Management of episodic pain with multiple doses of transmucosal fentanyl – case report

Konrad Komar-Czapski; Tomasz Dzierżanowski

doi:10.5114/pm.2019.86533

eISSN: 2081-2833
ISSN: 2081-0016

Medycyna Paliatywna/Palliative Medicine

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2/2019
vol. 11

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abstract:

Case report

Management of episodic pain with multiple doses of transmucosal fentanyl – case report

Konrad Komar-Czapski

¹

,

Tomasz Dzierżanowski

¹

Pracownia Medycyny Paliatywnej, Zakład Medycyny Społecznej i Zdrowia Publicznego, Warszawski Uniwersytet Medyczny

Medycyna Paliatywna 2019; 11(2): 97-99

DOI: https://doi.org/10.5114/pm.2019.86533

Online publish date: 2019/07/18

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The case is reported a patient with advanced sarcoma and multiple metastases to lungs and nodes, in whom short episodes of movement-related incident pain appeared, despite good control of basic pain. Transmucosal fentanyl sublingual tablets were applied with the intention of up to 4 doses a day. The patient increased the frequency of applications up to 6 per day on average, with good effect and tolerance. The ability to self-service in basic life activities returned as well. Taking these facts into consideration, such a treatment regime has been maintained as the optimal alternative, without increasing doses of basic analgesic.

keywords:

Management of episodic pain with multiple doses of transmucosal fentanyl – case report

Konrad Komar-Czapski 1 , Tomasz Dzierżanowski 1

cancer, episodic pain, transmucosal fentanyl

Konrad Komar-Czapski

¹

,

Tomasz Dzierżanowski

¹