High- Dose Fentanyl Patch for Cancer Pain of a Patient with Cholangiocarcinoma. We describe here a patient who obtained a good analgesic effect with high- dose fentanyl patches for controlling cancer pain. A 5. 2- year- old man was referred to our hospital because of severe cancer pain that was 7/1. NRS). He had been diagnosed with locally advanced cholangiocarcinoma 3 months previously. We prescribed weak opioids and an antidepressant, but his pain was not relieved. We introduced strong opioids (transdermal fentanyl patches for the background pain and a short- acting opioid for the breakthrough pain) and his pain was tolerable on 2. With time, however, his pain intensity became worse and this reached up to 8/1. Optimizing Pain Control With Fentanyl Patches. Meredith McLean, PharmD; Jeffrey Fudin, BS, PharmD . High-dose fentanyl patch for cancer pain. NRS. Percutaneous transhepatic biliary drainage was performed, which did not relieve his pain. We increased gradually the dose of transdermal fentanyl to 1,0. At this dose, the patient was mentally alert, with good pain control (NRS 2/1. To the best of our knowledge, we report here on the highest dose of transdermal fentanyl that has been successfully used for treating a patient suffering from visceral cancer pain.
Causes of Cancer Pain. The dose titration schedule. To describe a successful experience with a high dose (1000 microg/hr) of transdermal fentanyl for cancer pain relief. A 62-year-old man suffering from rectal carcinoma was treated by our home care hospice unit during his last.
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December 2016
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