| Literature DB >> 26438145 |
Sebastiano Mercadante1,2, Paolo Marchetti3, Arturo Cuomo4, Massimo Mammucari5, Augusto Caraceni6.
Abstract
Controversies exist about the definition and epidemiology of breakthrough cancer pain (BTcP), the pharmacological treatment options, drug dosing, and how to select the medications for BTcP among the new fentanyl products. Existing data were critically evaluated to provide recommendations by an expert group. An algorithm to diagnose BTcP should be used followed by a careful assessment. Fentanyl products provide efficacy and rapidity of action to counteract the temporal pattern of BTcP. The doses of opioids used for background pain should guide the choice of the doses of fentanyl products. The choice of fentanyl products should be based on individual clinical conditions.Entities:
Keywords: Breakthrough pain; Fentanyl; Morphine; Opioids
Mesh:
Substances:
Year: 2015 PMID: 26438145 DOI: 10.1007/s00520-015-2951-y
Source DB: PubMed Journal: Support Care Cancer ISSN: 0941-4355 Impact factor: 3.603