Indian Journal of Palliative Care
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 CASE REPORT
Year : 2011  |  Volume : 17  |  Issue : 2  |  Page : 162--165

Successful management of a difficult cancer pain patient by appropriate adjuvant and morphine titration


Unit of Anaesthesiology (IRCH), Dr. BRA Institute Rotary Cancer Hospital, AIIMS, New Delhi, India

Correspondence Address:
Shiv PS Rana
Unit of Anaesthesiology (IRCH), Dr. BRA Institute Rotary Cancer Hospital, AIIMS, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1075.84541

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Morphine has been used for many years to relieve cancer pain. Oral morphine (in either immediate release or modified release form) remains the analgesic of choice for moderate or severe cancer pain. The dose of oral morphine is titrated up to achieve adequate relief from pain with minimal side effects. Antidepressant and anticonvulsant drugs, when used in addition to conventional analgesics, give excellent relief from cancer pain. Most cancer pain responds to pharmacological measures with oral morphine but some pain like neuropathic and bony pain, pain in children and elderly age group, and advanced malignancy pain are very difficult to treat. Here, we report the management of a similar patient of severe cancer pain and the difficulty that we came across during dose titration of oral morphine and adjuvant analgesic.






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