use of effective adjuvants is limited? The article provides the discussion of these issues.https://www.med-sovet.pro/jour/article/view/2757oncologychronic pain therapystrong opioid analgesicsnsaidsclinical use |
| spellingShingle | R. R. Sarmanaeva G. R. Abuzarova Clinical case discussion: treating severe pain syndrome with strong opioids in combination with nsaids in a cancer patient Медицинский совет oncology chronic pain therapy strong opioid analgesics nsaids clinical use |
| title | Clinical case discussion: treating severe pain syndrome with strong opioids in combination with nsaids in a cancer patient |
| title_full | Clinical case discussion: treating severe pain syndrome with strong opioids in combination with nsaids in a cancer patient |
| title_fullStr | Clinical case discussion: treating severe pain syndrome with strong opioids in combination with nsaids in a cancer patient |
| title_full_unstemmed | Clinical case discussion: treating severe pain syndrome with strong opioids in combination with nsaids in a cancer patient |
| title_short | Clinical case discussion: treating severe pain syndrome with strong opioids in combination with nsaids in a cancer patient |
| title_sort | clinical case discussion treating severe pain syndrome with strong opioids in combination with nsaids in a cancer patient |
| topic | oncology chronic pain therapy strong opioid analgesics nsaids clinical use |
| url | https://www.med-sovet.pro/jour/article/view/2757 |
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