Only the proper pain medication
Posted by omonon on October 11, 2008 in Cancer
Treatment of cancer pain is the most commonly used method is the most basic of drug therapy. The drug therapy is effective, fast markedly effective, safe and economical. However, there are still a considerable number of doctors or the drug cancer patients do not understand pain, such as a survey found that the pain in patients with severe pain treatment, a 13.25 percent non-cancer doctors first choice of pethidine. To this end an interview Clinical Tumor Institute of Beijing University, Di Li-jun, director of talk about the pain drug.
î—¥ î—¥ cancer pain medication should follow the three principles of ladder
î—¥ î—¥ Di Director said that the World Health Organization’s cancer pain drug treatment of the three principles of drug ladder, stressed that the drug ladder; oral administration; medication on time; individual delivery; attention to specific details. The administration is the ladder from weak to strong, gradually increase volume, and so patients need not only the use, but medication regularly and on time. Adhere to the principle of individual that is not subject to the so-called “great quantity” restrictions and to achieve an effective analgesic for the purpose.
î—¥ î—¥ He said that the hospital Professor Liu Shujun, and other applications in the long-term summed up the attention of some of the pain drug matters, such as the dose should be the most simple solutions and minimize the trauma pain therapy began; best oral, such as oral should not consider Rectum or subcutaneous administration; Do not use a placebo treatment of cancer pain, the placebo can not really pain, it is cruel to the patients; of opiates, different patients on the sensitivity of adverse reactions are very different, application To pay attention; patients after discharge should be given a written pain treatment.
î—¥ î—¥ ladder of the three commonly used pain medicines which
î—¥ î—¥ non-steroidal anti-inflammatory drugs for mild pain, a drug commonly used aspirin, acetaminophen, ibuprofen, indomethacin, and so on.
î—¥ î—¥ to moderate pain can be weak opioids such as codeine, and so on.
î—¥ î—¥ of severe pain can be strong opioid such as morphine, sustained-release morphine, Durogesic, etc..
î—¥ î—¥ cancer pain will not pethidine and dihydro Ai Tuofei
î—¥ î—¥ Di Li-jun Director said that the painkiller pethidine for the role of morphine 1 / 8, the only time of pain two and a half hours to three and a half hours. For the drug in the body metabolism to a pethidine, it has the role of central nervous system drugs, cancer patients in the high-dose use of the drug after the build-up will inevitably result, there poisoning, there can be tremors, hallucinations, convulsions, and myoclonic epilepsy Attack. Therefore, pethidine can only be used for short-term pain of acute pain. Dihydro Ai Tuofei long-term use can lead to significant physical and psychological dependence rely on, can not be used for the routine treatment of cancer pain.
î—¥ î—¥ used in cancer pain opiate addicts have to worry about the DI Director said that many patients and doctors are concerned that application of opiate addiction will, in fact, such worries are unnecessary. The so-called addiction is psychological dependence, patients who could not help but at this time and unscrupulously eager to get drugs, often to harm the physical and family well-being and for the cost of drugs. Have one pair of 10,000 applications opioid pain of cancer patients survey showed that in none of these patients in a spirit of dependence. Another one pair of 11,882 applications opioid pain of cancer patients survey showed that only four patients to rely on the spirit. Patients do not have to worry about addiction problems. In the use of opioids when physical dependence and tolerance of pharmacology is a normal phenomenon and should not affect the continued use of drugs. Di director reminded Road, long-term use of opiates, in particular, its resistance of the patients, because of the opioid antagonist is very sensitive, respiratory depression can easily be corrected after a severe withdrawal symptoms and pain recurrence.
î—¥ î—¥ administration would regulate the vast majority of patients out of pain
  some patients that I shot with no pain, you let me eat a few tablet will be able to play a role? » Di director, I think that kind of pain medication effects of poor pain is not the concept of time is not right. Research shows that the three steps in accordance with the principles of administration, 80 percent to 90 percent of cancer patients pain relief, rather than regulate not only pain medication bad effects, adverse reactions and the proportion of high. So who can be treated by oral administration of oral medication as possible. After treatment with other standard was not effective after the lifting of the pain of patients, you can use other methods. Di director said, with pain on the progress, this part of the patient is not powerless.
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