Development of addiction to intranasal fentanyl in a cancer patient

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F18%3A00076040" target="_blank" >RIV/65269705:_____/18:00076040 - isvavai.cz</a>

Výsledek na webu

<a href="https://www.addictology.cz/wp-content/uploads/2019/02/08_eid.pdf" target="_blank" >https://www.addictology.cz/wp-content/uploads/2019/02/08_eid.pdf</a>

DOI - Digital Object Identifier

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Jazyk výsledku

angličtina

Název v původním jazyce

Development of addiction to intranasal fentanyl in a cancer patient

Popis výsledku v původním jazyce

The following case report describes the long-term comprehensive care of a patient with metastatic diffuse gastric cancer. In addition to chemotherapy, supportive care was especially important for the treatment of chronic abdominal pain, ileus, malnutrition, and iatrogen-induced addiction to intranasal opiates. The patient was in the parallel care of an oncologist and a nutritionist. Pain management was provided by the pain management centre and a psychiatrist. Because of the lack of information about opiate addiction in cancer patients, we had to cooperate very closely with specialists in pain management and addiction treatment. However, this intensive comprehensive care had only a partial effect. The daily dose of intranasal fentanyl in our patient was several times higher than the recommended maximum and relief from pain was only short and partial. This specific issue receives little attention in the literature. Nowadays, we have several new medication options and forms of application. Taking this into account, it will be very important to develop new recommendations for pain management in the near future.

Název v anglickém jazyce

Development of addiction to intranasal fentanyl in a cancer patient

Popis výsledku anglicky

The following case report describes the long-term comprehensive care of a patient with metastatic diffuse gastric cancer. In addition to chemotherapy, supportive care was especially important for the treatment of chronic abdominal pain, ileus, malnutrition, and iatrogen-induced addiction to intranasal opiates. The patient was in the parallel care of an oncologist and a nutritionist. Pain management was provided by the pain management centre and a psychiatrist. Because of the lack of information about opiate addiction in cancer patients, we had to cooperate very closely with specialists in pain management and addiction treatment. However, this intensive comprehensive care had only a partial effect. The daily dose of intranasal fentanyl in our patient was several times higher than the recommended maximum and relief from pain was only short and partial. This specific issue receives little attention in the literature. Nowadays, we have several new medication options and forms of application. Taking this into account, it will be very important to develop new recommendations for pain management in the near future.

Druh

J_SC - Článek v periodiku v databázi SCOPUS

CEP obor

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OECD FORD obor

30200 - Clinical medicine

Projekt

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Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2018

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Adiktologie

ISSN

1213-3841

e-ISSN

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Svazek periodika

18

Číslo periodika v rámci svazku

2

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

3

Strana od-do

129-131

Kód UT WoS článku

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EID výsledku v databázi Scopus

2-s2.0-85073793969