Indian Journal of Palliative Care
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 CASE REPORT
Year : 2017  |  Volume : 23  |  Issue : 1  |  Page : 100--103

Role of ketamine and methadone as adjunctive therapy in complex pain management: A case report and literature review


1 Department of Medical Oncology, Ballarat Regional Integrated Cancer Centre, Ballarat, Victoria, Australia
2 Department of Palliative Care, Central Coast Cancer Centre, Gosford, NSW, Australia

Correspondence Address:
Wasek Faisal
Department of Medical Oncology, Ballarat Regional Integrated Cancer Centre, Ballarat, VIC 3350
Australia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1075.197956

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Assessment and management of complex cancer pain always remains a major challenge for any palliative care team, given its heterogeneity of underlying pathophysiology and limitations of any pharmacotherapy. Here, we present a case of complex pain management in a young patient with a life-limiting illness, highlighting the issues of organic and nonorganic contributors of pain and provide some insight into the role of ketamine and methadone as adjunctive therapy to opioid analgesics. A brief literature review is also done to provide the context of use of these adjunctive drugs in this setting.






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