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Treatment of failed back surgery syndrome in a forty-three-year-old man with high-dose oxycodone/naloxone
1Department of Anesthesiology, Critical Care and Pain Medicine, Donostia University Hospital, San Sebastian, Spain ; Pain Relief Unit, Chronic Pain Management, Donostia University Hospital, San Sebastian, Spain.
Introduction:
Failed back surgery syndrome (FBSS) is an increasing cause of chronic pain in most countries. This poses high costs to both patients and National Health Organizations.
Case Presentation:
In this report, multimodal pain management based on daily high-dose oxycodone/naloxone (OXN 180/90 mg) led to reduced patient's pain score and improved quality of life.
Conclusions:
Oxycodone/naloxone can be a good alternative for the management of FBSS when other interventional or pharmacologic strategies have failed. In this case report, higher doses than those recommended as a maximum daily ceiling (80/40 mg) were safely used in one selected patient with noncancer severe pain.