Opioid combination. Case report

Krzysztof Brzeziński

doi:10.5114/wo.2011.26449

eISSN: 1897-4309
ISSN: 1428-2526

Contemporary Oncology/Współczesna Onkologia

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6/2011
vol. 15

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abstract:

Case report

Opioid combination. Case report

Krzysztof Brzeziński

Wspolczesna Onkol 2011; 15 (6): 409–411

DOI: https://doi.org/10.5114/wo.2011.26449

Online publish date: 2011/12/28

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The combination of long-acting opioids has not been sufficiently documented in the literature. Patient J.L., aged 67, with disseminated malignant process. Complaints of pelvic and visceral pain. Treatment: sustained release morphine 60 mg/daily. There occurred a need to increase the dose of the drug up to 120 mg/daily; the patient was referred to the Pain Management Outpatient Department. Nociceptive pain was diagnosed at the intensity of 7.5 on the VAS scale. Ketoprofen was included in the treatment at a dose of 200 mg/daily. After three days the morphine dose was increased to 180 mg/daily. Due to the lack of adequate pain control sustained release oxycodone was started, initially at a dose of 20 mg/ daily, and after three days 40 mg/daily. After two weeks, the dose of morphine was decreased to 140 mg/daily. Adequate pain control was obtained.

keywords:

Opioid combination. Case report

Krzysztof Brzeziński

opioid, morphine, oxycodone, opioid combination, pain management