Review of cancer pain management in patients receiving maintenance methadone therapy.

2.50
Hdl Handle:
http://hdl.handle.net/10147/221207
Title:
Review of cancer pain management in patients receiving maintenance methadone therapy.
Authors:
Rowley, Dominic; McLean, Sarah; O'Gorman, Aisling; Ryan, Karen; McQuillan, Regina
Affiliation:
St Francis Hospice, Raheny, Dublin, Ireland. dominicrowley@hotmail.com
Citation:
Review of cancer pain management in patients receiving maintenance methadone therapy. 2011, 28 (3):183-7 Am J Hosp Palliat Care
Journal:
The American journal of hospice & palliative care
Issue Date:
May-2011
URI:
http://hdl.handle.net/10147/221207
DOI:
10.1177/1049909110380897
PubMed ID:
20826493
Abstract:
Methadone is commonly used in the treatment of heroin addiction. Patients with a history of opioid misuse or on methadone maintenance therapy (MMT) with cancer often have difficult to manage pain. We studied 12 patients referred to the palliative care service with cancer pain who were on MMT. All had difficult to control pain, and a third required 5 or more analgesic agents. Two patients had documented ''drug-seeking'' behavior. Methadone was used subcutaneously as an analgesic agent in 1 patient. We explore why patients on MMT have difficult to manage pain, the optimal management of their pain, and the increasing role of methadone as an analgesic agent in cancer pain.
Item Type:
Article
Language:
en
MeSH:
Adult; Analgesics, Opioid; Dose-Response Relationship, Drug; Drug Therapy, Combination; Female; Humans; Injections, Subcutaneous; Male; Methadone; Middle Aged; Morphine Dependence; Neoplasms; Opiate Substitution Treatment; Pain; Retrospective Studies
ISSN:
1938-2715

Full metadata record

DC FieldValue Language
dc.contributor.authorRowley, Dominicen_GB
dc.contributor.authorMcLean, Sarahen_GB
dc.contributor.authorO'Gorman, Aislingen_GB
dc.contributor.authorRyan, Karenen_GB
dc.contributor.authorMcQuillan, Reginaen_GB
dc.date.accessioned2012-04-30T15:25:43Z-
dc.date.available2012-04-30T15:25:43Z-
dc.date.issued2011-05-
dc.identifier.citationReview of cancer pain management in patients receiving maintenance methadone therapy. 2011, 28 (3):183-7 Am J Hosp Palliat Careen_GB
dc.identifier.issn1938-2715-
dc.identifier.pmid20826493-
dc.identifier.doi10.1177/1049909110380897-
dc.identifier.urihttp://hdl.handle.net/10147/221207-
dc.description.abstractMethadone is commonly used in the treatment of heroin addiction. Patients with a history of opioid misuse or on methadone maintenance therapy (MMT) with cancer often have difficult to manage pain. We studied 12 patients referred to the palliative care service with cancer pain who were on MMT. All had difficult to control pain, and a third required 5 or more analgesic agents. Two patients had documented ''drug-seeking'' behavior. Methadone was used subcutaneously as an analgesic agent in 1 patient. We explore why patients on MMT have difficult to manage pain, the optimal management of their pain, and the increasing role of methadone as an analgesic agent in cancer pain.-
dc.language.isoenen
dc.rightsArchived with thanks to The American journal of hospice & palliative careen_GB
dc.subject.meshAdult-
dc.subject.meshAnalgesics, Opioid-
dc.subject.meshDose-Response Relationship, Drug-
dc.subject.meshDrug Therapy, Combination-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshInjections, Subcutaneous-
dc.subject.meshMale-
dc.subject.meshMethadone-
dc.subject.meshMiddle Aged-
dc.subject.meshMorphine Dependence-
dc.subject.meshNeoplasms-
dc.subject.meshOpiate Substitution Treatment-
dc.subject.meshPain-
dc.subject.meshRetrospective Studies-
dc.titleReview of cancer pain management in patients receiving maintenance methadone therapy.en_GB
dc.typeArticleen
dc.contributor.departmentSt Francis Hospice, Raheny, Dublin, Ireland. dominicrowley@hotmail.comen_GB
dc.identifier.journalThe American journal of hospice & palliative careen_GB

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