Tuesday, March 25, 2008

Studies Confirm Effectiveness Of Fentanyl Lozenges For 'breakthrough' Cancer Pain




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"When compare to placebo and morphine, participant confer
belittle pain height score and complex pain relief scores all for
(the fentanyl lozenge) by any ability juncture point," concluded
the review front with Giovambattista Zeppetella, M.D., of the St.
Clare Hospice in England.



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The review consist of four randomized controlled trial of a whole
393 patients with cancer. Patients received OTFC for breakthrough
pain and relief be compared with morphine or other opioid rescue
medication, or placebo.



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The Kaiser Daily Health Policy Report is published for
kaisernetwork.org, a allowed service of The Henry J. Kaiser
Family Foundation . 2005 Advisory Board Company and Kaiser Family
Foundation. All rights reticent.



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Forty-eight gain knowledge of patients who previously used
narcotics release for morphine be competent to find a protected
and effective dose of fentanyl and rate it as recovered for
breakthrough than their usual rescue pain medication; 93 patients
who traditionally used morphine gossip a 33 percent higher amend
suffering intensity and pain relief at 15 records with fentanyl;
and 93 of 130 patients who received fentanyl found a safe and
effective dose and rated the drug higher than placebo for relief.



"OTFC was reported to fabricate a greater analgesic
effect, better comprehensive delight and a more nippy kick-off of
doings than the usual rescue medication or placebo," the author
conclude.



According to Zeppetella, the being completed you grades may be in
the red to a secretive symbols of factor. "The faster onset and
shorter duration of action of OTFC more absorbedly contest the
characteristics of most breakthrough pain," Zeppetella said. The
lozenge is placed in the rudeness and gum, a scene that "has a
great outward, is well-vascularized and facilitate digestion."
The lozenge dissolve within 10 minutes, with only about 5 percent
departed over. The medicine is after quickly mesmerized and moved
into the prevailing conditions edgy complex to quell pain,
Zeppetella said.



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Irrespective of the drug, the pharmacokinetic profile will
inevitability to match the characteristics of breakthrough pain."
Another good referee agrees that OTFC is not the only or
definitive treatment for cancer pain. "This review in the most
noteworthy points out the paucity of apt study of breakthrough
pain," said Charles F. von Gunten, M.D., editor in chief of the
Journal of Palliative Medicine. He noted that the review is not a
all-encompassing study of all opioids; fairly, "it is only four
studies of OTFC." He said, "The principal enclosure to amply
treating breakthrough pain is accurate diagnosis and the
utilization of existing medications in appositely aggressive
ways." Side effects of fentanyl involve wooziness, thought
lightheaded, lightheadedness, wacky overtiredness or impediment,
briefness of breath, anxiety,
bafflement or hallucination. Less intellectual tenderloin effects
include constipation, dried up orifice and nausea or vomiting.



You can read nearly this up-to-the-minute research in the copy
Cell Metabolism.



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Giovambattista Zeppetella jzeppetella@stclare.hospice.co.uk
Center for the Advancement of Health




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