Pethidine dependence syndrome in a patient with stump pain

Monika Sznajder; Katarzyna Malinowska; Anna Zasowska-Nowak

doi:10.5114/pm.2023.131970

eISSN: 2081-2833
ISSN: 2081-0016

Medycyna Paliatywna/Palliative Medicine

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2/2023
vol. 15

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abstract:

Case report

Pethidine dependence syndrome in a patient with stump pain

Monika Sznajder

¹

,

Katarzyna Malinowska

²

,

Anna Zasowska-Nowak

¹

Klinika Medycyny Paliatywnej, Katedra Onkologii, Uniwersytet Medyczny w Łodzi, Łódź, Polska
Klinika Medycyny Paliatywnej, Uniwersytecki Szpital Kliniczny im. Wojskowej Akademii Medycznej – Centralny Szpital Weteranów w Łodzi, Łódź, Polska

Medycyna Paliatywna 2023; 15(2): 82–89

DOI: https://doi.org/10.5114/pm.2023.131970

Online publish date: 2023/10/18

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The article presents a case of a patient treated with pethidine for several years due to stump pain. Due to numerous somatic (symptoms associated with concomitant cancer), mental (depressive and anxiety disorders), and social (disability) burdens, insufficient support from the environment, and improperly conducted pain therapy, the patient independently sought ways to cope with a difficult situation, which led to pethidine addiction. The use of the drug brought the patient temporary relief in the physical dimension. However, it led to the consolidation of incorrect behaviour and deterioration of quality of life. The paper presents the rotation of opioids used in the discussed case, which resulted in satisfactory analgesia. The description of the case was supplemented with a psychologist’s comment.

keywords:

Pethidine dependence syndrome in a patient with stump pain

Monika Sznajder 1 , Katarzyna Malinowska 2 , Anna Zasowska-Nowak 1

neuropathic pain, pethidine, stump pain, meperidine, opioid dependence syndrome, opioid rotation

Monika Sznajder

¹

,

Katarzyna Malinowska

²

,

Anna Zasowska-Nowak

¹